1.Clinical study on improve blood glucose levels in diabetic patients and medication compliance method
Shunqun LI ; Guoyuan YAO ; Jie YAN
China Medical Equipment 2014;(4):100-102,103
Objective:To study the effect of family nursing on improving the compliance of drug using and blood glucose levels in diabetic patients.Methods: diabetic patients were collected and randomly divided into observation group received family nursing intervention and control group given usual care, general condition of patients were collected and single factor analysis and multi-factor were conducted. Then medication compliance and blood glucose levels were observed. Results: compliance has positive correlation with cultural level, medical expenses, relationship between doctors and patients, the disease and drug knowledge, family income and negative correlated with reduced physical activity; observation group FBG, PBG, and HbA1c level of observation group were significantly lower than control group, cases of good drug compliance was more than control group.Conclusion: nursing home care can effectively improve the diabetes medication compliance and blood glucose level.
2.Expression of urokinase-type plasminogen activator (uPA) and vascular endothelial growth factor (VEGF) in esophageal cancer and their influence to tumor angiogenesis
Jiantao JIANG ; Bin ZHOU ; Shunqun ZHANG ; Shaomin LI ; Wei ZHANG ; Jin ZHANG ; Zhe QIAO ; Ranran KONG ; Yuefeng MA
Cancer Research and Clinic 2011;23(6):372-375
Objective To investigate the expression and influence to tumor angiogenesis of urokinase-type plasminogen activator (uPA) and vascular endothelial growth factor (VEGF) in esophageal carcinoma. Methods The expression of uPA and VEGF in the tissue of normal (18 cases) and esophageal carcinoma (68 cases) were evaluated by SP immunohistochemistry, CD34 was detected as marking tumor microvessel density (MVD). uPA and VEGF expression were assessed as to the pathologically biological features of esophageal cancer and to the influence to tumor angiogenesis. Results The positive rates of uPA were 27.8 % (5/18) and 70.6 % (48/68) in the tissue of normal and esophageal carcinoma, respectively, there was significant difference in two tissues (x2 =11.63, P <0.05). The positive rates of VEGF were 22.2 % (4/18)and 63.2 % (43/68) in the tissue of normal and esophageal carcinoma, respectively, there was significant difference in two eissues (x2 =9.78, P <0.05). The expressions of uPA and VEGF in esophageal carcinoma were uniformity (x2 =9.72, P <0.05). The mean of MVD was 42.38±11.62. The positive rates of uPA and VEGF were higher in the high MVD group than those in the low MVD group (x2 =6.13, P <0.05, x2 =10.12, P <0.05,respectively). uPA and VEGF expressions in malignant tumors weren' t associated with age, gender and pathological types (P >0.05), but associated with clinical stage, histologic grading and lymph node metastasis (P <0.05). Conclusion Rising expression levels of uPA and VEGF are common in esophageal carcinoma. Altered expression of uPA and VEGF may contribute to tumor angiogenesis of esophageal carcinoma, whose overexpression indicate worse prognosis.