1.Clinical Experience of Professor XIA Guicheng in Treating Dysmenorrhea of Adenomyosis
Journal of Zhejiang Chinese Medical University 2017;41(9):734-737
[Objective]To discuss the clinical experiences and unique views of Professor XIA Guicheng, a master of Chinese medicine in treating adenomyosis dysmenorrhea. [Method] To analyze the understanding of professor XIA Guicheng about the pathogenesis of adenomyosis dysmenorrhea. To sum up the clinical experiences in treating adenomyosis dysmenorrhea according to the kidney to adjust the cycle. [Result]For adenomyosis dysmenorrhea, XIA believes that the pathogenesis of this disease is the key virtual reality. The virtual refers to the deficiency of kidney-yang which is the root of its occurrence.The subject refers to the blood stasis which is its pathological basis. The deficiency of kidney-yang losses of warm effect, leading to stagnation of Qi and blood stasis for dysmenorrhea. According to the principle ofJi ze zhi biao,huan ze zhi ben, when the dysmenorrhea attacks severely, we should control the pain from the standard treatment, mainly including relieving spasm and pain ,warming Yang wet and tranquilizing mind. We ought to value the root cause in normal time, that is the kidney to adjust the cycle. In particular, we pay attention to the inter ovulation period of warming kidney to help Yang, and the patient's daily life, emotional diet. [Conclusion] Professor XIA Guicheng 's experience in treating adenomyosis dysmenorrhea is worth to spread.
2.Study on the relationship between pediatric nurses' emotional intelligence and job performance
Na LI ; Kening DU ; Xiaodan LIU ; Jing ZHAO ; Yishu ZHAO
Chinese Journal of Practical Nursing 2012;(36):13-15
Objective To explore the relationship between emotional intelligence and job performance by investigating the level of them in pediatric nurses,and to provide a basis for improving job performance and the implementation of“quality care.Methods 335 pediatric nurses were investigated by using emotional intelligence scale and job performance scale.And the result of the investigation was analyzed statistically.Results The average score of the emotional intelligence of the pediatric nurses were (3.63±0.52),the highest score was interpersonal latitude (3.87± 0.69),the lowest score was management of emotions latitude (3.25±0.90); titles,the form of post and degree of nurses had a certain influence on the emotional intelligence.The score of job performance was(3.65±0.75).By Pearson correlation analysis,the emotional intelligence score and job performance score were obtained a significant positive correlation,self-motivation latitude and job performance were the most related,the management of emotional latitude job performance was the lowest.Conclusions Nursing managers should take corresponding measures to improve nurses' emotional intelligence and job performance levels,and promote the implementation of quality care effectively.
3.A Randomized, Double Blinded Clinical Trial of Combination of Terbinafine and Dibazol for the Treatment of Onychomycosis
Xueliang ZHAO ; Kening ZHAO ; Xiuyun DONG ; Zhenhua WANG ; Fang YU ; Haifeng WANG
Chinese Journal of Dermatology 1994;0(02):-
0.05) between two groups. Conclusion The results show that the combination of terbinafine and dibazol can improve clinical and mycologic effects and shorten therapeutic course for the treatment of onychomycosis.
4.Analysis of gene and drug resistance of ESBL producing bacteria in neonatal feces
Yanling ZHAO ; Liwei SUN ; Chunxia YIN ; Lihong LI ; Xiaojie ZHANG ; Kening DU ; Ying YUAN
Journal of Clinical Pediatrics 2017;35(9):662-665
Objectives To explore the route of ESBL producing bacteria in neonatal faeces, and to investigate the gene and drug resistance of ESBL producing bacteria in intestinal tract of neonates. Methods Fecal samples of healthy newborns and their mothers were collected, and bacterial cultures were carried out using selective ESBL medium. The positive strains were identified by Time-of-flight mass spectrometry. ESBL genotyping and resistance gene detection were performed by whole genome sequencing technique. Results In 146 neonatal fecal specimens, the positive rate of ESBL producing bacteria was 8.90%,and the positive rate in the first time stool was 3.23%. Seventy-two hours after birth, the positive rate of fecal ESBL producing bacteria was 13.10%. Among the 13 ESBL producing strains, there were 9 strains of CTX type, 3 strains of TEM type and 1 strain of SHV type. Nine strains of CTX include five types such as CTX-M-24, CTX-M-18, CTX-M-27, CTX-M-42 and CTX-M-15. The positive rate of ESBL producing bacteria was 21.6% in 167 mothers' fecal specimens. The ESBL genotype included 24 strains of CTX type, 6 strains of TEM type, 4 strains of SHV type and 2 strains of QnrS type. Twenty-four strains of CTX include CTX-M-24, CTX-M-14, CTX-M-18, CTX-M-27, CTX-M-42 and CTX-M-15. There were 2 or 3 ESBL genotypes in 12 maternal and neonatal specimens. It was detected to have 6 types of resistance gene such as aadA5, strA, strB, sul1, sul2 and dfrA17 in 49 strains of ESBL producing bacteria in maternal and neonatal strains. Resistance genes were exactly the same in the neonates as in mothers who were detected to have ESBL producing bacteria. A variety of resistance genes were detected in feces in 7 neonates and 23 mothers. Conclusions The neonates in hospital may be detected to have ESBL produing bacteria in the intestinal tract at the same time as their mothers or separately. However, there are many ways for neonates to have ESBL producing bacteria in intestinal tract. There are many genotypes and resistance genes of ESBL producing bacteria.
5.PreliminaryapplicationofMRGDKIinearlydiagnosisandprognosisofcervicalspinalcordinjury
Dongkui YANG ; Guoshi LÜ ; Wei LIU ; Chengmei ZHAO ; Kening XU
Journal of Practical Radiology 2019;35(3):469-472
Objective ToexplorethevalueofMR DKIinevaluationofmicrostructuredamageincervicalspinalcordinjury(CSCI) Methods 32casesofCSCIpatientsconfirmedbyclinicalexaminationand20casesofhealthycontrolgroupwereinvestigatedbyconventional MRIandDKIexamination.AccordingtoT2WIsignal,theinjurygroupweredividedintoA,Bgroup,Agroupofhighsignalgroup(n=14)andBgroupofnegativegroup (n=18).A,BgroupsandcontrolgroupweremeasuredbyFA,meandiffusivity(MD)and mean kurtosis(MK)valuesatdifferenttimes (acute,4 weeksafterinjury,2to3 monthsafterinjury)andthedata wereanalyzedby SPSS17.0statisticalsoftware.TheROCcurvewasusedtoevaluatetheabilityofdifferentparametersindiagnosingCSCI.Results In A,BgroupsFAvaluesdecreasedearlyandincreasedgradually,butwerealwayslowerthanthecontrolgroup,andthedifferencewas statisticallysignificant(P<0.001).InAgroup MDvalueincreasedearlyanddecreasedgradually,butwashigherthanthecontrol group (P<0.001).InAgroup MKvaluedecreasedearlyandincreasedsignificantly(P<0.001).InBgroup MDvalueincreasedand MKvaluedecreasedintheacutephase(P<0.001),lateron MDand MKvaluesgraduallytendtothecontrolgroup,thedifference wasnotstatisticallysignificant(P>0.05).Conclusion DKIcannoninvasivelyreflectthemicroGdamageofCSCI,whichcannotbedisplayed byconventionalMRIfortheearlydetectionofspinalcordabnormalities.TheFAvalueisofhighdiagnosticvalue.