AIM: The fears and concerns are associated with gastroscopy (EGD) decrease patient compliance. Conscious sedation (CS) and non-pharmacological interventions have been proposed to reduce anxiety and allow better execut...AIM: The fears and concerns are associated with gastroscopy (EGD) decrease patient compliance. Conscious sedation (CS) and non-pharmacological interventions have been proposed to reduce anxiety and allow better execution of EGD. The aim of this study was to assess whether CS, supplementary information with a videotape, or presence of a relative during the examination could improve the tolerance to EGD. METHODS: Two hundred and twenty-six outpatients (pts), scheduled for a first-time non-emergency EGD were randomly assigned to 4 groups: Co-group (62 pts): throat anaesthesia only; Mi-group (52 pts): CS with i.v. midazolam; Re-group (58 pts): presence of a relative throughout the procedure; Vi-group (54 pts): additional information with a videotape. Anxiety was measured using the “Spielberger State and Trait Anxiety Scales” The patients assessed the overall discomfort during the procedure on an 100-mm visual analogue scale, and their tolerance to EGD answering a questionnaire. The endoscopist evaluated the technical difficulty of the examination and the tolerance of the patients on an 100-mm visual analogue scale and answering a questionnaire. RESULTS: Pre-endoscopy anxiety levels were higher in the Mi-group than in the other groups (P<0.001). On the basis of the patients' evaluation, EGD was well tolerated by 80.7% of patients in Mi-group, 43.5% in Co-group, 58.6% in Regroup, and 50% in Vi-group (P<0.01). The discomfort caused by EGD, evaluated by either the endoscopist or the patients, was lower in Mi-group than in the other groups. The discomfort was correlated with “age” (P<0.001) and “groups of patients” (P<0.05) in the patients' evaluation, and with “gender” (females tolerated better than males, P<0.001) and “groups of patients” (P<0.05) in the endoscopist's evaluation. CONCLUSION: Conscious sedation can improve the tolerance to EGD. Male gender and young age are predictive factors of bad tolerance to the procedure.展开更多
As the most powerful nation in the world, the U.S. presidential election campaign drew a lot of attention from the media around the world. This study examines how party-orientation and market-orientation newspapers in...As the most powerful nation in the world, the U.S. presidential election campaign drew a lot of attention from the media around the world. This study examines how party-orientation and market-orientation newspapers in China presented 2008 U.S. presidential election campaign to their audience, and how the news serve for the reproduction of domestic dominated ideology and safeguarding domestic political needs. It adopted content analysis and textual analysis as research methods. The results show that Party newspaper tends to serve domestic political ideology, while market-oriented newspapers showed mixed attitude toward political demand. Although market newspapers, out of the concern of political safety, employed some tactic to comply with the demand of dominated ideology to some extent, their cooperation was limited since their main purpose was commercial success and their presentation even destroy the aim of linkage politics for the reasons include acquiring market profit and/or pursuit of professional value. This study is a positive effort to make up the current research gap of studies on international news in Chinese media.展开更多
文摘AIM: The fears and concerns are associated with gastroscopy (EGD) decrease patient compliance. Conscious sedation (CS) and non-pharmacological interventions have been proposed to reduce anxiety and allow better execution of EGD. The aim of this study was to assess whether CS, supplementary information with a videotape, or presence of a relative during the examination could improve the tolerance to EGD. METHODS: Two hundred and twenty-six outpatients (pts), scheduled for a first-time non-emergency EGD were randomly assigned to 4 groups: Co-group (62 pts): throat anaesthesia only; Mi-group (52 pts): CS with i.v. midazolam; Re-group (58 pts): presence of a relative throughout the procedure; Vi-group (54 pts): additional information with a videotape. Anxiety was measured using the “Spielberger State and Trait Anxiety Scales” The patients assessed the overall discomfort during the procedure on an 100-mm visual analogue scale, and their tolerance to EGD answering a questionnaire. The endoscopist evaluated the technical difficulty of the examination and the tolerance of the patients on an 100-mm visual analogue scale and answering a questionnaire. RESULTS: Pre-endoscopy anxiety levels were higher in the Mi-group than in the other groups (P<0.001). On the basis of the patients' evaluation, EGD was well tolerated by 80.7% of patients in Mi-group, 43.5% in Co-group, 58.6% in Regroup, and 50% in Vi-group (P<0.01). The discomfort caused by EGD, evaluated by either the endoscopist or the patients, was lower in Mi-group than in the other groups. The discomfort was correlated with “age” (P<0.001) and “groups of patients” (P<0.05) in the patients' evaluation, and with “gender” (females tolerated better than males, P<0.001) and “groups of patients” (P<0.05) in the endoscopist's evaluation. CONCLUSION: Conscious sedation can improve the tolerance to EGD. Male gender and young age are predictive factors of bad tolerance to the procedure.
文摘As the most powerful nation in the world, the U.S. presidential election campaign drew a lot of attention from the media around the world. This study examines how party-orientation and market-orientation newspapers in China presented 2008 U.S. presidential election campaign to their audience, and how the news serve for the reproduction of domestic dominated ideology and safeguarding domestic political needs. It adopted content analysis and textual analysis as research methods. The results show that Party newspaper tends to serve domestic political ideology, while market-oriented newspapers showed mixed attitude toward political demand. Although market newspapers, out of the concern of political safety, employed some tactic to comply with the demand of dominated ideology to some extent, their cooperation was limited since their main purpose was commercial success and their presentation even destroy the aim of linkage politics for the reasons include acquiring market profit and/or pursuit of professional value. This study is a positive effort to make up the current research gap of studies on international news in Chinese media.
