Objective To investigate the effective, economic and viable long-term mechanism of Sichuan college students’ social practice. Methods A questionnaire was designed to investigate the students from North Sichuan Medical College and other 7 colleges in Sichuan province randomly. A secondary research of China students social practice status was combined and the results of Sichuan and other areas were compared. Results A total of 2 200 questionnaires were issued, of which 1 920 effective ones were taken back with the recovery rate of 87.27%. The most common forms of social practice were social investigation (47.5%), public welfare labor (42.3%), novitiate/internship (38.7%); the most interesting contents of social practice were social morality education (54.79%), credit morality education (53.07%), professional skill education (51.88%), and near 80% college students thought the contents had close relationships with their major. College students hoped that the contents could combine their job-hunting, characteristics of their major, local economy, and needs of social development. The social practice department they wanted to go most was public welfare or civil service departments (43.7%), corporations (27.8%), and government bodies (19.2%). The most difficult thing was to get connected with target department, shortage of fund, empty topics, hard-to-determine practice projects (44.1%), and lack of teachers’ guidance (43.6%). Degree of satisfaction from the students was moderate. Compared with other universities, social practice of Sichuan undergraduate students had broader coverage and was more closely related to students’ majors with more attention on the combination with moral education and employment. Conclusion Sichuan college students have higher expectations of social practice. However, the range and the time of actual participation are limited. The students are not very satisfied with status of social practice. The social practice of Sichuan college students should give prominence to the local features, be close to the students and serve the local place, strengthen the construction of practice bases, and establish effective systems of teacher training, funding, principle security mechanism and evaluation system.
Objective To analyze the influencing factors of delirium after endovascular aortic repair (EAR) and to provide evidence for clinical nursing and prevention of this disease. Methods Patients who underwent EAR at Fuwai Hospital, Chinese Academy of Medical Sciences from 2018 to 2019 were selected and assessed for postoperative delirium by Nursing Delirium Screening Scale (Nu-DESC). Nu-DESC score≥3 was divided into a delirium group (a case group), the non-delirium patients with the same operation and adjacent operation sequence were selected, and the ratio of 1∶4 was included in a non-delirium group (a control group). The clinical data between the two groups were compared by univariate analysis, and the significant risk factors in the univariate analysis were analyzed by multivariate logistic regression to determine the influencing factors of postoperative delirium. And stratified analysis was conducted based on thoracic endovascular aortic repair (TEVAR) and abdominal aortic repair (EVAR). Results A total of 213 patients were included in this study, including 46 patients in the case group and 167 patients in the control group. The mean age was 60.3±12.0 years, and 183 (85.9%) patients were male. Univariate analysis showed that emergency admission, preoperative neutrophil percentage, operation duration, intubation duration, and ICU duration may be associated with postoperative delirium. Multivariate analysis showed that the longer the duration of surgery and intubation, the more likely the patient was to develop delirium. In stratified analyses, the results were consistent with the general population in the TEVAR group, while no significant difference was found in the EVAR group. Conclusion The longer the operation time and tracheal intubation time are, the more prone to delirium patients undergoing TEVAR surgery are. While EVAR patients have no significant difference.
ObjectiveTo analyze the diagnosis status and epidemiological characteristics of anti-N-methyl-D-aspartate receptor encephalitis (anti-NMDAR encephalitis) in the Sichuan province of China. MethodsIn the retrospective survey study, data of cases suspected as autoimmune encephalitis in Sichuan province from January 2012 to February 2017 were collected from the third-party test center.The diagnosis status and epidemiological characteristics of anti-NMDAR encephalitis were analyzed. Results① A total of 1 714 cases had been suspected as autoimmune encephalitis with anti NMDA receptor antibodies tested.In hospitals of capital city, cerebrospinal fluid or serum of 1 511 cases were tested since 2012.In other cities, 203 cases were tested since 2014.Hospitals with anti NMDA receptor antibodies tested increased by year.The cases distributed in the department of neurology, psychology, pychiatric, ICU, pediatrics, geriatrics, otolaryngology, infection, the mergency department and pneumology.② Cases with anti NMDA receptor antibodies tested increased by year.A total of 155 cases were confirmed as anti-NMDAR encephalitis, with the average onset age of (27.9±12.0) years ranged from 9 years to 77 years, including 89 women and 66 male.The female average age were (26.5±11.31) years, while the male were(29.0±13.0) years.③ Among the 155 confirmed cases, 127 cases with detailed clinical data were analyzed further.Seizure and behavior disorder were the main symptoms at onset.Among the 127 cases, 107 cases were misdiagnosed at their first hospital visit, with the misdiagnose rate of 84.3%.18 cases were reported with tumors (17 female), mainly with teratoma(11/17). ConclusionIn Sichuan province, the doctors of hospitals in non-capital city should strengthen the identification of autoimmune encephalitis.Anti-NMDAR encephalitis could be misdiagnosed easily and non-neurological physicians should also take attention;