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Exploring the effects of uterine imaging and hysteroscopy of endometrial polyps, this article has chosen the treatment effect of 50 cases of intrauterine polyps to observe hysteroscopy. The results showed that the diagnosis and sensitivity, specificity, positive, negative, and consistency were passed through various diagnostic methods ( P < 0.05 ). The diagnostic sensitivity of antidiagnosis combination and series combination was 90.0%, 64.0%, 96.0%, 92.0%, 80.0%, 80.0%, 88.0%, and 92.0%, parallel diagnosis with high sensitivity, significantly higher than simple diagnosis ( P < 0.05 ). Therefore, in the clinical treatment of endometrial polyps, hysteroscopic surgery is a safe and effective treatment, which can remove endometrial quality, improve the clinical symptoms of patients, and reduce the interference and postoperative recovery process of surgical trauma.

Jing Ren,1 Dongfang Han,2 Jingjun Zhang,1 Yingli Wang,3 Qiaoqiao Huang,4 Tian Tian,1 Xiaomei Li1 1School of Nursing, Health Science Center, Xi’an Jiaotong University, Xi’an City, People’s Republic of China; 2Department of Obstetrics and Gynecology, First Affiliated Hospital of Xi’an Jiaotong University, Xi’an City, People’s Republic of China; 3Department of Internal Medicine of Tuberculosis, Fourth Hospital of Inner Mongolia Autonomous Region, Hohhot City, People’s Republic of China; 4Department of Nursing, Fourth Hospital of Inner Mongolia Autonomous Region, Huhhot City, People’s Republic of ChinaCorrespondence: Xiaomei LiSchool of Nursing, Health Science Center, Xi’an Jiaotong University, No. 76 Yanta West Road, Yanta District, Xi’an City, Shanxi, 710061, People’s Republic of ChinaTel/Fax +86 29 82657017Email roselee8825@126.comPurpose: Patients affected by tuberculosis have diverse unmet supportive care needs (SCN) that may seriously affect their treatment adherence. Accurately assessing patients’ SCN is important for providing efficient patient-centred care, but few instruments are suitable for use in clinical practice. Therefore, the purpose of this study was to develop an SCN scale for patients with tuberculosis (SCN-TB) and to evaluate its psychometrical properties.Patients and Methods: Based on the SCN framework, the SCN-TB was designed via a literature review, Delphi consultation and pilot study. Then, 550 patients from four tuberculosis specialist hospitals in Shaanxi Province were enrolled by convenience sampling to further test the validity and reliability of the SCN-TB.Results: A total of 518 patients completed the survey. The final scale encompasses 25 items in five domains: physical, practical, psycho-emotional, social, and informational. The content validity for the scale was 0.93, with that for each item ranging from 0.80 to 1.00. Five factors that explained 80.38% of the variance were identified in exploratory factor analysis. A five-factor model was then confirmed with confirmatory factor analysis using maximum likelihood estimation with bootstrapping. The model fit indices were χ2/df=1.062 (Bollen-Stine χ2=281.382, df=265, p< 0.001), CFI=0.997, RMSEA=0.016, SRMR=0.053, NFI=0.951, and GFI=0.929. All factors had acceptable convergent and discriminant validity. The Cronbach’s α, split-half, and test-retest reliability coefficients of the scale were 0.884, 0.883, and 0.854, respectively.Conclusion: The SCN-TB is a valid and reliable theory based tool for assessing the needs of patients with tuberculosis and can be applied in both clinical practice and research.Keywords: needs assessment, tuberculosis, patient-centered care, quality of healthcare, supportive care

Background Swallowing function and swallowing-related quality of life (QoL) can be adversely affected in patients after partial laryngectomy, but are often neglected by patients and clinical workers. This study aimed to investigate the degree of swallowing function and swallowing-related QoL after partial laryngectomy in patients with laryngeal carcinoma. Methods Sixty-eight hospitalized patients undergoing partial laryngectomy due to laryngeal carcinoma at the Second Affiliated Hospital of Xi’an Jiao Tong University were included in this prospective study. A general information questionnaire was used to collect baseline characteristics. The water swallow test and swallowing quality of life questionnaire (SWAL-QOL) were carried out the day before surgery and at 2, 4, 12, 24 and 48 weeks after surgery. Results Swallowing dysfunction occurred in 1 case (1.5%) the day before surgery and in 49 (72.1%), 44 (64.7%), 33 (49.3%), 19 (28.4%) and 8 (11.9%) cases at 2, 4, 12, 24 and 48 weeks after surgery, respectively. Mean SWAL-QOL total scores were 4266.3 ± 232.0 the day before surgery, and 1992.9 ± 1062.4, 2473.9 ± 962.9, 3169.2 ± 753.6, 3696.7 ± 718.3 and 3910.8 ± 1510.4 at 2, 4, 12, 24 and 48 weeks, respectively. SWAL-QOL total scores increased gradually after operation, and the differences were statistically significant (P

Propyl gallate (PG) as one of the important synthetic antioxidants is widely used in the prevention of oxidative deterioration of oils during processing and storage. Determination of PG has receive...

Background Breast cancer may impair health-related quality of life (HRQoL). We examined the mediating role of coping style (CS) in the relationship between resilience, perceived social support (PSS), and HRQoL in newly diagnosed breast cancer patients in the Chinese mainland. Methods A total of 431 patients completed a survey at two hospitals in Shaanxi Province, China, using self-report measures assessing HRQoL, resilience, PSS, and CS. A one-sample t-test analyzed differences between resilience, PSS, and CS in breast cancer patients and the corresponding norm. Multivariate linear regression analyzed the independent predictors of HRQoL. The mediating role of CS between resilience, PSS, and HRQoL were investigated using structural equation modeling (SEM). Results Participants had significantly lower scores for resilience and PSS and higher scores for the avoidance and resignation CSs than their corresponding norm. SEM analysis showed resilience had significant direct effects on CS (B:0.66, 95% CI: 0.54, 0.77) and HRQoL [0.32 (0.12, 0.49)]. PSS had significant direct effects on CS [0.18 (0.06, 0.29)]. Resilience [0.32 (0.19, 0.53)] and PSS [0.09 (0.03, 0.18)] had significant indirect effects, and resilience [0.64 (0.56, 0.71)] had significant total effects on HRQoL. CS had significant direct and total effects on HRQoL [0.48 (0.30, 0.72)]. Conclusions Newly diagnosed breast cancer patients of mainland China had lower resilience and PSS and higher negative CSs. CS appeared to mediate the influence of resilience and PSS on HRQoL. Multimodal intervention programs focusing on CS might increase the influence of resilience and PSS on HRQoL in breast cancer patients.

Effective evaluation methods for assessing the nutritional quality of foods that eliminate free radicals (i.e., foods that are classified as antioxidants) have long attracted the attention of scientists and the populace. In this case, constructing a corresponding photoelectrochemical sensor that has the advantages of being intuitive, rapid, and capable of accurate assessment for global antioxidant capacity is of profound significance. In this study, a novel g-C3N4/NiS/TiO2 photoelectric sensitive platform was constructed and afforded the possibility of a synergistic/antagonistic effect for estimating intrinsic antioxidant ingredients in food. Further investigation revealed that the internal influences of the compound structure, such as the redox potential and type of groups on the molecular benzene ring should be the main internal reasons for antioxidant synergistic behaviors. The photochemical strategy of concern is expected to provide benefits for on-site foods nutrition assays that should become a guide for health care diets.

Both the Global Registry of Acute Coronary Events (GRACE) risk score and neutrophil count could predict clinical outcomes in patients with acute coronary syndromes. However, the ability of them to identify high risk patients leaves room for improvement. The purpose of the present study was to evaluate whether the combination of them could have a better performance in predicting clinical outcomes in patients with ST-elevation myocardial infarction (STEMI).A total of 1287 consecutive STEMI patients were recruited at two centers in China. Neutrophil count was measured and the GRACE risk score was calculated.During a median period of 37 months (IQR, 29-47), 135 (10.9%) patients had major adverse cardiovascular events (MACE), including 116 all-cause death. Neutrophil count and the GRACE risk score were higher in patients with MACE. Both neutrophil count and the GRACE score were significant and independent predictors for MACE [HR: 1.260 (1.203-1.319), P 0.001; HR: 1.007 (1.002-1.011), P 0.001; respectively). Combination of them increased the area under the ROC (0.698 vs. 0.796, P 0.001). The addition of neutrophil count to GRACE model enhanced net reclassification improvement (0.637, P = 0.020) and integrated discrimination improvement (0.180, P 0.001), suggesting effective discrimination and reclassification.Both neutrophil count and the GRACE risk score are independent predictors for MACE in patients with STEMI. A combination of them could derive a more accurate prediction for clinical outcomes in these patients.