1.Factors associated with length of hospitalization in patients admitted with transient acute transverse myelitis
Clinical Medicine of China 2015;31(12):1096-1098
Objective To evaluate the days of hospitalization of acute transverse myelitis and its influencing factors.Methods File's of 158 patients with acute transverse myelitis as the first diagnosis in Feicheng Mining Centre Hospital were analyzed retrospectively.Access to the original medical records through the medical record number, and supplemented information, mainly including demographic data, neurological function defect degree, complications and complications.Results Hospitalization time was 4-41 d, an average of (17±6) d,including 23 patients hospitalized time ≤ 10 d(14.56%), 83 cases were > 10-<20 d(52.53%), 52 cases was≥20 d(32.91%).Age and Neurological score comparative differences are statistically significant (F=60.90,8.68, P<0.05).Payment method, deep vein thrombosis, comparative differences were statistically significant(x2 =20.04, 14.27, 12.17,9.37,7.05;P<0.05).There were ralationship between acute transverse myelitis with age, neurological score, payment (OR =1.140, 0.500,83.930,0.041;P< 0.005).Conclusion The degree of neurologic impairment is the most important influencing factors of acute transverse myelitis.Controlling hospital infection, preventing deep vein thrombosis, strengthening medical insurance management, are the effective ways to shorten the days of hospitalization of acute transverse myelitis.
2.The importance of carrying out the gene diagnosis for retinoblastoma
Chang-zheng, CHEN ; Xiang-xiang, YU
Chinese Journal of Experimental Ophthalmology 2013;(7):617-620
The progress of modality therapy has improved both survival rate and quality of life of retinoblastoma(RB) patients.However,some problems are still left and unsolved.Parts of the RB relapse after they are treated for the first time.Even more remarkable,the related individuals to the RB patients run a risk of RB.Gene diagnosis and treatment are emerging and appear to solve these problems.Some researches in developed countries and Hong Kong have successfully made progress in gene diagnosis of RB.However,the detection rate of Rb1 gene mutation is very low.Researches documented for many years that gene diagnosis for RB is extremely complex,so we should go further to achieve a goal of gene diagnosis.Gene diagnosis of RB is still an initiation in China.We should strengthen relevant study and spread this technique.
3.Intravitreal triamcinolone acetonide in the treatment of macular edema due to retinal vein occlusion
Meng-Xiang, GUO ; Chang-Xian, YI ; Dao-Man, XIANG
International Eye Science 2010;10(6):1030-1032
·AIM: To evaluate the efficacy and safety of intravitreal triamcinolone acetonide(TA) as treatment for macular edema associated with retinal vein occlusion(RVO).·METHODS: The study group consisting 30 patients (30 eyes) with RVO combined with macular edema received intravitreal 4mg TA. Changes in best-corrected visual acuity (BCVA), intraocular pressure(IOP), examination with slit-lamp microscope, fluorescein angiography and optical coherence tomography(OCT) were observed during the follow-up. Statistical analysis was conducted with SPSS 12.0 software.·RESULTS: The visual acuity(VA) of all patients was significantly improved and the central macular thickness (CMT) was significantly relieved. There was no correlation between course, age, CMT before injection and the type of RVO. There was positive correlation between visual acuity before injection and after injection.·CONCLUSION: Intravitreal injection of TA is an easy-operated and safe therapy. After injection, macular edema can be rapidly relieved. VA at baseline is the predictor for the prognosis of VA. Some patients experience recurrence of macular edema between 3 to 6 months after injection.
5.Geriatric respiratory medicine: a field needs be furthered strengthened.
Chang-ting LIU ; Xiang-qun FANG
Acta Academiae Medicinae Sinicae 2010;32(2):133-135
Respiratory diseases are common in the elderly and often the main causes of death among this population. In addition, it is expected that chronic obstructive pulmonary disease, lower respiratory tract infections, lung cancer, and pulmonary tuberculosis will be listed in the top ten diseases in 2020. Therefore, screening, diagnosis and management of respiratory diseases should be strengthened among the elderly; meanwhile, studies on geriatric respiratory medicine should be further enhanced.
Aged
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Geriatrics
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Humans
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Pulmonary Medicine
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Respiratory Tract Diseases
6.Efficacy of the Rehabilitation Strategy for Inpatients with Schizophrenia
Hao CHEN ; Yanli CHANG ; Yingqian XIANG
Chinese Mental Health Journal 2002;0(12):-
Objective:To explore efficacy of the rehabilitative strategy in hospitalized schizophrenics.Method:Sixty-four schizophrenic patients were randomly divided into the intervention group and the control group.Both groups received the anti-psychotics therapy, but the teamwork education,medication management skills training module, symptom management skills training module were only given to the intervention group for ten weeks. And a one-year follow-up was carried out after their discharge from hospital. All subjects were evaluated with the Positive and Negative Syndrome Scale (PANSS), Nurses` Observation Scale for Inpatient Evaluation-30 (NOSIE-30), Insight and the Attitude to Treatment Scale, Social Disability Screening Schedule (SDSS), Morning Side Scale. We also recorded the relapse rate, reemployment rate, and re-hospitalization rate. Result:The clinical outcome of the intervention group was significantly superior to the control group on overall improvement according to PANSS (31.17?3.13 vs 52.34?13.02,7.34?1.08 vs 12.36?4.28,7.76?2.13 vs 13.26?4.50,16.13?1.82 vs 32.17?9.82 ),increase of active factor score of NOSIE-30 (-18.3?3.2 vs 14.4?6.7),and the reduction of inactive factor score of NOSIE-30(9.4?6.2 vs -22.3?7.4).The relapse rate(9.4% vs 54.8%),re-hospitalization rate(3.2% vs 42%),reemployment rate(37.5% vs 9.6%)were also better in the intervention group.Conclusion:The effect of rehabilitative strategy for schizophrenic patients not only improves the symptom, but also their social function.
9.Development and application of reference materials containing mixed degradation products of amoxicillin and ampicillin.
Wei LI ; Wei-Qing ZHANG ; Xiang LI ; Chang-Qin HU
Acta Pharmaceutica Sinica 2014;49(9):1310-1314
Reference materials containing mixed degradation products of amoxicillin and ampicillin were developed after optimization of preparation processes. The target impurities were obtained by controlled stress testing, and each major component was identified with HPLC-MS and compared with single traceable reference standard each. The developed reference materials were applied to system suitability test for verifying HPLC system performed in accordance with set forth in China Pharmacopeia and identification of major impurities in samples based on retention and spectra information, which have advantages over the methods put forth in foreign pharmacopoeias. The development and application of the reference materials offer an effective way for rapid identification of impurities in chromatograms, and provide references for analyzing source of impurities and evaluation of drug quality.
Amoxicillin
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chemistry
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Ampicillin
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chemistry
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China
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Chromatography, High Pressure Liquid
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Drug Contamination
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Mass Spectrometry
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Reference Standards
10.Effects of bovine colostrum insulin-like growth factor-1 on the blood lipid, the lipid metabolic enzyme, and apolipoproteins of the rats with nephrotic syndrome.
Wei-ling ZHAO ; Zu-xiang MA ; Chang-gang LI
Chinese Journal of Pediatrics 2008;46(4):304-305
Animals
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Apolipoproteins
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blood
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Cattle
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Colostrum
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Esterases
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blood
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Female
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Insulin-Like Growth Factor I
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Lipids
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blood
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Nephrotic Syndrome
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blood
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Pregnancy
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Rats
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Rats, Sprague-Dawley