Notes

Chronic lumbar pain alterations the actual latissmus dorsi as well as gluteus maximus muscles initial structure and upward scapular revolving: Any cross-sectional examine.
patient's conditions and theory of damage control surgery, right chest drainage and amputation of the right upper extremity amputation were performed in time. Then, the resection in the middle and lower part of right lung, lung repairment, and internal rib fixation were performed. Finally, selective operation was performed to cover the open wound with healing dressing, using negative pressure for suction and carrying out "stamp" skin grafting on the right chest. After treatment, the patient was out of danger, and satisfactory clinical results were achieved in the end.
To explore the application of folding transfer shelf in the transportation of critically ill patients.

Patients transferred from the emergency department to the intensive care unit (ICU) admitted to the First Hospital of Jiaxing from January 1st to December 31st in 2019 were enrolled. The patients were divided into study group and control group by whether or not using the self-developed folding transfer shelf. The incidence of adverse events, the stability rate of vital signs and the transport time were compared between the two group.

A total of 437 patients were enrolled in the study, with 222 in the study group (which used the self-developed folding transfer shelf) and 215 in the control group (which used the conventional stretcher). The baseline data such as gender, age, disease status and disease severity were balanced between the two groups. The stability rate of vital signs in the study group was higher than that in the control group (89.19% vs. 82.33%, P < 0.05). The transfer time in the studynagement of transport, keep the vital signs of patients stable during transport, shorten the transport time, and facilitate an efficient and high-quality transport.
To investigate the changes and clinical significance of blood coagulation function and von Willebrand factor antigen (vWFAg) in patients with HELLP syndrome (hemolysis, elevated liver function, low platelet count).

The clotting data of patients with severe preeclampsia and HELLP syndrome (observation group) admitted to the department of critical care medicine of the Fifth Center Hospital in Tianjin from May 2015 to December 2019 were retrospectively analyzed, and normal late pregnancy women with the same period were enrolled as the control group. Bioactive Compound Library screening The coagulation indexes such as prothrombin time (PT), activated partial thrombin time (APTT), antithrombin (AT), fibrinogen (Fib), D-dimer and plasma vWFAg level were compared between the two groups, and among patients with HELLP syndrome with different disease degree.

(1) Sixty-five patients with HELLP syndrome and 65 normal pregnant women with third trimester were included. Both groups were women of childbearing age, and there were no significant difference e AT level significantly decreased, and there was statistically significant difference between the two groups [D-dimer (mg/L) 2.63 (2.60, 2.73), 3.15 (2.55, 3.73), 3.84 (3.52, 4.23); Fib (g/L) 4.23 (4.06, 4.47), 4.72 (4.34, 5.04), 5.43 (5.14, 5.76); vWFAg 465.20 (437.20, 495.40)%, 500.10 (472.40, 534.50)%, 543.50 (521.30, 563.00)%; AT 67.50 (61.60, 78.00)%, 63.70 (53.30, 70.40)%, 54.40 (44.00, 61.20)%; all P < 0.05].

Patients with HELLP syndrome may show hypercoagulability and excessive expression of peripheral blood vWFAg level, which can induce platelet aggregation, leading to thrombocytopenia and thrombotic microangiopathy, and the clinicians should pay attention to that.
Patients with HELLP syndrome may show hypercoagulability and excessive expression of peripheral blood vWFAg level, which can induce platelet aggregation, leading to thrombocytopenia and thrombotic microangiopathy, and the clinicians should pay attention to that.
To study the clinical significance of bilateral asymmetric signs of lungs of bedside ultrasound in order to improve the diagnosis and treatment of pulmonary diseases and protocol of pulmonary ultrasound.

The ultrasound imaging data of patients admitted to the department of critical care medicine of the Affiliated Hospital of Qingdao University from September 2017 to May 2019 were retrospectively analyzed. The clinical data of patients were collected, and the lung ultrasound image data and clinical diagnosis were sorted and analyzed.

A total of 535 critical patients ultrasound imaging data were reviewed, and 469 patients who were unable to obtain clear lung ultrasound images and lung symmetry signs were excluded. Finally, a total of 66 patients with ultrasound bilateral lung asymmetry signs during hospitalization were enrolled in the analysis. Seventeen patients (25.76%) had pneumothorax with unilateral pleural slide or lung spot, 12 (18.18%) had pneumonia with unilateral focal B line, fragment sign and ed in a timely manner, and the pulmonary ultrasound examination protocol of bilateral contrast is helpful for clinical diagnosis.
To investigate the current status of intensive care unit-acquired weakness (ICU-AW) assessment, analyze the assessment barriers, and to provide reference to improve ICU-AW assessment.

A convenient sampling cross-sectional survey was conducted. First, an interview outline which based on related domestic and international literatures and combining with the research purpose of this study were designed. Thirteen medical personnel (8 ICU nurses, 3 ICU doctors, 1 respiratory therapist and 1 physiotherapist) who worked in the intensive care unit (ICU) of the First Hospital of Lanzhou University were enrolled with convenience sampling method to interview. Second, the topics were comprehensively analyzed and extracted, and then a questionnaire was constructed, and the reliability and validity was assessed. Finally, the questionnaire survey including the general situation of ICU medical staffs, the current practices of ICU-AW and influencing factors was implemented in China.

The retest reliability was 0.92 and exU-AW related knowledge (88.1%), and the following were lack of ICU-AW assessment guidelines (76.5%), patients' cognitive impairment or limited understanding ability (84.6%), unable to cooperate with the assessment due to critical illness (83.0%), and inadequate attention to ICU-AW assessment by the department (77.5%).

The current status of ICU-AW assessment were unsatisfying in China, and the main barriers were lack of skills and knowledge.
The current status of ICU-AW assessment were unsatisfying in China, and the main barriers were lack of skills and knowledge.
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