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Objective:To provide reference for solving relevant problems in China and conducting in-depth research in this field by learning the research hotspots, ideas, and methods regarding physician remuneration abroad.Methods:Themes of " Physician" and " Remuneration" were used, to retrieve English literature from the Web of Science core set database collected from 2012 to 2022. After a descriptive analysis of the journals distribution of valid literature, the researchers made a co-word analysis and chose high-frequency keywords, followed by a cluster analysis of the keywords to summarize hot topics in the field of physician remuneration research abroad.Results:From 2012 to 2022, 379 representative and relevant papers were included, and a total of 91 papers were published in the top 10 journals, then top 30 keywords of 8-41 times frequency were intercepted. The research summarized 4 main research directions in the field by cluster analysis, namely macro healthcare policies and physicians′ remuneration, as well as the presentation, cause and impact of wage gap, the remuneration design and physicians′ attitude and behavior, the industry payment and information disclosure.Conclusions:How to better evaluate the value of physicians′ work and pay them scientifically and reasonably is key to the study. Chinese researchers are expected to further explore physician remuneration in terms of macro policy level, payment technology design and remuneration management level, as well as individual behavior and attitude level.
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This study evaluated the scientific nature and effectiveness of iterative optimization of prevention and control measures for local outbreaks caused by the BA.2 and BA.5.2 COVID-19 strains in Fujian Province in 2022,to provide a scientif-ic basis for responding to future new or recurrent respiratory infectious diseases.According to the theory of infectious disease dynamics,relevant information regarding the local epidemic situation caused by the BA.2 sub-type Omicron virus strain in March 2022 and BA.5.2 sub-type Omicron virus strain in October 2022 in Fujian Province was collected.The susceptible exposed infectious removed(SEIAR)model of COVID-19 infection with a latent period and asymptomatic infected persons was used to analyze the transmission dynam-ics of two local epidemic situations,and evaluate the preven-tion and control effects.The incubation period of the BA.2 epidemic was 3 days(1～9 days),the intergenerational inter-val was 3 days(1～5 days),and the initial Rt was 3.0(95％CI:2.7～3.3).The incubation period of the BA.5.2 epidemic was 2 days(1～6 days),the intergenerational interval was 1 day(0～2 days),and the initial R,was 1.9(95％CI:1.7～2.1).The fittingresults for the BA.2 and BA.5.2 epidemics were good,and no statistical difference was observed between the predic-ted and actual numbers of cases(x2BA.2=31.53,x2BA.5.2=27.88,P＞0.05).If an emergency response had not been initiated,the BA.2 epidemic would have continued to spread andpeak on April 7th,with an estimated 638 035 cases.The BA.5.2 epidemic would have rapidly spread,reaching a peak on November 14th,with an estimated 685 940 cases.If one incubation period were detected early,the scale of the BA.2 epidemic would have decreased by 25.73％;if two incubation periods were detected early,the scale would have decreased by 79.56％,and if one incubation period had been delayed,the scale would have expanded by 13.72％.If one incubation period had been detected early in the BA.5.2 epidemic,the scale would have decreased by 35.04％;if two incubation periods had been detected early,the scale would have decreased by 92.47％;and if one incubation period had been delayed,the scale would have increased by 19.75％.The guiding ideology,and the prevention and control measures for handling two local epidemics were optimized and iterated.Our study indicated that implementing the"four early"measures ef-fectively decreased the scale of the epidemic,and earlier detection was associated with more significant control effects.This study provides valuable information for the prevention and control of new or recurrent respiratory infectious diseases.
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Objective:To make a quantitative analysis of the policy tools which is related to the public hospital compensation policy text to reveal the characteristics of different stages in the policy and the use of the policy tools.Methods:Content analysis was performed to construct a two-dimensional framework of"tools(X-dimension)-phases(Y-dimension)",and analyze the use of public hospital compensation policy tools.Results:From the Y-dimension,the use of public hospital compensation policy tools in different stages shows the characteristics of differentiation and diversification.However,according to the X-dimension,there is uneven development rate and poor combination structure of public hospital compensation policy tools.And partial policy sub-tools are seriously missing,and failed to complement each other.On this basis,policy suggestions are put forward:optimize the combination of various policy tools,innovate the means of demand-based policy tools,and make up for the shortcomings of supply-based policy tools.Optimize the combination of various policy tools,innovate the means of demand-based policy tools,and make up for the shortcomings of supply-based policy tools.
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Objective To observe the effect of 5G enabled intelligent virtual reality(VR)technology in the intervention of patients with delirium in intensive care unit(ICU),and to provide theoretical reference for the development of delirium prevention and management measures in ICU.Methods A total of 84 cases of critically ill patients admitted to the ICU of Zhejiang Cancer Hospital from October 2022 to October 2023 were selected as the study objects.All patients were divided into control group and experimental group according to different intervention methods,with 42 cases in each group.The patients in the control group received routine sedation and analgesia intervention,while the patients in the experimental group received intervention based on 5G enabled intelligent VR.The self-rating anxiety scale(SAS)was used to assess patients' anxiety.The Sleep quality of ICU patients was assessed by Richards-Campbell sleep questionnaire(RCSQ).The confusion assessment method(CAM)was used to assess the degree of delirium in ICU patients.The differences of SAS score,RCSQ score(sleep depth score,sleep difficulty score,wake frequency score,sleep back difficulty score,overall sleep quality score)and CAM score between the two groups were compared.Results Before intervention,there were no significant differences in SAS score,RCSQ score(sleep depth score,sleep difficulty score,wake frequency score,sleep back difficulty score,overall sleep quality score)and CAM score between the two groups(all P>0.05).After intervention,the SAS scores and CAM scores in both groups were significantly lower than before intervention,after the intervention,the changes of SAS score and CAM score of the experimental group were more obvious than those of the control group(SAS score:32.36±3.74 vs.52.29±4.14,CAM score:2.25±0.44 vs.6.37±1.05,both P<0.05).After the intervention,RCSQ scores of the experimental group(sleep depth scores,sleep difficulty scores,wake frequency scores,sleep back difficulty score,and overall sleep quality scores)were significantly higher than the control group(sleep depth score:17.13±2.01 vs.10.09±1.14,sleep difficulty score:17.89±1.78 vs.9.45±1.22,wake frequency score:18.20±1.58 vs.10.66±1.09,sleep back difficulty score:17.92±1.83 vs.11.51±1.55,overall sleep quality score:18.45±1.41 vs.10.24±1.18,all P<0.05).Conclusion 5G enabled intelligent VR technology can alleviate anxiety,improve sleep quality and relieve delirium in ICU patients,which is worthy of clinical promotion.
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Objective: To analyze the repetitive reporting of hepatitis B in Fujian province during 2016-2020, and provide evidence for the improvement of hepatitis B surveillance. Methods: The reporting cards from the China Information System for Disease Control and Prevention were collected and divided into repetitive reporting cards and non-repetitive reporting cards from the report cards collected according to the valid ID number on the cards, and the proportion of repetitive report cards and related factors were analyzed by using software SAS 9.4. Results: A total of 314 551 hepatitis B reporting cards were submitted in Fujian from 2016 to 2020, in which 90.93% (286 020/314 551) were included in the analysis. The repetitive reporting cards accounted for 10.48% (29 982/286 020). The annual proportion of the repetitive reporting cards from 2016 to 2020 was between 2.98% and 3.71%, showing an overall increasing trend year by year (Z=2.26, P=0.024). The proportions of the repetitive reporting cards in 1-5 years were 3.17%, 5.40%, 7.74%, 9.27% and 10.48%, respectively, showing an increase trend with year (Z=128.16, P<0.001). The proportions of the repetitive reporting cards in 10 areas of Fujian ranged from 5.44% to 13.48% with significant difference (χ2=2 050.41, P<0.001) and increased with the increase of reported incidence of hepatitis B (Z=26.92, P<0.001). There were significant differences in relationships between repetitive reporting proportion and sex, age and type of the cases between the areas with high incidence and low incidence of hepatitis B. Conclusions: The reported incidence of hepatitis B was seriously affected by the repetitive reporting in Fujian from 2016 to 2020. A cross-year and cross-area surveillance mechanism for hepatitis B should be established and targeted measures should be taken to strengthen the control of the repetitive reporting and improve the surveillance for hepatitis B.
الموضوعات
Humans , China/epidemiology , Data Collection , Hepatitis B/epidemiology , Incidence , Softwareالملخص
Objective The aim is to analyze the spatial epidemiological characteristics for human infection with avian influenza H7N9 in Fujian Province, so as to provide scientific evidence for developing and adjusting related control strategies. Methods The epidemiological data of human infection with H7N9 avian influenza in Fujian Province, from 2013 to 2017 was analyzed by SAS 9.2, ArcGIS 10.3 and SaTScan 9.4 software.Results There were a total of 108 cases and 28 deaths reported in Fujian Province, up to December 31, 2017. The case fatality rate was 25.93%.96.30% of cases were sporadic. There were more incidences in winters and springs, more incidences in rural areas. The global spatial autocorrelation and high/low clustering analysis indicated that clusters at the county level were in the shore areas (Z=3.74, P<0.001; Z=5.26, P<0.001). The cities of Changle, Fuqing, Jinjiang and Siming were the high-high clustered areas and local hot-points. There were two clusters, from December 2014 to March 2015, the most likely cluster regions was centered around Zhangpu County with a radius of 63.04 km (RR=4.72, LLR=11.41, P<0.001). The secondary cluster regions was centered around Fuqing City with a radius of 81.98 km (RR=4.07, LLR=7.96, P=0.037). Conclusions Human infection with avian influenza H7N9 in Fujian Province is spatially and temporally clustered. The measures of prevention and control should be focused on high incidence seasons and key regions, and the surveillance of etiology should be strengthened.
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Objective: To carry out comparative study on energy respond characteristics of 4 kinds of medical diagnostic X-ray dosimeters that included general new imported equipment and domestic equipment.Methods: In the standard radiation field of secondary standard dosimetry laboratory(SSDL)of IAEA,substitution method was adopted to complete contrast measurement of 10 kinds of X-ray diagnosis radiations which voltage were 60-150 kV,tube current were 10 mA and 2.5 mmAl was used as filterable addition.Results: The results of energy respond performances of domestic RD-98 diagnosis dosimeter and imported dosimeter indicated that all of these responses of different energy to dose were within ±5％when X-ray range was 6-150 kV.Conclusion: The energy response characteristics of 4 kinds of new diagnosis X-ray dosimeter were better,and the response of different energy to dose conforms to the requirement of IEC in diagnosis dosimeters of semiconductor detector and air ionization chamber.
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In order to investigate the pathogens associated with a clustered event of fever occurred in a kindergarten in Fuzhou,Fujian Province,samples were collected from pediatric cases in the kindergarten and screened for various possible viral agents by real-time PCR.Of 10 respiratory specimens,7 were positive of human adenovirus (HAdV).The positive samples were inoculated into HEp-2 cell-lines for viral isolation.The PCR products of the hypervariable regions of Hexon gene were sequenced,followed by BLAST searches for viral type identification.In comparison with the strains prevalent in domestic or abroad in recent years,the deduced amino acid sequences showed no amino acid mutation in the hypervariable regions of Hexon.Combined with clinical manifestation and field epidemiological data,human adenovirus type 7 could be confirmed as the pathogen linked to the clustered event.
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<p><b>OBJECTIVE</b>To study the expression of transforming growth factor-β1 (TGF-β1) and plasminogen activator inhibitor-1 (PAI-1) and its significance in premature infants with bronchopulmonary dysplasia (BPD).</p><p><b>METHODS</b>A retrospective analysis was performed on the clinical data of 96 very low birth weight infants (gestational age of ≤ 32 weeks) who survived for more than 28 days and were admitted to the Neonatal Intensive Care Unit between January 2010 and December 2012. These subjects were divided into BPD group (n=21) and non-BPD group (n=75). The expression of TGF-β1 and PAI-1 in blood was measured by ELISA.</p><p><b>RESULTS</b>The levels of TGF-β1 and PAI-1 in the BPD group increased gradually from the 7th day to the 14th day and then to the 21st day after birth, and were significantly higher than in the non-BPD group at all time points (P<0.01). The TGF-β1 and PAI-1 levels in the non-BPD group on the 7th, 14th, and 21st days after birth were not significantly different from each other (P>0.05).</p><p><b>CONCLUSIONS</b>The expression of TGF-β1 and PAI-1 in blood is elevated in premature infants with BPD, which may be associated with the development of BPD.</p>
الموضوعات
Female , Humans , Infant, Newborn , Male , Bronchopulmonary Dysplasia , Metabolism , Enzyme-Linked Immunosorbent Assay , Infant, Premature , Plasminogen Activator Inhibitor 1 , Blood , Retrospective Studies , Transforming Growth Factor beta1 , Bloodالملخص
<p><b>OBJECTIVE</b>To evaluate the infectivity of severe acute respiratory syndrome (SARS) during its incubation period by investigating chains of transmission and individuals isolated for medical observation with a view to providing scientific evidence for updating protocols of medical isolation.</p><p><b>METHODS</b>Individuals related with the two SARS chains of transmission in Beijing in 2003 and a group of individuals isolated for medical observation in Haidian district of Beijing during the SARS outbreak were selected as subjects of study. Contactors with SARS patients and those with symptom development following the contacts were investigated via questionnaire. Serum samples were collected from super transmitters and tested for SARS-CoV antibody by neutralization test and enzyme linked immunosorbent assay (ELISA).</p><p><b>RESULTS</b>A total of 1112 contactors were investigated in three surveys. Of them, 669 had a history of close contact with symptomatic SARS patients, 101 developed symptoms with a rate of 15.1%, 363 had a history of close contact with patients in their incubation period, none of whom developed symptoms (0%). Serum samples were collected from 32 highly-exposed individuals, of whom 13 developing SARS symptoms after contact had serum samples positive for SARS-CoV antibody. Samples collected from the asymptomatic contactors were all negative for SARS-CoV antibody.</p><p><b>CONCLUSION</b>SARS cases are infectious only during their symptomatic period and are non-infectious during the incubation period. Isolation for medical observation should be placed for individuals who are in close contact with symptomatic SARS patients. The results of our study are of decisive significance for the Ministry of Health to the definition of SARS close contactor.</p>
الموضوعات
Humans , China , Epidemiology , Disease Outbreaks , Infectious Disease Incubation Period , Severe acute respiratory syndrome-related coronavirus , Physiology , Severe Acute Respiratory Syndrome , Epidemiology , Virologyالملخص
<p><b>OBJECTIVE</b>To investigate the value of microsurgical reconstruction of the tongue after hemiglossectomy with lateral arm free flaps in the treatment of tongue cancer.</p><p><b>METHODS</b>From October 2006 to April 2007, ten patients underwent simultaneous reconstruction of the tongue and oral floor defects with lateral arm free flaps after resection of squamous cell carcinoma of tongue in our hospital. The flaps ranged from 8 cm x 5 cm to 9 cm x 6 cm in size, and were adjusted to the defect of the tongue. The vascular pedicle included the posterior radial collateral artery and the accompanying veins. The outcome of reconstruction was evaluated by follow-up examinations, including the contour and mobility of the reconstructed tongue, the swallowing function and the speech function.</p><p><b>RESULTS</b>All patients recovered uneventfully from surgery, without any major postoperative complications. The transplanted flaps survived. During follow-up period the contour of the reconstructed tongues was satisfactory. The patients demonstrated good functional mobility of the reconstructed and remaining tongue. Postoperatively, the swallowing and speech function was nearly at normal levels and the patients could ingest a solid or semisolid diet.</p><p><b>CONCLUSIONS</b>Microvascular reconstruction of the tongue with lateral arm free flaps after hemiglossectomy is an ideal and safe method, but long term results need to be further studied.</p>
الموضوعات
Adult , Female , Humans , Male , Middle Aged , Arm , Carcinoma, Squamous Cell , General Surgery , Plastic Surgery Procedures , Methods , Skin Transplantation , Surgical Flaps , Tongue , General Surgery , Tongue Neoplasms , General Surgery , Treatment Outcomeالملخص
Objeetive To study the public health emergent events(PHEE)in Fujian province，from 2004 to 2007.Methods Descriptive and analytic methods were Used to analyze the PHEE in Fujian province aecording to the internet.based surveillance reports.Results From 2004 to 2007.there were 304 emergency events being surveyed.Of all the events，there were 7(2.30％)belonged to serious-degree of grade II，57(18.75％)to gradeⅢand 240(78.95％)t0 gradeⅣ，but with no grade I.Results showed that the attack rate in affected population WaS 25.82‰.the mortality rate was 0.08‰and the fatalky rate Was 0.32％.The numbers of emergency events decreased 2.82％on average.each year.A total number of 169(55.60％)events occurred in schools with 71(23.36％)in the countryside.Numbers due to infectious disease-born Was 233(76.64％)including avian flu，cholera and dengue fever were predominant pathogens of the grade II and grade emergency events.57(18.75％)of the events was due to food poisoning.The epi.garph showed that there were two peaks.I.e.in Mar-Apr and Sep.contributed 43.1％to the total number of events.Conclusion Emergency events showed a stable decrease in FujJan province with communicable disease and food poisoning the two major sources and more commonly seen in schools and countryside.We suggest that the government and community pay more attention to the emergency events of avian flu,cholera and dengue fever.
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<p><b>OBJECTIVE</b>To investigate the clinical application of free forearm flap in the functional hemitongue reconstruction.</p><p><b>METHODS</b>From July 2002 to November 2006, 40 patients with tongue cancer underwent hemiglossectomy and primary hemitongue reconstruction with free forearm flaps. In some cases, the lateral antebrachial cutaneous nerves of the flaps were anastomosed with the lingual nerve to restore the flap sensation.</p><p><b>RESULTS</b>All patients recovered uneventfully after surgery with no morbidity in the donor site. All free flaps survived. The average follow-up period was 2 years and 6 months. The aesthetic and functional results were both satisfactory. The swallowing and speech function were almost normal. The flap sensation was partially restored.</p><p><b>CONCLUSIONS</b>Good functional hemitongue reconstruction can be achieved with free forearm flaps.</p>
الموضوعات
Adult , Aged , Female , Humans , Male , Middle Aged , Forearm , General Surgery , Muscle, Skeletal , Transplantation , Oral Surgical Procedures , Plastic Surgery Procedures , Methods , Skin Transplantation , Surgical Flaps , Tongue Neoplasms , General Surgeryالملخص
<p><b>OBJECTIVE</b>To compare clinical therapeutic effects of abdominal acupuncture and traditional acupuncture on cervical spondylosis (CS).</p><p><b>METHODS</b>Sixty-two cases of neck or nerve-root type CS were randomly divided into an observation group (n=32) treated by abdominal acupuncture at Zhongwan (CV 12), Guanyuan (CV 4) and others, and a control group (n=30) treated by traditional acupuncture at Fengchi (GB 20) and cervical Jiaji (EX-B 2), etc.. Simplified McGill Pain Questionnaire (MPQ) and clinical therapeutic effects were served as the objective indexes. Their clinical therapeutic effects were compared after the first session of treatment, at the end of therapeutic course and 3 months after the end of treatment.</p><p><b>RESULTS</b>The two groups had a same effective rate of 100.0%. All items of MPQ in these two groups after treatment and 3 months after the end of treatment significantly improved, and in the observation group the differences in the PRI feeling score before and after the first treatment, and the difference of the total PRI scores after the first treatment, at the end of therapeutic course and 3 months after the end of treatment significantly improved as compared with the control group (P < 0.05).</p><p><b>CONCLUSION</b>Abdominal acupuncture can better reduce the pain of the patient caused by CS, with transient pain-alleviating effect, but whether or not the clinical therapeutic effect of abdominal acupuncture is better than the traditional acupuncture still can not be proved.</p>
الموضوعات
Adult , Aged , Female , Humans , Male , Middle Aged , Abdomen , Acupuncture Therapy , Methods , Cervical Vertebrae , Medicine, Chinese Traditional , Spinal Osteophytosis , Therapeuticsالملخص
Mucopolysaccharidosis type I (MPS-I) is an inborn error of metabolism with progressive multisystem involvement. Hurler syndrome is the most severe form of MPS-I that causes progressive deterioration of the central nervous system with ensuing death. This study reported the therapeutic effect of allogeneic hematopoietic stem cell transplantation (allo-HSCT) on Hurler syndrome in one case. The patient was a 25-month-old boy. He underwent allo-HSCT. The donor was his elder sister whose HLA-B locus was not matching. The reduced-intensity of BuCy conditioning regimen in allo-HSCT for this patient was as follows: busulfan 3.7 mg/kg daily at 9 to 6 days before transplantation, cyclophosphamide 42.8 mg/kg daily at 5 to 2 days before transplantation, and rabbit antithymocyte globulin 3.5 mg/kg daily at 1, 3, 5, and 7 days before transplantation. Human granulocyte colony-stimulating factor (G-CSF)-mobilized peripheral blood stem cells (CD34+ cells 12.8 x10(6)/kg) were infused and cyclosporine (CSA), short-course methotrexate, daclizumab and mycophenolate mofetil (MMF) were administered to prevent graft-versus-host disease (GVHD). Complete donor-type engraftment was confirmed by Short Tandem Repeat-Polymerase Chain Reaction (STR-PCR) on day 14 after transplantation. Neutrophil and platelet engraftment occurred on days 11 and 19 after transplantation respectively. Only grade I regimen-related toxicity of live and gastrointestinal tract occurred. GVHD and graft failure were not observed. After transplantation, the clinical symptoms and the neurocognitive function were greatly improved in this patient. It was concluded that allo-HSCT was effective for the treatment of MPS-I. The reduced-intensity conditioning regimen was helpful to decrease the regimen-related toxicity. Sufficient immunosuppressive therapy and adequate hematopoietic stem cells infusion may be beneficial to the donor cell engraftment and reducing the incidence of graft failure and GVHD.
الموضوعات
Child, Preschool , Humans , Male , Follow-Up Studies , Graft vs Host Disease , Hematopoietic Stem Cell Transplantation , Mucopolysaccharidosis I , Therapeutics , Transplantation, Homologousالملخص
<p><b>OBJECTIVE</b>To observe the effects of iron and phosphorus on Microcystis physiological reactions.</p><p><b>METHODS</b>The experimental conditions were chosen as the light dark cycles of 16 h 8 h, 12 h 12 h, and 8 h 16 h. The cell change of morphology and life history, cell number, cell color, and cell area of Microcystis were analyzed quantitatively. According to the resource competition and Monod equation, Microcystis kinetics of phosphorus and iron were also examined.</p><p><b>RESULTS</b>The longer light time caused more special cell division, slower growth rate, and easier change of bigger cell area. The color of alga was changed from green to brown. Ks and micromax of phosphorus absorption were 0.0352 mircomol x L(-l) and 0.493 d(-1), respectively. Those of iron absorption were 0.00323 micromol x L(-1) and 0.483 d(-1).</p><p><b>CONCLUSION</b>Microcystis bloom is more dominant than other algae.</p>
الموضوعات
Iron , Physiology , Light , Microcystis , Metabolism , Phosphorus , Physiologyالملخص
<p><b>OBJECTIVE</b>To understand the timeliness of the notifiable communicable diseases surveillance system in Fujian province.</p><p><b>METHODS</b>Database from the internet based communicable diseases reporting system was used.</p><p><b>RESULTS</b>The 50th percentile of time between the disease diagnosed and report recorded in medical faculties was 1 day in 2004 which was 6 days less than that in 2001 - 2003. The timeliness rate of 0 day was 46.46%, a 2.7 times over that in 2001 - 2003. The timeliness of notifiable communicable diseases surveillance system in different administrative areas, reporting units and on different diseases was significantly different. Time between the disease diagnosed and report recorded was the shortest in those cases reported by hospitals and traditional Chinese medicine(TCM) hospitals at the county level and above, with 50th percentile as 0 day, but the timeliness rate of 0 day was 50.76% with 70.04% of the cases were reported from hospitals and TCM hospitals of county level and above. Length between the disease diagnosed and reported was the longest in those cases recorded by Centers for Disease Control and Prevention(CDCs) with the 50th percentile as 3 days. The source of cases recorded by CDCs came from hospitals at the township level, where there was no connection to internet but the reporting cards had to be sent to local CDCs. Time between the disease being diagnosed and reported was 2 days in those cases reported by hospitals at the township level. 21.21% of cases were recorded by hospitals of township level and CDCs. The 50th percentile of time shown between the reported records and confirmed by CDCs was 4 hours The 24 hour timeliness rate was 63.65%.</p><p><b>CONCLUSION</b>The timeliness of the notifiable communicable diseases surveillance system had been improved significantly after the medical personnel recording the cases directly through internet. Timeliness could be further improved through access to internet at the hospitals of township level, training of staff and better hospital management systems.</p>
الموضوعات
China , Epidemiology , Communicable Diseases , Epidemiology , Databases, Factual , Disease Notification , Methods , Hospitals , Internet , Time Factorsالملخص
<p><b>OBJECTIVE</b>To compare clinical therapeutic effects of phased integral acupuncture and routine acupuncture on patients with cerebral infarction.</p><p><b>METHODS</b>One hundred and thirteen cases were randomly divided into a treatment group (n = 63) treated by phased integral acupuncture and a control group (n = 50) treated by routine acupuncture. Their clinical therapeutic effects were compared after treatment.</p><p><b>RESULTS</b>The treatment group in the decreases of both the diagnostic score for TCM diseases of stroke and the score for neurological function defect, and the therapeutic effect was superior to the control group with significant differences (all P < 0.05).</p><p><b>CONCLUSION</b>The phased integral acupuncture is an effective therapy with a therapeutic effect better than that of the routine acupuncture for treatment of hemiplegia due to cerebral infarction.</p>
الموضوعات
Humans , Acupuncture Therapy , Cerebral Infarction , Hemiplegia , Therapeutics , Research Design , Stroke , Therapeuticsالملخص
In order to determine the involvement of CALM-AF10 fusion transcripted in primary leukaemias with t(10;11) and its chemotherapy sensitivity in vitro, the AF10-CALM fusion transcripts were detected by reverse transcription-polymerase chain reaction (RT-PCR), and the chemotherapy sensitivity testing in vitro was undergone by MTT assay in five t(10;11) leukemia samples from patients with ALL, AML and lymphoblastic lymphoma. The results showed that five different-sized AF10-CALM product and four different-sized CALM-AF10 products were detected. The chemotherapy sensitivity of leukemic cells with t(10;11) in vitro to drugs is lower than that of leukemic cells without t(10;11). 3 out of 5 cases of t(10;11) leukemia were sensitive to chemotherapeutic drugs, while 31 out of 36 cases of leukemia without t(10;11) were sensitive at same condition. There were significant differences (P < 0.01), consistent with clinical features of patients. Apoptosis rate of leukemic cells with t(10;11) induced by chemotherapeutic drugs was lower than that of leukemic cells without t(10;11), (16.37 +/- 2.56)%, and (33.75 +/- 5.59)%, respectively (P < 0.01). It is concluded that the CALM-AF10 fusion transcripts are a common features and are involved in the pathogenesis of haematological malignancies with t(10;11), and are associated with a poor prognosis.
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Humans , Antineoplastic Agents , Pharmacology , Cell Survival , Chromosomes, Human, Pair 10 , Genetics , Chromosomes, Human, Pair 11 , Genetics , Leukemia , Genetics , Pathology , Oncogene Proteins, Fusion , Genetics , Reverse Transcriptase Polymerase Chain Reaction , Transcriptional Activation , Translocation, Genetic , Tumor Cells, Culturedالملخص
This article reviews the editorial work in publishing Journal of Guangzhou University of Traditional Chinese Medicine (TCM) in the past 20 years, which includes the background when the Journal was first published, its characteristics and achievements. It is believed that TCM characteristics, advanced academic content and standardization of edition are the three important principles in publishing the Journal. It is sticking to these principles that the Journal has increased its communicating efficacy and its academic impact.