Objective: To analyze the depression status of pediatric standardized training residents in COVID-19.
Methods: The depression status of pediatric residents undergoing standardized training at the First Affiliated Hospital of Yangtze University was investigated using the Self-rated Depression Scale (SDS). Statistical analysis was conducted using R version 3.5.3.
Results: The prevalence of depression was found to be 66.6%. However, no significant statistical associations were observed between depression and various demographic factors, including gender, age, emotional status, educational background, possession of a professional doctor certificate, and monthly income.
Conclusions: The incidence of depressive symptoms amongst pediatric residents undergoing standardized training during the COVID-19 pandemic is substantial, placing them at an elevated risk for depression.
Background: Fulminant Myocarditis and Hemophagocytic Syndrome (HPS) are independent life-threatening diseases. HPS, however, is a rare complication of fulminant myocarditis. It is hard to diagnose HPS inpatients with fulminant myocarditis early, but timely identification affects the clinical result. Here is the report of a female who has developed HPS complications after fulminant myocarditis.
Case presentation: A 15-year-old Chinese female was admitted to the emergency department with a 3-day history of progressively severe chest pain and then a 1-day history of worsening heart failure needing the veno-arterial extracorporeal membrane oxygenation (V-A ECMO). Interventions: V-A ECMO requiring continuous renal replacement therapy (CRRT) supported critically ill patients with heart failure. The vasoactive drug was used to improve cardiac function, maintain water, electrolyte, and acid-base balance, and nutritional supplements. High-dose methylprednisolone was administered for three days. Etoposide was given two times according to the treatment guideline, followed by cyclosporine. Diagnosis: The definitive diagnosis of the presented case was fulminant myocarditis complicated by hemophagocytic lymphohistiocytosis.
Conclusions: For fulminant myocarditis patients suspected of HPS, the functional examination must be considered for early diagnosis. The timely administration of adequate corticosteroids and standard chemotherapy is essential to reduce the risk of HPS mortality.
China began using the colored liquid from tea and tincture to treat burns as early as the sixth century B.C., and records of Chinese medicine for the rescue and treatment of burns date from the Jin Dynasty to the Ming and Qing Dynasties. Modern burn treatment medicine in China began in 1958 when national steel production began. Since then, burn patients have increased dramatically, independent burn departments have been established nationwide, and burn surgery has moved into technological development. With the combined efforts of several generations of burn medical workers in China, the clinical treatment of severe and extra-severe burns has steadily increased. Many fields, such as burn shock prevention and treatment, wound repair, and sepsis, have become world leaders in the 21st century, forming a treatment technology and theoretical system with distinctive Chinese characteristics. Burn medical professionals have conducted numerous clinical and fundamental experimental studies, founded the Burns Surgery Branch of the Chinese Medical Association, established academic journals, and successfully established China Burn Treatment Program. The advancement of science and technology has promoted the development of modern medicine, and 3D virtual reality technology, 3D printing technology, organoid culture, and tissue engineering skin have demonstrated potential advantages and excellent application prospects in the treatment of severe burns, providing new ideas and directions for the discipline’s development. In the new journey of development and reform, we should continue to strengthen the systematic construction of the discipline, enhance the innovative treatment capability, and create further triumph.
Objective: To explore the characteristics of audiology examination of Noise-Induced Hidden Hearing Loss (NIHHL), and then explore its valuable diagnostic methods.
Methods: A total of 80 young men aged between 19 and 35 were selected. They were classified into the experimental group with noise exposure history and the control group without noise exposure history, with 40 men in each group. We carried out extended high-frequency audiometry test for good ears; conducted speech in noise measurement and distortion product emission for good ears; DPOAE test, compare and analyze the results of each test.
Results: The extended high frequency hearing threshold test results showed that the hearing threshold of the experimental group was larger than that of the control group at the frequency above 8 kHz, with significant statistical difference (p <.01). The results of speech audiometry under noise showed that the signal-to-noise ratio loss in the experimental group was greater than that in the control group, with a significant statistical difference (p <.01). The results of otoacoustic emission showed that the signal-to-noise ratio of the experimental group was lower than that of the control group at the frequency of 6 kHz and above, with a statistically significant difference (p <.01). There is a correlation between pure tone audiometryand DPOAE test results at high frequencies (6 kHz: p <.0001, r = -.478; 8 kHz: p <.0001, r = -.491); There was a correlation between speech audiometry and DPOAE test results under noise (p =.031, r = -.299).
Conclusions: Compared with the control group, the extended high frequency pure tone hearing threshold increased or could not be elicited in the experimental group, speech recognition ability decreased significantly under noise, DPOAE was normally elicited but signal-to-noise ratio decreased, and there was a certain correlation between them. The above three audiological examination methods have a certain reference value for early recognition of hidden hearing loss.
Hyperparathyroidism (HPT) is an endocrine system disease, which is often divided into primary hyperparathyroidism (PHPT) and secondary hyperparathyroidism (SHPT). At present, HPT has gradually become a common disease of endocrine system, and the common treatment is surgical resection of related lesions. Therefore, accurate location and detection are very important for the surgical treatment and prognosis of HPT. Therefore, the author reviews the relevant imaging examination in the field of nuclear medicine to provide help for clinical diagnosis and treatment.