ABSTRACT
Under the background of a series of reform policy, more and more hospitals chose the depth mode of drug supply chain to reform the drug procurement and management.The concept of depth of drug supply chain cooperation, and practice of cooperative effect of the multi-angle analysis were summarized in the paper, which offered references to other hospitals.
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Objective To investigate the diagnosis value of the three-dimensional transvaginal ultrasound volume technology in polycystic ovary syndrome (PCOS).Methods Totally 75 patients with PCOS and 50 normal subjects as controls from Beijing Obstetrics and Gynecology Hospital affiliated to Capital Medical University were chosed. The volume of the endometrium and ovaries were measured with virtual organ computer-aided analysis techniques (VOCAL). While the follicular numbers and the volumes were measured by sono follicle technique. The ovarian volumes, the follicular volumes and the endometrial volumes were compared between the two groups. Independent samplest test was used to compare PCOS group patients and healthy subjects with endometrial volumes, ovarian volumes, follicle volumes and the average numbers of follicle. Pearson correlation analysis was used to analyze the correlation between the number of total follicles and the volume of ovary, follicle volume and serum sex hormone concentration in PCOS group.Results With the endometrial volume of PCOS patients about (1.6±0.9) cm3 was less than that of the control group [(3.1±1.7) cm3]. The ovarian volume, follicular volume and the average number of follicles were (13.6±4.6) cm3, (1.9±0.7) cm3 and (27.7±7.4). All of them were higher than those in healthy subjects [(7.4±2.9) cm3, (1.1±0.7) cm3, (8.4±3.4)], and the differences were statistically significant (t=6.013, P<0.001;t=8.087,P=0.015;t=7.222,P<0.001;t=15.637,P<0.001). The total number of follicles in PCOS patients were positively correlated with ovarian volume, follicle volume and serum testosterone concentrations (r=0.467,P=0.000;r=0.446,P=0.000;r=0.383,P=0.001). There was no correlation with luteinizing hormone (LH)/thyroid stimulating hormone (TSH) (r=0.048,P=0.702).Conclusion The sono follicle and VOCAL technology provide a new and objective measurement method for PCOS diagnosis.
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Objective To evaluate the effect of hierarchical psychological nursing model during the period of chemotherapy for breast cancer patients so as to provide references for psychological nursing for the patients. Methods Ninety-four patients to undergo first chemotherapy after mastectomy during April to September 2016 were included in the study, subject to the inclusion standards of patient health questionaire-9 (PHQ-9) by depression screening scale≥5 and/or by generalized anxiety scale (GAD-7)≥5before the chemotherapy. 46 cases during April to June 2016 were assigned into the control group and the rest 48 during July to September 2016 into the experimental group:The former were treated with routine mental care and the latter with hierarchical psychological nursing after investigation with functional assessment of cancer therapy-breast (FACT-B). The two groups were compared in terms of depression, anxiety and life quality at the time points of pre-chemotherapy, the 3rd, 5th and 8th chemotherapy. Results The scores of experimental group and anxiety and the control group at the time points in main effect between group, interactive effect and time main effect were with statrstal significance (P<0.05, P<0.001). After mental intervention, the life quality in the experimental group increased and depression score decreased with the time going (P<0.05, P<0.001). Conclusions The implementation of hierarchical psychological nursing can reduce the negative emotions of patients, improve the quality of life, physical condition, social/family status, emotional status, and additional attention dimension. It is better than ordinary psychological nursing.