Comparison results of the population's COVID-19 preventive behaviours / Монголын Анагаах Ухаан

Background@#As of September 21, 2021, 65.3 percent of Mongolia's population was vaccinated at full dose. However, as of COVID-19 confirmed cases, Mongolia is in the top five countries in the West Pacific. This indicates that there is a lack of practice to prevention from coronavirus infection in the population.@*Goal @#This survey aims to compare the level of knowledge, attitudes, and practices of the population towards coronavirus infection with the results of the baseline survey results @*Material and Methods@#This is a cross-sectional study. A total of 1896 people aged 15-60 years old participated in the study. The survey data were collected using quantitative (questionnaire) and qualitative (observation) methods. The research methodology was approved at the Scientific Committee of the National Center for Public Health on November 9, 2021 (Protocol № 5) and the Medical Ethics Review Committee of the Ministry of Health on January 20, 2022 (Resolution №261) was issued the Ethical permission of the survey. @*Results@#Out of 14 knowledge questions that should be known about coronavirus infection, survey participants had known in an average of 8.27 ± 3.73 (95%CI: 8.12-8.43) correct answers, which was lower than the results of the baseline study. The average knowledge score of the surveyed participants of the follow-up survey (9.23±3.2, 95%CI: 9.09-9.38) was smaller than the baseline survey by 0.96 percent. 54.5 percent of surveyed participants believed that the pandemic is “very dangerous”. However, it has decreased by 25.6 percent compared to the baseline survey. Positive attitudes toward the right place at the onset of symptoms of COVID-19 and non-discrimination against infected people are more prevalent in a population with a high average knowledge score. In the baseline study, the average duration to wear a mask was 29 hours, while in the follow-up survey, it was 4.2 hours, which shows improvement in the correct behavior. @*Conclusions@#As the population’s level of education increased, the average knowledge score on the coronavirus infection has increased, and the statistically significant high of the participant with higher education levels was 8.81±3.53 (p=0.0001). In the baseline survey, 64.9 percent of the participants had an attitude toward a discriminant person infected with COVID-19, whereas it was declined by 41.9 percent in the follow-up survey. The practice of wearing masks in crowded places and outdoors were increased by 6.8 percent from the baseline survey. Compared to the baseline survey results, in the follow-up survey, practices of wearing masks in the workplace or indoor environment (73.0%) had increased.

MinerVa: A high performance bioinformatic algorithm for the detection of minimal residual disease in solid tumors / 生物医学工程学杂志

How to improve the performance of circulating tumor DNA (ctDNA) signal acquisition and the accuracy to authenticate ultra low-frequency mutation are major challenges of minimal residual disease (MRD) detection in solid tumors. In this study, we developed a new MRD bioinformatics algorithm, namely multi-variant joint confidence analysis (MinerVa), and tested this algorithm both in contrived ctDNA standards and plasma DNA samples of patients with early non-small cell lung cancer (NSCLC). Our results showed that the specificity of multi-variant tracking of MinerVa algorithm ranged from 99.62% to 99.70%, and when tracking 30 variants, variant signals could be detected as low as 6.3 × 10 -5 variant abundance. Furthermore, in a cohort of 27 NSCLC patients, the specificity of ctDNA-MRD for recurrence monitoring was 100%, and the sensitivity was 78.6%. These findings indicate that the MinerVa algorithm can efficiently capture ctDNA signals in blood samples and exhibit high accuracy in MRD detection.

Value of baseline radiograph for COVID-19 infected patients

Introduction: A cluster of pneumonia cases of unknown origin was first reported in Wuhan China then the causative pathogen was identified and named severe acute respiratory syndrome coronavirus 2 (SARS-Cov2) and the associated disease was named coronavirus disease 2019 (COVID-19). Chest radiograph has lower sensitivity for the detection of lung abnormalities but it has a role in disease progression and also in the late stages of COVID19. This study aims to evaluate the value of baseline radiographs in COVID-19-infected patients. Method: This is a retrospective study of COVID-19 patients with RT-PCR confirmation who were admitted to Eka Kotebe General Hospital and had baseline chest x-ray between April and May 2020. Baseline chest x-ray of all patients who have confirmed COVID-19 infection was reviewed and analyzed. Result: The study included 355 patients, 224 (63.1%) were male and 131 (36.9%) were female. Patient age ranged from 4 - 82 years with a mean age of 35. Two hundred twelve patients were symptomatic; the rest 143 were asymptomatic. Of the 355 baseline CXR, only 60 (16.9%) had abnormal radiographs and the rest 295 (83.1%) had normal radiographs. A combination of interstitial changes and GGO were the predominant descriptive finding accounting for 33.3% . Conclusion: Even if chest radiographs are important in the workup of patients with COVID-19 infection, the use of baseline radiographs in COVID-19 infection should not be a routine practice. Disease severity and timing of imaging appear to impact the rates of normal baseline imaging.

Effect of Intranatal Yoga on Base Line Fetal Tachycardia

Pregnancy is an important time period during reproductive cycle of every woman. WHO has set about certain guidelines, in the care of pregnant ladies it’s called as Antenatal care The main aim of this care is to provide an uneventful antenatal period and there by producing a healthy offspring. Intrapartum period also plays a major role in determining the health status of both mother and fetus. Most of the discomforts in the mother can be directly visualized as well as interrupted from her vitals. But in the case of fetus the intrauterine discomforts can be interrupted only from assessing the fetal heart rate. When the fetal heart rate rises above 160/min it is called as fetal tachycardia. This rise in FHR can affect both mother as well as the fetus. The cause should be identified as early as possible and prompt management should be provided. Yoga provides physical as well as mental wellbeing through a holistic approach. It comprises of Pranayama and Asanas which can bring positive effect on the health status of the pregnant woman as well as results in the good outcome of labor. The main reason for tachycardia here was maternal anxiety and stress. Intranatal yoga works very efficiently here and thereby corrects the fetal tachycardia

Study on the time of recovery to the respiratory baseline after receiving treatment of retinopathy of prematurity / 中华实用儿科临床杂志

Objective:To analyze the time of recovery to the respiratory baseline after treatment of retinopathy of prematurity (ROP) and the possible influencing factors.Methods:The preterm infants with ROP who received ophthalmic treatment from January 2016 to December 2020 in the Department of Neonatology, Guangdong Women and Children′s Hospital were enrolled retrospectively.The baby who received vitreous injection were included in the injection group, and who received laser photocoagulation were included in the photocoagulation group.The patients were divided into two groups according to whether they returned to the respiratory baseline within 48 hours after ROP surgery.Relevant data were collected, including respiratory baseline, the respiratory status 24 hours, 48 hours, 72 hours, 96 hours, 5 days and 7 days after treatment, gestational age, birth weight, gender, corrected gestational age at surgery, weight at surgery, laser points, and treatment location.Wilcoxon signed-rank test was used for continuous variables. Data were expressed as the number and percentage of patients for categorical variables, using Chi-square test or Fisher′ s exact test. Binary Logistic regression analysis was used to analyze the influencing factors.The time taken by preterm infants to return to the preoperative respiratory baseline after treatment and its influencing factors were analyzed. Results:A total of 386 ROP infants were included in this study.There were 157 infants who did not return to the respiratory baseline within 48 hours after treatment.No significant difference in the source, gender, gestational age, birth weight, corrected gestational age at surgery, weight at surgery, and respiratory pressure support required before surgery were found between the group who returned to the respiratory baseline within 48 hours and the group who did not (all P>0.05). However, there were significant differences in treatment methods and location between two groups (all P<0.01). The ratio of returning to the respiratory baseline in the group receiving intravitreal injection was significantly different from that in the group treated with laser therapy at 24 h, 48 h, 72 h, and 96 h after treatment (77% vs.14%, 82% vs.33%, 86% vs.58%, 89% vs.76%; all P<0.01). There was no difference in that ratio between two groups at 5 d and 7 d after treatment (91% vs.86%, 95% vs.92%; P>0.05). Of the 157 infants who did not return to the respiratory baseline within 48 hours after treatment, 108 cases (68.8%) required additional supplemental oxygen, whereas 153 cases (98.5%) required more intensive respiratory support ( P<0.001). According to the multivariate Logistic regression analysis results, the preterm infants who received laser therapy were less likely to return to the respiratory baseline within 48 hours than those who received intravitreal injection ( OR=0.099, 95% CI: 0.060-0.164). A small corrected gestational age at surgery was an independent risk factor for infants not returning to the respiratory baseline within 48 hours ( OR=1.147, 95% CI: 1.009-1.302). Conclusions:Infants with ROP who receive intravitreal injection can return to the respiratory baseline more quickly than those who underwent laser photo-coagulation under. The difference persisted up to 4 days. The smaller the corrected gestational age at treatment, the less likely return to the respiratory baseline within 48 hours in photocoagulation group..

Retrospective study on Jinghua Weikang capsule combined with Bifidobacterium in the treatment of spleen-somach damp-heat syndrome featured by helicobacter pylori infection with low count / 国际中医中药杂志

Objective:To investigate the clinical efficacy of Jinghua Weikang capsule combined with Bifidobacterium for curing patients featured by spleen-stomach damp-heat syndrome and Helicobacter pylori (Hp) infection with low DOB values.Methods:To enroll 130 cases who were admitted to the Digestion Center of Beijing Hospital of Traditional Chinese Medicine, Capital Medical University from March 2019 to March 2020. According to the treaatment protocols, the quadruple therapy group and dual therapy group, each had 65 patients. The quadruple therapy group had two different treatment protocols, 34 cases with Rabeprazole sodium enteric-coated tablet, Bismuth potassium citrate capsule, Amoxicillin capsule, and Clarithromycin, the other one had 31 cases with Rabeprazole sodium enteric-coated tablet, Bismuth potassium citrate capsule, Amoxicillin capsule, and Levofloxacin tablets. The Dual therapy group was treated with Jinghua Weikang capsule combined with Bifidobacterium. As for quadruple therapy group, 14 days was a course of treatment, while28 days was a course of treatment for dual therapy group. The two groups were treated for one course, respectively. The TCM syndromes were scored before and after treatment. After 4-weeks long drug withdrawal, all cases were reexamined via 13C-UBT. The Hp eradication rate, efficacy evaluation and adverse reactions were compared between both groups.Results:The eradication rate was 90.8% (59/65) in quadruple therapy group and 78.5% (51/65) in dual therapy group. There was no statistical difference between two groups ( χ２=3.78, P=0.052). As for quadruple therapy group, the eradication rate was 91.2% (31/34) in Protocol One and 90.3% (28/31) in Protocol Two. There was no statistical difference between two protocols ( χ２=0.01, P=0.906). After treatment, the TCM syndrome score of quadruple therapy group [(7.02±0.89) vs. (6.51±0.85), Z=-3.01], was significantly higher than that of dual therapy group ( P<0.01). The total effective rate was 93.9% (61/65) in dual therapy group and 78.5% (51/65) in quadruple therapy group. There was statistically significantly difference between two groups ( χ２=6.45, P=0.011). The adverse reactions was 24.6% (16/65) in quadruple therapy group and 6.2% (4/65) in dual therapy group. There was statistically significantly difference in two groups ( χ２=8.51, P=0.004). Conclusions:The Jinghua Weikang capsule combined with Bifidobacterium had curative effects on Hp infected patients with low DOB values. It could improve TCM Syndromes with little adverse reactions.

Interpretation of "Decade of Healthy Ageing: Baseline Report" / 中华老年医学杂志

The global population aging problem is increasingly serious.For this reason, WHO proposed the goal of "Healthy Ageing" in 2015, that is to maintain and develop the functional ability of the individuals in order to achieve happiness in old age.At the same time, WHO introduced the relationship between functional ability, intrinsic capacity and the surrounding environment in which older adults live and acquire assistance, providing a new way for solving population aging. "Decade of Healthy Ageing: Baseline Report" was published by WHO in January 2021.It took advantage of existing national studies on ageing in 42 countries to assess the global status of healthy ageing at the start of the decade.And then it outlooks ten years ahead, to 2030, what level we can achieve, and what needs to improve ten years from now.

Evolución virológica de pacientes con infección por VIH que inician terapia antirretroviral con carga viral basales muy alta / Virological evolution of patients with HIV infection that start antiretroviral therapy with a very high baseline viral load

INTRODUCCIÓN: Se desconoce el grado de supresión viral en pacientes con infección por VIH que inician terapia antirretroviral (TAR) con cargas virales (CV) muy altas. OBJETIVO: Conocer el porcentaje de supresión viral en pacientes con VIH que inician TAR con CV ≥ 500.000 copias/mL a 96 semanas. PACIENTES Y MÉTODO: Estudio retrospectivo. Se incluyeron pacientes que iniciaron TAR con CV ≥ 500.000 copias/mL, entre los años 2008 y 2018, estratificándose en base a escala logarítmica. Se determinó el porcentaje de supresión viral, y las variables asociadas a este desenlace. RESULTADOS: Se incluyeron 221 pacientes. La mediana de edad y CV era de 43 años y 6,0 log, respectivamente, estando la mayoría (37%) en estadio C3 al inicio de TAR. El 48,8 y 87,7% de los pacientes logró la supresión viral al año y dos años de seguimiento, respectivamente. Se observó que, a mayor edad, a mayor inmunosupresión, y a mayor CV, mayor el tiempo para lograr la indetectabilidad. Sólo se demostró fracaso virológico en tres pacientes. DISCUSIÓN: Los pacientes con infección por VIH que inician TAR con CV muy altas demoran más tiempo en lograr la supresión viral, lo cual es proporcional a la magnitud de ésta y al grado de inmunosupresión, sin que esto conlleve mayor riesgo de fracaso virológico.

BACKGROUND: The degree of viral suppression in HIV patients who start antiretroviral therapy (ART) with very high viral loads (CV) is unknown. AIM: To know the percentage of viral suppression in HIV patients who start ART with CV ≥ 500,000 copies/mL at 96 weeks. METHOD: Retrospective study. Patients who started ART with a CV ≥ 500,000 copies/mL between 2008 and 2018 were included, stratifying on the basis of a logarithmic scale. The percentage of viral suppression and the variables associated with this outcome were determined. RESULTS: 221 patients were included. The median age and CV were 43 years and 6.0 log, respectively, with the majority (37%) being in stage C3 at the start of ART. 48.8 and 87.7% of the patients achieved viral suppression at one year and two years of follow-up, respectively. It was observed that the older the immunosuppression, and the higher CV, the longer the time to achieve undetectability. Virological failure was only demonstrated in three patients. DISCUSSION: Patients with HIV infection who start ART with very high CVs take longer to achieve viral suppression, which is proportional to the magnitude of this and the degree of immunosuppression, without this entailing a greater risk of virological failure.

Dental Economics - Should This Be Included as a Chapter in Dentistry as Modification in Curriculum Design - A Questionnaire Based Survey Study

Dental Economics is the discipline of economics applied to the topic of oral health care and addresses the perceptive of planning, budgeting and monitoring the economic evaluation relating to the cost and benefits of alternative ways of delivering oral health care. The Dental Practioners, once they are out in a competitive Clinical World who opt for clinical set up, need to focus on growing their practices, thus maintaining a competitive edge. We wanted to assess the knowledge and attitude of dental students about business in dentistry and also about Black Book among dental students. MethodsAn interventional cross-sectional descriptive baseline KAP (Knowledge, Attitude and Practice) study was conducted among 250 dental students from Western Maharashtra between May 2016 and July 2016. Pre- / post-test questionnaires applying open ended and close ended questions were designed and validated. A brief power point presentation on dental economics and introduction to the Black Book – Financial 2011 Business in Dentistry was presented. The Pre / Post data was collected and subjected to statistical analysis using SPSS version 10. Results77.9 % - 88 % participants in pre-test said that they had not been taught about the art of setting up a clinic; whereas, the ratio increased to 98 % after the intervention and post-test. This indicated that the lack of knowledge about how to set up a clinic can be one of the reasons for poor satisfaction among dentists in India. ConclusionsHence, introduction of such topic in the curriculum can further improvise on earning and in turn improve the dentist satisfaction. This baseline KAP study reinforces the need to consider the business side of dental practice, in particular, the importance of quality, creativity and innovation, alongside the importance of meeting the needs of patients.

Testing for baseline differences in clinical trials

Reporting statistical tests for baseline measures of clinical trials does not make sense since the statistical significance is dependent on sample size, as a large trial can find significance in the same difference that a small trial did not find to be statistically significant.We use 3 published trials using the same baseline measures to provide the relationship between trial sample size and p value.For trial 1 sequential organ failure assessment (SOFA)score, p=0.01, 10.4±3.4 vs. 9.6±3.2, difference=0.8; p=0.007 for vasopressors, 83.0% vs. 72.6%. Trial 2 has SOFA score 11±3 vs. 12±3, difference=1, p=0.42. Trial 3 has vasopressors 73% vs. 83%, p=0.21. Based on trial 2, supine group has a mean of 12 and an SD of 3 for SOFA score, while prone group has a mean of 11 and an SD of 3 for SOFA score. The pvalues are 0.29850, 0.09877, 0.01940, 0.00094, 0.00005, and <0.00001 when n (per arm) is 20, 50, 100, 200, 300 and 400, respectively.Based on trial 3 information, the vasopressors percentages are 73.0% in the supine group vs. 83.0% in the prone group. The pvalues are 0.4452, 0.2274, 0.0878, 0.0158, 0.0031, and 0.0006 when n (per arm) is 20, 50, 100, 200, 300 and 400, respectively.Small trials provide larger pvalues than big trials for the same baseline differences. We cannot define the imbalance in baseline measures only based on these pvalues. There is no statistical basis for advocating the baseline difference tests

Development of non-stress baseline of crop water stress index for wheat in humid sub-tropical climate in India

Aim: A study was conducted to develop a new approach of non-stress baseline and evaluate different approach of determining non stress baseline for Crop Water Stress Index (CWSI).Methodology: To observe maximum and minimum canopy temperature, two plots with three replications were maintained at fully stress (no irrigation) and no stress (fully irrigated) conditions, respectively. Portable weather station with data logger was installed at the middle of field to record continuous data at half an hour interval. Gypsum block soil moisture sensor were buried at 20 cm interval up to 100 cm and connected with data logger. Infrared radiometer was used to measure canopy temperature. Results: The evaluation was based on five statistical indicators; correlation coefficient (R2), root mean square error (RMSE), mean absolute error (MAE), mean bias error (MBE) and Wilmot index of agreement (d). It was found that new regression base line performed better than other existing approaches. The calculated value of RMSE, MAE, MBE, d and R2 were 0.65, 0.51, 0.02, 0.79 and 0.83, respectively, for new baseline approach. Interpretation: The newly developed multiple regression equation (incorporating three weather parameters (Rn, VPD and u) and two crop growth parameters (h and CC)) helped to reduce error in the calculation of non-stress baseline for wheat crop in humid subtropical climate

Comparison of outcomes after thrombectomy in patients with embolic stroke of undetermined source and cardiogenic stroke / 上海交通大学学报（医学版）

Objective: To compare the baseline characteristics and treatment outcomes of mechanical thrombectomy in patients with intracranial arterial occlusion caused by embolic stroke of undetermined source and cardiogenic stroke. Methods: Retrospective analysis was made on ESUS and CS patients in registration databases who received thrombectomy in two stroke centers, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine and Lishui Central Hospital, Zhejiang University from November 2012 to April 2019. T-test and Mann-Whitney U test were used to compare the measurement data, χ2 test and Fisher's exact test were used to compare the counting data, and the independent prognostic risk factors were analyzed by Logistic regression. Results: In all, 117 participants were eventually enrolled, including 30 (25.6%) with ESUS and 87 (74.4%) with CS. Compared with the CS group, the ESUS group was significantly younger (mean ages, 64 years vs 75 years, P=0.003) with lower median baseline NIHSS scores (12 vs. 15, P=0.020), lower median NIHSS scores at 24 h (10 vs 12, P=0.033) and lower median MRS scores at 90 days (2 vs 4, P=0.015). The rates of successful recanalization were similar. Logistic regression analysis showed hypertension (OR=0.264, 95%CI 0.099-0.704, P=0.008) and baseline NIHSS scores (OR=0.758, 95%CI 0.673-0.853, P=0.000) were independent risk factors affecting prognoses. Conclusion: Compared with CS, ESUS patients are relatively younger and have milder neurological dysfunction at onset and better prognoses; however, both groups have high mortality rates. The successful recanalization rates for mechanical thrombectomy are similar. The baseline NIHSS score and hypertension are independent prognostic risk factors.

Follow-up study on factors related to visual field progression of the primary open angle glaucoma / 国际眼科杂志(Guoji Yanke Zazhi)

@#AIM: To investigate the related factors of visual field progression in patients with primary open angle glaucoma(POAG), and to provide novel ideas for more accurate and efficient follow-up of clinical patients. <p>METHODS: A prospective study that includes thirty-nine patients(77 eyes)with POAG who were followed up every three months for 7 consecutive times. After inquiring the history in detail, intraocular pressure(IOP), visual field examination and nerve fiber layer(RNFL)thickness were measured. During follow-up the family history, smoking and drinking history, age, gender, surgery, IOP fluctuation, baseline visual field defect and RNFL thickness change were analyzed.<p>RESULTS: During the follow-up period, the degree of RNFL thinning was positively correlated with visual field progression(<i>P</i><0.05). The baseline visual field defect was associated with visual field progression. Moderate baseline visual field defect has the greatest correlation with the progression of visual field damage, the second is mild, and the least is severe.<p>CONCLUSION: Changes in RNFL thickness may provide useful information and progressive judgment of patients with mild and severe visual field defects should be combined with other information besides visual field.

Stream fish from recently deforested basins in the Meridional Amazon, Mato Grosso, Brazil / Peixes de riachos de bacias recentemente desmatadas na Amazônia Meridional, Mato Grosso, Brasil

Abstract: The replacement of tropical forests to production systems is one of the leading causes of riverine ecosystem alterations. However, current assemblages' composition may also result from the time since these transformations have begun. Therefore, the knowledge of diversified historical scenarios can facilitate the accomplishment of actions that involve the aquatic environments recovery. In this study, an inventory of stream fish was carried out in basins whose deforestation was intensified in the last 20 years, to compose a baseline for ecological and taxonomic studies. The habitat, physical and chemical variables, and the fish assemblages from 60 streams in the northwest region of the state of Mato Grosso, in the Aripuanã and Juruena river basins, were sampled with standardized procedures. For a total of 130 species, a numerical predominance of small-sized Characidae and great rarity were registered, with 50 species represented by less than ten individuals and 19 singletons. Approximately 15% of the sampled taxa were identified only at the generic level, and for several taxa, more detailed taxonomic and molecular studies are required in order to achieve satisfactory identifications. None threatened species were so far reported. On the other hand, two specimens of non-native species were sampled. Although habitat quality is higher in forested streams, no differences in the species richness were registered when compared to the pasture with riparian forest streams or to more deforested streams. However, abundance was greater in these last two streams groups as a result of small-sized characins dominance.

Resumo: A substituição de florestas tropicais por sistemas de produção representa uma das principais fontes de alteração nos ecossistemas de riachos. Contudo, a composição atual das assembleias também depende do tempo decorrente desde o início dessas transformações e, desta forma, o conhecimento de cenários históricos variados pode facilitar a realização de ações que envolvam a recuperação de ambientes aquáticos. Neste estudo, foi realizado o inventário dos peixes de riachos em bacias cujo desmatamento foi intensificado nos últimos 20 anos, para compor uma linha de base que possa ser usada em estudos ecológicos e taxonômicos. Foram amostradas as variáveis do hábitat, físicas e químicas e os peixes de 60 riachos da região noroeste do estado de Mato Grosso, nas bacias dos rios Aripuanã e Juruena. No total, 130 espécies foram registradas, com predominância numérica de pequenos caracídeos e grande número de espécies raras, sendo 50 espécies representadas por menos que dez indivíduos e 19 por apenas um indivíduo. Aproximadamente 15% dos táxons amostrados foram identificados somente no nível genérico e vários precisam de estudos taxonômicos e moleculares mais detalhados para alcançar identificações satisfatórias. As espécies não-nativas foram representadas por dois exemplares e nenhuma espécie sabidamente ameaçada foi registrada. Embora a qualidade do hábitat seja superior nos riachos florestados, não houve diferenças na riqueza das assembleias quando comparada aos riachos de microbacias de pastagem, porém com faixa ripária florestada, ou com maior desmatamento. Contudo, a abundância foi maior nesses dois grupos de riachos, como resultado da dominância de caracídeos de pequeno porte.

Assessment of P values for demographic data in randomized controlled trials / 대한마취과학회지

In a large number of randomized controlled trials, researchers provide P values for demographic data, which are commonly reported in table 1 of the article for the purpose of emphasizing the lack of differences between or among groups. As such, the authors intend to demonstrate that statistically insignificant P values in the demographic data confirm that group randomization was adequately performed. However, statistically insignificant P values do not necessarily reflect successful randomization. It is more important to rigorously establish a plan for statistical analysis during the design and planning stage of the study, and to consider whether any of the variables included in the demographic data could potentially affect the research results. If a researcher rigorously designed and planned a study, and performed it accordingly, the conclusions drawn from the results would not be influenced by P values, regardless of whether they were significant. In contrasts, imbalanced variables could affect the results after variance controlling, even though whole study process are well planned and executed. In this situation, the researcher can provide results with both the initial method and a second stage of analysis including such variables. Otherwise, for brief conclusions, it would be pointless to report P values in a table simply listing baseline data of the participants.

Research progress in establishing baselines and thresholds of influenza epidemic / 中华预防医学杂志

Influenza is an acute respiratory infection that seriously harms the world and public health. Because influenza viruses are prone to mutations and difficult to predict, the World Health Organization has been promoting global continuous strengthening of influenza surveillance to monitor the level of influenza activity and epidemic trends in real time. Establishing baselines and thresholds for influenza epidemic helps to gauge the start and severity of influenza seasons. At present, there are various methods for calculating baseline and threshold, such as annual median value, percentile approach, moving epidemic method, and control chart method. This paper will summarize the methods of establishing influenza baseline or threshold at home and abroad, and hope to provide reference for the establishment of baseline or threshold of influenza in China.

A nationwide multicenter study on clinical laboratory construction in China / 中华医院管理杂志

Objective@#To investigate the status of clinical laboratory construction in China and evaluate its completeness, adequacy and effectiveness.@*Methods@#An electronic investigation on laboratory construction was conducted in March 2019. The questionnaires were synchronously distributed to 14 055 laboratories covering 31 provincial administrative units in China. Excel 2010 and SPSS 20 were used for analysis of four main indicators: gross area, total equipment value, human resource, and testing items. Descriptive statistics were demonstrated and comparisons of the indicators among different types of laboratories were checked with the Kruskal-Wallis test.@*Results@#A total of 9 966 valid questionnaires were returned, with an effective recovery of 70.9%. The overall median of the four indicators were respectively: gross area(344.5 square meters), total equipment value(RMB 4.15 million), staff number(12) and testing item number(160). The difference of all four indicators among various types of laboratories was significant(P<0.05).@*Conclusions@#The construction of laboratories in primary hospitals and private hospitals is not satisfying, especially the equipment and human resource. More attention on the awareness to improve clinical laboratory construction for further quality improvement and patient safety is needed.

A nationwide multicenter study on clinical laboratory construction in China / 中华医院管理杂志

Objective To investigate the status of clinical laboratory construction in China and evaluate its completeness,adequacy and effectiveness.Methods An electronic investigation on laboratory construction was conducted in March 2019.The questionnaires were synchronously distributed to 14 055 laboratories covering 31 provincial administrative units in China.Excel 2010 and SPSS 20 were used for analysis of four main indicators:gross area,total equipment value,human resource,and testing items.Descriptive statistics were demonstrated and comparisons of the indicators among different types of laboratories were checked with the Kruskal-Wallis test.Results A total of 9 966 valid questionnaires were returned,with an effective recovery of 70.9％.The overall median of the four indicators were respectively:gross area(344.5 square meters),total equipment value (RMB 4.15 million),staff number(12) and testing item number(160).The difference of all four indicators among various types of laboratories was significant (P ＜ 0.05).Conclusions The construction of laboratories in primary hospitals and private hospitals is not satisfying,especially the equipment and human resource.More attention on the awareness to improve clinical laboratory construction for further quality improvement and patient safety is needed.

Optimization of the Best Proportion of Astragalus membranaceus Injection Combined with Erigeron breviscapus Injection against Cerebral Ischemia-reperfusion Injury in Rats by Baseline Geometric Proportion Increasing and Decreasing Design / 中国药房

OBJECTIVE： To screen the best proportion of Astragalus membranaceus injection combined with Erigeron breviscapus injection against cerebral ischemia-reperfusion injury in rats. METHODS： Male SD rats were randomly divided into sham operation group， model group and administration group [different A. membranaceus injection-E. breviscapus injection proportion groups， being A（0 ∶ 10）， B（2 ∶ 8）， C（4 ∶ 6）， D（6 ∶ 4）， E（8 ∶ 2）， F（10 ∶ 0）groups， set by baseline geometric proportion increasing and decreasing design]， with 8 rats in each group. Except for sham operation group， reperfusion injury model of middle cerebral artery occlusion were induced by modified suture method in rats. The each administration group was given relevant medicine intraperitoneally once immediately after inducing model， and then given again after 24 hours （medication interval between the two injections of 30 min）. Constant volume of normal saline was given to rats in sham operation group and model group. Forty-eight hours after reperfusion， Longa scoring method was used to evaluate neurological impairment of rats， and neurological impairment score was recorded. Serum content of MDA and activity of SOD were measured by colorimetry assay. TTC assay was used to detect cerebral infraction， and cerebral infarction rate was calculated. Kim’s formula was used to calculate the synergistic index （q） of rats in administration groups. RESULTS： Compared with sham operation group， neurological impairment score and serum content of MDA were increased significantly in model group， while activity of SOD was decreased significantly （P＜0.01）. The area of cerebral infarction increased significantly， and the rate of cerebral infarction increased significantly （P＜0.01）. Compared with model group， neurological impairment scores and serum contents of MDA were decreased significantly in group A， B， C， D and E； neurological impairment score of group C was significantly lower than those of group A and F； serum contents of MDA in group B， C， D and E were significantly lower than that of group F （P＜0.05 or P＜0.01）. Activities of SOD in group A， B， C， D and E were increased significantly， and group C was significantly higher than group F （P＜0.05 or P＜0.01）. The cerebral infarction area of rats in each administration group was reduced to varying degrees. The cerebral infarction rates of rats in group B， C， D and E were significantly reduced， and group C and D were significantly lower than group F， while group C was significantly lower than group A （P＜0.05 or P＜0.01）. The q values of group B， C， D and E were 0.90， 1.30， 1.00， 0.70 （neurological impairment score） and 0.79， 1.27， 0.98， 0.82 （cerebral infarction rate）. CONCLUSIONS： Different ratios of A. membranaceus injection and E. breviscapus injection have certain protective effects on cerebral ischemia-reperfusion injury model rats， can relieve their neurological deficits， alleviate their oxidative stress and reduce their cerebral infarction areas. The effect of the combination of the two drugs is better than that of single use， and the optimum ratio is 4 ∶ 6.

Intrapartum electronic fetal heart rate monitoring / 中国实用妇科与产科杂志

Intrapartum fetal monitoring is of great importance to ensuring the safety of the fetus during labor,timely discovering the fetal hypoxia and reducing the incidence of short-term and long-term adverse outcomes of the newborn. Cardiotocography has been widely recommended for fetal monitoring during labor in the world.The clinical interpretation of it includes the definition of the basic waveform,the physiological and pathological significance of the waveform,and the management according to the cardiotocography classifications. This paper summarizes intrapartum cardiotocography based on the relevant guidelines at home and abroad in recent years.