Pregnancy complicated with severe special diseases in 2014-2016 in Shanghai:its risk management study / 上海预防医学

Objective To study the risk management of pregnancy with severe special diseases. Methods The relevant data on 181 women (< 28 weeks gestation) with severe special diseases reported from 2014 to 2016 in Shanghai city were analyzed retrospectively. Results The incidence of pregnancy with severe special diseases rose from 2014-2016, the incidence of 2016 was significantly higher than that of 2014 (P < 0.01).The average age of 181 pregnant women with severe special diseases was (29.06±5.41) years old, and pregnant women over 35 years of age accounted for 16.02%.The proportion of pregnant women (over 35) with severe special diseases in 2016 increased compared with the previous two years.Among 181 pregnant women with severe special diseases, the proportion of non-household registration people(76.80%) was higher than that of Shanghai household registered women(23.20%), the pregnant women who temporarily lived in Shanghai(residence time < 6 months) accounted for 35.91%.The top three diseases of 181 pregnant women with severe special diseases were pregnancy with cardiopathy, pregnancy with blood diseases and pregnancy with diseases of the immune system.Among the 181 pregnant women with severe special diseases, 47 cases received rescue of severe pregnant (259.67‰), which was significantly higher than the incidence of critically ill pregnant women in Shanghai during 2014-2016 (2.31‰, 3.12‰, 3.31‰ for three years respectively, and the average 2.89‰).The hospitalization expenses were lower if pregnancy terminated within 13 weeks gestation (P < 0.05). Conclusion To strengthen early intervention for pregnancy with severe specific diseases, for the purpose of ensuring the safety of mothers and infants, improving the quality of life for the pregnant women, reducing the burden on pregnancy and saving medical and health costs.To increase the risk awareness and intervention compliance of pregnant women with severe special diseases for the purpose of reducing maternal mortality.

Pregnancy complicated with severe special diseases in 2014-2016 in Shanghai:its risk management study / 上海预防医学

Objective To study the risk management of pregnancy with severe special diseases. Methods The relevant data on 181 women (< 28 weeks gestation) with severe special diseases reported from 2014 to 2016 in Shanghai city were analyzed retrospectively. Results The incidence of pregnancy with severe special diseases rose from 2014-2016, the incidence of 2016 was significantly higher than that of 2014 (P < 0.01).The average age of 181 pregnant women with severe special diseases was (29.06±5.41) years old, and pregnant women over 35 years of age accounted for 16.02%.The proportion of pregnant women (over 35) with severe special diseases in 2016 increased compared with the previous two years.Among 181 pregnant women with severe special diseases, the proportion of non-household registration people(76.80%) was higher than that of Shanghai household registered women(23.20%), the pregnant women who temporarily lived in Shanghai(residence time < 6 months) accounted for 35.91%.The top three diseases of 181 pregnant women with severe special diseases were pregnancy with cardiopathy, pregnancy with blood diseases and pregnancy with diseases of the immune system.Among the 181 pregnant women with severe special diseases, 47 cases received rescue of severe pregnant (259.67‰), which was significantly higher than the incidence of critically ill pregnant women in Shanghai during 2014-2016 (2.31‰, 3.12‰, 3.31‰ for three years respectively, and the average 2.89‰).The hospitalization expenses were lower if pregnancy terminated within 13 weeks gestation (P < 0.05). Conclusion To strengthen early intervention for pregnancy with severe specific diseases, for the purpose of ensuring the safety of mothers and infants, improving the quality of life for the pregnant women, reducing the burden on pregnancy and saving medical and health costs.To increase the risk awareness and intervention compliance of pregnant women with severe special diseases for the purpose of reducing maternal mortality.

Research progress on chemical composition and pharmacological effects of Periplocae Cortex and predictive analysis on Q-marker / 中国中药杂志

Periplocae Cortex is a traditional Chinese medicine in China, which is mainly produced in northeast China, north China, northwest China, southwest China. In recent years, the increasing in-depth research resulted in the discovery of anti-tumor and cardiac pharmacological activities of Periplocae Cortex, which has broad application prospects. On the basis of summarizing chemical components and pharmacological effects, combined with the theoretical system of Q-marker, the quality control components of Periplocae Cortex were predicted from the aspects of the correlation between chemical composition and traditional medicinal properties, traditional efficacy, and new clinical use, plasma composition, measurable composition, storage time by analyzing literature. Among the components, periplocoside, periplocin, periplogenin, 4-methoxy salicylaldehyde showed significant activity, which provides a scientific basis for quality evaluation of Periplocae Cortex.

A time series observation of Chinese children undergoing rigid bronchoscopy for an inhaled foreign body: 3,149 cases in 1991-2010 / 中华医学杂志(英文版)

<p><b>BACKGROUND</b>In China, tracheobronchial foreign body (TFB) aspiration, a major cause of emergency episode and accident death in children, remains a challenge for anesthetic management. Here, we share our experience and discuss the anesthetic consideration and management of patients with TFB aspiration.</p><p><b>METHODS</b>This was a single-institution retrospective study in children with an inhaled foreign body between 1991 and 2010 that focused on the complications following rigid bronchoscopy (RB). Data including the clinical characteristics of patients and TFB, anesthetic method, and postoperative severe complications were analyzed by different periods.</p><p><b>RESULTS</b>During the 20-year study period, the charts of 3149 patients who underwent RB for suspected inhaled TFB were reviewed. There were 2079 male and 1070 female patients (1.94:1). A nut (84%) was the most commonly inhaled object. The study revealed a 9% (n = 284) overall rate of severe postoperative complications related to severe hypoxemia, laryngeal edema, complete laryngospasm, pneumothorax, total segmental atelectasis, and death with incidences of 3.2%, 0.9%, 1.3%, 0.3%, 0.3%, and 0.1%, respectively. The rates of preoperative airway impairment, negative findings of TFB, and adverse postoperative events have been on the rise in the past 5 years.</p><p><b>CONCLUSIONS</b>The survey results confirmed that hypoxemia remains the most common postoperative complication in different periods. Both controlled ventilation and spontaneous ventilation were effective during the RB extraction of the foreign body at our hospital in the modern technique period. An active respiratory symptom was commonly seen in the groups with negative findings.</p>

Study on the method of quantitative analysis of serum ferritin and soluble transferrin receptor with protein microarray technology / 生物医学与环境科学（英文）

<p><b>OBJECTIVE</b>To establish and evaluate a protein microarray method for combined measurement of serum ferritin (SF) and soluble transferrin receptor (sTfR).</p><p><b>METHODS</b>Microarrayer was used to print both anti-SF antibodies I and anti-sTfR antibodies I on each protein microarray. Anti-SF antibodies II and anti-sTfR antibodies II were used as detection antibodies and goat antibodies coupled to Cy3 were used as antibodies III. The detection conditions of the quantitative analysis method for simultaneous measurement of SF and sTfR with protein microarray were optimized and evaluated. The protein microarray was compared with commercially available traditional tests with 26 serum samples.</p><p><b>RESULTS</b>By comparison experiment, mouse monoclonal antibodies were chosen as the probes and contact printing was chosen as the printing method. The concentrations of SF and sTfR probes were 0.5 mg/mL and 0.5 mg/mL respectively, while those of SF and sTfR detection antibodies were 5 μg/mL and 0.36 μg/mL respectively. Intra- and inter-assay variability was between 3.26% and 18.38% for all tests. The regression coefficients comparing protein microarray with traditional test assays were better than 0.81 for SF and sTfR.</p><p><b>CONCLUSION</b>The present study has established a protein microarray method for combined measurement of SF and sTfR.</p>

The nutrition status of children aged 6-23 months after three months of Wenchuan Earthquake in Beichuan and Lixian, Sichuan Province / 中华预防医学杂志

<p><b>OBJECTIVE</b>This project aims to investigate the nutrition status of children aged from 6 to 23 months living in Beichuan and Lixian where were seriously affected by the earthquake in 2008.</p><p><b>METHODS</b>The height, body weight and hemoglobin concentration were measured for 478 children from Leigu township, Qushan township in Beichuan county and Zagunao township, Xuecheng township and Putou township in Lixian county; the number of group 6 - 11, 12 - 17, 18 - 23 months were 190, 144, 144 respectively. The height for age (HAZ), the body weight for age (WAZ) and the weight for height (WHZ) were calculated respectively. The low weight, stunting, wasting prevalence, anemic rate were analyzed.</p><p><b>RESULTS</b>The WAZ scores of 6 - 23 months males and females in Beichuan county and Lixian county ranged from -0.97 to -0.13 and from -0.67 to -0.23, HAZ scores ranged from -1.23 to -0.31 and from -1.25 to -0.38, respectively. The WAZ (-0.89 ± 1.16) and HAZ (-1.20 ± 1.60) of 18 - 23 months infants in Beichuan county were significantly different from the WAZ and HAZ of 6 - 11 months (WAZ: -0.32 ± 0.92; HAZ: -0.58 ± 0.98) and 12 - 17 months (WAZ: -0.47 ± 1.00; HAZ: -0.68 ± 1.34) infants (F values were 7.161 and 4.584, respectively; all P values < 0.05). The WAZ (-0.63 ± 1.03) and HAZ (-1.11 ± 1.15) of 18 - 23 months in Lixian county infants were significantly different from the WAZ and HAZ of 6 - 11 months (WAZ: -0.23 ± 0.93; HAZ: -0.51 ± 1.55) infants and 12 - 17 months (WAZ: -0.58 ± 0.52; HAZ: -0.80 ± 1.19) (F values were 3.156, 4.345, all P values < 0.05). The prevalence of low weight infants (18 - 23 months) these two counties were 15.6% (12/77) and 9.1% (6/66), respectively. The prevalence of stunting in Beichuan and Lixian have reached 26% (20/77) and 24.2% (16/66), respectively. The wasting rate of 18 - 23 months infants had reached 9.1% (7/77) in Beichuan. The total anemia prevalence among infants reached 49.6% (123/248) and 78.8% (178/226) in Beichuan and Lixian, respectively. The prevalence of moderate anemia have reached 7.7% (19/248) and 19.9% (45/226), respectively.</p><p><b>CONCLUSION</b>After the earthquake in Beichuan, Lixian, the growth of infants aged 6 to 23 months old was below average. The prevalence of anemia was high. The malnutrition status of infant and young children aged from 18 to 23 months in Beichuan and Lixian was more serious, should be targeted of nutrition interventions.</p>

Efficacy of different iron fortificants in wheat flour in controlling iron deficiency / 生物医学与环境科学（英文）

<p><b>OBJECTIVE</b>To observe the different impacts of electrolytic iron, FeSO4, and NaFeEDTA on body iron store of anemic school students.</p><p><b>METHODS</b>Four hundreds anemic students at the age of 11-18 years were divided into four groups. Of which, three consumed different iron fortificants from wheat flour as food vehicle for six months and one consumed non-fortified flour (control). The fortification level of electrolytic iron, FeSO4, and NaFeEDTA was 60 mg Fe/kg, 30 mg Fe/kg, and 20 mg Fe/kg, respectively. Blood samples were collected at 0, 2, 4, and 6 months and hemoglobin (Hb), serum ferritin (SF), and transferrin receptor (TfR) were measured.</p><p><b>RESULTS</b>The hemoglobin levels in three intervention groups increased, the increments of Hb in the NaFeEDTA group were significantly higher than that in the other groups. SF and TfR levels increased in the tested groups and body iron store in the NaFeEDTA group was higher than that in the other groups. These parameters did not show any significant changes in the control group.</p><p><b>CONCLUSION</b>NaFeEDTA and FeSO4 fortified wheat flour has positive impacts on iron status in anemic students and NaFeEDTA is more effective than FeSO4, while electrolytic iron is less effective in improving iron store in anemic students.</p>

Parental alcoholism, adverse childhood experiences, and later risk of personal alcohol abuse among Chinese medical students / 生物医学与环境科学（英文）

<p><b>OBJECTIVE</b>To determine the status of adverse childhood experiences (ACEs) and the association of multiple ACEs with both parental alcoholism and later personal alcohol abuse among Chinese medical students with a view of improving adolescent health and reducing alcohol abuse among them.</p><p><b>METHODS</b>In this cross-sectional study, 2073 Chinese medical students completed a survey on ten categories of ACEs in Anhui province of China. The association of parental alcoholism with ACEs and personal alcohol abuse was assessed by logistic regression analyses.</p><p><b>RESULTS</b>The adjusted odds ratio (OR) for each category of ACEs in the subjects whose parents (either fathers or mothers or both) had alcohol abuse was 2 to 14 times higher than that in those with parental alcoholism (P<0.05). Subjects with bi-parental alcoholism had the highest likelihood of ACEs. Compared with the subjects without ACEs, therisk of personal alcohol abuse was increased by 2-4-folds in the subjects with ACEs, irrespective of parental alcoholism (P<0.05). The total number of ACEs (ACE score) had a graded relationship to 4 categories of personal alcohol abuse with or without parental alcoholism. The prevalence of personal alcohol abuse among the subjects with parental alcoholism was higher, which was independent of ACE scores.</p><p><b>CONCLUSION</b>The prevalence of ACEs is generally serious in China. Efforts should be made to prevent and treat children with ACEs and subsequently to reduce alcohol abuse and later problems.</p>

Study on the influencing factors related to suicide ideation among undergraduates in Anhui province / 中华流行病学杂志

<p><b>OBJECTIVE</b>To explore the relationships between quality of life, negative life events, social support and suicide ideation among undergraduates in colleges.</p><p><b>METHODS</b>3517 undergraduates in colleges were recruited by multistage stratified random clustered sampling method. Factors associated with suicide ideation were analyzed with logistic regression by scores of Beck Scale for Suicide Ideation(BSSI), Generic Quality of Life Inventory (GQOLI), Adolescent Self-rate Life Events Checklist (ASLEC), Social Support Rating Scale (SSRS) and a questionnaire on background information.</p><p><b>RESULTS</b>The rate of suicide ideation within 7 days was 14.1%, especially in females (15.96%), with single parent (23.79%) and disabled undergraduates (25.00%). The primary risk factors for suicide ideation were with low psychological function, material life, family/social support, lower availability of support and more negative life events.</p><p><b>CONCLUSION</b>The prevalence of suicide ideation among these undergraduates was high, appropriate measures focusing on these risk factors should be implemented.</p>

Aneurysm repair in vitro and renal revascularization and renal autogenous transplantation for complex renal artery aneurysm in solitary kidney / 中华外科杂志

<p><b>OBJECTIVE</b>To discuss the safety and feasibility of aneurysm repair in vitro and renal revascularization and renal autogenous transplantation for complex renal artery aneurysm in solitary kidney.</p><p><b>METHODS</b>A complex hilar renal artery aneurysm involving the bifurcation of renal artery and its branches in a solitary left kidney was diagnosed by computed tomography angiography (CTA). After temporary nephrectomy, aneurysm repair in vitro and renal revascularization were done with the kidney protected by hypothermia and continuous perfusion with preservation solution, and then the kidney was replanted into the right iliac fossa.</p><p><b>RESULTS</b>The operation was done successfully and there were no significant perioperative complications. Although a serum creatinine level temporarily exceeded above 200 micromol/L after the surgery, it recovered gradually within half a month. CTA two weeks later demonstrated patent reconstructed renal arteries and its branches and patent renal vein in the right iliac fossa, and also a patent reconstructed ureter.</p><p><b>CONCLUSIONS</b>This technique is safe and feasible to manage complex renal artery aneurysm in solitary kidney and provide an alternative for similar complex renal diseases.</p>

Experimental study of interventional infusion thermochemotherapy in rabbit liver VX2 tumor / 介入放射学杂志

Objective Effectiveness of two kinds of thermochemotherapy infusion from intraarterial approach were studied in the grafted liver VX2 tumors of rabbit.Methods VX2 tumor model was established in 30 Newzland rabbit's livers.Percutaneous transfemoral hepatic arterial catheterization with fixation of the cathether tip inside the feeding vessel was carried out under DSA guidance.All 30 rabbits were divided into three groups(n=10 in each group),normal temperature 100 ml saline+Adriamycin(ADM)infusion(group 1),60℃100 ml saline+ADM continuous perfusion(group 2)and 60℃100 ml saline+ADM intermittent perfusion(group 3).After the perfusion,the lasting time periods of 43-45℃for tumor tissue of group 2 and 3 together with the concentrations of ADM within tumor's tissue were measured.Results Concentrations of ADM were shown as(12.013?2.237)?g/ml,(17.622?1.368)?g/ml,and(11.519?1.225)?g/ml for group 2, group 3 and group 1 respectively.60℃intermittent perfusion vs 60℃continuous perfusion showed P＜0.05, 60℃continuous pefusion vs normal temperature perfusion also showed P＞0.05. 43-45℃period lasting time (min)for 60℃continuous pefusion vs 60℃intermittent pefusion were(4.1?2.7)min and(11.3?3.3)min respectively,the latter was three times more than the former.There were no differences shown betwen the temperature,respiration and heart rate of group 2 and group 3.Conclusion Intermittent intraarterial perfusion thermochemotherapy is a more effective interventional management among all thermochemotherapies.

The observation of chronic prostatis patients using the National Institutes of Health Chronic Prostatitis Symptom Index / 中华男科学杂志

<p><b>OBJECTIVES</b>The National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI) was used to determine the chronic prostatitis syndrome in young men (from 20 to 48 years old) of clinical validity.</p><p><b>METHODS</b>227 patients with chronic prostatitis syndrome (CPS)/chronic pelvic pain syndrome and 32 patients with BPH were randomized to study using NIH-CPSI.</p><p><b>RESULTS</b>1. The main manifestations of CPS patients were pain or uncomfort. Those were more common in CPS than BPH. 2. 79.30% CPS patients had a sensation of not emptying bladder completely after finished urinating, 44.93% patients had to urinate again less than two hours after finished urinating. 3. 51.51% patients with CPS have more effect on work, 90.31% patients on free life, and 68.72% patients on quality of life than BPH.</p><p><b>CONCLUSIONS</b>According NIH-CPSI, the main manifestations of CPS are pain or uncomfort. CPS patients have more effect on work and quality of life.</p>