The association between augmentation index and arterial stiffness index
Objective To explore the association between arterial system augmentation index(AI) and brachial-ankle pulse wave velocity (baPWV). Methods All subjects were selected from a local community. The study included 1752 people living in Shijingshan district, Beijing during April to June,2010. Subjects whose age ranged from 23 to 90 years old [(59.82±11.88) years old] were included and 56.7% of the subjects were women. Pulse wave at the left radial artery was measured and the AI was calculated by Colin pulse wave detection device HEM9000AI. baPWV and ankle-brachial index (ABI) were measured using Colin noninvasive arteriosclerosis tester VP-1000. Color doppler flow imaging was used to measure intima-media thickness (IMT) of the bilateral carotid artery. Results The baPWV was significantly higher in ABI0.9 group and IMT0.9 mm group, while there was no significant difference of AI75 between groups. AI had a low correlation with baPWV (r = -0.068, P = 0.005). Partial correlation analysis showed that there was no significant association between AI and baPWV (r = -0.033, P = 0.17). In multiple stepwise regression analysis, the factors of AI included gender, age, BMI, waist-to-hip ratio, heart rate, ABI and systolic pressure. Conclusion No significant correlation can be found between AI and baPWV. Various factors may influence the measurement of AI. This study suggests that AI may not be a sensitive and reliable index for the evaluation of arterial stiffness.
Clinical analysis of 52 cases of neuromuscular examination for early screening of cerebral palsy in high risk premature infants
Objective To investigate the effect of 52 neurological tests on early screening of cerebral palsy in high-risk premature infants. Methods 52 Neurological examination were conducted to 363 cases of 28 to 32 weeks of high-risk preterm children at 1 month, 3 months, 6 months respectively after they were birthed from 2009 to 2012. If the children were checked with abnormal items (2 items of checked results were abnormal), they will be closely observed and urge their parents to recheck 1 month later, if the check results were still abnormal, the children would start to be early intervention treated immediately in our department; if the children were checked to have more than 3 items abnormal , he will start to be early intervention treated immediately. Meanwhile, 302 cases of heath premature children without early screening were set up as control group. All children were followed up for 36 months. With the Gesell scale to evaluate the child’s intelligence and sports development. Results 81 Cases of suspected cerebral palsy were found by this method, including 52 cases of early intervention group and 10 cases of untreated group. Another 10 cases were developed for a transient exercise. The positive rate of screening was 92.85%, and the incidence of cerebral palsy was 3.0%. After early intervention, early intervention in the preterm children group were diagnosed cerebral palsy in 5 cases to 36 months later, 17 cases of non-intervention group. Conclusion 52 Neurobehavioral examinations are a effective method for early detection of cerebral palsy in premature children, and it is helpful for early detection of cerebral palsy in premature children, early intervention, as well as to significantly reduce the incidence of cerebral palsy in premature children.
Total quality management of community health service
At present, the community health service agencies need to build up total quality management (TQM) system. TQM is critical for community health service agencies to achieve sustainable development. Through measures such as perfecting the monitoring mode, strengthening the support of labor resources and building a comprehensive quality management system, the community health service agencies can boost staff members enthusiasm and initiative, promote the further change of quality concept and improve their services. This paper reviews the implementation of total quality management in community health service agencies and related issues.
Detection of serum bone alkaline phosphatase in 77 adolescents
In the fast growing period of adolescent children, bone growth and bone mineralization are extremely active. Adulthood is the second peak of bone development, adolescent appropriate calcium intake into the ideal bone peak to achieve an important role. It is important to clear whether or not bone mineralization and to early intervene. Bone alkaline phosphatase (BALP) is the most correct indicator to reflect the whole process of bone change, we detected BALPon 177 cases of adolescents in 2007 to, evaluate the measuring meaning.
Clinical analysis of acute cerebrovascular disease accompanying brain-heart syndrome
Acute cerebrovascular disease (ACVD) induced cardiovascular dysfunction, myocardial infarction, myocardial ischemia, arrhythmia and heart failure and so on, which is defined as brain syndrome. Brain syndrome will cause not only cerebrovascular disease prolonged, but also sometimes can result in death. Our department admitted and analysed 22 cases of acute cerebrovascular disease induced brain heart syndromes, in order to achieve early diagnosis, correct treatment, reduce the rate of death from December in 2008 to November in 2009.