Objective To evaluate the effect of urgent psychological crisis intervention for 148 patients who were transferred to other provinces to receive treatment after the Wenchuan earthquake. Methods We randomly selected 148 patients from the disaster area who received treatment in The Third Hospital of Mianyang City and then transferred to other provinces. A self-designed questionnaire, SAS, and SDS scales were administered to all patients 7 days and 1 day before their transfer. After the initial assessment, all patients received urgent psychological interventions including catharsis, leading, explanation, and cognition reconstruction. Results After psychological intervention, both the full score and the standardized score of SAS and SDS declined significantly (Plt;0.01). Conclusion Earthquake sufferers who were transferred to other provinces to receive treatment had psychological problems. Crisis psychological intervention may have improved their psychological status effectively.
ObjectiveTo investigate the application value of the intravenous indwelling needle in radionuclide imaging examination. MethodsA total of 120 patients underwent single photon emission computed tomography for bone and kidney dynamic imaging between October 2012 and April 2013 were randomly divided into group injected by venous indwelling needle (observagtion group) and group injected by traditional steel needle (control group), with 60 cases in each. We calculated the one-time success rate of venipuncture, the leakage rate of intravenous injection, residual radioactive dosage within the syringe and average exposure time of medical staff to radionuclide in the two groups of patients. ResultsThe one-time success rate of venipuncture in observation group was similar to that in the control group (P > 0.05). During the injection, no leakage was found in observation group, while 4 leakage in 37 patients underwent bone imaging and 3 leakage in 23 patients underwent kidney dynamic imaging in the control group were found; there was no significant difference between the two groups (P > 0.05). The residual radioactive dosage within the syringe in observation group was lower than that in the control group, and the exposure time of medical staff to radionuclide in observation group was also lower than that in the control group (P < 0.01). ConclusionsIntravenous indwelling needle for venous puncture can avoid leakage of radioactive imaging agent, reduce the residual radiological dosage within the syrings, increase the one-time puncture success rate and imaging resolution of dynamic scan, and improve the diagnostic accuracy and work efficiency effectively. Besides, the intravenous indwelling needle technique can reduce average exposure time of medical staff to radionuclide, acheaving the goal of optimized protection.
ObjectiveTo investigate the difference of grant and aid systems for graduates of clinical medicine of "985" universities in China, in order to provide references for further advancing the system in West China. MethodsThree "985" universities were selected from each part of China including eastern China, central China and western China. A structured questionnaire was used to investigate the administrative departments of graduate study. The following data were included: grant extraction structure, academic scholarship coverage, living subsidies, three indexes of post allowance, etc. Excel software was used to summarize data, and then descriptive analysis was conducted to analyze the relevant data. ResultsThe grant systems for graduate students was mainly composed of three parts including financial allocation, social support and school aid in clinical medical colleges of "985" universities in China. The doctor scholarship coverage reached 100% in each region, while the coverage of academic scholarship for postgraduates, whole life subsidy levels of graduate students and "Three Helps" job coverage ratio were presented in the following trend: eastern China > central China > western China. ConclusionCompared with the grant and aid systems for graduate students of clinical medicine of "985" Universities in eastern and central China, the graduate grant in western China has the following problems, such as less coverage, lack of social support resources, imperfect grant systems without incentive mechanism. All these problems are needed to be further solved in future.
ObjectiveTo evaluate the reliability and validity of the Quality of Working Life Scale (QWL7-32). MethodsThe QWL7-32 scale was used to survey 487 drilling workers. The presence of chronic diseases was regarded as an effector for evaluating physical health, and the result of SCL-90 measurement was regarded as an effector for evaluating psychological health. The reliability and validity of the scale were statistically analyzed. ResultsThe results of the Pearson correlation coefficient was 0.713, the Cronbach's alpha coefficient was 0.920, and the Splithalf reliability coefficient was 0.942. The result of confirmatory factor analysis showed that the construct validity of scale was good, and the accumulative rate of 7 variances was 62.59%. The results of correlation analysis and t test showed that the validity of scale criterion was also good. In QWL7-32 scale, each dimension showed a good correlation with its relevant item but poor correlation with any other items. ConclusionThe QWL7-32 has a good reliability and validity.
ObjectiveTo explore necessity, safety, and clinical significance of pelvic floor reconstruction following laparoscopic abdominoperineal resection for low rectal cancer. MethodsThirty-seven patients with low rectal cancer admitted to our hospital from July 2013 to January 2016 were collected, who were divided into reconstruction group and non-reconstruction group according to the pelvic floor reconstruction or not. The complications were compared in two groups. ResultsThe laparoscopic abdominoperineal resections were successfully completed in all the patients with low rectal cancer, there was no case of conversion to open surgery. The operative time was (173.6±18.3) min, the suture time of pelvic floor peritoneal was (28.6±7.5) min. The postoperative following-up was 3-24 month. There were 5 cases (22.7%) of complications in the non-reconstruction group, included 2 cases of adhesive intestinal obstruction, 1 case of perineal incision hernia, 1 case of pelvic effusion and infection, 1 case of radiation enteritis caused by radiotherapy. There was 1 case (6.7%) of adhesive intestinal obstruction in the reconstruction group. Although the incidence of postoperative complications in the reconstruction group was lower than that in the non-reconstruction group, there was no significant difference between these two groups (χ2=2.367, P=0.096 1). ConclusionThe preliminary results of limited cases in this study show that it is not essential for pelvic floor reconstruction following laparoscopic abdominoperineal resection for rectal cancer, but it could obviously decrease difficulty of operation for postoperative reoperation, especially for postoperative radiotherapy patients, and prevent occurrence of radiation enteritis. It is still necessary because it is more consistent with principle of open surgery, Hem-o-lok 3-0 Angiotech Quilltm clip or barbed suture closure of pelvic peritoneum, it is technically safe and feasible.
ObjectiveTo systematically review the teaching effects of Seminar teaching model versus lecture-based learning (LBL) teaching model on clinical medical students in China.MethodsPubMed, Embase, the Cochrane Library, Web of Science, China National Knowledge Internet, WanFang Data and VIP database were electronically searched for randomized controlled trials (RCTs) on Seminar versus LBL applied in clinical medical students in China, from the establishment of database to October 2017. The Meta-analysis was performed using RevMan 5.2 software.ResultsA total of 12 RCTs with 741 students were enrolled, including 380 in Seminar teaching group and 361 in LBL teaching group. The results of Meta-analysis demonstrated that the basic theory score [standard mean difference (SMD)=1.17, 95% confidence interval (CI) (0.72, 1.62), P<0.000 01], the clinical skill score [SMD=1.33, 95%CI (0.82, 1.83), P<0.000 01], the classroom atmosphere score ［SMD=1.51, 95%CI (1.13, 1.90), P<0.000 01］, the team score [SMD=0.86, 95%CI (0.50, 1.22), P<0.000 01], and the autonomous learning ability score [SMD=2.25, 95%CI (0.31, 4.18), P=0.02] of Seminar teaching group were superior to those in the LBL teaching group.ConclusionThe Seminar teaching model is superior to the LBL teaching model in clinical medical students.
Objective To analyze the articles published by graduate students of West China School of Medicine in Sichuan University from 2013 to 2017. Methods Outcome indicators which includes the quantity of papers, annual distribution, paper category and papers cited by SCI were analyzed through bibliometrics methods. Statistical analysis was performed using SPSS 18.0 software. Results From 2013 to 2017, a total of 5 490 articles were published by postgraduate students in the school as first or co-first author. The average number of publication was 2.19 per student, in which 655 postgraduate students published 3 or more articles, accounting for 26.12%. A total of 2 849 articles were cited by SCI, accounting for 51.89%. The total number of publication and proportion of SCI were growing gradually. The average impact factor of each article was 2.791 and the highest impact factor for each single article was 55.7. Students who graduated from "985 university" published more articles in total and the articles cited by SCI than those from "non-985 university". Conclusion In recent years, the quality of articles published by graduate students from West China School of Medicine in Sichuan University has been improving gradually. The articles published by students graduated from "985 university" were more cited by SCI than those from "non-985 university" .
ObjectiveTo investigate the clinical medicine of Sichuan University graduate students degree of satisfaction about the tutors’ performance of the responsibility from all aspects, providing the basis to enhance the guidance level of tutors and to improve the quality of graduate students. MethodsA total of 1 589 graduate students from the 2014 to 2016 session of West China School of Medicine in Sichuan University were investigated by self-made questionnaires.ResultsClinical medical graduate students’ satisfaction of the tutor performance of the responsibility rate was 90.94%, significantly higher than the national graduate level (P<0.001); the highest rating was the evaluation of the ideological and moral cultivation of the tutor (which rate was 96.55%), the lowest satisfaction rate was on the responsibility of caring about the living conditions of students (which rate was 89.79%); There were differences of gender and education level in graduate students degree of satisfaction about the tutors’ performance of the responsibility (P<0.001), male graduate satisfaction was higher than that of female graduate students, doctoral student satisfaction was higher than that of postgraduates. ConclusionThe system of strengthen tutors education responsibility teacher education system of Sichuan University is effective, and the condition of implement tutors responsibility of education is good, but still need to enhance the duty of tutor about caring more on graduate students mental health and living status.
ObjectivesTo systematically review the efficacy of traditional Chinese medicine for arrhythmia caused by anthracycline drugs.MethodsPubMed, EMbase, The Cochrane Library, CBM, CNKI, WanFang Data databases were electronically searched to collect randomized controlled trials (RCTs) on the efficacy of traditional Chinese medicine for arrhythmia caused by anthracycline drugs from inception to October 2017. Two reviewers independently screened literature, extracted data and evaluated risk of bias of included studies. Meta-analysis was then performed by Revman 5.3 software.ResultsA total of 4 RCTs involving 312 patients were included. The results of meta-analysis showed that: the incidence of tachycardia in the Wenxin granule treatment group was lower than that in the control group (RR=0.35, 95%CI 0.18 to 0.67, P=0.002). Baoxinkang was more effective than antioxidant western medicine in protecting myocardial SOD activity (RR=2.25, 95%CI 1.74 to 2.76, P<0.000 01). But there was no significant difference between two groups on the incidence of atrial premature beats (RR=0.40, 95%CI 0.15 to 1.08,P=0.07), premature ventricular contractions (RR=0.56, 95%CI 0.23 to 1.34, P=0.19) and atrial fibrillation (RR=0.41, 95%CI 0.11 to 1.53, P=0.18). In addition, there was no significant difference between Wenxin granules and amiodarone in treating arrhythmia induced by anthracycline. The addition of Wenxin granules on the basis of anthracycline antitumor chemotherapy regimens was not effective in delaying disease progression compared with anthracycline alone. Wenxin granules could not change the SOD level of breast cancer patients with cardiotoxicity caused by anthracycline chemotherapy, compared with chemotherapy and basic treatment.ConclusionsThe current evidence shows that Wenxin granules can prevent and reduce anthracycline-induced tachycardia, but its efficacy in improving the overall efficiency, preventing and reducing atrial premature beats, premature ventricular contractions, atrial fibrillation, and SOD levels are unclear. Baoxinkang can protect myocardial SOD activity. Due to limited quality and quantity of the included studies, more high quality studies are required to verify above conclusions.