以病人为中心的口腔科门诊数字化建设初探

目的：总结以病人为中心的口腔科门诊数字化建设的经验。方法：从诊疗手段、就医流程、医疗文书以及科室管理4个方面总结广州军区武汉总医院口腔科门诊数字化建设的概况。结果：2009年以来开始进行El腔科门诊的数字化建设,经过3年多的运行,科室工作流程优化明显,提高了工作效率和医疗服务质量。结论：科室的数字化建设有助于提高科室的工作效率和医疗服务质量,充分体现了”以病人为中心”这一理念。     

Do we need cardiac arrest centres in Australia?

The mortality rate post admission to hospital after successful resuscitation from out‐of‐hospital cardiac arrest is high, with significant variation between regions and individual institutions. While prehospital factors such as age, bystander cardiopulmonary resuscitation and total cardiac arrest time are known to influence outcome, several aspects of post‐resuscitative care including therapeutic hypothermia, coronary intervention and goal‐directed therapy may also influence patient survival. Regional systems of care have improved provider experience and patient outcomes for those with ST elevation myocardial infarction and life‐threatening traumatic injury. In particular, hospital factors such as hospital size and interventional cardiac care capabilities have been found to influence patient mortality. This paper reviews the evidence supporting the possible development and implementation of Australian cardiac arrest centres.     

Depressive Symptoms Among Children and Adolescents in Iran: A Confirmatory Factor Analytic Study of the Centre for Epidemiological Studies Depression Scale for Children

This study investigated the psychometric properties of the Iranian translation of the Centre for Epidemiological Studies Depression Scale for Children (CES-DC) in school children and adolescents in Iran. The CES-DC is a 20-item self-report scale designed to measure depressive symptoms in children and adolescents. A total of 1,984 children and adolescents, aged 12–17 years, participated in this research. In addition to the CES-DC, all participants completed the Spence Children’s Anxiety Scale (SCAS) and the Strength and Difficulties Questionnaire (SDQ). The CES-DC demonstrated high internal consistency (Cronbach Alpha = .87). Confirmatory factor analyses revealed the same four factor structure as proposed by Radloff. Invariance tests showed an equivalent structure among boys and girls and younger and older adolescents. The CES-DC total scores correlated significantly with the SCAS total scores and the SDQ emotional symptoms subscale, providing support of its convergent validity. To conclude, the CES-DC proved to be a reliable and valid measure of depressive symptoms in the Iranian context.     

Host odor synergizes attraction of virgin female Lutzomyia longipalpis (Diptera: Psychodidae)

The sand fly Lutzomyia longipalpis Lutz & Neiva (Diptera: Psychodidae) is the principle vector of Leishmania chagasi/infantum Cunha and Chagas, the causative agent of visceral leishmaniasis. The disease is transmitted by blood-feeding females, which seek aggregations of males above potential hosts both to mate and blood-feed. Pheromones produced by male sand flies could potentially be used as lures in L. longipalpis control programs. We investigated whether attraction of male and female sand flies to pheromone could be increased by addition of host odor. Pheromone was attractive to females in the absence of host odor, although a 10-fold increase in concentration did not increase numbers attracted or reduce the proportion of flies not responding during trials. Odors from Syrian hamsters, Mesocricetus auratus, were more attractive to females than air when presented without sex pheromone, but this effect was masked by hexane, suggesting attraction to host odor alone may be relatively weak. Addition of hamster odor both increased the number of virgin female L. longipalpis attracted to sex pheromone (relative to a solvent control) and reduced the number of nonresponders, indicating that host odor may have both a synergistic and activating effect. Male sand flies were not attracted to pheromone with or without host odor, although addition of pheromone did counteract an apparent avoidance of host odor combined with a hexane control. These results indicate L. longipalpis pheromones function primarily to attract females and that their efficacy as lures may be increased through addition of host odor, or by deploying traps in the vicinity of host animals.     

Alcohol use and the wage returns to education and work experience

Despite a widely held belief that alcohol use should negatively impact wages, much of the literature on the topic suggests a positive relationship between nonproblematic alcohol use and wages. Studies on the effect of alcohol use on educational attainment have also failed to find a consistent, negative effect of alcohol use on years of education. Thus, the connections between alcohol use, human capital, and wages remain a topic of debate in the literature. In this study, we use the 1997 cohort of the National Longitudinal Survey of Youth to estimate a theoretical model of wage determination that links alcohol use to wages via human capital. We find that nonbinge drinking is associated with lower wage returns to education whereas binge drinking is associated with increased wage returns to both education and work experience. We interpret these counterintuitive results as evidence that alcohol use affects wages through both the allocative and productive efficiency of human capital formation and that these effects operate in offsetting directions. We suggest that alcohol control policies should be more nuanced to target alcohol consumption in the contexts within which it causes harm.     

New cancer cases in France in 2015 attributable to infectious agents: a systematic review and meta-analysis

To provide an assessment of the burden of cancer in France in 2015 attributable to infectious agents. A systematic literature review in French representative cancer cases series was undertaken of the prevalence of infectious agents with the major associated cancer types. PubMed was searched for original studies published up to September 2016; random-effects meta-analyses were performed. Cancer incidence data were obtained from the French Cancer Registries Network, thereby allowing the calculation of national incidence estimates. The number of new cancer cases attributable to infectious agents was calculated using population-attributable fractions according to published methods. Of the 352,000 new cancer cases in France in 2015, 14,336 (4.1% of all new cancer cases) were attributable to infectious agents. The largest contributors were human papillomavirus (HPV) and Helicobacter pylori, responsible for 6333 and 4406 new cancer cases (1.8 and 1.3% of all new cancer cases) respectively. Infectious agents caused a non-negligible number of new cancer cases in France in 2015. Most of these cancers were preventable. The expansion of vaccination (i.e., for hepatitis B virus and HPV) and screen-and-treat programs (for HPV and hepatitis C virus, and possibly for H. pylori) could greatly reduce this cancer burden.     

Telemedicine-based new patient consultations for hernia repair and advanced abdominal wall reconstruction

Hernia - Telemedicine has emerged as a viable option to in-person visits for the evaluation and management of surgical patients. Increased integration of telemedicine has allowed for greater access...