1.DIAGNOSTIC VALUE OF FREQUENCY-DOMAIN CORRELATIVE CARD1OGRAPHY IN PATIENTS WITH CORONARY HEART DISEASE
Medical Journal of Chinese People's Liberation Army 1981;0(06):-
Frequency-domain correlative cardiography(FCG) was made in 100 normal subjects and 70 patients with coronary heart disease. From this analysis, diagnosis standard of coronary heart disease with FCG was established. The results showed that the agreement rate of this standard with clinical diagnosis was 94.6%; the specificity was 98.7%; the sensitivity was 88.2%.It was concluded that FCG might be a good method in the diagnosis of coronary heart disease.
4.Analysis of surveillance results of human brucellosis in Shanxi Province in 2012-2017
Yongfei BAI ; Changfu YAN ; Ping TIE ; Yuhua ZHENG ; Ting WANG ; Jingying WANG ; Xuemin LI ; Hongxia YANG ; Buyun CUI
Chinese Journal of Endemiology 2019;38(4):293-297
Objective To analyze the epidemiological surveillance results of human brucellosis in Shanxi Province from 2012 to 2017,to know the epidemic status of brucellosis,and to provide evidence for prevention and control of brucellosis.Methods Incidence date and surveillance date of disease outbreaks in Shanxi Province from 2012 to 2017 were collected,the retrospective analysis method was used to analysis the "three distribution" of brucellosis,outbreak situation and the results of serological and pathogenic surveillance in the 4 surveillance stations.Results A total of 36 220 brucellosis cases were reported from 2012 to 2017,the average incidence was 16.62/100 000;8 540 brucellosis cases were reported in 2014,with incidence 23.53/100 000;a total of 23 197 cases of brucellosis were reported mainly in Datong,Shuozhou,Jinzhong and Xinzhou,accounting for 64.04% of the province total.The onset was seasonal,and the peak of the epidemic was from March to August,accounting for 67.23% (24 350/36 220).The brucellosis cases were mainly youth (23 084),male (28 317),farmers and herdsman (32 616).In the 4 surveillance stations of the brucellosis,39 140 cases were investigated,of which 10 536 cases did serological test,in which 585 were positive for Brucella (5.55%).The highest positive rate of serological test was 9.50% (226/2 738) which was found in Tianzhen.A total of 626 samples carried out pathogen culture,in which 107 strains of brucellosis were detected,the detection rate was 17.09%,and 106 strains Brucella were melitensis biovar 3 of the total strains except 1 mutant.Conclusions The reported incidence in Shanxi Province is in a decline tendency,but the situation of brucellosis epidemic is still relatively serious.It is suggested that the surveillance work should be strengthened;the epidemic situation of brucellosis should be mastered in time and effectively controlled.
5.Investigation of human brucellosis diagnosis and report quality in medical institutions in key areas of Shanxi province
Lingjia ZENG ; Wenwen YANG ; Ping TIE ; Xinrong LIU ; Xiurong GAO ; Zhenyu LI ; Ping HOU ; Yin ZHI ; Yongfei BAI ; Mengjie GENG ; Qiulan CHEN ; Buyun CUI ; Zhongjie LI ; Liping WANG
Chinese Journal of Epidemiology 2017;38(11):1480-1483
Objective To evaluate the accuracy of human brucellosis diagnosis and reporting in medical institutions in Shanxi province, and understand the performance of clinical doctors to diagnose human brucellosis according to diagnostic criteria. Methods Field investigation was conducted in 6 medical institutions in the key areas of human brucellosis in Shanxi province. The diagnosis data of the reported brucellosis cases in 2015 were collected and reviewed retrospectively for the evaluation of the diagnosis accuracy with systematic sampling method. The database was established with Excel 2010 and the descriptive analysis and statistical test were conducted with software R 3.3.2. Results The diagnosis consistent rate of the 377 brucellosis cases reviewed was 70.8% (267/377), the diagnosis consistent rates in medical institutions at city-level and country-level were 77.0%(127/165) and 66.0%(140/212) respectively, the differences had significance (χ2=5.4, P=0.02). Among the reviewed cases, the diagnosis consistent rate of laboratory diagnosis and clinical diagnosis were 87.1%(256/294) and 13.3%(11/83) respectively, and the differences had significance (χ2=170.7, P<0.001) . Among the 21 investigated clinical doctors, the numbers of the doctors who correctly diagnosed the suspected cases, probable cases and lab-confirmed cases were only 3, 0 and 8 respectively. All of the clinical doctors knew that it is necessary to report the brucellosis cases within 24 hours after diagnosis. Conclusion The accuracy of human brucellosis diagnosis in key areas of human brucellosis in Shanxi was low, and the performance of the clinical doctors to diagnose human brucellosis according to diagnostic and case classification criteria was unsatisfied.