OBJECTIVE: This study investigated the psychological effect of the coronavirus disease 2019 (COVID-19) outbreak on medical students in China. METHODS: In February 2020, an online survey was performed using a WeChat app with an online survey program to collect and analyze the effects of the COVID-19 outbreak on the mental health of medical students across China. RESULTS: Overall, 757 medical students responded to the survey. About 2.24% reported middle and high levels of anxiety since the COVID-19 outbreak began, and 14.40% reported middle and high levels of depression. Bachelor's students and those whose residence registration was located in a rural area were more likely to have anxiety and depression, compared with postgraduates and students whose residence registration location was an urban area, respectively. CONCLUSIONS: The COVID-19 epidemic is associated with a low but real rate of psychological trauma in the medical students of China, and protective programs are needed to lessen this adverse effect.
在外周动脉硬化闭塞性病变的治疗中自膨式裸支架已成为必不可少的治疗手段,而自膨式覆膜支架在股腘和主髂动脉病变的使用也获得了较好的效果.然而在某些特殊解剖部位的病变,由于临近动脉分叉和重要的分支血管,常需要支架的精准定位,同时还需要避免血管破裂,球扩式覆膜支架的应用展示其独特优势.本文探讨其在外周动脉硬化闭塞性病变治疗中的初步应用体会.
OBJECTIVE: This study examined the psychological impact of the coronavirus disease 2019 (COVID-2019) outbreak on medical staff in China. MATERIALS AND METHODS: In February 2020, an online survey was carried out by using an online survey tool (WeChat) to evaluate the effects of the outbreak on the mental health of medical staff in China. RESULTS: A total of 11,118 medical staff responded to the survey. About 4.98% of the respondents reported middle and high levels of anxiety, while 13.47% of the respondents reported middle and high levels of depression since the COVID-19 outbreak. Nurses, frontline medical staff, and younger medical staff were more likely to have anxiety and depression than physicians, nonfrontline medical staff, and older medical staff. CONCLUSIONS: Although the serious psychological impact of COVID-19 is not so common in medical staff in China, programs are needed to protect them against the negative impacts of COVID-19.
开放手术是治疗近肾腹主动脉瘤的金标准术式,但随着腔内技术的发展,烟囱技术和开窗支架技术的安全性和有效性在大量的研究中得到了肯定.为了进一步明确开放手术 、开窗技术和烟囱技术的优劣,此文对这三种治疗近肾腹主动脉瘤的方式进行了系统的总结,分别论述了三种术式的围手术期并发症发生率,远期的并发症发生率及生存率等指标,并且对此三种术式间的优劣做了进一步论述.发现开窗技术术后并发症少,近期及远期的效果与开放手术相比无较大差别,可作为开放手术的替代方案;而烟囱技术的疗效虽不如开窗技术,但是可在某些特殊情况下进行应用.