Objective:Endometrial tuberculosis,which commonly affects women of reproductive age,is a significant cause of intrauterine adhesions(IUA),potentially leading to hypomenorrhea,amenorrhea,and infertility.Hysteroscopic a...Objective:Endometrial tuberculosis,which commonly affects women of reproductive age,is a significant cause of intrauterine adhesions(IUA),potentially leading to hypomenorrhea,amenorrhea,and infertility.Hysteroscopic adhesiolysis is the primary treatment for IUA;however,studies specifically addressing its efficacy in tuberculosisinduced IUA remain scarce.This study aims to evaluate the therapeutic outcomes of hysteroscopic adhesiolysis for IUA caused by endometrial tuberculosis.Methods:This retrospective cohort study included patients diagnosed with tuberculosisinduced IUA who underwent hysteroscopic adhesiolysis at the Third Xiangya Hospital of Central South University between May 2014 and October 2022.Clinical data including age,medical history,adhesion severity,surgical treatment,and reproductive outcomes were analyzed.Results:Among 39 patients identified,2 were lost to follow-up.A total of 37 patients were included,with a follow-up duration ranging from 6 months to 9 years.Hypomenorrhea was reported in 24(64.9%)patients,secondary amenorrhea in 10(27.0%)patients,and normal menstruation in 3(8.1%)patients.Most patients presented with primary infertility(59.5%),and only 2(5.4%)had secondary infertility.The median American Fertility Society(AFS)score at initial assessment was 10(range,8−12);8(21.6%)patients had moderate IUA,and 29(78.4%)had severe IUA.A total of 86 surgical procedures were performed across 37 patients,with 27 patients undergoing 2 or more surgeries.Postoperatively,25(67.6%)patients achieved normalization of the uterine cavity,while 12(32.4%)still had a reduced cavity.Only 7(18.9%)patients had a grossly normal endometrium at the final surgery,all of whom had moderate adhesions at the initial procedure.Menstrual flow returned to normal in 12(32.4%)patients,while 25(67.6%)continued to experience hypomenorrhea.Of 29 patients who attempted in vitro fertilization and embryo transfer(IVF-ET),only 6(20.7%)conceived.Among these,4(13.8%)delivered at term via cesarean section;one case was complicated by postpartum hemorrhage due to uterine atony and another by placental adhesion.Conclusion:Endometrial tuberculosis can lead to severe IUA.Hysteroscopic adhesiolysis facilitates cavity restoration and improvement of menstrual conditions,but the overall reproductive outcomes remain suboptimal.展开更多
Objective To investigate the old patients with aortic stenosis after transcatheter aortic valve implantation (TAVI) heating conditions,including the incidence of fever, heating time, risk factors, and the recent clini...Objective To investigate the old patients with aortic stenosis after transcatheter aortic valve implantation (TAVI) heating conditions,including the incidence of fever, heating time, risk factors, and the recent clinical outcomes, as TAVI postoperative fever prevention measures,provide clinical basis for the establishment of nursing standard.展开更多
立德树人是高等教育的根本任务,而课程思政是新时代的主题,课程思政既是实现高校立德树人的根本保证,也是提高我国高校人才的家国情怀和责任意识的有效途径,将思政教育融入到专业课程中,进行创新性的教学设计并付诸实践,对提高食品专业...立德树人是高等教育的根本任务,而课程思政是新时代的主题,课程思政既是实现高校立德树人的根本保证,也是提高我国高校人才的家国情怀和责任意识的有效途径,将思政教育融入到专业课程中,进行创新性的教学设计并付诸实践,对提高食品专业学生的综合素养具有重要的现实意义。该文根据《食品添加剂》课程的性质和特点,围绕课程教学目标,深度挖掘本课程每个章节知识点的思政元素,并基于成果导向教育(Outcomes Based Education,OBE)理念对采用混合式教学的课程进行具体的设计和实践,努力探索出一种既能提高食品专业学生的创新精神和实践能力,又能增强其民族自豪感和责任感的新方法,同时也为本专业其他课程的教学设计和实践提供一定的理论参考。展开更多
肉芽肿性多血管炎（granulomatosis with polyangiitis,GPA）是一种病因未明的罕见多系统自身免疫性疾病.其特征为坏死性肉芽肿性炎和免疫性中小血管炎,大部分患者以呼吸道病变为首发症状,容易误诊为肺结核.笔者报道2015年1月本院收治的...肉芽肿性多血管炎（granulomatosis with polyangiitis,GPA）是一种病因未明的罕见多系统自身免疫性疾病.其特征为坏死性肉芽肿性炎和免疫性中小血管炎,大部分患者以呼吸道病变为首发症状,容易误诊为肺结核.笔者报道2015年1月本院收治的1例以“发热、肺部阴影、单侧胸腔积液”为主要临床表现的患者,诊断为肺结核及结核性胸膜炎,经抗结核治疗无效,为明确诊断,笔者组织临床专家对患者的诊断及治疗进行了讨论.患者经肺活组织检查及检测c-ANCA阳性后,最终诊断为肉芽肿性多血管炎.展开更多
Developing a course of action(COA) is a key step in military planning. In most extant studies on the COA development,only the unilateral actions of friendly forces are considered. Based on stochastic games, we propose...Developing a course of action(COA) is a key step in military planning. In most extant studies on the COA development,only the unilateral actions of friendly forces are considered. Based on stochastic games, we propose models that could deal with the complexities and uncertainties of wars. By analyzing the equilibrium state of both opponent sides, outcomes preferable to one side could be achieved by adopting the methods obtained from the proposed models. This research could help decision makers take the right COA in a state of uncertainty.展开更多
This paper describes an analysis of the match between the module learning outcomes and the programme learning outcomes of the MSc in Assistive Technology offered by the School of Computing. The contribution of each MS...This paper describes an analysis of the match between the module learning outcomes and the programme learning outcomes of the MSc in Assistive Technology offered by the School of Computing. The contribution of each MSc module to the overall programme learning outcomes was assessed using a Module Matrix. An overall Master Matrix was used to assess the overall contribution of all 16 modules to the programme learning outcomes of the MSc programme. The analysis of the MSc programme design was taken a stage further by graphing the learning outcomes of the overall programme against the individual module learning outcomes. This provided a useful tool for analysis of the MSc programme. The approach outlined in this paper provides a visualisation tool that allows the programme designer to quickly identify the deficiencies and excesses in the relationships between programme learning outcomes and module learning outcomes.展开更多
基金supported by the Wisdom Accumulation and Talent Cultivation Project of Third Xiangya Hosipital of Central South University,China(YX202112).
文摘Objective:Endometrial tuberculosis,which commonly affects women of reproductive age,is a significant cause of intrauterine adhesions(IUA),potentially leading to hypomenorrhea,amenorrhea,and infertility.Hysteroscopic adhesiolysis is the primary treatment for IUA;however,studies specifically addressing its efficacy in tuberculosisinduced IUA remain scarce.This study aims to evaluate the therapeutic outcomes of hysteroscopic adhesiolysis for IUA caused by endometrial tuberculosis.Methods:This retrospective cohort study included patients diagnosed with tuberculosisinduced IUA who underwent hysteroscopic adhesiolysis at the Third Xiangya Hospital of Central South University between May 2014 and October 2022.Clinical data including age,medical history,adhesion severity,surgical treatment,and reproductive outcomes were analyzed.Results:Among 39 patients identified,2 were lost to follow-up.A total of 37 patients were included,with a follow-up duration ranging from 6 months to 9 years.Hypomenorrhea was reported in 24(64.9%)patients,secondary amenorrhea in 10(27.0%)patients,and normal menstruation in 3(8.1%)patients.Most patients presented with primary infertility(59.5%),and only 2(5.4%)had secondary infertility.The median American Fertility Society(AFS)score at initial assessment was 10(range,8−12);8(21.6%)patients had moderate IUA,and 29(78.4%)had severe IUA.A total of 86 surgical procedures were performed across 37 patients,with 27 patients undergoing 2 or more surgeries.Postoperatively,25(67.6%)patients achieved normalization of the uterine cavity,while 12(32.4%)still had a reduced cavity.Only 7(18.9%)patients had a grossly normal endometrium at the final surgery,all of whom had moderate adhesions at the initial procedure.Menstrual flow returned to normal in 12(32.4%)patients,while 25(67.6%)continued to experience hypomenorrhea.Of 29 patients who attempted in vitro fertilization and embryo transfer(IVF-ET),only 6(20.7%)conceived.Among these,4(13.8%)delivered at term via cesarean section;one case was complicated by postpartum hemorrhage due to uterine atony and another by placental adhesion.Conclusion:Endometrial tuberculosis can lead to severe IUA.Hysteroscopic adhesiolysis facilitates cavity restoration and improvement of menstrual conditions,but the overall reproductive outcomes remain suboptimal.
文摘Objective To investigate the old patients with aortic stenosis after transcatheter aortic valve implantation (TAVI) heating conditions,including the incidence of fever, heating time, risk factors, and the recent clinical outcomes, as TAVI postoperative fever prevention measures,provide clinical basis for the establishment of nursing standard.
文摘立德树人是高等教育的根本任务,而课程思政是新时代的主题,课程思政既是实现高校立德树人的根本保证,也是提高我国高校人才的家国情怀和责任意识的有效途径,将思政教育融入到专业课程中,进行创新性的教学设计并付诸实践,对提高食品专业学生的综合素养具有重要的现实意义。该文根据《食品添加剂》课程的性质和特点,围绕课程教学目标,深度挖掘本课程每个章节知识点的思政元素,并基于成果导向教育(Outcomes Based Education,OBE)理念对采用混合式教学的课程进行具体的设计和实践,努力探索出一种既能提高食品专业学生的创新精神和实践能力,又能增强其民族自豪感和责任感的新方法,同时也为本专业其他课程的教学设计和实践提供一定的理论参考。
文摘肉芽肿性多血管炎（granulomatosis with polyangiitis,GPA）是一种病因未明的罕见多系统自身免疫性疾病.其特征为坏死性肉芽肿性炎和免疫性中小血管炎,大部分患者以呼吸道病变为首发症状,容易误诊为肺结核.笔者报道2015年1月本院收治的1例以“发热、肺部阴影、单侧胸腔积液”为主要临床表现的患者,诊断为肺结核及结核性胸膜炎,经抗结核治疗无效,为明确诊断,笔者组织临床专家对患者的诊断及治疗进行了讨论.患者经肺活组织检查及检测c-ANCA阳性后,最终诊断为肉芽肿性多血管炎.
基金supported by the Natural Science Foundation of China(71471174)
文摘Developing a course of action(COA) is a key step in military planning. In most extant studies on the COA development,only the unilateral actions of friendly forces are considered. Based on stochastic games, we propose models that could deal with the complexities and uncertainties of wars. By analyzing the equilibrium state of both opponent sides, outcomes preferable to one side could be achieved by adopting the methods obtained from the proposed models. This research could help decision makers take the right COA in a state of uncertainty.
文摘This paper describes an analysis of the match between the module learning outcomes and the programme learning outcomes of the MSc in Assistive Technology offered by the School of Computing. The contribution of each MSc module to the overall programme learning outcomes was assessed using a Module Matrix. An overall Master Matrix was used to assess the overall contribution of all 16 modules to the programme learning outcomes of the MSc programme. The analysis of the MSc programme design was taken a stage further by graphing the learning outcomes of the overall programme against the individual module learning outcomes. This provided a useful tool for analysis of the MSc programme. The approach outlined in this paper provides a visualisation tool that allows the programme designer to quickly identify the deficiencies and excesses in the relationships between programme learning outcomes and module learning outcomes.
