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Objective:To investigate the characteristic of mild cognitive impairment (MCI) in the adults aged 48 years and over in a coal mine community, and to analyze its associated risk factors.Methods:From July to October 2019, a questionnaire survey for basic information was conducted among 180 middle-aged and elderly adults who met the inclusion criteria in the Datong coal mine community. The cognitive function was evaluated by Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA). The effects of gender, age, years of education, sleep, living alone, physical exercise, social activities, smoking and drinking status, body mass index and chronic diseases on cognitive level were analyzed by single factor stratification and multiple linear regression.Results:There was no significant difference in the positive rate of MCI screened by MMSE and MoCA in the age groups of 48-<64, 64-<72 and 72-90 (original and corrected P>0.05); The positive rate of MCI in MoCA screening (64.4%, 66.7%, 60.9%) was significantly higher than that in MMSE (35.6%, 45.6%, 28.1%) (all P<0.05); MMSE was positively correlated with MoCA score ( r=0.762, P<0.001). With the increase of age, the scores of memory, execution and visual space detected by MoCA decreased significantly (all P<0.05), while the scores of attention, language and orientation did not change significantly (all P>0.05). Univariate stratification showed that the significant influencing factors of MMSE or MoCA scores were gender, age, years of education and sleep status (all P<0.05). Multiple linear regression analysis showed that gender ( βMMSE=-0.192; βMoCA=-0.140), years of education ( βMMSE=0.209; βMoCA=0.328) and sleep status( βMMSE=-0.162; βMoCA=-0.136) were risk factors affecting MMSE and MoCA scores ( P<0.05). Conclusions:More middle-aged and elderly adults with MCI might be observed in a coal mine community, and the main characteristics of MCI are impaired memory, executive function and visual space. To prevent and reduce the occurrence of dementia, early interventions of MCI should be carried out among the adults with female, old age, low years of education and poor sleep quality.
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Objective:To investigate the correlation between cognitive function and living ability of older adult patients living in a mining community.Methods:A total of 180 older adult patients living in a mining community who received treatment during July-October 2019 were included in this study. They were randomly divided into the low-age group (< 68 years old, n = 94) and the high-age group (≥ 68 years old, n = 86). Cognitive function and living ability were evaluated using the Mini-Mental State Examination (MMSE), The Montreal Cognitive Assessment (MoCA), and the Activity of Daily Living Scale (ADL). The relationship between cognitive function and living ability was investigated using hierarchical analysis and Pearson correlation analysis. Results:The proportions of older adult patients with abnormal cognitive function identified by the MMSE and MoCA were 39.4% and 66.0%, respectively in the low-age group, and they were 32.6% and 61.6%, respectively in the high-age group. The MoCA had a greater performance in identifying abnormal cognitive function in each group than the MMSE ( χ2 = 26.69, 10.18, both P < 0.001). There were no significant differences in proportions of older adult patients with abnormal cognitive function identified by the MMSE and MoCA between low-age and high-age groups ( χ2 = 0.90, 0.36, both P > 0.05). The proportion of older adult patients with abnormal living ability was not significantly different between low-age and high-age groups (4.3% vs. 10.5%, χ2 = 2.58, P > 0.05). Compared with patients negative for MMSE items, living ability and instrumental activity of daily living increased by 7.0% and 9.4% in low-age patients positive for MMSE items (both P < 0.05). Compared with patients negative for MoCA items, living ability increased by 3.5% in low-age patients positive for MoCA items ( P < 0.05). Correlation analysis revealed that total scores of MMSE and MoCA were significantly negatively correlated with ADL score ( r = -0.26, -0.27, both P < 0.001) and instrumental activity of daily living score ( r = -0.27, -0.27, P < 0.001). Conclusion:Cognitive function and living ability are correlated in older adult patients living in a mining community. We should pay attention to the screening results of cognitive disorder in older adult patients and improve their living ability by improving their cognitive function.
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OBJECTIVE： To isolate and identify the coumarins from the seeds of Clausena lansium， and to study their inhibitory activity of α-glucosidase and nematicidal activity against Panagrellus redivivus. METHODS： Column chromatography， reversed phase silica gel column chromatography and HPLC method were used to separate and purify the coumarins from the seeds of C. lansium. The structures of compounds were identified according to physicochemical properties， 1H-NMR and 13C-NMR spectral data. Using acarbose and avermectin as positive control， PNPG and Berman funnel methods were used to investigate the α-glucosidase inhibitory activity and nematicidal activity against P. redivivus， respectively. RESULTS： Seven coumarins compounds were isolated from the seeds of C. lansium， and were identified as 7-hydroxy-1-benzopiran-2-one （Ⅰ）， Wampetin （Ⅱ）， Lansiumarin-C （Ⅲ）， Claucoumarin A （Ⅳ）， Clausenalansimin A （Ⅴ）， （E，E）-8-（7-hydroxy-3，7-dimethylocta-2，5-dienyloxy） psoralen （Ⅵ）， Dihydroindicolactone （Ⅶ）. Under 0.25 mg/mL， the α-glucosidase inhibitory rates of compounds Ⅰ， Ⅲ， Ⅴ were （32.4±1.9）％，（37.1±6.0）％， （39.5±1.1）％， respectively. Under 2.5 mg/mL， corrected mortality of compounds Ⅰ， Ⅳwere 50.5％ and 47.9％. CONCLUSIONS： Compounds Ⅰ， Ⅲ， Ⅴ show α-glucosidase inhibitory activity， and compounds Ⅰ，Ⅳ display nematicidal activity against P. redivivus. α-Glucosidase inhibitory activity of compounds Ⅲ， Ⅴ， and nematicidal activity of compound Ⅳ are found for the first time.
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OBJECTIVE： To analyze the difference of volatile oil components from the leaves of Clausena lansium and Clausena excavata. METHODS： The volatile oil was extracted from the leaves of C. lansium and C. excavata by steam distillation. GC-MS method was adopted to analyze volatile oil to obtain TIC. After mass spectra scanning of the chromatographic peaks in the TIC diagram by HPMSD chemical workstation， chemical components of volatile oil in 2 kinds of samples were identified by retrieving and comparing mass spectrum database NIST Version 1.7. The peak area normalization method was used to calculate the relative mass fraction of each component. RESULTS： A total of 43 and 31 kinds of components were identified in volatile oil from the leaves of C. lansium and C. excavata； total relative mass fractions were 97.59％ and 98.57％. Relative mass fractions of 19 and 18 components in volatile oil from the leaves of C. lansium and C. excavata were more than 1％， mainly being sesquiterpenoids. Relative mass fractions of 7 and 5 components in volatile oil from the leaves of C. lansium and C. excavata were more than 5％； the volatile components in volatile oil from the leaves of C. lansium were mainly （-）-spatol （12.35％） and （E）-5-{（1R，3R，6S）-2，3-dimethyltricyclic [2.2.1.02，6] heptane-3-yl}-2-methyl pentane-2-enol （14.70％）； those from the leaves of C. excavata were mainly （E）-sesquihydrated betuline （24.94％） and 1-（1， 5-dimethy-4-hexenyl）-4-methyl-benzene （16.15％）. A total of 4 components were found in volatile oil from the leaves of C. lansium and C. excavata， mainly being α-humulene， （E）-5-{（1R，3R，6S）-2，3-dimethyltricyclic [2.2.1.02，6] heptane-3-yl}-2-methylpentaeryl-2-enol， caryophyllene oxide and （-）-spatol； the content differences of them were not significant. CONCLUSIONS： The components of volatile oils from the leaves of C. lansium and C. excavata are basically similar However， the composition and comtent of specific components are quiet different and can not substituted for each other.
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OBJECTIVE： To summarize the practice of medication consultation service based on the platform of “Our Pharmacist”， and to provide reference for pharmacists participating in pharmaceutical care. METHODS： The 502 medication consultation service for children， pregnant women and lactating women were collected from the platform of “Our Pharmacist” during Oct. 2017-Jul. 2018. General information， main medication， types of drugs， types of questions， types of irrational drug use were analyzed statistically. The practice of rational drug use patient guidance service based on evidence-based concept was introduced with typical examples. RESULTS： Among 502 cases of consultation， 147 （29.3％） were males and 355 （70.7％） were females， and the age was mainly 20-40 years old （291 case， 58.0％）. The proportions of patients taking 1-2， 3-4， 5 types or more drugs were 45.4％， 41.4％ and 13.2％， respectively， and those who took 5 or more drugs at the same time were all children’s patients. In respect of medication consultation content， children medication consultation， pregnant medication consultation and lactating medication consultation accounted for 42.0％， 40.6％， 17.4％， respectively. Antibiotics， Chinese patent medicines and antivirals accounted for the largest proportion of consulting drugs， being 25.6％， 17.8％， 12.1％， respectively. The question types of medication consultation included indication， dosage and course of treatment， drug safety and ADR， accounting for 31.9％， 17.5％， 13.6％， respectively. The types of irrational drug use mainly included improper drug selection， repeated drug use and no indication， accounting for 44.1％， 21.0％， 14.9％， respectively. In typical cases， pharmacists conducted systematic evidence inquiry and answered patient consultation strictly in accordance with the evidence-based concept. The main evidence-based process included formulating retrieval strategies， retrieving relevant literature， strictly evaluating evidence （authenticity， reliability and adaptability）， screening evidence according to its evidence level from high to low， evaluating evidence comprehensively and applying it to practice. Medication guidance information provided by pharmacists based on evidence not only corrected the irrational drug use of patients， but also received good feedback from patients. Five-star score accounts for 95.5％ of the satisfaction evaluation. CONCLUSIONS： Based on evidence-based concept， the platform of “Our Pharmacist” provides medication consultation service， which provides references for pharmacists to carry out targeted pharmaceutical care.
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Objective To explore the epidemic trend of malaria in Jinan City so as to provide the evidence for improving the prevention and control of malaria. Methods The surveillance and annual report data of malaria were collected and analyzed epidemiologically in Jinan City from 1989 to 2013. Results The prevalence of malaria was low in Jinan City from 1989 to 2013. Totally 179 cases of malaria were reported and 14 cases 7.82% were locally infected and 165 cases 92.18% were imported. Conclusion Most malaria cases were imported since the disease was basically eliminated in Jinan City. The overseas workers from high prevalence areas of malaria should be well managed.
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OBJECTIVE:To evaluate the efficacy of combined use of montmorillonite powder and vitamin B6 to attenuate azithromycin-induced adverse reactions of gastrointestinal tract. METHODS: 103 patients with respiratory infection in the outpatient pediactric department treated with azithromycin were enrolled: 53 cases (treatment group) received montmorillonite powder plus vitamin B6 additionally,and 50 cases(control group) were not given montmorillonite powder and vitamin B6. RESULTS: The incidence of adverse reaction of gastrointestinal tract was 15.1% for treatment group versus 48.0% for control group,showing significant differences between the two groups(?2=95.025,P