1.Research on health law system in Taiwan and its implications
Chinese Journal of Health Policy 2015;(4):41-46
Health law system in Taiwan has developed gradually with the rise of public health and the right of health. According to official parliamentary classification criterion, health law system in Taiwan includes ten subsys-tems, namely health administrative organization law, hospital management, pharmaceutical management, food hy-giene, universal health insurance, controlled substance management, disease control, national health and wellness administration, rights of life and health security, and also the rights of special groups security. The health law sys-tem in Taiwan has distinctive features in system structure, content and management of personnel classification, so-cial care for special groups, etc. The development and the characteristics of health law system in Taiwan provide implications for establishing a health law system in Mainland China to reform the health law system by refined stand-ards, building the field of organizational health law according to the principle of legal authority and manifesting so-cial care of health law.
2.Detection of low-concentration HBsAg and its clinical significance
International Journal of Laboratory Medicine 2014;(17):2364-2366
Objective To investigate the methods for the detection of serum samples with low-concentration HBsAg and its clin-ical value.Methods Serum samples with HBsAg weak positive were measured by ELISA or using Roch cobas e601 were collected from the clinical laboratory.The samples with low-concentration HBsAg were confirmed by neutralization assay by using Lizhu ELISA reagent Kit or Roch cobas e601 analyzer.at the same time,ALT/AST concentrations and HBV DNA copies were also deter-mined.Results Among 53 samples that showed weak positive reaction by using Kehua reagent kit,37 samples were positive in neu-tralization test,while the other 16 samples were negative.Among 18 samples that showed weak positive reaction tested by using Roch cobas e601 analyzer,13 samples showed positive in neutralization test,and the other 5 samples showed negative.Conclusion The results of HBsAg test varies in different detection System.The clinical significance of samples with low-concentration HBsAg needs further study.
4.Self-management of patient controlled analgesia pump in patients in the intensive care unit
Chinese Journal of Practical Nursing 2015;31(12):914-915
Objective To investigate the condition of self-management of patient controlled analgesia pump in patients in the ICU.Methods 82 patients in ICU were selected in July 2014 and were randomly divided into the observation group and the control group with 41 cases in each.In the observation group,the PCAP was fixed on the bedrails of patients' bed and controlled by themselves to acquire satisfactory analgesia effect.In the control group,the PCAP was operated by the nurses.Pains scores was compared between the two groups.Results The different position of PCAP showed the different scores of pain in the patients.The pain scores in the observation group (2.93±1.47) was significantly lower than that in the control group (3.76±1.36),P<0.05.Conclusions Proper position of PCAP and controlled by patients can effectively reduce postoperative pain of patients in the ICU,and then reduce their suffering and improve their comfort.
5.Color Doppler ultrasound in the evaluation of carotid arteriosclerosis in patients with acute cerebral infarction of anterior circulation
Acta Universitatis Medicinalis Anhui 2015;(3):380-382
A totel of 120 patients with CT or MRI proved as acute cerebral infarction group of anterior circulation and 90 non-infarction patients as the control group were studied. The diameter,inter median thickness( IMT) ,peak systolic velocity ( PSV ) , end diastolic velocity ( EDV ) , early shrinkage acceleration time ( AT ) , resistance index ( RI) ,and pulsatility index( PI) of carotid artery,and whether there was arteriosclerotic plaque or stenosis,and the properties of plaque were examined with color Doppler ultrasound. In acute cerebral infarction group of anterior cir-culation,the IMT was thicker that in the control group(P<0. 01). The incidence of the film thickness,moderate-se-vere stenosis and instable carotid artery plaque in infaiction group of anterior circulation were obviousely higher than those in the control group(P<0. 01). Arterial complete or incomplete occlusion was observed in severe cases. The blood flow parameters showed that the PSV and EDV of common carotid and internal carotid in acute cerebral in-farction group of anterior circulation were lowerer than those in the control group. RI and PI of internal carotid in a-cute cerebral infarction group of anterior circulation were higher than those in the control group(P<0. 05),while AT was lower than those in the control group.
6.Effect of Nasal Inhalation of Compound Acorus Liquid and Oxygen on the Recovery of Nervous Function in Cerebral Infarction Patients
Journal of Guangzhou University of Traditional Chinese Medicine 2000;0(04):-
Objective To observe the effect of nasal inhalation of Compound Acorus Liquid(CAL) and oxygen on the recovery of nervous function in cerebral infarction patients.Methods Forty ischemic stroke patients were equally randomized into the treatment group and the control group.The two groups received anti-fibrinogen drug,antiplatelet aggregation drug,and symptomatic treatment;additionally,the treatment group received nasal inhalation of CAL and oxygen,and the control group received nasal inhalation of CAL and oxygen.Ten times constituted one treatment course,and the treatment lasted two courses.Therapeutic effect was evaluated,and the changes of nervous function were assayed by MESSS scoring and Barthel index,and activities of daily life(ADL) were also observed.Results The total effective rate was 90.0% in the treatment group and 55.0% in the control group(P
7.Construction of clinical teachers'post-job education system in medical colleges
Chinese Journal of Medical Education Research 2005;0(06):-
Most of the clinical teachers in medical colleges have not received training in the teaching profession.This article explores the post-job education system of the clinical teachers in our hospital,aiming at improving the quality of medical education.
8.The Organ Transplants' Problems on the Clinical Ehtics Work
Chinese Medical Ethics 1996;0(01):-
Organ transplant the patient be special mental state of regulate, the budget consume a control, organ resources a development exploitation and transplant a performance evaluation is current check and supervision human body organ transplant the work open an exhibition of key problem. Need the angle which learns from the ethics, the knowledge which uses science strengthens to cure the communication for suffer from and strengthen the confidence that the sufferer cure and use to publicly line up with the realistic case of the sufferer's equilibrium mindset of the method maintenance resolve mental state to regulate a problem; The thought which learns with the ethics examines closely sufferer's psychological stress and learn from the ethics of the angle be excellent to turn a profect to lower expenses and use publicly in procession sufferer's equilibrium mindset of the method maintenance; Paww the social foundation of extensive organ source of the publicity extension and insistobtaining maintenance ethics to learn a principle and insistin a medical science by lqw the standard insures the science exploitation of organ; Pay attention to the transplantation performance of the method evaluation of use the economicsand pay attention to pay attention to resolve the transplantation performance of the corpse organ to maximize a problem towards live body organ the risk performance of the transplantation evaluate with, help the clinical organ to transplant a smoothly open of the work an exhibition.
9.Analysis of features on prolonged central serous chorioretinopathy by optical coherent tomography
Hui-Qin, WU ; Hui-Qin, LU ; Hong-Bing, ZHANG
International Eye Science 2015;(7):1261-1262
AlM:To investigate the features on prolonged central serous chorioretinopathy ( CSCR ) by optical coherent tomography ( OCT ) and to provide the basis of deciding the pathogenetic condition and prognosis. METHODS: Eighty - five patients who had been diagnosed with CSCR were grouped by suffering time as below: 32 patients suffered longer than 6mo as the prolonged and 53 patients with CSCR cured within that time. The imaging features of OCT were compared between the above groups.RESULTS:The incidence rate of neuroepithelial serous detachment extent above 500μm associated with pigmentary epithelial detachment in suffering eye and pigmentary epithelial damage in contralateral eye was significantly different between two groups. However, the incidence rate of neuroepithelial serous detachment extent above 4 000μm was not significant difference.CONCLUSlON:OCT could display clearly the change of every layer of retina with simplicity and visibility, which supplies us a new horizon to diagnose and trace CSCR. We could decide the pathogenetic condition and prognosis in accordance with the features of OCT, to provide references for the diagnosis and treatment of CSCR.
10.Operative treatment of crescent fracture of the pelvis by posterior approach
Hui QIN ; Zhiquan AN ; Chaolai JIANG
Chinese Journal of Orthopaedic Trauma 2011;13(9):822-823
ObjectiveTo explore the efficacy of posterior approach in treatment of crescent pelvic fracture.MethodsBetween April 2007 and January 2010, 12 patients with crescent pelvic fracture were treated via posterior approach at our department. They were 8 men and 4 women, aged from 21 to 55 years (average, 31.3 years). Six left and 6 right sides were affected. The fractures were caused by a traffic accident in 8 cases, high falling in 3 cases and heavy weight crushing in one. By Tile classification, there were 8 cases of type B2. 1 and 4 cases of B2.2. The time from injury to operation was 3 to 9 days, with an average of 6. 2 days. They were treated with open reduction and internal fixation via the posterior approach. Operation time,intraoperative blood loss, postoperative loss of pelvic ring reduction, fracture healing time and Hannover pelvic outcome scoring were documented.ResultsThe average operation time was 172.5 ± 34. 1 minutes(from 120 to 240 minutes) . The average blood loss was 412.5 ±- 128.1 mL(from 250 to 700 mL) . The average reduction gained was 11.7 ±4. 6 mm(from 6 to 21 mm). Ten patients obtained an average follow-up of 16. 3 months (from 12 to 20 months). The X-ray films showed bony healing in all patients after an average of 3. 1 ± 0. 3 months(from 3 to 4 months). There was no postoperative loss of pelvic ring reduction or implant failure.By the Hannover scoring system, 7 patients were rated as excellent and 3 as good in clinic symptoms, and complete social reintegration was obtained in 8 cases and incomplete one in 2 cases.ConclusionOperation via posterior approach is a good choice for treatment of crescent pelvic fracture.