1.On the Humanities Education in Medical Universities and Colleges in Yunnan Province
Aiyun ZHANG ; Qingsheng XU ; Xuanping SUN
Chinese Medical Ethics 1996;0(01):-
To Further Strengthen the humanities education in medical universities and colleges,we investigated four medical universities and colleges in Yunnan Province,and came up with relevant countermeasures from the following aspects including curriculum setting,teaching content,teaching methods,construction of teaching staff,social practice,and supervision mechanism.
2.Repair of rat sciatic nerve defect with optimized acellular rat nerve
Guanjun CHEN ; Qingsheng ZHU ; Xinzhi XU
Orthopedic Journal of China 2006;0(07):-
0.05),but all statistically distinguishable from fresh allografts(P
3.Clinical Application of Detecting Lung Cancer based on PET/CT
Qingsheng WANG ; Jincai ZHAO ; Zhiquan TANG ; Hongwei XU ; Mingrui ZHANG ; Jun JI
Chinese Medical Equipment Journal 2003;0(10):-
Objective To research the validity of PET/CT in clinic for detecting lung cancer. Method There were 20 subjects who may have lung cancer according to the result form other detecting way, including 15 males and 5 females with an average age from 54 to 86. Results Malignant lesions were found in 15 cases and benign lesions in 5 cases. Discussion The examination of chest with PET/CT is suit for early diagnosis of lung cancer. The number of patient of false postive and false negative is decreased by controlling some factor.
4.Major lung resection for the treatment of lung cancer in octogenarian patients
Donghong CHEN ; Xiuyi ZHI ; Yi ZHANG ; Qingsheng XU ; Baodong LIU ; Chunmei WANG ; Zhenbang LIU ; Bing DONG
Cancer Research and Clinic 2011;23(5):289-290,298
Objective To explore the clinical characteristics of bronchial carcinoma in elder patients and determine the operative indication, surgical technique, and management in the perioperative period. Methods 16 patients with bronchial carcinoma aged 80 and over received major pulmonary resection through muscle sparing mini-thoracotomy. The operative procedures were lobectomy(8 cases), bilobectomy (3 cases), sleeve lobectomy (2 cases), pneumonectomy (1 case), and lobectomy plus wedge resection (2 cases). Clinical data were analyzed retrospectively. Results Of the 16 patients, 6 with stage Ⅰ disease, 3 with stage Ⅱ and 7 with stage Ⅲdisease. There were no perioperative death occurred. The most popular postoperative complications were cardiac arrhythmia, pulmonary infection and hypoxemia. Conclusion Major pulmonary resection is a rational choice for part of the octogenarian patients with lung cancer.
5.Control study in 0.45% sodium chloride solution and sterile water for injection in airway humidification of patients with mechanical ventilation
Juan WU ; Qingsheng YOU ; Honglin CHEN ; Yanghui XU ; Xiaoli CUI ; Xiaoqin LIU
Chinese Journal of Practical Nursing 2009;25(34):28-30
Objective To observe the two different wetting fluid in airway humidification of patients with mechanical ventilation.Methods 40 patients with mechanical ventilation after cardiac surgery in our hospital from January to April,2009,were divided randomly into group A and group B,group A was given 0.45% sodium chloride solution 100ml plus ambroxol 15mg as airway humidification fluid,group B was given sterile water for injection100 ml plus ambroxol 15mg as airway humidification liquid.The amount of sputum aspiration,color,viscosity,the body temperature of patients,the lungs auscultation and chest X-ray were observed.Results No statistical difference was seen in sputum volume,color,viscosity,the body temperature of patients,lungs auscultation as well as chest X ray after mechanical ventilation for 4 hours,8 hours,16 hours,24 hours,1~2 d,3~5 d,6~7 d.No statistical difference was also seen in auscultation of the lung after mechanical ventilation for 4 hours,16 hours,24 hours,1~2 d,3~5 d,6~7 d.But auscultation of the lung in group B was better than that of group A after mechanical ventilation for 8 hours.Conclusions No sufficient fact can prove that different effect exists between 100 ml 0.45% sodium chloride solution plus ambroxol 15mg and 100 ml sterile water for injection plus ambroxol 15mg as airway humidification fluid during mechanical ventilation.
6.Clinical Observation of Zuo’s Yang-warming Acupuncture Therapy for Treatment of Allergic Rhinitis
Tao YU ; Qingsheng YANG ; Li FAN ; Changbo ZUO ; Wenbin FU ; Nenggui XU
Journal of Guangzhou University of Traditional Chinese Medicine 2015;(3):445-447,457
Objective To observe the clinical efficacy of yang-warming acupuncture therapy established by Zuo Changbo for the treatment of allergic rhinitis. Methods Sixty patients with allergic rhinitis were randomly divided into observation group and control group, 30 cases in each group. The observation group was given Zuo’s yang-warming acupuncture therapy and the control group was given conventional acupuncture therapy. Acupuncture was performed once every other day, and 10 times constituted one course of treatment. After treatment, the therapeutic effect was evaluated, and the symptom scores of nasal itching, stuffy nose, sneezing and nasal discharge as well as their visual analog scale ( VAS) scores were observed. Results ( 1) Total effective rate of the observation group was 93.3%, and that of the control group was 63.3%, there was significant difference between the two groups ( P<0.01). ( 2) After treatment, the scores of the four symptoms were decreased obviously ( P<0.05 or P<0.01) , and the decrease in the observation group was superior to that in the control group ( P<0.01) . ( 3) After treatment, the VAS scores in both groups were decreased ( P<0.01) , and the decrease was more obvious in the observation group (P<0.01). Conclusion The curative effect of yang-warming acupuncture therapy on allergic rhinitis is better than that of the routine acupuncture group.
7.An anatomical study and clinical application of free transfer of foot tissues pedicled with plantar metatarsal artery
Xiao-Chao CHU ; Cheng YANG ; Yong-Jun XU ; Qingsheng ZHU ; Rui CONG ; Hongyin DU ; Heng LI ;
Chinese Journal of Orthopaedic Trauma 2004;0(10):-
Objective To explore a new method of functional reconstruction of hand digits and joints with free transfer of foot tissues so as to increase the success rate of the operation.Methods After micro-anatomic study of the plantar and dorsal metatarsal arteries,retrograde and free grafts of foot tissues pedicled with plantar metatarsal arteries were designed and applied in transplantation to treat 76 cases of hand digital or joint defects.The surgeries included 58 cases of transfer of the second toe,four cases of transfer of composite tissues of the second toe, eight cases of transfer of proximal interphalangeal joint,and six cases of nail flap transfer.Results The mi- cro-anatomic study found that the first plantar metatarsal artery was anatomically constant and the diameter of its branch to the second toe was larger than that of the first dorsal metatarsal artery.Flaps survived in 75 of the 76 patients(98.7%),with fine appearance and significantly improved function.One patient who had received free transfer of the second toe to reconstruct the thumb function had to undergo a second repair with infraclavicula skin tube because of refractory arteriospasm of anastomosed vessels.Conclusion Transfer with free retrograde grafts of foot tissues pedicled with plantar metatarsal artery to reconstruct hand functions can effectively improve the success rate of the operation,because it is free of the shortcomings of great anatomic variation of blood vessels and time-consuming and complex procedures in conventional transfer.
8.3D-CT guided percutaneous radiofrequency ablation against advanced lung cancer: short term effect assessment
Mu HU ; Xiuyi ZHI ; Baodong LIU ; Donghong CHEN ; Qingsheng XU ; Yi ZHANG ; Lei SU ; Ruotian WANG ; Lei LIU
Cancer Research and Clinic 2010;22(1):26-28
Objective Under the guidance of CT and three dimensional reconstruction, we made therapeutic plan for lung cancer by radiofrequency ablation (RFA) and observed its effect. Methods From February 2007 to January 2009, we used RITA radiofrequency therapeutic equipment to treat lung cancer under the guidance of 64-slice spiral CT (Siemens) and three dimensional reconstruction of the image. The target temperature is 90℃. Results We performed 29 RFA on 25 patients. In the follow-up, 10 of them showed tumor shrinkage by CT scan. 23 showed lack of tumor-uptake value by SPECT scan and 2 showed lower tumor-uptake value. Conclusion CT-guided percutaneous RFA is safe and practical for lung cancer. It has satisfactory short-term effect to reduce tumor burden.
9.Application of videomediastinoscopy in positive PET finding for mediastinal lymph node of lung cancer.
Baodong LIU ; Xiuyi ZHI ; Qingsheng XU ; Yi ZHANG ; Lei SU ; Donghong CHEN ; Ruotian WANG ; Mu HU ; Lei LIU ; Kun QIAN
Chinese Journal of Lung Cancer 2010;13(2):168-170
BACKGROUND AND OBJECTIVEPositron emission tomography (PET) is used increasingly in staging of non-small cell lung cancer (NSCLC) as a non-invasive tool. However, the role of PET in mediastinal lymphatic staging of NSCLC is not clear. The aim of this study was to demonstrate the efficacy of mediastinoscopy in determining mediastinal lymphatic metastasis in cases of positive PET finding.
METHODSWe performed PET preoperatively in 68 patients with clinically operable NSCLC between 2003 and 2008. Mediastinal lymphatic defined as metastasis by PET (SUV(max) > 2.5) was recorded. Mediastinoscopy being performed initially in all patients. Involvement of mediastinal lymph nodes was verified to compare the sensitivity and specificity of mediastinoscopy and the related PET results.
RESULTSFrom 2003 to 2008, 61 mediastinoscopy were performed. There were 38 men and 23 women, aged from 41 to 81 years (mean 60 years). Localization of the tumor was right lung in 41 patients and left lung in 20 patients. After the operation, 45 patients were demonstrated to have N2 or N3 disease. Ten patients with N3 mediastinal metastasis for chemotherapy, 38 patients with N2 mediastinal metastasis for neuadjuvant chemotherapy while lung resection and systemic mediastinal lymphatic dissection through thoracotomy was performed in the remaining 16 patients with no mediastinal metastasis. The positive prediction value of PET scan was 73.8% (45/61). The sensitivity, specificity, accuracy, positive prediction value and negative prediction value in diagnosis of metastasis of mediastinal lymph nodes were 93.8% (45/48), 100% (13/13), 95.1% (58/61), 100% (45/45), 81.3% (13/16) for mediastinoscopy, respectively.
CONCLUSIONPET results do not provide acceptable accuracy rates. Mediastinoscopy still remains the gold standard for mediastinal staging of NSCLC.
Adult ; Aged ; Female ; Humans ; Lung Neoplasms ; pathology ; Lymph Nodes ; pathology ; Lymphatic Metastasis ; pathology ; Male ; Mediastinoscopy ; Middle Aged ; Positron-Emission Tomography
10.Trend and characteristics of fall in elderly adults based on data from national injury surveillance sentinel hospitals in Anhui province, 2006-2014
Xiuya XING ; Wei XU ; Yeji CHEN ; Zhirong LIU ; Shangchun JIA ; Jianrong XIE ; Qingsheng WU
Chinese Journal of Epidemiology 2016;37(5):702-707
Objective To understand the incidence pattern of fall among older adults in Anhui province during 2006-2014,and provide scientific basis for intervention strategies and decision-making.Methods The incidence data of fall in elderly adults from 6 sentinel hospitals in 2 national injury surveillance areas in Anhui province between 2006 and 2014 were collected for this descriptive epidemiological analysis of the overall incidence trend,demographic characteristics,case distribution and clinical characteristics of fall cases in the elderly.Results The fall case number,the proportions of fall cases to injury cases and to overall fall cases in the elderly all increased from 2006 to 2014.The fall was the first cause of the elderly injury during the past 9 years.The sex ratio was 0.74 and the cases in males decreased with age.In both males and females,the cases in retirees and the jobless accounted for the highest proportions.The annual incidence peak was during August to October,and two daily incidence peaks were during 9 am-ll am and 16 pm-18 pm.The elderly falls mainly occurred at home (62.07%),and more females were affected than males (70.27% vs.50.97%).Leisure activity and homework related falls accounted for 49.18% and 28.67% respectively,and more housework related falls occurred in females than in males.Contusion/abrasion was the first injury caused by fall in males (42.63%) and fracture was the first injury caused by fall in females (47.27%).Head was the first injury site in males (38.04%) and leg was the first injury site in females (29.29%).Most injuries caused by fall were mild (55.12%) and moderate (41.84%) in severity,but the proportions of moderate and severe cases increased gradually with age.Conclusion Fall in the elderly has become a public health problem.It is necessary to take targeted prevention and control measures according to the gender and age distributions of the fall in the elderly.