1.APPLICATION OF CLINICAL PATHWAY ON TUBAL PREGNANCY UNDERWENT LAPARO-SCOPIC TREATMENT
Lingxuan MA ; Yanyan ZHANG ; Guixiang LIU
Modern Hospital 2015;(3):115-117
Objective To investigate the effect of clinical pathway on patients with tubal pregnancy under-went laparoscopic treatment .Methods 150 patients with tubal pregnancy undergoing laparoscopic treatment were randomly divided into pathway group and control group , 75 patients in each .The patients in the pathway group were given clinical pathway management , whilepatients in the control group were given conventional management .The in-dexes, such as patients'average hospitalization time, average treatment cost, satisfaction, and the rate of health knowl-edge awareness of the two groups were compared .Results The average hospitalization time and the average treat-ment costof the pathway group were significantly shorter and lower than those of the control group , with statisticalsig-nificance (p<0.05), and the rate of satisfaction and health knowledge awareness of the pathway group were signifi -cantly higher than those of the control group (p<0.05).Conclusion The clinical pathway in patients with tubal pregnancy treated with laparoscopyis worth to popularize in clinical application , because it may effectively shorten the hospitalization time , reduce the treatment cost and improve the rate of satisfaction and health knowledge awareness .
2.Evaluation of mental health for national nuclear radiation emergency rescuers
Lingxuan MA ; Long YUAN ; Huifang CHEN ; Ximing FU ; Chunhui CHANG ; Cuiping LEI
Chinese Journal of Radiological Medicine and Protection 2022;42(10):779-786
Objective:To estimate the mental health status and personality traits of the nuclear radiation emergency rescuers, allowing to provide reference basis for improving their mental health.Methods:Totally 52 nuclear radiation emergency rescuers were selected as the subjects. The symptom checklist 90 (SCL-90) and Cattell′s 16 personality factor scale (16PF) were used to assess their mental health status and personality traits. The results obtained from the survey of these rescuers were compared with those obtained using Students′ t-test, One-Way ANOVA and Pearson correlation analysis. Results:The average scores of multiple factors and positive items of the SCL-90 were significantly lower in the rescuers than in the norm ( t=-4.77 to -2.04, P<0.05), and the positive rate was 21.15%. The symptom checklist 90 subscales such as somatization, obsessive-compulsive and depression were found in the rescuers. Rescuers received high scores in the following components among the 16 factors of Cattell: less intelligent-more intelligent, emotionally stable. Rescuers also received low scores in the following components among the 16 factors of Cattell: tough-minded-tender-minded, trusting-suspicious. Life satisfaction, educational degree and Cattell′s 16 PF were significantly associated with the factors of SCL-90( r=-0.569 to 0.627, P<0.05). Conclusions:The rescuers are better than ordinary Chinese people in psychological health. Mental health-related factors such as literacy, life satisfaction, and personality traits should be taken into account when selecting team members and conducting psychological interventions.
3.The impact of three major nuclear accidents on the mental health of emergency responders : a systematic review
Lingxuan MA ; Huifang CHEN ; Ximing FU ; Long YUAN ; Cuiping LEI
Chinese Journal of Radiological Medicine and Protection 2023;43(10):797-804
Objective:To systematically evaluate the impact of the three major nuclear accidents at Three Mile Island, Chernobyl and Fukushima on the mental health status of emergency responders.Methods:MeSH and Entry Terms were searched. Relevant literature on the mental health consequences of the emergency responders to the Three Mile Island, Chernobyl, and Fukushima nuclear accidents were retrieved from PubMed, Web of Science, and APA PsycINFO databases, and screened and reviewed.Results:Totally 37 studies were included. General psychological distress, depression, anxiety, post-traumatic stress disorder and other abnormal psychological problems are prevalent among emergency responders following nuclear accidents. The psychological impact of the Chernobyl nuclear accident was most profound, causing serious mental disorders such as organic mental disorder and personality disorder among the clean-up workers. The mental health condition of emergency responders was associated with disaster-related emergency response tasks and the social factors brought in nuclear accidents.Conclusions:General psychological distress, anxiety, depression, post-traumatic stress reaction/disorder, severe mental disorder and other long-term abnormal psychological problems are common among first responders after nuclear accidents, and baseline mental health and psychological interventions require further study.
4.Research progress in detection method for bisphenol A in food packaging materials
Yuqing MA ; Wanli DUAN ; Lei PENG ; Bingjie GENG ; Lingxuan TANG ; Haoneng WANG ; Fangyuan GAO
Shanghai Journal of Preventive Medicine 2023;35(6):604-612
As an industrial chemical, bisphenol A is widely used in various food packaging materials. However, it is an endocrine disrupting chemical, which has estrogen activity and can cause certain damage to humans. So far, there are few studies on the detection of bisphenol A in self-heating food packaging materials, and there remains a lack of relevant standard. Therefore, it is necessary to establish a simple, sensitive and efficient method for the detection of bisphenol A in self-heating food. This study briefly introduces the pretreatment methods of bisphenol A, such as ultrasonic extraction, solid phase extraction, accelerated solvent extraction, and detection methods, such as gas chromatography-mass spectrometry, high performance liquid chromatography, fluorescent detection, and electrochemical detection.