1.Hypertension management for migrant workers in the community of Shenzhen city
Bin ZHEN ; Xiaobing LIAO ; Lingyi ZHANG ; Shihong LI
Chinese Journal of General Practitioners 2012;11(6):447-449
The management model “primary care in community,team service,first contact physician responsibility and two-way referral” was implemented for migrant workers with hypertension in the community.The hypertensive patients under the management for over six months were assigned as management group; the patients who were registered but not under management for over six months served as the control group.The number of new cases detected in hypertension screening increased from 32 in 2008 to 701cases in 2010; and number of hypertensive patients under management increased from 7 cases to 348 accordingly.A questionnaire survey was conducted in 464 hypertensive patients,including 196 cases in management group and 268 cases in control group with a response rate of 94.9% (186/196) and 92.5% (248/268) respectively.The results showed that drug compliance rate in management group (168/186,90.3% ) was significantly higher than that in the control group ( 26.6%,66/248,P =0.00 ).The rate of blood pressure control in management group (87.1%,162/186 ) was significantly higher than that in the control group (25.8%,64/248,P =0.00).The overall satisfaction (98.9%) in management group was significantly higher than that in the control group (88.7%,P =0.00 ).The results indicate that implementation of the hypertension management in migrant workers improves the health seeking behavior and blood pressure control of patients.
2.Diagnosis and treatment progress on pediatric ocular graft-versus-host disease
Juejing CHEN ; Yinglin LIAO ; Lingyi LIANG
Organ Transplantation 2022;13(2):253-
Ocular graft-versus-host disease is one of the common complications after hematopoietic stem cell transplantation. Dry eye is the main clinical manifestation. Severe complications, such as corneal ulcer perforation and ocular surface failure may occur along with the progression of ocular graft-versus-host disease, which affects the visual acuity and quality of life of the patients. At present, multiple international researches and clinical guidelines for adult ocular graft-versus-host disease have been available. Nevertheless, pediatric ocular graft-versus-host disease has captivated insufficient attention, and relevant basic data and diagnostic criteria are still lacking. Children possess limited capability to express ocular symptoms, and lack of cooperation in clinical examination. In addition, ophthalmologists have insufficient understanding of this disease, which collectively increase the risk of missing diagnosis and misdiagnosis. In this article, the research progress on the pathogenesis, incidence, risk factors, clinical manifestations, diagnosis and treatment of pediatric ocular graft-versus-host disease was reviewed, aiming to provide ideas for strengthening clinical trials and expanding basic research of this disease in children.
3.Application of WeChat combined with team-based learning in the teaching of rehabilitation therapy
Lingyi LIAO ; Lü XUE ; Changyue GAO
Chinese Journal of Medical Education Research 2023;22(9):1365-1368
Objective:To investigate the application effect of WeChat combined with team-based learning (TBL) in the teaching of rehabilitation therapy.Methods:A total of 40 students majoring in rehabilitation therapy who studied in our department were selected and divided into control group and experimental group, with 20 students in each group. The students in the control group received lecture-based learning, and those in the experimental group received WeChat combined with TBL. At the end of training, department examination and satisfaction investigation were performed for all students. SPSS 26.0 was used to perform the t-test and the chi-square test. Results:Compared with the control group, the experimental group had a significantly better score of department examination (74.3±4.9 vs. 62.4±5.2, P<0.001), which was reflected in the three aspects of case analysis (18.3±2.1 vs. 15.2±1.9, P<0.001), clinical practice (19.3±2.1 vs. 14.8±2.4, P<0.001), and doctor-patient communication (17.8±2.4 vs. 14.1±2.4, P<0.001). Compared with the control group, the experimental group had a significantly better total score of satisfaction investigation (79.6±4.8 vs. 71.2±3.5, P<0.001). Conclusion:The teaching method of WeChat combined with TBL can improve the teaching effect of rehabilitation therapy and help to enhance the abilities for case analysis, clinical practice, and doctor-patient communication among students.