目的 根据《处方管理办法》对医院处方的相关要求及医院处方点评工作流程，基于Active Server Pages动态服务器页面（ASP.NET）技术设计一种处方点评网络系统，以实现不合格处方登记上报、点评、干预反馈、统计分析的网络化。 方法 系统采用Browser/Server（B/S）模式，以ASP.NET作为中间件，Microsoft Office Access作为后台数据库，在Microsoft Visual Studio 2008开发环境中完成设计。 结果 通过Web浏览器，处方审核人员可以快速登记上报一份发现的不合格处方，登记信息被保存到后台数据库；处方点评人员可通过Web浏览器查询到登记上报来的不合格处方，在系统平台上轻松完成点评工作，并把点评结果保存到后台数据库；不合格处方干预小组可通过Web浏览器查询到不合格处方登记及点评信息，在系统平台上完成进一步点评及下发干预措施等工作，以及统计本院不合格处方各项指标，便于及时掌握信息，安排工作。 结论 基于ASP.NET技术设计的处方点评网络系统可大大提高医院处方点评工作效率，提高处方点评的时效性和准确性，实现处方点评工作的网络化。
Objective To explore the inducing factors, the serum total immunoglobulin E (IgE) and specific IgE of bronchial asthma in Mianyang children, for better control of childhood asthma. Methods A total of 1 288 cases of asthma who were hospitalized in pediatric respiratory ward or asthma clinic from March 2013 to February 2016 were enrolled in the study. All cases complied with the diagnostic criteria for acute episode of childhood bronchial asthma revised in 2008 by the National Children’s Asthma Cooperative Group. The causes of asthma attack were asked by doctors, and the patient’s serum total IgE and specific IgE was tested. Results Respiratory tract infections were the most common cause (1 057 cases, 82.1%), which was followed by weather changes and exposure to cold air (694 cases, 53.9%), and then food (304, 23.6%). The risk of asthma induced by respiratory infections was highest in <2-year old group (358 cases, 97.5%), and lowest in 10-14-year old group (42 cases, 33.3%), with a decreasing trend with age (χ2trend=239.865, P<0.001). Food was also an important inducing factor, and seafood was the most frequent (121 cases, 39.8%). Total serum IgE was positive in 868 cases (67.4%). The positive rate in <2-year old group (52.6%) was the lowest, and the positive rate in 10-14-year old group (89.7%) was the highest, with an increasing trend with age (χ2trend=88.055, P<0.001). Serum specific IgE was positive in 733 cases (56.9%). The positive rate in <2-year old group (37.1%) was the lowest, and the positive rate in 10-14-year old group (92.6%) was the highest, with an increasing trend with age (χ2trend=150.361, P<0.001). The progressive rate of dust mites in inhalation and dietary allergens was highest (668 cases, 51.8%), which was followed by house dust (431 cases, 33.4%). Conclusions The most common inducing factor for bronchial asthma in Mianyang children is respiratory tract infection, followed by the weather changes and cold air exposure, and then food. Detection of serum total IgE and specific IgE is more valuable in elderly children with bronchial asthma.
ObjectiveTo understand the relationship between post-traumatic stress disorder (PSTD) and perceived stress in suspected coronavirus disease 2019 (COVID-19) patients quarantined in hospital.MethodsA cross-sectional study of 93 suspected COVID-19 patients in one of grade-A tertiary hospital in Southwest China was carried out to evaluate the incidence of perceived stress and post-traumatic stress symptoms among these patients using the standardized Perceived Stress Scale-10 (PSS-10) and PTSD Checklist-5 (PCL-5), respectively. Pearson correlation was used to analyze the correlation between PCL-5 and PSS-10 scores.ResultsTotal PSS-10 and PCL-5 scores were 16.7±5.2 and 17.0±11.6 in 93 suspected COVID-19 patients, respectively. Positive correlations between PSS-10 and PCL-5 scores were detected (Pearson’s r=0.722, P=0.000).ConclusionsThe occurrence and development of PSTD of suspected COVID-19 patients have the relationship with the early perceived pressure. It suggests that medical staff should identify and intervene the perceived pressure level of patients who are under quarantine as suspected COVID-19 early and effectively, so as to reduce the occurrence of PTSD.