Meta-analysis of Laparoscopic cyst decortication versus traditional open cyst decortication for ADPKD in China: evidence based on 362 cases and 399 controls
TMR Theory and Hypothesis. 2020, 3 (1): 268-280.
Objectives: To assess the safety, feasibility and clinical benefits of LCD and OCD for the treatment of ADPKD. Methods: Databases articles comparing LCD and OCD in treating PKD were collected through March 2019. After screening for inclusion and data extraction, meta-analysis was performed by the RevMan 5.3 software. Results: A total of 9 studies involving 761 patients were finally included, with 362 cases in LCD group and 399 cases in OCD group. LCD was associated with a shorter operative time (MD = -36.24, 95%CI: -44.20 ~ -28.28, P < 0.00001) and postoperative hospital stay (MD = -4.04, 95%CI: -5.13 ~ -2.95, P < 0.00001). Besides, LCD had an earlier time to postoperative ambulation (MD = -14.90, 95%CI: -16.33 ~ -13.48, P < 0.00001) and earlier time to first flatus (MD = -1.52 days, 95%CI: -1.65 ~ -1.40, P < 0.00001; MD = -10.76 hours, 95%CI: -12.71 ~ -8.81, P < 0.00001). In addition, LCD had a lower intraoperative blood loss (MD = -159.81, 95%CI: -243.32 ~ -76.31, P = 0.0002) and lower analgesic dosage (MD = -56.62, 95%CI: -84.16 ~ -29.08, P < 0.0001). There showed no statistically significant difference between the two groups in Scr, Bun, systolic and diastolic blood pressure (all P > 0.05). Conclusions: Current evidence demonstrated a shorter postoperative hospital stay, lower blood loss, less postoperative pain, and other advantages. LCD may therefore be a feasible and safe surgical approach of ADPKD.
Application of Internet plus education in medical technical training
TMR Theory and Hypothesis. 2020, 3 (1): 285-289.
With the rapid development of Internet technology, the mode of medical education is constantly changing, and the training mode of traditional medical technology gradually reveals its shortcomings. Based on that, the staff combined the Internet technology and medical education, formed the "Internet+education" model, as the main way of medical technology training, so as to optimize the medical education system, improve the level of medical education, improve the interactive, real-time, science and technology and modernity of medical education, and further promote the construction and development of medical education in China. This article analyzes the application theory of the previous "Internet+education" in medical technology training, and proposes a set of theories that can supplement the lack of traditional medical technology training and education in order to integrate "Internet+education" in medical technology training To maximize the role of the role of China, and put forward their own hypotheses and ideas for future development.