Investigation on prevalence of chronic musculoskeletal injury among nursing staff of old-age welfare / 中国实用护理杂志

Objective To investigate the prevalence and influencing factors of chronic musculoskeletal injury (CMI) among nursing staff of old-age welfare in Urumqi city, to find out the awareness and implementation of preventive measures for chronic musculoskeletal injury, and the demand on new life support technology. Methods This study looked after chronic musculoskeletal injury situation questionnaire, in April 2015 form 1st to 30th in urumqi 8 nursing work of old-age nursing staff to carry out the questionnaire. Results A total of the 200 old-age nursing staff, the effective response rate of 183 (91.5%). Old-age nursing researchers report in the past week have the CMI hair author 169 people (92.3%). Occurrence of CMI in gender, educational background, whether on the thought of leaving post was statistically different (χ2=8.36,16.14,14.05,P<0.05). Higher occurrence of CMI was found in the nursing process of showering and washing hair [81.4%(149/183)], transition between wheelchair and bed [63.9%(117/183)], and changing body position in bed [61.2%(112/183)]. The most common site of CMI occurrence were namely back [84.7%(155/183)], shoulder [54.1%(99/183)], lower limbs [35.0%(64/183)]and upper limbs [30.1%(55/183)].Only 31 (16.9%) knew new life support technology which can prevent and reduce CMI. 178(97.3%) reported having needs to use new life support technology, and 179 (97.8%) were willing to participate in relevant technology. Conclusions Prevalence of CMI among nursing staff of old-age welfare in Urumqi region was high. It was related to many factors. Most of nursing staff have needs on life support techniques. Measures should be taken to prevent and reduce the occurrence of CMI among nursing staff of old-age welfare to improve work efficiency.

Effects of Modified Zhisou Power on Epidermal Growth Factor Receptor and Neutrophil Elastase in Rats with Cold-Dryness Chronic Obstructive Pulmonary Disease / 中国中医药信息杂志

Objective To reveal the effects of cold-dryness and modified Zhisou Power on epidermal growth factor receptor (EGFR) and neutrophil elastase (NE) in rats with COPD. Methods COPD model was established with an elastase dose into the trachea combined with exposure to smoking for 90 d; cold-dryness COPD group was further developed by exposure to a cold, dry environment for 90 d. After 90 days, cold-dryness COPD rats was divided into cold-dryness group and Zhisou Power intervention group (treated with modified Zhisou Power for 7 days). On the 97th day, all rats were killed. Pathological changes in lungs were observed. mRNA and protein expression of EGFR were measured by RT-qPCR and Western blot, and the amount of NE in serum and BALF were examined by ELISA. Results EGFR mRNA and protein expression were significantly higher in COPD group, cold-dryness group and Zhisou Power intervention group than in control group. EGFR was significantly lower in Zhisou Power intervention group than in COPD group and cold-dryness group. NE was significantly higher in serum and BALF in COPD group, cold-dryness group and Zhisou Power intervention group than in control group. NE in BALF was significantly higher in cold-dryness group than in COPD group. NE in BALF was significantly lower in Zhisou Power intervention group than in cold-dryness group. Conclusion Modified Zhisou Power can down-regulate the expression of EGFR and the mount of NE in cold-dryness COPD rats to treat COPD.

Clinical characteristics of abnormal savda syndrome type in human immunodeficiency virus infection and acquired immune deficiency syndrome patients: A cross-sectional investigation in Xinjiang, China / 中国结合医学杂志

<p><b>OBJECTIVE</b>To investigate the distribution of abnormal hilit syndromes in traditional Uighur medicine (TUM) among human immunodeficiency virus infection and acquired immune deficiency syndrome (HIV/AIDS) patients, and to find out the clinical characteristics of abnormal savda syndrome type HIV/AIDS patients.</p><p><b>METHODS</b>Between June and July in 2012, 307 eligible HIV/AIDS patients from in-patient department and out-patient clinics of Xinjiang Uighur Autonomous Region the Sixth People's Hospital in Urumqi were investigated. TUM syndrome differentiation was performed by a senior TUM physician. Each participant completed a Sign and Symptom Check-List for Persons Living with HIV/AIDS (SSC-HIV) questionnaire. Depression was evaluated by using Hamilton Rating Scale for Depression Questionnaire. Blood specimen was collected from each participant to test the levels of blood chemicals.</p><p><b>RESULTS</b>Of 307 HIV/AIDS patients, 189 (61.6%) were abnormal savda syndrome type, 118 (38.4%) were non-abnormal-savda syndrome type. Mean CD4 counts of abnormal savda syndrome type patients was (227.61±192.93) cells/µL, and the prevalence of anemia, thrombocytopenia, and elevated cystatin C were 49.7%, 28.6%, and 44.7%, which were significantly higher than those in the non-abnormal-savda syndrome type patients (26.3%, 16.0% and 25.0%,P<0.05). In addition, depression (79.9%) and HIV/AIDS-related symptoms such as fatigue (42.3%), back aches (40.7%), lack of appetite (33.9%), night sweats (31.7%) were more common among abnormal savda syndrome patients (P<0.05).</p><p><b>CONCLUSION</b>Abnormal savda syndrome is the dominant syndrome among HIV/AIDS patients, and they present a more sever clinical manifestation.</p>

Quality Assessment of Randomized Controlled Trials on Treatment of Chronic Obstructive Pulmonary Disease in Stationary Phase with Point Application / 中国中医药信息杂志

Objective To investigate the current situation of randomized controlled trials (RCTs) on the treatment of chronic obstructive pulmonary disease (COPD) in stationary phase with point application, and provide evidence for clinical practice. Methods Such databases as CNKI, VIP, and CBM were searched from the establishment date to October 2011 to collect the RCTs on the treatment of COPD in stationary phase with point application according to the predefined inclusion criteria. And the quality was assessed by using the Jadad scale, the revised CONSORT statement and other self-defined indexes. Results Among 32 included RCTs, 1 literature scored three points, 8 scored two points, 23 scored one point according to Jadad scale, and no RCT performed the allocation concealment. According to the CONSORT criteria, only one can be prompted randomized trials from the title of the article, 23 from abstracts, 2 literature showed how to determine the sample size, 7 described the method to generate random allocation sequence, only 1 literature mentioned blind method, 15 literature explicitly mentioned syndromes. Conclusion Currently, the methodology and reporting quality of studies on the treatment of COPD in stationary phase with point application are not good enough to provide reliable evidence for clinical practice, and we should improve the quality of our clinical research.

A Research on Medication Features in Prescription of Treating Breast Cancer in Spring of Lu Ming / 中国中医药信息杂志

Objective To analyze the drug using regularity in treating breast cancer in spring of professor Lu Ming. Methods Prescriptions that treated breast cancer in 2013 spring of professor Lu Ming were collected, and then metrology analysis was used to study the frequency, property, flavor and meridian attribution of herbal medicine in these prescriptions, and analyze their basic medication features. Results Among the collected 111 prescriptions of professor Lu Ming for treatment of breast cancer, the most often used prescription was sedatives and tranquilizers and nourishing yin;commonly used medications were Lanceleaf lily bulb, cortex albiziae, radix astragali, radix paeoniae alba and so on. The herbal medicine used included five kinds of properties, and the two most common ones were warm and plain. There were six different flavors, among which sweet and bitter were the two most common ones. Nine meridian attributions were identified, among which liver meridian and spleen meridian were the two most common ones. Conclusion Clinical treatment of breast cancer should be based on sweet-warm nourishing herbal medicine, while paying attention to tranquilizing and sedating the mind. Symptoms should be treated by using clearing heat and promoting diuresis. In addition, it should be noted that the spring medication should conform the warmth of spring qi.

Clinical Evaluation of Xiaoqinglong Decoction for Acute Exacerbation of Chronic Obstructive Pulmonary Disease--A Systematic Review / 世界科学技术-中医药现代化

This study was aimed to assess the clinical evaluation of Xiaoqinglong decoction for acute exacerbation of chronic obstructive pulmonary disease (COPD). Literatures published before August 3rd, 2012 were searched in the database of CNKI, VIP, CBM and Wanfang Data to identify the randomized controlled trials (RCTs) and quasi-RCTs about Xiaoqinglong decoction for acute exacerbation of COPD in China. Literatures were screened ac-cording to the inclusive and exclusive criteria by two reviewers independently. And the methodology quality was evaluated after abstracting the data. Then, the RevMan 5.0 software was used for meta-analysis. Seventeen RCTs were included. Among 1173 patients, there were 608 cases in the clinical trial group and 565 in the control group. The meta-analysis showed that compared with western medicine (WM), the clinical effect of Xiaoqinglong decoction plus WM was significantly better [MD = 3.91, 95%CI (2.50, 6.12), P < 0.01]. The invasive ventilation plus Xiaoqinglong decoction was better than the invasive ventilation [MD = 3.48, 95%CI (1.45, 8.32), P =0.01]. The blood gas analysis showed that compared with WM, the PaO2 in the Xiaoqinglong decoction plus WM was significantly better [MD = 7.55, 95%CI (1.41, 13.68), P = 0.05]. There was statistical significance in PaCO2 of Xiaoqinglong decoction plus WM [MD = -7.11, 95%CI (-9.89, -4.33), P < 0.01]. Compared to the invasive ventilation, there was statistical significance in the invasive ventilation plus Xiaoqinglong decoction [MD = -6.66, 95%CI (-8.79, -4.54), P < 0.01]. For FEV1, compared with WM, Xiaoqinglong decoction plus WM was signifi-cantly better [MD = 6.97, 95%CI (3.60, 10.34), P < 0.01]. It was concluded that Xiaoqinglong decoction com-bined with WM methods can improve clinical efficacy of acute exacerbation of COPD in order to increase the clinical efficacy on a certain level.

Metabonomic analysis of rat urine 1H magnetic resonance spectra based on different normalization methods / 中南大学学报(医学版)

Objective To study metabonomics in the urine of rats of different genders by magnetic resonance (MR) with 2 normalization methods. Methods Different normalization methods such as mean-centering not scaling (Ctr) and unit variance scaling (UV) were used before orthogonal to partial least squares discriminant analysis(OPLS-DA). Distinguished metabolites in the urine of different gender rats were analyzed by calculating the correlation coefficients. Results The data normalized by Ctr before OPLS-DA analysis revealed high degree conception metabolites in the urine such as valine, alanine, acetate, ornithine, aminohippurate, phenylethylamine, cytosine, citrate, dimethylamine, allantoin, methylamine, fumarate and one unknown metabolite whose chemical shift was δ4.14. Data normalized by UV before OPLS-DA analysis revealed the above 12 high degree conception metabolites except citrate, and also low degree conception metabolites such as thiamine, creatinine, formate and one unknown metabolite whose chemical shift was δ2.92.Conclusion Unit variance scaling is a more effective normalization method in metabonomic analysis.

Morphological and ultrastructural changes of the neuro-endocrine-immune network in the tumor transplantation animal model of abnormal Savda syndrome / 中华中医药杂志

Objective:Abnormal Savda syndrome transplantation tumor model was established on the basis ofabnormal Savda syndrome model in order to study the relevance between the abnormal Savda syndrome tumor and the disorder ofthe neuroendocrine-immune network by analyzing morphological and ultrastructural changes ofthe hypothalamus-pituitary-adrenal axis(HPAA).Methods:120 ICR mice were divided randomly into four groups(control, tumor model, abnormal Savda syndrome model, and abnormal Savda syndrome tumor transplantation model).The structural changes in hypothalamus, pituitary and adrenal glands were analyzed by bright-field and electron microscopy.Results:First, in abnormal Savda syndrome, the rate oftumor transplantation was increased significantly than in the normal state(93.3% and 56.7%, respectively, P

Gene polymorphisms in Uighur patients with Abnormal Savda / 中华医学遗传学杂志

<p><b>OBJECTIVE</b>To investigate gene polymorphisms in Uighur patients with Abnormal Savda.</p><p><b>METHODS</b>Polymorphisms of genomic fingerprints generated by arbitrarily primed PCR(AP-PCR) can be used for distinguishing between strains of almost any organism. The authors of this article applied the technique to the polymorphism analysis on the DNA of Uighur patients suffering from four kinds of Abnormal Savda (n=116), and on the DNA of a control group(n=50).</p><p><b>RESULTS</b>From the patients, 42 fragments were obtained, among them 27(64.2%) fragments did not show gene polymorphisms. On the 220-344 bp regions, the authors detected 6 AP-PCR products showing individual specificity.</p><p><b>CONCLUSION</b>The polymorphisms may serve as a molecular marker for gene diagnosis in the patients with Abnormal Savda.</p>