1.Construction of thesis-quality assurance system for postgraduates with specialized master degree of public health
Chunling WU ; Kun ZHAO ; Yongtao HE
Chinese Journal of Medical Education Research 2012;11(9):881-884
This paper analyzed the main problems in the thesis of postgraduates with specialized master degree of public health.The problems existed were the poor quality of students,untargeted topics of the thesis and unsound evaluation system,etc.Specific measures were proposed for the construction of quality assurance system for postgraduates with specialized master degree of public health including four focus management,multiple evaluation system and post thesis evaluation.
2.Establishment of the prediction model for ischemic cardiovascular disease of elderly male population under current health care program
Jin-Hong CHEN ; Hai-Yun WU ; Kun-Lun HE ; Yao HE ; Yin-He QIN
Chinese Journal of Epidemiology 2010;31(10):1166-1169
Objective To establish and verify the prediction model for ischemic cardiovascular disease(ICVD)among the elderly population who were under the current health care programs. Methods Statistical analysis on data from physical examination, hospitalization of the past years, from questionnaire and telephone interview was carried out in May, 2003. Data was from was randomly selected to generate both module group and verification group. Baseline data was induced to make the verification group into regression model of module group and to generate the predictive value. Distinguished ability with area under ROC curve and the predictive veracity were verified through comparing the predictive incidence rate and actual incidence rate of every deciles group by Hosmer- Lemeshow test. Predictive veracity of the prediction model at population level was verified through comparing the predictive 6-year incidence rates of ICVD with actual 6-year accumulative incidence rates of ICVD with error rate calculated. Results The samples included 2271 males over the age of 65 with 1817 people for modeling population and 454 for verified population.All of the samples were stratified into two layers to establish hierarchical Cox proportional hazard regression model, including one advanced age group(greater than or equal to 75 years old), and another elderly group(less than 75 years old). Data from the statically analysis showed that the risk factors in aged group were age, systolic blood pressure, serum creatinine level, fasting blood glucose level, while protective factor was high density lipoprotein; in advanced age group, the risk factors were body weight index, systolic blood pressure, serum total cholesterol level, serum creatinine level, fasting blood glucose level, while protective factor was HDL-C. The area under the ROC curve (AUC)and 95%CI were 0.723 and 0.687-0.759 respectively. Discriminating power was good. All individual predictive ICVD cumulative incidence and actual incidence were analyzed using Hosmer-Lemshow test, x 2=1.43, P=0.786, showing that the predictive veracity was good.Conclusion The stratified Cox Hazards Regression model was used to establish prediction model of the aged male population under a certain health care program. The common prediction factor of the two age groups were: systolic blood pressure, serum creatinine level, asting blood glucose level and HDL-C. Thc area under the ROWC curve of the verification group was 0.723, showing that the distinguished ability was good and the predict ability at the individual level and at the group level were also satisfactory. It was feasible to using Cox Proportional Hazards Regression Model for predicting the population groups.
3.A prospective study on 6-year accumulative incidence rate of ischemic cardiovascular disease and related risk factors among the elderly male population under health care programme
Jin-Hong CHEN ; Hai-Yun WU ; Kun-Lun HE ; Yao HE ; Yin-He QIN
Chinese Journal of Epidemiology 2010;31(12):1389-1392
Objective To investigate the 6-year accumulative incidence rate of ischemic cardiovascular disease (ICVD) and its related risk factors. Methods Baseline population was all from an elderly population with members all born before 1-1,1938 and under health care programm.Data was recorded in a database of a hospital and baseline of subjects under research was aged >65years. People that had had ICVD at baseline were excluded. Risk factors under research would include: age at the baseline study, gender, body mass index, systolic blood pressure, serum cholesterol level, serum triglyceride level, serum high-density lipoprotein level, serum triglyceride level, serum apolipoprotein A1 level, history of diabetes mellitus and cigarette smoking etc. Single factor analysis was carried out using person-years as time of study, then calculating the person-year incidence and the accumulative incidence rate at different levels related to baseline risk factors.Multivariate analysis was under Cox Proportional Hazards Regression Model. Results Baseline population included 2271 elderly men, with the 6-year cumulative prevalence rate of ICVD as 23.56%, and the person-year prevalence rate was 45.41‰. Single factor analysis showed that the ICVD events positively related to variables which including systolic blood pressure, body mass index,serum cholesterol level and serum triglyceride level, serum apolipoprotein A1 level, status of diabetes mellitus and cigarette smoking. The ICVD events negatively related to variables as serum high-density lipoprotein levcl and serum creatinine level. Results of multivariate analysis showed that high systolic pressure, diabetes mellitus, serum creatinine level, Body Mass Index were the main risk factors. The serum high-density lipoprotein level served as the main protective factor. Conclusion The aged male population under health care programme was high in the ICVD prevalence rate, suggesting that programmes as controlling blood pressure, blood glucose, and increasing serum high-density lipoprotein levels were effective measures to decrease the ICVD events.
4.Medical device software requirements and evaluation.
Chinese Journal of Medical Instrumentation 2011;35(5):379-382
This paper introduces the safety and effectiveness requirements of medical device software. And it discusses the methods on evaluating medical device software from two aspects, the design and development process of the software and software products.
Equipment Safety
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Equipment and Supplies
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Software
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Software Validation
5.The imaging performance and mechanism of acute slipped patellofemoral joint impingent syndrome
Min LI ; Demao DENG ; Kun MI ; Wenzhao YUAN ; Rongchao WAN ; Xin HE ; Yingying WU
Journal of Practical Radiology 2014;(7):1169-1172
Objective To study the imaging performance and mechanism of acute patellofemoral joint impingent syndrome.Meth-ods The MR images and clinical data of acute patellofemoral joint impingent syndrome were analysed retrospectively in 10 patients, which were confirmed by clinic .MRI and DR examination were performed in all patients,in which 6 patients had complete knee ar-throscopy material.The imaging performance and mechanism of acute patellofemoral joint impingent syndrome were summarized re-spectively.Results All cases had clear history of buckling ectropion trauma;Patellar dislocation or subluxation were detected in 9 cases on DR examination,10 cases on MRI;Patellar medial fracture or osteochondral fracture caused by acute slipped patella was de-tected in 1 case on DR examination,2 cases (3 places)on MRI;Medial patellar retinaculum injury were detected in 10 cases on MRI,which were corresponding to that on surgery.Articular injury and subchondral marrow edema in particular parts of joint (an-terolateral of lateral femoral and medial patellar)were detected in 9 cases on MRI.MRI features of articular cartilage injury were confirmed by arthroscopy.MRI showed ACL or PCL injury in 3 cases,meniscus tear in 4 cases,which were quite consistent with the arthroscopy findings.Conclusion MRI can effective display joint cartilage damage,subchondral marrow edema in particular parts of the joint,which is useful to clinical prediction and treatment at early stage.
6.Predictive study of training scale and social demand of nursing undergraduates in Henan province
Zhenxiang ZHANG ; Yan ZHANG ; Chunhui ZHANG ; Qiufang LI ; Li SHEN ; Donghong WU ; Kun HE
Chinese Journal of Practical Nursing 2012;28(28):5-8
Objective To investigate the training scale and social demand of nursing undergraduates in recent five years in Henan province,and supply reference for trend of talent supply and demand in future five years in Henan province.Methods A cross-sectional questionnaire survey were taken,6 nursing colleges,78 hospitals took part in the survey.Literature searching and trend extrapolation method were used to predict the demand of nursing talents in Henan province from 2011 to 2015.Results Tertiary hospitals demand more nurses with bachelor degree than secondary hospitals; the appropriate proportion of nurses with bachelor degree in all nurses was 30%~50%; besides,a predictive model equation was proposed.Conclusions The scale of undergraduate nursing should develop in appropriate ratio based on the predictive values; we should strengthen undergraduate nursing education for all-around development to adapt tertiary hospitals and community nursing trend,and the predictive model equation needs continuous emendation.
7.Design and application of the medical insurance information management platform in the context of global budget
Tao HE ; Kun WANG ; Na WU ; Hongfei SHI ; Minghui QIU ; Jing LIU ; Ying HOU
Chinese Journal of Hospital Administration 2015;31(1):52-54
The implementation of the global budget system requires the hospitals to be supported by advanced medical insurance information management systems.The design and application of the medical insurance information management platform at the hospital can optimize management processes,improve the management level,save management costs,establish database,and promote the development of medical insurance.
8.Studies on revision of species and distribution of medicinal plants in Guizhou province.
Shunzhi HE ; Yan WU ; Kun HE
China Journal of Chinese Materia Medica 2009;34(6):770-773
OBJECTIVETo investigate the origin of medicinal plants in Guizhou province, revise the incorrectly recorded species, and correct the erroneous and incomplete Latin names.
METHODExamination was implemented on species, Latin name and geographical distribution of medicinal plants recorded in 'Medicinal Material Resources of Guizhou'.
RESULTIt was found that 98 species and 4 varieties were absent in Guizhou province or their Latin names were incorrect in 17 families.
CONCLUSIONThe origin of medicinal plants in Guizhou province was studied and the incorrect Latin names were revised. It provides a basis for standardization of medicinal plants in Guizhou province.
China ; Plants, Medicinal ; classification ; growth & development ; Terminology as Topic
9.Mesenchymal chondrosarcoma arising from soft tissue of pouch of Douglas: report of a case.
Jiang-yu ZHANG ; Ri-quan LAI ; Jia-li ZHANG ; Jia-wei LI ; Kun-he WU ; Dan CHEN
Chinese Journal of Pathology 2006;35(2):127-128
Adolescent
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Chondrosarcoma
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pathology
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surgery
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Douglas' Pouch
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pathology
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surgery
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Female
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Humans
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Peritoneal Neoplasms
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pathology
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surgery
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Soft Tissue Neoplasms
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pathology
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surgery
10.Genotypes and serotypes of avian infectious bronchitis viruses isolated during 2009-2011 in Guangxi, China.
Li-Li QIN ; Meng LI ; Rong SUN ; Zhi-Jin WU ; Kun HE ; Mei-Lan MO ; Tian-Chao WEI ; Ping WEI
Chinese Journal of Virology 2014;30(2):162-170
In order to investigate the prevalence and track genetic and antigenic evolutions of infectious bronchitis virus (IBV) and their prevalence in Guangxi, China since 1985, gene amplification and sequencing and virus neutralization (VN) test on chicken embryo tracheal organ cultures were used in genotyping and serotyping of 28 IBV isolates during 2009-2011 in Guangxi. The results of N gene sequencing and comparison showed that the 28 isolates and reference strains were classified into three groups, and most isolates belonged to group Ill, while the isolates in 1985-2008 belonged to groups IV and II. The data of VN test indicated that the 28 isolates belonged to 6 serotypes; among them, 71. 4% belonged to serotypes 1, 2, and 3, and 11 (39.3%) shared the same serotype with the current vaccine strains. Given the data of our previous study, it is found that prevalent serotypes and their proportions varied in different areas of Guangxi and during different periods. These data lay a good foundation for developing an oil-emulsified inactivated polyvalent vaccine containing local dominant serotypes for the effective prevention and control of infectious bronchitis.
Animals
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Antibodies, Viral
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immunology
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Chick Embryo
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Chickens
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China
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epidemiology
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Coronavirus Infections
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epidemiology
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immunology
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veterinary
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virology
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Infectious bronchitis virus
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classification
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genetics
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immunology
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isolation & purification
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Molecular Sequence Data
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Phylogeny
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Poultry Diseases
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epidemiology
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immunology
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virology