Standardized training nurses's humanistic care practice ability: A cross-sectional survey in western China during COVID-19.

AIM: This study aims to investigate the current status and determinants of humanistic care practice abilities among standardized training nurses in China during the post-COVID-19 era, as well as to propose management strategies. DESIGN: A cross-sectional study. METHODS: Deliberately chosen were 517 standardized training nursing students from a provincial-level training facility in western China. RESULTS: The respondents had a mean ± SD age of 21.23 ± 1.34 years, and 92.0% of them voluntarily opted for the nursing profession. Almost all (99.8%) respondents had at least a college degree. The standardized training nurses scored an average of (130.31 ± 14.18) on humanistic care ability, which was significantly related to some sociodemographic variables. The average scores for the five dimensions of nursing communication ability, psychological adjustment ability, moral and legal application ability, nursing aesthetic ability, and care practice ability were 30.78, 17.61, 32.23, 18 and 31.67, respectively. All these dimensions showed positive correlations with the overall score of humanistic care practice ability.

Attitude of undergraduate nursing interns in regard to death and the influencing factors.

OBJECT: To explore the influencing factors of attitudes about death among undergraduate nursing interns. METHODS: The study subjects were selected from the full-time fourth year undergraduate nursing interns in Jiangxi University of Technology from January to March 2021 by convenience sampling method. The general information questionnaire was designed by our hospital, and attitude towards death referred to the Chinese version of Death Attitude Depiction Scale (Revised) (DAP-R). Univariate and multivariate Logistic regression analysis was performed on the factors that may affect nursing interns. RESULTS: A total of 210 nursing undergraduate interns were investigated in this study. The total score of DAP-R scale was (89.27±7.26) with a range of 72 and 112. Dimensions were ordered according to the average scores for the items of natural acceptance, escaping from death, fear, approaching acceptance and fleeing acceptance. Univariate and multivariate logistic regression analyses were conducted to analyze the factors that might affect the attitude. Items with statistical significance in univariate analysis, including religious belief, death of the patients cared for during the internship, reading the books related to death and the family's open discussion on the topic of death were entered into the regression model (all P<0.05). The formula of DAP-R total score prediction model was as follows: DAP-R total score = 62.980 + 3.056 * religious belief + 4.381 * death of patients cared for during internship + 5.727 * reading books on death + 3.531 * family open discussion on the topic of death. CONCLUSION: The undergraduate nursing interns in our school have a good attitude towards death, but still exhibit a negative attitude in fearing death.

Climate Change Influences the Population Density and Suitable Area of Hippotiscus dorsalis (Hemiptera: Pentatomidae) in China.

Hippotiscus dorsalis is the main pest of Phyllostachys edulis in South China. The relationship between climate change and outbreak of H. dorsalis, and the current and future distribution of H. dorsalis are unknown. This study aimed to confirm the effect of climate on population density and the attacked bamboo rate of H. dorsalis, using field survey data from 2005 to 2013 in Huzhou, Zhejiang Province, and to reveal the potential distribution of H. dorsalis under current and future climate conditions using the MaxEnt model. The damage investigation and distribution forecast revealed the following: (1) The mean monthly temperature and maximum temperatures were main factors affecting the population density and the attacked bamboo rate in April in the Anji county of Zhejiang Province; they are all significantly and positively correlated. (2) High suitable area will significantly expand in Anhui and Jiangxi Provinces under the future climate circumstances, and the total suitable area will present a decrease because of the precipitation restriction. The significant expansion of high suitable area in the Anhui and Jiangxi Provinces under future climate circumstances means that the affected provinces will face even greater challenges. These findings provide a theoretical basis for the early forecasting and monitoring of pest outbreaks.

Investigation and analysis of superficial fungal infection and drug use among naval trainees / 药学实践杂志

Objective To investigate the pathogenesis of superficial mycosis among naval trainees, and observe the efficacy of a novel antifungal drug. Methods A questionnaire survey was conducted on the onset, medication and recurrence of superficial fungal infection among the trainees from January, 2020 to July, 2020. At the same time, the new antifungal drug sulconazole nitrate spray was provided for treatment and the drug efficacy was observed. Results The participants generally lacked understanding and attention to superficial fungal infections. The incidence rate of superficial fungal infection was 52%, of which 76.2% of patients had recurrence of superficial fungal infection. The sulconazole nitrate spray showed great effect against these infections. Conclusion The trainees should understand the causes of superficial fungal infection through health education and seek medical treatment and medication in time. The cure rate of superficial fungal infections could only be improved through the collaborative management of the school, hospital, and trainees to reduce the impact of these infections on naval trainees’ work and life.

Psychological support for public-funded normal students engaged in teaching profession.

Among primary and secondary school teachers in China, 70% of teachers believe that they are facing greater occupational pressure. 63.8% of teachers clearly stated that occupational pressure has caused a great or great impact on themselves. And this has had negative effects on them such as mental, physical and personal development. This article studies the group of public-funded normal students from the perspective of psychological support. This article uses the SCL-90 form to investigate the professional psychology of teachers for the psychological support of public-funded normal students engaged in the teaching profession. And it conducts a survey on the curriculum setting and satisfaction of the public-funded normal students during their study stage. The experimental results of this article show that only 11.9% of public-funded normal students are very willing to take root and serve township education. Moreover, the psychological pressure of teachers at different educational stages is quite different.

[Investigation and analysis of occupational hazards in construction of power transmission and transformation project].

Objective: To investigate the occupational hazard factors and exposure levels of workers during the construction of power transmission and transformation projects. Methods: Analysis and identification of occupational hazard factors were carried out for typical construction process of 6 power transmission projects and 3 substation projects in September 2018. The on-site occupational health investigation was carried out to detect and analyze the exposure levels of workers to occupational hazard factors. Results: The time weighted average concentration (C(TWA)) of crushing workers exposed to silica dust and welders exposed to welding fume in substation projects were 2.72 and 14.03 mg/m(3), respectively. The 8 h equivalent sound level results of exposure noise of carpenters in power transmission projects and crushing workers, reinforcement workers, carpenters, scaffolders, road builders in substation projects were 87.9, 92.5, 87.1, 92.5, 93.0 and 90.2 dB (A) , respectively. The 4-hour time equal energy frequency weighted vibration acceleration of hand-transmitted vibration of bricklayer in power transmission projects, bricklayer, general worker 3, road builder 1 and road builder 2 of substation projects were 5.36, 5.21, 5.28, 10.71 and 5.22 m/s(2), respectively. The effective irradiance of electric welding arc light of welders' limbs in power transmission projects and substation projects were 401.19, 319.68 µW/cm(2), respectively. All of the above exceeded the requirements of occupational exposure limits. The occupational radiation levels and exposure limits of hazardous chemical factors met the requirements of each post. Conclusion: During the construction of power transmission and transformation projects, the exposure levels of occupational hazard factors in multiple posts exceed the standard. The main responsibility of employers for occupational disease prevention and control should be implemented, and targeted comprehensive measures should be taken to reduce the exposure levels of occupational hazard factors of workers.

[Emergency psychological intervention of acute ammonia leakage event].

Objective: To analyze the situation of emergency psychological intervention in an acute ammonia leakage event, and to provide reference for emergency response. Methods: In August 2020, the emergency treatment of 65 patients admitted by Zhangqiu District People's Hospital Affiliated to Jining Medical College of Shandong Province in June 2019 in the ammonia tank car leakage incident was analyzed, the psychological intervention in emergency after the incident was collected, the anxiety and depression were evaluated by symptom checklist 90 (SCL-90) , and targeted psychological intervention was implemented according to the psychological evaluation results, And analyze the intervention efficiency. Results: Among the 65 patients, there were 52 cases of ammonia stimulation reaction, 11 cases of mild poisoning and 2 cases of moderate poisoning. There were 60 cases of chest tightness and dyspnea, 11 cases of bloody sputum, 58 cases of sore throat, 43 cases of hoarseness, 28 cases of photophobia and tears, 13 cases of blurred vision, 18 cases of nausea and vomiting, and 2 cases of dry and wet rales in the lungs. The scores of somatization, depression, anxiety, hostility, phobia, paranoia and negative coping in patients with mild and moderate poisoning were higher than those in patients with stimulus response (P<0.05) . The effective rate of intervention was 98.7%. Conclusion: Emergency psychological evaluation and intervention in mass public health events are helpful to the treatment of patients.

Research on the Construction of a Comprehensive Evaluation Model of Psychological Factors in Coal Mine Workers' Safety: Investigation and Analysis of 1,500 Miners in East China.

With China's economic and social development entering a new era, the improvement of miners' living standards and safety production conditions in coal mine are bound to have a new impact on the safety needs of miners. In order to explore the structural changes of miners' safety demands in the new era, this research adopts the second-order confirmatory factor analysis method to investigate miners from six coal mining enterprises based on Koffka's cognitive psychology theory. Firstly, according to the interaction between the behavioral environment and the self-regulation of coal miners, six potential variables affecting miners' safety psychology, such as material satisfaction, non-skill internal causes, professionalism, emotional attribution, safety atmosphere, and organizational management, are selected. Then, each potential variable is subdivided into 3 observation variables, for a total of 18 observation variables, and a 3-tier comprehensive structural model of miners' safety psychology is constructed that takes into account both evaluation and path integration. The results showed that, affected by the interaction of various potential variables, the degree and intensity of the influence of each factor on miners' safety psychology were different. Among them, emotional attribution was the most significant factor affecting miners' safety psychology, while the influence of organizational management was slightly less important than emotional attribution. Organizational management had a positive impact on material satisfaction and non-skill internal factors. Occupational literacy, material satisfaction, and safety atmosphere had strong impacts on miners' safety psychology. But the impact of non-skill factors on miners' safety psychology was lower than other factors, which is different to previous studies on this aspect.

Epidemiological characteristics and prognostic affecting factors analysis of non-small cell lung cancer from 2015 to 2019 in Shanxi / 肿瘤研究与临床

Objective:To investigate the epidemiological characteristics and prognostic affecting factors of non-small cell lung cancer (NSCLC) in Shanxi from 2015 to 2019.Methods:A total of 17 082 patients with NSCLC in Shanxi Provincial Cancer Hospital from January 2015 to December 2019 were selected as the research subjects. The medical records of all patients were retrieved, and the epidemiological characteristics of the patients' age, gender, occupation and smoking history were analyzed. All patients were given conventional treatment and followed up for 18 months. According to the follow-up results, they were divided into the death group (4 391 cases) and the survival group (12 691 cases). The single factor and multivariate logistic regression analysis was used to analyze the factors affecting the prognosis of patients.Results:Among 17 082 patients with NSCLC, there were 3 058 cases (17.91%) in 2015, 3 129 cases (18.32%) in 2016, 3 325 cases (19.46%) in 2017, 3 564 cases (20.86%) in 2018, and 4 006 cases (23.45%) in 2019, and the number of confirmed cases in different years showed an upward trend ( χ2 = 21.593, P < 0.05). The incidence rate of males was slightly higher than that of females [51.76% (8 841/17 082) vs. 48.24% (8 241/17 082)], 64.12% (10 953/17 082) occurred in the 61-80 years old population, and the occupational distribution was predominantly workers [34.08% (5 821/17 082)] and farmers [30.00% (5 124/17 082)]; there were 56.69% (9 683/17 082) patients with a history of smoking. Multivariate logistic regression analysis showed that lymph node metastasis, tumor staging Ⅲ-Ⅳ, sensitive mutations of epidermal growth factor receptor, and initial pleural effusion were independent factors influencing the poor prognosis of patients with NSCLC (all P < 0.05). Conclusions:The incidence of NSCLC in Shanxi from 2015 to 2019 is on the rise. The incidence of this disease is related to gender, age and occupation. There are many factors affecting the prognosis of patients, and targeted interventions can help improve the prognosis.

Investigation and analysis of occupational hazards in construction of power transmission and transformation project / 中华劳动卫生职业病杂志

Objective: To investigate the occupational hazard factors and exposure levels of workers during the construction of power transmission and transformation projects. Methods: Analysis and identification of occupational hazard factors were carried out for typical construction process of 6 power transmission projects and 3 substation projects in September 2018. The on-site occupational health investigation was carried out to detect and analyze the exposure levels of workers to occupational hazard factors. Results: The time weighted average concentration (C(TWA)) of crushing workers exposed to silica dust and welders exposed to welding fume in substation projects were 2.72 and 14.03 mg/m(3), respectively. The 8 h equivalent sound level results of exposure noise of carpenters in power transmission projects and crushing workers, reinforcement workers, carpenters, scaffolders, road builders in substation projects were 87.9, 92.5, 87.1, 92.5, 93.0 and 90.2 dB (A) , respectively. The 4-hour time equal energy frequency weighted vibration acceleration of hand-transmitted vibration of bricklayer in power transmission projects, bricklayer, general worker 3, road builder 1 and road builder 2 of substation projects were 5.36, 5.21, 5.28, 10.71 and 5.22 m/s(2), respectively. The effective irradiance of electric welding arc light of welders' limbs in power transmission projects and substation projects were 401.19, 319.68 μW/cm(2), respectively. All of the above exceeded the requirements of occupational exposure limits. The occupational radiation levels and exposure limits of hazardous chemical factors met the requirements of each post. Conclusion: During the construction of power transmission and transformation projects, the exposure levels of occupational hazard factors in multiple posts exceed the standard. The main responsibility of employers for occupational disease prevention and control should be implemented, and targeted comprehensive measures should be taken to reduce the exposure levels of occupational hazard factors of workers.

Emergency psychological intervention of acute ammonia leakage event / 中华劳动卫生职业病杂志

Objective: To analyze the situation of emergency psychological intervention in an acute ammonia leakage event, and to provide reference for emergency response. Methods: In August 2020, the emergency treatment of 65 patients admitted by Zhangqiu District People's Hospital Affiliated to Jining Medical College of Shandong Province in June 2019 in the ammonia tank car leakage incident was analyzed, the psychological intervention in emergency after the incident was collected, the anxiety and depression were evaluated by symptom checklist 90 (SCL-90) , and targeted psychological intervention was implemented according to the psychological evaluation results, And analyze the intervention efficiency. Results: Among the 65 patients, there were 52 cases of ammonia stimulation reaction, 11 cases of mild poisoning and 2 cases of moderate poisoning. There were 60 cases of chest tightness and dyspnea, 11 cases of bloody sputum, 58 cases of sore throat, 43 cases of hoarseness, 28 cases of photophobia and tears, 13 cases of blurred vision, 18 cases of nausea and vomiting, and 2 cases of dry and wet rales in the lungs. The scores of somatization, depression, anxiety, hostility, phobia, paranoia and negative coping in patients with mild and moderate poisoning were higher than those in patients with stimulus response (P<0.05) . The effective rate of intervention was 98.7%. Conclusion: Emergency psychological evaluation and intervention in mass public health events are helpful to the treatment of patients.

Current situation and influence factors of suicidal self-injurious behavior in teenagers in Guangdong / 上海预防医学

Objective:To investigate the current situation of suicidal self-injurious behavior in teenagers and analyze its influencing factors. Methods:From January to November 2020， a stratified sampling method was used to investigate 707 teenagers in Guangdong. The “questionnaire of health-related behaviors of Chinese teenagers” compiled by the Chinese Center for Disease Control and Prevention was used anonymously to investigate the current situation of suicidal self-injurious behavior of the teenagers. The chi-square test was used for univariate analysis， and logistic regression was used for multivariate analysis. Results:The incidence rate of suicidal self-injurious behavior was 14.57% （103/707）. It was 13.31% （45/338） in males， 15.72% （58/369） in females， 13.83% （48/347） in junior high school students and 15.28% （55/360） in senior high school students. There was no statistical significance in the incidence of suicidal self-injurious behavior of teenagers between different genders， different learning stages， smoking or not， asexual behavior or not， gambling or not， and fighting or not （all P>0.05）. The incidence of suicidal self-injurious behaviors in teenagers from single parent family， drunkenness， runaway， loneliness， under great study pressure， lovelorn， and mobile phone addiction was significantly higher （χ2=13.809， 10.852， 14.279， 11.451， 12.893， 22.905， 19.473， respectively. All P<0.001）. Logistic regression analysis showed that the following were main risk factors affecting the incidence of suicidal self-injurious behavior in teenagers： single parent family （OR=3.826， 95%CI： 1.402-7.501）， drunkenness （OR=3.903， 95%CI： 1.512-7.368）， runaway （OR=3.447， 95%CI： 1.669-7.715）， loneliness （OR=3.613， 95%CI： 1.504-7.697）， great study pressure （OR=3.712， 95%CI： 1.387-7.604）， lovelorn（OR=4.125， 95%CI： 1.516-8.117） and mobile phone addiction（OR=4.027， 95%CI： 1.499-7.984 （all P<0.001）. Conclusion:The incidence of suicidal self-injurious behavior in teenagers is not low in Guangdong， and targeted measures should be developed to screen and intervene based on the influencing factors.

Investigation and analysis of abnormal results in personal dose monitoring / 中国辐射卫生

Objective To investigate and analyze the cause of the abnormal results in the individual dose monitoring conducted by this laboratory from 2014 to 2017. Methods Radiologic workers wear personal thermoluminescent dosimeters to monitor the individual dose equivalent HP(10). A statistical analysis is conducted on the results above the investigation level. Results During the time when our individual dose monitoring was conducted from 2014 to 2017, this laboratory had detected 69 person-time abnormal results in 40 workplaces, of which 83% occurred in the profession of diagnostic roentgenology. 54% of the dose level range from 1.25 to 5.00 mSv. The main causes of the abnormal results include improper wearing of personal dosimeters (67%), unknown causes (20%), increased workload (10%) and equipment maintenance (3.0%)etc. Conclusion Radiation workplaces should enhance the management of radiologic workers, improve their trainings on radiation protection and raise their protection awareness.

Investigation and analysis of radiation diagnosis and radiotherapy in Southeaster Chongqing area / 中国辐射卫生

Objective To understand the status of radiological diagnosis and radiotherapy in southeaster Chongqing area, and to provide evidence for health authorities to carry out radiological diagnosis and radiotherapy management. Methods The questionnaire survey was carried out in radiological diagnosis and radiotherapy institutions. Results In 2020 there are 224 radiological diagnosis and radiotherapy institutions, including 3 tertiary hospitals and 16 secondary hospitals. Three hospitals carried out radiotherapy, two hospitals carried out nuclear medicine, and seven hospitals carried out interventional radiology. There were 376 sets of radiological diagnosis and radiotherapy equipment, and the number of DR and CT machine was large (58.8% and 14.9% respectively). There were 786 radiological workers (66.9% male), and most of them were X-ray diagnostic workers (85.8%). There were 977, 043 cases of routine X-ray diagnosis(application frequency of 357.7 per 1000 population), mainly in the first level and below hospitals (accounting for 45.3%). There were 391, 067 cases of CT diagnosis (application frequency 143.8 per 1000 population), mainly in secondary hospitals (66.0%). 4860 patients received interventional therapy (application frequency 1.78 per 1000 population) and 781 patients received radiotherapy (application frequency 0.003 per 1000 population), mainly in tertiary hospitals (55.3% and 69.8% respectively). Conclusion Radiological diagnosis and radiotherapy resources in southeast Chongqing area backward and unevenly developed, and there are few hospitals carrying out radiotherapy, nuclear medicine and interventional radiology. Except for Qianjiang district, the level of radiological diagnosis and radiotherapy in the other five districts and counties (autonomous counties) is weak, it is necessary to further improve the level of radiological diagnosis and radiotherapy.

Epidemiological investigation of pathogen spectrum in elderly patients with acute respiratory infection in Hai'an area / 公共卫生与预防医学

Objective To conduct an epidemiological investigation and analysis of pathogen spectrum infection in elderly patients with acute respiratory infection (ARI) in Hai'an area. Methods The throat swab specimens of 547 elderly patients with ARI collected in our hospital from January 2017 to December 2019 were selected for analysis. The RT-PCR method was used to detect the pathogens in the specimens, and the epidemiological characteristics of each pathogen infection was analyzed. Results The positive detection rate of the 547 specimens was 47.71% (261/547). Among the 261 positive samples, 10 types of respiratory pathogens and mixed infections were detected, mainly including 91 cases of influenza virus (34.87%), 42 cases of enterovirus (16.09%), and 36 cases of rhinovirus (13.79%). March, December, and September were the peak periods of pathogen detection, in which influenza virus was detected the highest in March (48.08%), enterovirus was highest in September (40.00%), and rhinoviruses was detected throughout the year. There was no significant difference in pathogen spectrum characteristics between different gender and age (P>0.05). Conclusion Influenza viruses, enteroviruses, and rhinoviruses are the main pathogens of infection in elderly patients with ARI in Hai’an area. Influenza viruses are high in spring and winter, and enteroviruses are high in autumn.

The prevalence and epidemiological characteristics of bronchial asthma in people over 40 years old in Hai'an / 公共卫生与预防医学

Objective To explore the prevalence and epidemiological characteristics of bronchial asthma in people over 40 years old in Hai'an. Methods The stratified random sampling method was used in this study. A questionnaire survey was conducted and pulmonary function measurement was performed among the residents over 40 years old in Hai'an, ​Jiangsu Province to analyze the prevalence and epidemiological characteristics of asthma. Results A total of 2 237 valid questionnaires were collected in the survey, and 116 patients with bronchial asthma were found, with an incidence rate of 5.19%. The prevalence of asthma was related to gender, age, family history, active and passive smoking, occupational exposure, childhood history of lung disease, history of respiratory allergies, and exposure to cooking fumes (P<0.05). Multivariate logistic regression analysis showed that being male (OR=0.637, 95%CI: 0.499~0.691) was a protective factor for asthma, while advanced age (OR=1.438, 95%CI: 1.207~1.972), active smoking (OR=1.795, 95%CI: 1.423~2.399), passive smoking (OR=2.098, 95%CI: 1.423~2.399), occupational exposure (OR=3.446, 95% CI: 2.175~6.290), childhood history of lung disease (OR=2.228, 95%CI: 1.337~4.491), history of respiratory allergies (OR=2.287, 95%CI: 1.535~5.219) were risk factors for asthma (P<0.05). Conclusion The prevalence rate of bronchial asthma in people over 40 years old in Hai'an was high. Advanced age, active and passive smoking, occupational exposure, a history of lung disease in childhood, and a history of respiratory allergies were related to asthma development. It is necessary to strengthen the prevention and treatment of asthma among high-risk population in clinical practice to reduce the incidence of asthma.

Job satisfaction of staff in agencies for disease prevention and control in Hainan Province, China.

This study done in Hainan from March 2017 to June aimed to assess job satisfaction status and influencing factors among the staff of agencies for disease prevention and control in Hainan Province. A questionnaire survey was administered to some staff members at 6 centers for disease control and prevention in Hainan Province, job satisfaction in the questionnaire was rated on a 5-points Likert scale (totally agree, agree, not sure, disagree, totally disagree). The average score of job satisfaction for the six centers was 3.35±0.77, which was relatively low. According to the Wilcoxon rank-sum test, job satisfaction showed significant differences among different job titles (P <0.05). Logistic regression showed that the factors influencing job satisfaction were personal development space, rulesand regulations in CDC, personal safety, public health system, and workload. The factors influencing the staff's satisfaction are personal development space, rules and regulations in CDC, personal safety, public health system and workload.

Epidemiological survey on a family aggregation COVID-19 in Y County, Chenzhou City, Hunan / 上海预防医学

Objective To investigate epidemic characteristics of a family aggregation COVID-19, and to provide scientific basis for prevention and control of family aggregation epidemic. Methods] Field epidemiological methods were used to investigate the cases and close contacts of a family aggregation COVID-19 in Y County, Chenzhou City, Hunan Province. Descriptive statistical analysis was used on epidemiological data . The 2019-nCoV nucleic acid was detected by real-time fluorescence quantitative RT-PCR. Results It was found that Ms. Deng was infected with COVID-19 and became the infectious source of the family aggregation epidemic , who had lived in Wuhan Hubei Province. Her boyfriend Mr. Cao became a second-generation case of COVID-19..Another two asymptomatic but infected persons were family members living with Ms.Deng . Conclusion COVID-19 easily spreads within families. The awareness of family members' protection, the education of new coronavirus pneumonia prevention and control in key groups should be strengthened to avoid the occurrence and spread of family aggregation epidemic.

Epidemiological characteristics of pregnant women with hypothyroidism and preeclampsia in Tongzhou District of Beijing, 2015-2019 / 公共卫生与预防医学

Objective To investigate the epidemic characteristics of pregnancy hypothyroidism combined with preeclampsia (PE) in Tongzhou District of Beijing from 2015 to 2019, analyze the influencing factors, and provide a reference for the development of scientific prevention and control measures. Methods A descriptive epidemiological method was used to analyze the data. The incidence rate of pregnancy hypothyroidism combined with PE and related epidemiological survey data from 2015 to 2019 in Tongzhou District of Beijing were analyzed. Logistic regression equation was established to analyze its related factors. SPSS 20 was used for t test, rank sum test and Spearman rank correlation test with a test significance level of 0.05. Results In 2015-2019, there were 267 pregnant women with PE in Luhe hospital, maternal and child health care hospital, Tongzhou District second hospital, Tongzhou District Third Hospital, No.263 Hospital of PLA and Zhang Jia Wan hospital in Tongzhou District of Beijing. The average annual incidence rate of hypothyroidism combined with PE in pregnant women was 0.07% (267/5/77 015), and varied each year. A questionnaire survey was conducted on the 267 cases by the investigation team. A total of 262 valid data sheets were recovered after removing residual pages, repeated samples and unqualified questionnaires. The incidence of hypothyroidism combined with PE was higher in women aged ≤ 20 years and 35-45 years, in rural areas, and with an education level below high school, family monthly income ≤ 3 000 yuan, multiple births, and more pregnancy complications than that in women aged 21-34 years, in urban areas, and with an education level of high school or above, family monthly income > 3 000 yuan, singleton, and fewer pregnancy complications (P < 0.05). Age, household registration, education level and family income were the risk factors of pregnancy hypothyroidism combined with PE. Conclusion The incidence trend of pregnancy hypothyroidism combined with PE was not stable in Tongzhou District of Beijing from 2015 to 2019, showing strong differences in age, education level, economic level, pregnancy and childbirth times, BMI, and pregnancy complications. It is necessary to fully understand the physical conditions of pregnant women, and to establish a comprehensive prevention and control system.

Pathogenic bacteria analysis of lower respiratory tract infection in patients after craniocerebral operation and nursing countermeasures / 中国中西医结合急救杂志

Objective To analyze the characteristics of lower respiratory tract infection occurring in patients after craniocerebral surgery in Intensive Care Unit (ICU) and explore its nursing countermeasures. Methods Sixty-eight patients with lower respiratory tract infection after craniocerebral surgery in the ICU of the First Affiliated Hospital of Wenzhou Medical University from January 2015 to March 2016 were selected as the study subjects. All patients were treated with dehydration to reduce intracranial pressure, hemostasis, anti-infection, anti-epilepsy, mild hypothermia, hypoglycemia and other symptomatic supportive treatments, and the corresponding nursing measures were given. The patients' primary diseases and etiological examination results were analyzed. Results Of the 68 patients complicated with lower respiratory tract infection after craniocerebral surgery, the majority of primary disease was craniocerebral injury, accounting for 45.59% (31/68). A total of 127 strains of pathogenic bacteria were isolated, mainly Gram-negative (G-) bacteria [92 strains (accounting for 72.44% )];followed by Gram-positive (G+) bacteria [19 strains (accounting for 14.96%)] and fungi [16 strains (accounting for 12.60%)]. The main pathogens of G- were Acinetobacter baumannii 21 strains (accounting for 23.14%), Klebsiella pneumoniae 13 strains (accounting for 14.94%), Burkholderia cepacia 10 strains (accounting for 11.49%), Pseudomonas aeruginosa 8 strains (accounting for 11.49%); the main pathogens of G+ was Staphylococcus aureus 6 strains (accounting for 5.89%). Conclusion The incidence of lower respiratory tract infection in ICU patients after craniocerebral surgery is high. It is necessary to prevent and control the related risk factors as soon as possible, and take energetic and effective nursing measures to reduce the incidence of lower respiratory tract infection.