1.Investigation and research on the current situation of ethics and morality of medical postgraduate supervisors
Wanzhen MA ; Bingchen GE ; Qiao KE
Chinese Journal of Medical Education Research 2022;21(6):777-780
Objective:To explore the evaluation and demand of clinical medical postgraduates for the supervisors' ethics and morality, and to explore ways to construct their ethics and morality in medical education.Methods:In the study, 2 268 clinical medical postgraduates in a medical university in Jiangsu Province were investigated with their satisfaction, compliance and suggestions. Rank sum test was carried out for the satisfaction by using SPSS 26.0, and qualitative analysis was carried out for suggestions.Results:The overall satisfaction of graduate students to the ethics and morality of supervisors was high. All the items described in the supervisors' ethics were "very consistent" more than 80%. Through qualitative analysis, the feedback were divided into six themes namely "supervision and feedback", "supervisor training", "reward and punishment system", "communication", "caring for students" and "academic guidance".Conclusion:The evaluation of clinical medical supervisors' ethics and morality is generally at a high level. The cultivation and guidance of supervisors' ethics and morality, supervision mechanism, and reward and punishment system still need to be improved.
2.Physical circumference development in Chinese children aged 3-6 years
ZHEN Zhiping, BA Yi, MA De, XUE Yaqi, GE Meiqin, L Bingchen, GUO Meitong
Chinese Journal of School Health 2025;46(3):412-415
Objective:
To understand the growth and development levels of four physical measurements in children aged 3-6 years in China, so as to provide a reference for child nutrition improvement and health promotion.
Methods:
A stratified random sampling method was used to collect physical measurement data from 120 kindergartens 25 842 children aged 3-6 years across 24 provinces and cities in seven natural geographical regions of North China, Northeast China, East China, Central China, South China, Southwest China and Northwest China from 2020 to 2023. The development levels of head circumference, chest circumference, waist circumference, and hip circumference were evaluated using a grading method. The analysis of gender and age differences was conducted using Mann-Whitney U- test and Kruskal-Wallis test, and the comparison of abnormal detection rates for different genders was conducted using Chi square test.
Results:
The distribution range of children aged 3-6 was 51.74(50.08, 53.33) cm in terms of head circumference, 55.73(52.09, 59.04) cm in terms of chest circumference, 53.04(48.92, 56.40) cm in terms of waist circumference, and 59.36(56.30, 62.32) cm in terms of hip circumference. The detection rate of abnormal head circumference in boys and girls aged 3-6 years old was relatively high (19.71%-42.02%), and the detection rate of abnormal physical circumference development levels in boys was higher than that in girls of all ages ( χ 2=5.63-83.35, P <0.05). The detection rate of abnormal hip circumference (4.89%-6.53%) and chest circumference (4.51%-6.38%) in boys and girls aged 3-6 was relatively low, and there was no statistically significant difference in the abnormal rate between different ages and genders ( χ 2=0.00-1.61, 0.00-3.71, P >0.05). The detection rate of abnormal waist circumference in boys and girls aged 3-6 was relatively high (13.70%-42.45%), and the detection rate of abnormal waist circumference in girls was higher than that in boys aged 4-6 groups ( χ 2=10.49-58.18, P < 0.05).
Conclusions
The overall physical development of children aged 3-6 years in China is improving, but the abnormal detection rates for head circumference and waist circumference are relatively high. Child healthcare should focus on preventing and treating abdominal obesity, with differentiated health intervention strategies based on different age groups and genders.
3.Investigation and analysis of operations, intraoperative instruments and nursing status of transcatheter aortic valve replacement in China
Li ZHU ; Bingchen XU ; Wenzhi PAN ; Jianhao JIN ; Guihua HOU ; Junbo GE
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery 2022;29(02):238-244
Objective To investigate the operation of transcatheter aortic valve replacement (TAVR), the use of TAVR instruments and the current situation of TAVR-related nursing in our country, to reveal the characteristics of TAVR in various hospitals in our country, and to provide reference data for improving perioperative nursing and industry development of TAVR. Methods A questionnaire survey was conducted among the head nurses of the cardiac catheterization laboratories of 51 hospitals in China that carried out TAVR operations, with a total of 5 items and 23 questions. The current situation of TAVR operation methods, intraoperative instruments and nursing care in China were analyzed. Results The number of hospitals in China which started conducting TAVR and the beginning year were: 2 in 2010, 1 in 2012, 1 in 2013, 1 in 2015, 11 in 2016, 13 in 2017, 15 in 2018 and 7 in 2019; the number of transfemoral TAVR in 2019: 32 (62.75%) hospitals conducted on less than 20 patients, 7 (13.73%) hospitals 20-<50 patients, 6 (11.76%) hospitals 50-100 patients and 6 (11.76%) hospitals more than 100 patients; TAVR strategies adopted by most hospitals were: general anesthesia (90.20%), the use of vascular sealers (80.39%), backing by cardiac surgeon (74.51%) and using homemade prosthetic valves. Conclusion At present, the number of TAVR carried out in Chinese hospitals is still far behind that of developed countries in Europe and the United States. Our country has adopted the form of multi-disciplinary cardiac team cooperation and formed a TAVR nursing model with Chinese characteristics.