[Impact of different angles of pulmonary surfactant administration on bronchopulmonaryplasia and intracranial hemorrhage in preterm infants: a prospective randomized controlled study]. / ä¸åŒè§’åº¦æ³¨å ¥è‚ºè¡¨é¢æ´»æ€§ç‰©è´¨å¯¹æ—©äº§å„¿æ”¯æ°”ç®¡è‚ºå‘è‚²ä¸è‰¯å’Œé¢ å† å‡ºè¡€çš„å½±å“ï¼šä¸€é¡¹å‰çž»æ€§éšæœºå¯¹ç §ç ”ç©¶.

OBJECTIVES: To investigate the effects of different angles of pulmonary surfactant (PS) administration on the incidence of bronchopulmonary dysplasia and intracranial hemorrhage in preterm infants. METHODS: A prospective study was conducted on 146 preterm infants (gestational age <32 weeks) admitted to the Department of Neonatology, Provincial Hospital Affiliated to Anhui Medical University from January 2019 to May 2023. The infants were randomly assigned to different angles for injection of pulmonary surfactant groups: 0° group (34 cases), 30° group (36 cases), 45° group (38 cases), and 60° group (38 cases). Clinical indicators and outcomes were compared among the groups. RESULTS: The oxygenation index was lower in the 60° group compared with the other three groups, with shorter invasive ventilation time and oxygen use time, and a lower incidence of bronchopulmonary dysplasia than the other three groups (P<0.05). The incidence of intracranial hemorrhage was lower in the 60° group compared to the 0° group (P<0.05). The cure rate in the 60° group was higher than that in the 0° group and the 30° group (P<0.05). CONCLUSIONS: The clinical efficacy of injection of pulmonary surfactant at a 60° angle is higher than other angles, reducing the incidence of intracranial hemorrhage and bronchopulmonary dysplasia in preterm infants.

Occupational exposure to blood and body fluids among dental personnel in a Chinese dental hospital.

OBJECTIVE: To determine the prevalence of occupational exposure (OE) occurring to dentists, dental nurses and senior dental students in a Chinese dental hospital and to assess associated factors with these exposures. METHODS: Data were collected through anonymous questionnaires, which were distributed to dentists, nurses, and senior dental students. RESULTS: All 205 dental personnel who voluntarily participated in the survey completed the questionnaire. Up to 71.2% of respondents experienced at least one OE to blood and body fluids (BBF) one year prior to this study. Dentists had a significantly higher incidence of OE than nurses (82.6% verse 60.8%), and a higher incidence of percutaneous injury than students (63.8% versus 41.7%). Sixty-seven percent of exposed dental personnel did not report the incidents and only 4.1% underwent postexposure blood tests. Although 97.6% of respondents wore gloves, more than half the subjects did not use protective goggles or masks during daily dental practice. CONCLUSION: There was a high level of OE and a significant incidence of underreporting among Chinese dental personnel, particularly in dentists. Inadequate use of personal protective equipment and ignorance about postexposure management were of great concern.