Child ; Child Abuse ; legislation & jurisprudence ; prevention & control ; China ; Delivery of Health Care ; organization & administration ; Domestic Violence ; legislation & jurisprudence ; prevention & control ; Female ; Human Rights Abuses ; legislation & jurisprudence ; prevention & control ; Humans ; Violence ; legislation & jurisprudence ; prevention & control ; World Health Organization ; organization & administration

Accident Prevention ; China ; Humans ; Wounds and Injuries ; prevention & control

Objective To review the study on the risk factors and prognosis of laparoscopic cholecystectomy remedied by laparotomy. Methods Five hundred cases of laparoscopic cholecystectomy patients in our hospital were collected as a research object ,using univariate analysis and multivariate logistic regression analysis to screen and analyze laparotomy during laparoscopic cholecystectomy ,and its prognosis. Results 500 cases of cholecys-tectomy patients were converted to laparotomy in a ratio of 4.2%. The independent risk factors contained BMI index,patients with history of abdominal surgery,patients with cholecystitis episodes,doctors clinical experience , patients with gallbladder wall thickness during laparoscopic cholecystectomy. Twenty-one patients undergone laparotomy during laparoscopic cholecystectomy without severe complications. Conclusion Before laparoscopic cholecystectomy,physicians should analyze the following factors comprehensively in obesity,abdominal surgery, recurrent cholecystitis,gallbladder wall thickness,in order to determine the operating method and reduce the the rate from laparoscopic cholecystectomy to laparotomy.

Accidents, Traffic ; mortality ; prevention & control ; China ; epidemiology ; Global Health ; Humans ; Wounds and Injuries ; epidemiology

China ; epidemiology ; Communicable Disease Control ; Humans ; Severe Acute Respiratory Syndrome ; epidemiology ; prevention & control

Burn Units ; Burns ; surgery ; Humans ; Personnel Management ; Physicians

China ; Disasters ; Earthquakes ; Emergency Medical Services ; manpower ; organization & administration ; Humans ; Public Health Practice

Accident Prevention ; Humans ; Public Health ; Terminology as Topic ; Wounds and Injuries ; classification

A tracheostomy is a procedure involving stoma creation through the skin and into the trachea. It can be done surgically or via a percutaneous dilatational technique.1 A tracheostomy tube is the piece of equipment that is left in situ. There is an increasing number of patients with tracheostomy tubes living in the community in Singapore. Therefore, it benefits community physicians to be aware of some aspects of tracheostomy tube components and change. This article will cover indications and contraindications, components, complications and provide an overview of tracheostomy tube change in the community setting.

ObjectiveTo observe the clinical value of serum prealbumin in patients with chronic schistosome.Methodsone hundred and twenty six patients with chronic schistosome in the Gastroenterology Department and 40 healthy people in the Physical Examination Center of the First Hospital of Wuhan were enrolledin the study.Serum prealbumin(PA) and albumin(ALB) in healthy controls and patients with chronic schistosome before therapy and 1 st,2 nd,4 th weeks after therapy were detected and analyzed.ResultsBefore therapy,PA and ALB [(223.9 ± 43.2)mg/L, (41.5 ± 5.8)g/L] of patient group were lower than that of the control group [(314.5 ± 53.6)mg/L,(47.2 ± 6.9)g/L,t =4.527,2.786,respectively,all P＜ 0.05].After therapy,PAs of patient group at the 1 st,2 nd,4 th weeks [(245.8 ± 41.7),(258.3 ± 47.2),(282.9 ± 49.3)mg/L] were higher than that before the therapy (t =3.092,3.789,4.230,all P ＜ 0.05).ALB of patient group at the 1 st,2 nd,4 th weeks [(41.1 ± 4.7),(41.4 ± 5.2),(44.8 ± 4.5)g/L] were not significantly different compaired to that before therapy(t =0.123,0.119,0.156,all P ＞ 0.05).ConclusionsPrealbumin could quickly and sensitively respond to the changes of liver function.It could be used in the judgment of curative effect and prognosis of patients with schistosome.