1.Effect of Ultrashort Waves Combined with Medication on Children with Cerebral Dysfunction Syndrome Accompanied with Pneumonia
Hua YAN ; Jun-ying WANG ; Hua-lin DUAN ; Peijun YU ; Huijia ZHANG ; Rong QIN ; Weihong YANG
Chinese Journal of Rehabilitation Theory and Practice 2006;12(10):850-851
ObjectiveTo observe the effect of ultrashort waves combined with medication on children with cerebral dysfunction syndrome (CDS) accompanied with pneumonia.Methods76 children with CDS accompanied with pneumonia were randomly divided into treatment group (n=38, treated with anti-inflammatory and ultrashort waves one time per day for ten days) and control group (n=38, treated only with anti-inflammatory). The effective rate and the days of rales vanished of children in two groups after treatment were compared.ResultsIn the treatment group, 14 cases cured, 20 cases got significant result, 4 cases were effective, total effective rate was 100%; in the control group, 10 cases cured, 14 cases got significant result, 9 cases were effective, 5 cases were invalid, total effective rate was 86.8%. There was a significant difference between therapeutic effects of two groups ( P<0.05).ConclusionThe ultrashort waves therapy is an effective method for the children with CDS accompanied with pneumonia.
2.A survey on pediatric nutrition and nutritional support in 45 hospitals
Chinese Journal of Clinical Nutrition 2018;26(2):94-99
Objective To investigate,through a survey on hospitals,the disciplinary development of pediatric nutrition and the present situation of clinical nutritional support in China,in an effort to inform and promote development of pediatric clinical nutrition.Methods A questionnaire was designed by the group of clinical nutrition,Chinese Pediatric Society,Chinese Medical Association.Respondents were 45 hospitals where members of the group work.The survey included 8 aspects in clinical work.Results Of all the 45 hospitals,40 were grade-A tertiary hospitals;4 were grade-B tertiary hospitals;and one was a secondary hospital.25 (55.6%) of the surveyed hospitals were children's hospitals,and 20 (44.4%) were general hospitals.All the hospitals were divided into 8 groups according to their geographical distribution in China,and East China hosted the most while Northeast China had the least.Nutritional support team (NST) was set up in 32 (71.1%) hospitals,with head of the team majoring in the specialty/subspecialty of pediatric gastroenterology or clinical nutrition.In 39 (86.7%) hospitals,physicians working in the nutrition department were attending or above,and in 38 (84.4%) tertiary hospitals,chief of the nutrition department held an academic title of associate chief or above.39 (86.7%) hospitals had nutrition clinics,42 (93.3%) provided nutritional counseling,40 (88.9%) involved nutritionists in consultations,25 (55.6%) had independent nutritional rounds.Screening tools for nutritional risk and dysplasia in children (STRONGkids) and screening tool for the assessment of malnutrition in pediatrics (STAMP) were the most widely used tools for malnutrition screening,and the same with self-rating depression scale (SDS) and percentile for nutritional status evaluation.In the most surveyed hospitals,key institutional requirement and procedural protocol were put in place for the nutritional department.Conclusions Pediatric clinical nutrition was developing well in tertiary hospitals in China.NST was established in most institutions.There was strong toolkit for clinical nutritional support and sound administrative institutions.There is room,though,for further improvement.
3. Use of noninvasive high-frequency oscillatory ventilation in very low birth weight infants
Chenhong WANG ; Liping SHI ; Xiaolu MA ; Huijia LIN ; Yanping XU ; Lizhong DU
Chinese Journal of Pediatrics 2017;55(3):177-181
Objective:
To evaluate the effectiveness and safety of the use of noninvasive high-frequency oscillation ventilation (nHFOV) in very low birth weight infants.
Method:
A total of 36 cases received nHFOV between January 2016 and October 2016 in Children′s Hospital, Zhejiang University School of Medicine, including 24 males and 12 females, with the gestational age of (27.5±2.5) weeks and birth weight of(980±318)g. The data of the ventilator settings, side effects, and changes of the respiratory function before and after nHFOV were collected and analyzed retrospectively. Nonparametric tests or
4.Preliminary survey report on the clinical validation of in-use electronic sphygmomanometers in China.
Xiang Hui ZHANG ; Yu Qing ZHANG ; Rong HU ; Ping SONG ; Xu HAN ; Shu Lin WEN ; Heng GUO ; Lin CHEN ; Shao Bo XIAO ; Yang Feng WU
Chinese Journal of Cardiology 2023;51(4):407-414
Objective: To explore the percentage of in-use electronic sphygmomanometers independently validated clinically in China. Methods: We conducted a cross-sectional survey and Beijing, Shenzhen, Shijiazhuang, Datong, and Shihezi were selected according to the geographical location and economic level. In each site, one tertiary hospital, two community health centers, and 20 families with electronic sphygmomanometers in use were chosen. The information of electronic sphygmomanometers including brand, model, manufacturer and production date were obtained by the trained staff. Ten electronic sphygmomanometers from each hospital, five electronic sphygmomanometers from each community health center, and one electronic sphygmomanometer from each family were surveyed, and the user's subjective judgment results and judgment basis on the accuracy of the electronic sphygmomanometer measurement were collected. We searched six registration websites (Medaval, Stride BP, dabl Educational Trust, British and Irish Hypertension Society, American Medical Association and Hypertension Canada) and two research databases (PubMed and CNKI) for the clinical validation status of each electronic sphygmomanometer. Results: A total of 200 electronic sphygmomanometers were investigated in this study, of which only 29.0% (58/200) passed independent clinical validation. When stratified by users, the percentage of being clinical validated was 46.0% (23/50) for electronic sphygmomanometers in hospitals, 42.0% (21/50) for those in community health centers and 14.0% (14/100) for those in home use, respectively, and the proportions between the three groups were significantly difference (P<0.001). Doctors in tertiary hospitals and community health service centers judged the accuracy of electronic sphygmomanometers mainly on the basis of "regular correction" (41.0% (41/100)) and "comparison with other electronic sphygmomanometers" (20.0% (20/100)), while among home users, 41.0% (41/100) were not clear about the accuracy of electronic sphygmomanometers, and 40.0% (40/100) made the judgment by "comparison with the devices in hospitals". Conclusion: The clinical validation of in-use electronic sphygmomanometers in China is low. Most of users, including healthcare professionals, are not aware of clinical validation of electronic sphygmomanometers.
Humans
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Blood Pressure Determination
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Cross-Sectional Studies
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Sphygmomanometers
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Hypertension/diagnosis*
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China
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Electronics
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Blood Pressure