2.Discussion on Death and Immortality
Chinese Medical Ethics 2017;30(3):281-283
Through learning philosophy,human beings can overcome the fear of death and gain the wisdom of life.With the rapid development of modem high-tech,some people advocate to pursue the immortality of individual life using science and technology.This is the most restless thoughts,originating from the false belief of dogmatic rationalism:with the development of science and technology,human beings are possible to fully grasp the mysteries of the nature (including human body).In fact,nature as well as human body is always hidden in infinite mystery.The pursuit of immortality is from the pursuit of meaning.Setting up morality,making contribution,and achieving glory by writing are the legitimate ways for human beings to pursuit immortality as cultural animals.One just can pursue immortality in the cultural sense,but cannot pursue the immortality of individual life.
5.Acute gangrenous cholecystitis after endoscopic sphincterotomy:a report of 16 cases
Chinese Journal of Digestive Endoscopy 2009;26(2):73-75
Objective To explore the causes and surgical management of acute gangrenous cholecvstitis(AGC)after endoscopic sphincterotomy(EST).Methods Clinical and pathological data of 1066 patients who underwent EST from June 2003 to January 2007 were analyzed retrospectively.ResultsAGC was complicated in 16 patients(16/1066,1.5%),who underwent emergency operations and no death occurred.During the follow-up period of 4 to 36 months,no infection or obstruction was found.Conclusion Difficuitv in EST manipulation and biliary obstrucion might play a leading role in AGC after EST,and early surgical intervention is effective.
6.Influence of Clinical Tutors' Personality on Medical Ethics Formation of Medical Interns
Chinese Medical Ethics 1995;0(03):-
Clinical tutors' personality manifesting during the process of clinical practice and daily communication with medical interns has a series of influences on medical ethics formation of medical interns,including influences of direction,demonstration,contraction,and halo effect.Thus,clinical tutors should pay attention to cultivating a decent moral personality,and hospitals should value the proper combination of moral evaluation and supervision for medical staff in order to achieve the unity of heteronomous morality and self discipline,and effectively promote the formation of decent morality and personality of clinical tutors.
7.Study on the Controlling Level of Fasting Blood Gucose and Glucosylated Hemoglobin for Nephropathy in Diabetes Mellitus
Chinese Journal of Prevention and Control of Chronic Diseases 2006;0(03):-
Objective To explore the controlling level of fasting blood glucose(FBG) and glucosylated hemoglobin(GH) in order to stop occurrence of nephropathy in diabetic mellitus.Methods Data was collected by retrospective study,analyzed by non-conditional Logistic regression.Then the controlling levels of blood glucose and glucosylated hemoglobin were studied by regression equation.Results It was regarded that under 6.8 mmol/L of FBG and 5.9% of GH,diabetic nephropathy can be prevented;while under 6.0 mmol/L of FBG and 5.3% of GH,the onset of diabetic nephropathy was strictly controlled.Conclusion it is more important to control strictly on the threshold of fasting blood glucose and glucosylated hemoglobin for prevention of diabetic nephropathy.
8.Observation of the therapeutic effect of low molecular weight heparin calcium in the treatment of unstable angina pectoris
Clinical Medicine of China 2001;0(01):-
Objective To observe the therapeutic effect of low molecular weight heparin calcium (LMWHC) in treating unstable angina pectoris.Methods 78 hospitalized patients of unstable angina pectoris were randomly divided into two groups:32 as control group who were treated with routine method,and 46 as treatment group who were treated with routine method plus LMWHC.Results The clinical therapeutic effect in the treatment group was 91.3%,which compared with the control group (62.5%) was obviously of great significance (P
9.The role of atrial natriuretic peptide and endothelin 1 on congenital heart failure of newborns
Clinical Medicine of China 2014;30(9):901-903
Objective To investigate the role of atrial natriuretic peptide(ANP) and endothelin 1 (ET-1) of newborns with congenital heart failure and its clinical significance.Methods One hundred newborns with congenital heart disease were selected as our subjects.They were divided into 3 groups according to cardiac function grading criteria and that were grade Ⅰ group(30 cases),grade Ⅱ group(40 cases) and grade Ⅲ-Ⅳ group(30 cases).Another 30 normal newborns were served as control group matched with age,gender.ET-1,ANP were detected.Results The levels of ET-1 and ANP in newborns of grade Ⅲ-Ⅳ were (132.35 ±5.26) ng/L and (9.25 ± 2.37) pmol/L,significant higher than that in control group((53.62 ± 3.81) ng/L and (1.15 ±0.09) pmol/L;P <0.01).As the severity of the disease in newborns with congenital heart failure,the level of ET-1,ANP were activated more.There was a positive correlation between ET-1 and grade of cardiac function (r =0.35,P < 0.01).Meanwhile,it also showed a positive correlation between ANP and cardiac function (r =0.72,P < 0.01).Conclusion ET-1,ANP in newborns with congenital heart disease are activated with characterized of chronic heart failure,and related to severity of the disease.
10.Factors related to duration of serum HBsAg in patients with acute hepatitis B
Journal of Clinical Hepatology 2014;30(11):1173-1175
Objective To investigate the factors related to negative conversion of HBsAg in patients with acute hepatitis B (AHB).Meth-ods A total of 106 AHB patients who were admitted to the Department of Infectious Diseases,Zhoukou Central Hospital from February 2007 to February 2013 were recruited.Liver function,five serological markers of HBV infection (HBsAg,HBeAg,anti-HBs,anti-HBe,and anti-HBc),and HBV-DNA were measured every three months.All patients were followed up for 12 months.The major HBV genotypes (A through D)were determined by type-specific primer nested PCR.Categorical data were expressed as rates and compared with χ2 test;continuous data were expressed as mean ±SD and analyzed by t-test.Results When just admitted to our hospital,compared with the pa-tients with negative conversion of HBsAg,AHB patients with HBsAg persisting for more than 6 or 12 months had a significantly lower peak level of alanine aminotransferase (ALT)(718 ±696 vs 1282 ±913 U/L,622 ±514 vs 1203 ±924 U/L,P<0.05)and a significantly high-er level of HBV-DNA (6.8 ±1.4 vs 5.2 ±1.5 log10 copies/ml,7.3 ±1.6 vs 5.4 ±1.5 log10 copies/ml,P<0.05).The HBsAg clear-ance rate in patients with HBV genotype A was significantly lower than that in patients with HBV genotype B or D (75.0% vs 89.5% or 100%,83.3% vs 97.4% or 100%,P<0.05).Conclusion The HBsAg clearance rate in AHB patients may be associated with HBV genotypes,peak level of ALT,and HBV-DNA.