1.Effect Evaluation of Clinical Pharmacists Participating in the Therapy of Benign Prostatic Hyperplasia
Yanning JIA ; Rui WANG ; Yuanqing BIAN ; Chunxiang ZHANG
China Pharmacy 2021;32(16):2035-2039
OBJECTIVE:To explore the effect of clinical pharmacists participating in the therapy of benign prostatic hyperplasia (BPH),and to provide reference for clinical pharmacists participating in the management of chronic diseases. METHODS:Totally 195 BPH patients ,admitted to urology outpatient department of Nanjing Jiangning Hospital during Jan. 2018 to Nov. 2019,were collected and divided into intervention group (98 cases)and control group (97 cases)according to visiting order. Patients in the control group received routine outpatient service of urology surgery . Clinical pharmacists took the initiative to provide individualized pharmaceutical care for intervention group on the basis of routine service ,which mainly included BPH disease education ,healthy lifestyle guidance ,and guidance on rational drug use. International prostate symptom score (IPSS), quality of life score (QOL),medication adherence and disease progression were compared between 2 groups before intervention and at 2,4,6 and 9 months of follow-up. RESULTS :Because 15 patients in intervention group lost follow-up ,83 cases were included in the intervention group and 97 cases were included in the control group. Before the intervention ,there was no statistical significance in general information ,IPSS,QOL scores and medication adherence between 2 groups(P>0.05). Compared with control group ,IPSS score and QOL score of intervention group were significantly decreased at 2,4,6 and 9 months of follow-up (P<0.001);the proportion of patients with high medication adherence in the intervention group increased significantly (P< 0.001);there was no significant difference in disease progression as urinary tract infection between 2 groups (P>0.05). CONCLUSIONS:The participation of clinical pharmacists in the treatment of BPH can significantly decrease IPSS score and QOL score,and improve medication adherence and therapeutic effect.
2.Impact of Wuhan lockdown on the spread of COVID-19 in China: a study based on the data of population mobility.
Shu LI ; Qinchuan WANG ; Sicong WANG ; Junlin JIA ; Zilong BIAN ; Changzheng YUAN ; Sisi WANG ; Xifeng WU ; Shuyin CAO ; Chen CHEN ; Xiaolin XU ; Yuanqing YE ; Hao LEI ; Wenyuan LI ; Kejia HU
Journal of Zhejiang University. Medical sciences 2021;50(1):61-67
This study aimed to quantitatively assess the effectiveness of the Wuhan lockdown measure on controlling the spread of coronavirus diesase 2019 (COVID-19). : Firstly,estimate the daily new infection rate in Wuhan before January 23,2020 when the city went into lockdown by consulting the data of Wuhan population mobility and the number of cases imported from Wuhan in 217 cities of Mainland China. Then estimate what the daily new infection rate would have been in Wuhan from January 24 to January 30th if the lockdown measure had been delayed for 7 days,assuming that the daily new infection in Wuhan after January 23 increased in a high,moderate and low trend respectively (using exponential, linear and logarithm growth models). Based on that,calculate the number of infection cases imported from Wuhan during this period. Finally,predict the possible impact of 7-day delayed lockdown in Wuhan on the epidemic situation in China using the susceptible-exposed-infectious-removed (SEIR) model. : The daily new infection rate in Wuhan was estimated to be 0.021%,0.026%,0.029%,0.033% and 0.070% respectively from January 19 to January 23. And there were at least 20 066 infection cases in Wuhan by January 23,2020. If Wuhan lockdown measure had been delayed for 7 days,the daily new infection rate on January 30 would have been 0.335% in the exponential growth model,0.129% in the linear growth model,and 0.070% in the logarithm growth model. Correspondingly,there would have been 32 075,24 819 and 20 334 infection cases travelling from Wuhan to other areas of Mainland China,and the number of cumulative confirmed cases as of March 19 in Mainland China would have been 3.3-3.9 times of the officially reported number. Conclusions: Timely taking city-level lockdown measure in Wuhan in the early stage of COVID-19 outbreak is essential in containing the spread of the disease in China.
COVID-19
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China/epidemiology*
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Cities
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Communicable Disease Control
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Humans
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SARS-CoV-2