Cyberbullying and its effect on health risk behaviors among secondary vocational school students / 中国学校卫生

Objective@#To investigate the current situation of cyberbullying and health risk behaviors among secondary vocational school students, to explore the effects of cyberbullying on health risk behaviors, so as to provide a reference for formulating intervention strategies to promote adolescent health related behaviors.@*Methods@#From March to April 2023, a field survey was conducted on 1 184 students from one secondary vocational school each in Jilin City and Yanji City by random cluster sampling method. The data was analyzed using Chi square tests and generalized linear models.@*Results@#Among secondary vocational school students, 839 individuals (70.9%) experienced the cyberbullying, and 1 036 individuals (87.5%) had one and more health risk behavior group. There was a positive correlation between cyberbullying and health risk behaviors ( r=0.60, P <0.01). The generalized linear model analysis showed that female and no Internet addiction were negatively correlated with the health risk behaviors of secondary vocational students ( β =-2.75, -8.90), and the single parent families and peer pressure was positively correlated with the health behaviors of secondary vocational students ( β =2.56, 4.82)( P ＜0.05). Secondary vocational students experienced cyberbullying who from single parent families, peer pressure and social oriented internet usage were more likely to engage in health risk behaviors ( β= 3.41, 4.88, 2.20, P <0.05).@*Conclusions@#The incidence of cyberbullying and health risk behaviors among secondary vocational school students is relatively high, and cyberbullying can influence the occurrence of health risk behaviors. It is important to focus on and implement guidance for internet use and health behavior education for secondary vocational students from multiple perspectives, including the family, school, and society. Corresponding intervention strategies should be taken to promote the healthy development of adolescents.

Epidemic characteristics of anthrax in Chengde City， Hebei Province from 2005 to 2021 / 上海预防医学

ObjectiveTo determine the epidemic characteristics of anthrax in Chengde City， Hebei Province from 2005 to 2021， and to provide evidence for formulating prevention and control measures of anthrax and reducing incidence rate. MethodsThis study collected the data of anthrax epidemic in Chengde City and conducted descriptive analysis. ResultsFrom 2005 to 2021， a total of 11 anthrax cases were reported in Chengde City with no death. The average incidence rate was 0.08/105， which remained low. Furthermore， 10 cases were cutaneous anthrax and 1 case was pulmonary anthrax. The cases were mainly reported in Weichang County， accounting for 90.91% of the total reported cases， followed by Pingquan City. In addition， the cases were mainly reported from July to August and mainly between 30 and 59 years old with a gender ratio of 2.67∶1. ConclusionThe anthrax epidemic in Chengde City is likely to increase. It mainly occurs in summer， rural areas， and male young and middle-aged farmers. It is necessary to improve epidemic monitoring， health education， disease prevention capacity， early identification of the epidemic， and active response.

Practice and Value of Pharmacists Participating in the Analysis of Cases of Adverse Drug Reactions / 中国药师

Objective:To participate the analysis of cases of adverse drug reactions to reflect the value of pharmacists in solving drug use problems and reducing medication risks. Methods: Four cases of adverse drug reactions were analyzed by pharmacists, and reasonable medication suggestions were given to the patients by pharmacists. Results:Pharmacists could identify the adverse drug reac-tions and medication risks, explain the reasons for abnormal behaviors for the families of the patients, and properly deal with serious adverse drug reactions to avoid the disputes between doctors and patients. Some reasonable suggestions were also given the patients with prognosis. Conclusion:Pharmacists play an important role in medication risks prevention, and take responsibility for pharmaceutical care.

Practice and Value of Pharmacists Participating in the Analysis of Cases of Adverse Drug Reactions / 中国药师

Objective:To participate the analysis of cases of adverse drug reactions to reflect the value of pharmacists in solving drug use problems and reducing medication risks. Methods: Four cases of adverse drug reactions were analyzed by pharmacists, and reasonable medication suggestions were given to the patients by pharmacists. Results:Pharmacists could identify the adverse drug reac-tions and medication risks, explain the reasons for abnormal behaviors for the families of the patients, and properly deal with serious adverse drug reactions to avoid the disputes between doctors and patients. Some reasonable suggestions were also given the patients with prognosis. Conclusion:Pharmacists play an important role in medication risks prevention, and take responsibility for pharmaceutical care.

The expression of miR-200b and CEA and the correlation between the two factors in colon cancer / 国际检验医学杂志

Objective To study the expression of transcription factor miR‐200b and CEA and the correlation between the two transcription factors in the process of occurrence and development of colorectal cancer .Methods Expression miR‐200b and CEA mRNA by real‐time PCR in 60 colon cancer tissues and corresponding normal tissues were detected and the results were compared with the clinical features and pathological characters .The relationship between the mRNA expression of miR‐200b and CEA in 60 colon cancer tissues was determined .Results The expression rate of CEA mRNA was detectable to highly expressed rates in colon cancer tissues than that in matched normal tissues (P0 .05) .Loss expression or down regulation expression of miR‐200b mRNA was de‐tected ,whereas CEA mRNA was detectable to highly expressed in the different histological grade and Dukes stages .The expression of miR‐200b mRNA and CEA mRNA were positively correlated with the histological grade in colon cancer .A significant correlation was found between the expression of miR‐200b mRNA and CEA mRNA (r= -0 .790 ,P<0 .001) .Conclusion Loss or down regu‐lation expression of miR‐200b mRNA ,whereas CEA is detectable to highly expressed in colon cancer .Negative correlation occurred in miR‐200b mRNA and CEA mRNA indicates that miR‐200b and CEA provide the new clues of genetic diagnosis and treatment .

Practice and Exploration of Drug Counseling Training Mode for Inpatient Pharmacists in Our Hospital / 中国药房

OBJECTIVE:To cultivate the inpatient pharmacists with drug counseling capacity. METHODS:Drug counseling training was conducted for the inpatient pharmacists in our hospital,including drugs counseling workflow,common query tools for drugs counseling,communication skills,professional skills practical ability,emergency treatment capability and literature retrieval method,etc. RESULTS & CONCLUSIONS:The inpatient pharmacists trained with drug counseling teaching have basically owned professional practice of drugs counseling and achieved the combination of theoretical and clinical pharmacy practice.

Application of blocking blood flow in laparoscopic opening-taking embryo operation on interstitial tubal pregnancy / 中国医师杂志

Objective To explore the safety and feasibility of blocking blood flow in interstitial tubal pregnancy treated with laparoscopic opening-taking embryo operation.Methods The clinical data of 98 patients with lump interstitial tubal pregnancies (requesting reserve procreate function) from January 2006 to December 2013 were chosen.Among them,56 patients were in study group (January 2010-December 2013) and 42 patients were in control group (January 2006-December 2009).All patients were treated with opening-taking embryo by laparoscopic operation.In study group,we first blocked the uterine artery and ovarian artery blood supply of pregnancy lump,secondly opened pregnancy lump and stripped gestation sac with hydraulic pressure separation during operation.Whereas,in control group,we opened pregnancy lump and taken out pregnancy tissues according to convention method without blocking blood flow.Operation success rate,operation blood volume,operation time,persistent ectopic pregnancy (PEP) happening rate,fallopian tube unobstructed information,and pregnancy information after operation were compared between two groups.Results In study group,operation success rate was 96.4％,which was significantly higher than that in control group (61.9％) (P ＜0.01) ; operation blood volume was[(20.7 ± 10.4)ml],which was significantly less than that in control group [(60.7 ± 18.4) ml] (P ＜ 0.01) ; operation time [(46.6 ±14.2) min] was significantly shorter than that in control group [(66.5 ± 19.4) min] (P ＜ 0.01) ; there was no PEP in study group,while there were 5 PEPs (11.9％) in control group.Fallopian tube unobstructed rate after operation in study group (76.9％) was significantly higher than that in control group (41.7％) (P ＜ 0.05).Conclusions Application of blocking blood flow in opening-taking embryo by laparoscopic operation on lump interstitial tubal pregnancies is safe and effective.

Followed up Investigation on Pharmaceutical Care Indices After Intervention on Rational Drug Use / 中国药房

OBJECTIVE :To explore the influencing factors of rational drug use(RDU)and time length of effect after intervention on RDU.METHODS:A field investigation was carried out on the core indices of international RDU index by the way of comparison.The investigation was carried out at three stages:1 year before intervention,1 year after intervention,and 4 years after intervention.Data statistics was analyzed by SPSS 11.1 software.RESULTS:The number of drug varieties per capita dropped from 2.76(before intervention)to 2.09(1 year after intervention),and remained 2.08(P

Application of the Computer Network System in Management of In-patient Pharmacy / 中国药房

OBJECTIVE:To upgrade the management of in-patient pharmacy.METHODS:The design,framework,function and work flow of the computer network system in our hospital was introduced,and the measures for its improvement was put forward.RESULTS&CONCLUSION:The application of computer network system in in-patient pharmacy helps to make a more regular,scientific and computerized pharmacy management.

Study on intervention and comparison of rational use of antibiotics on perioperative period of clean incision and clean-defiled incision / 中华流行病学杂志

<p><b>OBJECTIVE</b>To explore a set of scientific evaluation and intervention methods on perioperatur period which fits for China's situation, and to promote the development of rational drug use.</p><p><b>METHODS</b>Two would tertiary general hospitals were selected and separated in to intervention group and control group. Intervention was carried out and compared at the same period on inpatient surgical cases of thryroidectomy, mastectomy, cholescystectomy, and hysteromyomectomy plus appendix.</p><p><b>RESULTS</b>The average drug costs was decreased from 1 601.27 yuan to 1 489.59 yuan and the average antibiotics use from 740.20 yuan to 352.03 yuan (P < 0.01) in the intervention group pre and post intervention. There was a remarkable improvement on the rationality of antibiotics use in intervention group, from 31.35% to 91.81% (P < 0.01) pre and post intervention, implemented in the hospital.</p><p><b>CONCLUSION</b>It is practicable and effective to implement rational drug use where intervention was carried out, since it plays an active role on promoting safely, effectively and economic antibiotic use in China.</p>

The Way for Inpatient Pharmacy Staff to Provide Pharmaceutical Care for Clinical Needs / 中国药房

OBJECTIVE: To study the how's for pharmacists at inpatient pharmacy to provide pharmaceutical care for improved safe and effective use of drugs. METHODS: Pharmacists at inpatient pharmacy can provide pharmaceutical care as per specific clinical needs, and start from such details as preparing the booklet of commonly-used chemotherapy drugs, offering face-to-face advises on drug use for diabetics, and helping nurses to manage the medicine cabinets. RESULTS & CONCLUSION: Pharmacists at inpatient pharmacy should provide the right pharmaceutical care that can meet actual clinical needs.

Field Survey of International RDU Indicators / 中国药房

OBJECTIVE:In order to promote the rational drug use in China,we undertook a multi-center international indicators field survey of rational drug use(RDU).METHODS:According to the international RDU indicators of WHO/IN?RUD,a multi-center,random and on-site survey to the prescriptions and patients was carried out on the same day at7dif?ferent level hospitals.RESULTS:Prescription indicators:the average number of drugs per prescription was2.63;the percent?age of antibiotics prescribed was38.3%;and the percentage of preparations for injection prescribed was20.4%;the percentage of drugs prescribed from essential drug list(EDL)was69.6%.Patient care indicators:average consultation time was7.17minutes;average dispensing time was15.4seconds;percentage of drugs actually dispensed was100%;percentage of drugs ac?tually labeled was99%;percentage of patients'knowledge of correct dosage was86.3%.CONCLUSION:It is practicable and effective to get the data by using the indicators of WHO/INRUD.The rational drug use and the care from doctors and phar?macists to the patients are not enough in China,which remains to be improved.