1.Comparison Analysis of Drug Instructions between Hospital Directory and OTC Standard Model Instruc-tions in 2014
Fen XIONG ; Fenli SU ; Xu SUN ; Xing TU
China Pharmacy 2015;(28):4024-4026
OBJECTIVE:To analyze the differences of drug instructions between hospital directory and OTC standard model in-structions,and to provide reference for enhancing instruction management and reducing the safety risk of clinical drug use. METH-ODS:1 324 drugs of hospital directory in a hospital in 2014 were compared with OTC directory from CFDA websites. The instruc-tion of drug types included in OTC directory were compared OTC model instruction. According to the degree of risks which the dif-ferences may bring,differences were divided into four levels for analysis as negligible,general,important and severe. RESULTS:244 drugs belonged to OTC,of which 32.38%were different from standard model instructions. The four risk levels rates of negligi-ble,general,important and severe accounted for 29.11%,34.18%,7.59% and 29.11%,respectively. Among important risk,the difference of“indication limit”occupied the highest proportion,being 50.00%. Among severe risk,the difference of“forbidden for special disease”and“forbidden for pregnant women”accounted for 43.48% and 39.13%. CONCLUSIONS:There are problems, such as the absence of important medication information,statement conflicts. The hospital and administration departments should en-hance the standard management of drug instruction to guarantee safe and rational drug use in the clinic.
2.The clinical analysis of cat scratch diseases with enlarged masses.
Fenli XING ; Zhiwei GAO ; Hui TANG ; Yuanqing WU ; Li LI ; Xinghua LUO ; Hong FAN
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2008;22(18):831-833
OBJECTIVE:
In order to raise awareness of CSD and reduce misdiagnosis, we study the manisfection and treatment of CSD with enlarged masses.
METHOD:
A retrospective study was carried out among the 10 identified patients with CSD on the basis of compatible clinical presentation and confirmatory pathology results for CSD.
RESULT:
All the 10 patient's first symptoms were masses at some part of the body, more common in the neck. The ratio was 5% at neck, 3% at armpit, 1% at upper, 1% at groin. Two patients had low heat, increased leukocyte and larger masses of more than 2 cm in diameter After surgical resection, and anti-inflammatory treatment. All the patients were cured after surgery and postoperative anti-inflammatory treatment, and there was no recurrence during the 7-year follow-up.
CONCLUSION
If patients were diagnosed and treated timely, the prognosis will be good. For the cases with extremely enlarged lymphonodus, surgical operation followed by antimicrobial chemotherapy will be a effective treatment.
Adolescent
;
Adult
;
Aged
;
Cat-Scratch Disease
;
diagnosis
;
Female
;
Humans
;
Lymphatic Diseases
;
diagnosis
;
Male
;
Middle Aged
;
Retrospective Studies
;
Young Adult
3.Atticotomy with canaloplasty and tympanoplasty for limited epitympanic cholesteatoma.
Yi DENG ; Fenli XING ; Yuanqing WU ; Ting CHU ; Rongrong CHEN ; Ergong CHEN ; Xianchao FAN
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2012;26(16):727-732
OBJECTIVE:
To observe the surgical results of atticotomy with canalopalsty and tympanoplasty for limited cholesteatoma.
METHOD:
Thirty-one cases of limited epitympanic cholesteatoma and retraction pocket received atticotomy. The surgical procedure consisted of eliminating cholesteatoma and pocket, reconstructing lateral epitympanic wall and tympanoplasty with cartilage/perichondrium island flap.
RESULT:
The anatomic pattern of external ear canal appeared near normal, and the hearing level improved or remained normal during 2-year follow up except for 2 cases with tympanosclerosis. No epitympanic retraction pocket or cholesteatoma relapsed. 1 case appeared tympanic perforation.
CONCLUSION
Atticotomy, contemporaneous reconstruction of lateral epitympanic wall and tympanoplasty with cartilage/perichondrium, indicated to be a reliable treatment and prevention technique for epitympanic cholesteatoma. It can achieve good morphological and functional results.
Adolescent
;
Adult
;
Cholesteatoma
;
surgery
;
Craniotomy
;
Ear, Middle
;
surgery
;
Female
;
Humans
;
Male
;
Middle Aged
;
Treatment Outcome
;
Tympanoplasty
;
methods
;
Young Adult