1.The Influence of Methadone Maintenance Treatment on Family Function of Heroin Addicts
Peikai LI ; Jian LUO ; Cunmin ZHANG
Chinese Mental Health Journal 1989;0(03):-
Objective:To study the family function of heroin addicts who accept methadone maintenance treatment.Methods:96 heroin addicts who accept methadone maintenance treatment were identified as study group, while the control were 36 heroin addicts in community.Family Assessment Device (FAD) was used to assess the outcome.Results:After 1 year intervention, the study group made much progress in each subscale .The scores of Problem Solving(2.2?0.4), Communication(2.2?0.3), Roles(2.4?0.3), Affective Responsiveness(2.4?0.5) and General Function(2.2?0.4)of the study group were higher than that of control group significantly(PS=2.3?0.4,CM=2.6?0.3,RL=2.5?0.3,AR=2.6?0.3,GF=2.5?0.3,t=1.962~6.744,P
2.An experimental study for prefabrication of skin flap with frozen allogeneic bone
Wei LI ; Qingluan HAN ; Yu ZHANG ; Lei CHEN ; Cunmin RONG ; Jinghua CHEN
Chinese Journal of Microsurgery 2013;(3):257-260
Objective To research the feasibility of the prefabrication of skin flap with frozen allogeneic bone.Methods From November 2010 to July 2011,fifteen miniature pigs were randomly divided into three groups(n =5) according to different implanted positions.Rewarming,deep-frozen allogenic bone was implanted in subcutaneous tissue,subfascial compartment and muscle respectively.Emission Computed Tomography (ECT) was used in the 4th week,the 8th week and the 12th week postoperatively.Angiography and pathological examination was used in the 12th week.Results The difference of the result of ECT was statistically significant betweent the 4th week and the 8th week (P < 0.05),and there was not statistically significant difference betweent the 12th week and the 8th week (P > 0.05).Angiography showed that all allogeneic bone was vascularized in each group.Pathological examination showed that the vascularization and the inducing osteogenesis of the allogeneic bone which was implanted in the subfascial compartment or muscle was better than that in the subcutaneous tissue.Conclusion The deep-frozen allogenic bone can be used for the prefabrication of the bone-skin flap.
3.Application research of PBL teaching based on POA theory in clinical practice teaching in the department of hand and foot surgery
Guanghui ZHANG ; Cunmin RONG ; Meiling WANG ; Qinglin ZHANG ; Lei ZHANG
Chinese Journal of Medical Education Research 2022;21(10):1361-1365
Objective:To explore the application value of problem-based learning (PBL) based on production-oriented approach (POA) theory in clinical practice teaching in department of hand and foot surgery.Methods:A total of 112 interns from the Department of Hand and Foot Surgery in Affiliated Hospital of Jining Medical University from January 2019 to October 2020 were randomly divided into control group and observation group, with 56 interns in each group. The control group was taught by PBL teaching, and the observation group was taught by PBL teaching based on POA theory. The two groups of interns were compared in terms of the evaluation of teaching effect, the statistics of errors in practice assessment, the assessment scale of independent learning ability, the career maturity inventory attitude scale, and the satisfaction of interns with their teachers. SPSS 25.0 was used for Chi-test and t-test. Results:The teaching effect and the satisfaction of interns with the teacher in the observation group were better than those of the control group ( P<0.05); the error rate of unskilled physical examination and the error rate of poor aseptic debridement concept in the observation group were all lower ( P<0.05); there was no significant difference in the error rate of irregular writing of medical records, the error rate of lack of medical history collection, and the error rate of communication errors between the two groups ( P>0.05). After teaching, the scores of independent learning ability and career maturity inventory attitude scale in the observation group were higher than those in the control group ( P<0.05). Conclusion:The PBL teaching based on POA theory has a good effect in the clinical practice teaching in the department of hand and foot surgery, and it is worthy of further promotion.
4. The status quo of amphetamine type stimulants use among residents aged 15-64 in a border city of Yunnan province, 2014
Cunmin ZHANG ; Jian LUO ; Ling DUAN ; Guogang YANG ; Shu LI ; Pinyuan WEN ; Jianhua LI
Chinese Journal of Epidemiology 2019;40(4):446-450
Objective:
To understand status of amphetaminetype stimulants (ATS) use among residents aged 15-64 in a border city of Yunnan province.
Methods:
Using the stratified cluster random sampling method, a total of 3 130 residents were recruited through both anonymous questionnaire and interview, regarding their health-related behaviour and ATS use.
Results:
Among 3 130 residents aged 15-64 years in this city, the overall prevalence rates of ATS use were 4.0
5.The sensation recovery of superficial palmar branch of the radial artery flap with palmar branch of median nerve and donor site
Cunmin RONG ; Yinlong LI ; Fang WANG ; Baoqiang XU ; Qinglin ZHANG ; Zhi ZHANG ; Hongjun WANG ; Qingluan HAN
Chinese Journal of Microsurgery 2018;41(5):446-449
Objective To explore the sen sation recovery of superficial palmar branc h of the radial artery flap with palmar branch of median nerve and donor si te. Methods From January, 2014 to June, 2016, 12 cases of finger soft tissue defects were repaired with sup erficial palmar branch of the radial artery flap with palmar branch of median nerve. The 2 g tactile sensation, 5 g pain sen sation, 30 g pressure sensation and static two-point discrimination (S2 -PD) of the flap was tested regularly. The S2 -PD of the palmar cutaneous branch of the median nerve were recorded respectively on the affected side and the unaffected side. The results were applied comparative t-test to perform statistical analysis, to observe the sensory recovery of the flap and donor site. Results The flaps survived.Twelve cases was followed-up for 6-18 mont hs. The pressure sensation of about 83.3% of patients recovered after 2 months and 100% of patients recovered after 3 months. The tactile sensation of about 91.7% of patients recovered after 3 months and 100% of patients recovered after 4 months. The pain sensation of about 91.7% of patients recovered after 4 months of and 100% of patients recovered after 5 months. S2-PD of the flap was the average of 8.3 mm in 6 months after operation. There were no significant differences in the S2-PD between the affected group [(12.08±2.15)mm] and unaffected group [(10.58±2.11)mm](P>0.05). And the sensory recovery of the control area of the palmar branch of the median nerve was S4 in 2 cases, S3+ in 9 cases, and S3 in 1 case. The sensory recovery was good. Conclusion Superficial palmar branch of the radial artery flap with palmar branch of median nerve can be used repair the skin defect of the fingers. The flap has a good sensery recovery, and the sensation of the donor area is gradually restored.
6.Effects of massive blood transfusion on inflammatory factors, islet B cell function, MODS incidence and mortality in patients with severe traumatic hemorrhage
Jingmei ZHANG ; Cunmin FENG ; Yiming ZHANG ; Jinxia ZHAO ; Yun XUE ; Xiuting ZHANG ; Shuai WANG ; Zhanke WANG
Chinese Journal of Blood Transfusion 2021;34(2):107-110
【Objective】 To explore the effect of massive blood transfusion on inflammatory factors, islet B cell function, incidence and mortality of multiple organ dysfunction syndrome (MODS) in patients with severe traumatic hemorrhage. 【Methods】 214 traumatic hemorrhage patients who received blood transfusion and were hospitalized in the Third People′s Hospital of Xingtai from January 2015 to June 2019 were enrolled and divided into the routine blood transfusion group (n=118) and massive blood transfusion group (n=96) according to the amount and method of blood transfusion. The changes of the inflammatory factors such as TNF α and IL-6, the functional indexes of Islet B cells such as HOMA-B and Δ INS