Analysis of the reliability and validity of the Cardiac Symptom Survey applied to the patients after cardiac valve replacement / 中国实用护理杂志

Objective:To translate the Cardiac Symptom Survey and analyze its reliability and validity in the post-valvular heart replacement survey and to provide the basis for the clinical application of this scale.Methods:The symptoms of 233 patients after heart valve replacement were investigated in Suining Central Hospital by Chinese version of the Cardiac Symptom Survey. The reliability of the scale was evaluated by Cronbach'α coefficient and the split half coefficient, the validity of the scale was evaluated by exploratory factor analysis and content validity index.Results:The internal consistency coefficient of the Chinese version of the Cardiac Symptom Survey ranged from 0.875 to 0.968, both above 0.870.The split half coefficient was 0.699,which demonstrated better internal consistency.The content validity index of the Chinese version of the Cardiac Symptom Survey ranged from 0.84 to 1.00.Factor analysis got five factors, which explained 68.133% of the total variance.Conclusions:The Chinese version of the Cardiac Symptom Survey has good reliability and validity in the investigation of the symptoms of patients after heart valve replacement, and can be used for the investigation and management of the symptoms of patients after heart valve replacement.

Pathological Internet use among middle school students in disaster areas 8 years after Wenchuan earthquake / 中国学校卫生

Objective@#To investigate pathological Internet use among middle school students in disaster area 8 years after Wenchuan earthquake.@*Methods@#Adolescent Pathological Internet Use Scale (APIUS) was implemented among 4067 students in the disasterstricken and nondisaster areas.@*Results@#The prevalence of pathological Internet use among middle school students in the disasterstricken area was higher than that in nondisaster areas. Six dimensional scores of pathological Internet use among students in disasterstricken area were significantly higher than those of nondisaster areas(P<0.05). In the disaster areas, six dimensional scores of pathological Internet use among male students were significantly higher than female students(P<0.01). Students in different grades in the disaster area differed in three dimensions of "prominence, mood change, and negative consequences"(P<0.05). In the disaster areas, the scores in dimensions of "withdrawal symptoms, social comfort, and negative consequences" among students from divorced family were significantly higher than the nondivorced family on the(P<0.05). Among students in the disaster areas, the scores in dimension of social comfort and negative consequences among leftbehind students were significantly higher than those of nonleftbehind students(P<0.01).@*Conclusion@#Intermediate and longterm attention should be paid on mental health among middle school students in disasterstricken areas, by tailoring psychological needs and proper Internet usage guidance.

Hybrid debranching technique for treatment of traumatic aortic arch rupture combined with pseudoaneurysm / 中华创伤杂志

Objective To assess the effect of hybrid debranching technique in treatment of patients with traumatic aortic arch rupture combined with pseudoaneurysm.Methods Clinical data of 3 patients with traumatic aortic arch rupture combined with pseudoaneurysm repaired using debranching technique from June 2011 to June 2013 were analyzed to determine their clinical features and treatment options.Hypersound or computed tomography angiography (CTA) was performed to confirm the therapeutic effects at postoperative 1 week,3,6,and 12 months as well as annually thereafter.Results All patients underwent operation uneventfully.Operation time was 6.8-10.5 hours (mean,7.6 hours) and intraoperative blood loss was 250-450 ml (mean,310 ml).Length of stay was 26-45 days (mean,32 days).There were no deaths at the 0.5-2 years of follow-up.Hypersound or CTA revealed no leakage of contrast medium after operation.Conclusion Hybrid debranching technique greatly reduces surgical trauma and provides satisfactory outcome and good function recovery.

Influence of thoracic duct ligation on lipid metabolism after esophagectomy / 中华全科医师杂志

Objective To explore influence of thoracic duct ligation on lipid metabolism after esophagectomy. Methods Seventy-four patients with esophageal cancer received esophagectomy were divided into two groups by their thoracic duct ligation, 39 in ligation group and 35 in non-ligation group. All the patients were fed with nutrients through nasal-duodenal tube placed during operation from the 1 st day to the 8th day after surgery, and started taking liquid diet on the 6th day. Blood specimens were collected from the patients on the 1st day after admission, the 9th day, one month and three months after surgery,respectively for biochemical analysis,including determinations of total cholesterol(TC),triglyeeride(TG),high-density lipoprotein-cholesterol ( HDL-C) and low-density lipoprotein-cholesterol ( LDL-C) . Databetween the two groups were compared with statistical analysis. Results No significant difference in plasma levels of TC, TG and HDI.-C was found between the two groups at varied time points. Plasma level of LDL-C in the ligation group significantly decreased on the 9th day after surgery, as compared with that in the nonligation group ( P ＜ 0. 05), and went down to the lowest level one month after surgery. Conclusions Chylomicron was blocked to enter blood stream and production of LDL-C decreased by thoracic duct ligation,which affect lipid absorption and metabolism leading to poor early nutrition in patients with esophagealsurgery due to slower establishment of collateral circulation.

Preparation and Application of Yugan Oral Liquid / 中国药房

OBJECTIVE:To prepare Yugan oral liquid and to observe its therapeutic effect on chronic hepatitis B METHODS:Yugan oral liquid was prepared of milkvetch root,thorowax root and magnolia vine fruit etc and the quality standard was established RESULTS:Yugan oral liquid was reasonable in both formulation and preparation process with a total effective rate of 89 8%,which was more effective than that in control group CONCLUSION:Yugan oral liquid is reliable in preparation technique,controllable in quality and effective in treatment of chronic hepatitis B