Research on Patients’ Trust Risk Points and Promotion Path from the Perspective of Online Health Community / 中国医学伦理学

Online health community is a new medical treatment mode combining the Internet and medical treatment. Patients can get medical services through the network. However, it cannot be ignored that patients’ trust will be affected by the uncertainty of online medical information, the unsafe factors of patients’ private information, the insufficient standardization of the diagnosis and treatment process, and other issue in the process of using this new medical treatment mode. By taking measures such as improving the information quality in online health community, enhancing patients’ cognitive ability of health information, perfecting privacy protection measures in online health community, advancing patients’ participation in online health community and ensuring the standardization of diagnosis and treatment process, patients’ trust can be improved.

Standardized diagnosis and treatment process of gallbladder disease and technical details / 中华消化外科杂志

Based on current diagnosis and treatment of gallbladder disease, the occur-rence of incidental gallbladder cancer is partly caused by the irregular clinical diagnosis and treatment process of gallbladder disease, which leads to the failure to make the diagnosis of gallbladder cancer in time, carry out the correct preoperative and intraoperative staging, and cause R 1 or R 2 resection. The authors summarize standardized diagnosis and treatment process of gallbladder disease and technical details. In clinical practice, the concept of incidental gallbladder cancer should be discarded, and various gallbladder diseases should be taken as a whole. A more standardized diagnosis and treatment process should be established to improve the diagnostic accuracy of gallbladder cancer and achieve radical resection, which eventually improve survival of patients.

Application of standardized nutrition therapy and nursing in patients with colorectal cancer / 中国实用护理杂志

Objective:To explore the effect of standardized nutrition therapy and nursing in patients with colorectal cancer.Methods:From June 2017 to June 2019, 70 patients with colorectal cancer were selected. They were divided into control group ( n=35) and observation group ( n=35) by random digital table method. The control group was given routine nutrition treatment and nursing, while the observation group was given standardized nutrition treatment plan and nursing. The clinical indexes, nutritional indexes and complications of the two groups were compared, and the immune function before and after operation was compared. Results:The recovery time of bowel sounds, anal exhaust time, defecation time and hospitalization time in the observation group were (3.62±0.64) h, (36.78±11.25) h, (69.74±20.12) h, (15.81±3.57) h, respectively. The control group were (4.08±0.92) h, (44.96±13.83) h, (92.76±19.86) h, (18.83±4.56) h, the difference was statistically significant ( t values were 2.43-4.82, P<0.05 or 0.01). After 7d, the body mass, prealbumin, hemoglobin and serum albumin in observation group were (52.13±5.17) kg, (197.63±39.72) mg/L, (109.74±11.25) g/L, (41.85±5.67) g/L, respectively. The control group were (49.34±4.82) kg, (168.73±32.47) mg/L, (104.06±7.93) g/L, (37.92±4.53), respectively. The difference was statistically significant ( t values were 2.34-3.33, P<0.05 or 0.01). The IgA, IgG, IgM, CD4, CD4/CD8 in the observation group (1.93±0.54) g/L, (11.47±2.35) g/L, (0.96±0.21) g/L, (40.32±5.22)%, 1.68±0.38, the control group were (1.65±0.35) g/L, (9.81±1.69) g/L, (0.81±0.17) g/L, (37.81±4.45)%, 1.49±0.33,The difference was statistically significant ( t values were 2.16-3.39, P<0.05 or 0.01). Conclusions:Standardized nutrition treatment process and nursing can improve the prognosis of colorectal cancer patients, promote the recovery of gastrointestinal function, improve the nutritional status of the body, enhance the immune function of the body.

Comparison of Shanghai water quality standard for drinking water with domestic and foreign standards and its influence after implementation / 上海预防医学

Objective:To explore the differences between shanghai water quality standards for drinking water （DB31/T 1091-2018） and domestic and foreign water quality standards， and to compare the improvement of water quality before and after the implementation of DB31/T 1091-2018. Methods:To compare shanghai water quality standard for drinking water with domestic and foreign standards in terms of index number， indicators of disinfectants and their by-products， increased indicators， and revised indicators， and the key water quality indicators before and after the standard implementation in Pudong New Area of Shanghai were investigated. Results:The number of new standard increased from one hundred and six to one hundred and eleven. Among them， the number of conventional indicators increased from forty-two to forty-nine， while the number of unconventional indicators decreased from sixty-four to sixty-two，seven new conventional indicators were added， and the limit value of seventeen conventional indicators was revised and so on. By analyzing water quality monitoring data of New standard before implementation （2017） and after implementation （2019） at water plants of Pudong New Area of Shanghai ， it is found that the total number of bacteria （Z=-2.772，P<0.01）， and carbon tetrachloride （Z=-5.570，P<0.01），trichloromethane （Z=-5.685，P<0.01）， turbidity （Z=-4.168，P<0.01）， total dissolved solids （Z=-7.061，P<0.01）， and total hardness （Z=-2.338，P<0.05）， oxygen consumption （Z=-2.580，P<0.05）， anion synthetic detergent （Z=-2.162，P<0.05）， total chlorine （Z=-2.826，P<0.01）， there were significant statistical differences between the two groups， while there were no statistical differences between the other indicators. Conclusion:The new standard refers to the domestic and foreign drinking water standards， tends to the high and strict requirements， and pushes the improvement water quality of the centralized water supply units， which need to carry out in-depth treatment process transformation， in order to further optimize the water quality.

Evidencia basada en la práctica en psicoterapia: el reto en Latinoamérica / Practice-based evidence in psychotherapy: the challenge in Latin America

Resumen El artículo presenta una revisión teórica sobre el paradigma de la Práctica Basada en la Evidencia y sobre el de la Evidencia Basada en la Práctica en el ámbito de la psicoterapia; se profundiza especialmente en este último paradigma y su asociación con la investigación de la efectividad en psicoterapia. Posteriormente, se contextualiza el funcionamiento de este último paradigma en los sistemas de salud y en particular en la atención en salud mental, haciendo hincapié en su aplicabilidad en la evaluación rutinaria y su potencial para contribuir al campo de la investigación en psicoterapia. Finalmente, se presentan algunas conclusiones sobre cómo promover la investigación orientada a la Evidencia Basada en la Práctica en contextos psicoterapéuticos, a partir de Redes de Investigación en la Práctica en los países latinoamericanos.

Abstract This article presents a theoretical review of the Evidence-Based Practice and the Practice-Based Evidence in psychotherapy, the latter is explained in depth considering its association with the research of the effectiveness in psychotherapy. Subsequently, the functioning of this last paradigm in health systems, particularly in mental health care is contextualized, emphasizing its applicability in routine evaluation and its potential to contribute to the field of research in psychotherapy. Finally, some conclusions are presented on how to promote research based on the paradigm of Practice-Based Evidence in psychotherapeutic contexts, based on Practice Research Networks in Latin American countries.

Simulation analysis of medical support process for some model of ship / 医疗卫生装备

Object To quantitatively analyze the rationality of medical support process and resource allocation on a certain model of ship.Methods Based on the queuing theory, the simulation model was built and analyzed by using simulation software. The medical system operational effectiveness was investigated through process parameters, such as the wounded waiting time, the resource utilization of major equipment.Results The simulation results showed that the design scheme of medical system was reasonable.Conclusion The quantitative process parameters of the system operating efficiency can be obtained at the design stage by using simulation analysis technology, which is of great practical value for the rationality of medical system design on ship.

Research on the Effect of Information Intelligence Technology in Hospital Operation Decision / 中国卫生经济

Objective:To observe and analyze the effects of information intelligence technology in hospital operation decision.Methods:Relevant factors have been analyzed vertically before and after the application of information intelligence technology in Beijing Cancer Hospital.In this case,data should be analyzed before and after the usage of the information intelligence technology,in terms of medical quality (bed usage,average length of hospitalization,the number of cases,etc.),workloads (number of visits,number of discharged patients,etc.),social benefits (patient satisfaction and employee satisfaction),and economic benefits (total assets,net assets,fixed assets,business income,per capita business income,etc.).Results:Mter the implementation of information intelligence technology,bed occupancy rate and the number of discharged was higher than that before implementation,as well as average length of hospitalization was significantly lower than before.Secondly,the number of visits,discharged persons,total assets,net assets,business income and per capita business income and the satisfaction rate of patients and staff after the implementation of the information intelligence technology were significantly higher than those before.Conclusion:Information intelligence technology could improve medical process and service efficiency,as well as reduce medical disputes and doctor-patient contradiction in hospital operation decision-making.Moreover,the satisfaction of doctors and patients could be ameliorated,manpower and material resources could be saved significantly as well,and the management efficiency would be effectively improved.

Qualitative research on the psychological feeling of mothers of children with osteogenesis imperfecta during treatment / 中国实用护理杂志

Objective To understand the feeling of mothers of children with osteogenesis imperfecta during the accompany of children's diagnosis and treatment.Methods A total of 20 mothers of children with osteogenesis imperfecta participated the semi-structured interview.The data were analyzed by Colaizzi's method of phenomenology.Results Three themes were acquired including heavy psychological burden,facing multiple pressure and mother's support through analysis,reorganization and extraction of the subjects.Conclusions Mothers of children with osteogenesis imperfecta needed humanistic concern and emotional support.Nursers should adopted personalized care measures to improve their quality of life.

Diagnosis and management of opioid-induced constipation / 中国肿瘤临床

Opioid-induced constipation (OIC) is the most common side effect of opioid. OIC influences the quality of life of pa-tients suffering from cancer pain. However, given that the drug is often overlooked and underappreciated, most of the time, the patients would avoid or abandon using opioid and, as a result, they continuously suffer from cancer pain. Therefore, OIC prevention and man-agement must be made before opioid use. The consensus on the diagnosis of OIC has only been reached recently. Thus, a unified defini-tion of OIC must be developed to exchange therapeutic option among departments in hospitals and compare treatment outcome. The di-agnosis of OIC is discussed, and the management of OIC, including medicinal and non-medicinal treatment, is summarized. Mean-while, the initial program for prevention and treatment of OIC is established to make OIC management more convenient for clinical physicians. Much work is still needed to establish a consensus on OIC diagnosis and a suitable program for prevention and treatment of OIC.

Prevalencia de intervenciones de terapia ocupacional en un hospital de agudos / Prevalence of occupational therapy interventions in an acute hospital

El objetivo del presente trabajo consiste en conocer el proceso de tratamiento de terapia ocupacional en las áreas de consultorios externos de reumatología e internación de Clínica Médica y Unidad de terapia intermedia del Hospital Tornú. Metodología: estudio descriptivo y comparativo, observacional, retrospectivo, transversal, cuantitativo; instrumento: fichas de registro de evaluación y evolución internas de la Residencia. Resultados: la intervención más prevalente fue: uso terapéutico de las actividades y ocupaciones con un 41,04 por ciento en internación y 47 por ciento en reumatología. Entre estos se destacan las métodos preparatorios con un 56,33 por ciento en internación y un 84,7 por ciento en reumatología. Se observó diferencia significativa en la interconsulta con 28.32 por ciento en internación y 5 por ciento en reumatología. Por último, el motivo de alta más frecuente en internación fue alta médica con el 56 por ciento (n:43), seguido de cumplimiento de objetivos con el 16, 4 por ciento (n: 10), y el menos frecuente fue negativa con el 1,6 por ciento (n: 1). En reumatología solo se registraron dos motivos abandono de tratamiento con el 65 por ciento (n: 43) y cumplimiento de objetivos con el 34 por ciento (n: 22). Conclusiones: la intervención que más prevaleció en ambas áreas se debe al gran porcentaje de métodos preparatorios, siendo mayor en reumatología dado que éstos se vinculan con el alivio sintomático. La interconsulta no se realizó con la frecuencia necesaria que requiere la complejidad del paciente agudo, por lo que consideramos relevante plantear estrategias de comunicación con el equipo.

The aim of this study is to know the process of occupational therapy treatment given to rheumatology outpatient, and Clinical and Medical Intensive Care Unit inpatient of Tornú Hospital. Methodology: descriptive, comparative, observational, retrospective, cross-sectional and quantitative instrument; Residence registration evaluation forms and internal evolution. Results: the most prevalent intervention was the therapeutic use of occupations and activities with 41.04 percent in inpatient and 47 percent in outpatients (rheumatology). Among these the preparatory methods are highlighted in both areas with a 56.33 percent in inpatients and 84.7 percent in outpatients (rheumatology). A significant difference was found in interconsultation with a 28.32 percent in inpatients and 5 percent in outpatients (rheumatology). Lastly, the most frequent reason for discharge from occupational therapy treatment in inpatients was clinical discharge with 56 percent (n = 43), followed by goal achievement 4 percent (n = 10), and the least frequent was denial to receive treatment 1, 6 percent (n = 1). Only two reasons were identified in rheumatology: non-compliance with treatment 65 percent (n = 43) and goal achievement with 34 percent (n = 22). Conclusions: the most prevalent intervention in both areas is due to the large percentage of preparatory methods used, being higher in rheumatology since these are associated with symptomatic relief. The interconsultation was not performed with the frequency required by the acute patient´s complexity. According to these results we consider relevant to develop new communication strategies with the team.

Situation and Progress in Treatment Process of Phenolic Wastewater / 环境与健康杂志

Phenols are organic pollutants of high priority concerns because of their toxicity and possible accumulation in the environment. It is important to treat and recover phenols from wastewater economically and effectively. In this paper,the source and harm of phenolic wastewater were introduced. The situation and progress in treatment process of phenolic wastewater,including absorption,extraction,oxidation process,and biological treatment are also summarized. The characteristics,main problems ,area and further application of each treatment process are pointed out. The developing trend on combination treatment of phenolic wastewater is further described.

Removing Efficiency of Microcystin in Drinking Water:an Experimental Study / 环境与健康杂志

Objective To explore the efficient, cheaper and practical water treatment process in removing algae toxins. Methods The different water treatment methods were used and the optimal combination was selected. The removing efficiency for different processes was compared and validated by beaker test. The enzyme-linked immunosorbent assay (ELISA) was conducted in microcystin testing. Results Coagulating sedimentation could remove a small part of microcystin (removing efficiency was from 4.3% to 29.7% ). When oxidants were applied in pretreatment processes, such as ozone combined with coagulant, 83.3% to 91.9% microcystin could be removed. The cost-benefit analysis showed these processes only increased 0.03 to 0.14 yuan RMB cost per cubic meter of water, for example, by using ozone pretreatment and oxidation plus adsorption processes. Conclusion On the basis of general water treatment, ozone(O3), potassium permanganate(KMnO4), chlorine, dioxide(ClO2)and powdered activated carbon(PAC) are effective for removing microcystin in pretreatment processes and the processes are cheaper and practical.