1.Paying attention to the correct application of non-steroidal anti-inflammatory drugs in the treatment of ocular surface inflammatory disease
Ming-chang, ZHANG ; Jie, ZHANG
Chinese Journal of Experimental Ophthalmology 2013;32(11):1001-1002
Inflammation is a common ocular surface disease.Glucocorticoid drugs are effective on the ocular surface inflammation,but their long-term and massive application is prone to serious side effects.Nonsteroidal antiinflammatory drugs (NSAIDs) have anti-inflammatory,anti-allergic,analgesic effects.The topical application of NSAIDs for the prevention and treatment of ocular inflammatory disease is much safer than that of glucocorticoid.Therefore,NSAIDs have more and more concerns in the treatment of ocular surface inflammation in recent years.Although NSAID has good anti-inflammatory effectiveness and less adverse effects,it should be correctly administered.During the treatment process of inflammatory ocular surface diseases,the combination of NSAIDs with glucocorticoid drug can strengthen the curative effect and reduce the adverse reactions.
3.Job preferences of doctors at township health center:A discrete choice experiment in three provinces of China
Di YAN ; Huan ZHANG ; Jie CHANG ; Yang ZHAO ; Xiaoyun LIU
Chinese Journal of Health Policy 2014;(4):44-48
Objective:To analyze the job preference of doctors at township health center ( THC) and provide references for formulating effective policy. Methods:238 cases of doctors were sampled from Shandong, Anhui and Shaanxi provinces. Using a discrete choice experiment, we analyzed the data with a conditional logit model. Results:The most important job attribution was salary, followed by education for children, permanent post, work location, training opportunity, and years before promotion. The OR value of the monthly income of 8 000 yuan is 7. 0 compared to 2 000 yuan. Doctors will pay 3 857 yuan and 3 294 yuan respectively for better education for children and perma-nent posts. Monthly income increasing to 8 000 yuan will reduce the quitting rate from 35% to 8%, and providing better education for children and permanent posts will reduce 5%. The permanent posts at township health center and non-permanent posts in county hospital have the same appeal to the doctor. Conclusion:When choosing a job, doc-tors at THCs valued salary the most. Improving the education level for children can be beneficial for attracting and re-taining doctors at THCs. A permanent post is more attractive to doctors than non-permanent posts at THCs.
4.Consistency of FDG uptake on 18F-FDG PET/CT and regional homogeneity on functional MRI in major depression disorder patients
Shewei DOU ; Chang FU ; Ang XUAN ; Jie ZHANG ; Junling XU
Chinese Journal of Nuclear Medicine and Molecular Imaging 2015;35(1):27-31
Objective To investigate the changes of cerebral regional glucose metabolism and regional homogeneity (ReHo) and their relation in patients with major depression disorder (MDD) using 18F-FDG PET/CT and functional MRI (fMRI).Methods A total of 18 MDD patients (6 males,12 females,age:(33.00±7.59) years) and 17 healthy controls (6 males,11 females,age:(34.59±8.96) years) underwent 18F-FDG PET/CT and fMRI.The changes of glucose metabolism on PET and ReHo on fMRI were analyzed individually by SPM and ReHo fMRI 1.0 software.Pearson correlation analysis was used.Results Compared with the glucose metabolism of control subjects,those of MDD patients decreased in the bilateral superior,middle and inferior frontal gyri,bilateral superior and middle temporal gyri,bilateral anterior cingulate cortices,bilateral putamina and caudate nuclei and the left pallidum.Meanwhile the glucose metabolism increased in the bilateral hippocampi and the left thalamus.The ReHo in MDD patients decreased in bilateral superior and middle frontal gyri,left pallidum,bilateral putamina,left anterior cingulate cortex,whereas increased ReHo was found in right hippocampus and right thalamus.The SUV of bilateral superior,middle and inferior frontal gyri,bilateral superior and middle temporal gyri,bilateral putamina,left caudate,left pallidum,left anterior cingulate cortex,bilateral hippocampi and bilateral thalami were correlated with ReHo (r =0.51-0.83,all P<0.05).However,no correlation was found between the SUV and ReHo in right caudate and anterior cingulate cortex (r=0.41,0.37; both P>0.05).Conclusion There may be relative characteristic models of abnormal cerebral metabolism and cerebral dysfunction impairment in MDD patients,and the changes of cerebral regional glucose metabolism may be correlated with the changes of ReHo.
5.The application of emergency case video segmentally introduction combining with scene simulation in cultivation of undergraduate nursing students′ skills of trauma management
Jian YANG ; Jie CHEN ; Qihong ZHANG ; Chang LIU
Chinese Journal of Practical Nursing 2016;32(35):2784-2788
Objective To investigate the effect of emergency case video segmentally introduction combining with simulation in cultivation of undergraduate nursing students′skills of trauma management. Methods A group of 55 undergraduate nursing students, recruited in the control group from September 2013 to April 2014, were instructed by traditional teaching method, the trauma management skill was delivered by lecture, video and group based practice. Another 50 undergraduate nursing students, recruited in the observation group from September 2014 to April 2015, were located in the simulation group, while the key point of trauma management was segmentally introduced by emergency case video, the skill of trauma management was delivered by lecture and video, a multiple injury case scenario was used for group practice. The score of the practice test and the evaluation of the teaching were compared among the two groups. Results The students in observation group demonstrated more skilled trauma management compared with that in the control group (90.42±8.50 vs. 84.68±8.77, t=3.56, P<0.05). The students in observation group presented significantly higher satisfaction with the teaching, improving study interesting 93.33%(56/60), promoting the theory knowledge deepen 91.67%(55/60), improving the ability of thinking and observation 95.00% (57/60/) , improving the ability of analyzing and solving problems 100.00% (60/60), enhancing the ability of independent learning 96.67%(58/60), while in the control group, they were 76.36%(42/55), 69.09%(38/55), 65.45%(36/55), 69.09%(38/55) and 80.00%(44/55), the differences between the two groups were significant (χ2 =2.30-4.40, P < 0.05). Conclusions Application of emergency case video segmentally introduction combining with simulation provided more opportunity to the undergraduate nursing students to apply relevant knowledge in analyzing and dealing with trauma cases, which contributes to the improvement of undergraduate nursing students′ skills of trauma management.
6.Square dancing intervention on the quality of life of breast cancer patients with post-radical surgery and postoperative chemotherapy
Li CHANG ; Jie ZHANG ; Yan WANG ; Xiaomei LI
Modern Clinical Nursing 2016;15(8):33-37
Objective To explore the effect of square dancing intervention on the quality of life of breast cancer patients having undergone radical surgery and postoperative chemotherapy. Methods Forty-nine breast cancer patients having undergone radical surgery and postoperative chemotherapy from February to October 2014 were set as the controls and another 51 patients having undergone the same radical surgery and postoperative chemotherapy from November 2014 to August 2015 were assigned to the intervention group. The control group was treated with conventional nursing intervention and the intervention group, on the basis of conventional nursing intervention, with square dancing intervention for 3 to 5 times each week, 30~90 minutes each time till the sixth cycle of chemotherapy. The quality of life before and after the intervention was evaluated with Function Assessment of Cancer Therapy-Breast (FACT-B). Result There was no significant difference in the score by FACT-B between the two groups before intervention ( P > 0 . 05 ) and after the intervention the difference in the score by FACT-B was statistically significant between the two groups (P <0.05). Conclusion Square dancing as the combination of sport therapy, group therapy and music therapy can improve the quality of life of breast cancer patients having undergone radical surgery and postoperative chemotherapy , so it can have some value in the future community care.
7.Immunological profile of children with AIDS.
Fu-jie ZHANG ; Chang-zhong JIN ; Yan ZHAO
Chinese Journal of Pediatrics 2006;44(12):952-953
8.Monitoring novel ovarian carcinoma associated genes using cDNA expression microarray
Xiaohong CHANG ; Yexia CHENG ; Xinyan ZHANG ; Heng CUI ; Jie FENG ;
Chinese Journal of Obstetrics and Gynecology 2001;0(06):-
Objective To explore the gene expression pattern of sample of human ovarian carcimoma Method The difference in gene expression between normal and neoplastic human ovarian tissues were investigated,we described the assembly and utilization of a 512 member cDNA microarray Result Thirty seven genes expressed in ovarian cancer were screened out,14 genes were up regulated,23 genes were down regulated Conclusion cDNA microarray for analysis of gene expression pattern is an effective method to identify novel ovarian cancer associated genes
9.Pendred's syndrome: a report of 5 cases
Jie HAN ; Wei GENG ; Yingbin CHANG ; Jing ZHANG
Chinese Journal of General Surgery 1994;0(05):-
Objective To study the diagnosis and management of Pendred's syndrome. Methods The clinical data of 5 patients with Pendred's syndrome were analysed retrospectively. Results All patients had congenital sensorineural hearing loss and gradeⅡ-Ⅲ goiter,and 4 patients compained with thyroid nodure. Of the 5 cases, the results of perchlorate discharge test were 10%-52%. One case underwent subtotal thyroidectomy owing to misdiagnosis before the operation. All the 5 cases received thyroxine and were followed up for 4-7 years.All the patients goiter shrank and the compression symptoms relieved. Conclusions The perchlorate discharge test is the important diagnostic method and may detect the healthy carriers in the patients' relatives.Conservative treatment should be used in most patients. Patients undergoing operation owing to serious compression symptoms should be managed with thyroxine after surgery.
10.Effect of cigarette smoking on rat wound healing
Huinan CHANG ; Baolin ZHANG ; Kai LI ; Xiaobing WANG ; Jie PEI
Chinese Journal of Medical Aesthetics and Cosmetology 2014;20(5):373-375
Objective To observe the effect of cigarette smoking on cutaneous wound healing in rats.Methods Healthy adult SD rats,weight 200-250 g,were randomly divided into 4 groups:control group (group C),low tar content group (group L),middle tar content group (group M) and high tar content group (group H),ten rats each group.4 full thickness dermal excision wound models with the diameter of 2.0 cm were established on the back of 40 healthy male or female SD rats.The wound spacing was greater than 2 cm.Group C did not do any intervention treatment,Groups L,M and H rats were put,respectively,into homemade smoke box in 0.1,0.5,and 0.8 mg different-grade tar content of cigarettes and smoked,and the time of wound healing was observed.The wound granulation tissue was taken in 3 and 7 days after surgery.The expression of CD68+ macrophages was detected by immunohistochemical method.The wound healing rate was observed on the days 7 and 16.Results Compared with group C,wound healing time in groups L,M and H was extended (P< 0.05).Immunohistochemical results showed that macrophage numbers in groups L,M and H wound were significantly less than that of group C.The wound healing rates 7 days and 16 days after surgery in the three group smoked were significantly lower than that of group C.Conclusions Cigarette smoking leads to wound healing delay,and wound healing rate is reduced at fixed time point,with the decrease in the number of macrophages.