1.The study of plasma albumin and hemoglobin level on prognosis of patients with severe craniocerebral trauma
Jingang YU ; Shuangfeng YAN ; Hanmin CHEN ; Shengfang LIAO
Chinese Journal of Postgraduates of Medicine 2016;(1):20-23
Objective To investigate the relationship between plasma albumin and hemoglobin(Hb) levels and prognosis in patients with severe craniocerebral trauma. Methods The clinical data of 124 patients with severe craniocerebral trauma form January 2010 to January 2014 were analyzed retrospectively. The relationship between plasma albumin and Hb levels and prognosis were analyzed. Hb level was obtained in 3 days of admission, and then the patients were divided into Hb <90 g/L group, Hb 90-99 g/L group, Hb 100-110 g/L group, Hb >110 g/L group, and also were albumin <25 g/L group, albumin 25-28 g/L, albumin 29-31 g/L group, albumin>31 g/L group according to the mean albumin level. Multifactor Logistic regression analysis was used to analyze the relationship between Hb, albumin levels and prognosis. Results Among 124 patients, 37 patients (29.8%) were given red blood cell (RBC) transfusion, and 28 patients (22.6%) received albumin treatment. The hospital mortality was 20.2% (25/124). The age, scores of Glasgow Coma Scale (GCS) and Acute Physiology and Chronic Health Evaluation Ⅱ (APACHE Ⅱ ), and hospital mortality in different Hb level groups had no significant differences (P>0.05). The age, scores of GCS score and APACHEⅡ score in different albumin level groups had no significant differences (P>0.05), but the hospital mortality in different albumin level groups had significant difference: 31.2%(10/32), 24.2%(8/33), 9.7%(3/31), 14.3%(4/28), P<0.05. Multifactor Logistic regression analysis showed that albumin level was the relevant factor for the severe craniocerebral trauma (P<0.01), the hospital mortality was decreased with the rising of the albumin level, but the risk of death was higher in albumin>31 g/L group than that in albumin 29-31 g/L group. Conclusions 29-31 g/L albumin level is the best for severe craniocerebral trauma patients. There is no significant impact of Hb on the prognosis for severe craniocerebral trauma patients.
2.Clinical effect of blue light irradiation combined with albumin in treatment of neonatal jaundice
Weiwei LI ; Yan LAI ; Shengfang FENG ; Ya LI ; Shanhui HE
Journal of Clinical Medicine in Practice 2017;21(1):94-96
Objective To discuss clinical effect of blue light irradiation combined with albumin in treating neonatal jaundice.Methods A total of 60 cases with neonatal jaundice in our hospital from November 2014 to November 2015 were selected and were randomly divided into observation group and control group,with 30 cases in each group.The observation group was treated with blue light irradiation combined with albumin and the control group was treated with blue light irradiation combined with orally administration of Yinzhihuang granule.The change of serum TBIL,IBIL,TBA,γ-GT,HS-CRP,AKP and FFA before and after treatment and the clinical efficacy between two groups were compared.Results After 3 days of treatment,the total effective rate of the observation group was higher than that of the control group (P < 0.05).After 3 days of treatment,the serum level of TBIL,IBIL,TBA,HS-CRP,AKP,FFA,γ-GT in the two groups were decreased after treatment,and the level of related indicators above in the observation group were lower than that in the control group (P < 0.05).Conclusion Blue light irradiation combined with albumin in treating neonatal jaundice has evident effect.So it is worthy of clinical promotion and application.
3.Research on the Problem and Optimization Strategy of Salary Distribution Mechanism in Public Hospitals Based on Grounded Theory
Xiaoru WANG ; Yibo ZUO ; Shuai JIANG ; Shengfang YAN
Chinese Hospital Management 2024;44(9):58-60
Objective To better mobilize the work motivation of the majority of medical staff and to explore the optimization strategy of the remuneration distribution mechanism in public hospitals.Methods A semi-structured interview was conducted on employees of a large public hospital in Henan Province using purposive sampling method in March 2024.Sort out,code,and integrate interview data based on grounded theory.Results Based on 40 interview materials,44 initial concepts,14 basic categories,6 main categories,and 3 core categories were summarized.A model of pay distribution mechanism in public hospitals based on pay distribution principle,pay distribution structure and pay management system was constructed.Conclusion It is recommended that hospitals ensure the fairness and competitiveness of salary distribution,implement diversified salary policies,and continuously improve the salary distribution structure and supervision and management system.
4.Research on the Problem and Optimization Strategy of Salary Distribution Mechanism in Public Hospitals Based on Grounded Theory
Xiaoru WANG ; Yibo ZUO ; Shuai JIANG ; Shengfang YAN
Chinese Hospital Management 2024;44(9):58-60
Objective To better mobilize the work motivation of the majority of medical staff and to explore the optimization strategy of the remuneration distribution mechanism in public hospitals.Methods A semi-structured interview was conducted on employees of a large public hospital in Henan Province using purposive sampling method in March 2024.Sort out,code,and integrate interview data based on grounded theory.Results Based on 40 interview materials,44 initial concepts,14 basic categories,6 main categories,and 3 core categories were summarized.A model of pay distribution mechanism in public hospitals based on pay distribution principle,pay distribution structure and pay management system was constructed.Conclusion It is recommended that hospitals ensure the fairness and competitiveness of salary distribution,implement diversified salary policies,and continuously improve the salary distribution structure and supervision and management system.
5.Research on the Problem and Optimization Strategy of Salary Distribution Mechanism in Public Hospitals Based on Grounded Theory
Xiaoru WANG ; Yibo ZUO ; Shuai JIANG ; Shengfang YAN
Chinese Hospital Management 2024;44(9):58-60
Objective To better mobilize the work motivation of the majority of medical staff and to explore the optimization strategy of the remuneration distribution mechanism in public hospitals.Methods A semi-structured interview was conducted on employees of a large public hospital in Henan Province using purposive sampling method in March 2024.Sort out,code,and integrate interview data based on grounded theory.Results Based on 40 interview materials,44 initial concepts,14 basic categories,6 main categories,and 3 core categories were summarized.A model of pay distribution mechanism in public hospitals based on pay distribution principle,pay distribution structure and pay management system was constructed.Conclusion It is recommended that hospitals ensure the fairness and competitiveness of salary distribution,implement diversified salary policies,and continuously improve the salary distribution structure and supervision and management system.
6.Research on the Problem and Optimization Strategy of Salary Distribution Mechanism in Public Hospitals Based on Grounded Theory
Xiaoru WANG ; Yibo ZUO ; Shuai JIANG ; Shengfang YAN
Chinese Hospital Management 2024;44(9):58-60
Objective To better mobilize the work motivation of the majority of medical staff and to explore the optimization strategy of the remuneration distribution mechanism in public hospitals.Methods A semi-structured interview was conducted on employees of a large public hospital in Henan Province using purposive sampling method in March 2024.Sort out,code,and integrate interview data based on grounded theory.Results Based on 40 interview materials,44 initial concepts,14 basic categories,6 main categories,and 3 core categories were summarized.A model of pay distribution mechanism in public hospitals based on pay distribution principle,pay distribution structure and pay management system was constructed.Conclusion It is recommended that hospitals ensure the fairness and competitiveness of salary distribution,implement diversified salary policies,and continuously improve the salary distribution structure and supervision and management system.
7.Research on the Problem and Optimization Strategy of Salary Distribution Mechanism in Public Hospitals Based on Grounded Theory
Xiaoru WANG ; Yibo ZUO ; Shuai JIANG ; Shengfang YAN
Chinese Hospital Management 2024;44(9):58-60
Objective To better mobilize the work motivation of the majority of medical staff and to explore the optimization strategy of the remuneration distribution mechanism in public hospitals.Methods A semi-structured interview was conducted on employees of a large public hospital in Henan Province using purposive sampling method in March 2024.Sort out,code,and integrate interview data based on grounded theory.Results Based on 40 interview materials,44 initial concepts,14 basic categories,6 main categories,and 3 core categories were summarized.A model of pay distribution mechanism in public hospitals based on pay distribution principle,pay distribution structure and pay management system was constructed.Conclusion It is recommended that hospitals ensure the fairness and competitiveness of salary distribution,implement diversified salary policies,and continuously improve the salary distribution structure and supervision and management system.
8.Research on the Problem and Optimization Strategy of Salary Distribution Mechanism in Public Hospitals Based on Grounded Theory
Xiaoru WANG ; Yibo ZUO ; Shuai JIANG ; Shengfang YAN
Chinese Hospital Management 2024;44(9):58-60
Objective To better mobilize the work motivation of the majority of medical staff and to explore the optimization strategy of the remuneration distribution mechanism in public hospitals.Methods A semi-structured interview was conducted on employees of a large public hospital in Henan Province using purposive sampling method in March 2024.Sort out,code,and integrate interview data based on grounded theory.Results Based on 40 interview materials,44 initial concepts,14 basic categories,6 main categories,and 3 core categories were summarized.A model of pay distribution mechanism in public hospitals based on pay distribution principle,pay distribution structure and pay management system was constructed.Conclusion It is recommended that hospitals ensure the fairness and competitiveness of salary distribution,implement diversified salary policies,and continuously improve the salary distribution structure and supervision and management system.
9.Research on the Problem and Optimization Strategy of Salary Distribution Mechanism in Public Hospitals Based on Grounded Theory
Xiaoru WANG ; Yibo ZUO ; Shuai JIANG ; Shengfang YAN
Chinese Hospital Management 2024;44(9):58-60
Objective To better mobilize the work motivation of the majority of medical staff and to explore the optimization strategy of the remuneration distribution mechanism in public hospitals.Methods A semi-structured interview was conducted on employees of a large public hospital in Henan Province using purposive sampling method in March 2024.Sort out,code,and integrate interview data based on grounded theory.Results Based on 40 interview materials,44 initial concepts,14 basic categories,6 main categories,and 3 core categories were summarized.A model of pay distribution mechanism in public hospitals based on pay distribution principle,pay distribution structure and pay management system was constructed.Conclusion It is recommended that hospitals ensure the fairness and competitiveness of salary distribution,implement diversified salary policies,and continuously improve the salary distribution structure and supervision and management system.
10.Clinical effect of blue light irradiation combined with albumin in treatment of neonatal jaundice
Weiwei LI ; Yan LAI ; Shengfang FENG ; Ya LI ; Shanhui HE
Journal of Clinical Medicine in Practice 2017;21(1):94-96
Objective To discuss clinical effect of blue light irradiation combined with albumin in treating neonatal jaundice.Methods A total of 60 cases with neonatal jaundice in our hospital from November 2014 to November 2015 were selected and were randomly divided into observation group and control group,with 30 cases in each group.The observation group was treated with blue light irradiation combined with albumin and the control group was treated with blue light irradiation combined with orally administration of Yinzhihuang granule.The change of serum TBIL,IBIL,TBA,γ-GT,HS-CRP,AKP and FFA before and after treatment and the clinical efficacy between two groups were compared.Results After 3 days of treatment,the total effective rate of the observation group was higher than that of the control group (P < 0.05).After 3 days of treatment,the serum level of TBIL,IBIL,TBA,HS-CRP,AKP,FFA,γ-GT in the two groups were decreased after treatment,and the level of related indicators above in the observation group were lower than that in the control group (P < 0.05).Conclusion Blue light irradiation combined with albumin in treating neonatal jaundice has evident effect.So it is worthy of clinical promotion and application.