ABSTRACT
Objective:To know the clinical characteristics, seasonal pattern and influencing factors of atypical depression(AD) patients.Methods:A total of 203 depressed outpatients of Peking University Sixth Hospital from January 2021 to August 2021 were included.They were assessed with demographic questionnaire, inventory of depressive symptomatology self-report(IDS-SR30) and seasonal pattern assessment questionnaire(SPAQ). According the score of IDS-SR30, all patients were classified as atypical depression(AD) and non-atypical depression(non-AD). The data were analyzed by t-test, non-parametric test and Logistic regression using SPSS 26.0 software. Results:The prevalence of AD among depressed patients was 36.0% (95% CI=29.3%-42.6%). The IDS-30 score of the AD group was (41.59±10.59), and IDS-30 score of the non-AD group was (36.08±13.17), and the difference between the two groups was statistically significant ( t=3.062, P<0.05). The global seasonal score of the AD group was 6 (3, 9), and 17.8% of the AD group had seasonal pattren.The global seasonal score of the non-AD group was 5 (3, 8), and 14.6% of the non-AD group had seasonal pattern.There was no significant difference in the global seasonal score and the proportion of seasonal pattern between the two groups ( Z=0.389, χ2=0.359, P>0.05). Depression patients who were females ( β=1.08, OR=2.95, 95% CI=1.32-6.59, P<0.05), low self-evaluation ( β=0.82, OR=2.27, 95% CI=1.12-4.59, P<0.05)and psychomotor retardation ( β=0.93, OR=2.54, 95% CI=1.33-4.85, P<0.05) were more likely to be diagnosed as AD, and depression patients having mood variation ( β=-0.94, OR=0.39, 95% CI=0.19-0.81, P<0.05) were more likely to be diagnosed as non-AD. Conclusion:Women, low self-evaluation, psychomotor retardation and unobvious mood variation can predict and help to diagnose atypical depression in depressed patients.
ABSTRACT
Objective:To analyze the influencing factors of community hospice care service needs of the elderly based on structural equation model.Methods:A multi-stage sampling method was used to survey 564 elderly people from 40 community health service centers in four districts of Chaoyang District in Beijing from September to November 2020 with a self-designed questionnaire. The survey content included three dimensions: tendency characteristics (population characteristics, health beliefs), enabling resources and demand factors. The chi-square test and rank sum test were used to analyze the influencing factors of the community hospice care needs of the elderly. At the same time, based on Anderson theory, structural equation model was used to analyze the action path and effect size of the influencing factors.Results:Registered residence, occupation, understanding of community elderly care services, recognition of community medical convenience, recognition of community health services in reducing family burden, recognition of community health services in improving their own health, understanding of community hospice care services, mean monthly income of their families, degree of income satisfaction, self-paid medical expenses of the previous year, living status, acceptance of community medical expenses, satisfaction with the number of community medical staff, self-assessment of health status, whether the elderly was ill in the last two weeks and the number of chronic diseases and etc affected the needs of the elderly for community hospice care services (all P<0.05). In the three dimensions of Anderson model, enabling resources had a direct effect, and could also be affected by demand factors indirectly, the total effect value was 0.404; demand factors had direct impact, and the effect value was 0.193; propensity characteristics exerted impact indirectly through enabling resources and demand factors, and the total effect value was 0.176. Among them, the acceptance of community health service fees in the enabling resource dimension has the greatest impact (FL=0.535), the number of chronic disease in the demand factor dimension had the greatest impact (FL=1.018), and the recognition of community health service in reducing family burden in the propensity characteristic dimension had the greatest impact (FL=0.612) (all P<0.05). Conclusions:There are various factors and action paths that affect the needs of community hospice care services for the elderly. Among them, the acceptance of community health service fees, the number of chronic disease, and the recognition of community health service in reducing family burden have a greater impact.
ABSTRACT
Objective@#To explore the patient and hospital related determinants of adherence to early antithrombotic therapy among patients with acute ischemic stroke (AIS).@*Methods@#AIS patients aged 50 years old or above who were eligible for early antithrombotic therapy, were included from the China National Stroke Registry Ⅱ (CNSR Ⅱ) project. Characteristics related to patients and hospitals were collected. Univariate analysis method was conducted to explore the correlation between hospital or patient-related determinants and early antithrombotic therapy. A 2-level logistic regression model was set up to identify patient and hospital-related variables that were associated with the adherence to early antithrombotic therapy, with patient as level 1 and hospital as level 2.@*Results@#A total of 16 910 patients were included in the study, with 14 332 (84.75%) of them having received early antithrombotic therapy. Results from the univariate analysis showed that the patient determinants to early antithrombotic therapy would include age, type of health insurance, average income and history of dyslipidemia. Hospital determinants would include factors as: level and region of the hospital, academic status, with/without stroke unit, quality control on single disease and the percentage of neurological beds in total beds (P<0.05). Data on multilevel model showed that the patient-related determinants on early antithrombotic therapy would include age, gender, average income, history of hypertension, National Institutes of Health Stroke Scale (NIHSS) score at admission while hospital related determinants would include percentage of neurological beds in total beds, and region of the hospital (P<0.05).@*Conclusions@#The quality of a hospital was associated with the adherence to early antithrombotic therapy. AIS patients at advanced age or with high NIHSS score at admission should be paid more attention.
ABSTRACT
Objective@#To analyze the plague monitoring results in Ulanqab City of Inner Mongolia in 2018, to master the changes in rat density and the prevalence of plague in rats, and provide a basis for scientific prevention and control of plague.@*Methods@#According to "The Plague Monitoring Scheme of Inner Mongolia", we surveyed Siziwang Banner, Chahar Right Back Banner, Huade County, and Shangdu County of Ulanqab City from April to November 2018 to monitor the plague. Rat density was surveyed using a one-day bow clamp method; small rodent was surveyed using a 5 m clamping method. Rodents were obtained by sample method, 5 m clamping method, daily method, collecting dead animals and the like, and fleas were picked up from the captured rats and rat nest. The rodents and fleas were carried out pathogen detection, the serum of rodents was tested by indirect hemagglutination test. Laboratory test results were analyzed based on the "Diagnostic Criteria for Plague" (WS 279-2008).@*Results@#Totally 1 463 mice were captured overlapping a monitored area of 416 hm2, the average rat density was 3.52 per hectare; the number of Meriones unguiculatus was 1 235, and the rat density was 2.97 per hectare. Totally 1 603 mice were grooming, 404 mice with fleas, the flea infected rate was 25.20%, the number of fleas were 1 348, and the flea index was 0.84. A total of 22 mouse nests were dug, 17 nests with fleas, the flea infected rate was 77.27%, the number of fleas were 131, and the flea index was 5.95. Totally 1 603 rodents were checked by etiology, the results showed that 7 plague rats were all Meriones unguiculatus. Totally 1 479 fleas of 581 groups were cultured, 14 fleas of 5 groups were detected, 3 fleas of 1 group in Siziwang Banner, and 11 fleas of 4 groups in Huade County. Totally 243 samples of murine animal serum were tested and the results were all negative.@*Conclusions@#The epidemic of plague in Ulanqab City is in an active state, so monitoring should be strengthened in this area to prevent the prevalence of human plague.
ABSTRACT
OBJECTIVE@#To explore the feasibility and safety of Da Vinci robot-assisted transanal total mesorectal excision (taTME).@*METHODS@#From May 2017 to July 2018, six rectal cancer patients underwent Da Vinci robot-assisted taTME at our hospital. The clinical data and short-term follow-up results were retrospectively analyzed.@*SURGICAL PROCEDURE@#The patient was placed in a Trendelenburg lithotomy position and sutured with purse string 1-2 cm from the anus to the distal end of the tumor. A self-made platform for transanal surgery was installed and the robot was connected. The rectum was transected circumferentially 0.5 cm from the distal end of the purse. The robot entered the " holy plane" and separated upward between the visceral parietal fasciae to the level of the third sacrum posteriorly and the peritoneal refcection anteriorly. The abdominal trocar was repositioned and connected to the robot. Through the abdominal cavity, the Toldt space of the posterior sigmoid mesentery was entered, and the D3 lymph nodes were dissected proximally. Separation was performed distally to join the perineal approach. Specimen was pulled out from the anus and excised. The cut end of sigmoid colon was anastomosed with the distal rectum or anal canal. Operative status, postoperative pathology and short-term efficacy were analyzed. Mesorectum of specimen was evaluated as complete, near complete and incomplete according to the Nagtegaal criteria. Anastomotic leakage was evaluated according to the criteria developed by the International Rectal Cancer Research Group.@*RESULTS@#All the 6 patients received Da Vinci robot-assisted taTME and sigmoid-anal anastomosis. In the 6 patients, 3 were male and 3 female; mean age was (62.6±2.6) years old; body mass index was (20.5±3.0) kg/m; distance from tumor to anal edge was (39.4±12.0) mm; length of tumor was (33.6±9.2) mm. Four patients received neoadjuvant therapy before surgery. All the patients completed operations successfully without conversion to laparotomy perioperative, severe complications or death. The mean total operative time was (245.8±24.2) minutes; transition interval of two procedures was (21.2±2.6) minutes; time of transanal robotic dissection of mesorectum was (72.3±15.2) minutes; intra-operative blood loss was (86.7±59.9) ml; the height of anastomosis was (16.0±6.1) mm. There were no intra-operative complications including accidental hemorrhage or urethral injury in any patients. The length of the specimens was (177.0±33.3) mm, and the mesorectum was complete in 5 cases, and near complete in 1 case. The mean distal margin was (20.2±3.2) mm, and the proximal, distal and circumferential margins were all negative. Postoperative pathological staging: T0N0 in 1 case, T0N1 in 1 case , T2N0 in 2 cases , T4N1 in 1 case, T3N0 in 1 case. The former 5 cases received clear fluit diet on the first day, and received fluid diet on the second day after operation. The drainage tube was removed 3 to 6 days after operation. The postoperative hospital stay was 5 to 7 days. The sixth case developed grade B anastomotic leakage on the third day after operation and healed by conservative treatment. No postoperative death, and no serious complications such as intra-abdominal hemorrhage, intestinal obstruction were found. All the patients were followed up for 5 to 19 months, and no local recurrence and death were observed.@*CONCLUSION@#The robotic system is safe and feasible for taTME procedure in rectal cancer with good short-term efficacy. However, the long-term outcomes require further observation.
Subject(s)
Aged , Female , Humans , Male , Middle Aged , Rectal Neoplasms , Rectum , Retrospective Studies , Robotic Surgical ProceduresABSTRACT
Objective To analyze the plague monitoring results in Ulanqab City of Inner Mongolia in 2018,to master the changes in rat density and the prevalence of plague in rats,and provide a basis for scientific prevention and control of plague.Methods According to "The Plague Monitoring Scheme of Inner Mongolia",we surveyed Siziwang Banner,Chahar Right Back Banner,Huade County,and Shangdu County of Ulanqab City from April to November 2018 to monitor the plague.Rat density was surveyed using a one-day bow clamp method;small rodent was surveyed using a 5 m clamping method.Rodents were obtained by sample method,5 m clamping method,daily method,collecting dead animals and the like,and fleas were picked up from the captured rats and rat nest.The rodents and fleas were carried out pathogen detection,the serum of rodents was tested by indirect hemagglutination test.Laboratory test results were analyzed based on the "Diagnostic Criteria for Plague" (WS 279-2008).Results Totally 1 463 mice were captured overlapping a monitored area of 416 hm2,the average rat density was 3.52 per hectare;the number of Meriones unguiculatus was 1 235,and the rat density was 2.97 per hectare.Totally 1 603 mice were grooming,404 mice with fleas,the flea infected rate was 25.20％,the number of fleas were 1 348,and the flea index was 0.84.A total of 22 mouse nests were dug,17 nests with fleas,the flea infected rate was 77.27％,the number of fleas were 131,and the flea index was 5.95.Totally 1 603 rodents were checked by etiology,the results showed that 7 plague rats were all Meriones unguiculatus.Totally 1 479 fleas of 581 groups were cultured,14 fleas of 5 groups were detected,3 fleas of 1 group in Siziwang Banner,and 1 1 fleas of 4 groups in Huade County.Totally 243 samples of murine animal serum were tested and the results were all negative.Conclusions The epidemic of plague in Ulanqab City is in an active state,so monitoring should be strengthened in this area to prevent the prevalence of human plague.
ABSTRACT
Objective To explore the application of multimedia situational teaching in general surgery . Methods A total of 142 students with a five-year undergraduate program in clinical medicine from school year 2014 to 2015 were selected as the observation group to undergo situational teaching, while 155 students with the same program from school year 2015 to 2016 as the control group to adopt the traditional teaching. In the observation group, the pathophysiological changes, clinical signs, differential diagnosis and surgical complications of the disease were created. Specifically, the anatomic structure and pathophysiological changes of the disease were demonstrated in multi-dimensional and three-dimensional forms by animation, the physical pictures and clinical signs of patients were used to show the clinical signs of diseases, and video and photographs of the operation were used to create scenarios of complications during the operation. The teaching evaluation included students' written examination results and questionnaires which covered whether the students satisfied with the situational teaching method, and their evaluation of teachers and personal gains, etc. T test was performed by using SPSS 21.0. Results The average test score of the observation group (67.56±8.27) was significantly higher than that of the control group (65.89±5.53) (P<0.05). The satisfaction rate of students towards situational teaching and their personal achievements were both 97.9％ (139/142). Conclusion The multimedia situational teaching is specific and vivid, which can improve students' learninginterest and teaching effect. However, it also bears higher requirements for teachers, con-sequently the application should of specific purpose.
ABSTRACT
Objectives: To explore the effect of personality dysfunction on freshmen's mental status. Methods:Cohort study design was applied in the study. Exposure factors were personality dysfunction and intervention. The mental health status of 2516 freshmen was evaluated by Symptom Checklist 90 (SCL-90), Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS). Relative risk (RR) and attributive risk (AR) were calculated to test the relationship between exposure factors and mental health status. Results: Cohort study showed that RRs of all types of personality dysfunction history in senior high schools developing mental symptoms in the freshman year were between 1. 980 to 10. 167. Interventions to personality dysfunction during high schools had protective effect to the development of mental symptoms. Conclusion: Personality dysfunction isa risk factor of mental symptoms of freshmen. Early intervention could decrease the risk of the mental symptoms.
ABSTRACT
Objectives: To implement cost effective evaluation on the interventions to personality dysfunction in adolescents, so as to provide scientific evidences for extending the interventions. Methods: Cost identification, measurement of the cost, and valuing the cost were implemented to calculate the cost of the interventions. Effects of the interventions were measured based on three indicators: (1) differences of the decreasing scores of Personality Diagnostic Questionnaire-4 (PDQ-4) between intervention group and control group from grade one to three, (2) differences of the decrease number of students with personality dysfunction between intervention group and control group from grade one to three, and (3) differences of the incidence of personality dysfunction between intervention group and control group. Cost-effectiveness ratios (CERs) were calculated for the economic evaluation of the interventions. Results: The total cost of the interventions was 67, 860 Yuan. After intervention, among all of the students in intervention group, the cost of reducing one score of PDQ-4 was 9. 25 Yuan. The cost of reducing one person with personality dysfunction was 6169 Yuan. And the cost of avoiding one person developed personality dysfunction was 2714 Yuan. The cost effectiveness were not balanced among Cluster A, Cluster B and Cluster C personality dysfunction. Similar tendency was found among 10 types of personality dysfunction. Conclusion: The "Intervention Measure on Personality Dysfunction" in adolescents is easy to implement and has relative low costs. Further interventions of the specific cluster or type of personality dysfunction can be carried out based on the findings from this study.
ABSTRACT
Objectives: To establish an intervention model of mental health education for personality disorders through community intervention study and to provide scientific basis for the early intervention of personality disorders. Methods: In Beijing, students from 25 high schools were selected as subjects of the study. Random cluster sampling method was used to divide all the schools into intervention group (13high schools) and non-intervention group (12 high schools), when the students werein the first grade. All of the schools were followedup for three years. According to the ICD-10 and DSM-IV criteria, PDQ-4 and the International Personality Disorder Checklist (IPDE) were used to screen and diagnose personality disorder. Associated influencing factors were collected using the Parental Rearing Questionnaire (Egma Minnen av Bardndosnauppfor-stran, EMBU) and the General Information Questionnaire. Univariate and multivariate analysis were used to analyze the data. Results: PDQ-4 scores of the intervention group were significantly lower than those of the non-intervention group. PDQ-4 scores and incidence rates of PD at the third grade were significantly lower than those at the first grade. Logistic regression analysis yielded risk factors of overall PD including poor parental relationship, parental rejection and over-protection. The incidence rate of personality dysfunction was 3. 4％ in the intervention group, and 4. 0％ in the non-intervention group. The incidence rate of PD was 0. 8％ in the intervention group, and 1. 1％ in the non-intervention group without statistical significance. The PDQ-4 score showed significant decline trend during the three years. But the prevalence rates had no statistical significant difference between intervention and non-intervention groups. Moreover, the prevalence rate of personality dysfunction significantly decreased after three years. The incidence rates of cluster C, as well as paranoid, narcissistic and borderline PD were statistically significantly decreased after the intervention. Conclusion:The mental health education during adolescence is effective and contributes to the promotion of mental health for adolescents.
ABSTRACT
Objectives: To prove the environmental etiological hypothesis of personality disorder and to evaluate the relative risk(RR) of family environmental risk factors for personality disorder. Methods: By means of cohort study, about 9200 senior high school students and their parents had been followed-up for three years by Personality Disorder Questionnaire-fourth edition (PDQ-4), Parental Rearing Questionnaire (Egma Minnen av Bardndosnauppfor-stran, EMBU), General Information Questionnaire, and International Personality Disorder Examination (IPDE) to diagnose PD according to the criteria of ICD-10 and DSM-IV. The univariate and multivariate analysis methods were applied for data processing. Results: The incidence rate of personality dysfunction and personality disorders were 4. 0％ and 1. 1％, respectively. Univariate analysis indicated that the incidence of personality dysfunction had significant statistical association with male, the parental rejection and over-protection, with the Relative Risks being 0. 64, 2. 60 and 2. 31, respectively. Univariate analysis indicated that the incidence of PD had significant statistical association with the parental rejection and over-protection, with the RR being 2. 45 and 2. 80, respectively. Conclusion: The family environmental risk factors are significantly associated with personality disorders.
ABSTRACT
Objectives: To explore genetic and environmental risk factors of personality disorder (PD). Methods:By means of case-control study, 10003 senior high school students and their parents were investigated twice in first and third grades using Personality Disorder Questionnaire-fourth edition (PDQ-4), Parental Rearing Questionnaire (Egma Minnen av Bardndosnauppfor-stran, EMBU), General Information Questionnaire, and InternationalPersonality Disorder Examination (IPDE) to diagnose PD according to the criteria of ICD-10 and DSM-IV. The univariate and multivariate analysis methods were applied for data processing. Results: In the students of first grade, the risk factors of personality dysfunction were poor parental relationship, rural residential area, parental rejection, overprotection, favoring subject, non-emotional warmth, shorter time of living with parents, and male. Similar results were yielded instudents of third grades. The risk factors of PD were poor parental relationship, parental rejection, and over-protection. The heritability of overall PD of father and mother were 0. 84 and 0. 85, respectively. The heritability of each PD cluster was higher than 0. 6. Conclusion: The genetic factor plays an important role in the development of PD. Family environmental risk factors include poor parental relationship, parental rejection and over-protection.
ABSTRACT
This article reviews studies on the heredity of personality disorders and family environment factors from the population-based studies, and summarizes the interaction between genetic factors and environmental factors. Studies have shown that there is a genetic basis for personality disorders, including family studies, twin studies, and neurophysiological studies. In addition, environmental factors, including social psychological factors, also play an important role in the development of personality disorder. In sum, the occurrence of personality disorder is the result of interactions between genetic factors and environmental factors. This paper snmmarizes sresearch on personality disorders, and investigates the role of interaction between genetic and environmental factors in the development of personality disorders. Such evidence has implications for effective prevention and intervention of personality disorders.
ABSTRACT
Objectives: To describe prevalence of personality dysfuction and personality disorders (PD) and their distribution in senior high school students in Beijing. Methods: By means of cross-sectional study, 10003 senior high school students were investigated by Personality Disorder Questionnaire-fourth edition (PDQ-4), Parental Rearing Questionnaire (Egma Minnen av Bardndosnauppfor-stran, EMBU), General Information Questionnaire, and International Personality Disorder Examination (IPDE) to diagnose PD according to the criteria of ICD-10 and DSM-IV. Results: In the students of first grade, the mean score of PDQ-4 was (25. 38 ± 9. 64). Male students had higher PDQ-4 scroes than those of female. Students in rural high schools had higher PDQ-4 scroes than those of students in urban high schools. Students in general high schools had the highest PDQ-4 scroes, followed by students in disctrict-level key high schools, and the students from city-level key high schools had the lowest PDQ-4 scroes. The prevalence rate of personality dysfunction was 8. 3％ with similar distributions of PDQ-4 scroes by gender, residential area, and rank of school. In the students of third grade, the mean score of PDQ-4 was (23. 10 ± 10. 20). Male students had higher PDQ-4 scroes than those of female. The prevalence rates of personality dysfunction and PD were 5. 8％ and 1. 83％, respectively. The correlation coefficients of EMBU had statistical significances and four common factors were identified by factor analysis. The heritability of overall PD of father and mother were 0. 71 and 0. 72, respectively. The heritability of each PD cluster was higher than 0. 6. Conclusion: The prevalence rates of personality dysfunction and personality disorder in Beijing, China is lower than those in other countries. The genetic factor plays an important role in the development of PD.
ABSTRACT
Objectives: To describe prevalence of personality disorders (PD) and personality dysfunction in senior high school students in Beijing using cross-sectional study, to explore genetic and environmental risk factors of PD in adolescence using a case-control study, to establishand test the hypothesis of genetic and environmental risk factors of PD using a cohort study and describe the natural history of personality dysfunction, and to develop and test an intervention model of mental health education to community adolescents in Beijing using a community intervention trail. Methods: By means of cross-sectional study, case-control study, cohort study, and community intervention trial, 10003 senior high school students and their parents were investigated by Personality Disorder Questionnaire-fourth edition, Parental Rearing Behavior Questionnaire (Egma Minnen av Bardndosnauppfor-stran, EMBU), General Information Questionnaire, and International Personality Disorder Examination (IPDE) to diagnose PD according to the criteria of ICD-10 and DSM-IV. The subjects were followed-up for three years to observe the dynamic change of personal dysfunction and to evaluate the effect of intervention measure of mental health education. The univariate and multivariate analysis methods were applied for data analyses.
ABSTRACT
The Chinese Society of Coloproctology (CSCP) released the updated "guidelines for the diagnosis and treatment of constipation surgery" in 2017. The major amendments include the following aspects: (1) According to defecation reflex involving parts of the classification, the cause of constipation is divided into three parts, including colorectal factors, internal and external colorectal factors. The new division is more rational, easy to make clear the location and the possible pathogenesis. (2) Constipation is divided into slow transit constipation, outlet obstructive constipation and mixed constipation. The main consideration of this division is the name of the surgery for the outlet obstructive constipation, such as the rectal prolapse and the rectocele. (3) The 6-hour observation time point is added in the colonic transit test and to make clear whether the stomach and the small intestine has slow transit. (4) Micro ecological preparations, promoting dynamic drugs and promoting secretion drugs as well as psychological treatment and acupuncture treatment are added in non-surgical treatment of constipation (5) The antegrade colonic enema is removed from surgical treatment of slow transit constipation; in the surgical treatment of internal rectal prolapse, STARR surgery is added and Delorme surgery is deleted; transrectal and transperineal approach are added in the surgical treatment of rectocele. In this paper, we compare the domestic and international constipation-related guidelines, and summarize the main revisions in the 2017 edition of "guidelines for the diagnosis and treatment of constipation surgery".
ABSTRACT
Objective To evaluate the clinical efficacy ofZi Wu Liu Zhu Na Jia needling (acupuncture based on midnight-noon ebb-flow theory) in treating spastic hemiplegia after cerebral stroke by using surface electromyography (sEMG).Method Fifty-two patients with spastic hemiplegia due to cerebral stroke were randomized into a treatment group and a control group, 26 cases each. The two groups were both intervened by conventional rehabilitation training. In addition, the treatment group was givenZi Wu Liu Zhu Na Jia needling and the control group was given ordinary acupuncture. The two groups were treated once a day, 15 sessions as a course. The ambulation ability, muscle tension, neurological deficit score (NDS), Fugl-Meyer Assessment Scale (FMA), and Berg Balance Scale (BBS) were evaluated before the intervention and after 2 treatment courses, and the sEMG signals were also collected and analyzed.Result The Holden's Functional Ambulation Classification (FAC) and Modified Ashworth Scale scores were significantly changed in the two groups after the intervention (P<0.01). After the intervention, the FAC and MAS scores in the treatment group were significantly different from those in the control group (P<0.05). The NDS, FMA and BBS scores were significantly changed in the two groups after the treatment (P<0.05). The NDS, FMA and BBS scores in the treatment group were significantly different from those in the control group after the treatment (P<0.05). Of the sEMG signals, H/M max in the treatment group was significantly different from that in the control group after the intervention (P<0.01).Zi Wu Liu Zhu Na Jia needling with rehabilitation training can significantly mitigate the muscle tension and promote the activities of daily living in patients with spastic hemiplegia after cerebral stroke.
ABSTRACT
The correlation between chronic constipation and colorectal neoplasms has been arousing wide interest. There have been a number of domestic and international epidemiological and clinical researches focusing on this issue. Based on these researches, the correlation between constipation and colorectal neoplasms was studied from three aspects: constipation and colorectal polyps; constipation and colorectal cancer; melanosis coli (MC), laxatives and colorectal neoplasms. We find that constipation can significantly increase the incidence of colorectal polyps and constipation does not significantly increase the incidence of colorectal cancer but is one of the risk factors for colorectal cancer. In addition, MC, laxatives and the incidence of colorectal polyps are also closely correlated. Given the fact that colorectal polyps are precancerous lesions, patients with long-term constipation should take less anthraquinone laxatives, and those with colorectal polyps should be followed up periodically.
Subject(s)
Humans , Anthraquinones , Colonic Diseases , Colonic Polyps , Epidemiology , Colorectal Neoplasms , Epidemiology , Constipation , Incidence , Laxatives , Melanosis , Epidemiology , Risk FactorsABSTRACT
Enhanced recovery after surgery (ERAS) has been widely used in the world for near 20 years, which should be considered as the milestone of modern medicine advancement, changing the routine perioperative principle, accelerating the recovery speed following operation, minimizing the postoperative pain, and saving the medical resources. Despite the remarkable advance, the quality and application of ERAS in the west China needs further improvement if compared with international level or even some domestic hospitals. The postoperative hospital stay in west China is much longer than the reported 3 to 5 days according to published references. Several suggestions can be help: (1) Based on the published consensus and the successful experiences of ERAS in colorectal surgery, the medical institution should make great effort to extend this technique to change the profound traditional idea in medical staffs and patients. (2) The medical administrations should take the application of ERAS as a key performance index and annual work plan in hospital. (3) Multiple disciplinary team including anesthetist, surgeon, dietitian, and nurses is essential for hospital to promote the quality of ERAS. Undoubtedly, ERAS is going to be the conventional medical care in the western area of China. We may look forward to seeing more researches from western China to update the ERAS consensus.