简介：标题MINI研究:一个关于对比阿加曲班或肝素作为组织型纤溶酶原激活剂(tPA)的附加剂应用于急性心肌梗死患者的多中心、随机临床试验作者JangI-K,BrownDFM,GinglianoRP,etal

简介：男生的青春期一般在12岁开始，女生的青春期在10～12岁开始，这个青春期最短持续5—7年，整个生长期女生会长高20厘米左右，男生会长高20～25厘米，虽然男生的生长期比女生晚了点，但是一点也不影响青春期男生女生对身高的追求，青春期怎么长高，成为男生女生和家长们都关心的问题。

简介：Theconcentrationofsodiumchlorideisofprimeimportanceintheinitiationandreversalofspermquiescenceinthecaudaepididymis.Otherfactorssuchasinorganicandorganicconstituentsoftheluminalfluidareofsecondaryimportanceandmightassistininducingspermquiescence.

简介：ThisarticlereviewstheeffectivenessofintratympaniccorticosteroidsforvertigocontrolinM_eni_ere'sdiseaseat2-yearsfollow-upaccordingtotheguidelinesexpressedbytheAmericanAcademyofOtolaryngology-Head&NeckSurgery.DespitetheincreaseduseofintratympaniccorticosteroidsforvertigocontrolinM_eni_ere'sdiseasethereisdebateastotheireffectiveness,particularlycomparedtogentamicin.Evenso,afterjustasinglecourseofinjections,corticosteroidscanreliablyprovidecompletevertigocontrol(ClassA)at2-yearsinabout50%ofcasesasindicatedinarecentdouble-blindrandomizedcontrolledclinicaltrial(Pateletal.,2016).Buttheeffectivenessofintratympaniccorticosteroidstrulyincreaseswhentreatmentisprovided'as-needed',wherebycompletevertigocontrolisestablishedinupto91%ofcases.Onthebasisofavailableliterature,thereisgoodevidencetorecommendtheuseofintratympanicsteroidtreatmentforvertigocontrolinM_eni_ere'sdisease,butpatientsmustbemonitoredfornon-response.Therationalefortreatingpatientsas-neededandthepossiblereasonsforcorticosteroidnonresponsearediscussed.

简介：近日，霍尼韦尔推出全新一代净水器——AquaTouch600净水器，全面打造集空气净化与水净化于一体的家庭环境健康整体解决方案。霍尼韦尔全球高增长区，智能家居副总裁兼总经理马荣骏表示：霍尼韦尔秉承“以人为本”的品牌理念，

简介：摘要：迷你临床评估锻炼（Mini-CEX）是一种同时评估受训者临床技能并向他们提供绩效反馈的方法。这是对传统床旁检查的简单修改，因此，它依赖于实际患者的使用以及熟练的临床医生的判断。本文介绍了Mini-CEX，叙述了它的开发方式，然后说明了它在现代化医疗职业（MMC）基础计划评估中的使用。

简介：Minipigmodelsarelargemammalsandtheirearsaremoresimilarwithhumanbeingsinstructureanddevelopmentthanotheranimals.However,thestudyonporcineearsisstillintheinitialstageandthereisnodescriptionofanidealoperationapproachtoendocochlearpotentialandpotassiumionconcentrationmeasurements.Inthisarticle,wedescribeapre-auricularsurgicalapproachtoaccessthemiddleandinnerearforendocochlearpotentialandpotassiumionconcentrationmeasuresinminipigmodels.Tenone-weekoldnormalminipigswereusedinthestudy.Thebullaofthetemporalbonewasaccessedviaapre-auricularapproachforendocochlearpotentialandpotassiumionconcentrationmeasurements.Theconditionoftheanimalsduringthefirstpost—experiment24hwasobserved.Oneanimaldiedduringsurgery.Thepreauricularapproachimprovedprotectionandpreservationofrelevantnervousandvascularelementsincludingthefacialnerveandcarotidartery.So,thepre-auricularapproachcanbeusedforendocochlearpotentialandpotassiumionconcentrationmeasurementswithimprovednerveandarterypreservationminipigs.

简介：在将医疗技术引入医疗机构的过程中,医疗机构的决策层常需要进行快速决策,传统的卫生技术评估(HTA)作为用于指导卫生决策的重要工具可以取代经验模式,但对于需要快速决策但资源有限的医疗机构而言,开展传统的HTA存在诸多困难,因此,亟需一种针对医疗机构层面的HTA方法。Mini-卫生技术评估(Mini-HTA)是应用循证医学和传统卫生技术评估原理和方法,基于医疗机构实际需求,对卫生技术做出全面系统评价,为医疗机构决策层提供决策参考。文章介绍国内外Mini-HTA开展情况,对于医疗机构Mini-HTA指标体系和评估方法进行探索,旨在为医疗机构提供一种适宜的卫生技术评估方法,为医疗机构决策和技术实施提供科学的循证决策依据。

简介：【摘要】目的 :探讨分析迷你临床演练（ mini-cex）在整体护理中的应用。方法：选取 2018年 3月 - 2019年 3月 60例产科低年资护理人员作为研究对象，随机分为对照组和观察组，每组 30例，给予患者整体护理干预，在此基础上给予对照组传统教学模式。给予观察组迷你临床演练（ mini-cex）综合评价教学模式，比较两组综合考核成绩、两组直接观察、反馈时间及师生满意度评价。结果：培训后观察组问诊技巧、沟通技能、人文关怀、检查技巧、临床判断、组织效能、综合能力等各项得分均高于对照组（ P<0.05），两组教师满意度无显著差异（ P>0.05），观察组观察时间、反馈时间、护理人员满意度评分高于对照组（ P<0.05）。结论： mini-cex在整体护理中可有效加强护理人员各项临床沟通、临床判断、人文关怀及能力，且更容易被临床护理人员接受，可作为临床能力评估体系在医学院校广泛推广。

简介：每当古灵精怪的萌娃跳上各自的小自行车,自由穿梭,相互嬉戏时,总能在父母关切的眼神中看到欢喜和欣慰,是啊,这份纯真的快乐,令人振奋的生命活力,也总是会在这项训练平衡力,有益儿童骨骼健康的运动中,被体现得淋漓尽致!日前,始终致力于儿童玩具研发生产的星辉互动娱乐股份有限公司(股票代码:300043)同时推出两款全新星辉宝马MINI儿童自行车,再度引爆市场关注。这两款由星辉娱乐(股票代码:300043)和宝马MINI双品牌携手共创的儿童自行车,在聚光灯下熠熠生辉,不拘一格的时尚气质,流畅简洁的精美外形,科学考究的功能设计,无不令人称道。

简介：[摘要]目的 分析微创经皮肾镜（mini-PCNL）在儿童上尿路结石中的应用效果。方法 选取院内上尿路结石患儿50例行对比调查，随机分为2组，对照组行标准通道经皮肾镜碎石治疗，观察组行mini-PCNL治疗，统计组间疗效相关指标。结果 观察组中有1例患儿体内残留结石，对照组中有2例患儿体内残留结石，组间结石排净率对比有差异性；观察组中1例患儿术后出血，平均出血量122.25±6.35ml；对照组中6例患儿术后出血，平均出血量151.15±6.05，组间出血率及出血量对比有差异性。结论 微创技术在尿路结石治疗中应用广泛，将微创经皮肾镜应用到儿童上尿路结石治疗中疗效显著，不容易出现术后出血问题，安全性较高。

简介：摘要目的探讨Mini-CEX在心内科临床教学管理中的应用及存在的价值。方法选取2017年3月至2018年3月于我院心内科实习与培训的本科医学生62例，将其随机分为两组，每组各31名。其中，观察组采用Mini-CEX教学方法管理；对照组采用传统教学方法管理。所有人员均在入科及出科时采用Mini-CEX量表进行测评。结果与入科时测评成绩相比，所有学员出科时整体测评合格率均有所上升，经卡方检验差异具有统计学意义（P＜0.05）；观察组实习生在病史采集、医患沟通、临床思维、操作技能、治疗方案等方面的合格率要优于传统教学法的对照组，经卡方检验差异具有统计学意义（P＜0.05）。结论Mini-CEX在心内科临床教学管理中实施有利于提高医学生的临床实践能力及综合素质，临床中值得进一步推广应用。

简介：AbstractPurpose:The main aim is to provide clinical reference for the application of mini suture anchor in the reduction and fixation of displaced temporomandibular joint (TMJ) disc with intracapsular condylar fracture.Methods:From October 2018 to October 2019, 21 patients (31 sides) with intracapsular condylar fractures and articular disc displacement from West China Hospital of Stomatology, Sichuan University were included. The selection criteria were: (1) mandibular condylar fractures accompanied by displacement of the TMJ disc, confirmed by clinical examination, CT scan and other auxiliary examinations; (2) indication for surgical treatment; (3) no surgical contraindications; (4) no previous history of surgery in the operative area; (5) no facial nerve injury before the surgery; (6) informed consent to participate in the research program and (7) complete data. Patients without surgical treatment were excluded. The employed patients were followed up at 1, 3, 6 and 12 months after operation. Outcomes were assessed by success rate of operation, TMJ function and radiological examination results at 3 months after operation. Data were expressed as number and percent and analyzed using SPSS 19.0.Results:All the surgical procedures were completed successfully and all the articular discs were firmly attached to the condyles. The articular disc sufficiently covered the condylar head after the fixation. The fixation remained stable when the mandible was moved in each direction by the surgeons. No complications occurred. The functions of the TMJ were well-recovered postoperatively in most cases. CT scan revealed that the screws were completely embedded in the bone without loosening or displacement.Conclusion:Mini suture anchor can provide satisfactory stabilization for the reduced articular disc and also promote the recovery of TMJ functions.

简介：AbstractSince October 2021 in Alabama, the United States, and March 2022 in central Scotland, the United Kingdom, the number of cases of severe acute hepatitis of unknown etiology/causes in children was found to increase, and the total number of cases has reached 920 worldwide by June 22 this year, 45 cases (5%) required liver transplantation, and 18 cases (2%) died according to World Health Organization (WHO). To understand the basic characteristics of this disease/syndrome, a literature search was performed at PubMed, websites of WHO, UK Health Security Agency, and US and European Centers for Disease Control and Prevention, and more than 20 reports were enrolled as references for this review. The main clinical manifestations are anorexia, vomiting, fatigue, jaundice, and so forth. Most of the cases seemed to have a self-limited course of the disease, about 6% of cases may develop life-threatening acute liver failure. The disease seems to be transmissible from person to person. Human adenovirus was detected in up to 75% of cases, but this virus seems not to be the only and major etiologic agent, other cofactors probably are involved. Researchers proposed many hypotheses concerning the etiology and pathogenesis, and many important works and studies are ongoing. This mini-review is aimed at summarizing, reviewing, and further understanding the characteristics of the disease, raising some clinically relevant questions, and trying to discuss some questions that may be related to the treatment of the disease for consideration.

简介：摘要目的探讨迷你临床演练评估工具在临床护理教学中应用效果。方法通过查阅文献，分析迷你临床演练评估工具在国内外的应用现状，在临床护理教学中实施的意义以及存在的问题。结果临床演练评估工具在临床护理教学中可提升整体教学水平，提高护生综合素质；但是在实施过程也会受到教师和缺乏系统化评估量表的影响。结论迷你临床演练评估工具在临床护理教学中考核办法简单易行，不影响临床工作，实现教学相长，促进护生临床带教质量的提升，值得推广应用。

简介：【 摘要】 目的：探究在护理实习生临床教学中运用 Mini-CEX （迷你临床演练评估量表）所起到的效果。 方法：选取我院于 2018.09-2019.09 期间所接收的护理实习生 22 例，对所有护理实习生均实行 Mini-CEX 临床带教，对带教结果的相关数据进行统计分析。 结果： 22 名护理实习生的临床带教质量总得分为（ 94.91±4.76 ），出科成绩考核结果总得分为（ 95.94±3.72 ）。 结论：在对护理实习生实行临床教学时， Mini-CEX 的运用能够保障教学质量的提升，能够显著提高护生的综合素质、临床技能水平。

简介：Mini-CEX（Mini-ClinicalEvaluationExercise）,迷你临床演练,是一种评价住院医师临床能力并具有教学功能的测评工具。改良的Mini-CEX在原版Mini-CEX的基础上,将中医基础诊断和针灸操作的特色引入到考核过程中,并融合了中医临证思路,使其凸显了中医针灸学科特色,是中医针灸学临床带教和考核模式的一项创新。

简介：【摘要】目的 通过研究 Mini-CEX 在口腔内科本科生实习教学中的应用情况并分析其效果，为口腔内科临床教学指导提供借鉴。方法 结合本院口腔内科开展 Mini-CEX 考评模式多年经验与成效，探讨 Mini-CEX 在本科生临床实习教学中应用现状与前景。结果 Mini-CEX 在本科生临床实习教学中能产生良好的效果与信度，本科实习生能切实提升自身的临床综合能力，反馈较佳，同时亦有助于推进口腔内科培训。结论 Mini-CEX 在我院口腔内科本科生临床教学中效果甚佳，有助于提升学生临床技能、人文素养等在内的综合素质，为口腔内科本科生临床教学实践与考评工作带来新突破。

简介：无

简介：摘要：目的：情景模拟联合Mini-CEX在康复科护士层次考核应用。方法：以2021年4月至2023年4月康复科护士80名为研究对象进行情景模拟联合Mini-CEX教学效果进行分析。结果：观察组与对照组研究对象的理论与技能实践成绩评分，数据对比有差异，（P=0.0012/0.005＜0.05）。观察组与对照组研究对象Mini-CEX评估得分对比，有差异，（P=0.016、0.018、0.023、0.024、0.005、0.007＜0.05）。结论：在康复科护士层次考核应用情景模拟联合Mini-CEX模式可以有效的提高护士的临床技能操作能力，还可以有效提高护理人员的临床评判思维能力，对于护士综合能力提高有重要的意义。