Objective To investigate the symptoms on depression in patients with viral hepatitis. Methods A cross-sectional study was conducted among the patients with viral hepatitis in infectious diseases Hospital of Taiyuan. The questionnaire included a Eysenck Personality Questionnaire, self-rating depression scale (SDS) , and a self-designed one related to information regarding general conditions of the disease and social support. Results (1)Depression symptom prevalence rate among chronic viral hepatitis patients was 54.7% (116/212). (2) Factors as age, occupation, education, confirmed time, number of recurrence and anti-virus treatment, self-confidence on recovery, satisfaction on the surrounding environment etc. that might be associated with depression. (3) The severity of depression was significantly negative correlation with social support scores, objective support scores, subjective support scores (r=-0.262, P=0.000;r=-0.228, P=0.001 ; r=-0.270, P=0.000). (4) There was positive correlation noticed between severity of the depressive disorder and Eysenck Personality two dimensions scores, while the scores of introversion and extroversion scores were negatively correlated (r=-0.330, P=0.000) but positively correlated to the emotional stability scores (r=0.309, P=0.000). Conclusion (1) Patients with hepatitis showed symptoms of depression to a certain degree. (2) Factors as age, occupation, education, economic situation, confirmed time of diagnosis, number of recurrence and anti-virus treatments, confidence on recovery, satisfaction on the surrounding environment might be associated with symptoms of depression. (3) There was positive correlation between severity of depressive and Eysenek Personality two dimensions scores but the scores of introversion and extroversion scores were negatively correlated.
Key words:
Viral hepatitis; Depressive
Objectives To evaluate the efficacy of CypherTM drug eluting stent in the treatment of patients with acute coronary syndrome(ACS).Methods A total 83 acute coronary syndrome patients undergone coronary artery cypherTM drug eluting stenting(DES) received follow up by telephone and angiography or coronary antery super-speed CT to evaluate the rate of major adverse cardiac event(MACE) and the efficacy of with diabetes mellitus(DM) and other complicated lesions during 9 months.Results One hundred-twelve stents were implantation in 83 patients.The success rate of stent implantation was 98.8%( 82/83),29 patients received angiography check,one by super-speed CT.The overall rate of MACE were 12% with 10 patients,including 1 sudden death,1 acute myocardial infarction(AMI),8 lesion revascularization( TLR),The total restenosis rate that connected with DES was 10.8%(9/83),and among it 13.3% was DM patients,11.1% with diffuse lesion and overlapping stent,8.5% with hypercholesterolemia.Conclusions CypherTM is safe and effective in ACS patients,but there are a few rate of restenosis with cross,diffuse lesion,overlapping stent,DM and hypercholesterolemia patients.
Abstract Background/Purpose Risk factors for re-bleeding and death after acute variceal bleeding (AVB) in cirrhotic HCC patients are not fully understood.We aimed to (1) explore how the combination of high-risk esophageal varices, HCC status, and portal vein tumor thrombus (i.e., HCC Portal Hypertension Imaging Score [HCCPHTIS]) helps predict increased risk of variceal re-bleeding and mortality; (2) assess predictability and reproducibility of the identified variceal re-bleeding rules. Methods This prospective study included 195 HCC patients with first-time AVB and liver cirrhosis, and conducted multivariable Cox regression analysis and Kaplan-Meier analysis. Receiver operating characteristic curve analysis was calculated to find the optimal sensitivity, specificity, and cutoff values of the variables. The reproducibility of the results obtained was verified in a different but related group of patients. Results 56 patients (28.7%) had re-bleeding within 6 weeks; HCCPHTIS was an independent risk factor for variceal re-bleeding after AVB (Odd ratio, 2.330; 95% confidence interval: 1.728–3.142, p < 0.001). The positive predictive value of HCCPHTIS cut off value > 3 was 66.2%, sensitivity 83.9%, and specificity 82.3%. HCCPHTIS area under the curve was higher than Child-Pugh score (89% vs. 75%, p < 0.001). 74(37.9%) death occurred within 6 weeks; HCCPHTIS > 4 was associated with increased risk of death within 6 weeks after AVB ( p < 0.001). Conclusion HCCPHTIS > 3 is a strong predictor of variceal re-bleeding within the first 6 weeks. However, patients with HCCPHTIS > 4 were at increased risk of death within 6 weeks.
Objective To study the therapeutic outcomes of Qianlieshutong capsules in patients with chronic prostatitis ( CP) . Methods 320 CP patients were randomly divided into treatment group including 215 patients receiving Qianlieshutong capsule and control group including 105 patients receiving Qianlieping capsule. The total effective rates were compared after 30 days of follow-up. Results After 30 days of treat- ment,the total effective rate of treatment group was obviously higher than that of control group( P 0. 01) . Conclusion The therapeutic effects of Qianlieshutong capsule on CP were satisfactory.
Laparoscopic colectomy has been reported as an alternative for treatment of colorectal cancer. However, its long-term efficacy and safety remain obscure. The purpose here was to review our experience with laparoscopic colectomy in 899 patients between June 2001 and December 2008. Of them, 43 patients were converted to open surgery and 846 accepted laparoscopic colorectomy successfully. Among these 846 patients, 790 patients underwent radical resection and 56 patients underwent palliative resection. Only 1 patient died from perioperative pulmonary infection; thus the mortality was 0.12% (1/846). The morbidity of perioperative complications was 18.20% (154/846): intraoperative complication rate was 4.49% (38/846) and the most common intraoperative complication was subcutaneous emphysema and hypercapnia (1.65%, 14/846); postoperative complication rate was 13.71% (116/846) and the most common postoperative complication was ileus (4.37%, 37/846). The overall followed-up rate was 86.41% (731/846, 680 for radical operations and 51 palliative operations). Postoperative deaths happened to 139 patients, including 112 after radical operation and 27 after palliative resection. Of these 112 patients, 97 deaths were cancer-related (14.26%, 97/680) and 15 deaths were non-cancer-related. There were 10 patients encountered local recurrence (1.47%, 10/680) and 105 for metastasis (15.44%, 105/680) after radical operation. Forty-two patients are still alive with tumor. Overall survival rate was 80.98% (592/731), 3-year disease-free survival (DFS) rate after radical operation was 78.0%, and 3-year DFS rate after radical operation for stage I, stage II, and stage III was 89.0%, 85.0%, and 65.0%, respectively. In conclusion, laparoscopic colorectal resection is a feasible and safe technology for colorectal cancer.
Objective:To investigate the current status of blood borne diseases among medical staffs and to discuss the preventive measures.Methods:625 employees in our hospital were done the background investigation of blood borne diseases.Meanwhile,1232 indi-viduals accepted physical examination in outpatient clinic were enrolled in control group and investigated blood borne diseases.Results:The hepatitis B infective rate in medical staffs was 14.08%.The hepatitis B infective rate in surgery department,medical department and serve department were 16.6%,12.4%,and 9.0%,respectively.The positive rate of hepatitis B in 10,10-20 and more than 20 years work period were 14.5%,15.1% and 15.7%,respectively.The positive rate of hepatitis C,syphilis and HIV were 0.16%,0.32%,and 0,respec-tively.In normal people,the positive rate of hepatitis B,hepatitis C,syphilis and HIV were 8.85%,0.16%,0.32%,and 0,respectively.The positive rate of HbsAb in medical staffs and normal people were 38.7% and 43.6%,respectively.Except HIV,the infective rate of blood borne diseases of medical staffs was higher than that of normal people obviously(P0.05).Conclusion:The infective rate of hepati-tis B of medical staffs was higher than that of normal people obviously.The hepatitis B infective rate in surgery department was 2 times of normal people.The longer work period was,the higher the hepatitis B infective rate was.Occupational safety awareness should be empha-sized,standardized procedures should be followed and intervention should be taken promptly to reduce the risk of infection from occupa-tional exposure.
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