1.Research on similarities and differences of information needs between cancer patients treated with radiotherapy and chemotherapy
Jiewei JIANG ; Haiying XIA ; Xiaojie HAN
Chinese Journal of Practical Nursing 2010;26(10):1-3
Objective To study the similarities and differences of information needs between cancer patients treated with radiotherapy and chemotherapy, analyze the causes for cancer patients' different choices, and provide reasonable and disease-related information for cancer patients. Methods A total of 102 and 119 cancer patients treated with radiotherapy and chemotherapy relatively were asked to complete the questionnaire (IPQCP+2) and two questions about the total information capacity and content requirements. Results Two groups had different needs of therapeutic information and treatment in IPQCP. Cancer patients treated with chemotherapy needed more widely-ranged information than patients underwent radio-therapy. Conclusions Most of cancer patients treated with radiotherapy and chemotherapy need to be informed of disease-related information, among which the content of therapeutic information and total information is relative to the treatment. Nurses should provide disease-related medical information based on their different needs, as to improve the life quality of cancer patients.
2.Arthroscopic treatment for anterior shoulder instability with engaging Hill-Sachs lesions
Yiming ZHU ; Yi LU ; Jiewei SHEN ; Jin ZHANG ; Chunyan JIANG
Chinese Journal of Orthopaedics 2011;31(2):158-163
Objective The purpose of our study was to report the results of using arthroscopic Remplissage and Bankart repair in patients who had an engaging Hill-Sachs lesion with significant glenoid bone loss. Methods We retrospectively reviewed 49 consecutive patients who underwent arthroscopic Remplissage and Bankart repair for anterior shoulder instability with a mean duration of follow-up of 29.0 months (24-35 months). At the time of surgery the mean age of 42 men and 7 women was 28.4 years. All patients were diagnosed as recurrent anterior shoulder dislocation with a bony lesion of glenoid and an engaging HillSachs lesion. An arthroscopic Remplissage and Bankart repair using metal anchor was performed in all cases.ASES score, Constant-Murley score and Rowe score were used to evaluate the stability and the function of the shoulder. Results Patients' active forward elevation significantly(P=0.007) improved from 162.9°±17.1°preoperatively to 170.9°±7.4° at final follow-up. The external rotation was 56.0°±17.6° before the surgery compared with the 54.1°±17.1° postoperatively(P=0.511 ). The ASES score, Constant-Murley score and Rowe score was 84.7±11.3, 93.3±8.7 and 36.8±8.5 preoperatively compared with 96.0±3.4, 97.8±3.6 and 89.8±12.5 postoperatively. Significant difference could be found with regard to ASES score (P=0.000), ConstantMurley score (P=0.005) and Rowe score (P=0.000). One redislocation happened and a subluxation was noticed in three patients (8.3%). Conclusion Arthroscopic Remplissage combined with Bankart repair can achieve satisfactory for recurrent anterior shoulder dislocation accompany with engaging Hill-Sachs lesion.
3.Clinical results on repair of massive rotator cuff tears
Yi LU ; Yaojia LU ; Yiming ZHU ; Jiewei SHEN ; Fenglong LI ; Chunyan JIANG ; Manyi WANG
Chinese Journal of Trauma 2011;27(5):441-445
Objective To evaluate the clinical results of arthroscopic repair of massive rotator cuff tear. Methods The study involved 16 patients with massive rotator cuff tears treated arthroscopically from September 2007 to June 2009. There were 6 males and 11 females at average age 61.5 years (45-75 years). The rotator cuff tears was repaired with arthroscopic double-row reconstruction. The range of motion, pain, strength of flexed elevation and function evaluation score were all recorded before operation and at final follow-up. The results were evaluated by t test and compared according to age and course of disease. Results All patients were healed without complications and the outcome was improved significantly ( P < 0.01 ). The mean VAS score was improved from preoperative 5.6 to postoperative 1.7,the average forward flexion from 69. 1°to 151.2°, the average external rotation from 14.7° to 32.2°, and internal rotation from L1 level to T10, the mean Constant-Murle from 39 to 85, the mean UCLA from 10.4 to 28, the mean SST from 2.8 to 8.8 and the strength of flexed elevation from 10.7% of normal side to 65.0%. Compared with preoperation, there was statistical difference in aspects of pain, range of motion, muscle strength and function in postoperation (P < 0.01 ). Conclusion Arthroscopic doublerow fixation can attain satisfactory results in repair of massive rotator cuff tear.
4.Compare the value of video laryngoscope in localization diagnosis of upper airway stricture in obstructive sleep apnea-hypopnea syndrome between awake and drug-induced sleep.
Taogen JIANG ; Jiewei CHAO ; Jian CAO ; Yongtian WANG ; Lihua SHI
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2009;23(9):397-399
OBJECTIVE:
To compare the value of video laryngoscope in localization diagnosis of upper airway stricture in obstructive sleep apnea-hypopnea syndrome (OSAHS) between awake and drug-induced sleep.
METHOD:
Ninety-eight patients of OSAHS were examined with video laryngoscope to locate the upper airway stricture under awake and Midazolam-induced sleep.
RESULT:
The several stricture levels under awake was 58.2% and it was 77.5% under drug induced sleep.
CONCLUSION
Several stricture levels of upper airway were founded in most of the patients of OSAHS. The upper airway stricture levels was more in the sleep than in the wake.
Adult
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Female
;
Humans
;
Laryngoscopes
;
Male
;
Middle Aged
;
Sleep
;
drug effects
;
Sleep Apnea, Obstructive
;
diagnosis
;
Videotape Recording
;
Wakefulness
5.Value of controlled synechiae technique on maintaining stability of middle turbinate in endoscopy surgery.
Taogen JIANG ; Jiewei CHAO ; Yongtian WANG ; Xinyan HUANG ; Lihua SHI ; Fangling PENG
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2012;26(21):987-989
OBJECTIVE:
To explore the method of the controlled synechiae technique to maintain the stability of middle turbinate (MT), reduce the incidence of middle meatus synechia formation and improve the treatment effect of endoscopy surgery.
METHOD:
Eighty-six patients with chronic sinusitis were randomly divided into control group and treatment group in this study. In control group, the patients received extended nasal packing in middle meatus until 1 week after surgery. In treatment group, the patients received the controlled synechiae technique.
RESULT:
The MT position was described as stable, slight drifting laterally and synechia formation. And the incidence of synechia between MT and the nasal lateral wall was 29.4% and 14.9% in control group and treatment group,respectively. The differences were significant (P < 0.05).
CONCLUSION
For those patients with anatomic variation, destruction or weak supporting structures resulted from previous surgery, the controlled synechiae technique is very useful in preventing lateralization of the middle turbinate after endoscopy surgery.
Adult
;
Aged
;
Endoscopy
;
methods
;
Female
;
Humans
;
Male
;
Middle Aged
;
Nasal Surgical Procedures
;
methods
;
Postoperative Complications
;
prevention & control
;
Suture Techniques
;
Tissue Adhesions
;
Turbinates
;
surgery
;
Young Adult
6.The value of video laryngoscope in localization diagnosis of upper airway stricture in obstructive sleep apnea-hypopnea syndrome during drug-induced sleep.
Taogen JIANG ; Jiewei CHAO ; Jian CAO ; Yongtian WANG ; Lihua SHI
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2008;22(6):260-262
OBJECTIVE:
To investigate the value of video laryngoscope in localization diagnosis of upper airway stricture in obstructive sleep apnea-hypopnea syndrome (OSAHS) during drug-induced sleep.
METHOD:
One hundred and thirty two patients with OSAHS were randomly divided into group A and B in this study. In group A, the patients were examined with video laryngoscope to locate the upper airway stricture under midazolam-induced sleep. In group B, the patients had conventional physical examination and video laryngoscope when awake. And the operation plans of both groups were made based on the localization diagnosis results.
RESULT:
In group A, 72.1% patients have several stricture levels and in group B only 33.8%. The patients was followed up time more than 6 months, and the cure rate, the excellent effective rate, and the total effective rate of group A were significantly higher than those in group B respectively (P<0.05).
CONCLUSION
Most patients of OSAHS have several stricture levels of upper airway under Midazolam- induced sleep. Localization diagnosis of upper airway stricture in patients with OSAHS with video laryngoscope before operation can improve the cure efficiency significantly.
Adult
;
Female
;
Humans
;
Laryngoscopes
;
Male
;
Midazolam
;
Middle Aged
;
Sleep Apnea, Obstructive
;
diagnosis
7.Automatic diagnosis of eyelid tumors based on target localization
Jiewei JIANG ; Haiyang LIU ; Tongtong LIN ; Mengjie PEI ; Xumeng WEI ; Jiamin GONG ; Zhongwen LI
Chinese Journal of Medical Physics 2023;40(12):1468-1476
Eyelid tumor is a serious eye disease that leads to vision loss or even blindness.The similarity between benign and malignant characteristics makes it difficult for ophthalmologists lacking clinical experience to distinguish between them.To address the problem,a method(ResNet101_CBAM)based on two-stage target localization using fully convolutional one-stage object detection(FCOS)and residual network incorporating a dual attention mechanism is proposed to realize the automatic diagnosis of benign and malignant eyelid tumors.FCOS is used to automatically localize the overall contour of the orbit,removing the background and surrounding noise,and then finely localize the tumor lesion inside the orbit.The obtained lesion region is input into ResNet101_CBAM for the automatic diagnosis of benign and malignant eyelid tumors.The experimental results show that the average precision of the target localization algorithm for tumor lesion is 0.821,and that compared with ResNet101,ResNet101_CBAM improves the sensitivity and accuracy in eyelid tumor classification by 4.7%and 3.0%,respectively,indicating that the proposed model has superior performances in the automatic diagnosis of benign and malignant eyelid tumors.
8. Effect of 1,2-dichloroethane on learning and memory in NIH mice
Yating ZHANG ; Yizhou ZHONG ; Guoliang LI ; Jiewei ZHENG ; Jiejiao WU ; Lihai ZENG ; Manqi HUANG ; Zhiwei XIE ; Fengrong LU ; Boxuan LIANG ; Liang JIANG ; Qianling ZHENG ; Zhenlie HUANG
China Occupational Medicine 2018;45(01):1-6
OBJECTIVE: To investigate the effects of subacute systemic inhalation exposure of 1,2-dichloroethane(1,2-DCE) on learning and memory in NIH mice. METHODS: Forty-five specific pathogen free healthy 7-week-old NIH mice were randomly divided into control,low-dose and high-dose groups with 5 female mice and 10 male mice in each group. The mice were exposed to 1,2-DCE at dosages of 0. 00,100. 00 and 350. 00 mg/m3 for 6 hours per day for consecutive 28 days by dynamic systemic inhalation. The neurobehavioral tests of mice were performed before and after the first to fourth weeks of exposure using the Morris water maze test. RESULTS: There was no significant difference in body weight and swimming speed among the three groups of mice( P > 0. 05). The navigation experiment results showed that the escape latency of mice in both low-and high-dose groups were longer than that of the control group at the same time point(P < 0. 05) during 1-4 weeks after exposure. In the control group,the escape latency was shorter than that of the same group before exposure( P < 0. 05). The escape latency of high-dose group prolonged with the increase of exposure time,and in the 4 th week the escape latency was significantly higher than that of the same group before exposure( P < 0. 05).The experiment results of space exploration indicated that the first time of crossing platform in low-and high-dose groups were longer than that of the control group at the second to the fourth week( P < 0. 05). The target quadrant retention time and the number of crossing the platform in the low-and high-dose groups were lower than those in the control group( P <0. 05). CONCLUSION: Subacute inhalation exposure of 1,2-DCE can impair the learning and memory ability of NIH mice.The high-dose exposure may reduce learning ability in mice in a time-effect manner.
9.Characteristics and trends in clinical studies on aesthetic and plastic medical devices in China
Yuhang CHE ; Yilue ZHENG ; Yongqian WANG ; Haiyue JIANG ; Kexin CHEN ; Ning LI ; Jiewei WU ; Yan YAN
Chinese Journal of Plastic Surgery 2022;38(12):1390-1396
Objective:To systematically describe the characteristics and trends of clinical studies on aesthetic and plastic devices from 2016 to 2020 in China.Methods:Clinical studies on aesthetic and plastic devices conducted in China from 2016 to 2020 were identified through ClinicalTrials.gov and the Chinese Clinical Trial Registry using predetermined search strings. Data on indications, medical device, sponsor type, and study design were collected and analyzed.Results:From 2016 to 2020, 118 registered clinical studies were identified and analyzed, among which 100 trials (84.7%) were initiated by medical institutions and the remaining were initiated by medical device enterprises. The number of studies increased from 12 to 42 from 2016 to 2020 with an average annual growth rate of 39.6%. For indication types, there are 90(76.3%) studies on skin defects, followed by 21(17.8%) on maxillofacial defects, 5(4.2%) on hair defects and 2(1.7%) on breast defects. The top four indications were scars, acne, nasolabial folds, and port-wine stains. For device types, photoelectric devices were involved in 73(61.9%) studies, followed by surgical devices [20(16.9%)] and injection devices [19(16.1%)]. Laser devices were the research focus among all photoelectric device categories. There were 11 clinical studies on scar treatment using laser treatment equipment, of which 6 trials applied parallel controlled study design, and the remaining trials applied self-controlled design. The sample size of these 11 trials ranged from 15 to 110.Conclusions:The number of registered clinical studies on aesthetic and plastic devices kept growing in the last few years. Skin related indications and photoelectric devices have become the hot spot in the field.
10.Characteristics and trends in clinical studies on aesthetic and plastic medical devices in China
Yuhang CHE ; Yilue ZHENG ; Yongqian WANG ; Haiyue JIANG ; Kexin CHEN ; Ning LI ; Jiewei WU ; Yan YAN
Chinese Journal of Plastic Surgery 2022;38(12):1390-1396
Objective:To systematically describe the characteristics and trends of clinical studies on aesthetic and plastic devices from 2016 to 2020 in China.Methods:Clinical studies on aesthetic and plastic devices conducted in China from 2016 to 2020 were identified through ClinicalTrials.gov and the Chinese Clinical Trial Registry using predetermined search strings. Data on indications, medical device, sponsor type, and study design were collected and analyzed.Results:From 2016 to 2020, 118 registered clinical studies were identified and analyzed, among which 100 trials (84.7%) were initiated by medical institutions and the remaining were initiated by medical device enterprises. The number of studies increased from 12 to 42 from 2016 to 2020 with an average annual growth rate of 39.6%. For indication types, there are 90(76.3%) studies on skin defects, followed by 21(17.8%) on maxillofacial defects, 5(4.2%) on hair defects and 2(1.7%) on breast defects. The top four indications were scars, acne, nasolabial folds, and port-wine stains. For device types, photoelectric devices were involved in 73(61.9%) studies, followed by surgical devices [20(16.9%)] and injection devices [19(16.1%)]. Laser devices were the research focus among all photoelectric device categories. There were 11 clinical studies on scar treatment using laser treatment equipment, of which 6 trials applied parallel controlled study design, and the remaining trials applied self-controlled design. The sample size of these 11 trials ranged from 15 to 110.Conclusions:The number of registered clinical studies on aesthetic and plastic devices kept growing in the last few years. Skin related indications and photoelectric devices have become the hot spot in the field.