General Office of the People's Government of Hunan Province: Circular on Further Strengthening Quarantine and Follow-Up Management of Persons Arriving from Other Places

2007 ◽  
Vol 40 (3) ◽  
pp. 100-102
Keyword(s):  
Hunan Province

Tuberculosis screening among patients with diabetes mellitus: Is it necessary, and how should it be done? ——A survey of endocrinologists in Hunan Province, China

2020 ◽  
Author(s):  
Chengli Bei ◽  
Ping Deng ◽  
Fen Yang ◽  
Manjiao Fu ◽  
Hebin Xie
Keyword(s):  
Adverse Outcomes ◽  
Public Hospitals ◽  
Hunan Province ◽  
Skin Tests ◽  
Screening Rate ◽  
Tuberculosis Screening ◽  
X Ray ◽  
Patients With Diabetes ◽  
Different Levels

Abstract BackgroundDiabetes mellitus(DM) is known to increase the risk of tuberculosis(TB) and contribute to adverse outcomes. WHO highlighted the necessity of bidirectional screening for the two diseases. However, the limited literature suggests that endocrinologists don't seem to be actively screen TB among DM patients.MethodsStratified sampling was used to select 43 general public hospitals(GPHs) at three different levels in Hunan province of China: 14 3rd-level GPHs, 13 2nd-level GPHs, and 16 1st-level GPHs. 284 endocrinologists working in the enrolled hospitals were invited to participate in the on site questionnaire survey and 277 qualified.ResultsThe allocation of digital X-ray cameras, tuberculin skin tests, sputumAcid fast bacillus smears, sputum cultures for mycobacterium tuberculosis, andinterferon gamma release assays in 43 GPHs were 90.7%, 72.1%, 55.8%, 34.9%, 27.9%, with significant differences between there different leves( P both <0.05). 62.5% (173/277) of the endocrinologists considered it necessary to proactively initiate TB screening for DM patients at first diagnosis and 80.9% (140/173) of them considered it necessary to regularly screen TB among DM patients during follow up. However, when admitting patients, 197 endocrinologists chose TB screening only for DM patients with suspected TB symptoms.The most possible reasons DM patients wouldn’t undergo TB screening were “patients refused(76.5%)”, “patients didn’t complain of the main symptom(46.9%)”, and “TB screening related tests haven’t been conducted in the hospital(35.7%)”.ConclusionsAlthough endocrinologists displayed some TB related knowledge and awareness of the need for proactive screening, the actual screening rate in the clinical setting was low. This may be related to multiple factors, such as the lack of relevant guidelines, patient communication, or mobilization, or the corresponding tests have not yet been conducted in the hospitals..

scholarly journals Clinical Characteristics of Pediatric Cases of COVID-19 in Hunan, China: A Retrospective, Multi-Center Case Series

2021 ◽  
Vol 9 ◽  
Author(s):  
Lei Wu ◽  
Xiao-Fo Zhang ◽  
Yong Yang ◽  
Xiu-Ying Yi ◽  
Xin-Ping Jiang ◽  
...  
Keyword(s):  
Pediatric Patients ◽  
Early Stage ◽  
White Blood Cells ◽  
Case Series ◽  
Ground Glass Opacity ◽  
Hunan Province ◽  
Common Symptom ◽  
Blood Leukocytes ◽  
Epidemiological Characteristics

Objective: Aimed to investigate the epidemiological characteristics, clinical features, treatment, and short-term prognosis of COVID-19 in children.Methods: Retrospective analysis was conducted in 48 children with COVID-19 admitted to 12 hospitals in eight cities in Hunan province, China, from January 26, 2020 to June 30, 2020.Results: Of the 48 cases, Familial clusters were confirmed for 46 children (96%). 16 (33%) were imported from other provinces. There were 11 (23%) asymptomatic cases. only 2 cases (4%) were severe. The most common symptom was fever (n = 20, 42%). Other symptoms included cough (n = 19, 40%), fatigue (n = 8, 17%), and diarrhea (n = 5, 10%). In the early stage, the total peripheral blood leukocytes count increased in 3(6%) cases and the lymphocytes count decreased in 5 (10%) cases. C-reactive protein and procalcitonin were elevated respectively in 3 (6%) cases and 2 (4%) cases. There were abnormal chest CT changes in 22 (46%) children, including 15 (68%) with patchy ground glass opacity, 5 (22%) with consolidation, and 2 (10%) with mixed shadowing. In addition to supportive treatment, antiviral therapy was received by 41 (85%) children, 11 (23%) patients were treated with antibiotics, and 2 (4%) were treated with methylprednisolone and intravenous immunoglobulin. Compared to 2 weeks follow-up, one child developed low fever and headache during the 4 weeks follow-up, 3 (6%) children had runny noses, one of them got mild cough, and 4 (12%) children had elevated white blood cells and lymphocytes. However, LDH and CK increased at 2 weeks and 4 weeks follow-up. 2 weeks follow-up identified normal chest radiographs in 33 (69%) pediatric patients. RT-PCR detection of SARS-CoV-2 was negative in all follow-up patients at 2 and 4 weeks follow-up. All 48 pediatric patients were visited by calling after 1 year of discharge.Conclusions: Most cases of COVID-19 in children in Hunan province were asymptomatic, mild, or moderate. Close family contact was the main route of infection. It appeared that the younger the patient, the less obvious their symptoms. Epidemiological history, nucleic acid test, and chest imaging were important tools for diagnosis in children.

scholarly journals Availability of Post-Abortion Family Planning Services and Contraception in Hunan Province, China：A Cross-Sectional Study

2021 ◽  
Author(s):  
Chen-xi Tong ◽  
Yan-Ting Meng ◽  
Jing Yue ◽  
Ling Fan ◽  
Min Nie ◽  
...  
Keyword(s):  
Family Planning ◽  
Professional Staff ◽  
Hunan Province ◽  
Contraceptive Methods ◽  
Family Planning Services ◽  
Related Factors ◽  
Cross Sectional ◽  
Post Abortion

Abstract Background Although the project of post-abortion family planning services (PAFPS) has been launched in China for many years, it remains to know how many people received it after induced abortions (IAs), and the prevalence of repeated IAs is still high, it may be related to the quality of PAFPS. Therefore, this study aimed to understand the prevalence of PAFPS and explore the factors related to contraceptive method choice after receiving PAFPS in Hunan Province, China. Methods This study was a secondary data analysis from the Women Health Needs Survey (WHNS). Women aged 20–49 with induced abortion history and those who had received PAFPS were selected. Chi-square test and multiple logistic regression analyses were used to identify the related factors about the use of contraceptive methods after receiving PAFPS. Results The prevalence of PAFPS was 84.7% in Hunan, China. Women were more likely to use unreliable contraceptive methods if they experienced painless IA (ORs = 3.353, 95% CIs: 1.151–9.769). Farmers or workers (OR = 0.297, 95% CIs: 0.130–0.678), those were followed up after IA (ORs = 0.506, 95% CIs: 0.303–0.846) and those acquired reliable recommendations (ORs = 0.109, 95% CIs: 0.044–0.274) were significantly less likely to use unreliable contraceptive methods. Conclusion This study is the first to determine the availability of PAFPS from receivers' perspectives and based on a community population to assess the relationship between PAFPS and contraception in China. PAFPS providers' advice and follow-up play a vital role in women's choice of contraceptive methods. However, the prevalence of follow-up was a little low, and it needed to develop more professional staff in PAFPS. In addition, more research is necessary on how to improve the quality of contraceptive counseling. Trial registration: Not applicable

Therapy and prevention for mental health: What if mental diseases are mostly not brain disorders?

2019 ◽  
Vol 42 ◽  
Author(s):  
John P. A. Ioannidis
Keyword(s):  
Mental Health ◽  
Mental Disease ◽  
Brain Disorders ◽  
Social Stressors ◽  
Labor Education ◽  
Mental Diseases ◽  
Long Term Follow Up ◽  
Political Decisions

AbstractNeurobiology-based interventions for mental diseases and searches for useful biomarkers of treatment response have largely failed. Clinical trials should assess interventions related to environmental and social stressors, with long-term follow-up; social rather than biological endpoints; personalized outcomes; and suitable cluster, adaptive, and n-of-1 designs. Labor, education, financial, and other social/political decisions should be evaluated for their impacts on mental disease.

Brief summary of Kleť photographic search programme for minor planets

1999 ◽  
Vol 173 ◽  
pp. 189-192
Author(s):  
J. Tichá ◽  
M. Tichý ◽  
Z. Moravec
Keyword(s):  
Ccd Camera ◽  
Minor Planet ◽  
Minor Planets ◽  
Main Belt

AbstractA long-term photographic search programme for minor planets was begun at the Kleť Observatory at the end of seventies using a 0.63-m Maksutov telescope, but with insufficient respect for long-arc follow-up astrometry. More than two thousand provisional designations were given to new Kleť discoveries. Since 1993 targeted follow-up astrometry of Kleť candidates has been performed with a 0.57-m reflector equipped with a CCD camera, and reliable orbits for many previous Kleť discoveries have been determined. The photographic programme results in more than 350 numbered minor planets credited to Kleť, one of the world's most prolific discovery sites. Nearly 50 per cent of them were numbered as a consequence of CCD follow-up observations since 1994.This brief summary describes the results of this Kleť photographic minor planet survey between 1977 and 1996. The majority of the Kleť photographic discoveries are main belt asteroids, but two Amor type asteroids and one Trojan have been found.

Intranuclear Crystals in Regenerating Canine Kidneys

1973 ◽  
Vol 31 ◽  
pp. 412-413
Author(s):  
D.G. Osborne ◽  
L.J. McCormack ◽  
M.O. Magnusson ◽  
W.S. Kiser
Keyword(s):  
Epithelial Cell ◽  
Epithelial Cells ◽  
Tubular Epithelial Cell ◽  
Tubular Epithelial Cells ◽  
Cell Nuclei ◽  
Crystalline Structures ◽  
Small Crystals ◽  
Membrane Bound

During a project in which regenerative changes were studied in autotransplanted canine kidneys, intranuclear crystals were seen in a small number of tubular epithelial cells. These crystalline structures were seen in the control specimens and also in regenerating specimens; the main differences being in size and number of them. The control specimens showed a few tubular epithelial cell nuclei almost completely occupied by large crystals that were not membrane bound. Subsequent follow-up biopsies of the same kidneys contained similar intranuclear crystals but of a much smaller size. Some of these nuclei contained several small crystals. The small crystals occurred at one week following transplantation and were seen even four weeks following transplantation. As time passed, the small crystals appeared to fuse to form larger crystals.

Electron Microscopy of Human Gallstones

1971 ◽  
Vol 29 ◽  
pp. 296-297
Author(s):  
C. Wolpers ◽  
R. Blaschke
Keyword(s):  
Electron Microscopy ◽  
Room Temperature ◽  
Bile Pigment ◽  
X Ray Diffraction ◽  
Triclinic Crystal System ◽  
X Ray ◽  
Follow Up Study ◽  
Infra Red ◽  
Main Components

Scanning microscopy was used to study the surface of human gallstones and the surface of fractures. The specimens were obtained by operation, washed with water, dried at room temperature and shadowcasted with carbon and aluminum. Most of the specimens belong to patients from a series of X-ray follow-up study, examined during the last twenty years. So it was possible to evaluate approximately the age of these gallstones and to get information on the intensity of growing and solving.Cholesterol, a group of bile pigment substances and different salts of calcium, are the main components of human gallstones. By X-ray diffraction technique, infra-red spectroscopy and by chemical analysis it was demonstrated that all three components can be found in any gallstone. In the presence of water cholesterol crystallizes in pane-like plates of the triclinic crystal system.

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