Objective To analyze the associated factors of ICU delirium after cardiac surgery,and propose the proper treatment strategy.Methods 124 patients after cardiac surgery were observed.The basic information including gender,age,blood type,respirator assistant time and ICU hospitalizing time was recorded.SPSS software was used for statistical analysis.Results Among the 124 patients,the incidence of ICU delirium was 17％.There was significant difference between patients with ICU delirium and without ICU delirium on age,respirator assistant time and ICU hospitalizing time.The ICU delirium incidence was dramatically different among different blood types,and the incidence of blood type A was much more higher than blood type B and O.Univariate Logistic regression analysis showed that age,mechanical ventilation time,ICU time,gender and blood types were the related factors of delirium in ICU.Conclusions Age,respirator assistant time,ICU hospitalizing time,and blood type are all influencing factors of ICU delirium.Patients who are male,older,or with longer usage of respirator,or with longer ICU hospitalizing time are more likely to develop ICU delirium.The incidence of ICU delirium is quite different among different blood types,blood type A is more easily to occur ICU delirium than blood type O and B.

This article adopts an ecologistic perspective to analyze the regularity of psychological phenomena,examine the mechanisms of psychological problems and mental disorders,and discuss the process of psychological counseling and therapy.The author proposes that the practice of counseling and psychotherapy should be directed with an ecological view.A practitioner needs to not only focus on the problems and symptoms,but also consider the restoration and development of the personality foundation of the individuals who seek for help.A practitioner should not only pay attention to visitors'psychological defects,but also try to assist the development of their positive characters which could alleviate symptoms,and promote the construction of their outer environments that are beneficial for psychological rehabilitation.

Objective To discuss the influence and mechanism of Ziyin Qingxin Decoction (Decoction for replenishing Yin and clearing heart) on insulin resistance (IR), adiponectin, leptin, and TNF-? of patients with the metabolic syndrome.Methods The randomly divided two groups took rosiglitazone 4mg once a day based on stopping the drugs affecting blood glucose and insulin functions and on the strict diet. In addition, the treatment group took Ziyin Qingxin Decoction. Blood pressure (BP), blood lipid, blood glucose, IR, adiponectin, leptin and TNF-? before were observed and after treatment.Results The therapeutic effect of two groups was significantly different (P

Objective: To develop a questionnaire which measures positive perfectionism. Methods: Initial items of the questionnaire were compiled according to theoretical analysis and interviews. 407 college students were recruited to respond to the items. The explorative factor analysis was used to decide the final items and dimensions. Another 309 college students were recruited to respond to the decided questionniares and several criterion questionnaires. Results: The positive perfectionism questionnaire consisted of three dimensions: Positive Self-Expectations(PSEX), Positive Organization (POR), and Positive Self-Evaluations (PSEV). Internal consistency (Cronbach’s ?) of the three dimensions were 0.87、0.76 and 0.79. The two-week test-retest reliabilities were 0.79、0.84 and 0.81. The cumulative explanation of the variance was 50.2%. A confirmative factor analysis revealed that the three-dimension model was proper (?2/df =1.71,GFI=0.89,CFI= 0.92,IFI=0.92,RMSEA=0.048). The Positve Perfectionism Questionnaire was negatively related to anxiety and depression. Conclusion: The positive perfectionism questionnaire has satisfactory psychometric characteristics.

Female ; Pregnancy ; Humans ; Pre-Eclampsia/diagnosis*

Epigenomics ; Hematologic Diseases ; genetics ; Humans

Objective To investigate the risk factors with placental abruption in patients with preeclampsia.Methods Retrospective analysis on medical documents of 219 patients treated in Peking University Third Hospital from Jan.1994 to Dec.2008.Patients were divided into 3 groups, including 52 cases with severe preeclampsia terminated following placental abruption, 130 cases only with severe preeclampsia and 37 cases with unexplained placental abruption without preeclampsia.One hundred and multivariate regression analysis were used to identify the risk factors for placental abruption in patients with preeclampsia.Results (1) When compared with those in control group, univariate analysis showed that gravidity, parity, history of preeclampsia, second and third trimester pregnancy loss, history of autoimmune disease, chronic hypertension disease, lack of regular antenatal care, fetal growth restriction (FGR) and raises of umbilical artery Doppler resistance were risk factors associated with placental abruption.Logistic regression analysis showed that lack of a regular antenatal care ( OR = 45.348, 95% CI: 17.096 - 120.288,P = 0.000 ), FGR ( OR = 27.087, 95% CI: 5.585 - 131.363, P = 0.000 ) and second/third trimester pregnancy loss( OR = 16.068, 95% CI: 1.698 - 152.029, P = 0.015 ) were independent risk factors with placental abruption.(2) When compared with those in preeclampsia patients without placental abruption,the history of preeclampsia ( OR = 3.715,95% CI: 1.096 - 12.596, P = 0.035 ) and lack of a regular antenatal care( OR = 2.509,95% CI:1.173 -5.370,P =0.018) were risk factors for placental abruption in preeclampsia.Conclusion Lack of regular antenatal care, FGR, history of preeclampsia and second/third trimester pregnancy loss were risk factors associated with placental abruption in patients with preeclampsia.

Objective: To understand the cognition status for risk factors and early symptoms of stroke via face to face questionnaire survey in 336 in-hospital patients with atrial ifbrillation (AF).
Methods: A face to face questionnaire survey was conducted by uniformly trained investigators in 336 AF patients who were admitted in our hospital more than 3 days from 2014-04-01 to 2014-10-01.
Results: There were 300/336 AF patients ifnished the questionnaire and among them 131 (43.7%) patients know that AF may increase the risk of stroke and 169 (56.3%) patients unknown or uncertain. There were 41.3%-79.3% patients having cognition for early symptoms of stroke and only 25.3% (76/300) patients may identify all 5 early signs of stroke.
Conclusion: In our research, AF patients had poor cognition for the risk and early signs of stroke. Medical professional should intensify the propaganda and education for stroke prevention.

OBJECTIVE:To provide references for rational application of full-automatic tablet dispensing machine in the inpa-tient pharmacy of the hospital. METHODS:According to the work flow and use of the machine,the errors and problems arising from the use thereof by our hospital were summarized and analyzed,and corresponding improvement measures and solutions were put forward. RESULTS & CONCLUSIONS:Common errors in the use of full-automatic tablet dispensing machine included errors for the machine(including in-box drug shortage warnings accounting for 58.61% and abnormal responses to the quantity of in-box drugs accounting for 36.96%),errors caused by human factors(including errors of inputting doctor’s order and errors of pharma-cist’s adding drugs)and errors of material installation and operation. The solutions put forward are as follows as adjusting the tilt angle of the outlet mouth and controlling the quantity of the drugs added to the box to reduce the errors for the machine;two phar-macists’checking doctor’s order in the hospital information system in advance to reduce the errors caused by human factors;carry-ing out operation training for operators to reduce the errors of material installation;designating special personnel to maintain the ma-chine,etc.

Objective] To discuss the relationship between CT perfusion imaging and TCM syndrome of liver cancer patients. [Methods]Through testing the Perfusion parameters of Lesions, surrounding liver tissue and liver tissue perfusion in the distance, we may explore the correlation among perfusion parameters, TCM syndrome of primary liver cancer, then explore the phase rule.[Results] There exists significant difference between perfusion parameters and TCM syndrome of liver cancer patients. Hepatic arterial perfusion(HAP), portal venous perfusion(PVP):deficiency syndrome of both liver and kidney yin>syndrome of heat-damp>syndrome of qi stagnation and blood stasis>syndrome of hepatic stagnation and spleen deficiency;Hepatic perfusion index(HPI):syndrome of hepatic stagnation and spleen deficiency>syndrome of qi stagnation and blood stasis>syndrome of heat-damp>deficiency syndrome of both liver and kidney yin. Child-Pugh classification: syndrome of hepatic stagnation and spleen deficiency(5.34 ±1.46),syndrome of qi stagnation and blood stasis(6.82±0.94),syndrome of heat-damp(8.34±1.12),deficiency syndrome of both liver and kidney yin(9.01±1.19).There exists significant difference between Child-Pugh classification and TCM syndrome of liver cancer patients(P<0.05). The result shows that a high positive correlation between AF, PI and Child-Pugh classification(P<0.05);There exists a negative correlation between PF and Child-Pugh classification(P<0.05).[Conclusion] CT perfusion parameters can be used as an objective indicator of middle-late stage of TCM syndrome of liver cancer patients.