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Objective:To ascertain the activity concentration of gross α and β in foods around Fuqing nuclear power plant (NPP) site.Methods:Totally 167 food samples of 25 kinds within 6 categories were collected from the surveillance areas and control areas around Fuqing NPP site. The total radioactivity was analyzed using the food samples. Paired rank sum test was used to determine the influence of the operation of Fuqing NPP on the total radioactivity in foods in surrounding areas. The multiple local rank sum test was used to assess the difference in total radioactivity in different types of foods.Results:The average gross α in poultry meat, vegetables, crops, aquatic products, milk and tea was 0.65, 1.96, 1.41, 3.80, 1.33, 7.67 Bq/kg in surveillance areas and 0.56, 3.24, 2.04, 3.70, 2.24, 9.05 Bq/kg in reference areas, respectively, around Fuqing NPP site. The average gross β (subtracting 40K) in poultry meat, vegetables, crops, aquatic products, milk and tea was 7.0, 10.5, 6.1, 23.5, 24.7, 8.6 Bq/kg in surveillance areas and 7.4, 8.3, 14.5, 22.1, 21.3, 11.0 Bq/kg in reference areas, respectively, around Fuqing NPP site. The Wilcoxon paired rank test showed that there was no significant difference in the gross α and β in foods between surveillance and reference areas around Fuqing NPP site ( P>0.05). The Kruskal-Wallis H test showed that the radioactivity of gross α and β in different foods was statistically significant ( χ2=23.325, 13.918, P<0.05). Conclusions:The increase was not found in total radioactivity in the surrounding foods since the operation of Fuqing NPP in 2015.
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Objective:To investigate the clinical application of optimized preoxygenation with nasal high flow humidification oxygen therapy before tracheal intubation in critically ill patients.Methods:The100 critically ill patients who needed emergency tracheal intubation in ZhejiangYiwu Central Hospital from June 2018 to June 2019 were selected as the research objects. According to the random number table method, they were randomly divided into observation group (50 cases) and control group (50 cases). The vital signs were continuously monitored in both groups. After the supine position was taken, the airway was opened by traditional methods to remove oral and respiratory secretions. The patients in the control group were given pressure oxygen by balloon mask, while the patients in the observation group were given pre-oxygenation by nasal high flow humidification oxygen therapy. The time required to achieve the goal of pre-oxygenation, blood gas analysis, SpO 2 changes and abdominal distension before and after pre-oxygenation and after intubation were compared between the two groups. Results:In observation group, time required to reach the target preoxygenation was faster than control group: (4.34 ± 0.56) min vs. (7.62 ± 1.43) min ( P<0.05). In the observation group, PaO 2 preoxygenation and immediately after intubation were higher than those in control group: (67.25 ± 2.34) mmHg (1 mmHg=0.133 kPa) vs. (61.87 ± 2.65) mmHg, (62.46 ± 3.51) mmHg vs. (56.32 ± 3.98) mmHg; while those after PaCO 2 preoxygenation and immediately after intubationwere lower than those in control group: (38.78 ± 2.68) mmHg vs. (43.12 ± 2.95) mmHg, (42.57 ± 2.65) mmHg vs. (49.46 ± 3.43) mmHg, the differences were statistically significant ( P<0.05). In observation group, SpO 2 preoxygenation and immediately after intubation were higher than those control group: 0.97 ± 0.03 vs. 0.92 ± 0.03, 0.92 ± 0.03 vs. 0.88 ± 0.05, the differences were statistically significant ( P<0.05). In observation group, the incidence of abdominal distension was lower than that in control group: 4.00%(2/50) vs. 24.00% (12/50), the difference was statistically significant ( P<0.05). Conclusions:Optimized preoxygenation with nasal high flow humidification oxygen therapy has a good effect before tracheal intubation in critically ill patients. It can improve the blood oxygen level and reduce complications.
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OBJECTIVE To analyse the result of mastoid abnormal MRI singals in infants without clinical symptoms and to evaluate the diagnostic value. METHODS The MRI data of abnormal signals in the middle ear and mastoid of 42 infants(62 ears) were analyzed with 1000 Hz probe tone tympanometry and oto-endoscope. RESULTS Of the infants with abnormal MRI signals of the middle ear and mastoid, 50 ears were secretory otitis media(80.7％), 10 ears had dysfunction of middle ear (16.1％), and 2 ears were not identified. CONCLUSION In the infant who had a abnormal long T2 singals MRI but without clinical symptoms, 80.7％ were caused by SOM or AOM. It is valuable for clinical efficacy evaluation and treatment planning in advance.
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Sepsis is a frequent condition with high mortality,and its early diagnosis in the pediatrics department is one of the keys to improve survival. C-reactive protein and procalcitonin have been used as bio-markers in the diagnosis of sepsis,but they have limited susceptibility and specificity,and can be elevated in non inflammatory condition. Presepsin is the free fragment of a glycoprotein expressed on monocytes/macro-phages. Preliminiary reports suggest that levels of presepsin are significantly higher in septic patients com-pared to healthy individuals, and presepsin is useful for evaluating the severity of sepsis.
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Objective To evaluate the effect of child obesity intervention comprehensive program on the improvement of overweight,obese control and knowledge-attitude-practice.Methods The study design was under cluster-randomized controlled trial,with 965 children in the intervention and 895 children in the control groups.Repeated measurement data on child obesity was analyzed through Generalized Estimating Equation models.Results The risk of becoming overweight or obesity in the intervention group was 0.824 times more than children in the control group,showing a reduction of 17.6％ the risk of being overweight or obese (P=0.031).In addition,the possibility of increasing one unit of correct rate on obesity related knowledge,children in the intervention group children was 1.044 times (P=0.001) than in the control group.On the mean obesity related correct attitude rate,it was 1.023 times (P=0.001) in the intervention group of the control group.Regarding the possibility of increasing one unit om the mean obesity related behavior score,children in the intervention group was 1.522 times (P=0.001) than those in the control group (P=0.046).Conclusion The comprehensive child obesity intervention program could effectively reduce the risk of developing overweight or obeseity and improving the obesity related knowledge,attitude and behavior in children.