The construction of smart hospitals is a critical pathway to promote the high-quality development of China′s healthcare system and an important direction for innovation in hospital managment services. In March 2022, Sir Run Run Shaw Hospital affiliated to Zhejiang University School of Medicine launched the smart hospital construction based on smart middle platforms(data platform, technology platform, and business platform), supported by technologies such as cloud computing, artificial intelligence and blockchain, focusing on data integration, business integration, intelligent services and fine management. This practice had built three major application platforms for smart services, smart healthcare, and smart management, and developed intelligent inquiry and triage systems, smart pharmacies, remote emergency systems, smart doctor assistants, smart wards, and multi center scientific research collaboration platforms based on these platforms. These applications were suitable for various scenarios. This smart hospital had promoted the upgrading and transformation of services, healthcare, and management, and achieved good results. From 2022 to 2024, the average outpatient waiting time was reduced from 60 min to 39 min, and the average inpatient length of stay decreased from 4.7 d to 4.5 d. As of March 2024, 11 5G-enabled smart wards had been deployed, significantly improving resource utilization and enhancing patient care experiences. This practice could provide a reference path for the construction of China′s smart hospital.

The construction of smart hospitals is a critical pathway to promote the high-quality development of China′s healthcare system and an important direction for innovation in hospital managment services. In March 2022, Sir Run Run Shaw Hospital affiliated to Zhejiang University School of Medicine launched the smart hospital construction based on smart middle platforms(data platform, technology platform, and business platform), supported by technologies such as cloud computing, artificial intelligence and blockchain, focusing on data integration, business integration, intelligent services and fine management. This practice had built three major application platforms for smart services, smart healthcare, and smart management, and developed intelligent inquiry and triage systems, smart pharmacies, remote emergency systems, smart doctor assistants, smart wards, and multi center scientific research collaboration platforms based on these platforms. These applications were suitable for various scenarios. This smart hospital had promoted the upgrading and transformation of services, healthcare, and management, and achieved good results. From 2022 to 2024, the average outpatient waiting time was reduced from 60 min to 39 min, and the average inpatient length of stay decreased from 4.7 d to 4.5 d. As of March 2024, 11 5G-enabled smart wards had been deployed, significantly improving resource utilization and enhancing patient care experiences. This practice could provide a reference path for the construction of China′s smart hospital.

Objective To analyze the influence of the Risser sign on the sagittal compensatory mode of the spine in idiopathic thoracic scoliosis after anterior spinal fusion.Methods Between June 2002 and November 2006,43 adolescent idiopathic scoliosis(AIS)patients(Lenke 1)undergone anterior correction with a minimum 2 years follow-up were included in this study.The patients were divided into three groups according to the Risser sign:group A(Risser 0),group B(Risser 1-3),and group C(Risser 4-5).The preoperative,postoperative and follow-up sagittal profile were evaluated by the following radiological parameters measured on the lateral radiograph,including the thoracic kyphosis,the lumbar lordosis,the thoracolumbar junction kyphosis,the distal junctional kyphosis,and the sagittal vertical axis.Results In group A,the thoracolumbar junction kyphosis significantly changed from-1.7° preoperative to 6.6° at the final follow-up,with an average increase of 8.3°.Similarly,in group B,the thoracolumbar junction kyphosis changed from -7.3° before surgery to 0.6° at the final follow-up,with an average variation of 7.9°.No obvious change of the thoracolumbar junction kyphosis was observed in group C.At the final follow-up,the average thoracic kyphosis in three groups was 21.2°,18.4° and 14.7°,respectively.No significance of the variation of the thoracic kyphosis was observed in the three groups,however,in group A and B,the thoracic kyphosis showed an ascending trend during the follow-up without significant statistical difference,in addition; the ratio of the thoracic kyphosis increased in group A was higher compared with group B and C.Conclusion For AIS patients with low Risser sign,the increased thoracic kyphosis,and the thoracolumbar junction kyphosis may be ascribed to the decompensation of thoracolumbar region caused by the reconstruction of sagittal alignment due to the continued growth of posterior elements of the thoracic spine.

OBJECTIVE: To explore the clinical effects of using custom-made tumor prosthesis replacement to treat malignant tumor located in the distal femur or proximal tibia. METHODS: A retrospective study of 29 cases malignant tumors around knee treated surgically from June 2001 to October 2008. In the study there were 19 males and 10 females, aging from 17 to 65 years, with an average of 38.5 years. The location of tumors was at distal femur in 22 cases and 7 cases at proximal tibia. After the tumor was extensively resected or radically resected, custom-made tumor prosthesis replacement was performed for reconstruction, simultaneously, neoadjuvant chemotherapy and radioactive-therapy were used in treating the tumor according the pathology. RESULTS: All patients were followed-up for 18-84 months, with average follow-up period of 54.2 months. The 3 year survival rate was 79.8%, and the 5 year survival rate was 63%. As for the complications, prosthesis breakage occurred in 2 patients, aseptic loosening in 1 patients, 2 had a recurrence of the soft tissue tumor for which the diseased limb amputation was performed. The mean MSTS score showed excellent limb function in 15 patients, good in 8 patients, fair in 5 patients and poor in 1 patient. The overall excellent and good function was obtained in 79% of the patients. No superficial or deep infection occurred. Two patients suffered common peroneal nerve injury, but were cured by symptomatic treatments. CONCLUSION: Application of tumor prosthesis can give a satisfactory functional outcome, which is an effect method in limb salvage treatment of malignant tumor around the knee.