9 results on '"Feng, Yin-Ping"'
Search Results
2. A decision tree-based study of pulmonary tuberculosis diagnosis-related groups.
- Author
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Liu, Lei, Guo, Jing, Ding, Kun, Zhou, Guang-Nao, Feng, Yin-Ping, and Zhang, Na-Na
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TUBERCULOSIS ,MEDICAL care costs ,LENGTH of stay in hospitals ,DECISION trees ,COST control - Abstract
BACKGROUND: Globally, pulmonary tuberculosis is a significant public health and social problem. OBJECTIVE: We investigated the factors influencing the hospitalization cost of patients with pulmonary tuberculosis and grouped cases based on a decision tree model to provide a reference for enhancing the management of diagnosis-related groups (DRGs) of this disease. METHODS: The data on the first page of the medical records of patients with the primary diagnosis of pulmonary tuberculosis were extracted from the designated tuberculosis hospital. The influencing factors of hospitalization cost were determined using the Wilcoxon rank sum test and multiple linear stepwise regression analysis, and the included cases were grouped using the chi-squared automated interaction test decision tree model, with these influential factors used as classification nodes. In addition, the included cases were grouped according to the ZJ-DRG grouping scheme piloted in Zhejiang Province, and the differences between the two grouping methods were compared. RESULTS: The length of hospital stay, respiratory failure, sex, and age were the determining factors of the hospitalization cost of patients with pulmonary tuberculosis, and these factors were incorporated into the decision tree model to form eight case combinations. The reduction in variance (RIV) using this grouping method was 60.60%, the heterogeneity between groups was high, the coefficients of variance ranged from 0.29 to 0.47, and the intra-group difference was small. The patients were also divided into four groups based on the ZJ-DRG grouping scheme piloted in Zhejiang Province. The RIV using this grouping method was 55.24, the differences between groups were acceptable, the coefficients of variance were 1.00, 0.61, 0.77, and 0.87, respectively, and the intra-group difference was significant. CONCLUSION: When the pulmonary tuberculosis cases were grouped according to the duration of hospital stay, respiratory failure, and age, the results were rather reasonable, providing a reference for DRG management and cost control of this disease. [ABSTRACT FROM AUTHOR]
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- 2024
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3. Research progress in pulmonary rehabilitation in patients who have been weaned off mechanical ventilation: A review article.
- Author
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Xu, Bi-Qing, Si, Qin, Feng, Yin-Ping, Guo, Jing, and Jiang, Li-Ping
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MEDICAL rehabilitation ,LITERATURE reviews ,MUSCLE fatigue ,RESPIRATORY muscles ,LUNG infections ,ARTIFICIAL respiration - Abstract
BACKGROUND: Patients who have been treated with mechanical ventilation for more than 72 hours are susceptible to symptoms such as hypoxia and respiratory muscle fatigue after weaning, which may result in weaning difficulty and delay, as well as an increased incidence of negative emotions such as anxiety and depression. Correct pulmonary rehabilitation exercise technique and timing can improve the weaning success rate, reduce the disability rate, and reduce the incidence of pulmonary infection, as well as reduce medical expenses. OBJECTIVE: This article provides a review of pulmonary rehabilitation interventions for mechanically ventilated patients, searching relevant literature through databases such as CNKI and PubMed, aiming to provide guidance for the successful weaning of mechanically ventilated patients. METHODS: We selected articles related to pulmonary rehabilitation interventions for mechanically ventilated patients from CNKI (China National Knowledge Infrastructure) and PubMed over the years. RESULTS: This article provides a comprehensive review of the research on lung rehabilitation for patients who are mechanically ventilated during the weaning process in an effort to serve as a guide for a successful transition from mechanical ventilation. CONCLUSION: Early pulmonary rehabilitation training can effectively increase the pulmonary function level and ventilation function of patients and reduce the duration of mechanical ventilation and hospitalization, and is an effective, safe, and feasible treatment method. [ABSTRACT FROM AUTHOR]
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- 2024
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4. Assessment of Effective Anti-TB Regimens and Adverse Outcomes Related Risk Factors in the Elderly and Senile-Aged TB Patients
- Author
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Guo,Jing, Liu,Zhong-Da, Feng,Yin-Ping, Luo,Shui-Rong, and Jiang,Qiao-Min
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Infection and Drug Resistance - Abstract
Jing Guo,* Zhong-Da Liu,* Yin-Ping Feng, Shui-Rong Luo, Qiao-Min Jiang Department of Tuberculosis, Lishui Hospital of Traditional Chinese Medicine, Lishui, 323000, Peopleâs Republic of China*These authors contributed equally to this workCorrespondence: Qiao-Min Jiang, Department of Tuberculosis, Lishui Hospital of Traditional Chinese Medicine, Lishui, 323000, Peopleâs Republic of China, Tel +86 578-2668397, Email jiangqiaominjqm8@126.comObjective: Compared to younger patients with tuberculosis (TB), elderly and senile-aged patients with TB had a higher incidence of adverse outcomes particularly in terms of lost to follow-up and deaths. Our study aimed to gain insight into the effectiveness of anti-tuberculosis (anti-TB) treatment in the elderly or senile-aged patients and identify the risk factors for adverse outcomes.Methods: The case information was obtained from the âTuberculosis Management Information Systemâ. From January 2011 to December 2021, this retrospective analysis was conducted in Lishui City, Zhejiang Province to observe and record the outcomes of elderly patients diagnosed with TB who agreed to receive anti-TB and(or) traditional Chinese medicine(TCM) treatment. We also employed a logistic regression model to analyze the risk factors for adverse outcomes.Results: Among the 1191 elderly or senile-aged patients with TB who received the treatment, the success rate was 84.80% (1010/1191). Using logistic regression analysis, several risk factors for adverse outcomes (failure, death, loss to follow-up) were identified, including age ⥠80 years (OR 2.186, 95% CI 1.517~3.152, P< 0.001), lesion area ⥠3 lung fields (OR 0.410, 95% CI 0.260~0.648, P< 0.001), radiographic lesions failing to improve after 2 months of treatment (OR 2.048, 95% CI 1.302~3.223, P=0.002), sputum bacteriology failing to turn negative after 2 months of treatment (OR 2.213, 95% CI 1.227~3.990, P=0.008), lack of a standardized treatment plan (OR 2.095, 95% CI 1.398~3.139, P< 0.001), and non-involvement of traditional Chinese medicine (OR 2.589, 95% CI 1.589~4.216, P< 0.001).Conclusion: The anti-TB treatment success rate in the elderly and senile-aged patients is suboptimal. Contributing factors include advanced age, extensive lesions, and low sputum negative conversion rate during the intensive treatment phase. The results will informative and could be useful for policy maker for to control of reemergence of TB in big cities.Keywords: anti-tuberculosis treatment, lung, senile-aged patients, Tuberculosis, risk factors
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- 2023
5. Correlation between depression and adherence to respiratory function exercise in elderly frail patients with tuberculosis: A cross-sectional survey.
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Si Q, Guo J, Feng YP, Luo SR, Liu ZD, and Zhou GN
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- Humans, Cross-Sectional Studies, Male, Aged, Female, Patient Compliance statistics & numerical data, Patient Compliance psychology, Aged, 80 and over, Tuberculosis psychology, Middle Aged, Frailty psychology, China epidemiology, Surveys and Questionnaires, Depression epidemiology, Depression psychology, Frail Elderly psychology, Frail Elderly statistics & numerical data
- Abstract
Background: We investigated the current state of frailty in elderly patients with tuberculosis and analyzed the factors that influence it., Methods: Using a convenience sampling method, 120 elderly patients with tuberculosis were selected from the Department of Infectious Diseases at Lishui Hospital of Traditional Chinese Medicine in Zhejiang Province. A cross-sectional survey was conducted using general demographic questionnaires, the FRAIL (fatigue, resistance, aerobic capacity, illnesses, and loss of weight) screening scale, the self-rating depression scale (SDS), and a questionnaire on respiratory function exercise adherence. The influencing factors for depression were analyzed using logistic regression., Results: The average depression score of the 120 elderly patients with frailty and tuberculosis was 54.88 ± 5.61, indicating a mild level of depression. The correlation between this score and respiratory function exercise adherence was negative. According to a logistic regression analysis, marital status and payment methods were influencing factors for depression in these elderly patients with frailty and tuberculosis., Conclusion: There is a need to increase respiratory function exercise adherence among elderly patients with frailty and tuberculosis who have a high incidence of depression. Medical staff should assess adverse emotions in patients and their adherence to respiratory function exercises on a periodic basis., Competing Interests: The authors have no conflicts of interest to disclose., (Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.)
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- 2024
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6. Impact of delayed diagnosis and treatment on tuberculosis infection within families: A case report.
- Author
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Liu JJ, Feng YP, Liu ZD, and Guo J
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- Adult, Child, Humans, Male, Cough etiology, Delayed Diagnosis, Rifampin therapeutic use, Sensitivity and Specificity, Sputum, Female, Latent Tuberculosis, Mycobacterium tuberculosis genetics, Tuberculosis, Pleural, Tuberculosis, Pulmonary diagnosis, Tuberculosis, Pulmonary drug therapy
- Abstract
Background: A 32-year-old male patient was diagnosed with a 30% left pneumothorax on November 5, 2020, during which chest imaging indicated abnormalities. Despite this, pulmonary tuberculosis (TB) was not diagnosed or treated at that time due to a negative result in the MGIT960 culture. The patient experienced symptoms of cough and expectoration on April 24, 2022. Upon repeating the chest imaging, the condition had worsened, confirming the presence of pulmonary TB, leading to the patient's hospitalization. On September 1, 2022, the 11-year-old daughter of the patient was diagnosed with pulmonary tuberculosis accompanied by bronchial tuberculosis and tuberculous pleurisy., Methods: The diagnosis of pulmonary tuberculosis was confirmed through sputum smears and Gene Xpert MTB/RIF testing, for the patient and his 11-year-old daughter in 2022. The patient underwent a 6-month combination therapy (2HRZE/4HR) comprising isoniazid, rifampicin, pyrazinamide, and ethambutol. His daughter with pulmonary tuberculosis accompanied by bronchial tuberculosis and tuberculous pleurisy underwent a 12-month combination therapy., Results: Late diagnosis and treatment delays contribute to tuberculosis infections within families. Fortunately, after more than 3 months of antituberculosis treatment, the patient experienced relief from cough and sputum secretion, and there was improvement observed in the chest CT scan. Six months later, the patient was successfully cured of TB. 12 months later, his daughter also was successfully cured of TB., Conclusion Subsections: Early diagnosis and treatment of tuberculosis (TB) is vital to reduce transmission, morbidity, and mortality., Competing Interests: The authors have no funding and conflicts of interest to disclose., (Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.)
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- 2024
- Full Text
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