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Objective:To investigate the incidence of venous thromboembolic disease (VTE) in urological inpatients during perioperation.Methods:The clinical data of 7 988 inpatients admitted to the Department of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology from January to December 2019 were analyzed retrospectively. The cohort included 5 657 males and 2 331 females. The average age of the enrolled patients was (56.3±15.8) years old, and the body mass index was (23.8±3.2) kg/m 2. There were 1 628 malignant tumors patients and 6 360 non-malignant tumors patients in the cohort. Of all the patients, 7 725 cases received surgical treatment. All patients were scored with the Caprini Risk Assessment Model (2005) after admission and 1 655 cases were classified as very low risk, 2 940 cases were low risk, 2 922 cases were medium risk, 345 cases were high risk and 126 cases were very high risk. Patients with Caprini score ≥ 2 and/or clinical symptoms were examined by venous color Doppler ultrasound. CT pulmonary angiography was performed for patients with chest pain, chest tightness, decreased blood oxygen saturation and other symptoms suspected of pulmonary embolism according to clinical judgment to screen the incidence of VTE. Results:Among the 7 988 cases, 180 cases (2.25%, 180/7 988) with VTE were found by preoperative examination, including 1 case (0.01%, 1/7 988) with pulmonary embolism. There were 199 new cases with VTE after operation, and the incidence of new VTE after operation was 2.58% (199/7 725). Among them, pulmonary embolism was found in 7 cases, with a incidence of 0.09% (7/7 725). Only 7.92% (30/379) of the VTE patients had VTE-related symptoms. The operations with higher incidence of VTE were radical cystectomy, nephroureterectomy, radical prostatectomy and radical nephrectomy, with the incidence of 11.61% (13/112), 10.87 (10/92), 8.25% (16/194) and 6.16% (22/357) respectively.Conclusions:The incidence of VTE in hospitalized patients with urinary surgery in this study is much higher than previously reported. Most of the patients with VTE are asymptomatic. The operations with high incidence of VTE after operation are radical cystectomy, nephroureterectomy, radical prostatectomy and radical nephrectomy. Therefore, it is necessary to carry out VTE screening for hospitalized patients in urology department, which is helpful to realize early intervention of VTE and reduce the risk of VTE progression and pulmonary embolism.
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Objective To explore job satisfaction of nurses in the pediatric department and the influential factors.Methods Four hundred and fifty four nurses from children’s hospital in Guangzhou involved the study.The Minnesota Satisfaction Questionnaire Short-Form(MSQ20)was used to measure their satisfaction.Results The score on job satisfaction was 70.41±9.28,with the inner satisfaction(3.62±0.45),the extrinsic satisfaction(3.30±0.60)and general satisfaction(3.52±0.46).Salary was one of the important factors affecting job satisfaction.Conclusions The job satisfaction of the nurses of pediatric departments or hospitals can be improved by raising their salary level and benefits and improving their educational level.
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Objectlve To explore the strategies and results of transportation between hospitals for neonates under mechanical ventilation. Methods From January 2006 to December 2007,medical records of 213 newborn infants under meghanical ventilation transported to Guangzhou Women and Children's Medical Center,Guangzhou Children's Hospiml from other hospitals were reviewed.Emergent events,complications and relative managements and prognosis during the transportation were analyzed. Results No patients died during the transportation,giving a rate of Success of 100%.Before transportation,11 babies received sedatives and 157 were transported with indwelling gastric tube.During transportation,three cases required temporary parking for some emergency,and relieved after proper management.One case was due to dislocation of the tracheal tube,one due to cardiac arrest and one due to the tracheal tube block.After transportation,195 patients(91.6%) were fully recovered,11(5.2%) failed to receive any treatment,7(3.3%) died. Conclusiom Skilled doctors and nurses,full preparation before transportation and close monitoring and prompt and proper management during the transportation are essential for successful transportation of newborns under mechanical ventilation.
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OBJECTIVE:To determine the content of ?-aminobutyric acid in Rhizoma Pinelliae Praeparatum.METHO-DS:In alkaline condition,amino acids reacted with phenyl isothiocyanate and resulted in the derivatives of benzene isothiocyanate-amino acid complex.A Venusil-AA amino acid analysis column(250 mm?4.6 mm,5 ?m)was used and the absorbance at 248 nm was measured.The mobile phase A is 0.05 mol?L-1 sodium acetate solution(pH6.5)and the mobile phase B consisted of acetonitrile-water(80∶20).RESULTS:The linear range of ?-aminobutyric acid was from 2.056 ?g?mL-1 to 12.336 ?g?mL-1,and the recovery was 99.0%(RSD=0.92,n=6).CONCLUSION:This method is simple,accurate and reproducible,and it can be used for quality control of Rhizoma Pinelliae Praeparatum.