1.Analysis of the impacts by the implementation of the Mental Health Law on the complaint services at psychi-atric hospitals
Chinese Journal of Hospital Administration 2014;(10):784-788
Objective To explore and compare the contents of complaint letters at psychiatric hospitals before and after the implementation of the Mental Health Law of the People’s Republic of China (MHLC),figure out measures to improve the complaint satisfaction and settled rate,reduce the number of complaints and re-complaint rate.Methods 1376 complaint letters were compared and analyzed in this retrospective research for statistics analysis and comparison,covering 958 letters received before the implementation of MHLC (from 2008 to 201 1 )and 418 letters received after the implementation of MHLC (from May 1st 2013 to April 30th 2014).Results Most of the complaints focus on hospital staff attitude before and after the implementation of MHLC, accounting for 39.67% and 30.38%respectively.The complaints targeted mostly at the outpatient clinic 46.45% and 49.28% respectively. Significant changes are found with the contents,departments and main reasons of the complaint letters. Conclusion The causes and the influencing factors of such changes were analyzed,and measures to improve the complaint services at psychiatric hospitals were proposed.
2.Cultivation of teamwork cooperation spirit in young anesthetists
Chinese Journal of Medical Education Research 2013;(7):699-701
Although young anesthetists demonstrate the excellent characteristics of agile thought , strong manipulative ability and are ready to receive challenge, they are short of teamwork cooperation spir-it. Clinical anesthesia knowledge and skill can be improved and teamwork cooperation spirit can be culti-vated through correcting attitude , modest learning , implementing tutor system among young doctors , strengthening the understanding of team spirit , cultivating interpersonal communication ability and orga-nizing regular learning discussions.
4.Clinical significance of detecting levels of serum and ascitic PCT in patients with liver cirrhosis complicating spontaneous bacterial peritonitis
Fei XIE ; Zhixiang LIU ; Li CHEN
International Journal of Laboratory Medicine 2014;(5):525-526
Objective To study the changes of serum and ascitic procalcitonin (PCT ) level in the patients with liver cirrhosis complicating spontaneous bacterial peritonitis (SBP) and to investigate the value in its early diagnosis .Methods 92 patients with cirrhotic and ascites were detected the levels of serum and ascitic PCT by the immunofluorescence method and the detection results were compared with the ascites routine and the bacterial culture results .Results Serum levels of PCT in the SBP group and the non-SBP group were obviously higher than those in the control group ,the difference was statistically significant (P<0 .05);Serum and ascitic levels of PCT in the SBP were significantly higher than those in the non-SBP group ;The sensitivity of serum PCT for di-agnosing peritonitis was 89 .3% ,the sensitivity of ascitic PCT for diagnosing peritonitis was 71 .4% .Conclusion The levels of ser-um and ascitic PCT have the important value for the early diagnosis of liver cirrhosis ascites ,moreover serum PCT level has higher value for early diagnosing liver cirrhosis ascites .
5.Changes of local dentition with fixed implant prostheses.
Qiang LUO ; Lei ZHANG ; Qiu-fei XIE
Chinese Journal of Stomatology 2013;48(5):317-320
6.Pharmaceutical Care for Sotalol-induced QT Prolongation in Aged Patient with Heart Failure
Xiaodong LAI ; Shan XU ; Fei XIE
China Pharmacy 2016;27(23):3284-3287
OBJECTIVE:To explore the role of clinical pharmacists participating in the prevention and treatment of sotalol-in-duced QT prolongation in aged patient with heart failure. METHODS:Clinical pharmacists participated in the treatment for a aged patient with heart failure,and assisted physicians to identify and assess the risk of sotalol-induced QT prolongation. According to the clinical symptoms and laboratory indexes,it was suggested to continue to use sotalol for antiarrhythmic,adjust the hepatoprotec-tive drug,given pharmaceutical care of ECG,electrolyte level monitoring,drug education and so on. RESULTS:Physicians adopt-ed the suggestions of clinical pharmacists to relive the illness without malignant arrhythmia and discharged after 11 d. CONCLU-SIONS:The patient with heart failure should be dominated by improving cardiac function and maintaining hemodynamic stability;combined with related guidelines and documentation,clinical pharmacists can assist physicians to identify the drug that induced QT prolongation,asses the risk of torsades de pointes ventricular tachycardia and other bad consequences,develop and optimize the regimen and strengthen pharmaceutical care to ensure the safe and effective treatment.
7.Therapeutic Effect of Vanadium in Alloxan Diabetic Mice
Fei YEI ; Haifan LIU ; Mingzhi XIE
Chinese Pharmacological Bulletin 1987;0(03):-
Vanadium (V) is one of the trace elements It exists in many oxidation states which exhibit different biological activities. Our results in alloxan diabetic mice suggest that NaVO3 and VOSO4 can decrease blood glucose level. The hy-poglycemic effest of VOSO4 was found to be weaker than that of NaVO3, the toxicity ofVOSO4 is also lower. However VOSO4; showed no effect in normal mice. The mechanism of the hypoglycemic effect of VOSO4 appears to be similar to that of insulin.
8.The application of nutrition support in critical ill patients
Fei XIE ; Qing SONG ; Liang PAN
Medical Journal of Chinese People's Liberation Army 1983;0(05):-
Objective To evaluate the efficiency of nutrition support in critical ill patients. Methods A retrospective analysis was made to the efficiency of the nutrition support applied to 233 critical ill patients PN+EEN→EN+per os→per os was employed as the model of nutrition support, and a nasal feeding pump was used for enteral nutrition. Results During the period of nutrition support, in the 233 patients, 26 dead, the mortality was 11.16%. Early enteral nutrition significantly decrease the mortality in critical ill patients. There existed significant differences in complications in three kinds of enteral nutrition may methods. Conclusion It is feasible to give the critical ill patients, it might help to reduced the mortality in ICU patients.
9.Analysis of viral etiology of sporadic viral meningitis
Xuanwen FEI ; Ruonan XIE ; Chang ZENG
Chinese Journal of Infectious Diseases 1997;0(04):-
0.05).) Conclusions Coxsackie virus is the most common pathogen in patients with viral meningitis in Chaoshan district, and the organization of disease prevention and scientific research and clinical medical should attach importance to it.
10.The Practice of Tubular Anastomate in Treatment of Rectal Space Occupying Lesion and Design of Endoscopic Cutter Used for Proctopolypus
Mingguo DU ; Fei XIE ; Xiaofeng LIAO
Journal of Medical Research 2006;0(09):-
Objective To evaluate the clinical value of anastomate in treatment of rectal lesion. Methods The anastomate was used to resect space occupying lesion which was 5~12cm from anal.Then thwe operation procedure,operation time, recurrence complications and correlated problems were summarized.Results The average operation time was 34 minutes. Exceot for one case of anastomtic bleeding and one case of recurrence 14 months post operation.there were No other complications.Conclusions Stapling-resecting the rectal lesion was feasible,but some problems were solved from the design of anastomate.