Objective The characteristics of the time-scheduled appointment late arrival of outpatients in thoracic surgery at West China Hospital Sichuan University were analyzed.Methods A total of 9 378 cases of thoracic surgery patients were extracted from the HIS system of West China Hospital of Sichuan University in 2019.The normal patients were used as the control group,and the late patients were analyzed by SPSS 24.0 software.Results Age,gender,place of origin,type of consultation,consultation time,appointment method,expert level,and consultation time were the influencing factors of lateness,and the differences were statistically significant(P＜0.05).The lateness rate of patients is highest on Monday,reaching 34.6%,the lateness rate is highest between＞08:30-09:00 every morning,reaching 78.1%,and the lateness rate is highest between＞13:00-13:30 in the afternoon,reaching 65.7%.Conclusion Patients who are late for medical appointments have certain characteristics.Therefore,solutions need to be proposed based on relevant characteristics to improve patients'compliance with medical appointments within the appointment time period.

Objective The characteristics of the time-scheduled appointment late arrival of outpatients in thoracic surgery at West China Hospital Sichuan University were analyzed.Methods A total of 9 378 cases of thoracic surgery patients were extracted from the HIS system of West China Hospital of Sichuan University in 2019.The normal patients were used as the control group,and the late patients were analyzed by SPSS 24.0 software.Results Age,gender,place of origin,type of consultation,consultation time,appointment method,expert level,and consultation time were the influencing factors of lateness,and the differences were statistically significant(P＜0.05).The lateness rate of patients is highest on Monday,reaching 34.6%,the lateness rate is highest between＞08:30-09:00 every morning,reaching 78.1%,and the lateness rate is highest between＞13:00-13:30 in the afternoon,reaching 65.7%.Conclusion Patients who are late for medical appointments have certain characteristics.Therefore,solutions need to be proposed based on relevant characteristics to improve patients'compliance with medical appointments within the appointment time period.

Objective The characteristics of the time-scheduled appointment late arrival of outpatients in thoracic surgery at West China Hospital Sichuan University were analyzed.Methods A total of 9 378 cases of thoracic surgery patients were extracted from the HIS system of West China Hospital of Sichuan University in 2019.The normal patients were used as the control group,and the late patients were analyzed by SPSS 24.0 software.Results Age,gender,place of origin,type of consultation,consultation time,appointment method,expert level,and consultation time were the influencing factors of lateness,and the differences were statistically significant(P＜0.05).The lateness rate of patients is highest on Monday,reaching 34.6%,the lateness rate is highest between＞08:30-09:00 every morning,reaching 78.1%,and the lateness rate is highest between＞13:00-13:30 in the afternoon,reaching 65.7%.Conclusion Patients who are late for medical appointments have certain characteristics.Therefore,solutions need to be proposed based on relevant characteristics to improve patients'compliance with medical appointments within the appointment time period.

Objective The characteristics of the time-scheduled appointment late arrival of outpatients in thoracic surgery at West China Hospital Sichuan University were analyzed.Methods A total of 9 378 cases of thoracic surgery patients were extracted from the HIS system of West China Hospital of Sichuan University in 2019.The normal patients were used as the control group,and the late patients were analyzed by SPSS 24.0 software.Results Age,gender,place of origin,type of consultation,consultation time,appointment method,expert level,and consultation time were the influencing factors of lateness,and the differences were statistically significant(P＜0.05).The lateness rate of patients is highest on Monday,reaching 34.6%,the lateness rate is highest between＞08:30-09:00 every morning,reaching 78.1%,and the lateness rate is highest between＞13:00-13:30 in the afternoon,reaching 65.7%.Conclusion Patients who are late for medical appointments have certain characteristics.Therefore,solutions need to be proposed based on relevant characteristics to improve patients'compliance with medical appointments within the appointment time period.

Objective The characteristics of the time-scheduled appointment late arrival of outpatients in thoracic surgery at West China Hospital Sichuan University were analyzed.Methods A total of 9 378 cases of thoracic surgery patients were extracted from the HIS system of West China Hospital of Sichuan University in 2019.The normal patients were used as the control group,and the late patients were analyzed by SPSS 24.0 software.Results Age,gender,place of origin,type of consultation,consultation time,appointment method,expert level,and consultation time were the influencing factors of lateness,and the differences were statistically significant(P＜0.05).The lateness rate of patients is highest on Monday,reaching 34.6%,the lateness rate is highest between＞08:30-09:00 every morning,reaching 78.1%,and the lateness rate is highest between＞13:00-13:30 in the afternoon,reaching 65.7%.Conclusion Patients who are late for medical appointments have certain characteristics.Therefore,solutions need to be proposed based on relevant characteristics to improve patients'compliance with medical appointments within the appointment time period.

Objective The characteristics of the time-scheduled appointment late arrival of outpatients in thoracic surgery at West China Hospital Sichuan University were analyzed.Methods A total of 9 378 cases of thoracic surgery patients were extracted from the HIS system of West China Hospital of Sichuan University in 2019.The normal patients were used as the control group,and the late patients were analyzed by SPSS 24.0 software.Results Age,gender,place of origin,type of consultation,consultation time,appointment method,expert level,and consultation time were the influencing factors of lateness,and the differences were statistically significant(P＜0.05).The lateness rate of patients is highest on Monday,reaching 34.6%,the lateness rate is highest between＞08:30-09:00 every morning,reaching 78.1%,and the lateness rate is highest between＞13:00-13:30 in the afternoon,reaching 65.7%.Conclusion Patients who are late for medical appointments have certain characteristics.Therefore,solutions need to be proposed based on relevant characteristics to improve patients'compliance with medical appointments within the appointment time period.

ObjectiveThe detection of RNA single nucleotide polymorphism (SNP) is of great importance due to their association with protein expression related to various diseases and drug responses. At present, splintR ligase-assisted methods are important approaches for RNA direct detection, but its specificity will be limited when the fidelity of ligases is not ideal. The aim of this study was to create a method to improve the specificity of splintR ligase for RNA detection. MethodsIn this study, a dual-competitive-padlock-probe (DCPLP) assay without the need for additional enzymes or reactions is proposed to improve specificity of splintR ligase ligation. To verify the method, we employed dual competitive padlock probe-mediated rolling circle amplification (DCPLP-RCA) to genotype the CYP2C9 gene. ResultsThe specificity was well improved through the competition and strand displacement of dual padlock probe, with an 83.26% reduction in nonspecific signal. By detecting synthetic RNA samples, the method demonstrated a dynamic detection range of 10 pmol/L-1 nmol/L. Furthermore, clinical samples were applied to the method to evaluate its performance, and the genotyping results were consistent with those obtained using the qPCR method. ConclusionThis study has successfully established a highly specific direct RNA SNP detection method, and provided a novel avenue for accurate identification of various types of RNAs.

Objective The characteristics of the time-scheduled appointment late arrival of outpatients in thoracic surgery at West China Hospital Sichuan University were analyzed.Methods A total of 9 378 cases of thoracic surgery patients were extracted from the HIS system of West China Hospital of Sichuan University in 2019.The normal patients were used as the control group,and the late patients were analyzed by SPSS 24.0 software.Results Age,gender,place of origin,type of consultation,consultation time,appointment method,expert level,and consultation time were the influencing factors of lateness,and the differences were statistically significant(P＜0.05).The lateness rate of patients is highest on Monday,reaching 34.6%,the lateness rate is highest between＞08:30-09:00 every morning,reaching 78.1%,and the lateness rate is highest between＞13:00-13:30 in the afternoon,reaching 65.7%.Conclusion Patients who are late for medical appointments have certain characteristics.Therefore,solutions need to be proposed based on relevant characteristics to improve patients'compliance with medical appointments within the appointment time period.

Objective The characteristics of the time-scheduled appointment late arrival of outpatients in thoracic surgery at West China Hospital Sichuan University were analyzed.Methods A total of 9 378 cases of thoracic surgery patients were extracted from the HIS system of West China Hospital of Sichuan University in 2019.The normal patients were used as the control group,and the late patients were analyzed by SPSS 24.0 software.Results Age,gender,place of origin,type of consultation,consultation time,appointment method,expert level,and consultation time were the influencing factors of lateness,and the differences were statistically significant(P＜0.05).The lateness rate of patients is highest on Monday,reaching 34.6%,the lateness rate is highest between＞08:30-09:00 every morning,reaching 78.1%,and the lateness rate is highest between＞13:00-13:30 in the afternoon,reaching 65.7%.Conclusion Patients who are late for medical appointments have certain characteristics.Therefore,solutions need to be proposed based on relevant characteristics to improve patients'compliance with medical appointments within the appointment time period.

Objective To investigate the clinical characteristics and prognosis of pneumococcal meningitis(PM),and drug sensitivity of Streptococcus pneumoniae(SP)isolates in Chinese children.Methods A retrospective analysis was conducted on clinical information,laboratory data,and microbiological data of 160 hospitalized children under 15 years old with PM from January 2019 to December 2020 in 33 tertiary hospitals across the country.Results Among the 160 children with PM,there were 103 males and 57 females.The age ranged from 15 days to 15 years,with 109 cases(68.1% )aged 3 months to under 3 years.SP strains were isolated from 95 cases(59.4% )in cerebrospinal fluid cultures and from 57 cases(35.6% )in blood cultures.The positive rates of SP detection by cerebrospinal fluid metagenomic next-generation sequencing and cerebrospinal fluid SP antigen testing were 40% (35/87)and 27% (21/78),respectively.Fifty-five cases(34.4% )had one or more risk factors for purulent meningitis,113 cases(70.6% )had one or more extra-cranial infectious foci,and 18 cases(11.3% )had underlying diseases.The most common clinical symptoms were fever(147 cases,91.9% ),followed by lethargy(98 cases,61.3% )and vomiting(61 cases,38.1% ).Sixty-nine cases(43.1% )experienced intracranial complications during hospitalization,with subdural effusion and/or empyema being the most common complication[43 cases(26.9% )],followed by hydrocephalus in 24 cases(15.0% ),brain abscess in 23 cases(14.4% ),and cerebral hemorrhage in 8 cases(5.0% ).Subdural effusion and/or empyema and hydrocephalus mainly occurred in children under 1 year old,with rates of 91% (39/43)and 83% (20/24),respectively.SP strains exhibited complete sensitivity to vancomycin(100% ,75/75),linezolid(100% ,56/56),and meropenem(100% ,6/6).High sensitivity rates were also observed for levofloxacin(81% ,22/27),moxifloxacin(82% ,14/17),rifampicin(96% ,25/26),and chloramphenicol(91% ,21/23).However,low sensitivity rates were found for penicillin(16% ,11/68)and clindamycin(6% ,1/17),and SP strains were completely resistant to erythromycin(100% ,31/31).The rates of discharge with cure and improvement were 22.5% (36/160)and 66.2% (106/160),respectively,while 18 cases(11.3% )had adverse outcomes.Conclusions Pediatric PM is more common in children aged 3 months to under 3 years.Intracranial complications are more frequently observed in children under 1 year old.Fever is the most common clinical manifestation of PM,and subdural effusion/emphysema and hydrocephalus are the most frequent complications.Non-culture detection methods for cerebrospinal fluid can improve pathogen detection rates.Adverse outcomes can be noted in more than 10% of PM cases.SP strains are high sensitivity to vancomycin,linezolid,meropenem,levofloxacin,moxifloxacin,rifampicin,and chloramphenicol.[Chinese Journal of Contemporary Pediatrics,2024,26(2):131-138]