简介：摘要目的评价GlasgowBlatchford评分(GBS)系统预测上消化道出血危险分层的价值(UGIB).方法本研究为观察性回顾性分析,将２年内急诊科可疑UGIB患者纳入分析.患者根据GBS系统分为两类高风险(＞２)和低风险(≤２).结果总共１２０例患者纳入分析,其中,９２例归类为“高风险(＞２)”、２８例为低风险(≤２);低风险组患者无需要紧急内镜下处理的病变,应用GBS量表进行敏感性检测.结论GBS量表可准确确定UGIB低风险患者,这类患者可在门诊进行择期上GI内镜检查.关键词上消化道出血;临床决策;内镜;Glasgow－Blatchford评分中图分类号R５７３．２文献标识码B文章编号１００１－５３０２(２０１５)０９－０８７５－０１

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简介：笔直的公路．将我们的目光引向苏格兰第一大城市——格拉斯哥。快速奔驰的车辆与乡间幽静的景色形成的对比给人留下了深刻的印象。而走在市区当中．则让人感受到这个城市里的轻松活泼的气氛。

简介：AbstractPurpose:Patients’ gender, which can be one of the most important determinants of traumatic brain injury (TBI) outcomes, is also likely to interact with many other outcome variables of TBI. This multicenter descriptive study investigated gender differences in epidemiological, clinical, treatment, mortality, and variable characteristics in adult TBI patients.Methods:The selection criteria were defined as patients who had been diagnosed with TBI and were admitted to the hospital between January 1, 2016 and December 31, 2018. A total of 4468 adult TBI patients were enrolled at eight University Hospitals. Based on the list of enrolled patients, the medical records of the patients were reviewed and they were registered online at each hospital. The registered patients were classified into three groups according to the Glasgow coma scale (GCS) score: mild (13 -15), moderate (9-12), and severe (3-8), and the differences between men and women in each group were investigated. The risk factors of moderated and severe TBI compared to mild TBI were also investigated.Results:The study included 3075 men and 1393 women and the proportion of total males was 68.8%. Among all the TBI patients, there were significant differences between men and women in age, past history, and GCS score. While the mild and severe TBI groups showed significant differences in age, past history, and clinical symptoms, the moderate TBI group showed significant differences in age, past history, cause of justice, and diagnosis.Conclusion:To the best of our knowledge, this multicenter study is the first to focus on gender differences of adult patients with TBI in Korea. This study shows significant differences between men and women in many aspects of adult TBI. Therefore, gender differences should be strongly considered in TBI studies.

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简介：评分教师的评分效应和评分量表研究是研究主观题评分误差的核心问题。本论文以2006年高考政治(上海卷)第38题(论述题)为例,运用ACERConquest的RatersEffect模型研究,结果显示该大题基本没有表现出模糊性、趋中性和等级限制等评分误差,评分教师能够比较好地区分考生不同行为特征,除个别评分教师的评分一致性还有待提高外,评分松紧度差异比较显著。为此,作者提出根据松紧度调整考试分数的方法。

简介：【摘要】目的 研究优质护理对于急诊患者的应用价值。方法 选取我院急诊科收治的104例急诊患者，随机分为对照组和观察组，每组各52例。对对照组实施常规急诊护理措施，而观察组实行优质护理干预，然后比较两组患者的焦虑和抑郁程度，并调查患者对于护理的满意程度。结果 观察组的焦虑和抑郁评分分别为（40.16±7.26），（41.23±8.06），明显的低于对照组的焦虑和抑郁评分。观察组的护理满意度为（91.84±2.35），明显的高于对照组（P

简介：【摘要】目的 研究优质护理对于急诊患者的应用价值。方法 选取我院急诊科收治的 104例急诊患者，随机分为对照组和观察组，每组各 52例。对对照组实施常规急诊护理措施，而观察组实行优质护理干预，然后比较两组患者的焦虑和抑郁程度，并调查患者对于护理的满意程度。 结果 观察组的焦虑和抑郁评分分别为（40.16±7.26），（ 41.23±8.06），明显的低于对照组的焦虑和抑郁评分。观察组的护理满意度为（ 91.84±2.35），明显的高于对照组（ P<0.05）。 结论 优质护理对于急诊患者的应用价值高。