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简介：Necrotizingpancreatitisisanuncommonyetseriouscomplicationofacutepancreatitiswithmortalityratesreportedupto15%thatreach30%incaseofinfection.Traditionallyopensurgicaldebridementwastheonlytoolinourdisposaltomanagethisseriousclinicalentity.Thisapproachishoweverassociatedwithpooroutcomes.Managementhasnowshiftedawayfromopensurgicaldebridementtoamoreconservativemanagementandminimallyinvasiveapproaches.Contemporaryapproachtopatientswithnecrotizingpancreatitisand/orinfectiouspancreatitisissummarizedinthe3Ds:Delay,DrainandDebride.Patientscanbemanagedintheintensivecareunitandanyinterventionshouldbedelayed.Percutaneousdrainagecanbeutilizedfirstandearlyinthecourseofthedisease,followedbyendoscopicdrainageorvideoassistedretroperitoneoscopicdrainageifnecrosectomyisdeemednecessary.Opensurgeryisnowlessfrequentlyperformedandshouldbereservedforcasesrefractorytoanyotherapproach.Themanagementofnecrotizingpancreatitisthereforerequiresamultidisciplinarydynamicmodelofapproachratherthanbeingasurgicaldisease.

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简介：Chronicpancreatitisisanongoingdiseasecharacterizedbypersistentinflammationofpancreatictissues.Withdiseaseprogression,patientswithchronicpancreatitismaydeveloptroublesomecomplicationsinadditiontoexocrineandendocrinepancreaticfunctionalloss.Amongthem,apseudoaneurysm,mainlyinducedbydigestiveenzymeerosionofvesselsinproximitytothepancreas,isarareandlife-threateningcomplicationifbleedingofthepseudoaneurysmoccurs.Atpresent,noprospectiverandomizedtrialshaveinvestigatedthetherapeuticstrategyforthisrarebutcriticalsituation.Theroleofarterialembolization,thetimingofsurgicalinterventionandevensurgicalproceduresarestillcontroversial.Inthisreview,wesuggestthatdynamicabdominalcomputedtomographyandangiographyshouldbeperformedfirsttolocalizethebleedersandtoevaluatetheassociatedcomplicationssuchaspseudocystformation,followedbyarterialembolizationtostopthebleedingandtoachieveearlystabilizationofthepatient’scondition.Withadvancesandimprovementsinendoscopicdevicesandtechniques,therapeuticendoscopyforpancreaticpseudocystsistechnicallyfeasible,safeandeffective.Surgicalinterventionisrecommendedforableedingpseudoaneurysminpatientswithchronicpancreatitiswhoareinanunstablecondition,forthoseinwhomarterialembolizationofthebleedingpseudoaneurysmfails,andwhenendoscopicmanagementofthepseudocystisunsuccessful.Ifableedingpseudoaneurysmislocatedoverthetailofthepancreas,resectionisapreferentialprocedure,whereasifthelesionissituatedovertheheadorbodyofthepancreas,relativelyconservativesurgicalproceduresarerecommended.

简介：Basedonthemeaningofeconomictheoryaswellasanalysisofrelevantcharacteristicsofwatershedenvironmentalmanagement,awatershedenvironmentalmanagementframeworkwillbecreated,withbuildingsystemsoftheory,principles,methods,andsupportingmeasures.Throughthegeneralstructure,thewatershedenvironmentalmanagementsystemdesigncanbeexploredtooptimizetheallocationofresourcesandachievecoordinateddevelopmentofwatershedeconomicgrowthandenvironmentalprotection.

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简介：BasedonthecurrentsituationofChinaConstructionBIMtechnology,thisarticlediscussedtherequirementofBIMapplicationsinconstructionphase.BytheintroductionofPKPMBIM-basedConstructionManagementPlatform,themeaningoftheplatformapplicationwasrevealed.Finally,twoapplicationcaseswereshowntoexplainplatform’svalueandprospect.

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简介：Tosolvethedatapersistenceprobleminthemanagementsystem,thispaperusedthepopularobject-relationalmappingframeworkHibernatetoachievethepersistencelayerwhichinamedicinesinventorymanagementsystem.ThispaperdescribedtheadvantagesandprinciplesoftheHibernate,andthenshowedthewrittenworkoftheconfigurationfiles,mappingfiles,persistentclasses,etc.Finally,thepapershowedhowtodisplaythespecificdatainformationintheTableViewerbasedontheEclipseRCPframework.Itisobservedthat,operatingtheobjectsintheHibernateframeworkismoreflexibleandefficientthanusingJDBCdirectly.Adinaddition,theapplicationbasedonEclipseRCPframeworkcantakeovermanyexcellentfeaturesofEclipse,andthedeveloperscanimprovetheirefficiencybythesefeatures.

简介：TofurtherimplementthespiritoftheThirdPlenarySessionoftheEighteenthPartyCentralCommittee,conscientiouslysumupcomprehensivemanagementofsexratioatbirthin2013andfullyarrangethetasksin2014,onDecember20,2013,NationalMeetingonComprehensiveManagementofSexRatioatBirthwasheldinFuzhou

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简介：Communicativelanguageteachingapproachiseffectiveincultivatingstudents’communicativecompetence.Ithaschangedthewayofteachingaswellaslearning.Thispaper,basedonclassobservationofonesemester’s'management'course,reflectsontheteachingapproachemployedbytheteacher,discussesitsbenefitsandproblemswithintheclass,andexplorestheunderlyingprinciplesoftheapproachadopted.更多还原

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简介：ObjectiveToreportoutcomesofnonsurgicalandsurgicalmanagementofMenière’sdiseaseatBeijingTiantanHospital.MethodsPatientswithMenière’sdiseasewerecategorizedintogroupsbasedonhearingandqualityoflife.Individualizedmanagementwasprovided,includinglifestylemodification,drugtherapies,endolymphaticsacdecompressionandlabyrinthectomy.Treatmentoutcomeswereevaluatedduringupto24monthsfollowup.ResultsEightysevenpatientsunderwentlifestylemodificationanddrugtherapies.ThevertigocontrolrateofGradeAandBwas76.9%and83.8%respectively.Sixpatientsreceivedsurgicalmanagement,includingendolymphaticsacdecompression(n=5)andlabyrinthectomy(n=1).Forthesepatients,thevertigocontrolrateofGradeAandBwas80%and100%,respectively.ConcluIsionsManagementofMenière’sdiseasedependsonseveralfactors,i.e.severitiesofvertigoandhearingloss,qualityoflife,surgicalcontraindicationsandpatientsubjectivedesire.Thetreatmentisdrugtherapiesforthemajorityofpatients,aswellaslifestylemodification.Surgicalindicationsarerareandtheleastinvasiveproceduresshouldbeconsideredfirst.Theresultsofsurgeryaregenerallysatisfying.

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简介：你的人力资本管理（HCM）系统是否是最新版本？是否需要升级？人才供求的全球化是商业圈内最具影响力的趋势之一，甚至已经完全改变了企业招贤纳士的方式。新的挑战总是带来新的机遇，企业可以主动应对全球化，使其成为自身优势。然而，为了做到这一点，企业必须确保员工与更广泛的全球化战略是统一战线的。