Exciting Editing of the Elite Seminar on Intelligent Pressure Controlled Stone Extraction Technology of the China Urology Stone Alliance (Phase 10)

Exciting Editing of the Elite Seminar on Intelligent Pressure Controlled Stone Extraction Technology of the China Urology Stone Alliance (Phase 9)

Exciting Editing of the Elite Seminar on Intelligent Pressure Controlled Stone Extraction Technology of the China Urology Stone Alliance (Phase 8)

Exciting Editing of the Elite Seminar on Intelligent Pressure Controlled Stone Extraction Technology of the China Urology Stone Alliance (Phase 7)

Exciting Editing of the Elite Seminar on Intelligent Pressure Controlled Stone Extraction Technology of the China Urology Stone Alliance (Phase 6)

Exciting Editing of the Elite Seminar on Intelligent Pressure Controlled Stone Extraction Technology of the China Urology Stone Alliance (Phase 5)

Exciting Editing of the Elite Seminar on Intelligent Pressure Controlled Stone Extraction Technology of the China Urology Stone Alliance (Phase 4)

Exciting Editing of the Elite Seminar on Intelligent Pressure Controlled Stone Extraction Technology of the China Urology Stone Alliance (Phase 3)

Exciting Editing of the Elite Seminar on Intelligent Pressure Controlled Stone Extraction Technology of the China Urology Stone Alliance (Phase 2)

Exciting Editing of the Elite Seminar on Intelligent Pressure Controlled Stone Extraction Technology of the China Urology Stone Alliance (Phase 1)

What to eat is easy to get stones, what can eat to prevent stones?

Professor Song Leming's Clinical Experience on Lithotripsy Liquid Perfusion and Intelligent Pressure Control in Urinary Cavity

High-power holmium laser is currently the most effective and common equipment for intracavitary lithotripsy through the natural cavity of the urethra and the percutaneous renal channel (especially the natural cavity for lithotripsy). Liquid perfusion is necessary and very important for holmium laser lithotripsy Conditions, there are several key points worthy of attention and attention:

DeviceChina2019 Gu Hanqing: Priority approval status and progress of medical device innovation

"Innovation sees true knowledge"-The Eastern Division of the 2nd China "UA-Guinness" Innovation Grand Prix in 2019 was successfully held in Shanghai

On August 16, 2019, the magic city of Shanghai in early autumn was breezy. Experts from urology and related fields at home and abroad gathered together to witness the grand competition of the Eastern Division of the 2nd China “UA-Guinness” Innovation Grand Prix Opening and going smoothly.

China's medical device UDI rules are officially released

Six tips for effective prevention of urethral calculi

Urolithiasis is also known as urinary calculi, urinary calculi, kidney stones, ureteral stones, bladder stones and urethral stones. The stone is caused by the imbalance of colloid and crystal metabolism in the body, and is related to infection, nutritional metabolism disorder, foreign body in urinary system, geographical climate, diet habits and other factors. The typical clinical manifestations are lumbar colic, hematuria, or urinary tract obstruction and infection symptoms such as frequent urination, urgency and pain in urination. What are the symptoms of urinary calculi—— The frequency of urination increased, the drip was not smooth when urinating, the urine pain (burning, tingling), pain, manifested as unilateral or bilateral low back pain, the nature of paroxysmal colic or persistent dull pain, lasting for different periods of time. Pain can radiate down the ureter to the medial thigh or vulva. The second manifestation is hematuria, which is caused by the movement of stones, which damages the mucosa of urinary tract. During physical examination, abdominal tenderness and percussion pain in the ipsilateral renal area could be seen. In severe cases, the urine color is bright red and even blood clots can be seen by naked eyes. Some patients can also be accompanied by fever, nausea and vomiting, sweating, anal distension, quick defecation and then not happy, feeling no end of defecation and so on. When patients with symptoms of discomfort, suspected of suffering from urinary stones, should go to the hospital surgery, good is urology. If the doctor according to the patient's symptoms and signs, judge that the patient may have urinary calculi, will give the patient the corresponding examination, in order to make a clear diagnosis. So how to effectively prevent the occurrence of urethral calculi? We summarize the following tips: (1) keep an optimistic and peaceful attitude and avoid mental tension and excessive pressure. (2) remove the factors of urinary tract obstruction. Urethral stricture and benign prostatic hyperplasia should be treated actively to relieve urinary tract obstruction. (3) adjust the pH of urine: according to the composition of urolithiasis, adjusting the pH of urine can prevent the recurrence of urolithiasis, such as uric acid salt and oxalate stone forming in acid urine, phosphate and carbonate stone forming in alkaline urine. Experts remind: if the patients with uric acid salt, should pay attention to eat less food with high uric acid, such as animal viscera, seafood, black tea, coffee, chocolate and peanut, etc. Calcium phosphate stone patients, eat less calcium containing food, such as milk and so on. (4) develop the habit of drinking more water: drinking more water can increase urine output, dilute the crystal in urine, and make it easy to be discharged from the body. At the same time, even if the formation of small urethral stones, but also as early as possible to wash it out of the urine. Good drinking water more than 2500 ml every day, maintain the urine color light. Even if you are not thirsty in autumn, you should drink appropriate amount of water, especially before you go to bed, you can drink a large glass of water to ensure enough urine volume at night. If the local water source contains high calcium content, it should pay more attention to softening before drinking, good drinking magnetized water. (5) pay attention to nutrition and diet: do not eat and drink too much and limit excessive nutrition. Because eating and drinking is high protein, high sugar and high fat diet, which will increase the risk of stone formation. Usually should eat more coarse food and vegetarian diet, urolithiasis patients should limit excess nutrition according to caloric needs, animal protein intake should be appropriate, keep the daily intake of protein for 75-90 grams. Control the intake of refined sugar. Avoid eating spinach, sauerkraut, animal viscera, etc. (6) changing the formation environment of urethral calculi: according to the analysis, calcium oxalate is the most common urinary calculi, accounting for about 80%. There are also many urate stones in some areas. Most of these stones were formed in acidic urine, while calcium phosphate stones (about 9%) were formed in alkaline urine. Experts pointed out: therefore, according to the analysis of urinary calculi composition, determine its nature, thus consciously change the acid-base environment of urine, for the prevention of the formation of urethral calculi and in the treatment of urethral calculi disease are of great significance.

How to prevent stones?

Drink plenty of water Do not hold urine, do not hold urine, drink more urine help bacteria, carcinogens and easy to stone substances quickly out of the body, reduce the chance of kidney and bladder injury. Drink less beer Some people think that beer can diuretic, can prevent the occurrence of urinary stones. In fact, beer malt contains calcium, oxalic acid, nucleotides and purine nucleotides and other acidic substances, which can increase the uric acid in human body and become an important inducement of kidney stones. Meat Animal viscera should eat less to control the intake of meat and animal viscera, because meat metabolism produces uric acid, animal viscera is high purine food, catabolism will also produce high blood uric acid, and uric acid is the component of stone formation. Therefore, the daily diet should be based on vegetarianism, and eat more food rich in cellulose. Eat less salt Salt and calcium have a synergistic effect in the body and can interfere with the metabolism of drugs for the prevention and treatment of kidney stones. The daily intake of salt should be less than 5g. Be careful with spinach According to statistics, more than 90% of the stones contain calcium, and calcium oxalate stones account for 87.5%. If the amount of oxalate in food is too much and the calcium oxalate in urine is supersaturated, the excess calcium oxalate crystals may precipitate from the urine and form stones. In the food, the high content of oxalate is spinach, and spinach is one of the vegetables people often eat. How to prevent stones? Don't drink milk before going to bed Because milk contains more calcium, and most of the stones contain calcium salts. The risk factor of stone formation is the sudden increase of calcium concentration in urine for a short time. 2-3 hours after drinking milk, it is the peak of calcium excretion through the kidney, so it is in the sleep state, urine concentration, calcium through the kidney more, it is easy to form stones. Don't eat too much sugar After taking sugar, the concentration of calcium ion in urine, oxalic acid and urine acidity will increase. The increase of urine acidity can make calcium urate and calcium oxalate easy to precipitate and promote the formation of stones. Breakfast for dinner In the course of time, the peak period of calcium excretion is often 4~5 hours after meal. If dinner is too late, when the peak period of calcium excretion comes, people will go to bed and sleep. Urine will remain in the urinary tract such as ureter, bladder and urethra. It can not be discharged in time, resulting in the continuous increase of urine calcium and * easy deposition to form small crystals. Eat more vegetables and fruits Vegetables and fruits contain vitamin B1 and vitamin C. their metabolites in vivo are alkaline, and uric acid is easy to dissolve in alkaline urine, so it is conducive to the treatment and prevention of stones. Reduced protein intake Studies have shown that high protein diet can increase the incidence rate of urinary calculi. Therefore, the control of protein in food, especially animal protein, is beneficial to all stone patients.

xWith the help of more intelligent means, doctors' working time is saved

The new mode, new format and new industry are emerging. The state has promulgated the State Council's Guiding Opinions on actively promoting the "Internet plus" action, and the guiding opinions of the general office of the State Council on promoting and standardizing the application of health care big data, and the new generation of artificial intelligence development plan. "13th five year plan" and other policy documents clearly put forward to promote the wide application of big data, cloud computing, mobile Internet and other new generation information technology in the field of medical and health, promote the profound change of traditional medical service and health management mode, and meet the huge demand for more personalized and quality medical and health services. This cooperative research project further promotes the application of artificial intelligence technology in the medical field. With the help of more intelligent means, doctors' working time is saved. This will greatly mobilize the service ability and enthusiasm of primary medical institutions, pension institutions and rehabilitation management centers, which will play a positive role in the early screening of cardiovascular diseases and postoperative rehabilitation management. For doctors, the more automated and intelligent analysis results can be used as a decision-making tool for doctors, so that doctors can free their hands and devote more energy to more valuable work such as scientific research.

Talking about cardiac rehabilitation

Research data show that cardiac rehabilitation for patients with cardiovascular disease can effectively reduce the risk of rehospitalization and mortality after coronary stenting in patients with myocardial infarction. At present, cardiac rehabilitation integrates prevention and rehabilitation. The cardiac rehabilitation team is a multidisciplinary team, which is completed by doctors, exercise physiology experts, nurses and nutritionists. The doctor is responsible for the operation and risk assessment of the whole team, the nurse is responsible for the coordination work within the medical team, and the exercise physiologist is responsible for the formulation of exercise prescription and the guidance of exercise plan. The standard configuration of heart rehabilitation center in hospital mainly includes patient area, medical area, exercise area, ECG monitoring equipment, rescue equipment, cardiopulmonary exercise tester and a series of auxiliary equipment. In addition, a very important link is the cardiovascular disease prevention clinic. Its main functions include screening of cardiovascular disease risk in healthy population, assessment of cardiovascular disease risk in high-risk patients and follow-up management of patients who have completed cardiac rehabilitation. The standard process of cardiac rehabilitation includes the following steps: first, the automatic referral before discharge; secondly, the second evaluation of patients by doctors, nurses and exercise therapists; secondly, the rehabilitation process; and finally, the re evaluation during the follow-up period. The assessment of cardiac rehabilitation includes exercise risk assessment (6-minute walking test, cardiopulmonary exercise test, exercise treadmill test, etc.), risk factors assessment, psychological and quality of life assessment, nutritional assessment, tobacco dependence assessment and prognosis assessment. For the following types of patients, we need to pay special attention to: first, patients with more than three cardiovascular risk factors are not controlled; second, patients with CAD neglect or misconception; third, patients with unhealthy lifestyle or lack of ability to cope with disease. In the aspect of cardiac rehabilitation, one is to rely on the individualized cardiac rehabilitation prescription of the cardiac rehabilitation center, and at the same time pay attention to the family cardiac rehabilitation link, and regularly carry out health education for patients. In terms of quality control of cardiac rehabilitation, we should pay attention to the core competence of cardiac rehabilitation personnel, including risk assessment, secondary preventive medication, risk factor management and exercise consultation. At the same time, we should also pay attention to the pre job training and operation assessment of the participants. The treatment team also has a group discussion once a week. In view of the current situation of the development of cardiac rehabilitation in China, there are still some deficiencies. In the future, we will establish multiple integrated centers for cardiac rehabilitation and prevention, from "Mastering theory", "prescription landing", "quality control", "quality promotion" to "precise rehabilitation", step by step, to make this plan well done, refined and refined, and strive to make medicine and health become a closed loop as soon as possible.

Promote the profound change of traditional medical service and health management mode

Convolution neural network was applied to intelligent analysis of ECG, and clinical cooperation was conducted with ECG center of Tianjin Medical University General Hospital. The project will take two years to complete: 1. Convolution neural network model based on big data analysis and processing is specially suitable for intelligent classification of ECG arrhythmia; 2. Build an open public data service platform that can be accessed by medical institutions, health service institutions and hardware manufacturers; 3. Improve the function and performance index of elephant heart treasure. With the continuous integration of emerging technologies such as big data, cloud computing and mobile Internet with medical and health services, The new mode, new format and new industry are emerging. The state has promulgated the State Council's Guiding Opinions on actively promoting the "Internet plus" action, and the guiding opinions of the general office of the State Council on promoting and standardizing the application of health care big data, and the new generation of artificial intelligence development plan. "13th five year plan" and other policy documents clearly put forward to promote the wide application of big data, cloud computing, mobile Internet and other new generation information technology in the field of medical and health, promote the profound change of traditional medical service and health management mode, and meet the huge demand for more personalized and quality medical and health services. This cooperative research project further promotes the application of artificial intelligence technology in the medical field. With the help of more intelligent means, doctors' working time is saved. This will greatly mobilize the service ability and enthusiasm of primary medical institutions, pension institutions and rehabilitation management centers, which will play a positive role in the early screening of cardiovascular diseases and postoperative rehabilitation management. For doctors, the more automated and intelligent analysis results can be used as a decision-making tool for doctors, so that doctors can free their hands and devote more energy to more valuable work such as scientific research.

The standard cardiac rehabilitation process includes the following steps

The standard process of cardiac rehabilitation includes the following steps: first, the automatic referral before discharge; secondly, the second evaluation of patients by doctors, nurses and exercise therapists; secondly, the rehabilitation process; and finally, the re evaluation during the follow-up period. The assessment of cardiac rehabilitation includes exercise risk assessment (6-minute walking test, cardiopulmonary exercise test, exercise treadmill test, etc.), risk factors assessment, psychological and quality of life assessment, nutritional assessment, tobacco dependence assessment and prognosis assessment. For the following types of patients, we need to pay special attention to: first, patients with more than three cardiovascular risk factors are not controlled; second, patients with CAD neglect or misconception; third, patients with unhealthy lifestyle or lack of ability to cope with disease. In the aspect of cardiac rehabilitation, one is to rely on the individualized cardiac rehabilitation prescription of the cardiac rehabilitation center, and at the same time pay attention to the family cardiac rehabilitation link, and regularly carry out health education for patients. In terms of quality control of cardiac rehabilitation, we should pay attention to the core competence of cardiac rehabilitation personnel, including risk assessment, secondary preventive medication, risk factor management and exercise consultation. At the same time, we should also pay attention to the pre job training and operation assessment of the participants. The treatment team also has a group discussion once a week. In view of the current situation of the development of cardiac rehabilitation in China, there are still some deficiencies. In the future, we will establish multiple integrated centers for cardiac rehabilitation and prevention, from "Mastering theory", "prescription landing", "quality control", "quality promotion" to "precise rehabilitation", step by step, to make this plan well done, refined and refined, and strive to make medicine and health become a closed loop as soon as possible.

Construction of ECG intelligent analysis platform

Relying on the computational strength of Chinese Academy of Sciences, elephant medical has applied convolutional neural network to intelligent ECG analysis, and has carried out clinical cooperation with the ECG center of Tianjin Medical University General Hospital. The project will take two years to complete: 1. Convolution neural network model based on big data analysis and processing is specially suitable for intelligent classification of ECG arrhythmia; 2. Build an open public data service platform that can be accessed by medical institutions, health service institutions and hardware manufacturers; 3. Improve the function and performance index of elephant heart treasure. With the continuous integration of new technologies and medical services represented by big data, cloud computing and mobile Internet, new models, new formats and new industries are emerging. The state has promulgated the State Council's Guiding Opinions on actively promoting the "Internet plus" action, and the guidance of the general office of the State Council on promoting and standardizing the application of health care big data. Development plan of new generation artificial intelligence "13th five year plan" and other policy documents clearly put forward to promote the wide application of big data, cloud computing, mobile Internet and other new generation information technology in the field of medical and health, promote the profound change of traditional medical service and health management mode, and meet the huge demand for more personalized and quality medical and health services. This cooperative research project further promotes the application of artificial intelligence technology in the medical field. With the help of more intelligent means, doctors' working time is saved. This will greatly mobilize the service ability and enthusiasm of primary medical institutions, pension institutions and rehabilitation management centers, which will play a positive role in the early screening of cardiovascular diseases and postoperative rehabilitation management. For doctors, the more automated and intelligent analysis results can be used as a decision-making tool for doctors, so that doctors can free their hands and devote more energy to more valuable work such as scientific research.

This cooperative research project further promotes the application of artificial intelligence technology in the medical field

1. Convolution neural network model based on big data analysis and processing is specially suitable for intelligent classification of ECG arrhythmia; 2. Build an open public data service platform that can be accessed by medical institutions, health service institutions and hardware manufacturers; 3. Improve the function and performance index of elephant heart treasure. With the continuous integration of new technologies and medical services represented by big data, cloud computing and mobile Internet, new models, new formats and new industries are emerging. The state has promulgated the State Council's Guiding Opinions on actively promoting the "Internet plus" action, and the guidance of the general office of the State Council on promoting and standardizing the application of health care big data. Development plan of new generation artificial intelligence "13th five year plan" and other policy documents clearly put forward to promote the wide application of big data, cloud computing, mobile Internet and other new generation information technology in the field of medical and health, promote the profound change of traditional medical service and health management mode, and meet the huge demand for more personalized and quality medical and health services. This cooperative research project further promotes the application of artificial intelligence technology in the medical field. With the help of more intelligent means, doctors' working time is saved. This will greatly mobilize the service ability and enthusiasm of primary medical institutions, pension institutions and rehabilitation management centers, which will play a positive role in the early screening of cardiovascular diseases and postoperative rehabilitation management. For doctors, the more automated and intelligent analysis results can be used as a decision-making tool for doctors, so that doctors can free their hands and devote more energy to more valuable work such as scientific research.

With the continuous integration of emerging technologies such as big data, cloud computing and mobile Internet with medical and health services

With the continuous integration of new technologies and medical services represented by big data, cloud computing and mobile Internet, new models, new formats and new industries are emerging. The state has promulgated the State Council's Guiding Opinions on actively promoting the "Internet plus" action, and the guidance of the general office of the State Council on promoting and standardizing the application of health care big data. Development plan of new generation artificial intelligence "13th five year plan" and other policy documents clearly put forward to promote the wide application of big data, cloud computing, mobile Internet and other new generation information technology in the field of medical and health, promote the profound change of traditional medical service and health management mode, and meet the huge demand for more personalized and quality medical and health services. This cooperative research project further promotes the application of artificial intelligence technology in the medical field. With the help of more intelligent means, doctors' working time is saved. This will greatly mobilize the service ability and enthusiasm of primary medical institutions, pension institutions and rehabilitation management centers, which will play a positive role in the early screening of cardiovascular diseases and postoperative rehabilitation management. For doctors, the more automated and intelligent analysis results can be used as a decision-making tool for doctors, so that doctors can free their hands and devote more energy to more valuable work such as scientific research.