聊城市精神疾病患者求医方式及其影响因素的调查研究

Objective To investigate the status of treatment of patients with mental disorders in Liaocheng and the impact factors for medical intervention of mental illness. Methods From November 2004 to November 2005, 4800 ≥ 18-year-old population were enrolled from four counties (districts), eight townships (streets), 33 villages(neighborhood committees). General health questionnaire(GHQ-12), mental retardation/dementia diagnosis Scale(MMSE), clinical registration forms, such as SCID-P and the spirit of the United States Institute of DSM-IV diagnosis(DSM-IV) were used as diagnostic tools. Results Four thousand seven hundred and eighty-eight people completed the survey. Mental illness prevalence rate was 14. 20%, with a total prevalence rate of 15.31%. The first way of seeking treatment is from the internal department and neurology department of general hospital, which accounts for 62.9% ;the second is to turn to superstition and magic,which accounts for 18.2% ;the third is from private clinic of Traditional Chinese and Western medicine,which accounts for 8.8% ;the last is from special psychi-atric department,which accounts for 4.4%. The ways are mainly influenced by the level of education, distance,the forms and characters of occurring illnesses, attitude of society, knowledge about this kind of illnesses and guidance of doctors. Conclusion The important strategies to seek treatment in a right way and become healthy in time are to strengthen the cooperation of general hospital , the communtity health service institutions and psychiatric health special bodies ;to improve the diagnoising and discerning ability of non-specialista and to give guidance to psychiatric about the ways.     

聊城市精神疾病患者求医方式及其影响因素的调查研究

Objective To investigate the status of treatment of patients with mental disorders in Liaocheng and the impact factors for medical intervention of mental illness. Methods From November 2004 to November 2005, 4800 ≥ 18-year-old population were enrolled from four counties (districts), eight townships (streets), 33 villages(neighborhood committees). General health questionnaire(GHQ-12), mental retardation/dementia diagnosis Scale(MMSE), clinical registration forms, such as SCID-P and the spirit of the United States Institute of DSM-IV diagnosis(DSM-IV) were used as diagnostic tools. Results Four thousand seven hundred and eighty-eight people completed the survey. Mental illness prevalence rate was 14. 20%, with a total prevalence rate of 15.31%. The first way of seeking treatment is from the internal department and neurology department of general hospital, which accounts for 62.9% ;the second is to turn to superstition and magic,which accounts for 18.2% ;the third is from private clinic of Traditional Chinese and Western medicine,which accounts for 8.8% ;the last is from special psychi-atric department,which accounts for 4.4%. The ways are mainly influenced by the level of education, distance,the forms and characters of occurring illnesses, attitude of society, knowledge about this kind of illnesses and guidance of doctors. Conclusion The important strategies to seek treatment in a right way and become healthy in time are to strengthen the cooperation of general hospital , the communtity health service institutions and psychiatric health special bodies ;to improve the diagnoising and discerning ability of non-specialista and to give guidance to psychiatric about the ways.     

聊城市精神疾病患者求医方式及其影响因素的调查研究

Objective To investigate the status of treatment of patients with mental disorders in Liaocheng and the impact factors for medical intervention of mental illness. Methods From November 2004 to November 2005, 4800 ≥ 18-year-old population were enrolled from four counties (districts), eight townships (streets), 33 villages(neighborhood committees). General health questionnaire(GHQ-12), mental retardation/dementia diagnosis Scale(MMSE), clinical registration forms, such as SCID-P and the spirit of the United States Institute of DSM-IV diagnosis(DSM-IV) were used as diagnostic tools. Results Four thousand seven hundred and eighty-eight people completed the survey. Mental illness prevalence rate was 14. 20%, with a total prevalence rate of 15.31%. The first way of seeking treatment is from the internal department and neurology department of general hospital, which accounts for 62.9% ;the second is to turn to superstition and magic,which accounts for 18.2% ;the third is from private clinic of Traditional Chinese and Western medicine,which accounts for 8.8% ;the last is from special psychi-atric department,which accounts for 4.4%. The ways are mainly influenced by the level of education, distance,the forms and characters of occurring illnesses, attitude of society, knowledge about this kind of illnesses and guidance of doctors. Conclusion The important strategies to seek treatment in a right way and become healthy in time are to strengthen the cooperation of general hospital , the communtity health service institutions and psychiatric health special bodies ;to improve the diagnoising and discerning ability of non-specialista and to give guidance to psychiatric about the ways.     

The ERF transcription factor LTF1 activates DIR1 to control stereoselective synthesis of antiviral lignans and stress defense in Isatis indigotica roots

Lignans are a powerful weapon for plants to resist stresses and have diverse bioactive functions to protect human health. Elucidating the mechanisms of stereoselective biosynthesis and response to stresses of lignans is important for the guidance of plant improvement. Here, we identified the complete pathway to stereoselectively synthesize antiviral(-)-lariciresinol glucosides in Isatis indigotica roots,which consists of three-step sequential stereoselective enzymes DIR1/2, PLR, and UGT71B2. DIR...     

Construct Harmony and Create another Glory Warmly Celebrate the 110 Anniversary of the First People＇s Hospital of Jining,China

The first people＇s hospital of Jining,China, was established in 1896,and its predecessor was Bamenke Hospital belonged to American Christianity north presbyterian church. Then it was renamed Demen Hospital and returned to the people＇s government in 1949. In 1950, it was determined province established 3rd branch hospital by the health department of Shandong Province and renamed the people＇s hospital of Jining region in 1953. In 1983, the hospital was named the first people＇s hospital of Jining. Through development of more than 110 years, the first people＇s hospital of Jining has become one class 3 grade A hospital with complete line of specialty and division, advanced medical treatment facility and overall developed medicine, education and study.     

母婴保健实行医院社区联合管理模式的研究

Objective To explore the feasible management mode of maternal and infant care in order to improve the level of maternal and infant health. Methods The "love maternal and infant project" was constructed to carry out maternal health for the whole period of management seamlessly by the mode of combining hospital and eommunity. Result Adding "love maternal and infant project" increased maternal self-health awareness and health care, the complications during pregnancy was prevented, the birth defects was also effective prevented, and maternal and neonatal mortality were significantly reduced (from 7.4‰ to 0.8‰).Conclusion The management model of hospital-based, community as a supplement can improve maternal health and increase, puerperant and family mem-bers' awareness of consciously obeying the demands of inspection and monitoring. The health care system should be rigorous, long-term and continuing, and suitable for a certain size and equipment general hospital.     

母婴保健实行医院社区联合管理模式的研究

Objective To explore the feasible management mode of maternal and infant care in order to improve the level of maternal and infant health. Methods The "love maternal and infant project" was constructed to carry out maternal health for the whole period of management seamlessly by the mode of combining hospital and eommunity. Result Adding "love maternal and infant project" increased maternal self-health awareness and health care, the complications during pregnancy was prevented, the birth defects was also effective prevented, and maternal and neonatal mortality were significantly reduced (from 7.4‰ to 0.8‰).Conclusion The management model of hospital-based, community as a supplement can improve maternal health and increase, puerperant and family mem-bers' awareness of consciously obeying the demands of inspection and monitoring. The health care system should be rigorous, long-term and continuing, and suitable for a certain size and equipment general hospital.     

母婴保健实行医院社区联合管理模式的研究

Objective To explore the feasible management mode of maternal and infant care in order to improve the level of maternal and infant health. Methods The "love maternal and infant project" was constructed to carry out maternal health for the whole period of management seamlessly by the mode of combining hospital and eommunity. Result Adding "love maternal and infant project" increased maternal self-health awareness and health care, the complications during pregnancy was prevented, the birth defects was also effective prevented, and maternal and neonatal mortality were significantly reduced (from 7.4‰ to 0.8‰).Conclusion The management model of hospital-based, community as a supplement can improve maternal health and increase, puerperant and family mem-bers' awareness of consciously obeying the demands of inspection and monitoring. The health care system should be rigorous, long-term and continuing, and suitable for a certain size and equipment general hospital.     

母婴保健实行医院社区联合管理模式的研究

Objective To explore the feasible management mode of maternal and infant care in order to improve the level of maternal and infant health. Methods The "love maternal and infant project" was constructed to carry out maternal health for the whole period of management seamlessly by the mode of combining hospital and eommunity. Result Adding "love maternal and infant project" increased maternal self-health awareness and health care, the complications during pregnancy was prevented, the birth defects was also effective prevented, and maternal and neonatal mortality were significantly reduced (from 7.4‰ to 0.8‰).Conclusion The management model of hospital-based, community as a supplement can improve maternal health and increase, puerperant and family mem-bers' awareness of consciously obeying the demands of inspection and monitoring. The health care system should be rigorous, long-term and continuing, and suitable for a certain size and equipment general hospital.     

母婴保健实行医院社区联合管理模式的研究

Objective To explore the feasible management mode of maternal and infant care in order to improve the level of maternal and infant health. Methods The "love maternal and infant project" was constructed to carry out maternal health for the whole period of management seamlessly by the mode of combining hospital and eommunity. Result Adding "love maternal and infant project" increased maternal self-health awareness and health care, the complications during pregnancy was prevented, the birth defects was also effective prevented, and maternal and neonatal mortality were significantly reduced (from 7.4‰ to 0.8‰).Conclusion The management model of hospital-based, community as a supplement can improve maternal health and increase, puerperant and family mem-bers' awareness of consciously obeying the demands of inspection and monitoring. The health care system should be rigorous, long-term and continuing, and suitable for a certain size and equipment general hospital.     

子宫中隔切除术后预防粘连方法探讨

目的 探讨子宫中隔并不孕患者宫腔镜术后不同处理方法预防宫腔粘连的效果.方法 55例子宫中隔并不孕患者行腹腔镜监护下宫腔镜子宫中隔切除术(TCRS),术后针对不同患者采用不同术后处理措施,包括宫腔放置与不放IUD,是否进行人工周期治疗,部分患者术后使用GnRH-a类药物治疗术后第1、3个月行宫腔镜检查随访,宫内放置IUD的患者;于术后第3个月取环.结果 54例患者术后进行宫腔镜检查随访,其中40例分别于术后第1、3个月完成了术后2次宫腔镜检查,另14例只完成一次检查.宫腔术后放环与否对术后宫腔形态影响无差异(P>0.05),术后使用人工周期治疗患者较未使用者子宫内膜厚,此两者术后第3个月宫腔镜检查发现宫底创面均已有内膜覆盖.使用GnRH-a类药物患者术后官腔形态满意.结论 TCRS术后宫腔放置IUD无助于预防术后粘连的发生;术后人工周期治疗应更个体化并有针对性的使用GnRH-a类药物治疗.术后及时进行宫腔镜检查随访可防止术后宫底新粘连的形成.     

欧洲药典适用性认证介绍

目的介绍欧洲药典适用性认证程序,为国内药品监管机构和原料药生产企业提供信息,促进我国原料药生产企业的国际化。方法通过查阅调研欧盟相关药品法规和与EDQM同行面对面的交流,详细了解欧洲药典适用性认证的组织机构和具体程序。结果与结论欧洲药典适用性认证程序在对原料药的质量控制有重要作用,加强了药典的监管力度,进一步保证了原料药的质量、安全性和有效性。     

10例狂犬病误诊原因分析

狂犬病近年来发病率有逐年增加的趋势,近十二年来,我们共遇见狂大病２３例,其中１０例被误诊为其它疾病,现就其误诊原因进行分析如下。１临床资料１．１ 一般资料：男８例,女２例;年龄最大７８岁,最小４岁。发病季节为３月～１１月。首诊科室,儿科３例、内科３例、转院３例、急诊科１例。１．２ 临床表现：发热７例,恐风５例,恐水６例,怕光３例,流涎１０例,胸闷、气促、呼吸困难４例,烦躁不安１０例,多汗７例,恐惧６例,肢体麻木４例,抽搐４例,恶心、呕吐２例,昏厥１例。所有病例发病至死亡时间为２天～６天,死亡原因为…     

新疆维吾尔自治区基层医院平均住院日调查分析

目的 通过对新疆维吾尔自治区14个县乡级医疗机构住院患者平均住院日及影响因素进行分析,为县乡级医疗机构进一步提高医疗管理质量提供依据.方法 将2009-2010年1504例县乡级医院住院患者平均住院天数,按性别、年龄、院别、付费方式、疾病分类进行描述性统计和秩和检验分析.结果 不同性别间及院别间平均住院日差异均有统计学意义(均P＜0.05),男性平均住院日为10.39 d,女性为8.69d,乡级医院为9.27d,县级医院为9.50 d.不同年龄间平均住院日差异有统计学意义(P＜0.05),小于15岁组、15 ～24岁组、25～44岁组、45 ～65岁组、大干65岁组平均住院日分别为8.10 d、7.66d、8.83 d、10.26 d和11.33 d.自费患者平均住院日为8.39 d,新农合组为9.10 d,商业保险组10.17 d,社会基本医疗保险患者则为11.08 d.不同疾病分类间平均住院日差异明显,妊娠类平均住院日最短,为6.73 d,而肿瘤患者则为14.26 d.结论 不同性别、不同年龄段、不同疾病分类及不同付费方式间平均住院日存在差异,县级医疗机构和乡级医疗机构住院患者平均住院日也存在差异.     

住院患者精神用药情况调查分析

目的：了解目前住院精神患者的药物使用情况。方法：采用一日法调查西安市精神卫生中心403例住院精神患者诊断和治疗情况，并与上海市精神卫生中心2004年调查结果相比较。结果：①传统精神药物使用显著减少，新型精神药物使用占据首位；②抗精神病药物使用趋向小剂量化；③本组联用丙戊酸盐类药物显著增多；④我院精神药物使用情况与上海精神卫生中心比较有显著差异。结论：近年来精神药物使用情况已发生了显著变化，与新型精神药物疗效好，副作用少，患者依从性高有关。