Clinical characteristics of in-hospital cardiac arrest in emergency patients in Kashgar area and analysis of influencing factors on success rate of cardiopulmonary resuscitation / 中华危重病急救医学

OBJECTIVE@#To analyze the clinical characteristics of patients with emergency in-hospital cardiac arrest (IHCA) in Kashgar, Xinjiang Uygur Autonomous Region and the factors affecting the success rate of cardiopulmonary resuscitation.@*METHODS@#Retrospectively selected patients who had cardiac arrest and cardiopulmonary resuscitation in the emergency department of the People's Hospital of 6 counties and cities in Kashgar area from January 2019 to January 2022. The clinical data of all patients were collected, including gender, age, major underlying diseases, the beginning and duration of resuscitation, the number of electric defibrillation acute physiology and chronic health evaluation II (APACHE II). According to whether the resuscitation was successful, all patients were divided into successful resuscitation group and failed resuscitation group. The clinical characteristics of the two groups were compared. Then, the influencing factors of the success rate of cardiopulmonary resuscitation in IHCA patients were analyzed by binary Logistic regression.@*RESULTS@#A total of 1 376 patients were enrolled, including 1 117 cases of failed resuscitation and 259 cases of successful resuscitation. The success rate of resuscitation was 18.82%. Compared with the resuscitation failure group, the patients in the successful resuscitation group were younger (age: 49.10±20.99 vs. 58.44±18.32), the resuscitation start time was earlier [resuscitation start time ≤ 5 minutes: 76.45% (198/259) vs. 66.61% (744/1 117)], the proportion of cardiovascular and cerebrovascular diseases was lower [cardiovascular disease: 49.42% (128/259) vs. 58.19% (650/1 117), cerebrovascular disease: 17.37% (45/259) vs. 21.58% (241/1 117)], the number of electric defibrillation was lower [times: 0 (0, 2) vs. 1 (0, 1)], the proportion of endotracheal intubation was more [80.31% (208/259) vs. 55.60% (621/1 117)], APACHE II score was lower (13.75±8.03 vs. 17.90±4.63), and the difference was statistically significant (all P < 0.01). Binary Logistic regression analysis showed that age, start time of resuscitation, ventilation mode and APACHE II score were protective factors affecting the success rate of cardiopulmonary resuscitation in patients with emergency IHCA [age: odds ratio (OR) = 0.982, 95% confidence interval (95%CI) was 0.973-0.991, P < 0.001; resuscitation start time ≤ 5 minutes: OR = 0.629, 95%CI was 0.409-0.966, P = 0.034; tracheal intubation assisted ventilation: OR = 0.243, 95%CI was 0.149-0.397, P < 0.001; low APACHE II score: OR = 0.871, 95%CI was 0.836-0.907, P < 0.001], while underlying diseases (cardiovascular diseases) are a risk factor affecting the success rate of cardiopulmonary resuscitation (OR = 1.190, 95%CI was 1.015-1.395, P = 0.036).@*CONCLUSIONS@#Age, resuscitation start time, ventilation mode, APACHE II score and major underlying diseases (cardiovascular diseases) have a greater impact on the success rate of resuscitation in IHCA patients. The above factors are conducive to improving or formulating more effective rescue strategies for IHCA patients, so as to achieve the purpose of improving the success rate of clinical treatment.

APPLICATION OF CLINICAL PATHWAY ON TUBAL PREGNANCY UNDERWENT LAPARO-SCOPIC TREATMENT / 现代医院

Objective To investigate the effect of clinical pathway on patients with tubal pregnancy under-went laparoscopic treatment .Methods 150 patients with tubal pregnancy undergoing laparoscopic treatment were randomly divided into pathway group and control group , 75 patients in each .The patients in the pathway group were given clinical pathway management , whilepatients in the control group were given conventional management .The in-dexes, such as patients'average hospitalization time, average treatment cost, satisfaction, and the rate of health knowl-edge awareness of the two groups were compared .Results The average hospitalization time and the average treat-ment costof the pathway group were significantly shorter and lower than those of the control group , with statisticalsig-nificance (p<0.05), and the rate of satisfaction and health knowledge awareness of the pathway group were signifi -cantly higher than those of the control group (p<0.05).Conclusion The clinical pathway in patients with tubal pregnancy treated with laparoscopyis worth to popularize in clinical application , because it may effectively shorten the hospitalization time , reduce the treatment cost and improve the rate of satisfaction and health knowledge awareness .

The Protective Effects of IGF-1 on Different Subpopulations of DRG Neurons with Neurotoxicity Induced by gp120 and Dideoxycytidine In Vitro

Peripheral neuropathy induced by human immunodeficiency virus (HIV) infection and antiretroviral therapy is not only difficult to distinguish in clinical practice, but also difficult to relieve the pain symptoms by analgesics because of the severity of the disease at the later stage. Hence, to explore the mechanisms of HIV-related neuropathy and find new therapeutic options are particularly important for relieving neuropathic pain symptoms of the patients. In the present study, primary cultured embryonic rat dorsal root ganglion (DRG) neurons were used to determine the neurotoxic effects of HIV-gp120 protein and/or antiretroviral drug dideoxycytidine (ddC) and the therapeutic actions of insulin-like growth factor-1 (IGF-1) on gp120- or ddC-induced neurotoxicity. DRG neurons were exposed to gp120 (500 pmol/L), ddC (50 micromol/L), gp120 (500 pmol/L) plus ddC (50 micromol/L), gp120 (500 pmol/L) plus IGF-1 (20 nmol/L), ddC (50 micromol/L) plus IGF-1 (20 nmol/L), gp120 (500 pmol/L) plus ddC (50 micromol/L) plus IGF-1 (20 nmol/L), respectively, for 72 hours. The results showed that gp120 and/or ddC caused neurotoxicity of primary cultured DRG neurons. Interestingly, the severity of neurotoxicity induced by gp120 and ddC was different in different subpopulation of DRG neurons. gp120 mainly affected large diameter DRG neurons (>25 microm), whereas ddC mainly affected small diameter DRG neurons (< or =25 microm). IGF-1 could reverse the neurotoxicity induced by gp120 and/or ddC on small, but not large, DRG neurons. These data provide new insights in elucidating the pathogenesis of HIV infection- or antiretroviral therapy-related peripheral neuropathy and facilitating the development of novel treatment strategies.

Research on the psychological characteristics of cancer long-term survivors / 中华行为医学与脑科学杂志

Objective To explore the psychological characteristics of cancer long-term survivors.Methods One hundred and fifty one cancer long-term survivors(survival time ≥5 years) were chosen for participation from Guangzhou and Shenzhen by the coin method in this study.The qualitative data of the patients'psychological characteristics were collected by individual interviews,and the patients'behavioral and psychological characteristics were measured by the Tumor Psychological Scale(TPS),the Cancer Coping Modes Questionnaire(CCMQ) and the Psychological Adjustment Scale for Cancer Patients(PASCP).The psychological characteristics of the 151 cancer long-term survivors were compared with the average level of cancer patients (over 557 patients).Quantitive data were analyzed by two independent samples't-test.Results (1) Most cancer long-term survivors knew their diagnosis in two weeks after they were diagnosed.The cancer long-term survivors were better in mentality and got more social supports.Most long-time survivors attributed their success to good psychological well-being and positive treatments.(2) The TPS scores of cancer long-term survivors group(1.99 ± 0.45,1.68 ± 0.51,1.33 ± 0.32,1.87 ± 0.44,1.78 ± 0.41 respectively) were lower than the scores of the average level of cancer patients (3.06 ±2.12,3.08 ± 2.03,2.86 ± 2.08,3.02 ± 2.06,2.98 ± 1.75 respectively) in the dimensions of personality,emotion,unconscious,cognition and the total average score.The differences were significant statistically(P ＜ 0.01).The CCMQ scores of cancer long-term survivors group were higher than the scores of the average level of cancer patients in the dimension of confrontation and catharses.In the dimensions of avoidance and suppression,resignation and fantasy,the scores of cancer long-term survivors group were lower than the scores of the average level of cancer patients.All the differences were significant statistically (P ＜ 0.05).The PASCP scores of cancer long-term survivors group were higher than the scores of the average level of cancer patients in the dimension of emotion/self-esteem,subjective feeling,interpersonal relationship/social life,the daily life and the other.The differences was significant statistically(P＜ 0.001).Conclusion There are common characteristics of cancer long-term survivors such as good mental health state,lower tumor psychological level,positive coping styles,getting better psychological adjustment.

Anomalous synkinetic movements related to ocular muscles caused by abnormal innervations / 中国组织工程研究

BACKGROUND: The clinical features and classification of various anomalous synkinetic movements related to ocular muscles caused by abnormal innervations have not been fully understood.OBJECTIVE: To report and analyze the clinical features of anomalous synkinetic movements related to ocular muscles caused by abnormal innervations, as well as to classify them according to the same neuromuscular nerves.DESIGN: A retrospective case analysis.SETTING: Department of Ophthalmology, the Affiliated Hospital of the Medical College of Qingdao University.PARTICIPANTS: The study was mainly conducted in the Department of Ophthalmology, the Affiliated Hospital of the Medical College of Qingdao University. A total of 836 cases of abnormal ocular movements were found from January 1997 to January 2002. Among them 67 cases of anomalous synkinetic movements were diagnosed.METHODS: All patients were inquired of case history and their ocular movements were examined. The anomalous synkinetic movements were found and classified into congenital and acquired. All cases were analyzed according to the same neuromuscular nerves, such as between branches of oculomotor nerve, oculomotor and abducens nerve, supranucleus and other anomalous synkinetic movements.lous synkinetic movements were determined by inquiring the history of observed.RESULTS: Sixty-seven anomalous synkinetic movements (8%) of 836 abnormal ocular movements were diagnosed; congenital anomalous synkinetic movements were the most common ones (88.06%) and were often seen in patients with Duane's syndrome. Anomalous synkinetic muscles occurred the most common between lateral and medial rectus, lateral rectus and levator palpebrae muscle (36.89% respectively) in congenital cases, and those occurred between inferior rectus and levator palpebrae muscle more commonly (30%) in acquired cases.CONCLUSION: Anomalous synkinetic movements related to ocular muscles are not infrequently seen. When we find paradoxical movements between ocular muscles, or between ocular muscles and other unrelated muscles, anomalous synkinetic movements should be considered.

The Primary Research of Effects of Filling Bronchus with Meglumine Diatrizoate-Yunnan Baiyao Colloidal Solution to Treat Hemoptysis due to Bronchiectasis and for Bronchography / 实用放射学杂志

Objective To research the effects of treating hemoptysis due to bronehiectasis and bronchography of selective filling bronchus with meglumine diatrizoate-Yunnan Baiyo colloidal solution. Methods In 30 cases of recurrent hemoptysis due to bronchiectasis which had been diagnosed by clinic, chest photos and bronchofibroscopy, selective filling bronchus with meglumine diatrizoate-Yunnan Baiyao colloidal solution were done in 15 cases for treatment and bronchography { experiment group) , and only internal medicine were used in other 15 cases (comparison group) ,and all 30 cases were followed up for 5 years. Results 15 cases of selective bronchography of experiment group were all successful, and the effects of curing hemoptysis and relaxing the recurrence were better than comparison group { P < 0. 05).Conclusion Meglumine diatrizoate-Yunnan Baiyao colloidal solution is not only a effective medicine for treating hemoptysis due to bronchiectasis,but also a expectant contrast medium for bronchography,and has the practicality of research and development.

Development and Evaluation of Cancer Dangerous Factor and Aura Manifestation List / 中国临床心理学杂志

Objective:To develop and evaluate the Cancer Dangerous Factor and Aura Manifestation List(CDFAML).Methods:A self-report questionnaire was developed.A total of 639 cancer patients were asked to complete the questionnaire and evaluate the importance of each item.And 129 relatives and 103 doctors and nurses were also asked to evaluate the importance of each item.706 healthy people whose demographics were similar to the patients were asked to complete the list.Results:①CDFAML was finally refined as a list with 19-item;the 4 dimensions including somatic,psychological,social factor and life habits.②The list had good construct validity and could well reflect the dangerous factor and aura manifestation of the onset of cancer.The 4 dimensions and the total score of the patients were significantly different from healthy people's scores.③ The test-retest coefficients for the 4 dimensions and the total score were 0.82,0.76,0.80,0.77 and 0.83 respectively;Cronbach ? was 0.76,0.79,0.83,0.80 and 0.86 respectively.The split-half reliability of the questionnaire was 0.90.Conclusion:CDFAML has high validity,reliability.

Detection of serum amyloid protein and polypeptide growth factor in patients with dementia / 中国病理生理杂志

AIM and METHODS: To detect the changes of amyloid protein (?-AP) and polypeptide growth factor levels and study their role in the possible pathogenesis of Alzheimers disease (AD) and vascular dementia (VD). We detected serum ?-AP, transforming growth factor- ?(TGF-?) and insulin-like growth factor (IGF-Ⅱ) levels by radio immunoassay in 8 patients with AD,15 patients with VD and 63 patients with ischemic cerebrovascular disease(ICVD) and 38 cases healthy volunteers. RESULTS: In AD and VD groups, serum ?-AP, TGF-? and IGF-Ⅱ were significantly higher than that in ICVD and control group; Serum ?- AP,TGF-? and IGF-Ⅱ contents in ICVD group were obviously higher than that in normal control, the highest increase occurred in sequel of cerebral infarction(SCI) and vertebrobasislar ischemia(VBI) groups. There are positive correlation among ?- AP, TGF-? and IGF-Ⅱ in AD and VD groups.CONCLUSION: ①?- AP is a risk factor in the pathogenesis of AD and VD. ② TGF- ? and IGF-Ⅱ play roles in the neurotoxin effect that lead to dementia. ③ ?-AP plays a important role in formation of senile plaque.

A STEREOLOGICAL STUDY ON THE 5-HYDROXYTRYPTAMINE IMMUNOREACTIVE CELLS IN THE ANTRAL MUCOSA OF THE RAT'S STOMACH / 解剖学报

The cells containing 5-hydroxytryptamine (5-HT) in the antrum of the SD rat's stomach were demonstrated by means of Sternberger's PAP immunohistochemical method and quantitative analysis were performed by means of Weibel's stereological method. The results were as follow: The 5-HT immunoreactive cells in the antrum of the rat's stomach were found only in the surface epithelium and the glandular epithelium of the mucosa. The volume density (V_v) was 0.0038?0.0004, the surface density (N_A) was 42.86+3.20 cells/mm~2 and the numerical density (N_v) was 2627.11?200.42 cells/mm~3. The distribution of 5-HT reactive cells showed an obvious regional difference. From the lesser curvature to the greater curvature of stomach, the cell density decreased gradually. The cell density was the highest in the lesser curvature: N_A was 59.96?3.48 cells/mm~2, Nv was 3729.23?216.89 cells/mm~3; and was second high in the two side walls: N_A was 42.39?3.48 cells/mm~2, Nv was 2647.18+216.57 cells/mm~3; and was lowest in the greater curvature: N_A was 29.39? 4.49 cells/mm~2, N_v was 1843.00?280.09 cells/mm~3. Most of the 5-HT immunoreaclive cells were found in the basal third section of the mucosa and the cell density was the highest. N_A was 92.33?6.92 cell/mm~2,N_v was 5336.28?410.22 cells/ mm~3; in the middle one third of the mucosa, the cell density came to next: N_A was 27.69?2.38 cells/mm~2, N_A was 1708.68?146.65 cells/mm~3; and in the superficial third section of the mucosa, the cell density was the lowest: N_A was 7.29?0.53 cells/mm~2, N_v was 457.00?35.44 cells/mm~3. In addition, a detailed observation on the morphology of the 5-HT immunoreactive cells was also undertaken.