ABSTRACT
<p><b>OBJECTIVE</b>To analyze the correlation between the hallux valgus angle and arch X-ray parameters change, plantar pressure by measuring the X-ray indexes and foot-pressure indexes in patients with hallux valgus, as well as to study the main cause factors for the pain under the second metatarsal head.</p><p><b>METHODS</b>A retrospective study of 254 patients(477 feet) treated in Wangjing Hospital from January 2012 to June 2013 was performed. The pain under the second metatarsal head and age distribution were recorded. All the patients were divided into two groups according to the second plantar bone pain: pain group and no pain group. The following indexes were measured and compared: HAVA(hallux abductor valgus angle), IMA1-2(the inter-metatarsal angle between the first and second metatarsals), IMA1-5(the inter-metatarsal angle between the first and fifth metatarsals), TAOTMLA (top angle of the medial longitudinal arch), AAOTMLA (anterior angle of the medial longitudinal arch), SMRL (the second metatarsal relative length than the first), and the plantar pressure indicators including TPUM (touch the ground time percentage under the second metatarsal head), PPUM (peak pressure under the second metatarsal head), and IUM(impulse under the second metatarsal head). All the factors were evaluated by Logistic regression analysis.</p><p><b>RESULTS</b>Spearman rank correlation test showed that there were statistical significance in correlation between HAVA and IMA1-2, IMA1-5, TAOTMLA, AAOTMLA, TPUM(<0.05, r=0.647, 0.553, 0.127, -0.165, 0.158). Factors including the HAVA, SMRL and the TPUM were the risks for the pain under the second metatarsal head in patients with hallux valgus(<0.05, ORj=1.030, 1.069, 1.060).</p><p><b>CONCLUSIONS</b>Increase of the hallux valgus angle causes the collapse of hallux valgus arch, extending the weight bearing time of the second metatarsal and increasing the possibility of the pain under the second metatarsal.</p>
ABSTRACT
Objective To explore the factors related to vasovagal syncope (VVS) in children. Methods The clinical data of 125 children with conifrmed VVS were collected. According to the frequency of syncope during the ifve years from ifrst episode to the time of head-up tilt test, the children with 2 or 3 episodes of syncope were assigned into the low episode group, and the children with 4 or more episodes of syncope were assigned into the high episode group. The two groups were analyzed and compared. Results Among the 125 children, 84 children (67.2%) were in the low episode group and 41 children (32.8%) were in the high episode group. The single factor analysis showed that the age at head-up tilt test, onset of syncopal, causes of syncope, history of carsickness, and positive family history were associated with high attack frequency. The results of non-conditional logistic regression analysis showed that causes of syncope (OR?=?3.723, 95%CI:1.163-11.918, P?=?0.027), history of carsickness (OR?=?5.929, 95%CI:2.066-17.015, P?=?0.001), and positive family history (OR?=?6.794, 95%CI:2.006-23.013, P?=?0.002) were the independent risk factors of high attack frequency. Conclusions The causes of syncope (excluding persistent standing), history of carsickness, and positive family history have important clinical signiifcance in predicting high attack frequency of VVS in children.
ABSTRACT
The influence extent of students from teachers is related to the teaching effect , which means whether it can successfully promote the study of students and reach the expected teach-ing goal during the teaching process. To have a good teaching effect, guided by the micro-system en-gineering of teaching reform, we used SIMPP to analyze the related factors of the influence of students extent from teachers during the teaching process in TCM colleges and universities. The result shows that the influence extent from teachers is related to not only teachers themselves but students and their self-condition and family backgrounds as well. Going further in researching these factors and the related behavior patterns of influence extent of students from teachers is helpful to making the teach-ing more effective and more targeted.
ABSTRACT
OBJECTIVE To investigate the correlative factors and prevention measurements about nosocomial infection of tumor inpatients.METHODS The nosocomial infection correlative factors of 684 tumor inpatients between Jan 2006 to May 2005.were reviewed and analyzed.RESULTS There were 78 infection cases among 684 patients,with the ratio of 11.4%.The infection often happened in a week after admission in hospital,and mostly occurred in respiratory system with a proportion of 67.03%.Pathogenic examination indicated that the main pathogens was conditional pathogens.Furthermore,age,duration in hospital,sicken time,application of chemical therapy,application of antibiotic drug,site of the tumor,malignant grade and nutrition condition,were correlation to nosocomial infection.CONCLUSIONS There is an extremely high infection rate of tumor patients in hospital.All the factors mentioned above should be considered seriously,and take precaution in advance to reduce nosocomial infection.
ABSTRACT
OBJECTIVE To investigate the status of nosocomia infection and provide scientific reference for nosocomial infection control.METHODS Retrospective analysis based on the nosocomial infection materials of January,April,July,October,from 2006 to 2007 were conducted.RESULTS Both the infection incidence and the infection ratio were 4.66% and 5.97%,The main infection sites were lower respiratory tract,urinary tract and gastrointestinal tract.The risk factors were central venous catheters,urine catheters and mechanical ventilation.The nosocomial infection cases were compared with non-nosocomial infection control cases in age,number of days in hospital,death rate and medical treatment fee.There were significant difference between them.CONCLUSIONS It is an efficiency step in preventing infection from central venous catheters,urine cathters and mechanical ventilation,protecting sensitized hosts and developing the prospective analysis of nosocomial infection monitoring.
ABSTRACT
OBJECTIVE To explore the correlative fators of nosocomial infections of preterm infants and decrease the infections rate of preterm infants.METHODS A retrospective analysis of nosocomial infection was made among preterm infants in our hospital from Jan 1998 to Dec 2005.RESULTS The incidence rate of nosocomial infections of preterm infants was 12.28%.The most infection site was respiratory tract.Small gestational age,low birth weight and birth asphyxia were the risk factors of nosocomial infections.CONCLUSIONS Intensive care of preterm infants and rational use of antibiotics are effective methods to decrease the rate of nosocomial infections.
ABSTRACT
Objective To analyze the correlative factors of prognosis of neonatal stress-induced ulcer bleeding.Methods Fifty-four cases of NICU admitted stress-induced ulcer bleeding newborns were divided into mild group and severe group according to bleeding endurance,transfusion requirement,and clinical turnover.Compared with gender,gestational age,birth weight,and score for neonatal acute physiology(SNAP) Ⅱ and score for neonatal acute physiologyⅡ perinatal extension(SNAP-PE) Ⅱ of two groups.Results Based on the output of SPSS statistical package,the SNAP Ⅱand SNAP-PE Ⅱ had a significant deviation between two subgroups((?~2=)15.207,10.311 all P
ABSTRACT
@#ObjectiveTo investigate correlative factors of non-operative treatment in the senile cataract, and provide gist for the health education measures.Methods1513 retiring old people had a whole medical examination, and the data was analyzed.ResultsThe proportion of binoculus cataract was 45.9%. Predilection age was 70～79 years old. Cognition information and iatrogenic effects were major risk factors in the non-operative therapeutic agents. Cataract was the third in the elder chronic disease.ConclusionMany senile patients with cataract have not enough knowledge about cataract operation although having better medical treatment and economy conditions. So the closed attention to the health education must be paid in the future.
ABSTRACT
@#ObjectiveTo investigate clinical features, correlative factors and prognosis of senile coronary heart disease accompanied with depression.MethodsFifty two senile patients of coronary hart disease with depression were selected for the observation group, sixty cases without depression as control group. Clinical features, family conditions, society factors and Holter report (supervision) of two groups were analyzed.ResultsClinical features such as severe dyssomnia, anxiety agitation, emotion depressing, loss of interest, feeling waste and sense of guilty in patients of observation group were significant different with those in control group. The rate of family harmoniousness and society supporting between patients of two groups were significantly different. The incidence of ventricular arrhythmias, atrial arrhythmia and myocardial ischemia changes on ST-T in the Holter reports of patients in observation group were higher than those in control group (P<0.05 or P<0.01). The incidence of cardiac sudden death of patients in observation group was also higher than patients in control group (P<0.05).ConclusionClinical symptoms such as severs dyssomnia, anxiety agitation, emotion depressing are easily occurred in senile coronary heart disease patients with depression. Patients with depression have higher incidence of cardiac sudden death, having better relationship and society support are advantageous to prevent and reduce the depression in senile coronary heart disease patients.
ABSTRACT
Objective To investigate the causes of upper gastrointestinal bleeding (UGB), and some relative factors. Methods The UGB in 1 869 patients examined endoscopically between 1982－ 1996. Results 1.The most common causes of UGB were peptic ulcer (31.5％ ), gastric cancer(19.3％ ), and AGML(17.5％ ), and the rate of severe bleeding was highest in esophageal varices(49.4％ ). 2.Between 1982－ 1986,1987－ 1991,and 1992－ 1996, the rates of UGB were 22.3％ ,12.0％ ,and 13.4％ respectively. 3. The rate of UGB in male and female patients were 17.5％ and 8.9％ ; their difference is statistically significant(P
ABSTRACT
113 cases of postoperative patients with tongue carcinoma were analyzed to investigate the correlative factors of cervical lymphnode metastasis and the prognosis.Results showed that the prognosis of tongue carcinoma was related to cervical lymph node metastasis remarkably.
ABSTRACT
OBJECTIVE To investigate the correlative factors that would affect the prognosis of geriatric lower respiratory infection.METHODS A total of 101 geriatric patients diagnosed as lower respiratory infection were enrolled in emergency ICU.The laboratory tests such as blood chemical tests,C-reactive protein,and troponin T(cTnT)were obtained twice 2 hours and 24 hours after admission,respectively.Other parameters including general condition,clinical outcomes as well as APACHE Ⅱ and SIRS scores within 24 hours were recorded.RESULTS The ages,cTnT and SIRS score were negatively correlated to clinical outcome.CONCLUSIONS The ages,SIRS scores and cTNT levels are independent prognostic factors in geriatric lower respiratory infection.
ABSTRACT
Objective To explore the correlative factors of asthma after bronchiolitis.Methods Clinical data from 115 hospitalized patients with bronchiolitis were collected from Jan.2002 to May 2003,including age,gender,incidence season,family asthma history,birth weight,eczema,severity of bronchiolitis,pathogen,total and specific immunoglobulin E(IgE),overweight,smoking during pregnancy and feeding patterns;and the data of respiratory tract infection and wheezing onset in those cases were collected by clinic sevice and telephone follow-up in post-discharge for 5 years;the pollution status in living environment(coal dust and mine especially) and animal contact history(especially cats and dogs) were recorded.And the independent effect of risk factors was obtained,Logistic regression models were created for each outcome variable.Results Thirty-nine(33.9%) cases of 115 children with brochiolitis developed into asthma.There were significant differences between asthma and non-asthma group in family asthma history,recurrent lower respiratory tract infection(LRTI) under 1 year old,onset age,severity extent and obesity(P =0,0,0.004,0.004,0.020,respectively).The factors that contribute to the risk of asthma onset were incidence season,severe bronchiolitis,parental asthma,eczema and recurrent LRTI(OR=0.49,3.82,6.12,3.76 and 3.14,respectively P=0.000 7,0.026 0,0,0.030 9,0.000 5).But,the factors of gender,birth weight,congenital heartdisease,pollution status in living envi-ronment,animal contact history,feeding patterns,smoking during pregnancy,age when occured bronchioliyis,blood IgE and overweight had not correlated with asthma after bronchiolitis.Conclusions Severe bronchiolitis,parental asthma,eczema and recurrent LRTI under 1 year old correlate with development of asthma after bronchiolitis,however,falling ill in winter may be a protective factor in the progression of airway inflammation.