Objective
To investigate the motivation of non-medical students choosing Medical Humanistic Care curriculum and their cognition of medical humanistic care, so as to provide reference for the popularization of medical humanistic care knowledge.
Methods
A total of 10 non-medical students were selected by purposive sampling method for semi-structured interviews. The research data was analyze and refine the theme by phenomenological research method.
Results
Motivation of taking the course and medical humanities cognition were refined, which consisted of seven aspects, including learning to care others, interest in medical science, attention on the doctor-patient relationship , the influence of family, doctor benevolence, mutual understanding between doctors and patients, and hard working with regret.
Conclusions
From the perspective of non-medical majors, teachers should tap their thirst for medical humanistic care, expand their medical knowledge and enhance their humanistic care ability.
Key words:
Humanities; Non-medical profession; College students; Qualitative research
Ageism has a negative influence on older peoples’ self-identity and behaviour, forming stereotyped attitudes toward the older population that further aggravate ageism. Volunteerism may reduce ageism by improving older adults’ self-identification. This study examined the association between community volunteering and self-identity, and further explored the relationship between participation level and self-identity among Chinese older adults in Beijing. Logistic regression modelling was applied. After controlling for demographic characteristics, financial security and self-rated health, volunteerism was significantly associated with youthful self-identity. Older people who volunteer at least once a week for no more than two hours at a time are the least likely to identify themselves as being of old age.
Purpose To observe the occurrence of temporomandibular joint disorder (TMD) in patients with bimaxillary protrusion after orthodontic treatment, and to explore the possible factors causing this phenomenon, so as to guide rational prevention of TMD in clinic. Methods The clinical data of 80 patients with bimaxillary protrusion who received orthodontic treatment in Hebei Provincial People's Hospital from March 2019 to October 2020 were retrospectively analyzed. The patients with TMD after orthodontic treatment were included in the experimental group and the remaining patients were included in control group. The baseline data questionnaire was designed for bimaxillary protrusion patients after orthodontic treatment. The risk factors of TMD were included in the study. Through a series of univariate and multivariate analysis, the influencing factors of TMD in patients with bimaxillary protrusion after orthodontic treatment were determined. SPSS 23.0 software package was used to analyze the data. Results Among 80 patients with bimaxillary protrusion after orthodontic treatment, 15(18.75%) were included in the experimental group, while 65(81.25%) did not have TMD, and were included in the control group. After a preliminary analysis of the baseline data, the variables with significant difference were included in the independent variables for univariate analysis. After adjusting for the influence of other baseline data, the results showed that younger age, girl, high stress perception scale score, bad oral habits, dental caries, history of maxillofacial trauma, bad eating habits, and root canal treatment history were the causes of bimaxillary protrusion. Conclusions The risk factors of TMD of patients with bimaxillary protrusion after orthodontic treatment may be closely related to girl, younger age, high stress perception score, bad eating habits, previous caries, root canal treatment history and maxillofacial trauma. Therefore, it is necessary to strengthen the standardization of orthodontic treatment, publicize oral health awareness, establish good eating habits. Patients who had a history of root canal therapy, maxillofacial trauma and dental caries should be vigilant, which may be of positive significance in reducing the incidence of TMD.
China had more than 200 million elderly people by the end of 2013 while the urbanization rate was over 50%, indicating the population ageing is interacted with the city developing. With the aim of letting more elderly adults participate in society and allowing them to share the fruits of economic and social development, Livable Environment was added as a separate chapter to the revised Law of the People's Republic of China on Protection of the Rights and Interest of the Elderly in December 2012. This article analyzes the new regulations on age-friendly environment in detail and then review the historical development of relative regulations regarding livable environment. Furthermore, the article analyzes the effects of legislation on building an age-friendly environment in the future.
Introduction The use of preoperative Magnetic Resonance Imaging (MRI) in newly diagnosed breast cancer has been increasing. However, the value of MRI applied to the women with newly diagnosed breast cancer remains controversial. Therefore, this study focused on the association between preoperative MRI and surgical outcomes, which include mastectom y rate, breast conservation rate, and re-excision rate. Material and methods A systematic literature search was performed by the Wan fang, VIP (Chinese biomedical databases), PubMed, Cochrane Library, Embase, and Vip databases. The keywords were "breast cancer", "magnetic resonance imaging", "mastectomy rate", "re-excision rate", and "breast conservation rate." A random-effects model was used to estimate the proportion of women with various outcomes in the MRI group, versus a non-MRI group. The odds ratio (OR) for each surgical outcome were calculated. Results 4 RCTs (Randomized Controlled Trial) met the eligibility criteria that included a total of 2312 patients with breast cancer. The analysis results of the MRI group versus the non-MRI group were as follows: Mastectomy rate of 15% versus 10%, OR 2.01, 95% CI 0.79-5.11, P=0.14; Breast conservation rate 84% versus 89%, OR 0.58, 95% CI 0.29-1.17, P=0.13; Re-excision rate 17% versus 19%, OR 0.76, 95% CI 0.37-1.54, P=0.45. Conclusions There was no significant association between preoperative MRI and surgical outcomes. This study suggested that the use of preoperative MRI should be selective. The results showed that the application of preoperative MRI didn’t improve the prognosis of breast cancer patients. More randomized trials are needed for further study due to limited randomized trials.
Objective To explore the application value oftranscranial doppler (TCD) in carotid endarterectomy (CEA) through monitoring the hemodynamic changes of intracranial arteries during the perioperative period.Methods Eighty-two patients with internal carotid artery stenosis (ICAS),admitted to our hospital from January 2012-January 2013,were chosen in our study.Preoperative,intraoperative and postoperative TCD evaluations on these patients accepted CEA were performed; degrees of artery stenosis and fluency of lateral branch of the patients before CEA were evaluated; microembolic signals (MESs) and hemodynamics of the middle cerebral artery (MCA) in the surgery side were monitored during the perioperative period; the MCA velocity (VMCA) and the states of collateral circulation were observed after CEA.Results All 82 patients showed severe ICAS,low blood VMCA and low pulsatility index of MCA; anterior and posterior communicating branch did not exist in 6 patients; the other 76 patients showed different status of communicating artery.MESs were captured immediately after opening the clamp of common carotid artery (CCA) in 31 patients; when the ipsilateral CCA was clamped,2 patients showed a rapidly decreased VMCA to 0 cm/s,and a vascular shunt was used to ensure the brain blood supply.About 93.9％ patients presented an increase in the blood velocity and pulsatility index ofipsilateral MCA,together with a subsequent close of collateral circulation; over 1.5 times increase of VMCA was observed in about 24.7％ patients.Acute cerebral infarction in one patient occurred on the same day of CEA.Conclusions TCD could assess the hemodynamics of the contralateral MCA and the closure of collateral communication,thus,helping us predict the hyperperfusion and analyze the pathogenesis of cerebral infarction during perioperative CEA.
Key words:
Carotid endarterectomy; Transcranial color Doppler; Blood flow dynamics; Carotid artery stenosis
The resistance to endocrine therapy poses a significant challenge to the management of advanced breast cancer with hormone receptor (HR) positive and human epidermal growth factor receptor 2 (Her-2) negative. The purpose of this study was to further examine the efficacy and safety of cyclin-dependent kinase 4/6 inhibitors (CDK4/6Is) in combination with endocrine therapy as a recovery treatment for advanced breast cancer patients.The risk of bias for each included study was assessed using the Cochrane Risk of Bias Tool. The Cochrane Q value, combined with the I2 statistics, were selected to be tested for heterogeneity across the studies. The generic inverse variance was used to pool the hazard ratio and 95% CI of progression-free survival (PFS) and overall survival (OS), while pooled RRs and 95% CI were conducted using the Mantel-Haenszel to appraise the overall response rate (ORR), clinical benefit rate (CBR), and any adverse effects.Eight random clinical trials were finally identified. The analysis showed that the duration of PFS was significantly longer in the CDK4/6Is group than in the control group (hazard ratio, 0.55; 95% CI, 0.51-0.60; P<0.00001), and treatment with CDK4/6Is-endocrine therapy resulted in longer OS than treatment with endocrine therapy only (hazard ratio, 0.79; 95% CI, 0.66-0.96; P=0.001). As for any adverse events, the analysis showed a remarkable rise in bone marrow suppression, especially neutropenia and leukopenia (respectively, RR =32.04; 95% CI, 17.14-59.90, RR =30.65; 95% CI, 16.51-56.91), but not in gastrointestinal toxicity.Highly selective CDK4/6Is were well tolerated, effective drugs in advanced breast cancer patients with HR-positive and Her-2 negative.
Objective
To observe the effect of targeted psychological intervention in the painless suspension restoration treatment for the patients with thoracolumbar vertebral compression fractures before operation.
Methods
A total of 100 cases of thoracolumbar vertebral compression fracture were randomly divided into intervention group and control group with 50 cases in each group, all patients underwent preoperative preparation and operation according to the conventional intervention group, nursing staff to give targeted psychological intervention according to the individual condition of patients. The 2 groups of patients before operation and immediately and 10~15 min of the heart rate, blood pressure values were compared. And the self-rating anxiety scale (SAS) was used.
Results
Two groups of the operation, 10~15 min intervention, anxiety level in patients with blood pressure, heart rate was significantly lower than that of the control group.
Conclusions
Preoperative psychological intervention can effectively reduce the thoracic and lumbar vertebral compression fracture patients undergoing painless suspension reduction treatment of anxiety, improve the success rate of operation, and can promote the rehabilitation of patients.
Key words:
Psychological intervention; Anesthesia analgesia; Supine suspension restoration; Thoracolumbar vertebral compression fractures
Abstract The dual demographic changes in massive rural-to-urban labour migration and population ageing have significantly impacted the lives of older adults, who have either been left behind in rural regions or migrated to urban areas. While many extant studies on migration and wellbeing of older adults have focused on either migrating or left-behind older adults, a very limited number of studies have directly compared these two groups. Utilising data from the China Longitudinal Ageing Social Survey, this study examines the impacts of different migration patterns ( i.e. migrating older adults, left-behind older adults and non-migrating older adults) on the social networks and mental health of older adults in rural China. Structural equation modelling results showed that older adults who have been left behind reported weaker family ties and poorer mental health than the other older adults. Moreover, weakened family ties increased older adults’ risk of developing mental health problems. Older migrants reported the lowest level of depressive symptoms among the three groups of older adults. However, migration may be associated with poorer mental health among the older migrants due to the shrinking/weakening of family/friendship ties.
'/%3e%3cuse xlink:href='%23a' transform='rotate(23.036 .093 25.536)'/%3e%3cuse xlink:href='%23a' transform='rotate(45.87 1.273 16.18)'/%3e%3cuse xlink:href='%23a' transform='rotate(69.945 .996 12.078)'/%3e%3cuse xlink:href='%23a' transform='rotate(20.66 -19.689 31.932)'/%3e%3c/svg%3e)
'/%3e%3cuse xlink:href='%23a' transform='rotate(144 450 300)'/%3e%3cuse xlink:href='%23a' transform='rotate(216 450 300)'/%3e%3cuse xlink:href='%23a' transform='rotate(288 450 300)'/%3e%3c/svg%3e)