ABSTRACT
Objective To evaluate the radiation dose of interventional procedure for children with congenital heart disease, and to analyze the differences in radiation dose and influencing factors. Methods A total of 94 children who underwent interventional procedure for congenital heart disease at a grade A tertiary hospital in Jinan, Shandong Province, China from June 2021 to September 2022 were included in this study. The patients were divided into three groups according to the type of procedure: ventricular septal defect occlusion group (VSD, 48 cases), patent ductus arteriosus occlusion group (PDA, 29 cases), and atrial septal defect occlusion group (ASD, 17 cases). The basic information of patients and postoperative dose reports were recorded. A statistical analysis was performed using SPSS software. Results The median cumulative air kerma (CAK) of VSD, PDA, and ASD was 100.5, 43.7, and 12.1 mGy, respectively. The median air kerma area product (KAP) of VSD, PDA, and ASD was 3.309, 1.313, and 0.540 Gy·cm2, respectively. The median KAP·kg−1 of VSD, PDA, and ASD was 0.179, 0.088, and 0.031 Gy·cm2·kg−1, respectively. There were significant differences in fluoroscopy time, number of cine images, CAK, KAP, and KAP·kg−1 among the three types of interventional procedures (P<0.05). Compared with PDA and ASD, VSD showed significantly higher fluoroscopy time, number of cine images, CAK, KAP, and KAP·kg−1 (P<0.05). Multiple linear regression analysis found that age (B=52.445, P<0.05), weight (B=13.077, P<0.05), fluoroscopy time (B=0.425, P<0.05), tube current (B=0.872, P<0.05), and number of cine images (B=0.660, P<0.05) were positively correlated with KAP, while there was no significant association between height and KAP (P>0.05). Conclusion There are differences in radiation dose among the three types of procedures. Reducing fluoroscopy time, tube current, and number of cine images while meeting the procedure requirements is of great significance for reducing the radiation dose received by children.
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Objective This study aims to examine the association between leptin and postpartum depression symptoms. Methods Two hundred pregnant women were enrolled and their prenatal serum leptin levels were measured by using enzyme-linked immunosorbent assay (ELISA). The state of depression was first assessed on the third day after delivery and reassessed by a telephone follow up on the 42nd day using the Edinburg postnatal depression scale (EPDS) after delivery. Patients with postpartum depression symptoms with EPDS score ≥13 points after 3 days postpartum or 42 days postpartum were recruited as the depressive symptom group. Results The medians and lower and upper quartiles of the prenatal serum leptin levels in the depressive symptom group (the 3rd day) and the control group were 1.36 (1.15, 1.68) μg/L and 1.49 (1.28, 1.91) μg/L, respectively. After normal conversion, the serum leptin level was significantly lower in the depressive symptom group than in the control group (P=0.021). The medians and lower and upper quartiles of the prenatal serum leptin levels in the depressive symptom group (the 42nd day) and the control group were 1.17 (1.01, 1.36) μg/L and 1.50 (1.29, 1.90) μg/L, respectively. After normal conversion, the serum leptin level was significantly lower in the depressive symptom group than in the control group (P＜0.001). EPDS scores 3 days postpartum (r=-0.199, P=0.014) and 42 days postpartum (r=-0.254, P=0.002) were negatively correlated with prenatal serum leptin levels. Multiple logistic regression analysis showed that the prenatal leptin levels were associated with depressive symptoms at 42 days postpartum (OR=0.026, P=0.001). Conclusion Prenatal serum leptin levels may be associated with postpartum depressive symptoms, and high levels of leptin are protective factors for postpartum depression.
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Objective To explore the cross-sectional study of depressive and emotional regulation strategies of elderly residents in Yinchuan and their relationship.Methods A total number of 1 043 elderly cases,including 505 from 5 nursing institutions and 538 from 5 communities in Yinchuan city were chosen,from March to May,2016.Depression survey using the Geriatric Depression Scale (GDS),emotional adjustment strategies were conducted using the Gross Emotional Regulatory Questionnaire and the Rumination Scale.Results The overall incidence rate of depression among the elderly residents appeared as 32.0％,with 35.5％ in the communities and 28.3％ in the nursing homes and the difference was statistically significant (x2=6.187,P＜0.05).There was no significant difference in the incidence of depression among the elderly and the aged in the community (x2=0.066,P=0.798) by the trend analysis method.The score of GDS for the 1 043 elderly was (9.1 ±5.7) points.The scores on cognitive reappraisal in emotional adjustment strategies and on expression inhibition were (26.7 ± 8.0) and (16.3 ± 6.6) points respectively.The score of the rumination was (34.5 ± 11.7) points.There were significant differences in cognitive reappraisal scores on different sex,hobbies and physical exercise (all Ps＜0.05) among the elderly.There were significant differences in rumination scores among the elderly with different age,marital status,cultural level,interest (all Ps ＜0.05) and in the scores of expression inhibition among the elderly with different levels of education and income (all Ps＜0.05).There appeared a negative correlation between the depression scores and cognitive reappraisal (r=-0.400,P＜0.01) but a positive correlation between the scores of depression and rumination (r=0.652,P＜0.01).Conclusion The incidence of depression identified in the elderly residents appeared high and was associated with emotional adjustment strategies,in Yinchuan city.
ABSTRACT
Objective To explore the cross-sectional study of depressive and emotional regulation strategies of elderly residents in Yinchuan and their relationship.Methods A total number of 1 043 elderly cases,including 505 from 5 nursing institutions and 538 from 5 communities in Yinchuan city were chosen,from March to May,2016.Depression survey using the Geriatric Depression Scale (GDS),emotional adjustment strategies were conducted using the Gross Emotional Regulatory Questionnaire and the Rumination Scale.Results The overall incidence rate of depression among the elderly residents appeared as 32.0％,with 35.5％ in the communities and 28.3％ in the nursing homes and the difference was statistically significant (x2=6.187,P＜0.05).There was no significant difference in the incidence of depression among the elderly and the aged in the community (x2=0.066,P=0.798) by the trend analysis method.The score of GDS for the 1 043 elderly was (9.1 ±5.7) points.The scores on cognitive reappraisal in emotional adjustment strategies and on expression inhibition were (26.7 ± 8.0) and (16.3 ± 6.6) points respectively.The score of the rumination was (34.5 ± 11.7) points.There were significant differences in cognitive reappraisal scores on different sex,hobbies and physical exercise (all Ps＜0.05) among the elderly.There were significant differences in rumination scores among the elderly with different age,marital status,cultural level,interest (all Ps ＜0.05) and in the scores of expression inhibition among the elderly with different levels of education and income (all Ps＜0.05).There appeared a negative correlation between the depression scores and cognitive reappraisal (r=-0.400,P＜0.01) but a positive correlation between the scores of depression and rumination (r=0.652,P＜0.01).Conclusion The incidence of depression identified in the elderly residents appeared high and was associated with emotional adjustment strategies,in Yinchuan city.