Diagnosis and treatment of 38 cases of tsutsugamushi disease / 中国生化药物杂志

Objective To deepen the understanding of the clinical features of tsutsugamushi disease, in order to improve the diagnosis and treatment level. Methods The clinical data of 38 patients with tsutsugamushi disease were analyzed retrospectively in Shengzhou People 's Hospital from June 2015 to October 2016. Results All patients had persistent fever, were found eschar; 5 cases of elevated white blood cells, decreased in 10 cases, 23 cases of normal, C-reactive protein increased in 32 cases, 19 cases of thrombocytopenia, alanine aminotransferase increased in 29 cases, 22 cases of serum sodium, 19 cases of hypokalemia, 38 cases of serum albumin decreased; 26 cases of rash, 23 cases of pneumonia, inguinal lymph nodes in 22 cases, complicated by septic shock, respiratory failure in 3 cases. Conclusion The clinical symptoms of tsutsugamushi disease are diverse and lack of specificity. In patients with persistent fever in summer and autumn, it is necessary to guard against tsutsugamushi, and the eschar is found in time. The diagnosis and treatment is reduced and the misdiagnosis rate is reduced.

Diagnosis and treatment of 38 cases of tsutsugamushi disease / 中国生化药物杂志

Objective To deepen the understanding of the clinical features of tsutsugamushi disease, in order to improve the diagnosis and treatment level. Methods The clinical data of 38 patients with tsutsugamushi disease were analyzed retrospectively in Shengzhou People 's Hospital from June 2015 to October 2016. Results All patients had persistent fever, were found eschar; 5 cases of elevated white blood cells, decreased in 10 cases, 23 cases of normal, C-reactive protein increased in 32 cases, 19 cases of thrombocytopenia, alanine aminotransferase increased in 29 cases, 22 cases of serum sodium, 19 cases of hypokalemia, 38 cases of serum albumin decreased; 26 cases of rash, 23 cases of pneumonia, inguinal lymph nodes in 22 cases, complicated by septic shock, respiratory failure in 3 cases. Conclusion The clinical symptoms of tsutsugamushi disease are diverse and lack of specificity. In patients with persistent fever in summer and autumn, it is necessary to guard against tsutsugamushi, and the eschar is found in time. The diagnosis and treatment is reduced and the misdiagnosis rate is reduced.

Prevalence and related factors of periodontitis in community-dwelling Chinese with diabetes / 中华口腔医学杂志

<p><b>OBJECTIVE</b>To evaluate the periodontal conditions in community-dwelling Chinese with diabetes and analyze some related factors.</p><p><b>METHODS</b>A total of 90 (45- to 84- year-old) patients with diabetes, participating in community-based non-communicable diseases management system, were recruited in this study. The examination items on these patients included periodontal measurements performed by pocket probing depth (PPD), attachment loss (AL), sulcus bleeding index (SBI), plaque index (PLI), and blood sugar metabolic level surveillance, as well as structured questionnaire interview.</p><p><b>RESULTS</b>The prevalence of periodontitis was 100%, while 37.1% was diagnosed as having mild periodontitis, 24.4% with moderate, and 38.5% with advanced periodontitis. The AL level in male was significantly higher than that in female. The periodontal destruction was highly correlated with HbA1C value and affected by some socio-behavior factors based on multinomial logistic model.</p><p><b>CONCLUSIONS</b>There is a positive correlation between AL and HbA1C level, and AL and HbA1C should be measured regularly. The patients' periodontal inflammation needs effective control. Priority should be given to the low income population and those with little periodontal knowledge for behavior interventions.</p>

Evaluation of the public on the psychosocial effects of fluorosis / 中华口腔医学杂志

<p><b>OBJECTIVE</b>To explore the attitude of the public to the psychosocial effects of fluorosis through investigating the public in different areas.</p><p><b>METHODS</b>Twenty typical fluorosis photos were selected and evaluated by the public in Xingtai, Beijing and Guangzhou, which included 101 dentists, 118 dental students, 103 college students in non-dental schools, 102 clerks and 92 leaders. Each evaluator was required to answer seven five-point questions according to each photo.</p><p><b>RESULTS</b>The mean of the public evaluation was going up with the increase of Dean's Index (DI) score, ranging from 2.21 to 4.74, meanwhile, the prevalence of reporting that fluorosis would affect their psychosocial status also ascended. Less than 25% people reported that very mild fluorosis (DI < or = 1) would affect the psychosocial status of patients, and mild fluorosis (DI = 2) would affect 25% - 56%, while the prevalence would increase to 48% - 97% in severe fluorosis group (DI > or = 3). "Bivariate Correlation Analysis" showed that significant correlation existed in the evaluation of the public and the degree of fluorosis. The scores of dentists were significantly lower than those of dental students, college students in non-dental schools and clerks. The evaluation scores of the public in Xingtai were generally higher than those in Beijing and Guangzhou.</p><p><b>CONCLUSIONS</b>Mild or less fluorosis could lead to little psychosocial effects.</p>

A survey of cognition and utilization of fluoride toothpaste and associated factors / 中华口腔医学杂志

<p><b>OBJECTIVE</b>To survey the situation of cognition and utilization of fluoride toothpaste and associated factors amongst elementary and middle school students in Haidian district, Beijing.</p><p><b>METHODS</b>Sample of students was recruited by a multistage, stratified, and probability proportional to size sampling procedure. Self-administered structured questionnaires were used to collect information concerning the knowledge of, attitudes to and utilization of fluoride toothpaste and associated factors. A total of 1 557 students completed the questionnaire effectively.</p><p><b>RESULTS</b>The percent age of students who used fluoride toothpaste when brushing their teeth were 87.8%. More than 60% of students knew that fluoride toothpaste could prevent dental caries by strengthening the out layer of tooth surface. 41.6% of the students doubted about the harmless of fluoride toothpaste even to be used properly. Advertisement was the main source of information about the fluoride toothpaste.</p><p><b>CONCLUSIONS</b>The percentage of students using fluoride toothpaste was high and the majority of them knew that fluoride toothpaste could prevent caries. The oral health education programme concerning the optimal use of fluoride in dental caries prevention is highly recommended.</p>

Evaluation of the psychosocial status of fluorosis patients in fluorosis epidemic areas / 中华口腔医学杂志

<p><b>OBJECTIVE</b>To explore the psychosocial effect of fluorosis on patients in fluorosis epidemic areas.</p><p><b>METHODS</b>Multistage, stratified, clustered and random sampling method was used in this survey. Totally 416 inhabitants of 12, 15 and 35-44 years of age from rural fluorosis epidemic areas in Hebei province were selected. Dental fluorosis was classified by Dean's index (DI). A total of 178 patients with different types of fluorosis were involved in a psychosocial questionnaire investigation which included six five-point subscales, including attitude to teeth, subjective well-being, life satisfaction, interpersonal or social anxiety, effect of self-esteem, impact on behavior.</p><p><b>RESULTS</b>Fluorosis prevalence in fluorosis epidemic areas of Xingtai in Hebei province was 71.20%, and significant difference existed among three age groups (Pearson Chi-square value = 167.51, P < 0.01). With the increase of DI score, the average value of subscale "attitude to teeth" rising, ranging from 2.58 to 3.51, and value of "subjective well-being" was also increasing, ranging from 2.35 to 2.9. Statistical difference of subscale average value was found only in these two subscales ("attitude to teeth": F = 4.787, P < 0.01; "subjective well-being": F = 2.538, P < 0.05). "Attitude to teeth" was significantly different between control group and moderate group (F = 0.52, P < 0.01) and between control group and severe group (F = 0.72, P < 0.01). While significant difference of "subjective well-being" could only be found between control group and severe group (F = 0.56, P < 0.01). According to the bivariate correlation analysis, strong correlation could be found between the degree of fluorosis and the average value of sub-scales.</p><p><b>CONCLUSIONS</b>The psychosocial impact of fluorosis on patients in fluorosis epidemic areas mainly appeared in two aspects, i.e. attitude to teeth and the perception of well-being, especially in severe group.</p>

Effect of IgY solution on dental plaque / 中华口腔医学杂志

<p><b>OBJECTIVE</b>To observe the effect of the IgY solution on dental plaque and mutans Streptococci in plaque and in saliva.</p><p><b>METHODS</b>A double-blind study was used. 44 school children at the third grade in test group used the IgY solution for 21 days; 41 children in control group used the placebo. The plaque index, the plaque weight, the level of mutans streptococci in saliva and in plaque were tested for all children.</p><p><b>RESULTS</b>The plaque weight in test group was (46.4 +/- 31.2) mg at baseline, and (36.6 +/- 25.6) mg at the end of the study (P = 0.007). The IgY solution reduced 21.1% plaque weight. Statistically significant differences for other indices were not shown in this study.</p><p><b>CONCLUSION</b>The 0.1% IgY solution reduces the mass of plaque on the tooth surfaces.</p>