Home  |  About Us  |  Editorial Board  |    |  Subscribe  |  Messages Board  |  Contact Us  |  中文   Office Online Online Submission Peer Review Office Work   Journal Online    Forthcoming Articles    Current Issue    Archive    Read Articles    Download Articles    Email Alert     2015 Vol. 22, No. 5 Published: 2015-10-25 Orignal Article          Orignal Article 321 Study on the changing trends in disease spectra of inpatients from foreign countries in a hospital of Xinjiang from 2010 to 2014 Wang Bei, Liu Peng, Gao Hong, Xiang Weirong, Zhu Denghao DOI: 10.3969/j.issn.1006-5253.2015.05.001 Objective To investigate the demographic characteristics and disease spectrum of inpatients from foreign countries in General Hospital of Xinjiang in 2010-2014, and to provide a basis for improving the foreign medical service and management level. Methods The general information and clinical data of foreign inpatients in The people′ Hospital of Xinjiang Uygur Autonomous Region from January 2010 to December 2014 were retrospectively collected and analyzed. Results Totally 2 816 patients were enrolled in this study. Among them there were 1 379 males and 1 437 females, with an average age of 43.4 years old. The majority of patients (58.8%) were between 30 and 59 years old. But the composition ratio of foreign patients aged 20 to 29 increased from 2010 to 2014, reflecting younger trend of foreign patients in Xinjiang, and the difference was statistically significant (χ2 =42.57,P=0.011). These 2 816 patients were from 34 countries and regions, most of whom were from Kazakhstan (80.26%), and patients from Tajikistan, Kyrgyzstan and Russia were on the rise in recent five years (χ2=208.85, P<0.01). Surgical oncology department had the largest number of patients (10.05%). The factors influencing health status and contact with the health care organization occupied 14.10% of the total, followed by circulatory system diseases, musculoskeletal system and connective tissue diseases, digestive system diseases and tumors. The proportion of circulatory system diseases, musculoskeletal system and connective tissue diseases were declining in recent five years (χ2=35.174, P=0.019). Conclusion Most foreign patients came from Central Asia. The hospital should fully embody the idea of multiculturalism, establish good communication with patients, and improve the details of the process. Besides favorable hospitalization environment and patient-centered services, coordination among different departments is also needed to offer high quality and effective medical services for these patients. 2015 Vol. 22 (5): 321-324 [Abstract] ( 40 ) HTML (1 KB)  PDF (931 KB)  ( 136 ) 325 Investigation analysis of correlated risk factors of relapse after operation about bladder carcinoma Pan Diqing, Dong Xuecheng DOI: 10.3969/j.issn.1006-5253.2015.05.002 Objective To explore the relapse rate and correlated risk factors of bladder carcinoma after operation. Methods One hundred and fifty-eight patients with bladder carcinoma operation were divided into relapse group and without-relapse group, through 3 years following-up. Correlated risk factors that could affect relapse after operation were collected, and risk factors were screened by single factor and multiple factors analysis methods. Results The relapse rate of bladder carcinoma after 3 years′ operation was 26.6 percent (42/158). Single factor analysis showed that the factors of tumor grading, tumor staging, tumor size, tumor amount, operation styles, lymphatic metastasis and adjuvant chemotherapy after operation affected the relapse of bladder carcinoma after operation. Multiple factors analysis results showed that the risk factors of bladder carcinoma after operation included in tumor grading (OR=2.632), tumor staging (OR=2.690), operation styles (OR=2.936) and lymphatic metastasis (OR=9.935), but adjuvant chemotherapy after operation was the protective factor of bladder carcinoma after operation. Conclusion The independent risk factors of bladder carcinoma after operation include muscle invasive bladder cancer, higher tumor grading or staging of tumor, partial cystectomy, incidence of lymphatic metastasis and adjuvant chemotherapy after operation. 2015 Vol. 22 (5): 325-327 [Abstract] ( 57 ) HTML (1 KB)  PDF (910 KB)  ( 109 ) 328 Analysis of hospital business income by applying completely incremental factor analysis Song Xiumei, Qi Aiqin, Shi Dewen DOI: 10.3969/j.issn.1006-5253.2015.05.003 Objective To master all kinds of factors that influence the hospital business income and its influence degree, as well as its impact in order to strengthen hospital management and better social benefit and economic benefit evaluation of the hospital. Methods Factor analysis using whole increment of a hospital′s operating income variables were analyzed. Results The growth of Outpatient care income and hospitalization medicine income played major roles in affecting the growth of the hospital business income. The amount of outpatients and inpatients made more contribution to the hospitals′ income, and the proportion should be increased. Conclusion The outcome of analysis of the relative and absolute changes drown by the methods are exactly the same, which can describe the factors affecting the incomes precisely. And therefore the methods of completely incremental factor analysis are of great value to be developed. 2015 Vol. 22 (5): 328-332 [Abstract] ( 31 ) HTML (1 KB)  PDF (946 KB)  ( 142 ) 333 Influencing factor study of Henoch-Schonlein purpura in children based on the logistic regression model Xie Biao, Qu Siyang, Xiang Jing, Luo Xiao, Wang Wenji, Liu Meina DOI: 10.3969/j.issn.1006-5253.2015.05.004 Objective The aim of this study is to assess the associated factors of Henoch-Schonlein purpura(HSP) in Chinese children. This study has important public implications for developing strategies of preventing HSP. Methods In this hospital-based, case-control study, we recruited 353 HSP cases and 61 control participants during 2012 and 2015. We collected related information of 414 HSP in children and the control group through questionnaires. Student′s t-test, Pearson Chi-square test and Wilcoxon test were used respectively to compare the difference between the case and control group; We applied logistic regression model to analyze the associated factors of HSP in children. Results Univariate analysis revealed that the differences in age, mother and father′s level of education were significant between the case and control group. Univariate analysis also revealed that the differences in diet regularity, eating cold, fried and spicy food, meat, drinks, milk and dairy products, fruits and vegetables between the two groups were statistically significant. Similarly, the differences in way of birth, breast-feeding, mixed feeding and mother contacting harmful substances before becoming pregnant between the two groups were statistically significant. After the adjustment of age, sex and mother′s level of education, multivariate Logistic regression demonstrated that living in rural areas, the enough sleep time, consumption frequencies of fruit, sweet and meat and mother′s level of education were protective factors for HSP in children. Multivariate Logistic regression also demonstrated that mixed feeding, feeding after chewing, illness during pregnancy, and consumption frequencies of cold, spicy food and nuts were the risky factors for HSP. Conclusion Sufficient sleep time, less cold and spicy food and plenty of meat and fruit can reduce the risk of HSP in children. Advocating breastfeeding, avoid feeding after chewing can also prevent children from HSP. 2015 Vol. 22 (5): 333-337 [Abstract] ( 44 ) HTML (1 KB)  PDF (944 KB)  ( 98 ) 338 Correlated risk factor study on rotavirus enteritis complicated with myocardial damage of children Hu Jianfeng, Wu Xu, Ying Lirong DOI: 10.3969/j.issn.1006-5253.2015.05.005 Objective To explore the correlated risk factors of rotavirus (RV) enteritis complicated with myocardial damage of children, and to provide basis for early diagnosing and treating RV enteritis complicated with myocardial damage. Methods With case-control study method, we collected 213 cases of RV enteritis complicated with myocardial damage of children as case group, and 159 cases of RV enteritis without myocardial damage of children as control group, with multiple logistic Regression analysis method to screen the risk factors of RV enteritis complicated with myocardial damage. Results The incidence rate of RV enteritis complicated with myocardial damage was 57.3% (213/372). Single factor analysis indicated that age, hyperpyrexia, diarrhea, dehydration, acidosis, electrolyte disturbances and electrocardiographic abnormality affected the incidence of RV enteritis complicated with myocardial damage. Multiple factors analysis results showed that the risk factors of RV enteritis complicated with myocardial damage included in dehydration (OR=4.291), acidosis (OR=2.285) and electrolyte disturbance (OR=5.290), but age (OR=0.521) was the protective factors of RV enteritis without myocardial damage of children. Conclusion The high risk factors of RV enteritis complicated with myocardial damage of children included in age less than 1 year old, midrange and severe dehydration, acidosis, electrolyte disturbance and electrocardiographic abnormality. To aim directly at these risk factors, we should detect myocardial zymogram for making a definite diagnosis in time, and then carry out protecting heart treatment as soon as possible after definite diagnosis. 2015 Vol. 22 (5): 338-339 [Abstract] ( 36 ) HTML (1 KB)  PDF (902 KB)  ( 119 ) 340 Allergen characteristic and clinical detection meaning of children asthma Wu Xu DOI: 10.3969/j.issn.1006-5253.2015.05.006 Objective To explore allergen characteristic and clinical detection meaning of children asthma. Methods With case-control study method, 135 children with asthma and 140 healthy children through physical examination were respectively accepted questionnaire investigation, skin prick test and serum allergen detection. The positive rates of inhaled allergens and food allergens, family history of asthma and history of hypersensitivity disease, IgE positive rate of serum were compared between the two groups. Results The positive rates of allergen such as dust mite, pollen, cat dog dander, plumery, Blattella germanica, milk, egg white and flesh in the asthma group were much higher than those of the control group (P<0.05). Multiple factors analysis result showed that these factors of family history of allergy (OR=3.662), history of asthma of first-degree relative (OR=8.388), history of asthma of second-degree relative (OR=5.775), allergic rhinitis history (OR=5.569), drug allergy history (OR=7.942) and eczema history (OR=6.716) in the asthma group were much higher than those of the control group (P<0.01). The positive rates of TIgE and SIgE in the asthma group were respectively 48.1% and 65.2%, both much higher than those of the control group (22.9% and 27.1%, both P<0.01). Conclusion The influencing factors of asthma include family history of asthma, family history of allergy, eczema history, inhaled allergens and food allergens. Skin prick test and serum IgE detection play an important role in detecting allergen of children asthma. 2015 Vol. 22 (5): 340-342 [Abstract] ( 52 ) HTML (1 KB)  PDF (922 KB)  ( 98 ) 343 Disease constitution analysis of inpatients in a hospital in 2014 Zhang Wen, Yang Jingyi, Peng Rong DOI: 10.3969/j.issn.1006-5253.2015.05.007 Objective To explore the situation of the disease constitution for inpatients in a hospital in 2014, provide data support for hospital management, and provide a basis for disease control. Methods We collected data of the first page of medical records, and on the basis of the standard of international classification of diseases (ICD), we analyzed the situation of the disease constitution for inpatients in a hospital in 2014 with the use of Excel and Stata. Results The first 10 system diseases accounted for 86.32 percent of all the diseases of the inpatients. The inpatients over 15 years old accounted for 93.91 percent of total inpatients. The visiting rate was high for people over 45 years old with tumor, circulatory system disease, the factors influencing health status and contact with the health care organization, an digestive system disease. Babies, infants and the elderly were susceptible to respiratory disease. The patients aged 5 to 14 years old were susceptible to blood disease, blood-forming organs disease, and disease involved in the immune mechanism. The main cause of death was tumor, circulatory system disease, respiratory disease, and digestive system disease. Conclusion The hospital should allocate the medical resources reasonably on the basis of the disease features, pay close attention to priority crowd?of various diseases, consolidate the key discipline, strengthen the investment of the weak department, and strengthen the construction of health education. All the countermeasures are to improve the total level of medical service. 2015 Vol. 22 (5): 343-345 [Abstract] ( 37 ) HTML (1 KB)  PDF (914 KB)  ( 102 ) 346 Study on establishment of the statistical investigation system of Traditional Chinese Medicine (TCM) resource and medical service Hu Tieli, Yang Ganping, Pan Xihui, Sun Shuzhen DOI: 10.3969/j.issn.1006-5253.2015.05.008 Objective To establish the statistical investigation system of TCM resource and medical service, so as to grasp the present situation of the development of TCM, and to support macroscale strategy planning, scientific decision making and policy researching of TCM. Methods TCM medical organizations were investigated, using methods of document analysis, expert survey, comparative analysis, through steps of require analysis, literature search and system comparison. The investigative indicators, forms and contents were designed and approved by the experts, and compared with current investigation forms of TCM medical organizations. Results The Statistical Investigation System of TCM Resource and Medical Service was compiled, consisting of 8 investigate forms named NTCMI 1- 8. Compared with the current investigation system of National Health and Family Planning Commission, two new forms, the annual report of TCM key specialty and human resource investigative form were added, and 256 new indicators were added, out of which 171 were TCM characteristic indicators. Ten indicators were revised. Conclusion The statistical investigation system of TCM resource and medical service, which provides long-term, stable and reliable data, is the base of TCM macro strategy planning and development project formulating. It is a necessary means to improve the TCM information database. 2015 Vol. 22 (5): 346-348 [Abstract] ( 58 ) HTML (1 KB)  PDF (914 KB)  ( 108 ) 349 Reconstruction of the infant mortality rate from the liberation to the late 1970s in China Li Hongbin DOI: 10.3969/j.issn.1006-5253.2015.05.009 Objective To reconstruct the infant mortality rate from the liberation to the late 1970s in China. Methods According to the time sequence, based on the adjusted infant mortality rate of 1981-1990s and national monitored area infant mortality rate of 1991-2010s, we brought in infant mortality rate of 1949-1980s to establish the relative time series for curve fitting. We preliminary screened the multiple prediction models of infant mortality of 1949-2010s, then secondary screened better dynamic model by using the curve fitting of variance analysis, and at last, we found the best prediction model according to the curve fitting accuracy index, for further retrospective prediction of the infant mortality of 1949-1980. Results Eleven dynamic models of infant mortality rate in China were selected, then we screened out the poor fit models. We found out the exponential form, compound functional, growth functional and logistic curve model, were consistent with the predicted results and the standard error of the estimated value was smallest. They were determined the best prediction model. By prediction the infant mortality rate of 1951, 1956, 1961, 1966, 1971, 1976, and 1980 were 170.5‰,140.7‰, 183.0‰, 95.8‰, 79.1‰, 65.2‰, and 55.9‰ respectively. Conclusion Reconstructed infant mortality rate could not replace the actual level, but more close to the actual level. 2015 Vol. 22 (5): 349-351 [Abstract] ( 49 ) HTML (1 KB)  PDF (920 KB)  ( 370 ) 352 Prediction of the incidence of hepatitis A with optimal linear composite prediction model Lu Miaomiao, Zhang Xingyu DOI: 10.3969/j.issn.1006-5253.2015.05.010 Objective To explore the application value of optimal linear composite prediction model in forecasting the incidence number of hepatitis A (HA). Methods Seasonal autoregressive integrated moving average (SARIMA) model and radial basis function neural network (RBFNN) were developed based on the monthly incidence of HA in mainland China from 2005 to 2010. Linear regression model between the true incidence and the simulated values of SARIMA and RBFNN were also developed. The incidence values of 2011 were predicted with the three models and their forecasting efficiency was compared. Results The mean average error (MAE), mean average percentage error (MAPE) and root mean square error (RMSE) of predicted values by SARIMA model were 413.667, 0.154, 0.392 respectively. The MAE, MAPE, RMSE of predicted values by RBFNN were 291.833,0.118,0.344 respectively. The MAE, MAPE, RMSE of predicted values by optimal linear composite prediction model were 202.333,0.082,0.286 respectively. So the MAE, MAPE, RMSE of predicted values by optimal linear composite prediction model were all lower than those individual models. Conclusion The result indicates that the optimal linear composite prediction model can be well applied to forecast the incidence of HA. 2015 Vol. 22 (5): 352-355 [Abstract] ( 39 ) HTML (1 KB)  PDF (967 KB)  ( 164 ) Copyright © Editorial Board of journal1 Supported by:Beijing Magtech