Adolescent ; Arrhythmias, Cardiac ; etiology ; Child ; Child, Preschool ; Echocardiography ; Heart Neoplasms ; diagnosis ; epidemiology ; etiology ; physiopathology ; Humans ; Incidence ; Infant ; Infant, Newborn ; Rhabdomyoma ; diagnosis ; epidemiology ; etiology ; physiopathology ; Risk Factors ; Tuberous Sclerosis ; complications ; diagnosis ; epidemiology

Objective To study the reliability and validity of the Chinese version of AKT(the Apnea Knowledge Test).Methods The AKT was tested in a sample of 91 middle aged and elderly patients with obstructive sleep apnea and hypopnea syndrome and the AKT was retested in 30 of them after 1 month.Results Cronbach's alpha reliability coefficient was 0.76.Retest correlation coefficient was 0.96.There was significant difference between test and retest.Item analysis indicated that there was significant difference in most items between higher scores group and lower one except the fourth item.Conclusions AKT has satisfying reliability and validity which is suitable for evaluation of sleep apnea knowledge.

Objective To explore the cognitive changes of patients with MCI using the Montreal Cognitive Assessment(MOCA) for elderly preliminarily.Methods 85 normal controls (NC),117 subjects with mild cognitive impairment (MCI) and 73 patients with Alzheimer's disease (AD) were assessed with the MOCA.Results There were significant differences among the three groups in all items of MOCA(F=258.66,P＜0.01).Significant differences were observed in almost all the sub-tests between MCI group and NC group or MCI group and AD group(visuopatial F=54.86,P＜0.01;naming F=17.30,P＜0.01;attention F=82.50,P＜0.01;language F=25,88,P＜0.01;abstraction F=15.00 ,P＜0.01;delayed recall F=130.49,P＜0.01;orientation F=176.09,P＜0.01.).The most significant differences were found in delayed recall and orientation among three groups(F=176.09,P＜0.01;F=130.49,P＜0.01.).At 26 cut-point,The results of screening of the MOCA agree with the gold standard of clinical diagnose for the patient with MCI.The agreement rate for observation was 0.93.The agreement rate by chance was 0.61.The Kappa was 0.85.Conclusions The MOCA appropriately define MCI,NC and AD in their cognitive function,it has good discriminant validity.The test of delayed recall and orientation may be more sensitive in the detection of the older people.The MOCA is a useful screening instrument for the patient with MCI.

Objective To investigate the incidence of pain for the.elderly with dementia in our country.Methods The Chinese version of Doloplus-2 was used to assess pain in 103 patients with dementia.Results One or more specific diseases may cause pain in 94 patients,degeneration of bone and joint top of the list;69 patients with pain score geater than or equal to 5 points,the incidence of pain as much as 67% .Older persons in different age groups the incidence of pain is different,with the age increased the incidence of pain increased;different older age groups pain scores had no significant difference.Conclusion Pain in patients with dementia should be of great importance to the medical staff and give full play to the nursing staff in pain management.

To improve the vocational nursing students' interest in learning physiology,‘four modernizations' teaching method was preliminarily explored in physiology teaching practice.‘Four modernizations' referred to the teaching by using multimedia.Using this method,we can simplify complex issues,inspire students' curiosity and thirst for knowledge,combine with real life,make abstract problem specific,mobilize students' initiative,contact with clinical practice,visualize theoretical issues,strengthen the importance and understanding and make moderate expansion so that professional skills and practicality of nursing can be emphasized.

Objective To evaluate the impact of family intervention on the quality of life in the patients after total laryngectomy and their family members. Methods Family intervention was implemented for the patients after total laryngectomy and their family members from 2008 to 2009,and only patients received intervention from 2005 to 2007. The patients and their family members were investigated with Quality of Life Instrument for Cancer Patients-Head and Neck Cancer (QLICP-HN) and Quality of Life Scale-Family Version (QOL Scale-FAMILY) respectively when the patients were admitted to hospital and one year after discharged. Results The quality of life in patients after total laryngectomy and their family members was significantly improved after family intervention was implemented (P<0.05). Conclusion Family intervention is practicable and helpful to improve the quality of life in patients after total laryngectomy and their family members.

Objective To explore the application effect of laparoscopic resection of colorectal cancer in elderly patients.Methods 220 patients with colorectal cancer were selected and divided into the study group and the control group,ll0 cases in each group.The patients of the control group were treated with abdominal surgery.The patients of the study group were given laparoscopic surgery.The operative time,blood loss,anal exhaust time,postoperative hospital stay,and postoperative complications,pull tube time of the two groups were compared.Results The operative time of the study group was (245.4 ± 23.2) min,which was significantly longer than (214.8 ± 25.1) min of the control group(t =8.759,P =0.026) ; The blood loss,anal exhaust time,postoperative hospital stay,time to pull the tube of the study group were (175.3 ± 18.4)mL,(2.1 ±0.5)d,(13.2 ±0.1)d and (1.2 ±0.3) d,respectively,which were significantly better than those of the control group(t =9.041,9.757,8.969,8.704,P =0.025,0.023,0.027,0.028) ;The incidence rate of complication of the study group was 14.5％,which was significantly lower than 24.5％ of the control group(x2 =11.704,P =0.019).Conclusion Laparoscopic resection of colorectal cancer had better effect,and it can lower blood loss,shorter hospital stays,and has fewer complications.

OBJECTIVE:To introduce the experience of application and report for accreditation of drug clinical trial institution qualification of our hospital,to provide a reference for other hospitals. METHODS:From the building of institution,drug clinical trial ethics committee,clinical trials of listed drugs,simulated qualification accreditation,and other aspects,the experience and key points of application and report for accreditation of drug clinical trial qualification of our hospital were summed up. RESULTS& CONCLUSIONS:Priority should be given to staffing(particularly the leaders of the institution),the installation of software and hardware (for system development,training,institution office and specialized department),and the building of ethics committee. Departments should share work experience of clinical trials of listed drugs and set up a self-inspection group to simulate qualifica-tion accreditation. Work procedures and methods of qualification accreditation should be clearly understood,the requirements of Good Clinical Practice,the standards for qualification accreditation,should be known well;Good Clinical Practice should be seri-ously implemented and the subjects’rights and interests should be protected,which will contribute to the successful completion of application and report for qualification accreditation.

Objective To study the difference on personality characteristics between childhood patients with psoriasis and healthy children. Methods Forty seven children (7-15 years old) suffering from psoriasis served as patient group, and fifty two healthy students (7-15 years old) served as normal control group. The personality character of all the children in both groups were assessed by Eysenck personality questionnaire for children (EPQ-C), and the T scores of EPQ were then compared between the two groups. Results The N scores (represent psychoneurotic tendency of the subjects) of patients with psoriasis were significantly higher than that of normal controls (t=4.624, P0.05). The E scores (represent extro-introverted tendency of the subjects) of the children in patient group was lower than that in control group, but no significant difference was found between girls and boys in the patient group. Significantly more children with introversive-unsteady personality were found in patient group (25.5%) than in control group (7.7%, ?2=5.798, P

Objective To investigate the clinical application of ALT detection based on microtiter plate kinetic method in the au‐tomatic enzyme immunoassay system .Methods By beference to the IFCC recommended kinetic method ,microtiter plate kinetic method was established in the automatic enzyme immunoassay system of ALT detection .The linear ,intro‐batch and inter‐batch du‐plicability of the method were evaluated .ALT test results of 823 samples with microtiter plate kinetic method and automatic bio‐chemistry analyzer method were compared .Results Microtiter plate kinetic method had good linearity where ALT activity <303 U/L ,the intra batch and inter batch variation coefficients < 1/5TEa .The detection results of the clinical samples were correlated with the biochemical analyzer .Conclusion Microtiter plate kinetic method to detection ALT in the automatic enzyme immunoassay system is an ideal method for simultaneous detection of ALT and ELISA in large batch samples ,which is worth popularizing .