Objective To investigate the factors influencing the lipid control success rate among patients with coronary heart disease (CHD).Methods Questionnaire and clinical data reviews were conducted to investigate the general information,disease characteristics and patients controlling blood lipid and by blood biochemical tests were done to detect the lipid levels.The relationships between lipid control success rate and general information,disease characteristics and patients' behaviors were analyzed by chi-square test and logistic regression analysis.Results The blood lipid success rate was only 67.09％ in patients with CHD combined dyslipidemia.The education level,cardiovascular disease risk grading,complications,body mass index,medication compliance and dietary evaluation were the main factors influencing the patients' success in blood lipid control.Conclusion The lipid control success rate can be raised by taking measurements to help patients with CHD and dyslipidemia control weight and increase medication compliance and dietary behavior.

According to the pulse-wave theory, the authors developed a new non-invasive instrument for measuring arterial elastic function. It collects the pulse waveforms from the arteries of four limbs as well as from the radial arteries of carpus. After signal pre-processing, it calculates the arterial elastic parameters by the pre-prepared algorithm and program. Individual parameters such as pulse wave velocity (PWV), ankle-brachial index (ABI), systolic blood pressure (SBP), diastolic blood pressure (DBP) and heart rate (HR)can be obtained. At the same time, a series of clinical trials were conducted with reference to PWV and ABI, which confirmed the validity, accuracy and reliability of the instrument. The instrument can be used to determine the differences between cardiovascular patients and normal persons, as well as the extent of atherosclerosis. At the same time it can reflect the situation of vascular obstruction and screen the peripheral arterial disease. Therefore, it is of some value to the epidemiological study, prevention and early detection of cardiovascular disease.
Aging ; physiology ; Ankle ; blood supply ; Arteries ; physiopathology ; Arteriosclerosis ; physiopathology ; Blood Pressure ; physiology ; Brachial Artery ; physiopathology ; Elasticity ; physiology ; Humans ; Hypertension ; physiopathology ; Pulsatile Flow ; physiology ; Pulse ; Systole

Objective To understand and evaluate the quality of life of patients after heart transplantation and analyzing its influence factors, so as to provide reference for improving the quality of life of patients after heart transplantation. Methods A total of 63 patients 3 months after heart transplant were investigated by concise health examination survey scale (SF-36).Results Patients after heart transplantation mainly concentrated in 30-60 years old ( 80%) , male ( 60%) , 60% with complications. Compared with norm, patients after heart transplantation in physiological function (PF), physiological function (RF), body pain (BP), social function ( SF), emotional function ( RE) had low scores ( P<0. 05); single factor variance analysis found that the differences in the different educational degree, family income, ways of medical payment and whether the complications influenced the quality of life of heart transplantation patients significantly had statistical significance. Conclusions The main influencing factors of quality of life include family income, whether happen complication and ways of medical pay.

Objective To analyze literature related to quality of life of inflammatory bowel disease (IBD) patients from 2006 to 2016 in China, and to provide information service and reference for further clinical research.Methods Chinese databases such as China BioMedical Literature Database (CBM), China Knowledge Resource Integrated Database (CNKI), Wanfang database and Dayi Medical Database were retrieved for literature from January 2006 to December 2016 about IBD patients' quality of life. Literature area distribution, age distribution, literature types and other aspects were analyzed through literature metrology. Results Through retrieval, 55 articles were screened in the quality of life of patients with IBD related literature. The number of papers showed a linear upward trend from 2006 to 2016, and first authors were mostly from Jiangsu Province, Beijing city and Zhejiang Province, accounting for 43.64％ of the total literature. The number of descriptive literature was the largest in the literature types, 17 of the total (30.91％). The number of coauthors was up to eight, and the rate of coauthors was 1.82％. There were 5 articles cited more than 10 times (10.91％). The research content was mostly relevant to reflect self-efficacy, anxiety, depression and quality of life (16.36％). A total of 18 papers were funded (32.73％). The top 5 journals in the number of documents belong to the statistical source journals.Conclusions In the past 10 years, IBD patients' quality of life has attracted the attention of researchers in our country, but the overall degree of recognition still needs to be improved. At the same time, the overall quality of the literature is not high, and the dominant strength of research has not yet been formed. In the future, we should enrich the research methods and improve the output of high-quality literature.

Objective To review the application of shared decision making in acute coronary syndrome,so as to provide references for future research and application.Methods Based on the scoping review methodology,a systematic search was conducted in SinoMed,CNKI,Wanfang,PubMed,Embase,Cochrane Library,Web of Science,and CINAHL.The search time limit was from the establishment of the database to January 8,2023,and the included literature was summarized and analyzed.Results A total of 17 articles were included.The application of shared decision making in acute coronary syndromes includes diagnosis,treatment,primary and secondary prevention.5 patient decision aids were retrieved.The influencing factors include patient factors,medical staff factors and implementation process factors.The clinical application has good effectiveness and feasibility.Conclusion Shared decision making can help patients with acute coronary syndrome to increase their decision making knowledge,improve their decision-making experience and improve the quality of decision making.In the future,we should broaden the application scope of shared decision making in acute coronary syndromes,develop scientific and practical decision aids,take targeted measures,and explore the application of shared decision making in clinical diagnosis and treatment in China.

Objective To develop a risk prediction model based on the influencing factors of chemotherapy-in-duced oral mucositis in patients with hematologic tumors,and to verify the effect.Methods A case-control study was conducted to retrospectively collect the data of 444 adult patients with hematological malignancies who under-went chemotherapy in the hematology department of a tertiary hospital in Wuhan from March 2021 to January 2022.Univariate analysis,collinearity diagnosis and binary logistic regression analysis were used to explore influenc-ing factors for chemotherapy-induced oral mucositis in patients with hematologic tumors,and then a prediction mod-el which was presented with nomogram was constructed.Receiver operating characteristic,Hosmer Lemeshow and calibration charts were used to verify the predictive effect of the model,and Bootstrap resampling method was used for internal verification of the prediction model.The clinical data of 171 patients with hematologic malignancies who underwent chemotherapy in the hematology department of 2 tertiary hospitals in Wuhan from February to Oc-tober 2022 were prospectively collected for external verification.Results History of oral lesions,treatment methods,high-dose chemotherapy,vomiting,combined chemo-therapy,platelet count,and hemoglobin were independent predic-tive factors of chemotherapy-induced oral mucositis in patients with blood tumors.The area under the curve of the model was 0.822,and Hosmer-Lemeshow test P=0.602.After internal verification and external verification,the area under the curve of the model was 0.813 and 0.735,respectively.Hosmer-Lemeshow test were 0.115 and 0.820,re-spectively.These calibration charts showed that the observed results of the model were consistent with the predicted results.Conclusion The risk prediction model of chemotherapy-induced oral mucositis in hematologic tumor pa-tients has good predictive performance and extrapolation,which is an effective screening tool to help medical staff identify the high-risk patients with chemotherapy-induced oral mucositis early.