25 February 2015, Volume 22 Issue 1

    

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Orignal Article
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  Development of quality indicators for colorectal cancer care in Chinese hospital

  Zhang Huimin, Bao Han, Fu Rong, Liu Dan, Liu Meina

  journal1. 2015, 22(1): 1-4. https://doi.org/10.3969/j.issn.1006-5253.2015.01.001

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  Objective To develop a set of quality indicators for patients treated in Chinese hospitals to evaluate the quality of colorectal cancer care in China, which could provide reference for improving the clinical treatments of colorectal cancer, eventually enhance the quality of colorectal cancer care. Methods A framework is designed to evaluate colorectal cancer care , basing on the framework of structure, process and outcome. Collecting candidate quality indicators by searching related literatures, further refering to the American NCCN guidline and the rules of diagnosis and treatment of colorectal cancer care in China. Inviting experts to join the consult panel. Using 3-step modified Delphi approach to collect experts′views, consulting panel members were asked to score the indicators. Applying SAS 9.1.3 to calculate the average, coefficient of variation and agreement rate of indicators. Inclusion criteria: mean≥4, CV≤0.25, p≥81.25%. Results According the traits of colorectal cancer, five domains of new framework were developed,including structure, process, communicating and advising, symptoms and side-effects management, outcome. 16 experts were invited to join the panel ,all the advisory tables were regained, the response rate was 100%. 26 out of 98 candidate indicators were selected and modified after three rounds. There are 1 structure indicator, 20 process indicators, 1 communicating and advising-related indicator, 4 outcome indicators. Conclusion The developed quality indicators of colorectal cancer care conforms to Chinese national conditions, the multidimensional quality indicators can be used to comprehensively evaluate the quality of colorectal caner care , which committing to the enhancement of quality for colorectal cancer.
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  Reminder of management of academic papers on promoting hospital′s core competence

  Dai Liqiong, Zhang Shuangshuang, Xia Qingmin

  journal1. 2015, 22(1): 5-9. https://doi.org/10.3969/j.issn.1006-5253.2015.01.002

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  Objective To investigate the significance of academic papers on promoting hospital′s core competence. Methods Academic papers of Zhejiang Cancer Hospital published from 2008 to 2012 were retrieved in CNKI, Wanfang Data, the Chinese biomedical literature database(CBM), web of science, and PubMed. The number, authors, disciplines, periodicals, funds were analyzed. Results There were 1 479 papers published from 2008 to 2012,and among them, there were 134 SCI papers(9.1%), 307 funded papers(20.8%).The number of all papers, SCI papers and funded papers published in 2012 were increased for 34.5%,650% and 216.7% respectively compared with those papers published in 2008.The top 5 disciplines with more published papers were nursing, surgery, radiotherapy, chemotherapy and pharmacy. There were 216 core authors. The author cooperation degree was 3.6, and the author cooperation rate was 88.8%.The cited rate of papers of the hospitals was 64.4%. Conclusion There are increasing trends in quantity and quality of published papers of Zhejiang Cancer Hospital. Enhancing the management of papers might provide the basis of management of scientific research and clinical work
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  Analysis of enterovirus infection in children with virus encephalitis in Xiamen city

  Yan Yubing, Zheng Huineng, Su Chenghao

  journal1. 2015, 22(1): 10-12. https://doi.org/10.3969/j.issn.1006-5253.2015.01.003

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  Objective To provide scientific basis for diagnosis and prevention in Xiamen city of viral encephalitis,Enterovirus infection and epidemiology feature were studied by the investigation and analysis of epidemiology and pathogen in 249 cases of viral encephalitis. Methods Epidemiological investigation and laboratory test data of 249 cases with viral encephalitis from all hospital more than grade two between May to September in 2011 were collected,and then descriptive statistics is used to analyze the data. Results 249 patients were mainly from the local district(76.7%)of Xiamen city and the age less than 12 years accounted for 72.77%, which male accounted for 67.87% and female accounted for 32.13%. Tthe peak of incidence was from may to July.The main clinical manifestations were fever (92.37%), headache (87.15%), and vomiting (84.34). 94 of all patients were detected intestinal virus, which including 3 cases of CoxA16( 3.19%), 2 cases of EV71( 2.13%) and 89 cases of other enterovirus ( 94.68%). 6(85.71%)samples of ECHO 30 were detected through sequencing method in 7 samples with other enterovirus positive. Conclusion 37.8% of viral encephalitis from Xiamen city were infected by enterovirus in 2011, strengthen the monitoring work is the key to the prevention and control of viral encephalitis.
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  Analysis of ultrasound prenatal diagnosis fetal malformations of Taian′s Maternity&Child Hospital

  Zhang Geyun,Lijing

  journal1. 2015, 22(1): 13-16. https://doi.org/10.3969/j.issn.1006-5253.2015.01.004

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  Objective Through the analysis of the results of ultrasound prenatal diagnosis in our hospital, to understand the relationship between the incidence, the type, the development trend of the year, time to pregnancy,gestational age and the incidence of fetal malformations. Methods General conditions and test results of pregnant women from 2009 to 2012 were registered individually, to conduct a comprehensive summary of the statistical analysis. Results There are 290 fetal malformations in 8 452 women who took the ultrasonic testing with a total incidence of 3.43%. Among the 290 malformations, the top three are 98 circulatory system malformations with an incidence of 1.16%, 55 central nervous system malformations with an incidence of 0.65% and 43 urinary system malformations with an incidence of 0.51%.The incidence of malformations in different years are changing. Time to pregnancy is related to the malformations. The incidence of malformations is higher if a woman gets pregnant in winter or spring and lower in summer and autumn. The age of the pregnant women is also related to malformations. The older the woman is, the higher the incidence will be. Conclusion Ultrasonography has an extremely important value in prenatal diagnosis. the vast majority of fetal malformation from anatomical structure can be screened out by Ultrasound. Ultrasonography is a very powerful measure to reduce the incidence of birth defects and improve the quality of the population. Health education perinatal care and prenatal and postnatal care should be carried out widely.
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  Analysis of the current situation of migrant workers in municipal general hospital

  Chen Jinyu, Chen Chunsu, Wu Yanhua, Wen Ke, Xue Yuan, Tang Minyi, Huang Minghui

  journal1. 2015, 22(1): 17-18. https://doi.org/10.3969/j.issn.1006-5253.2015.01.005

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  Objective To learn the present situation of hospital personnel floating,analyze flowing characteristics, regulation and reasons, to provide reference for the personnel management of hospital. Methods We take the hospital personnel floating of a large general hospital in the recent 5 years, for example, to investigate and analyze, and analyze the causes of personnel flow through expert interview. Results In recent years, the hospital staff mobility become more active, especially in less than 30 years of age.The hospital staff has increased year by year by the flow of personnel, the medical team keep overall stability,but local flow is outstanding, especially the nursing job mobility. Health technical personnel team has improved, But still there was a risk that the important brain drain, Conclusion Graduates employment, job change,work environment, continuing education were the main the main affecting factors of the flow. Hospital should establish suitable salary incentive mechanism for hospital, set up a smooth channels of rational flow of personnel, create a good working environment, reduce the loss of mature talented person, enhance the stability and active degree.
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  Comprehensive characteristics retrospective analysis of homeless schizophrenia patients

  Li Yanbo

  journal1. 2015, 22(1): 19-21. https://doi.org/10.3969/j.issn.1006-5253.2015.01.006

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  Objective To analyze the comprehensive characteristics of homeless patients with schizophrenia in order to take more effective reference for patient′s rehabilitation and management. Methods 326 homeless schizophrenia inpatients hospitalized from March 2013 to March 2014 were enrolled as the study group. 326 non-homeless schizophrenia inpatients hospitalized at the same period were randomly selected as the control group. The general data, disease diagnosis, accompanying homeopathy, aggressive behavior and curative effect were statistically analyzed. Results Compared with the control group, the patients in the study group were less educated and many of them were from rural areas, unmarried and unemployed, the difference showing statistical significance (P<0.01), with more complicating physical illness (P<0.01), the medication effect was poor (P<0.01). Although there were no differences between the two groups of aggressive behavior incidence (P>0.05), but the attack behavior had difference (χ²=8.406,P<0.05). The study group had much more physical attacks, and the control group had much more verbal attacks. Conclusion There is significant difference in clinical characteristic between homeless patients with schizophrenia and non-homeless patients with schizophrenia. So it is necessary to develop the targeted measures of rehabilitation and strengthening management for homeless patients with schizophrenia.
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  Classification effects of classification algorithms in imbalanced data of different sample sizes and class-distribution

  Yuan Lianxiong, She Lingling, Lin Aihua, Luo Futian

  journal1. 2015, 22(1): 22-26. https://doi.org/10.3969/j.issn.1006-5253.2015.01.007

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  Objective To compare the classification effects of commonly used classification algorithms in different sample sizes and imbalanced data of minority class proportion. Methods An Monte Carlo approach was applied to generate random data set in different sample size and class-distribution, then commonly used classification algorithms were chosen to calculate F₁ value and AUC value. Results F₁ value and AUC value of all algorithms increased following the increase of sample size and minority class proportion, while F₁ value was more sensitive. Logistic regression and neural network showed advantage to other method in small sample sizes, and F₁ value of random forest was superior to others when minority class′s percent was 5% or 3% with the sample size of 5 000. Conclusion Sample sizes and class distribution have great influence on F₁ value, and Logistic regression and neural network may be more appropriate in small sample size, while random forest is powerful when the percent of minority class is very low and sample size is large enough.
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  Comprehensive evaluation of efficient use of hospital beds in 31 provinces, municipalities or autonomous regions

  Guo Jianxin, Cai Junxiu, Zhou Guodong, Liu Kui, Zhu Hui

  journal1. 2015, 22(1): 27-28. https://doi.org/10.3969/j.issn.1006-5253.2015.01.008

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  Objective To evaluate comprehensively the efficiency of hospital beds in 31 provinces, municipalities and autonomous regions in China. Methods The comprehensive index system was established including the average turnover rate of hospital beds, bed utilization rate, average hospitalization days index, and the hospital bed efficiency was analyzed with grey correlation analysis. Results The efficiency of hospital beds in 31 provinces, municipalities and autonomous regions in China was sorted in descending order as Fujian, Guangxi, Guangdong, Hunan, Hubei, Anhui, Shandong, Sichuan, Guizhou, Hebei, Yunnan, Xinjiang, Zhejiang, Jiangsu, Hainan, Ningxia, Shanghai, Henan, Chongqing, Shaanxi, Jiangxi, Qinghai, Gansu, Inner Mongolia, Tianjin, Jilin, Liaoning, Heilongjiang, Shanxi, Beijing, and Tibet. Conclusion Grey correlation analysis applies to the comprehensive evaluation of various data, can scientifically reflect the efficiency of hospital beds of Chinese provinces, municipalities and autonomous regions.
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  Analysis of long staying in hospital using logistic regression model

  Guan Yun, Liu Haiyun,Zhou yan

  journal1. 2015, 22(1): 32-34. https://doi.org/10.3969/j.issn.1006-5253.2015.01.010

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  Objective Shorten the days of patient stay in hospital (DPSH) is a importance work to promote efficiency. In order to explore the practicable way to short the days of patient stay in hospital, the article analyzes the related factors influencing of long staying in hospital. Methods Analyzing the patients of long staying in hospital of some hospital in 2013 by logistic regression model. Results The result of logistic regression indicated that there are four important factions to influence the days of patient stay in hospital(DPSH) which were the day of patient stay before operation,the weight, the critical level of patient, transferring hospital. Conclusion If we want to find some feasible methods to cut down the average day of patient stay in hospital , we need put stress on arranging the procedure of patient receiving, formulate admission scheme of specialty,controll the days of the important patient stay in hospital through monitoring.
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  Monitoring report of HIV infection status among MSM in Xiamen city during 2010 to 2014

  Ma Guilin, Ouyang Xue, Chen Juanjuan, Zheng Huineng

  journal1. 2015, 22(1): 37-38. https://doi.org/10.3969/j.issn.1006-5253.2015.01.012

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  Objective To understand HIV infection status and AIDS-related knowledge and behaviors among men who have sex with men (MSM) and to provide evidence for carrying out the targeted work of AIDS prevention. Methods AIDS-related information of monitoring the MSM population during 2010 to 2014 was analyzed. MSM persons were recruited by snowballing method. Questionnaire surveys were conducted by face-to-face interview. Each interviewee was detected for antibodies of HIV, HCV and syphilis. Results 1 785 MSM were surveyed. The awareness rate of knowledge about HIV/AIDS ranged from 87.78% to 98.27% and showed upward trend. The percentage of interviewee used condom in the last anal sex with men ranged from 65.31% to 78.99% and there weren′t obviously tendency. The positive of HIV antibody rates varied from 3.47% to 10.15% and showed upward trend. Conclusion There is a problem that the behaviors of MSM were separated from AIDS-related knowledge. We should find out and respond to the causes of the problem for improving intervention efficacy.