Analysis of relevant factors influencing size of breast abscess cavity during lactation: a cross-sectional study.

OBJECTIVE: The aim of this study was to investigate risk factors for the severity of breast abscess during lactation. METHODS: A cross-sectional study was conducted using data from the Questionnaire survey of breast abscess patients. According to whether the maximum abscess diameter > 5 cm, the patients were divided into two groups for univariate and multivariate regression analysis. RESULTS: 1805 valid questionnaires were included. Univariate and Binary logistic regression analysis demonstrated that low education (OR = 1.5, 95% CI 1.1-2.0, P = 0.005), non-exclusive breastfeeding (OR = 0.7, 95% CI 0.6-0.9, P = 0.004), fever > 37.5 â„ƒ (OR = 0.7, 95% CI 0.6-0.9, P = 0.003), flat or inverted nipples (OR = 0.7, 95% CI 0.6-0.9, P = 0.005), antibiotic used (OR = 0.7, 95% CI 0.6-0.9, P = 0.006), and non-medical massage (OR = 0.3, 95% CI 0.2-0.4, P < 0.001) were the effective independent influencing factors for the maximum breast abscess diameter > 5 cm. CONCLUSION: Low education, non-exclusive breastfeeding, fever > 37.5 â„ƒ, inverted or flat nipples, antibiotic used, and non-medical massage history have adverse effects on the severity of breast abscess during lactation.

Exploring the Efficacy of Comprehensive Management of Breast Abscesses in Restoring Milk Volume.

BACKGROUND: Approximately 54.8% of patients with breast abscesses discontinue breastfeeding due to the lack of adequate breastfeeding support. RESEARCH AIMS: We aimed to (1) examine the difference in milk volume produced by healthy breasts and breasts with abscesses; and (2) to explore the changes in milk volume before and after comprehensive management. METHOD: A prospective, consecutive series study was designed. Lactating patients (N = 50) with breast abscesses were selected from March 2017 to November 2018. The volume and frequency of milk expression of the affected and the unaffected breast were recorded every 24 hr before and after comprehensive management. The difference in the milk volume produced by healthy breasts (control) and breasts with abscesses, as well as the milk volume produced by each breast before and after comprehensive management, was determined. RESULTS: There was a significant difference in the milk volume produced by healthy breasts and breasts with abscess before (t = 3.016; p = .004) and after (t = 4.336; p < .001) comprehensive management. The frequency of milk expression was significantly higher after comprehensive management than before it (z = -6.145; p < .001); the milk volume produced by each side significantly increased after comprehensive management (healthy breasts: t = -4.789; p < .001; breasts with abscess: t = 2.555; p = .014). CONCLUSION: The total milk volume produced by breasts with abscesses can be less than that produced by healthy breasts. The management of abscesses by increasing the frequency of milk expression and degree of emptying can help mothers increase their milk volume.

Compartmental sparse feature selection method for Alzheimer's disease identification.

For high-dimensional magnetic resonance imaging (MRI) data, many feature selection methods have been proposed to reduce feature dimension in the study of computer-aided Alzheimer's disease (AD) diagnosis. This paper presents a compartmental sparse feature selection method used for AD identification. Based on the derived atlas-based regions-of-interest (ROIs) of brain, the proposed method partitioned the T1-weighted MRI data into several compartments. It performs feature selection and classification compartmentally according to the local feature dimension estimation and local feature selection using sparse principal component analysis (SPCA) method followed with elastic-net logistic regression (ENLR) classifier. Experimental results showed that the proposed method improves the classification performance for small ROIs with high computational efficiency.

The research progress of artificial cervical disc / 中国医疗器械杂志

In this paper, the present research status of artificial cervical disc is summarized according to its configuration, material selection and the methodologies of design. Finally, the further progress of research on artificial cervical disc is prospected as well.

Primary suture of common bile duct after exploration / 国际外科学杂志

Objective To study the feasibility, indications and clinical value of primary suture after the common bile duet exploration(CBDE).Methods One hundred and fimr cases of choledocholithiasis were chosen for primary suture by 5-Oviger after CBDE. Post-operative complications and the length of hospital stay were compared with those with T-tube drainage. Results Compared with T-tube drainage group, the complication rate was reduced and the length of hospital stay in primary suture group was shortened. And also the mortality and operation time were decreased significantly. Conclusion The primary suture after CBDE in selected oases is safe and reliable.