1.Expert consensus on the management of auditory hallucinations in inpatients with mental illness
Yanhua QU ; Dongmei XU ; Jing SHAO ; Shan ZHANG ; Mengqian ZHANG ; Jianing GU ; Xiaolu YE ; Feifei LI ; Wei LUO ; Wanting LI ; Li WANG ; Fangzhu SHI ; Xiaoyu FENG ; Qian ZHOU ; Juan ZHAO
Chinese Journal of Practical Nursing 2024;40(14):1080-1090
Objective:To standardize the management of auditory hallucination symptoms in inpatients with mental illness and develop an expert consensus on the management of auditory hallucinations in hospitalized psychiatric patients.Methods:From March 2023 to July 2023, the Mental Health Committee of the Chinese Nursing Association focused on the key issues in the management of auditory hallucinations symptoms in inpatients with mental illness, based on clinical practice, using literature analysis combined with the work experience of mental health experts, and formed the first draft of the expert consensus on the management of auditory hallucinations in inpatients with mental illness (hereinafter referred to as the consensus). Through 3 rounds of expert consultation and 3 rounds of expert demonstration meeting, the draft was adjusted, revised, and improved.Results:37 experts were included in the Delphi expert consultation, 1 male and 36 females with 39-67(51.48 ± 6.61) years old. The positive coefficients of experts in 3 rounds of Delphi expert consultations were all 100%, and the degrees of expert authority were 0.924, 0.938 and 0.949, respectively. The average importance value of each item was higher than 4.00, the variation coefficient of each item was less than 0.25. The Kendall harmony coefficient of the experts were 0.179, 0.195 and 0.198, respectively (all P<0.05). There were 15, 12, 12 experts in the first, seeond, third rounds of expert demonstration meeting. Finally, a consensus was reached on the recommendation of 4 parts, included auditory hallucination assessment, management format, symptom management implementation, and precautions. Conclusions:The consensus covers all parts of the management of auditory hallucination symptoms in hospitalized patients with mental disorders, which is practical and scientific. It is helpful to guide mental health professionals to standardize the management of auditory hallucination symptoms, improve the quality of nursing and ensure the safety of patients.
2.Discussion on the problems and countermeasures of human genetic resource management in the field of stomatology
Lin ZHANG ; Yanhua SHAN ; Mingming XU ; Yan LIU
Chinese Journal of Medical Science Research Management 2024;37(1):14-17
Objective:To analyze the problems in human genetic resource management in the field of stomatology and explore corresponding strategies.Methods:By organizing and analyzing stomatological projects related to the disclosure of information on human genetic resources by the Ministry of Science and Technology, combined with literature analysis and interviews with research management leaders, the problems in human genetic resource management in stomatological institutions were summarized and management strategies were proposed.Results:61 projects were approved for the utilization of human genetic resources in the field of stomatology, showing an increasing trend year by year. Among them, 43 projects were approved by stomatological institutions as the team leader unit; There are problems in the management of human genetic resources in stomatological institutions, such as insufficient resource development and utilization, urgent development of biological sample banks, and incomplete resource sharing mechanisms. The interview results show that the management of human genetic resources needs to be improved, and the management departments and professional management personnel, system construction, and training need to be strengthened.Conclusions:Stomatological colleges and institutions should comprehensively coordinate the management of human genetic resources, establish a sound management system, strengthen the construction of biological sample banks, expand shared resources through multiple channels, fully utilize human genetic resources for research, and promote the high-quality development of stomatology.
3.Analysis of constipation status and influencing factors in patients with lung cancer during postoperative hospitalization
Heling ZHOU ; Yanhua JIANG ; Chuanmei WU ; Yanli CHEN ; Qiuyue TANG ; Shan LUO ; Yaqin WANG ; Jia LIAO ; Xing WEI ; Zhen DAI ; Wei DAI ; Qiuling SHI
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery 2023;30(10):1402-1406
Objective To investigate the current status of constipation during postoperative hospitalization and the factors associated with moderate to severe constipation at discharge in lung cancer patients. Methods Lung cancer patients who underwent surgery in 6 tertiary hospitals in Sichuan Province from November 2017 to January 2020 were enrolled. The MD Anderson Symptom Scale-Lung Cancer Module was used to collect postoperative constipation scores. Unconditional logistic stepwise regression was used to analyze the related influencing factors for moderate to severe constipation on the day of discharge. Results Finally 337 patients were collected. There were 171 males and 166 females, with an average age of 55.0±10.3 years. Constipation scores of lung cancer patients increased from postoperative day 1 to day 3, and showed a decreasing trend from day 3 to day 7. Moderate to severe constipation was present in 68 (20.2%) patients at discharge. The postoperative hospital stay (OR=0.743, P<0.001) and the dose of morphine used during postoperative hospitalization (OR=1.002, P=0.015) were influencing factors for moderate to severe constipation at discharge in lung cancer patients. Conclusion Lung cancer patients have the most severe constipation on postoperative day 3. Moderate to severe constipation at discharge is associated with the postoperative hospital stay and the dose of morphine used during postoperative hospitalization.
4.The funding system of American dentist scientist and its enlightenment
Lin ZHANG ; Yan LIU ; Mingming XU ; Yanhua SHAN
Chinese Journal of Medical Science Research Management 2022;35(3):205-211
Objective:To provide reference for the cultivation of stomatologist scientists in China by comparison and learning from the development of dental scientist training funding system in the United States.Methods:The development, training funding system and evaluation system of dental scientists in the United States were analyzed through literature review, and compared with the training of dental scientists in Chinese context.Results:The training of American dental scientists started early, and the funding system covered the whole process of dental students' learning and career choice; tailored measurements were adopted to deal with challenges and difficulties during the training process. On the other hand, the training of stomatologist scientists in China started late, the methods are diverse but uneven. In this paper, it is proposed to enhance the training by strengthening the construction of the training and funding system of stomatologist scientists, encouraging the collaboration between professional societies and colleges and universities, establishing specific funds and balancing the weight of clinical and scientific research in the teaching system.Conclusions:The funding system for the training of dental scientists in the United States can be used as a reference for optimizing the training of dental scientists in China.
5.Analysis of NSFC funding in Stomatology from 2010 to 2019
Xiaoxia LI ; Jingyu TIAN ; Yanhua SHAN ; Xinyu TIAN
Chinese Journal of Medical Science Research Management 2022;35(5):350-357
Objective:To analyze the basic research projects in stomatology funded by the National Natural Science Foundation of China(NSFC) in the past 10 years, providing references for the development of Stomatology.Methods:This article collected information on NSFC-funded projects in Stomatology from 2010 to 2019, including title, year, project type, discipline code, funded institutions, keywords, etc., and conducted a multi-dimensional analysis.Results:In the past 10 years, NSFC funded 2 821 projects in the field of Stomatology, with funding of 1 229.44 million yuan, increasing year by year. The funding covered 116 sub-disciplines, with oral cancer and periodontal disease as the key funding areas. The funded institutions and regions were relatively concentrated. The research theme took stem cells and signaling pathways as the core, and multiple fields were gradually cross-integrated.Conclusions:NSFC′s long-term and continuous funding promoted the development of Stomatology, resulting in increasing diversity and convergence of research directions. At the same time, it is suggested that institutions develop policies based on their characteristics, NFSC provides balanced funding for different branches of disciplines, and underdeveloped areas strengthen cooperation and exchange, thereby further improving the overall research level of Stomatology.
6.Set up Administration Research Fund to help the hospital in high quality development: An analysis of a hospital′s administration research fund project situation
Daiying SONG ; Mingliang WANG ; Guotao LI ; Mian WANG ; Yanhua SHAN
Chinese Journal of Medical Science Research Management 2022;35(6):428-433
Objective:To study the role of the Administration Research Fund in promoting the high-quality development of hospitals.Methods:This study conducted a comprehensive analysis of all projects funded by the Administration Research Fund in terms of the quantity of applying and granting, the specialties or the fields involved, the heads of projects, the outputs of the projects, and the trends and characteristics of the selected topics, further, analyzed and evaluated the role played by the projects in promoting hospital development through questionnaires and in-depth interviews.Results:Since the establishment of the fund, a total of 113 projects have been funded (204 have been declared). Encompassing a wide range of professions or fields. More than 80% of the project leaders were from administrative departments, showing the characteristics of high education and youthfulness.Conclusions:The Administration Research Fund reached its goal at the time of establishment and formed a stable influence. The selection of project topics revolved around the aspects of continuous improvement in hospital development and presented a certain pattern, which can promote the growth of management cadres and is one of the important ways to promote hospital development. It is recommended to further improve the quality of administration research projects by strengthening the whole process of management, setting up project guidelines, and improving the review mechanism.
7.Validation of bioelectrical impedance analysis in measuring body composition of children aged from 3 to 6
Junting LIU ; Gongshu LIU ; Yanhua WU ; Xinying SHAN ; Hong CHENG ; Jie MI
Chinese Journal of Applied Clinical Pediatrics 2021;36(2):104-108
Objective:To examine the concordance between bioelectrical impedance analysis (BIA) and dual energy X-ray absorptiometry (DXA) in determining body composition of children aged between 3 and 6.Methods:A total of 230 children aged 3-6 from a kindergarten in Jinnan, Tianjin were enrolled in this study from November 16 th to December 8 th, 2017.The soft lean mass (SLM) and the body fat mass (BFM) of the children were measured by using BIA and DXA.The children were divided into several groups by sex, age and body mass index (BMI). The consistency of the body composition results between BIA and DXA in each group was analyzed. Results:The SLM and BFM assessed by BIA were significantly correlated with those measured by DXA ( R2=0.951, 0.947, all P<0.001). The Bland-Altman plots suggested that the SLM measured by BIA was 0.70 kg(95% CI: -1.78-0.38) higher in that by DXA, and the BFM measured by BIA was 1.36 kg (95% CI: 0.19-2.52) lower in that by DXA.A similar trend could be seen in children stratified by age, sex and BMI.The SLM of boys and girls measured by BIA was 0.57 kg (95% CI: -1.63-0.49) and 0.84 kg (95% CI: -1.88-0.20) higher than those by DXA, respectively.The BFM of boys and girls measured by BIA was 1.23 kg (95% CI: 0.11-2.36) and 1.49 kg (95% CI: 0.34-2.64) lower than that by DXA, respectively.The SLM measured by BIA was 0.67 kg (95% CI: -1.74-0.41), 0.76 kg (95% CI: -1.65-0.13), 0.69 kg (95% CI: -1.85-0.47) and 0.67 kg (95% CI: -1.75-0.41) higher than those by DXA in the 3 to 6-year-old groups, respectively.The BFM measured BIA was 1.09 kg (95% CI: -0.12-2.30), 1.44 kg (95% CI: 0.60-2.28), 1.39 kg (95% CI: 0.15-2.64)and 1.43 kg(95% CI: 0.38-2.48)lower than that by DXA in the 3 to 6-year-old groups, respectively.Moreover, the smallest difference of the SLM and BFM were observed between BIA and DXA in the obese child.The SLM deviation between BIA and DXA was estimated within ± 0.39 kg and the BFM deviation was within ± 0.93 kg. Conclusions:There is high consistency between BIA and DXA in the assessment of the SLM and BFM of children aged from 3 to 6.
8.A historical review of dental education and practice qualification in modern China
Yanhua SHAN ; Qi CHEN ; Daqing ZHANG
Chinese Journal of Stomatology 2021;56(7):687-692
A series of regulations and policies for Dental Practitioner Qualification were issued during modern times (1906-1949) in China from local to national levels, in which the certification for qualification had been largely based on dental education and training experiences. The present article reviews the evolution and progression of dental practitioner qualification management, as well as its relationship to dental education before 1949, which may hopefully provide a historical background for the development of modern dentistry and enhance the understanding of the current management process for dental practitioner qualifications in China.
9.Establishment of Beijing National Medical School Faculty of Dentistry
Daiying SONG ; Mian WANG ; Guotao LI ; Haimiao YU ; Yanhua SHAN
Chinese Journal of Stomatology 2021;56(11):1115-1119
The Beijing National Medical School Faculty of Dentistry was established in 1943. This article reviewed the files preserved in Beijing Municipal Archices and presented the early background of the establishment including the approval process, formulation of teaching plans and design of the curriculums. These historical records provide us with thought-provoking insights into the evolution of the stomatological discipline and subsequent development of various sub-disciplines, as well as the educational ideals embedded.
10.Comparative analysis of scientific research competitiveness between Chinese and foreign colleges of dentistry based on Scopus and Scival
Xiaoxia LI ; Lei SUN ; Yanhua SHAN ; Xinyu TIAN ; Shumei YIN
Chinese Journal of Medical Science Research Management 2020;33(1):24-28
Objective Through the comparative analysis of the scientific research performance among different dental institutions,to understand the current situation of scientific research development at Peking University School of Stomatology,identify the advantages and disadvantages.Methods Using Scopus and Scival tools,five dental institutes at home and abroad were selected as the target institutions,parallel comparison of the research output,research influence and research development were conducted and analyzed.Results The research output of Peking University School of Stomatology and West China School of Stomatology is absolutely dominant.Peking University School of Stomatology is at a disadvantage in terms of research impact and development indicators such as Field-Weighted Citation Impact (FWCI),Outputs in Top10 % Citation Percentiles,Citation per Publication,and International Collaboration.In the distribution of dentistry,there is a big gap between Field-Weighted Citation Impact (FWCI) of different institutions.Conclusions The research strength of Peking University School of Stomatology is weak either in the whole or in the subdivision of dentistry,based on this,further measures and suggestions are put forward to provide reference for scientific development strategies.

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