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Trauma-induced “Macklin effect” with pneumothorax and large pneumomediastinum, disguised by allergy

Salomone Di Saverio, Kenji Kawamukai, Andrea Biscardi, Silvia Villani, Luca Zucchini, Gregorio Tugnoli

Frontiers of Medicine 2013, Volume 7, Issue 3,   Pages 386-388 doi: 10.1007/s11684-013-0278-y

Abstract:

A 56-year-old man presented spontaneously to the Emergency Department complaining of facial and neck oedema after assumption of nonsteroidal anti-inflammatory drugs (NSAIDS). The triage nurse assigned the patient to Accident & Emergency (A&E) doctor as probable allergic reaction to NSAIDS. Chest X-ray (CXR), ordered after 24 hours, revealed a huge subcutaneous chest and neck emphysema without clearly visible pneumothorax. Subsequent chest CT scan showed a small left pneumothorax and a large amount of air in the mediastinum. The patient was conservatively treated since he was eupnoeic and hemodynamically stable. The pathophysiology of pneumomediastinum was first described by Macklin in 1939. The Macklin effect involves alveolar ruptures with air dissection along bronchovascular sheaths to the mediastinum. In this case the patient did not report in his history a recent blunt thoracic trauma and the initial suspicion of an allergic reaction has prevented physicians to immediately achieve the correct diagnosis.

Keywords： thoracic trauma     differential diagnosis     critical care     pneumothorax     pneumomediastinum     CT scan     pitfalls    

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Evaluation of ICUs and weight of quality control indicators: an exploratory study based on Chinese ICU quality data from 2015 to 2020

Frontiers of Medicine 2023, Volume 17, Issue 4,   Pages 675-684 doi: 10.1007/s11684-022-0970-x

Abstract: This study aimed to explore key quality control factors that affected the prognosis of intensive care

Keywords： critical care medicine     quality control     evaluation     exploratory factor analysis (EFA) model    

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Socialized care services for the aged population: System construction and support measures

Frontiers of Engineering Management 2023, Volume 10, Issue 2,   Pages 339-353 doi: 10.1007/s42524-022-0208-2

Abstract: technology-driven culture, and government policy support emerges to enable the development of the socialized careHowever, the construction of the SCSSA challenges the theories and methods of traditional elderly careSpecifically, the implementation path for such elderly care service policies is unclear, the necessaryThus, this paper focuses on the needs of the elderly, grounded in the context of the changing elderly care

Keywords： socialized     care service for the elderly     system construction     support measure    

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Advancing pediatric care before birth

Frontiers of Medicine 2023, Volume 17, Issue 2,   Pages 352-354 doi: 10.1007/s11684-022-0974-6

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Effectiveness of quality of care for patients with type 2 diabetes in China: findings from the Shanghai

Frontiers of Medicine 2022, Volume 16, Issue 1,   Pages 126-138 doi: 10.1007/s11684-021-0897-7

Abstract: This cross-sectional study aimed to investigate the quality of care of diabetes in Shanghai, China.

Keywords： type 2 diabetes     quality of care     macrovascular complication     microvascular complication     treatment pattern    

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Determination and occurrence of endocrine disrupting compounds, pharmaceuticals and personal care products

Yong YU,Laosheng WU

Frontiers of Environmental Science & Engineering 2015, Volume 9, Issue 3,   Pages 475-481 doi: 10.1007/s11783-014-0640-6

Abstract: Endocrine disrupting compounds (EDCs), pharmaceuticals and personal care products (PPCPs) have attracted

Keywords： endocrine disrupting compounds (EDCs)     pharmaceuticals and personal care products (PPCPs)     fish     bisphenol    

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Primary health care for all by 2020: The systematic reform of the medical and health system in China

Frontiers of Medicine 2010, Volume 4, Issue 1,   Pages 3-7 doi: 10.1007/s11684-010-0024-7

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Arthrogryposis multiplex congenita: classification, diagnosis, perioperative care, and anesthesia

Lulu Ma,Xuerong Yu

Frontiers of Medicine 2017, Volume 11, Issue 1,   Pages 48-52 doi: 10.1007/s11684-017-0500-4

Abstract: However, perioperative care is challenging, and difficult airway is the first concern of anesthesiologists

Keywords： arthrogryposis     amyoplasia     distal arthrogryposis     anesthesia    

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Screening of indicator pharmaceuticals and personal care products in landfill leachates: a case study

Frontiers of Environmental Science & Engineering 2023, Volume 17, Issue 9, doi: 10.1007/s11783-023-1716-y

Abstract:

● A systematic framework was developed to identify i-PPCPs for landfill leachate.

Keywords： Landfill leachates     PPCPs     Indicator     Screening criteria     Source-specificity    

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Construction Path of Smart Health Care Platform for the Elderly in China

Hou Hanpo, Wei He, Wang Yingchao, Yu Jin, Qiu Guixing

Strategic Study of CAE 2022, Volume 24, Issue 2,   Pages 170-178 doi: 10.15302/J-SSCAE-2022.02.023

Abstract: To address this, it is necessary to establish a smart health care platform for the elderly in China usingthis paper, we analyze the construction background, concept, and development status of smart health careUsing the smart health care platform established in Xihu District of Hangzhou City as a case, we analyzeChina using scientific and technological means and based on the interconnection of national health careFurthermore, we suggest that China should accelerate the construction of its health care industry as

Keywords： Ageing     Healthy China     home-based community care for the elderly     smart health care for the elderly     ervice for the aged     health care platform for the elderly    

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Determination of 27 pharmaceuticals and personal care products (PPCPs) in water: The benefit of isotope

Xueqi Fan, Jie Gao, Wenchao Li, Jun Huang, Gang Yu

Frontiers of Environmental Science & Engineering 2020, Volume 14, Issue 1, doi: 10.1007/s11783-019-1187-3

Abstract: Pharmaceuticals and personal care products (PPCPs) are a unique group of emerging and non-persistent

Keywords： Pharmaceuticals and personal care products (PPCPs)     Isotopically labeled standard (ILSs)     Water     Solid-phase    

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efficient resin for solid-phase extraction and determination by UPLCMS/MS of 44 pharmaceutical personal care

Feng Zhu, Zhijian Yao, Wenliang Ji, Deye Liu, Hao Zhang, Aimin Li, Zongli Huo, Qing Zhou

Frontiers of Environmental Science & Engineering 2020, Volume 14, Issue 3, doi: 10.1007/s11783-020-1228-y

Abstract: Up to 44 pharmaceuticals and personal care products (PPCPs) belonging to 10 classes were recovered in

Keywords： Hydrophilic resin     Solid phase extraction     Pharmaceuticals and personal care product     Ultra-performance    

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PAC in artificial stream in postoperative care for family planning

Zhong Huiling

Strategic Study of CAE 2014, Volume 16, Issue 5,   Pages 31-33

Abstract:

The purpose of the study abortion care (PAC) in the artificial streampostoperative care in family planning.sequence has divided PAC group and control group，130 cases in each group，the PAC group after abortion carePAC group contraceptive knowledge and excellent postabortion care knowledge to master higher rates，qualityPAC concluded high-value care，to reduce the probability of repeat abortions and improve quality of life

Keywords： abortion     post-abortion care     family planning care     effectiveness analysis    

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Recent advances in pharmaceuticals and personal care products in the surface water and sediments in China

Wentao Zhao, Ying Guo, Shuguang Lu, Pingping Yan, Qian Sui

Frontiers of Environmental Science & Engineering 2016, Volume 10, Issue 6, doi: 10.1007/s11783-016-0868-4

Abstract: Pharmaceuticals and personal care products (PPCPs) have been regarded as an emerging problem in the surface

Keywords： Surface water     Sediment     Antibiotics     Geographical distribution     Risk assessment    

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Heterogeneous length-of-stay modeling of post-acute care residents in the nursing home with competing

Frontiers of Engineering Management   Pages 577-591 doi: 10.1007/s42524-022-0203-7

Abstract: Post-acute care (PAC) residents in nursing homes (NHs) are recently hospitalized patients with medicallyNH residents based on their individualized risk in realizing personalized and resident-centered NH caremanagement groups to identify the most at-risk residents by providing them with more proactive and focused care

Keywords： nursing home     predictive analytics     individualized prediction     competing risks     health outcomes    

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Title Author Date Type Operation

Trauma-induced “Macklin effect” with pneumothorax and large pneumomediastinum, disguised by allergy

Salomone Di Saverio, Kenji Kawamukai, Andrea Biscardi, Silvia Villani, Luca Zucchini, Gregorio Tugnoli

Journal Article

Evaluation of ICUs and weight of quality control indicators: an exploratory study based on Chinese ICU quality data from 2015 to 2020

Journal Article

Socialized care services for the aged population: System construction and support measures

Journal Article

Advancing pediatric care before birth

Journal Article

Effectiveness of quality of care for patients with type 2 diabetes in China: findings from the Shanghai

Journal Article

Determination and occurrence of endocrine disrupting compounds, pharmaceuticals and personal care products

Yong YU,Laosheng WU

Journal Article

Primary health care for all by 2020: The systematic reform of the medical and health system in China

Journal Article

Arthrogryposis multiplex congenita: classification, diagnosis, perioperative care, and anesthesia

Lulu Ma,Xuerong Yu

Journal Article

Screening of indicator pharmaceuticals and personal care products in landfill leachates: a case study

Journal Article

Construction Path of Smart Health Care Platform for the Elderly in China

Hou Hanpo, Wei He, Wang Yingchao, Yu Jin, Qiu Guixing

Journal Article

Determination of 27 pharmaceuticals and personal care products (PPCPs) in water: The benefit of isotope

Xueqi Fan, Jie Gao, Wenchao Li, Jun Huang, Gang Yu

Journal Article

efficient resin for solid-phase extraction and determination by UPLCMS/MS of 44 pharmaceutical personal care

Feng Zhu, Zhijian Yao, Wenliang Ji, Deye Liu, Hao Zhang, Aimin Li, Zongli Huo, Qing Zhou

Journal Article

PAC in artificial stream in postoperative care for family planning

Zhong Huiling

Journal Article

Recent advances in pharmaceuticals and personal care products in the surface water and sediments in China

Wentao Zhao, Ying Guo, Shuguang Lu, Pingping Yan, Qian Sui

Journal Article

Heterogeneous length-of-stay modeling of post-acute care residents in the nursing home with competing

Journal Article