OBJECTIVE: To comprehend the general situation of pharmaceutical services in hospitals in China.METHOD: The general situation of pharmaceutical services was investigated by questionnaire survey through mailing among a total of 600 hospitals including third-level grade A and B and second-level grade A and B hospitals and 42 pilot sites hospitals of clinical pharmacist work system selected by stratified random sampling.And the results were given a statistical analysis.RESULTS & CONCLUSIONS: A total of 281 questionnaires(46.8%) were sent back from sample hospitals and 29(69.0%) from pilot hospitals.37.1% of the hospitals developed the service of mixed dispensing for intravenous drugs,61.7% set up drug information consultation department,32.9% had monitoring software or system for rational drug use,indicating a great evolvement has been achieved in Chinese hospital pharmaceutical services.But there is still great difference in pharmaceutical care between different level and grade of hospitals.

OBJECTIVE: To probe into the status quo of the practice of clinical pharmacy in hospitals of China.METHODS: A mailed questionnaire survey was conducted among 600 sample hospitals and 42 clinical pharmacist work system pilot hospitals based on stratified sampling regarding the status quo of the clinical pharmacy practice in China.And the results were subjected to statistical analysis.RESULTS & CONCLUSIONS: A total of 310 questionnaires were sent back,which revealed that the proportions of developing clinical pharmaceutical services including prescription evaluation,ADR monitoring,drug information consultation in hospitals at different level were high,but the proportions of developing such pharmaceutical services as medication orders' writing and drug-food interaction monitoring were low.The pilot hospitals had better clinical pharmacy services as compared with common hospitals,much as in drug therapy monitoring and individualized medication therapy.The clinical pharmacists were characterized by low quality and scanty numbers.The financial support to clinical pharmacy and the role of the clinical pharmacists remain to be intensified.

OBJECTIVETo evaluate the clinical efficacy of manipulative reduction combined with percutaneous vertebroplasty (PVP) or percutaneous kyphoplasty (PKP) in treating osteoporotic vertebral compression fracture (OVCF) using meta-analysis method, in order to provide a reference for clinical treatment.

METHODSA systematic computer-based search (from January 1987 to April 2014) from CNKI, Wanfang database, Web of Science and PubMed were performed for the collection of controlled clinical researches on manipulative reduction combined with PVP or PKP in treating OVCF. The quality of selected researches was evaluated. Meta-analysis was adopted to evaluate visual analog scale, Cobb angle, anterior height ratio of the injured vertebra.

RESULTSA total of 7 researches of 410 patients were included in the present analysis, there were 5 RCTs and 2 non-RCTs and all come from China. Manipulative reduction combined with PVP could got better improvement in Cobb angle (WMD=-7.35; 95%CI: -12.15, -2.54) and anterior height ratio of the injured vertebra (P<0.01) than simple PVP, but no significant difference was found in improvement of visual analog scale (WMD=-0.01; 95%CI: -0.45, 0.42). There were no significant differences in the improvement of visual analog scale, Cobb angle, anterior height ratio of the injured vertebra between manipulative reduction combined with PKP and simple PKP (P>0.05).

CONCLUSIONCompared with simple PVP, manipulative reduction combined with PVP may result in more clinical efficacy on the improvement of Cobb angle and anterior ratio of the injured vertebra. And compared with simple PKP, manipulative reduction combined with PKP has no obvious advantages on the improvement of visual analog scale, Cobb angle, anterior height ratio of the injured vertebra. However, the number and quality of the literatures, may resulted in the effect of mistrust, so more large sample and high-quality RCTs are needed in future.

Combined Modality Therapy ; Fractures, Compression ; therapy ; Humans ; Manipulation, Spinal ; methods ; Minimally Invasive Surgical Procedures ; methods ; Osteoporotic Fractures ; therapy ; Spinal Fractures ; therapy

Objective The purpose of this study was to investigate the associated risks and optimal management of groin lymphatic complications (GLC) after vascular operations.Methods Retrospectively review of 520 vascular operations requiring a groin incision was carried out.Results Sixteen GLC were recognized, the incidence GLC was 3 08%. Increased incidence of GLC in this series was found in previously dissected groin, excessive tissue anatomy and inguinal enlarged lymph nodes . 12 GLC were treated by conservative approach ,4 GLC were treated by early reoperation. Early reoperation reduced hospitalization time and less wound infection complications.Conclusions GLC is a troublesome problem in clinic,key is prevention.Treatment of GLC should be individualized,early reoperation should be performed if persistent lymphocutaneous fislula and large drainage existed.

Objective To investigate the hemodynamic effects of naloxone in post-resuscitation dog from cardiac arrest. Methods Ventricular fibrillation (VF) was induced, and cardiac output(CO) was measured in 25 dogs before and 6 hours after successful resuscitation from 3 minutes VF. 25 dogs were randomly divided into control group(n=6), CPR group (n=12) and naloxone(NLX) group (n=7). Results Six dogs finished 6-hour experiment in both CPR and NLX groups, and the others did not finish the whole experiment. The time of restoration of spontaneous circulation was not significantly different between CPR group and NLX group. The mean artery pressure(MAP) of CPR group was lower than that of control group in 4, 6 hours after successful resuscitation. The MAP of NLX group was higher than that of CPR group in 2,4 and 6 hours after successful resuscitation, and no significantly different compared with that of normal group. CO in both CPR and NLX groups was lower than that in control group after successful resuscitation. CO in NLX group was higher than that in CPR group in 1 to 6 hours after resuscitation. Conclusion There is myocardial dysfunction in post-resuscitation dog from cardiac arrest. Naloxone can improve their hemodynamic status.

OBJECTIVE: To probe into the situation of drug risk communication home and abroad and to provide reference systematic construction of risk communication in China. METHODS: Content analysis of document study was used to study foreign risk communication method in drug risk management. Related situations in China were compared one another. RESULTS & CONCLUSIONS: Completive drug risk communication systems and methods had been set up in America,Canada and Australia and they had successful experiences in risk information collection, establishment of risk communication platform and risk communication decision, etc. It is urgent to establish the drug risk communication systems based on China’s actual conditions by building up risk communication platform, enforcing the duty consciousness of drug manufacturers, guiding the public realization and strengthening international cooperation, etc.

OBJECTIVE: To supply reference for the implementation and popularization of clinical pharmacist system as well as the establishment of the quality standards and assessment system for the pharmaceutical care in China.METHODS: By literature reviewing method,the pertinent literature about quality standards and assessment system of pharmaceutical care at home and abroad since 1990s were retrieved systematically,sorted and analyzed.RESULTS & CONCLUSIONS: The quality assessment of the pharmaceutical care can help enhance the level of pharmaceutical care,demonstrate the value of clinical pharmaceutical care,and facilitate the establishment and evolvement of the clinical pharmacist system.When drawing useful experiences from such countries like American and Britain,China should attach great importance to the cooperation between schools of higher learning and practitioners and the application of scientific methods and taking into consideration of the practical situation of the hospitals in carrying out clinical quality assessment for pharmaceutical care.

Objectives:To investigate the effect of early enteral nutrition after total gastrectomy and evaluate its feasibility. Methods:25 cases of postoprative patients of stomacch carcinoma after total gastrectomy were selected and is divided into two groups at random.12 cases (control group) had accepted parenteral nutrition after operation.13 cases(test group) had accepted enteral nutrition after 24 hours of the operation though jejunostomy.The study continued for 7 days. The energy was equal approximately between groups.The nutrition state was evaluated in two groups before and after operation,and the recovery of intestinal function and hospitalized charge were compared too. Results:The postoperative body weight and nutrition state in the test group were better than those in control group and the differnces were very significant( P

OBJECTIVE: To provide references for the evolvement of the administration of drug labels and package inserts in China. METHODS: By content analysis in non-contact research, 23 law documents relevant to American drug labels and package inserts were collected from FDA website, of which, 7 were acts, 1 federal regulation and 15 guiding principles RESULTS: The drug labels and package inserts of the prescription drugs and the over-the-counter drugs in US were administrated in classification with an emphasis on the contents and formats. CONCLUSIONS: A set of comprehensive lawful system for drug labels and package inserts has been established in American, from which China should draw experience to ensure the comprehensiveness, objectiveness and accuracy of drug information and guarantee safety and efficacy of drugs.

Objective To summarize the experience of how to preserve parathyroid glands and their function in thyroidectomy. Methods Data of 872 patients with thyroid carcinoma who entered our hospital from May. 2006 to Oct. 2009 were retrospectively analyzed. Results Parathyroid damage rate was 2. 06% (18/872)and permanent hypoparathyroidism was 0. 23% (2/872). All occurred in total thyroidectomy. Conclusions Preserving blood supply for parathyroid and avoiding direct contusion or misresection are important for preventing hypoparathyroidism in thyroidectomy. Calcium supplementation should be given to patients with obviously low serum calcium level after surgery to prevent permanent hypoparathroidism.