目的评估青少年血液病患者的焦虑程度。方法采用AgoraPhokic认知问卷和躯体感觉问卷,对30例青少年血液病患者进行评估,并给予医疗、心理护理、健康教育、认知行为干预综合处理。结果27例患者存在焦虑,其中严重焦虑4例(13.33%),经综合干预后,23例患者情绪基本稳定。结论青少年血液病患者焦虑发生率高,应给予综合处理。

Background and purpose:The mutation of BRCA1 gene is widely acknowledged to be related to the incidence of triple-negative breast cancer (TNBC). The aim of this study was to investigate the association between TNBC and single nucleotide polymorphisms (SNPs) of BRCA1-associated genes. Methods:This study investigated the associations between the BRCA1-A complex genes and risk of developing TNBC in a case-control study of Chinese Han Women population including 414 patients with TNBC and 354 cancer-free controls diagnosed in the Fudan University Shanghai Cancer Center during 2008-2011. This study also detected 37 common variants in Abraxas, BRE, Rap80, NBA1 and BRCC36 genes encoding the BRCA1-A complex and evaluated their genetic susceptibility to the risk of TNBC. An additional cohort with 652 other types of breast cancer (non-TNBC) cases and 890 controls were used to investigate the associations between TNBC-speciifc SNPs genotype and non-TNBCs susceptibility. Results:This study found that rs7250266 in the promoter region of NBA1 confers a decreased risk to TNBC (P<0.01). Compared with CC genotype, women with the GC genotype (OR=0.70, 95%CI:0.51-0.97) and GG genotype (OR=0.48, 95%CI:0.21-1.07) had a lower risk of developing TNBC (P=0.03). In addition, the haplotypes containing two polymorphisms rs7250266 and rs2278256 were associated with a lower chance of TNBC development. In the second part of the study, the result showed that there was no difference in rs7250266 expression between non-TNBC and normal people (0.19 vs 0.18, P=0.85).Conclusion:Genetic variants in NBA1 may be an important genetic determinant of TNBC susceptibility in Chinese women.

Objective To study the influencing factors of pediatric in-hospital cardiopulmonary resuscitation(CPR).Methods It was a retrospective observational study.We studied a total of 281 children who suffered in-hospital cardiopulmonary arrest(CPA).The outcome was defined as sustained return of spon-taneous circulation ﹥20 min.Results A total of 281 patients met study entry criteria.In 129 children (45.9%),return of spontaneous circulation sustained ﹥20 min and 20 cases(8.8%)survived to hospital discharge.In the univariate analysis,gender,age,weight,time of CPA happened,first cardiac rhythm,pH, blood lactate had no obvious influence on the outcome.Underlying disease,the place of CPA,personnel fac-tors,airway support,the duration of CPR,doses of adrenaline,use of bicarbonate and blood glucose level were associated with outcome.Conclusion At present,the rate of successful CPR and discharge of hospital is still low.Respiratory disease has a higher survival rate.CPR ﹥20 min,use of bicarbonate and using adrenaline≥3 doses are associated with poor outcome and an increase in mortality.

The animals have made huge contribution for the medical research of human life, and researching on animal welfare is crucial for developing biomedicine and enhancing human health. However, during the research of medical experiment, abusing laboratory animals happens a lot, many of them have suffered great damage and pain, even lose lives. Consequently, the legal issues related to the protection of laboratory animals become the focus con-cerned by people. Through analyzing the legislation status and existing problems in our country, elaborating the rel-evant legal institutions in foreign countries, as well as using the successful legislative experiences from abroad, this paper puts forward the countermeasures and suggestions for the laboratory animal welfare act that accords with our national condition.

OBJECTIVE To explore the quality control of disposable medical supplies,strengthen the management of disposable medical supplies.METHODS The procurement,inspection,storage,issuance,use,recycling,destruction,etc of the disposable medical supplies and aset of scientific managment procedures were developed. RESULTS Strengthening the management of disposable medical supplies,the occurrence of nosocomial infection and was reduced prevented the random loss of disposable medical supplies waste,to ensure safe and effective clinical use.CONCLUSIONS Hospital infection control and prevention of medical safety management are an important guarantee for strengthening the supervision of disposable medical supplies,and enhance the awareness of hospital infection control and prevention,which can be regarded as a modal of disposable medical supplies.

OBJECTIVE To explore the information-based management of disposable medical supplies, quality and performance of the medical production. METHODS Combined with successful experience of our hospital, the standardized management of disposable medical supplies in our hospital was introduced. RESULTS Real-time management of using and storage were undertaken to reduce the cost of the hospital. CONCLUSIONS It is available to build digital hospital and realize resources sharing between community hospitals utilizing computer and internet for whole range quality control of disposable medical supplies to obtain economic and social benefits.

OBJECTIVE To guarantee safe use of medical disposables for cure effect and life quality of the patients by tracing the quality of products and the patients lives.METHODS Combining with successful experience of our hospital,the process management for purchase of the disposable medical supplies were introduced.RESULTS By reducing the purchase price of medical consumables,lightening burden of patients,and through public bidding,the price of picked medical consumables was reduced widely.It was benefit to patients.CONCLUSIONS The price of the prodocts is reasonable and quality is reliable.Nevertheless,purchase process of medical consumables need to ameliorate.

The organic acidemia/aciduria is one of the most common inherited metabolic disorders in clinic,more than 50 species have been found until now.The illness is believed to be caused by gene mutation,leading to the reduction or loss of enzyme activity and the accumulation of carboxylic acid and its metabolites.The manifestations of increased blood organic acids include refractory metabolic acidosis,paroxysmal vomiting,feeding difficulties,hypotonia,convulsions and disturbance of consciousness.Most of the organic acidemia begins in neonatal period or infancy,accompanied by progressive neurological damages at most of the time.There are little specific clinical features can be found in this kind of diseases,therefore,early diagnosis and treatment must be initiated in order to decrease risk of neurological induries and damages or acute deaths.So application of the gas chromatography-mass spectrometry and tandem mass spectrometry is important to the early diagnosis,helpful for improving the outcomes and reducing child mortality.

Urea cycle disorder is a common inherited metabolic disorder,and it is the most common genetic cause of hyperammoniema in children.The illness is believed to be caused by gene mutation of six main enzymes in urea cycle,leading to ammonia,which is produced by amino acid catabolism,can't conver to urea through the urea cycle and be discharged through the urine.The manifestations of hyperammonemia turn out to be disorders of brain function (refusing to milk,vomiting,drowsiness,coma,convulsions,ataxia,aggressive behaviors).The incidence of this disease is 1/30 000.At the same time,the severity of the clinical symptoms is connected with the extent of the enzymes defects.More serious the enzymes defected,the earlier and worse the disease onsets.Some children with mild enzyme defects may intermittently attack or have a delay onset.Serious nervous system injuries can be found in hyperammonernia,therefore,early diagnosis and treatment must be ensured in order to decrease risk of mental injuries and damages or acute deaths.

Recently, stem cell like side population (SP) cells have been found in many normal organizations and malig?nant tumors, which have the proficiency of differentiation and self-renewal. These cells play an important role in cancer stem cell research, though they occupy a low proportion in total cells. Here, we reviewed the foundation of SP cells, and their rela?tionship with stem cells, and the clinical application in the future.