目的：调查住院产妇对摇晃婴儿综合征的认知情况及健康教育需求。方法采用自行设计的“住院产妇摇晃婴儿综合征（ SBS）认知调查表”及“住院产妇SBS健康教育需求调查表”对120名住院产妇SBS认知情况及健康教育需求进行调查。结果5．1...目的：调查住院产妇对摇晃婴儿综合征的认知情况及健康教育需求。方法采用自行设计的“住院产妇摇晃婴儿综合征（ SBS）认知调查表”及“住院产妇SBS健康教育需求调查表”对120名住院产妇SBS认知情况及健康教育需求进行调查。结果5．1％的研究对象听说过SBS，SBS相关知识问答题正确率为17．9％～66．7％。83．8％的研究对象希望获取有关SBS的信息，86．3％的研究对象希望从医护人员处获取 SBS 的相关信息，64．1％的研究对象希望通过 VCD 形式获取 SBS 的相关信息。结论住院产妇SBS知识掌握情况较差且需求强烈，针对这一人群开展健康教育势在必行，建议由医护人员采用VCD为主的形式向产妇宣教。展开更多
Retinal injury is the most common ocular impairment associated with shaken baby syndrome(SBS), which could lead to vision loss and blindness. However, a woodpecker does not develop retinal hemorrhages or detachment ev...Retinal injury is the most common ocular impairment associated with shaken baby syndrome(SBS), which could lead to vision loss and blindness. However, a woodpecker does not develop retinal hemorrhages or detachment even at a high acceleration of 1,000×g during pecking. To understand the mechanism of retinal injury and its resistance strategy, we put insight into the special ability of the woodpecker to protect the retina against damage under acceleration–deceleration impact. In this study, the structural and mechanical differences on the eyes of the woodpecker and human were analyzed quantitatively based on anatomical observation. We developed finite element eye models of the woodpecker and human to evaluate the dynamic response of the retina to the shaking load obtained from experimental data. Moreover, several structural parameters and mechanical conditions were exchanged between the woodpecker and human to evaluate their effects on retinal injury in SBS. The simulation results indicated that scleral ossification, lack of vitreoretinal attachment, and rotational acceleration–deceleration impact loading in a woodpecker contribute to the resistance to retinal injuries during pecking. The above mentioned special physical structures and mechanical behavior can distribute the high strain in the posterior segment of the woodpecker’s retina, which decrease the risk of retinal injury to SBS.展开更多
Advanced and specialized radiological diagnostic procedures are essential in cases of clinically diagnosed injuries to the head, thorax, abdomen or extremities of a child, especially if there is no case history or if ...Advanced and specialized radiological diagnostic procedures are essential in cases of clinically diagnosed injuries to the head, thorax, abdomen or extremities of a child, especially if there is no case history or if the reporting of an inadequate trauma suggests battered child syndrome. In particular, these diagnostic procedures should aim at detecting lesions of the central nervous system (CNS), so that the treatment can be immediately initiated. If the diagnostic imaging reveals findings typically associated with child abuse, accurate documentation constituting evidence, which will stand up in court, is required to prevent any further endangerment of the child’s welfare.展开更多
文摘目的：调查住院产妇对摇晃婴儿综合征的认知情况及健康教育需求。方法采用自行设计的“住院产妇摇晃婴儿综合征（ SBS）认知调查表”及“住院产妇SBS健康教育需求调查表”对120名住院产妇SBS认知情况及健康教育需求进行调查。结果5．1％的研究对象听说过SBS，SBS相关知识问答题正确率为17．9％～66．7％。83．8％的研究对象希望获取有关SBS的信息，86．3％的研究对象希望从医护人员处获取 SBS 的相关信息，64．1％的研究对象希望通过 VCD 形式获取 SBS 的相关信息。结论住院产妇SBS知识掌握情况较差且需求强烈，针对这一人群开展健康教育势在必行，建议由医护人员采用VCD为主的形式向产妇宣教。
基金The project was supported by the National Natural Science Foundation of China(11822201 and 11972066)111 Project(B13003)。
文摘Retinal injury is the most common ocular impairment associated with shaken baby syndrome(SBS), which could lead to vision loss and blindness. However, a woodpecker does not develop retinal hemorrhages or detachment even at a high acceleration of 1,000×g during pecking. To understand the mechanism of retinal injury and its resistance strategy, we put insight into the special ability of the woodpecker to protect the retina against damage under acceleration–deceleration impact. In this study, the structural and mechanical differences on the eyes of the woodpecker and human were analyzed quantitatively based on anatomical observation. We developed finite element eye models of the woodpecker and human to evaluate the dynamic response of the retina to the shaking load obtained from experimental data. Moreover, several structural parameters and mechanical conditions were exchanged between the woodpecker and human to evaluate their effects on retinal injury in SBS. The simulation results indicated that scleral ossification, lack of vitreoretinal attachment, and rotational acceleration–deceleration impact loading in a woodpecker contribute to the resistance to retinal injuries during pecking. The above mentioned special physical structures and mechanical behavior can distribute the high strain in the posterior segment of the woodpecker’s retina, which decrease the risk of retinal injury to SBS.
文摘Advanced and specialized radiological diagnostic procedures are essential in cases of clinically diagnosed injuries to the head, thorax, abdomen or extremities of a child, especially if there is no case history or if the reporting of an inadequate trauma suggests battered child syndrome. In particular, these diagnostic procedures should aim at detecting lesions of the central nervous system (CNS), so that the treatment can be immediately initiated. If the diagnostic imaging reveals findings typically associated with child abuse, accurate documentation constituting evidence, which will stand up in court, is required to prevent any further endangerment of the child’s welfare.
