1.Evaluation of Intervention on AIDS High-risk Sexual Behavior among Young Students in Jilin MSM Population
Yong CAI ; Jianguo QIAO ; Dianwei SUN
Acta Medicinae Universitatis Scientiae et Technologiae Huazhong 2017;46(3):346-351,367
Objective To evaluate effect of intervention on acquired immune deficiency syndrome(AIDS) high-risk sexual behavior of males who have sex with males(MSM)population in Jilin,and to provide a basis for establishing apropriate intervention strategy for this population.Methods A cross-sectional survey was carried out on the MSM population of young students with the method of classification.Comprehensive intervention strategy included health education via new media,behavioral intervention,voluntary conseling and testing,peer education,condom promotion and standardized services for clinic of sexually transmitted diseases(STDs)and other comprehensive interventions.Before and after intervention,300 MSM were enrolled,and their demographic characteristics,knowledge of AIDS prevention and control,high risk behaviors and intervention measures were investigated and analyzed.Results Before and after the intervention,the awareness rate of AIDS related knowledge was 67.67% and 94.33%,respectively,the condom usage rate was 23.57% and 11.79% in the most recent and the last 6 months before the intervention,and it was 76.21% and 62.10 % after the intervention,respectively.The proportion for those who used condom every time in heterosexual sex behavior was increased from 23.53% (before intervention) to 69.60 % (after intervention),and the condom usage rate in the last 6 months was increased from 15.44% to 66.40%.Proportion of the MSM who had STDs related symptoms was decreased from 21.33% to 7.67% after the intervention.Conclusion After the comprehensive intervention,the awareness rate of AIDS related knowledge among MSM in Jilin is significantly increased,the incidence of highrisk sexual behavior is decreased and the condom usage rate is improved.Intervention by use of new media is low-cost,easy to operate,and can be used as a good supplementary strategy for traditional behavioral intervention.
2.The relationship between preoperative plasma N-terminal pro-brain natriuretic peptide and recurrence of atrial fibrillation after cardiac valve replacement combined with radiofrequency ablation
Wei SUN ; Bing SONG ; Dianwei CHENG ; Debin LIU
Chinese Journal of Postgraduates of Medicine 2012;35(26):11-13
Objective To explore the relationship between preoperative plasma N-terminal pro-brain natriuretic peptide (NT-proBNP) and recurrence of atrial fibrillation (AF) after cardiac valve replacement (CVR) combined with radiofrequency ablation.Methods Fifty-eight patients with AF undergoing CVR combined with radiofrequency modified Maze procedure were enrolled in this study.The patients were allocated to either AF recurrence group (AF group,18 cases) or AF no recurrence group (SR group,40 cases) according to whether patient's AF recurrence or not within 3 months after surgery.NT-proBNP were respectively measured in two groups in 1st day before operation and 9th day after operation by radioimmunoassay.Results All the 58 patients were involved in the final analysis.NT-proBNP levels in 1st day before operation and 9th day after operation in AF group was significantly higher than that in SR group (2061.30 ng/L vs.579.00 ng/L,996.60 ng/L vs.209.20 ng/L,P< 0.01 ).NT-proBNP levels in 1st day before operation in two groups was significantly higher than that in 9th day after operation (P < 0.01 ).Conclusions There is a good relationship between preoperative plasma NT-proBNP levels and recurrence of AF.It has a clinical value in predicting of recurrence AF after CVR combined with radiofrequency modified Maze procedure.