Objective To evaluate the incidence of aortic valve calcification,and the correlation between valve function and commonly encountered disease in the aged patients.Methods Totally 996 patients who underwent ultrasonic cardiography (UCG) in our hospital were included.They were divide into elderly group and non elderly group,and the elderly group was divided into calcification subgroup and non calcification subgroup.The calcification,stenosis and regurgitation of aortic valve were detected by UCG,and risk factors of calcification were evaluated by Logistic regression analysis.Results The incidence of calcification was higher in elderly group than in non elderly group [71.8％ (526/733) vs.14.6％ (34/233),x2＝237.10,P＜0.01].In elderly group,the incidence of aortic valve stenosis was 2.1％ (11/526) in calcification subgroup and 1.9％ (4/207) in non calcification subgroup (x2＝0.81,P＞0.05).In elderly group,the incidence of aortic valve regurgitation was 63.3％ (333/526) in calcification subgroup and 19.3％ (40/207) in non calcification subgroup (x2＝116.10,P＜0.01).The hazard ratio of aortic valve calcification in different diseases were as follows:hypertension (OR＝2.06,95％CI:1.400-3.031),coronary heart disease (OR＝3.46,95％CI:2.217-5.384),diabetes mellitus (OR ＝ 2.66,95％CI:1.652-4.278),renal dysfunction (OR＝ 2.34,95％ CI:1.415-3.869),osteoporosis (OR＝ 2.33,95％CI:1.119-4.838).Conclusions The incidence of calcification,mainly causing aortic valve regurgitation,is high in elderly patients.Patients with hypertension,coronary heart disease,diabetes mellitus,renal dysfunction and osteoporosis are prone to the development of aortic valve calcification.

Objective To explore the nursing occupational quality and ability of school-based curriculum development and practice and improve the comprehensive quality of nurses continually. Methods We surveyed and set up development leading group, wrote outline and teaching design, compiled school-based teaching materials and organized teaching activities. Results In 2010, students in Grade Three had to chose this course as compulsory course. Over the four years since developed the nursing course of ‘Occupational quality and competence’, 378 students (94. 5%) of the total 400 students participated in study believed this course was necessary to set up. Conclusions While build the high nursing education course system, it is feasible, practical and necessary to develop and improve the nurses′quality and competence by the course. Therefore, it is suggested to promote this course in different level nursing education of hospital schools.

Objective:To develop and analyze the predictive value of a combined predictive model based on the lower limb skin mottling score (SMS) for the outcome of sepsis patients admitted to ICU.Methods:Using a multicenter prospective, observational study, 458 patients admitted to six ICUs in 4 grade A tertiary hospitals in Fujian Province from March 1, 2019 to December 31, 2019 with first diagnosis of sepsis were selected as study subjects. Demographic data, clinical biochemical indexes, lower limb SMS, Sequential Organ Failure Assessment (SOFA), and Acute Physiology and Chronic Health EvaluationⅡ(APACHEⅡ) were collected. Binary Logistic regression was used to analyze the outcome of patients with sepsis after admission to ICU, a joint prediction model was constructed, ROC curves were drawn, and a comparison of the predictive efficacy of the lower limb SMS and the joint prediction model was performed.Results:Logistic multifactorial regression analysis showed that lower limb SMS, SOFA score, APACHEⅡscore, lactate, mean arterial pressure were the influencing factors of outcome of patients with sepsis after admission to ICU (all P<0.05). The area under the curve of lower limb SMS predicted ICU outcome risk was 0.718 (95% CI 0.675-0.959, P<0.001) with the sensitivity of 51.96% and specificity of 85.11%. The area under the curve of predictive ability of the combined model based on the lower limb SMS for ICU outcome of sepsis patients was 0.835 (95% CI 0.762-0.878, P<0.01) with the sensitivity of 81.40% and specificity of 73.00%, the difference was significant ( P<0.05). Conclusions:The combined prediction model based on lower limb SMS can more accurately predict the prognosis of sepsis patients after admission to ICU, which can be a new nursing assessment tool for nurses to evaluate the prognosis of sepsis patients and help nurses to make more accurate clinical care decisions and reduce the morbidity and mortality rate.

OBJECTIVE: ABO genotyping for forensic identification by oligonucleotide chip. METHODS: Oligonucleotide microarrays which could detect 3 different SNPs in exon 6 and exon 7 for ABO genotyping were used. Population studies on ABO was carried out in a sample of 115 unrelated Chinese Han individuals. The method was also applied to cases. RESULTS: The technique could identify 6 genotypes of ABO system. According to the results of population studies, no significant deviations from Hardy-Weinberg equilibrium could be found. The observed and expected heterozygosities were 0.591 and 0.616 respectively. The polymorphic information content was 0.544. The average exclusion probabilities in buos and trios was 0.188 and 0.344 respectively. The discrimination power is 0.777. CONCLUSION The data and case application demonstrated that ABO typing by oligonucleotide probe arrays was a useful technique for paternity testing and individual identification.
ABO Blood-Group System/genetics* ; Blood Stains ; DNA/blood* ; DNA Primers ; Female ; Forensic Medicine ; Genotype ; Hair/chemistry* ; Humans ; Oligonucleotide Array Sequence Analysis

Objective To investigate the current status of self-perceived burden and mindfulness of chronic obstructive pulmonary disease (COPD) patients and to explore the effect of mindfulness on patients' self-perceived burden. Methods From October 2016 to April 2017, a total of 276 patients with COPD were selected from a ClassⅢ Grade A hospital in Harbin by convenience sampling. The general information questionnaire, Five Facet Mindfulness Questionnaire (FFMQ), Self-Perceived Burden Scale (SPBS) were used to investigate the patients. Pearson correlation and multiple linear regression were used to analyze the effect of mindfulness on self-perceived burden. Results The score of self-perceived burden of COPD patients was (33.34±6.54) with a medium level. The score of mindfulness was (129.87±25.78). Pearson correlation showed the scores of dimensions and the total score of mindfulness except for the dimension of observation among COPD patients were negatively correlated with the self-perceived burden (P<0.05). Multiple linear regression revealed that three dimensions, mindfulness description, mindfulness action and no judging, entered the regression equation which were the influencing factors of self-perceived burden (P<0.05). Conclusions COPD patients commonly have self-perceived burden with different degrees which influenced by mindfulness. Health care providers could improve patients' mindfulness by reasonable intervention so as to reduce their self-perceived burden.