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Objective:To investigate the satisfaction of postgraduates in clinical medicine with professional courses in secondary disciplines and analyze the existing problems so as to put forward suggestions for improvement.Method:s A self-designed questionnaire was used to investigate the satisfaction of 1 342 postgraduates in clinical medicine with professional courses learning at West China School of Medicine of Sichuan University, 1 330 were effectively received. Descriptive analysis and chi-square test were performed to analyze the data using SPSS 19.0.Result:s The satisfaction degree of postgraduates in clinical medicine with the setting, teaching content and teaching effect of professional courses was significantly higher than that of the national postgraduates ( P<0.01), among which the satisfaction degree on implementation effect of the professional course plan was the highest (86.7%) and the satisfaction degree on rationality of the professional course setting was the lowest (79.3%). Doctoral students were more satisfied with the rationality of professional course setting, implementation effect, teaching method, teaching content, teaching effect and learning resources than postgraduates ( P<0.01). Postgraduates pursuing academic degree were more satisfied with the rationality of professional course setting than postgraduates pursing professional degree ( P<0.01). Conclusion:The satisfaction of postgraduates inn clinical medicine with professional courses in secondary disciplines in Sichuan University is above the average level in China, but the courses still need to be further adjusted and optimized according to the needs of students in different degree types and academic levels.
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Objective To investigate the correlation between baseline serum lipid levels and hematoma enlargement in patients with acute intracerebral hemorrhage (ICH). Methods From October 2013 to January 2018, patients with ICH admitted to the Department of Neurosurgery, Heze Municipal Hospital, were enrolled retrospectively. The first CT scan was completed within 6 h after onset, and the second one was completed at 48 h after onset. Hematoma enlargement was defined as an increase >33 % in the volume of hematoma on CT. The demographic and baseline clinical data in the hematoma enlargement group and the non -hematoma enlargement group were compared. Multivariate logistic regression analysis was used to identify the independent risk factors for hematoma enlargement. Results A total of 470 patients with acute ICH were enrolled, including 187 females (39.8%) and 283 males (60.2%), aged 47-81 years. Seventy-nine patients (16.8%) had hematoma enlargement. The proportion of patients with atrial fibrillation and who used warfarin before onset, as well as age, baseline National Institutes of Health Stroke Scale score, baseline hematoma volume, international normalized ratio, prothrombin time, activated partial thromboplastin time, and thrombin time of the hematoma enlargement group were significantly higher than those of the non -hematoma enlargement group ( all P< 0.05 ), while from the onset to the first CT scan time, total cholesterol, triglyceride, low-density lipoprotein cholesterol levels were significantly lower than those in the non- hematoma enlargement group (all P<0.05). Multivariate logistic regression analysis showed that baseline total cholesterol <3.20 mmol/L (odds ratio [ OR] 1.32, 95% confidence interval [ CI] 1.08-1.83; P=0.004), baseline hematoma volume≥30 ml (1.76,95% CI 1.30-2.15; P<0.001), and using anticoagulant before onset ( OR 2.37, 95% CI 1.81-3.02; P<0.001 ) had significantly independent correlation with hematoma enlargement. Conclusion Baseline total cholesterol <3.20 mmol/L, hematoma volume ≥30 ml, and using anticoagulant before onset were the independent risk factors for hematoma enlargement in patients with acute ICH.
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Human anatomy system is an interdisciplinary study project of medical, information and computer technologies. A mobile platform intelligent terminal-based human anatomy system was designed and implemented according to an analysis of mobile learning and the background of human anatomy system, which has a good prospect in teaching of human anatomy and in education of popular medical knowledge.
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<p><b>OBJECTIVE</b>To explore the baseline clinical characteristics of patients with pulmonary arterial hypertension after operation for congenital heart disease (AO-CHD-PAH) in China.</p><p><b>METHODS</b>A total of 122 consecutive patients diagnosed as AO-CHD-PAH in Shanghai Pulmonary Hospital from September 1, 2006 to August 31, 2011 were retrospective analyzed.</p><p><b>RESULTS</b>Sixty-seven percent patients were female. The median age at procedure and diagnosis were 14.8 and 24.8 years old, respectively. The median duration from procedure of CHD to diagnosis of PAH was 7.3 years. The most frequent initial symptom (109/122, 89.3%) attributed to PAH was dyspnea on exertion. The frequent sign was accentuation of second heart sound on pulmonary valve area (113/122, 92.6%).Incidence of WHO functional PAH classes I/II was 53.3% (65/122) and mean 6 minutes walk distance was limited to (408.4 ± 103.3) m. Borg dyspnea score was 2.0 (1.0, 3.0).Right heart catheterization demonstrated severe elevated mean pulmonary arterial pressure [(71.6 ± 24.2) mmHg, 1 mmHg = 0.133 kPa] and pulmonary vascular resistance index [(29.1 ± 16.0) Wood U·m(2)] in this patient cohort. Cardiac index was (2.7 ± 0.9) L·min(-1)·m(-2), 90.2% (110/122) patients received PAH-specific therapy. The majority of PAH-specific therapy was phosphodiesterase type 5 inhibitor, which is somehow different from PAH-specific therapy regimen of American-European developed countries.</p><p><b>CONCLUSIONS</b>PAH-specific therapy rate is satisfactory for pulmonary arterial hypertension after operation for congenital heart disease in China and phosphodiesterase type 5 inhibitors are predominant PAH-specific medication in China.</p>