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     2019 Vol. 26, No. 1 Published: 2019-02-25   1 Generalized grey correlation analysis of the factors influencing hospitalization expenses of patients with simple goiter Chen Liya DOI: 10.3969/j.issn.1006-5253.2019.01.001 Objective A generalized grey correlation analysis was used to analyze the factors affecting the hospitalization cost of simple goiter. Methods By using comprehensive correlation degree and correlation sequence to study the factors affecting the hospitalization expenses of discharged patients who with single pure goiter in a third nail hospital from 2013 to 2017.Results The comprehensive correlation degree of influencing factors of hospitalization cost of simple goiter from high to low is: consumables (0.872), diagnostics (0.849), comprehensive medical services (0.794), treatment (0.721), western medicine (0.624) and other categories (0.597), relational sequence according to the correlation degree from high to low order, consumable expenses have the greatest impact on hospitalization expenses. In the comprehensive correlation sequence of factors affecting the hospitalization cost of surgical patients, the treatment category occupies the first place, which reflects the technical value of physicians.Conclusion Through generalized correlation analysis, the influencing factors and trends of hospitalization costs can be accurately determined, and data support is provided for the future control fee and research compensation mechanism.     2019 Vol. 26 (1): 1-4 [Abstract] ( 58 ) HTML (1 KB)  PDF (1022 KB)  ( 153 ) 5 A Meta-analysis of sulphate/hydrochloride glucosamine for osteoarthritis He Xun, Guo Jiayi, Lü Shiwen DOI: 10.3969/j.issn.1006-5253.2019.01.002 Objective To study the effectiveness and safety of sulphate/hydrochloride glucosamine for osteoarthritis (OA).Methods Databases of Medline, Embase and Cochrane library were searched for randomised, doubleblind, placebo-controlled trials (RCTs) concerning glucosamine treatment of OA. Quality evaluation were assessed by Cochrane quality evaluation standards and Meta-analysis by using Rev Man 5.3 were performed.Results A total of 15 studies contributed to the meta-analysis, revealing a large degree of inconsistency among the trials in terms of pain-reduction outcome: the combined ES in glucosamine trials was -0.37, P<0.001. Further, the combined ES in glucosamine sulphate trials was -0.54, P<0.001, the combined ES in glucosamine hydrochloride trials was -0.04, P=0.22. And safety analysis showed that the adverse event rate in the glucosamine group was low.Conclusions Glucosamine is effective for pain reduction in patients with knee OA and has a good safety.     2019 Vol. 26 (1): 5-9 [Abstract] ( 35 ) HTML (1 KB)  PDF (1283 KB)  ( 147 ) 10 Meta-analysis of ganirelix for assisted reproductive technology Liu Huiling, Yu Wangmei, Zheng Caixia DOI: 10.3969/j.issn.1006-5253.2019.01.003 Objective To study the effectiveness and safety of ganirelix for assisted reproductive technology (ART).Methods Databases of Medline, Embase and Cochrane library were searched for randomised, double-blind, placebo-controlled trials (RCTs) concerning glucosamine treatment of OA. Quality evaluation were assessed by Cochrane quality evaluation standards and Meta-analysis by using Rev Man 5.3 were performed.Results A total of 13 studies contributed to the meta-analysis. Meta-analysis showed that there was no significant difference in the effective rate of general patients treated with Garniric compared with GnRH-a long-term regimen, but the incidence of adverse reactions was significantly reduced. It was significantly reduced for both efficacy and the adverse event rate for poor responds patients with ganirelix. Compared with triptorelin and buserelin, the efficacy was significantly reduced for patient with ganirelix. While comparing with leuprolide and nafarelin, there was no significant difference on efficacy and the adverse event rate for patience with ganirelix.Conclusion From the safety and efficacy of drug, ganirelix maybe a choice for COS in general patients and PCOS patients receiving ART.     2019 Vol. 26 (1): 10-15 [Abstract] ( 38 ) HTML (1 KB)  PDF (1995 KB)  ( 176 ) 16 Effects of spousal synchronous cognitive behavior management on perioperative mental state of patients with modified radical mastectomy Zhu Xiaowei DOI: 10.3969/j.issn.1006-5253.2019.01.004 Objective To analyze and discuss the effects of spousal synchronous cognitive behavior management on perioperative mental state of patients undergoing modified radical mastectomy.Methods Patients with modified mastectomy were randomly divided into two groups. Fifty-four patients in the control group were treated with traditional nursing mode, and 54 patients in the observation group were treated with spousal synchronous cognitive behavior management. Differences of indicators between the two groups were compared and analyzed.Results The scores of the two groups before the management were similar, with no significant difference of P>0.05. The scores of HADS-A, HADS-D, SAS and SDS of the observation group after the management were lower than those of the control group (t=6.05, 4.62, 12.44 and 10.77, respectively, P<0.01). The QLQ-BR23 functional domain score in the observation group was higher than that in the control group, and the symptom domain score was lower than that in the control group (t=6.49, 8.64, respectively, P<0.001).Conclusion Spousal synchronous cognitive behavior management can effectively improve the perioperative mental state of patients with modified radical mastectomy, and has a positive promoting effect on improving the quality of life of patients.     2019 Vol. 26 (1): 16-18 [Abstract] ( 43 ) HTML (1 KB)  PDF (871 KB)  ( 116 ) 19 Evaluation of the life quality and analysis on the influencing factors of fisherman patients with periodontal disease in the island area Zheng Yan DOI: 10.3969/j.issn.1006-5253.2019.01.005 Objective To investigate the life quality and study the related influencing factors of fisherman patients with periodontal disease in the island area.Methods Totally 547 cases of fishermen who were first diagnosed as periodontal disease were selected as the periodontal disease group and 97 cases of non-periodontal disease as the non-periodontal disease group in our hospital from 2014 to 2018. All subjects received the subjective oral health status index (SOHSI) for investigation. The number of cases and frequency of occurrence were collecte to investigate the quality of life of the subjects. The clinical data of the subjects were analyzed retrospectively, and the factors affecting periodontal disease in fishermen were analyzed with binary regression.Results Compared with the non-periodontal disease group, the periodontal disease group were significantly different in ability to chew, ability to speak, oral and facial pain symptoms, other oral symptoms, eating impact scale, activities of daily living impact scale and worry/concern impact scale (P<0.05). Compared with the periodontal disease group, the non-periodontal disease group were significantly different in gender, smoking, brushing frequency, diabetes, and cardiovascular disease(P<0.05). Binary logistic regression analysis showed that male, smoking, and with a history of diabetes were risk factors for periodontal disease, and brushing frequency more than 3 times a week was the protective factor for periodontal diseases (P<0.05).Conclusion The periodontal disease affects the life quality of the fisherman patients in the island. Male, smoking, and with a history of diabetes were risk factors for periodontal disease, and brushing frequency more than 3 times a week was the protective factor for periodontal disease. It is necessary to strengthen the publicity of oral health knowledge and preventive health measures for fishermen in the island.     2019 Vol. 26 (1): 19-21 [Abstract] ( 65 ) HTML (1 KB)  PDF (871 KB)  ( 150 ) 22 Effects of mobile home care platform on the compliance of rehabilitation exercises and quality of life in patients with total hip or knee arthroplasty Chen Xinxin, Xiang Meng, Jin Haixia DOI: 10.3969/j.issn.1006-5253.2019.01.006 Objective To explore the effect of mobile home care platform on rehabilitation exercise compliance and quality of life in patients with total hip or knee arthroplasty.Methods Totally 140 patients after hip or knee replacement surgery were randomly divided into the intervention group and the control group, 70 cases in each group. Patients in the control group was treated with routine rehabilitation education method, while patients in intervention group was treated with mobile home care platform intervention tracking and managing patients. Rehabilitation exercise compliance, functional independence and quality of life were compared between the two groups after 1, 3, 6 months of intervention.Results After treatment, exercise compliance, functional independence and quality of life were improved in both groups, and the intervention group was superior to the control group (P<0.05).Conclusion Mobile home care platform intervention can provide individualized continuous rehabilitation guidance for patients after total hip or knee arthroplasty. it can improve the compliance and quality of life in patients after total hip or knee arthroplasty, thus can effectively improve the patient's functional independence. So it is worthy of clinical practice.     2019 Vol. 26 (1): 22-25 [Abstract] ( 61 ) HTML (1 KB)  PDF (937 KB)  ( 125 ) 26 Applying the entropy method weighted efficacy coefficient method to evaluate the performance of hospital clinic departments Li Lin, Song Yuming DOI: 10.3969/j.issn.1006-5253.2019.01.007 Objective To evaluate the performance of hospital clinic departments scientifically and accurately.Methods A reasonable indicator system was established, twelve indicators were selected which were scientific, ingenious, practical, independent, and operational. Efficacy coefficient method which was weighted through entropy method was applied to performance evaluation. Results The total efficiency coefficients of all clinic departments in the hospital were sorted high to low as the 3rd Medicine Department, Otolaryngology Department, Dermatology Department, the 2nd Medicine Department, the 3rd Surgery Department, the 1st Medicine Department, the 2nd Surgery Department, the 1st Surgery Department, TCM Department and Ophthalmology Department.Conclusion The efficacy coefficient method, which was weighted through entropy method, was used to evaluate the performance of hospital clinic departments. It makes the evaluation more scientific and accurate, and thereby hospital clinic departments’ actual level can be reflected objectively. The efficacy coefficient method, which is based on the principle of multi-objective programming, shows obvious advantages.     2019 Vol. 26 (1): 26-29 [Abstract] ( 59 ) HTML (1 KB)  PDF (878 KB)  ( 322 ) 30 Effectiveness analysis on clinical pathway of common bile duct stones day surgery Wu Huatun, Huang Xiaoguang, Zhu Jianqian DOI: 10.3969/j.issn.1006-5253.2019.01.008 Objective To analyze the effects of clinical pathway of day surgery for common bile duct stones, and provide useful lessons for promoting the clinical pathway of day surgery.Methods Data of 576 patients with common bile duct stones from a tertiary hospital in Hangzhou from January 2016 to December 2017 were collected, and general conditions, hospitalization expenses, hospitalization time, and medical quality were compared and analyzed among the daytime path group, the daytime common group, and the common ward group.Results After the clinical pathway of day surgery for common bile duct stones was achieved, the per capita hospitalization costs, drug costs, drug proportion, consumables costs, examination costs, treatment costs and nursing expenses reduced (P<0.01), and the average length of stay shortened (P< 0.01), without significant change in discharge outcome, postoperative complications, unplanned re-admission within 31 days, and unplanned reoperation (P>0.05).Conclusion The clinical pathway of day surgery for common bile duct stones can reduce patient burden, control drug ratio, improve medical service efficiency, and reduce medical risks. The key link management should be strengthened, and the service chain extended to promote "hospital surgery & community care" clinical pathway of day surgery.     2019 Vol. 26 (1): 30-33 [Abstract] ( 62 ) HTML (1 KB)  PDF (943 KB)  ( 169 ) 34 Analysis of average length of stay based on DRGs grouping tool Guan Yun, Bao Zhiqing, Liu Haiyun DOI: 10.3969/j.issn.1006-5253.2019.01.009 Objective To analyze the average length of stay with DRGs grouping tool and explore the control measures of average length of stay.Methods DRGs grouping management tool was used to group medical records of the hospital in 2016 and the top ten disease groups were analyzed on the average length of stay. By comparing with the best average length of stay in the district, we found the differences and analyzed the reasons.Results It is clear that the efficiency of medical and technical departments, the utilization rate of operating room, and preoperative management are important factors affecting the average length of hospital stay.Conclusion Using DRGs grouping tool to analyze the average length of stay can not only effectively locate the problems and find out the reasons, but also provide the goals and basis for the further management of average length of stay.     2019 Vol. 26 (1): 34-36 [Abstract] ( 61 ) HTML (1 KB)  PDF (869 KB)  ( 170 ) 37 Analysis of the drugs under key monitoring in a hospital during 2015 to 2016 Dong Ningxia, Yu Pengfei, Wei Chuanmei DOI: 10.3969/j.issn.1006-5253.2019.01.010 Objective To probe into the conditions of key monitoring drugs in the hospital for providing reference to formulate administration method.Methods The 22 drugs under key monitoring in our hospital were analyzed retrospectively with regard to the sale amount, DDDs and DUI from 2015 to 2016.Results The sales amount, utilization rate and DDDs of pantoprazole sodium for injection were the highest. The DDDs of fat-soluble vitamin(Ⅱ)for injection/water-soluble vitamin for injection collective packing and Danshenchuanxiongqin injection was on the high side, and the utilization rate of fat-soluble vitamin(Ⅱ)for injection/water-soluble vitamin for injection collective packing and invert sugar and electrolytes injection was on the high side.The DUI of the 22 drugs under key monitoring was between 0.3 and 1.4, ATD was between 1.1 and 7.7 days.Conclusion There are problems in use of drugs under key monitoring in the hospital has problems such as too much sales amount, off label use, nonstandard dose and course of treatment. The hospital authority should take measures to promote clinical rational use of drugs.     2019 Vol. 26 (1): 37-40 [Abstract] ( 52 ) HTML (1 KB)  PDF (878 KB)  ( 267 ) 41 Practice research on performance appraisal and management system for large medical equipment Che Defei,Wang Fan,Gao Zhengnan,Yuan Baoping,Wang Zhicheng DOI: 10.3969/j.issn.1006-5253.2019.01.011 Objective To establish a comprehensive performance appraisal management system for large-scale medical equipments which value more than 5 million yuan in our hospital.Methods Based on the data of 2016 and 2017 of large-scale medical equipment in our hospital, the performance appraisal system was constructed from three dimensions of economic benefit, social benefit and technical state. The mathematical model of comprehensive performance appraisal of large-scale medical equipment was established by using weighted coefficient method and fuzzy mathematics appraisal method, which turns the index which is difficult to be quantified and evaluated into quantifiable one.Results In this study, 59.1% of the 15 large-scale medical equipment had good comprehensive performance, 18.6% had general comprehensive performance, and 22.3% had poor comprehensive performance.Conclusion Implementing the comprehensive performance appraisal and management system of large-scale medical equipment can help to change the management mode from extensive to refined, reduce the waste of health resources and improve the management level of large-scale medical equipment.     2019 Vol. 26 (1): 41-43 [Abstract] ( 52 ) HTML (1 KB)  PDF (914 KB)  ( 248 ) 44 Case-control study on risk factors of neonatal respiratory distress syndrome of newborns with full-term Zhou Huili, Lu Hongping, Chen Xiaojun DOI: 10.3969/j.issn.1006-5253.2019.01.012 Objective To explore the correlated risk factors of acute respiratory distress syndrome of newborns (NRDS) with full-term, and to provide basis for early intervention for it.Methods Seventy-seven confirmed cases of NRDS were selected as the case group, and 77 cases of normal newborns without NRDS were randomly selected as the control group. With retrospective case-control study method, the risk factors of NRDS were screened by single factor comparison method and multiple factors logistic regression method.Results Single factor analysis showed that there were statistical significances about social factors caesarean section, pregnancy induced hypertension, premature rupture of membranes, meconium pollution in amniotic fluid, fetal intrauterine distress, amniotic fluid inhalation, neonatal infection, asphyxia neonatorum, hypoglycemia in newborns and postpartum use of PS between the two groups (P<0.05). Multiple factors analysis result indicated that the influencing factors of NRDS included social factors caesarean section (OR=5.714), fetal intrauterine distress (OR=6.390), amniotic fluid inhalation (OR=15.745), asphyxia neonatorum (OR=12.798) and postpartum use of PS (OR=0.212).Conclusion The high risk factors of NRDS contain social factors caesarean section, fetal intrauterine distress, amniotic fluid inhalation, asphyxia neonatorum and without use of PS after delivery. To aim directly at these high risk factors, we should early prevent, diagnose and treat NRDS.     2019 Vol. 26 (1): 44-46 [Abstract] ( 31 ) HTML (1 KB)  PDF (872 KB)  ( 114 ) 47 Analysis of genital micro-ecological detection status in patients with cervical high-risk human papillomavirus infection Zhuang Sumei, Ni Yingyue DOI: 10.3969/j.issn.1006-5253.2019.01.013 Objective To investigate the genital tract micro-ecology in patients with high-risk cervical papilloma virus (high-risk human papillomavirus, HR-HPV) infection.Methods A random sample of 500 women who were screened for genital tract infection in our hospital from March 2015 to September 2017 was selected as the study subjects of this study. The Results of HPV detection and genotyping, the distribution characteristics and age distribution of multiple infections were analyzed.ResultsAmong the 500 cases, 90 cases of HR-HPV positive were detected, accounting for 18.00%, of which HPV52, HPV16 and HPV58 accounted for the highest proportion. Among the 90 cases with HR-HPV infection, 64 were multiple infections, of which 44 were double infection with 68.75%, 16 cases were triple infection with 25.00%, and four cases were quadruple infection with 6.25%. The groups of 20 to 30 years old and 31 to 40 years old were the peak ages of single infection and multiple infections, with a higher proportion than that of other age groups, and HR-HPV infection and multiple infections of the group of 20 to 30 years old ranked the first.Conclusion The age group of 20 to 40 years old is the peak age of HR-HPV infection, and HPV52, HPV16, and HPV58 are the common subtypes of infection.     2019 Vol. 26 (1): 47-49 [Abstract] ( 63 ) HTML (1 KB)  PDF (932 KB)  ( 241 ) 50 Study on pathogenic bacteria characteristics and influencing factors of nosocomial infection in aged patients over 60 years old Ye Xiaojie, Ji Xianqiong DOI: 10.3969/j.issn.1006-5253.2019.01.014 Objective To investigate the pathogenic bacteria distribution and the influencing factors of nosocomial infection in patients with mental illness over 60 years old.Methods Review method was used to analyze 1 806 psychiatric patients, and according to the period of nosocomial infection, the infection of 1 806 patients were divided into the infection group (88 cases) and the non-infection group (1 718 cases). The incidence of nosocomial infection and pathogen distribution of psychotic patients were observed and analyzed, and at the same time single factor and multiple factors were used to screen related risk factors for nosocomial infection.Results Among the 1 806 psychiatric patients, the incidence of nosocomial infection was 4.87% (88/1 806), and the main infection site was urinary tract infection and respiratory tract infection. Among the 88 infected patients, 8 pathogenic bacteria were isolated and cultured, with 16 strains, and the positive detection rate was 18.18% (16/88), among which 4 strains of gram-positive bacillus accounted for 25.00%. 12 strains of gram-negative bacillus accounted for 75.00%, and shigella infection was common. Through unconditioned Logistic multi-factor analysis, adverse drug reactions (OR=5.233, P=0.025), combined basic diseases (OR=4.406, P=0.031) and invasive operations (OR=5.590, P=0.030) were the main risk factors for nosocomial infection in patients with mental illness.Conclusion Gram negative bacteria are the main pathogenic bacteria in nosocomial infection of elderly psychiatric patients with a greater incidence of nosocomial infection, mainly in the urinary tract and respiratory tract. According to related risk factors, we should improve the quality and skills of nursing staff, strengthen the prevention and treatment of underlying diseases, reduce drug adverse reactions, and then reduce the nosocomial infection occurrence.     2019 Vol. 26 (1): 50-52 [Abstract] ( 48 ) HTML (1 KB)  PDF (874 KB)  ( 102 ) 53 Risk factors and nursing countermeasures of pulmonary infection in patients with hypertensive cerebral hemorrhage Wang Lijun DOI: 10.3969/j.issn.1006-5253.2019.01.015 Objective To discuss the risk factors and nursing countermeasures of pulmonary infection in patients with hypertensive cerebral hemorrhage.Methods Totally 250 patients with hypertensive cerebral hemorrhage were selected from June 2016 to June 2018 in our Hospital, and the concurrent pulmonary infection and its risk factors were analyzed.Results In this study, 100 hypertensive cerebral hemorrhage patients were complicated with pulmonary infection, with the incidence 40.00%, and 150 strains of pathogenic bacteria were isolated, including 10 strains of fungi (6.67%), 20 strains of gram-positive bacteria (13.33%) and 120 strains of gram-negative bacteria (80.00%). Tunivariate analysis showed that, age, smoking, diabetes mellitus, pulmonary diseases, dysphagia, Glasgow coma score, bleeding volume, airway incision, nasal feeding and sedative drug use were related to hypertensive cerebral hemorrhage complicated with pulmonary infection (P<0.05). Logistic multivariate analysis showed that, 60 years old and above, smoking, diabetes mellitus, pulmonary diseases, dysphagia, Glasgow coma score below 8, bleeding over 100 ml, airway incision, nasal feeding and sedative drug use were the independent risk factors for hypertensive cerebral hemorrhage complicated with pulmonary infection (P<0.05).Conclusion The risk of hypertensive cerebral hemorrhage complicated with pulmonary infection is high, the gram-negative bacteria are the main pathogens, and the risk factors are many and complex. We should pay attention to the condition monitoring and nursing intervention of patients with 60 years old and above, diabetes mellitus, pulmonary diseases, dysphagia, Glasgow coma score below 8, bleeding over 100 ml, airway incision, nasal feeding and sedative drug.         2019 Vol. 26 (1): 53-56 [Abstract] ( 51 ) HTML (1 KB)  PDF (890 KB)  ( 114 ) 57 Implementation and effect of standardized pain management in emergency trauma surgery Wang Yan, Shen Xiaoxiao, Zhang Yanni DOI: 10.3969/j.issn.1006-5253.2019.01.016 Objective To explore the effect of standardized pain management in emergency trauma surgery.Methods Totally 86 patients in emergency trauma surgery in our hospital were selected from Aug. 2016 to Aug. 2017, and they were randomly divided into the control group and the observation group. Routine management was adopted in the control group, and standardized pain management was adopted in the observation group. Degree of pain relief and nursing satisfaction were compared between the two groups.Results After the intervention, the rate of pain relief and nursing satisfaction in the observation group were higher than those in the control group (P<0.05).Conclusion Standardized pain management has achieved satisfactory Resultsin emergency trauma surgery, which can reduce patients' pain and improve nursing satisfaction, and is worthy of clinical promotion.     2019 Vol. 26 (1): 57-58 [Abstract] ( 51 ) HTML (1 KB)  PDF (858 KB)  ( 102 ) 59 Study on effect comparison between implantable venous access port and peripherally inserted central catheter of chemotherapy patients of breast cancer Wang Yuling, Ma Zhaosheng, Lin Jiao, Wu Lili DOI: 10.3969/j.issn.1006-5253.2019.01.017 Objective To explore the effect comparison between implantable venous access port (IVAP) and peripherally inserted central catheter (PICC) of chemotherapy patients of breast cancer.Methods 240 cases of radical mastectomy were randomly divided into PICC group and IVAP group, 120 cases each group. PICC group was given PICC catheterization method, and IVAP group was adopted IVAP Catheterization. The indexes of success rate of puncture, catheterization time, incidence rate of complications, comfort degree, nursing satisfaction degree and life quality were compared between the two groups.Results There was no statistical significance about success rate of the first puncture between the two groups (P>0.05). The catheterization time in the IVAP group was longer than the PICC group (P<0.01). The incidence rate of complications in the IVAP group was 8.33%, lower than the PICC group (P<0.01). The scores of comfort degree and life quality in the IVAP group were both lower than the PICC group (P<0.01), but the score of nursing satisfaction degree in the IVAP group was higher than the PICC group (P<0.01).Conclusion Contrast with PICC method, chemotherapy patients of breast cancer use of IVAP method, it could extend catheterization time, cut down incidence rate of complications, raise comfort degree and satisfaction degree, and improve life quality of prognosis.     2019 Vol. 26 (1): 59-61 [Abstract] ( 72 ) HTML (1 KB)  PDF (876 KB)  ( 174 ) 62 Investigation and analysis of the death of children under 5 years old in Cangnan County from 2014 to 2017 Jiang Dandan DOI: 10.3969/j.issn.1006-5253.2019.01.018 Objective To discuss the investigation and analysis of the death of children under 5 years old in Cangnan County from 2014 to 2017.Methods Clinical data of 64 788 children under 5 years old in our County from 2014 to 2017 were retrospectively selected to investigate the mortality of children.Results In this survey, 244 children under 5 years old died and the mortality rate was 0.38%. From 2014 to 2017, the mortality rate of children under 5 decreased year by year, from 0.37% to 0.35%. From 2014 to 2017, the rate of no use of health services for children under 5 years of age decreased year by year. Home mortality dropped from 32.26% to 13.11%, and the untreated rate dropped from 22.58% to 6.56%. From 2014 to 2017, the death causes of children under 5 years old were different. Congenital heart disease, drowning, accidental asphyxia were the main causes from 2014 to 2015, and congenital heart disease, premature labor, other congenital anomalies, accidental asphyxia were the main causes from 2016 to 2017.Conclusion The mortality rate and rate of no use of health services of children under 5 years old in Cangnan County decreased year by year from 2014 to 2017. Birth asphyxia and pneumonia are the leading causes of death among children under 5 years old.     2019 Vol. 26 (1): 62-64 [Abstract] ( 41 ) HTML (1 KB)  PDF (869 KB)  ( 85 ) 65 Analysis of screening results of cervical cancer in rural middle-aged and elderly women in the southern part of Dongying City from 2015 to 2016 Li Longxin, Li Qingchun DOI: 10.3969/j.issn.1006-5253.2019.01.019 Objective To evaluate the value of liquid-based cytology, high-risk human papilloma virus detection and combined detection in cervical cancer screening.Methods From May 2015 to October 2016, 9 982 middle-aged and elderly rural women who were married or had sexual life history in the southern region of dongying were screened for cervical cancer free of charge after publicity. Gynecological examination, cervical liquid-based thin layer cytology test and high-risk HPV 12+2 typing test were performed first. For TCT positive, HPV positive and both positive cases, further colposcopy and cervical multi-point biopsy and cervical tube scratch pathology examination、 And the establishment of electronic personal files, and township hospitals to establish a two-way feedback mechanism, regular follow-up.Results TCT+HPV combined detection in CIN the positive expression rate of rise, according to the pathological changes degree aggravating in CIN Ⅲ reached 70.81%, reached 100% in SCC. As a screening method for cervical cancer, the detection rate of HPV combined with TCT in CIN is significantly higher than that of TCT alone or HPV alone. HPV combined with TCT can significantly improve the detection rate of cervical cancer prelesions.Conclusion In the screening of cervical lesions, TCT combined with HPV detection can significantly improve the positive rate of cervical lesions, effectively reduce the incidence of cervical cancer in middle-aged and elderly women in the south of Dongying, and can be widely used in clinical practice.     2019 Vol. 26 (1): 65-68 [Abstract] ( 78 ) HTML (1 KB)  PDF (885 KB)  ( 152 ) 69 Investigation on the cognition of caregivers of children with hand-foot-mouth disease in the Community of Gongchenqiao Hong Min DOI: 10.3969/j.issn.1006-5253.2019.01.020 Objective To discuss the cognition and its countermeasures of caregivers of children with hand-foot-mouth disease in Community of Gongchenqiao. Methods Totally 245 caregivers of children with hand-foot-mouth disease were selected retrospectively from January 2013 to December 2017 in Community of Gongchenqiao, cognitive status was investigated by the self-made “Hand-foot-mouth disease cognitive questionnaire”, and the Results were statistically analyzed.ResultsIn this survey, 100 caregivers (40.82%) lacked cognition, mainly because they did not know the etiology, infection route and preventive measures. Single factor analysis showed that, gender, education level and occupation were related to the cognition of caretakers (P<0.05). Logistic regression analysis showed that, male (OR=4.000, P<0.001), under junior college (OR=2.348, P=0.029) and non-health related occupations (OR=4.050, P<0.001) were the independent influencing factors of lack of cognition for caregivers.Conclusion The caregivers of children with hand-foot-mouth disease in the Community of Gongchenqiao lack cognition. We should strengthen the propaganda and education of relevant knowledge, which contains the cause of the disease, the route of infection, and the preventive measures, and the focus should be on the male, below junior college, non-medical and health related occupations.     2019 Vol. 26 (1): 69-71 [Abstract] ( 54 ) HTML (1 KB)  PDF (872 KB)  ( 82 ) 72 Analysis on health status monitoring of teaching and living environment in primary and secondary schools in Xuyi County from 2016 to 2017 Zhang Lei, Shen Yujun, Jiang Qijia, Chen Haitang DOI: 10.3969/j.issn.1006-5253.2019.01.021 Objective To understand the health status of teaching and living environment in primary and secondary schools in Xuyi County, and to provide scientific basis for improving teaching and living health conditions.Methods Totally 130 classrooms and 36 dormitories from 22 primary and secondary schools in Xuyi County were analyzed according to 13 items of seven indicators including classroom per capita area, the fitting configuration of desks and chairs in the classroom, the qualification rate of blackboard reflection coefficient, classroom lighting, classroom illumination, microclimate, and noise.Results The teaching and living environment hygiene status of 22 primary and secondary schools was not satisfactory, with the qualified rate of classroom per capita area 50.77%, the matching rate of desk and chair assignment 37.69%, the pass rate of blackboard reflection 12.31%, the pass rate of classroom desktop illumination 56.15%, the acceptance rate of blackboard illumination 17.69%, the qualified rate of classroom carbon dioxide concentration 27.69%, the pass rate of female toilets 45.45%, and the per capita area compliance rate of dormitory 58.33%.Conclusion The health status of primary and secondary schools of classroom teaching and living environment in Xuyi County is serious. The government should increase investment, improve the teaching and living environment in accordance with national health standards, and create a favorable environment for the healthy growth of students.     2019 Vol. 26 (1): 72-74 [Abstract] ( 44 ) HTML (1 KB)  PDF (865 KB)  ( 103 ) 75 Research on HDFS decentralized dynamic replica storage optimization strategy in big data environment Yang Lian, Guo Liangjun, Ma Lei, Wang Shengfang DOI: 10.3969/j.issn.1006-5253.2019.01.022 On the premise of not affecting the HDFS decentralized storage structure, the dynamic copy storage and galohua finite field theory was combined to optimize the calculation and calculation mode of van der Monde code, so that the time cost and the memory pressure of the coding and decoding were reduced. About 35% storage costs of HDFS were saved, and the balance ability of the node load and decoding efficiency of the HDFS system were improved. This algorithm is more suitable for the process of medical professional documents, and meets clinical research needs and data supply. It can save the storage capacity, can accommodate the increasing and more complex medical data, can reduce the cost of hardware server, save the capital cost for the hospital, quickly query and obtain the effective data in the data pool, make the lying data live, and give full play to their clinical use value and scientific research value. This complete and systematic optimization plan provides an effective way for the development of HDFS in the future.     2019 Vol. 26 (1): 75-78 [Abstract] ( 83 ) HTML (1 KB)  PDF (875 KB)  ( 291 ) 79 Application of Excel software to the direct report of infectious diseases in a tertiary hospital Du Lianxin, Hou Gang, Fan Lijuan, Liu Junmei, Zhang Yingxia, Ma Jianxin, Ma Zhaoli, Chu Yiwen, Liu Yan DOI: 10.3969/j.issn.1006-5253.2019.01.023 Objective To apply Excel software to the direct report of infectious diseases in a tertiary hospital to improve the report quality.Methods The advanced query function, Vlookup function, IF function, Len function and subtraction formula of Excel were used to screen infectious diseases of outpatients and inpatients of omission, avoid repetitive query before online direct report and check after online direct report.Results It greatly improves the working efficiency of direct reports on the internet, ensures the quality of reports, and avoids the delayed reporting of infectious diseases.Conclusion Excel software can be fully applied to many links of the direct reports of infectious diseases. Reporters of epidemic diseases in tertiary hospitals should strengthen their study on the Excel software and improve the work efficiency.     2019 Vol. 26 (1): 79-80 [Abstract] ( 36 ) HTML (1 KB)  PDF (1326 KB)  ( 112 ) Copyright © Editorial Board of journal1 Supported by:Beijing Magtech