ObjectiveTo do a brief introduction and prospects for simultaneous pancreas and kidney transplanta-tion from aspects of recipient screening, choice of operative method, prognosis, quality of life, and complications. MethodDomestic and international literatures were collected to summary the effect, prognosis, and the latest progress of simultaneous pancreas and kidney transplantation in the treatment of diabetes. ResultsAs a kind of mature treatment of diabetic with end-stage renal disease, simultaneous pancreas and kidney transplantation had been carried out in most transplantation centers around the world, it had the definite therapeutic effect and controllable side effects, the life quality of posttransplantation patients would be improved notably. However, the screen of transplantation patient, the selection of transplantation operation, and the postoperative immunosuppressive protocols had not yet been reached a consensus. ConclusionsSimultaneous pancreas and kidney transplantation is the most effective treatment for type 1 diabetes patients with end-stage renal disease, it provides a more feasible and more physiological way for the secretion of insulin. Although the patient has to undergo a major operation and take some risk, simultaneous pancreas and kidney transplantation still improves the patient's survival rate and the quality of life, and reduces the incidence of complications related to diabetes. Based on the above reasons, simultaneous pancreas and kidney transplantation should be a preferred treatment for all eligible patients.
The national policy on high-quality development of hospitals proposes to strengthen information technology support and actively promote the multi-disciplinary team (MDT) model. How to use the “Internet Plus” technology and operation mode to promote MDT communication and improve the efficiency of diagnosis and treatment in the digital and intelligent information age is a direction worthy of attention and research. This paper systematically reviews the current development status of MDT informatization construction at home and abroad. Based on the current challenges and opportunities, it makes prospects for the future development of MDT informatization construction from the aspects of strengthening the digital and intelligent support of MDT operation, connecting MDT “information silos”, and deepening the construction of MDT supervision and effect evaluation system, etc.
中國的膽道疾病有自己的特點,也是東亞地區的特點。它嚴重危害人民的生命和健康,損害勞動力,比西方的膽道病更重。中國膽道外科應有自己的特色。自成都發現膽道蛔蟲病開始,積累膽道感染和肝內結石病臨床資料60年來,全國各地廣泛深入的臨床和實驗研究已取得重大成績。許多成績不是單純引進或照搬外國經驗,而是針對自己面臨的特殊實際情況,運用現代西方醫學或與祖國傳統醫學相結合,獨立自主研究取得的。我們已經解決或基本上解決了很多臨床實際問題,但還有一些重大問題沒有解決,或沒有完全解決,有些問題還沒有提上議事日程,它與西方的膽道外科自然有基本的共性,所以,我們的研究課題,既是中國的,也是世界的。自從改革開放以來,隨著人們物質生活的改善,膽道病譜也有了明顯改變,原發性膽管結石癥在城市明顯減少,農村鄉鎮所見也緩慢地趨向減少,膽囊結石病則趨向增多。但是,還不能說以原發性膽管結石病為主要對象的中國膽道外科正走向沒落,沒有多少研究課題了。應當著重提出,當今對膽管病研究的,實際上是整個膽道問題,包括全膽道若干艱深問題。我們的研究除深入膽管病外,也應加強膽囊病的研究力度。
Brain-computer interface (BCI) can be summarized as a system that uses online brain information to realize communication between brain and computer. BCI has experienced nearly half a century of development, although it now has a high degree of awareness in the public, but the application of BCI in the actual scene is still very limited. This collection invited some BCI teams in China to report their efforts to promote BCI from laboratory to real scene. This paper summarizes the main contents of the invited papers, and looks forward to the future of BCI.