1.Application of Reservation Case Teaching Method in Medical Ethics Teaching
Chinese Medical Ethics 2015;(5):812-814
Objective To explore the implementation of the reservation case teaching method in the teaching of medical ethics.Methods:96 students of 2 classes selected from 2010 grade clinical medicine specialty by random cluster sampling ( trial group) were taught with the reservation case teaching method , while 85 students of another 2 classes selected from the same grade and specialty ( control group ) were adopted with the traditional teaching meth-od .Then the effect of the reservation case teaching method was evaluated by test and questionnaire .Results:Most of the students in the trial group considered the reservation case teaching method are beneficial to strengthen the learning interest , understand and know more about the medical ethics , cultivate creative thinking , enhance the a-bility of self-study and solving practical problems .Conclusion:Reservation case teaching method can be used in medical ethics teaching , which is advantageous over the traditional teaching method .
2.Suggestion for modification of bacteriological quality monitoring of laboratory mice and rats in China
Chinese Journal of Comparative Medicine 2016;26(2):40-41
Based on the analysis of the standards of bacteriological quality monitoring of laboratory animals in developed countries, this paper provides suggestion for modification of bacteriological quality monitoring of laboratory mice and rats in China.
3.The discussion of Shuanghuanglian ultrasonic-atomization way for non-gonococcal conjunctivitis in the newborns attaching 56 examples for analysis
Chinese Journal of Primary Medicine and Pharmacy 2008;15(5):764-765
Objective To discuss the non-antibiotic Chinese medicine therapy for the non-gonococcus conjunctivitis in newborns, and reduce the use of antibiotic and the production of bear-medicine-bacterium. Methods 0.9%-sodium chloride was used as the inoculation fluid, Shuanghuanglian (freezing and drying) was uscd as dissolution injection. Dexamethasone sodium phosphate injection 1ml: 5mg was added, mixed-fluid 16ml was matched to spray the eyes after ultrasonic-atomization equipment atomizes. Results 56 examples 103 eyes which had the nongonococcus conjunctivitis in newborns were treated only with the injection with the Shuanghuanglian dexamethasone sodium phosphate injection mixed with the fluided ultrasonic-atomization equipment atomizes and the total effectiveness reached 97.08%. Conclusion The Shuanghuanglian-ultrasonic-atomization way to treat non-gonococcal conjunctivitis in the newborns is safe and effective.
4.p21 activated kinase 4 and tumor
Journal of International Oncology 2012;39(1):15-18
p21 activated kinase 4 (PAK4) is a member of a family of serine/threonine kinase.PAK4plays an important role in a variety of cellular functions including cell cycle,cell proliferation,apoptosis,and cytoskeletal reorganization.Recently,PAK4 has been shown to overexpress in a variety of malignancies,and contribute to cancer cell migration and invasion through multiple signalling pathways.
5.Protective effects of carbon nanoparticles on parathyroid gland during thyroidtomy
Qing ZHANG ; Qiang ZHANG ; Lifang DENG
Chinese Journal of Primary Medicine and Pharmacy 2014;(22):3408-3409
Objective To discuss the role of naso-carbon in the protection of parathyroid during surgery. Methods 72 patients were randomly divided into the two groups,Injecting 0.1-0.2mL nano-carbon in the thyroid during a thyroid surgery.When the thyroid and surrounding lymph tissue were stained,then the thyroid surgery should be continued,the non-stained tissue should be protected.Results There were 6 cases with hypocalcemia in the con-trol group and 2 cases in the observation group(χ2 =13.87,P<0.05).5 cases with PTH decrease in the control group and 1 case in the observation group(χ2 =14.53,P<0.05).7 parathyroid glands were examined in the control group,while none in the observation group(χ2 =127.54,P<0.05).Conclusion Using naso-carbon during the thy-roid surgery,parathyroid gland cannot be stained black.The parathyroid gland can be easily identified and preserved.
6.Antibiotic prescription and rationalization proposals in a general intensive care unit
Lifang DUAN ; Yaodong ZHANG ; Weixing ZHANG
Chinese Journal of Primary Medicine and Pharmacy 2016;23(6):890-893
Objective To assess antibiotic prescription habits,cost pattern and the prospective intervention in Intensive Care Unit was analyzed.Methods Data on antibiotic utilization and antibiotics susceptibility were col-lected prospectively from individual electronic charts from July 2014 to September 2014.Results 225 of 246 patients surveyed used antimicrobial during the ICU stay,and antibacterial drug utilization rate was 91.46%.Cefperazone-sulbactam and piperacillin-tazobactam were the most prescribed medications.Total defined daily dose ( DDDs) was 1121.1 DDDs.Bacteria culture was 98 positive in 677 cases and 101 pathogenic bacteria were isolated.Conclusion Interventional programs should focus on promoting infectious control with rational antibiotic prescription aimed at mini-mizing the future emergence of bacterial resistance and futile.
7.Hospital Infection-related Factors for Children in Infant Incubator and Countermeasures
Cailing ZHANG ; Lifang GAO ; Hongyun LI
Chinese Journal of Nosocomiology 2009;0(23):-
OBJECTIVE To analyze the hospital infection-related factors of infant incubator and their countermeasures.METHODS The hospital infections cases with the use of infant incubators from Jan 2005 to Sept 2008 were retrospectively analyzed.RESULTS From the 205 cases of children with the use of infant incubator,14 cases were infected,the hospital infection rate was 6.82%.Their risk factors were weak immunity,poor hygiene concepts,not strictly executing the hand disinfection systems and hygiene norms,unsatisfactory basic care and high humidity in incubators.CONCLUSIONS To strictly execute the disinfection system and hand hygiene norms,rationally use the antibiotics and to strengthen the basic care and care management can reduce the incidence of hospital infections.
8.Association of human papillomavirus 16 and its serum antibody in gastric carcinoma
Guanbao ZHU ; Lifang ZHANG ; Jun CHENG
Chinese Journal of General Surgery 2000;0(12):-
Objective [WT5”BZ] To study the relationship between human papillomavirus (HPV) 16 and its serum antibody in the development of gastric carcinoma (GC) [WT5”HZ] Methods [WT5”BZ] Polymerase chain reaction (PCR) technique was used to detect HPV DNA in 42 fresh GC specimens and 42 fresh normal gastric mucosa adjacent to the tumour (NGMAT). Enzyme linked immunosorbent assay (ELISA) was used to screen the serum HPV16 antibody(Ab) of 42 GC patients and 46 controls using HPV16 virus like particles (VLPs) which was produced by recombinant bacilovirus in insect cells [WT5”HZ] Results [WT5”BZ] HPV16 DNA was found in 26 2% (11/42) of GC specimens,but in none (0/42) of NGMAT ( P
9.Investigation of Drinking Water Quality in Villages of Tongzhou District, Beijing
Lifang ZHANG ; Ying WANG ; Lianwang WEI
Journal of Environment and Health 1992;0(05):-
Objective To know the drinking water quality in villages of Tongzhou District,Beijing and provide the basic data for government. Methods 623 wells in 455 villages were sampled in 2004 and the water samples were tested with the national standard methods. Results 166 of 623 water samples were up to standard,the qualification rate was 26.65%. The drinking water quality of all villages was different,in Maqiao(58.62%) and Liyuan(76.92%) it was better than that in Xiji,Huoxian,Zhangwan,Songzhuang. The qualification rate in Xiji was only 10.26%. In the present investigation,24 water quality parameters were tested and 14 parameters exceeded the limit,such as NH3-N,iron,total bacterial count,coliform group,fluoride and arsenic. Some sanitary problems were also found. Conclusion The ground water in Tongzhou has been contaminated,especially the shallow layer ground water,more attention must be paid to improvement of drinking water quality in these villages.
10.A study on clinical values of antineutrophil cytoplasmic antibody detection in diagnosis of rheumatic diseases
Liping SHI ; Lifang ZHANG ; Yingtao WU
International Journal of Laboratory Medicine 2014;(10):1293-1294,1301
Objective To investigate the clinical values of antineutrophil cytoplasmic antibody (ANCA) detection in the diagnosis of rheumatic diseases .Methods 965 patients with rheumatic diseases were taken as rheumatic group ,including 256 cases of SLE , 124 of mixed connective tissue disease(MCTD) ,336 of rheumatoid arthritis(RA) ,166 of Sjogren′s Syndrome(SS) ,45 of systemic sclerosis(SSc) and 38 of dermatomyositis .400 healthy people were served as the control group .Indirect immunofluorescence (IIF) was employed to detect the cytoplasmic ANCA (c-ANCA ) ,perinuclear ANCA (p-ANCA ) .Enzyme-linked immunosorbent assay (ELISA) was utilized to assay the anti-myeloperoxidase(MPO) antibody among patients with positive ANCA .Results Difference of positive rates of serum ANCA of subjects in rheumatic group and control group showed statistical significance (P<0 .01) ,and the differences of positive rates of serum p-ANCA and c-ANCA of subjects with positive ANCA between the two group were also sta-tistically significant(P<0 .01) .The positive rate of serum p-ANCA of patients with SLE was markedly higher than those with MCTD ,RA ,SS ,SSc ,dermatomyositis and healthy people in control group (P< 0 .05) ,while that of patients with MCTD was obviously higher than those with RA ,SS ,SSc ,dermatomyositis and healthy people in control group (P<0 .05) .The positive rate of anti-MPO antibody of 165 patients with positive ANCA in rheumatic group was 58 .4% ,which was significantly higher than that in control group(3% )(P<0 .01) .The positive rate of patients with positive ANCA and impaired renal function in rheumatic group was 55 .4% ,which was obviously higher than those of patients with negative ANCA in rheumatic group (21 .8% ) and control group (6 .25% )(P<0 .01) .Conclusion Serum ANCA detection is of important significance for prevention of nephrotoxic damage in pa-tients with rheumatic diseases .