Objective To study the mental health status of medical staffs who had worked under strong stress in caring patients during SARS epidemic. Method 620 medical workers in Xiaotangshan Hospital of PLA were subjected to SCL-90 scale evaluation. The results were compared with Chinese norm. Results It was shown that the factor score of SCL-90, except psychoticism factor, were relatively higher than that of Chinese norm, and there was significant difference between them and that of Chinese norm. There was also significant difference among the five scores of every factor except psychoticism. Every factor score on the five phases were dynamic, the scores of anxiety and phobia were reduced gradually, but the scores of somatization, obsessive-compulsive, depression, paranoia were increased and then reduced, and the score of interpersonal sensitivity was reduced and then increased. During at the early three time intervals of work the score of hostility didn't show remarkable change, but scores were higher than before during the fourth and fifth time intervals. It indicated that the mental health status of medical staff in Xiaotangshan Hospital of PLA had become worse than that of Chinese norm after working under stress. Conclusion The symptom of anxiety, phobia, obsession, somatization were comparatively prominent. The results suggested that strong stress of work in the SARS wards could strongly influence the mental health of medical staffs.

Sensitivity toward pictorial sexual information was tested implicitly in 448 servicemen from four different arm services and 86 civilians. 20 pairs of pictures containing sex information for sensitivity test were screened out in prior-experiment, and then they were exposed to the test subjects with a 500 ms duration, in order to find out the difference in the subjects' preference in selecting sexual and non-sexual information pictures. The result showed that, compared with the civilians, all the four groups of servicemen showed stronger inclination in selection of sexual information pictures, however there was no group difference or gender difference. The results also suggested that, implicit experiment with paired pictures could be one kind of reliable and effective method in studying sex information sensitivity.

In order to study the mental health status of military personnel under settings of special military operations, 1 263 officers and crew of a submarine base, 361 officers and crew of a naval base and 753 officers and soldiers of a missile base were subjected to SCL-90 scale evaluation. The results were compared with mililary norms and civilian norms. It was revealed that SCL-90 of all the members of three groups had higher scores on every factor compared with the eivilion norms. Besides somatic factors, the scores of other factors were also higher than that of military norms. The results suggested that certain special military operation settings could exert negative impact on the mental health status of military personnel. An analysis of the results also showed that the greatest impact was found in submarine and naval officers and crew, as well as in missile troops, indicating that highly enclosed settings could strongly influence the mental health of individuals.

Objective To explore stress response of government employees,businessmen and police officers.Methods A total of1547 government employees,8672 businessmen and1555 police officers were recruited and completed a questionnaire survey concerning psychological stress.t or F test was used for data analysis.Results There were significant differences of stress response among government employees,businessmen and police officers ( P ＜ 0.01).Male or female government employees showed different stress response,physiology,emotion and behavior (all P＜0.01).Government employees from various age group showed difference in emotion and behavior ( both P ＜ 0.01).Businessmen of various gender and age were found difference of stress response at all dimensions ( P ＜ 0.05 ).Police officers of different gender showed different behavior ( P ＜ 0.0l ).ConclusionIt may be necessary to carry out occupation-specific stress management for individuals.

Objective To discuss the development and content of Chinese mental health assessment guideline.Methods Following literature review,initial assessment items were outlined by authors.A questionnaire survey concerniug assessment criteria was then conducted among the authorities in tbe field of psychology or psychiatry,A working group meeting was held to make the final decision.Results Ninety-five of 192 questionnaires were finally received,and those who knew much well about mental health accounted for 85.3％.Of 24 commonly used definition and criteria,5 assessment criteria and 15 essential items were agreed to use for mental health evaluation in Chinese populations.Conclusion The development of Chinese mental health assessment guideline is important to modify mental health evaluation and health care services in China.

OBJECTIVE:To analyze the problems about the prescription review by the monitoring system for rational drug use (PASS 1.6.1.7) and discuss the countermeasures. METHODS:A retrospective method was adopted. A total of 4 942 prescriptions of our hospital in the first quarter of 2015 were selected at random,and reviewed by PASS and the pharmacist respectively. The re-view results were analyzed,and then countermeasures were put forward for the problems found to exist in the software review. RE-SULTS & CONCLUSIONS:The conformity rates of prescriptions which had been determined as acceptable through PASS review and pharmacist review were 81.20% and 97.40% respectively. PASS misjudged 929 (18.80%) rational prescriptions as irrational ones,mainly concerning administration and dosage,simultaneous existence of Western medicine and Chinese patent medicine on one prescription,repeated drug use and use with caution,etc. PASS misjudged 122(2.47%)irrational prescriptions as rational pre-scriptions,mainly concerning administration and dosage,inconformity between diagnosis and drug use,etc. The above-said prob-lem was attributed to imperfect hospital management and insufficient software intelligence. It is suggested that the hospital should strengthen the data maintenance and management of information system and PASS developer should improve software rules to in-crease the accuracy rate of prescription review.

Objective To investigate the effect of high dose mifepristone and high dose progesterone in the treatment of patients with endometrial carcinoma and to explore the possible mechanisms associating with them Methods Thirty untreated patients diagnosed as endometrial carcinoma through dilation and curettage of the uteri were divided into 3 groups at random Each group was given medroxyprogesterone acetate(MPA),(500 mg/day) or mifepristone(MIF),(100 mg/day)or MIF(100 mg/day)+ MPA(500 mg/day)for 5 days respectively On the sixth day, hysterectomy was performed on these patients The endometrial cancer specimen of post hysterectomy was compared with the one of pre administrating The morphologic changes of the endometrial cancer cells were observed through light microscope Immunohistochemistry assay (SP method) was applied to determine the localization and immunoreactive intensity of proliferating cell nuclear antigen(PCNA), estrogen receptor (ER), progesterone receptor (PR), B cell leukemia lymphoma 2 (bcl 2), bcl 2 associated X protein(bax) and CD 44 v6 Results Better differentiation degree and active excretion were observed in all of the post hysterectomy endometrial specimen In the same time, apoptosis of carcinoma cells was observed The most significant changes were seen in the MIF+MPA group In the MPA group,the pre treatment and post treatment expression of PR(2 9?1 1,1 6?0 8),ER(2 8?0 9,1 4?0 9),PCNA(0 84?0 10,0 60?0 12),bcl 2(0 236?0 089,0 157?0 981) and CD 44 v6 (4 6?1 8,2 5?1 9) were all decreased(all P 0 05) In the MIF+MPA group, the expression of PR(3 2?1 0,0 8?0 8),ER(2 7?0 9,0 7 ?0 9 ),PCNA(0 81?0 09,0 25?0 09),bcl 2(0 225?0 091,0 066?0 009)and CD 44 v6(4 5?1 9,2 7?1 6) were all decreased(all P

OBJECTIVE:To provide reference for the rational use of haemocoagulase hemostatic drugs in the clinic by under-standing the perioperative utilization. METHODS:In retrospective study,1 200 discharge records of perioperative prophylactic ap-plication of haemocoagulase hemostatic drugs were collected randomly during Jan.-Dec. 2014.,and then analyzed statistically in re-spects of consumption sum and amount,application,irrational drug use,etc. The cost of hemocoagulase accounted for 7.39% of total drug cost,among which Haemocoagulase agkistrodon for injection had the highest consumption amount and sum,with utiliza-tion ratio of 51.44%. Average medication time of hemocoagulase during perioperative period was 2.36d;maximal average cost of hemocoagulase was 684.52 yuan in ENT and head and neck surgery department/ stomatology department;ENT and head and neck surgery department/ stomatology department,urinary surgery department had long average medication time,being 3.85d and 3.50d. RESULTS:Only 39.42% haemocoagulase hemostatic drugs were reasonably used during perioperative period. The unreasonable manifestation included:improper medication time(52.15%), too long medication course after operation(35.75%),wrong usage (5.61%)and replacing various haemocoagulase hemostatic drugs without reason(5.06%). CONCLUSIONS:The striking phenome-non of irrational use of haemocoagulase hemostatic drugs during perioperative period is severely worrying,so we need to strength-en the standard management and pharmaceutical supervision and intervention by clinical pharmacists.

Objective:To develop a deep transfer learning method for the differential diagnosis of osteonecrosis of the femoral head (ONFH) with other common hip diseases using anteroposterior hip radiographs.Methods:Patients suffering from ONFH, DDH, and other hip diseases including primary hip osteoarthritis, non-infectious inflammatory hip disease, and femoral neck fracture treated in the First Affiliated Hospital of Guangzhou University of Chinese Medicine from January 2018 to December 2020 were enrolled in the study. A clinical data set containing anteroposterior hip radiographs of the eligible patients was created. Data augmentation by rotating and flipping images was performed to enlarge the data set, then the data set was divided equally into a training data set and a testing data set. The ResNet-152, a deep neural network model, was used in the study, but the original Batch Normalization was replaced with Transferable Normalization to construct a novel deep transfer learning model. The model was trained to distinguish ONFH and DDH from other common hip diseases using anteroposterior hip radiographs on the training data set and its classification performance was evaluated on the testing data set.Results:The clinical data set was comprised of anteroposterior hip radiographs of 1024 hips, including 542 with ONFH, 296 with DDH, and 186 with other common hip diseases (56 hips with primary osteoarthritis, 85 hips with non-infectious inflammatory osteoarthritis, 45 hips with femoral neck fracture). After data augmentation, the size of the data set multiplied to 6144. The model was trained 100 050 times in each task. Accuracy was used as the representative parameter to evaluate the performance of the model. In the binary classification task to identify ONFH, the best accuracy was 95.80%. As for the multi-classification task for classification of ONFH and DDH from other hip diseases, the best accuracy was 91.40%. The plateau of the model was observed in each task after 50 000 times of training. The mean accuracy in plateaus was 95.35% (95% CI: 95.33%, 95.37%), and 90.85% (95% CI: 90.82%, 90.87%), respectively. Conclusion:The present study proves the encouraging performance of a deep transfer learning method for the first-visit classification of ONFH, DDH, and other hip diseases using the convenient and economical anteroposterior hip radiographs.

Objective: To propose the concept of a novel regional control and prevention (RCP) system for the outbreak of COVID-19 infectious disease, design an emergency epidemic prevention information system based on the existing network architecture and information system in the region, and a remote intelligent medical consultation and remote office platform, research and develop the technology of risk assessment and early warning for people in the region, and improve the regions’prevention and control ability facing emergency of major infectious diseases. Methods: Taking colleges, affiliated (teaching) hospitals, and cloud applications as typical RCP regional units, the existing local area network interaction methods between the cloud and universities and affiliated (teaching) hospitals are established to realize remote work in the network environment, remote medical imaging, psychological and ethical consultation and interaction; applying multi-agent propagation model based on complex network, combining Global Positioning System (GPS), Radio Frequency Identification (RFID), and electronic fence technology, to realize the risk classification and early warning of units and personnel in the area. Results: In the RCP, a system architecture combining campus network, affiliated (teaching) hospital intranet, and the Internet is used. Dynamic connection is made using distributed technology and cloud storage. The data buffer mechanism of the intermediary database in the network realized telemedicine consultation and telecommuting. Relying on the platform, multi-agent propagation model based on complex network and cellular automaton model are used to realize the score and early warning of population exposure risk in the region by using GPS, RFID and electronic fence technology. Conclusions In the epidemic phase of major infectious diseases, the construction of RCP can improve the response speed of wartime epidemic prevention, provide reasonable data-based warnings and risk ratings, and reduce the exposure risk of susceptible people. The design and development of RCP is a systematic project that needs to combine regional structural and functional characteristics, and the foundation of the early informatization work in the region and the level of the emergency development team determine the development progress, maintenance, and actual application effects. It is recommended to establish a peacetime and wartime combined RCP mode and incorporate it into the government's disease control system to improve the national and regional level of prevention and control of major infectious diseases.