ABSTRACT
Objective To investigate the influenza vaccination and its influencing factors among the clinical staff in Xining,Qinghai province,in the 2016-2017 influenza season,and to explore the promoting strategies to encourage the target population for influenza vaccination.Methods Four sample hospitals were randomly selected from the total 11 tertiary hospitals in Xining city.Clinical staff that worked in the four hospitals and agreed to participate were recruited for investigation via a self-administered questionnaire.Results During the 2016-2017 influenza season,the coverage rate of influenza vaccines among the clinical staff was 5.14％ (95％ CI:4.80％-5.49％).Multivariate logistic regression showed that knowing the priority of vaccination,the frequency of vaccination,effect of vaccination,and possessing higher professional qualifications were major influencing factors for influenza vaccination.The intention on recommendation of seasonal influenza vaccine was higher in vaccinated group than that in the unvaccinated group (x2=99.57,P＜0.001).Conclusion The lower coverage rate was primarily associated with the lack of knowledge about influenza vaccine among the clinical staff of the hospital.Tailored information should be provided to the clinical staff through effective methods to improve vaccination and the recommendation of influenza vaccine.
ABSTRACT
Objective To investigate the influenza vaccination and its influencing factors among the clinical staff in Xining,Qinghai province,in the 2016-2017 influenza season,and to explore the promoting strategies to encourage the target population for influenza vaccination.Methods Four sample hospitals were randomly selected from the total 11 tertiary hospitals in Xining city.Clinical staff that worked in the four hospitals and agreed to participate were recruited for investigation via a self-administered questionnaire.Results During the 2016-2017 influenza season,the coverage rate of influenza vaccines among the clinical staff was 5.14％ (95％ CI:4.80％-5.49％).Multivariate logistic regression showed that knowing the priority of vaccination,the frequency of vaccination,effect of vaccination,and possessing higher professional qualifications were major influencing factors for influenza vaccination.The intention on recommendation of seasonal influenza vaccine was higher in vaccinated group than that in the unvaccinated group (x2=99.57,P＜0.001).Conclusion The lower coverage rate was primarily associated with the lack of knowledge about influenza vaccine among the clinical staff of the hospital.Tailored information should be provided to the clinical staff through effective methods to improve vaccination and the recommendation of influenza vaccine.
ABSTRACT
Objective To explore the differences of nerve conduction of lower limbs in general population with different nationalities in Xining region.Methods Physical examination and healthy volunteers in No.1 People's Hospital of Xining were collected.Two hundred and forty Hui people of them was Hui group.Two hundred and forty people with other ethnic minorities including Tibetan,Tu and Mongolian of them was mixed group.Two hundred and forty Han people of them was Han group.The nerve conduction of lower limbs in all the people were detected.And the differences were compared.Results The differences of nerve conduction of posterior tibial nerve among all the groups were not statistical significant (all P>0.05).The latent period of common peroneal nerve in Hui group was significantly longer than mixed group and Han group,the motor conduction velocity of which was significantly slower,the motor nerve action potential of which was significantly reduced (all P0.05).The differences of nerve conduction of each group among different age periods were statistical significant(all P<0.05).Conclusions The nerve conduction of lower limbs in general Hui people in Xining region must be different with other general people.It must be noticed in clinical examination.
ABSTRACT
Objective To understand the distribution regularity of the clinical critical value in the plateau region by analyzing the clinical critical value distribution situation in order to provide the scientific basis for further perfect the critical value report system. Methods The critical value items reported by our department from July 1,2010 to June 30,2011 were retrospectively analyzed for studying its distribution regularity.Results The incidence rate of critical values report in our hospital was 0.29%,the incidence rate of critical value such as blood potassium,glucose and blood gas pH had no difference in distribution between genders in Xining region(P >0.05),but had significantly difference among different age groups(P <0.05).In addition,the report number of the criti-cal value of the blood potassium,glucose and blood gas pH in the internal medicine was significantly higher than that in the surgical departments(P <0.01).Conclusion The periodic retrospective analysis of critical value report helps to improve the clinical diagno-sis and the reporting system of critical value.
ABSTRACT
Objective To do blood donation analysis on detection of anti-HIV in Qinghai Xining area from 2008 to 2013 and im-prove blood recruitment acquisition work .To prevent the occurrence of transfusion transmitted HIV .To ensure the safety of clinical blood transfusion .Methods Anti-HIV was detected by ELISA method ,screening positive by Western Blot (WB) for confirmation , statistics and analysis of the test results .Results A total of 201 652 blood donors were detected ,WB confirmed 54 cases of people infected with HIV ,The positive rate was 0 .027% .Infections in the male dominated ,accounted for 90 .7% ,21 - <41 years of age was the high age ,accounted for 68 .5% .ELISA test ,the S/CO value and the confirmatory test positive coincidence rate is propor-tional .A single ELISA reagent and two ELISA reagents proved the positive coincidence rate was 0% and 87% ,54 cases of infection were the anti-HIV 1 ,specific anti HIV with gp160 ,gp120 ,P24 ,P17 were 100% .Conclusion A low prevalence steady trend overall HIV infection in blood donors ,no freedom of occupation and occupation as the main infection ,spread of infection from high-risk groups to the various social groups .Presents the infected population diversity and the popular trend of complicated characteristics . To implement and strengthen the knowledge of AIDS prevention and control in blood donation activities in the propaganda .To fur-ther strengthen the recruitment of various link management and increasing the level of detection .The maximum screen for high-risk donors to ensure the safety of blood .
ABSTRACT
Objective To study the status of cervical lesion and cognition of women in childbearing age in Xining and its related factors .Methods From March 2012 to August 2013 ,1 500 female patients were selected .All the women accepted pap smear and HPV DNA test .Meanwhile ,questionnaires were distributed for cervical cancer in the region and identify the cognition related fac-tors .Results The results showed that among the 1 500 cases of the sample population ,number of cervical intraepithelial neoplasia grade Ⅰ(CIN Ⅰ)was 48(3 .2% )and cervical intraepithelial neoplasia grade Ⅱ and above was 22(1 .5% ) .674 cases got a good cog-nition ,while 826 cases got a poor one .Multivariate analysis showed that age ,marital status ,education level ,place of residence ,occu-pation and family income were closely related to women′s cognition of cervical cancer .Conclusion The status of cervical lesions of women in childbearing age in Xining is generally common ,but the overall cognition is poor ,which is mainly related to age ,marital status ,occupation ,place of residence and income .