Category archives for Volume 2

An innovation in child health: Globally reaching out to child health professionals

Turning cross-cultural medical education on its head: Learning about ourselves and developing respectful curiosity

An innovation in child health: Globally reaching out to child health professionals Authors: Jones, Russell; Currow, Kathryn; Kwong, Mary; Menon, Pramila Worldwide deaths of children younger than 5 years reduced from 12.7 million in 1990 to 6.3 million in 2013. Much of this decline is attributed to an increase in the knowledge, skills, and abilities of child health […]

Elderly Patients with Type 2 Diabetes

Elderly Health Care

Four-year dynamic observation and study on standardized management of elderly patients with type 2 diabetes in Beijing Yongding Road Community Authors: Li, Yue; Shen, Dongyun; Zhang, Wei; Wang, Yimin; Li, Hongmei; Geng, Jie; Yang, Liying; Xiao, Zhijun; Liu, Yan; Feng, Zhigang; Cao, Linying; Jin, Yan; Shi, Lixia Purpose: This study aimed to understand the joint standard of blood glucose, blood lipids, and blood pressure in elderly patients […]

Female Student with Fevers, Weakness and Dysphagia

An 18-year-old female student with fevers, weakness, and dysphagia

An 18-year-old female student with fevers, weakness, and dysphagia Author: Murtagh, John An 18-year-old female sought evaluation of lethargy and weakness of 3 days duration. She also complained of fevers with sweating, headaches, nasal blockage, anorexia with two episodes of emesis, and a very sore throat with dysphagia.  She had felt ill for the preceding 2 […]

Coronary Artery Lesions in Patients with Obstructive Sleep Apnea-Hypopnea Syndrome

Analysis of the characteristics of coronary artery lesions in patients with obstructive sleep apnea-hypopnea syndrome and influencing factors

Analysis of the characteristics of coronary artery lesions in patients with obstructive sleep apnea-hypopnea syndrome and influencing factors Authors: Sun, Bin; Liu, Jing; Huang, Ding; Liu, Cheng Objective: The current study involved an analysis of the characteristics of coronary artery lesions of patients with obstructive sleep apnea-hypopnea syndrome (OSAHS) and the corresponding influencing factors.Methods: One hundred twenty patients […]

Study on Family Environment Characteristics of Accident-Prone Children

A case-control study on family environment characteristics of accident-prone children

A case-control study on family environment characteristics of accident-prone children Authors:Chen, Sisi; Zhou, Leshan Objective: The purpose of the current study was to determine the family environment characteristics of accident-prone children, and the influencing factors to provide a reference for accident prevention and intervention for these children. Methods: One hundred forty-seven cases of accident-prone children were screened […]

A Proposal to Change the Role of Residential Aged Care Facilities (RACFs)

The Community Hub: a proposal to change the role of Residential Aged Care Facilities (RACFs)

The Community Hub: a proposal to change the role of Residential Aged Care Facilities (RACFs) In Australia, as in most parts of the world, the increasing number of aged persons and the proportion of the population represented by aged persons is a cause of concern that will require changes in many areas of community life, […]

Chronic Disease Management in the United States and China

New models for chronic disease management in the United States and China

New models for chronic disease management in the United States and China Author: O’Donnell, Ronald R In the United States (US) the role of the general practitioner in primary care is changing rapidly as the team leader in the new “Patient-centered Medical Home” model of care that is designed to improve the management of chronic […]

Cochrane Updates & Nice Guidelines Volume 2 Issue 3

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Cochrane Updates & Nice Guidelines Volume 2 Issue 3 409 NO CLEAR BENEFIT FROM ACTIVE CHEST COMPRESSION-DECOMPRESSION COMPARED WITH STANDARD MANUAL CPR PEARLS 409, October 2013, written by Brian R McAvoy 412 SMALL BENEFIT FROM COGNITIVE BEHAVIORAL THERAPIES FOR FIBROMYALGIA PEARLS 412, November 2013, written by Brian R McAvoy 422 LIMITED BENEFIT FROM TELEPHONE SUPPORT […]

Increasing Physical and Mental Lethargy and Weight Gain

A 66-year-old woman with increasing physical and mental lethargy and weight gain

A 66-year-old woman with increasing physical and mental lethargy and weight gain Author: Murtagh, John Case History A 66-year-old woman presented with a 10-month history of gradually increasing fatigue, lethargy, weight gain, constipation, and difficulty coping with the cold winter. She feels like sitting by the fire and doing nothing. She tends to sleep excessively. […]

Questionnaire for Disease Knowledge-Attitude-Practice Awareness of Patients

Preparation of a questionnaire for disease knowledge-attitude-practice awareness of patients with remitted schizophrenia based on a structural equation model

Background: A relevant questionnaire that evaluates disease awareness of patients with remitted schizophrenia is lacking in China. Objective: The purpose of the current study was to develop a questionnaire suitable for evaluating the disease knowledge-attitude-practice awareness on the part of patients with remitted schizophrenia, thus providing a reliable tool for evaluating patient knowledge of the […]

Cochrane Updates and Nice Guidelines Volume 2 Issue 2

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Cochrane Updates and Nice Guidelines Volume 2 Issue 2 Cochrane Updates & NICE Guidelines, Practical Evidence About Real Life Situations (PEARLS) are succinct summaries of Cochrane Systematic Reviews for primary care practitioners. PEARLS provide guidance on whether a treatment is effective or ineffective, prepared as an educational resource and not replacing clinician judgment in the management of individual […]

Child with Cough and Respiratory Distress

Prof John Murtagh

A 2-year-old child with cough and respiratory distress Author: Murtagh, John A 2-year-old girl was brought to the hospital for evaluation of a harsh cough and difficulty breathing. She developed a cold with a runny nose 3 days ago and has been feeling ill. Her mother said she was awake most of the previous night with […]

Effect of 1.75 mmol/L calcium concentration dialysate on hemodialysis patients

Prospective study of the short-term effect of 1.75 mmol/L calcium concentration dialysate on hemodialysis patients

Prospective study of the short-term effect of 1.75 mmol/L calcium concentration dialysate on hemodialysis patients Authors: Zhang, Dongliang; Sun, Fang; Zhou, Yilun; Duan, Xiaofeng; Sun, Yi; Cui, Taigen; Liu, Wenhu Objective: The purpose of the current study was to determine the influence of a 1.75 mmol/L calcium (Ca) concentration dialysate (DCa 1.75) during maintenance hemodialysis (MHD) therapy for patients with chronic […]

Massage treatment of chronic persistent pediatric asthma

persistent pediatric asthma

Massage treatment of chronic persistent pediatric asthma Authors: Tian, Fuling; Li, Qi; Cui, Jianmei; Ma, Shuxiang; Wang, Hongbin; Li, Xueqing Objective: We observed the clinical effect of massage in treating chronic persistent pediatric asthma and the changes in expression of TLR1, TLR2, and TLR4 on macrophages.Methods: One hundred sixty pediatric patients with persistent chronic asthma were collected, and divided into […]

Primary Medical Service in China

Great efforts are needed to develop primary medical service in China: correcting the mistranslation of “Primary Health Care” as the first step

Great efforts are needed to develop primary medical service in China: correcting the mistranslation of “Primary Health Care” as the first step Author: Xu, Guoping This article aims to discuss how the mistranslation of “Primary Health Care” takes an adverse effect on the conceptual understanding of primary medical service and the development of medical and […]

Negative Psychology of Nursing Personnel and their Coping Style

Interrelation among alexithymia and negative psychology of nursing personnel and their coping style

Interrelation among alexithymia and negative psychology of nursing personnel and their coping style Authors: Li, Shuwen; Yao, Guiying; Gui, Yanling; Zhang, Bin Objective: The purpose of the current study was to discuss the interrelation among alexithymia and negative psychology of nursing personnel and their coping style, so as to provide a theoretical basis for better mental health education […]

Cochrane Updates and Nice Guidelines Volume 2 Issue 1

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Cochrane Updates and Nice Guidelines Volume 2 Issue 1 Cochrane Updates & NICE Guidelines, Practical Evidence About Real Life Situations (PEARLS) are succinct summaries of Cochrane Systematic Reviews for primary care practitioners. PEARLS provide guidance on whether a treatment is effective or ineffective, prepared as an educational resource and not replacing clinician judgment in the management of individual […]

Obstructive Sleep Apnea-Hypopnea Syndrome (OSAHS) and Liver Fibrosis

Relationship between obstructive sleep apnea-hypopnea syndrome (OSAHS) and liver fibrosis

Relationship between obstructive sleep apnea-hypopnea syndrome (OSAHS) and liver fibrosis Authors: Kan, Haifeng ; Chen, Long; Yang, Zhiyun ; Zhu, Shixiang Abstract: Objective: The current study discusses the relationship between sleep apnea-hypopnea syndrome (OSAHS) and liver fibrosis by determining the level of plasma hyaluronic acid (HA), procollagen III (PIII), collagen IV (IVC), and laminin (LN) in OSAHS patients […]

Chemoprophylactic Effect on Close Contacts of Patients with Active Tuberculosis

Analysis of the chemoprophylactic effect on close contacts of patients with active tuberculosis and positive tuberculin skin tests

Analysis of the chemoprophylactic effect on close contacts of patients with active tuberculosis and positive tuberculin skin Authors: Lin, Cunzhi 1; Wang, Fangfang 1; Li, Jinfeng1; Du, Jianxin 1; Wang, Hairong2; Zhu, Xinhong 3 Objective: The current study analyzed the chemoprophylactic effect of isoniazide on close contacts of patients with active tuberculosis and positive tuberculin skin tests (TSTs). Methods: A […]

Esophageal Cancer in Middle-aged and Elderly Patients

Association between esophageal cancer in middle-aged and elderly patients and body mass index and waist-to-hip ratio

Association between esophageal cancer in middle-aged and elderly patients and body mass index and waist-to-hip ratio Authors: Yan, Lihui 1; Shan, Zhongyuan 2; Sun, Ying2; Yan, Ying 2; Lu, Zhiquan 3 Objective: This study determined the relationship between esophageal cancer in middle-aged and elderly patients and body mass index (BMI) and waist-to-hip ratio (WHR). Methods: A hospital-based case-control study […]

Sudden Loss of Unilateral Vision

Sudden loss of unilateral vision

Sudden Loss of Unilateral Vision Author: Murtagh, John Abstract: A 65-year-old shopkeeper presents for evaluation of a loss of vision in his left eye approximately 6 h previously. The visual loss lasted for approximately 5 min, and was followed by complete recovery. He described the event as though “a curtain came down from above and […]

Longitudinal study of a community hospital integrated model for diabetes management

Longitudinal study of a community hospital integrated model for diabetes management in the Beijing Jinsong community

Longitudinal study of a community hospital integrated model for diabetes management in the Beijing Jinsong community Authors: Zhang, Jian-Dong 1; Zhuang, Ning 1; Yuan, Ming-Xia2; Gao, Li-Juan1; Bian, Chuan 1; Chen, Huai-Ning 1; Chi, Qing 1; Hui, Su-Qing1; Li, Gui-Ying 1; Su, Yan-Li1; Bao, Hong-Song 1; Wan, Gang 3; Yang, Guang-Ran 2; Yuan, Shen-Yuan 2 Objective: To determine the effects of a community hospital integrated model on the […]

Fractional Flow Reserve in Guiding Intervention for Borderline Coronary Lesions

primary health care system

Role of fractional flow reserve in guiding intervention for borderline coronary lesions Objective: This study investigated the clinical efficacy and value of fractional flow reserve (FFR) in guiding the treatment of borderline coronary lesions. Methods: Forty-three patients with borderline coronary lesions, as demonstrated by coronary angiography, and who had FFR measurements were selected. The patients […]

Fibroblast Growth Factor 21 and Thyroid Stimulating Hormone

Relationship between fibroblast growth factor 21 and thyroid stimulating hormone in healthy subjects without components of metabolic syndrome

Relationship between fibroblast growth factor 21 and thyroid stimulating hormone in healthy subjects without components of metabolic syndrome Objective: To determine the relationship between human fibroblast growth factor 21 (FGF21) and thyroid stimulating hormone (TSH) by testing the level of FGF21, lipid metabolism, and carbohydrate metabolism-related indices, as well as the level of TSH, among […]

Risk factors for elderly Chinese patients

Risk factors for post-operative delirium in elderly Chinese patients

Risk factors for post-operative delirium in elderly Chinese patients Authors: Yuan, Xiaoli ; Jiang, Zhixia ; Song, Lingxia ; Yang, Li; He, Ying; Luo, Gongyin Objective: The purpose of this study was to systematically analyze the risk factors for postoperative delirium (PD) in elderly patients in an effort to provide a basis for developing relevant clinical interventions in China. Methods: […]