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Shen Y.-g.,Affiliated Hospital of Hainan Medical College | Su L.-f.,Affiliated Hospital of Hainan Medical College | Wang Y.-h.,Central South University | Huang T.,Central South University | Nie Z.-s.,Hainan Provincial Nongken General Hospital
Chinese Journal of Tissue Engineering Research | Year: 2012

BACKGROUND: Echocardiography (ECHO) is limitied to diagnose extracardiac structural anomalies of congenital heart disease (CHD). However, compared with ECHO, multi-slice spiral CT (MSCT) has advantages of detecting the extracardiac structural anomalies intuitively and accurately. OBJECTIVE: To explore the influence of cardiac image quality and artifacts of extracardiac structural anomalies by 64-MSCT examination. METHODS: Totally 23 patients after CHD surgery were reviewed. Cardiac image quality was evaluated by five-grade score before the surgery. CT, ECHO and surgical results were compared. RESULTS AND CONCLUSION: 1 The cardiac image quality in the greater than 6-year-old age group was better than that in the less than 6-year-old age group. The images of electrocardiograph-gated technique was superior to that of non-electrocardiograph-gated technique. 2 In the 23 patients, there were 41 extracardiac structural anomalies. The diagnosis accurate rates of 64-MSCTA, ECHO and combination diagnosis were 97.56%, 72.97% and 100% respectively. There was significant difference between any two methods (P < 0.01). It is showed that 64-MSCT had advantages of detecting the extracardiac structural anomalies intuitively and accurately. Diagnosis range of 64-MSCTA was larger than that of ECHO. 64-MSCTA combined with ECHO could obtain better effect. There was significant difference between the accurate rates of volume rengdering imaging and multiplanar reformation imaging (P < 0.01). Minimum intensity projection was only appropriate for congenital tracheobronchial structural anomalies. So, it is indicated that there are different advantages in diagnosis of extracardiac structural anomalies by different MSCT post-processing reconstruction techniques. Source


Yao Z.J.,Hainan Provincial Nongken General Hospital
Zhonghua lao dong wei sheng zhi ye bing za zhi = Zhonghua laodong weisheng zhiyebing zazhi = Chinese journal of industrial hygiene and occupational diseases | Year: 2011

To investigate the malignancy incidence among rubber manufacture and preliminary processing industrial workers in Hainan Province of China. A retrospective survey was conducted on 9 farms in Hainan covering workers who got malignant tumor between January 1, 2005 and October 31, 2010. On average there were 10 320 workers worked on the 9 farms each year. Among them, 167 cases of malignancy were found. The morbidity was 279.01 every a hundred thousand and standardized morbidity was 159.03 every a hundred thousand; In comparison, we also investigated 14228 non-rubber-industry-related workers. 94 malignancy cases were found. The morbidity was 113.91 every a hundred thousand and standardized morbidity was 64.93 every a hundred thousand. The difference was statistically significant (P<0.01) meaning that rubber industrial workers in Hainan Province had a higher possibility of getting malignancy. Top 5 types of cancer found in this study were lung cancer (17.96%), liver cancer (17.36%), stomach cancer (13.17%), rectal cancer and nasopharyngeal carcinoma. 116 cases of these five types of cancer took up 69.45% of the total. Rubber industrial workers in Hainan have a higher morbidity of malignancy than other local industries. But it is similar to other areas in China. Source


Wang B.-P.,Hainan Provincial Nongken General Hospital | Chen H.-C.,Hainan Provincial Nongken General Hospital
World Chinese Journal of Digestology | Year: 2015

Aim: To investigate the diagnostic value of mesenteric computed tomography (CT) angiography in elderly patients with primary small intestinal space-occupying lesions.Methods: A retrospective analysis was performed of 100 elderly patients with primary small intestinal lesions who underwent mesenteric CT angiography. Two radiologists localized and diagnosed the lesions using artery location method and Cole’s method. The diagnostic accuracy was compared between different methods and radiologists.Results: Of the 100 cases of small intestinal lesions detected by CT angiography, 28 showed arterial enlargement, 21 showed venous enlargement and tortuosity, 29 produced tumor vessels, and 47 had enlargement and thickening of the vasa recta on the mesenteric side. The accuracy of artery location method and Cole’s method was 99% and 85%, respectively, and both were accurate in venous localization in the duodenum and ileocecal regions. The accuracy of the artery location method was relatively low in the ileum and jejunum (76.6% and 55.6%). Two radiologists had high consistency (Kappa = 1.00, P = 0.000) when using the artery location method, and moderate consistency (Kappa = 0.54, P = 0.000) when using the Coles method. There was no significant difference in localization accuracy between the two physicians (P > 0.05).Conclusion: Mesenteric CT angiography can clearly show the blood supplying vessels of primary small intestinal lesions and therefore contribute to the localization and qualitative diagnosis of these lesions. © 2015 Baishideng Publishing Group Inc. All rights reserved. Source


Ou-Yang Y.,Hainan Provincial Nongken General Hospital | Wang G.-M.,Hainan Provincial Nongken General Hospital
World Chinese Journal of Digestology | Year: 2015

AIM: To assess the effect of short- vs long-term non-lactose milk powder feeding on neonatal diarrhea. METHODS: Eighty infants with diarrhea were included and divided into an observation group and a control group. The observation group was given short-term non-lactose milk powder feeding, and the control group was given long-term non-lactose milk powder feeding. The gastrointestinal tolerance and weight gain were recorded and compared between the two groups. RESULTS: The total effectiveness in the observation group was higher than that in the control group, although there was no statistically significant difference (97.5% vs 95.0%, P > 0.05). Stool frequency and the percentages of patients with vomiting and abdominal distension were significantly lower in the observation group than in the control group (P < 0.05). The observation group had significantly greater total body fat (TBF) and percentage of body fat (F%) but significantly decreased lean body mass (LBM) vs the control group (P < 0.05). CONCLUSION: Short-term non-lactose milk powder feeding can reduce the incidence of gastrointestinal symptoms and conforms to the infant growth characteristics. © 2015 Baishideng Publishing Group Inc. All rights reserved. Source


Shiyang L.,Hainan Provincial Nongken General Hospital | Rixing W.,Hainan Provincial Nongken General Hospital | Bai X.,Hainan Provincial Nongken General Hospital | Youkai L.,Hainan Provincial Nongken General Hospital | And 4 more authors.
Chinese Journal of Emergency Medicine | Year: 2016

Objective To evaluate the value of novel mortality in emergency department sepsis (NMEDS) scoring system in the risk stratification of septic patients in the emergency department. Methods A total of 116 adult patients with sepsis admitted to the emergency department from January to August in 2015 were collected in this study. The patients were divided into two groups according to the outcomes at 28 days: survival group (n = 116) and death group (n = 48). NMEDS score and Acute physiology and chronic health evaluation D (APACHE 11 ) score were collected and compared with the area under the receiver operating characteristic (HOC) curvc of the 28-day death outcome between two groups. Results Compared with patients of survival group, the average age, the NMEDS score and the APACHE IT score were higher in patients of death group [NMEDS score [ (13.4 ± 1. 8) vs. ( 5. 8 ±2. 1) , P <0. 01); APACHE II score [ (27.4 ±3. 6) vs. (17.6 ±4. 1), P =0.003]. The 28-day mortalities of patients were different with different NMEDS scores; the mortalities of NMEDS scores ≤4, 5 ∼ 8, 9 ∼ 12, 13 ∼ 16, ≤ 17 were 4.5% , 10. 0% , 19.4% , 42. 4% , 66. 7% , respectively. The area under the HOC curve in predicting 28-day death was 0. 788 for the NMEDS score and 0.701 for APACHE H score. Conclusions NMEDS score is a useful risk stratification tool for emergency patients with sepsis. Source

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