In order to thoroughly implement the "Guiding Opinions of the General Office of the State Council on Promoting the Construction of a Hierarchical Diagnosis and Treatment System" (Guobanfa 〔2015〕 No. 70), the day care diagnosis and treatment services are taken as the starting point, to promote the realization of separate treatment of acute and chronic diseases, improve the use of medical resources and the efficiency of medical services, save medical insurance funds, reduce the financial burden of patients, and improve the quality of life of patients, so that more patients can receive much-needed treatment. Based on the current situation of day care cancer diagnosis and treatment in China and the existing problems in management mode, system, process, safety management, information construction, etc, multidisciplinary experts synthesized domestic and foreign literature, combined with clinical practice, discussed and revised repeatedly, finally formulated the "Expert consensus on day care cancer diagnosis and treatment in China (2022 edition)". It aims to provide better day care diagnosis and treatment guidance for clinical oncologists, promote the further development of day care cancer diagnosis and treatment in China, improve the effective utilization of social medical resources, and better serve patients, hospitals and society.
China ; Consensus ; Day Care, Medical ; Humans ; Neoplasms/therapy* ; Quality of Life

PURPOSE: The objective of this study was to determine the effects of self-efficacy and depression on the sense of family coherence in both cancer patients and their caregivers using the Actor-Partner Interdependence Model (APIM) analysis.METHODS: A total of 274 patients were registered in the study, including 137 cancer patients who were undergoing chemotherapy in a day care ward and 137 primary caregivers. The data was collected from December 30, 2017 to July 30, 2018. Data were analyzed by the data analysis method using SPSS/WIN 20.0 (SPSS Korea Data Solution Inc) and AMOS 21.0 (SPSS Korea Data Solution Inc).RESULTS: Self-efficacy of cancer patients had a direct effect on patient depression (β=−.24, p=.008). Self-efficacy of primary caregivers also had a direct effect on patient depression (β=−.51, p < .001). Factors significantly affecting cancer patient FSOC were cancer patient self-efficacy (β=.34, p < .001) and cancer patient depression (β=−.42, p < .001). Factors significantly affecting primary caregiver FSOC (Family Sense of Coherence) were cancer patient self-efficacy (β=.13, p=.026) and caregiver depression (β=−.29, p=.008).CONCLUSION: It is thought that self-efficacy and depression should be controlled to improve the family cohesion of cancer patients and their primary caregivers.
Caregivers ; Day Care, Medical ; Depression ; Drug Therapy ; Humans ; Korea ; Methods ; Sense of Coherence ; Statistics as Topic

BACKGROUND: Factors affecting oral function include tooth number, oral muscle strength, and oral diseases. This study aimed to investigate the relationship among oral environment, muscle, and microbiology. METHODS: Fifty-six elderly individuals in a day care center were included in the study. The survey regarding tongue and lip muscle strength and oral microorganisms was conducted from November to December 2018. RESULTS: Tongue and lip muscle strength were greater in men than women (p>0.05). Tongue muscle strength was greater in the ≤80-year-old group (34.94±9.85) than the ≥90-year-old group (25.57±7.54) (p<0.05). Tongue muscle strength and lip muscle strength were greater in the ≥15 functional teeth group (34.08±9.31 and 9.25±1.63, respectively) than in the <15 functional teeth group (28.08±7.53 and 7.76±1.51, respectively) (p<0.05). Age was significantly correlated with functional tooth number, denture use, and tongue muscle strength. The number of functional teeth was positively correlated with tongue muscle strength, lip muscle strength, and oral microorganisms. Denture use was negatively correlated with tongue and lip muscle strength. Tongue muscle strength was significantly correlated with lip muscle strength. The number of Eubacterium nodatum was higher in men than women. The number of Parvimonas micra and Enterococcus faecalis was higher in the groups with ≥15 functional teeth, denture use, and greater tongue and lip muscle strength. The number of Lactobacillus casei was higher in the group that uses dentures and with greater tongue strength. CONCLUSION: Oral microbiology is more important in oral environment and management than oral muscle function. The correlation between oral muscle and oral microorganism requires further study. Therefore, oral care training should be conducted to improve the oral care practice of elderly individuals, maintain oral health through oral care, and prevent the decrease in saliva secretion by aging.
Aged ; Aging ; Day Care, Medical ; Dentures ; Enterococcus faecalis ; Eubacterium ; Female ; Humans ; Lactobacillus casei ; Lip ; Male ; Muscle Strength ; Oral Health ; Oral Hygiene ; Saliva ; Tongue ; Tooth

Acute rhinosinusitis is a common entity in children, most are due to viral infections, however up to over 80% children with rhinosinusitis are prescribed with antibiotics. Acute bacterial sinusitis should be diagnosed in when a child has 1) a severe onset with a fever over 39℃, purulent nasal discharge or facial pain for 3 to 4 days; 2) persistent illness with rhinorrhea, daytime cough or both for over 10 days with no clinical improvement; or 3) worsening course with symptoms aggravating or new onset symptoms including fever, headache, cough or rhinorrhea after clinical improvement. Radiographic imaging is not recommended for differentiation of viral and bacterial rhinosinusitis, however a contrast-enhanced computed tomography or magnetic resonance imaging may be done in cases with orbital or central nervous system complications. Antibiotics may be prescribed in cases with severe onset or worsening course. Antibiotics may be prescribed after additional observation for 3 days in children with persistent illness. Amoxicillin-clavulanate (amoxicillin 40 to 50 mg/kg/day, every 12 hours) is recommended for initial treatment and high dose amoxicillin-clavulanate (amoxicillin 90 mg/kg/day every 12 hours) may be considered in cases with severe infection, children in day care center, under 2 years of age, recent admission history, previous antibiotics within 1 month and immunocompromised children. Clinical response should be reassessed in cases of worsening or failure to improve within 72 hours of treatment.
Anti-Bacterial Agents ; Central Nervous System ; Child ; Cough ; Day Care, Medical ; Diagnosis ; Facial Pain ; Fever ; Headache Disorders, Primary ; Humans ; Magnetic Resonance Imaging ; Orbit ; Sinusitis

The number of papers discussing probiotics increases tremendously that limits the possibility for primary care physicians and clinicians to stay updated. Therefore, the aim of this paper will be to summarize available evidence of probiotic use in well-defined clinical indications of importance for pediatricians. Based on currently available evidence certain probiotic strains (Lactobacillus rhamnosus GG [LGG] and Saccharomyces boulardii) have proven effect in the treatment of acute gastroenteritis and prevention of antibiotic associated diarrhea. Furthermore, LGG was proven to be effective in prevention of nosocomial diarrhea and respiratory tract infection in day care centers. In conclusion, not all probiotic strains have same efficacy for all clinical indications, therefore, only strains with proven efficacy and safety should be recommended.
Bifidobacterium ; Child* ; Day Care, Medical ; Diarrhea ; Gastroenteritis ; Humans ; Lactobacillus ; Physicians, Primary Care ; Probiotics* ; Respiratory Tract Infections ; Saccharomyces

BACKGROUND: The transrectal ultrasound-guided prostate biopsy (TRUS-PBx) is one of the most common procedures among day care center based urologic procedures. Our aim was to determine if pretreatment with meperidine could improve the quality of anesthesia in patients undergoing deep sedation for TRUS-PBx. METHODS: Sixty male patients (30–80 years; American Society of Anesthesiologists physical status class I or II) scheduled for TRUS-PBx were allocated randomly into two groups. After pretreatment with normal saline (Group C) or intravenous (i.v.) meperidine 0.5 mg/kg (Group M), sedation was induced with i.v. propofol 1.5 mg/kg. Additional doses of i.v. propofol 0.5 mg/kg were administered upon patient movement. During the procedure, hemodynamic variables, patient movement, and the bispectral index were measured. After the procedure, the mean modified observer's assessment of alertness/sedation score (MOASS), postprocedural pain, side effects, and patient satisfaction were evaluated. RESULTS: During the procedure, patient movement was not significantly different between the two groups, but Group M required a significantly lower total propofol dose compared to that of Group C (P = 0.036). After the procedure, the MOASS was comparable between the two groups (P = 0.055), but Group M patients experienced significantly less postprocedural pain (P = 0.012), lower systolic and diastolic blood pressure at 45 (P = 0.044 and P = 0.014) and 60 minutes (P < 0.001 and P = 0.006), and lower incidence of tenesmus than Group C (P = 0.020). CONCLUSIONS: Meperidine can be used as a safe, effective analgesic with deep sedation for patients undergoing TRUS-PBx.
Anesthesia ; Biopsy* ; Blood Pressure ; Day Care, Medical ; Deep Sedation* ; Double-Blind Method* ; Hemodynamics ; Humans ; Incidence ; Male ; Meperidine* ; Patient Satisfaction ; Propofol ; Prostate*

PURPOSE: This study aims to verify the effects of the Group Motivational Interviewing Compliance Therapy on drug attitude, medicine application self-efficacy and medicine application in psychiatric patients. METHODS: This was a quasi-experimental study with a non-equivalent control group pre-posttest design. Participants were 43 patients (22 in experimental group and 21 in control group) who were registered at neuro-psychiatric day care center in one university hospital, S city. The experimental group received the Group Motivational Interviewing Compliance Therapy for 6 sessions over 6 weeks. Data were collected between November, 2014 and September, 2016. Comparison of the pre-post results was performed by paired t-test and between-group effect was analyzed by ANCOVA with the SPSS/WIN 23.0 program. RESULTS: The experimental group had a significant increase in drug attitude compared to the control group. However, there was no significant difference in medicine application self-efficacy and medicine application between the two groups. CONCLUSION: The Group Motivational Interviewing Compliance Therapy is suggested as a promising program that helps psychiatric patients improve drug attitude. Further studies are needed to confirm the effects of the Group Motivational Interviewing Compliance Therapy.
Compliance* ; Day Care, Medical ; Humans ; Medication Adherence ; Motivational Interviewing* ; Non-Randomized Controlled Trials as Topic

PURPOSE: The purposes of this study were to investigate daycare teachers'knowledge, anxiety and management of childhood fever and to identify factors affecting their management of childhood fever. METHODS: A descriptive correlation study was conducted. Participants were 109 daycare center teachers from G metropolitan city. A self-administered questionnaire was used for data collection. RESULTS: The mean percent of correct answers for knowledge about childhood fever was 42.9%. Levels of anxiety related to children's fever were high among day care teachers in this study. Many daycare center teachers used management practices which were not recommended for childhood fever management. There was a statistically significant difference in participants' knowledge about childhood fever by marital status and having a child. Moreover, there were statistically significant positive correlation between daycare center teachers' knowledge and management and negative correlation between daycare center teachers' anxiety and management of childhood fever. Knowledge and anxiety related to childhood fever accounted for 15.2% of variance for fever management. CONCLUSION: Results show that day care teachers' knowledge and anxiety related to fever are important factors in predicting their fever management. Development and evaluation of educational interventions to improve daycare teachers' childhood fever management are recommended.
Anxiety ; Child ; Child Day Care Centers ; Data Collection ; Day Care, Medical ; Evidence-Based Practice ; Fever* ; Humans ; Marital Status ; Statistics as Topic

PURPOSE: The purpose of the study was to identify degrees of parenting stress, parenting efficacy, parenting behavior and parental satisfaction, and to identify factors influencing parenting satisfaction of mothers who had preschool children. METHODS: The research participants were 176 mothers. All of mothers had preschool children, aged 2 to 6 years old, and attended one of 3 day care centers or 2 Kindergartens located in J city. Data were collected by convenience sampling using self-report questionnaires which contained items on general characteristics, parenting stress, parenting efficacy, parenting behavior, and parenting satisfaction. Data were analyzed using descriptive statistics, t-test, ANOVA, correlation, and multiple regression. RESULTS: The average level of parenting satisfaction of mothers with preschool children was 5.38±0.79. Positive parenting behavior and affective parenting efficacy were verified factors influencing parental satisfaction. These factors accounted for 41.4% of parental satisfaction. CONCLUSION: The results indicate that positive parenting behavior and affective parenting efficacy have the biggest impact on parental satisfaction. The results of this study provide the basic data for the development of parental education program aimed at improving parental satisfaction of mothers who have preschool children.
Child, Preschool* ; Day Care, Medical ; Education ; Humans ; Mothers* ; Parenting ; Parents* ; Personal Satisfaction ; Stress, Psychological

BACKGROUND: Financial, clinical, and psychological considerations have made same-day surgery an attractive option for a variety of procedures. This article aimed to analyse the postoperative results of same-day primary unilateral cleft nasolabial repair. METHODS: This study was performed from 2011 to 2014. Unilateral cleft lip patients fulfilling the inclusion criteria were preoperatively classified as mild, moderate, and severe. All patients underwent same-day surgery and were discharged after satisfying the appropriate clinical criteria, receiving thorough counselling, and the establishment of a means of communication by phone. Postoperative outcomes were assessed and stratified according to preoperative severity and the type of repair. RESULTS: A total of 423 primary unilateral cleft lip patients were included. Fisher's anatomical subunit approximation technique was the most common procedure, followed by Noordhoff's technique. The postoperative outcome was good in 89.8% of cases, fair in 9.9% of cases, and poor in 0.2% of cases. The complication rate was 1.18% (n=5), and no instances of mortality were observed. The average hospital stay was 7.5 hours, leading to a cost reduction of 19% in comparison with patients who stayed overnight for observation. CONCLUSIONS: Mild unilateral cleft lip was the most common deformity for which Fisher's anatomical subunit approximation technique was performed in most of the cases, with satisfactory postoperative outcomes. Refinements in the cleft rhinoplasty techniques over the course of the study improved the results regarding cleft nasal symmetry. Single-day primary unilateral cleft cheiloplasty was found to be a cost-effective procedure that did not pose an additional risk of complications.
Cleft Lip ; Congenital Abnormalities ; Day Care, Medical ; Humans ; Length of Stay ; Mortality ; Rhinoplasty