1.Zhongjing's Dynamic Thought of the Diagnosis and Treatment Induced from Discussion of Sini Powder Syndromes
Journal of Zhejiang Chinese Medical University 2017;41(3):195-197
[Objective] We will sum up the relevant rules of the treatment of such diseases in the Treatise on Fevers by the pathogenesis of Sini Powder for improving the clinical curative effects.s [Method] The article quotes the original text of the Treatise on Fevers and analyzes the related criticisms by the other physicians,analyzes and summarizes the disciplinarian of the pathogenesis of SiNi decoction.By the way,we will present the application of the disciplinarian in the Treatise on Febrile Diseases.[Result] We find that Sini Powder is used to develop the condition of ShaoYin sickness,qi depression conceals the developing direction.So ZHANG Zhongjing eliminated the qi depression to know the developing direction firstly.According to the direction,he decided what was the best therapeutic schedule.[Conclusion] The pathogenesis of Sini decoction is the quintessence of SuiZhengZhiZhi,a thought of the Treatise on Fevers.We should understand and master the quintessence,improve the clinical diagnosis and treatment efficacy.
2.Clinical research progress on cervical persistent human papillomavirus infection
International Journal of Biomedical Engineering 2018;41(4):348-353
Cervical cancer is a common malignant tumor of women,which is caused by human papillomavirus(HPV) infection especially high risk HPV infection(HR-HPV).According to the statistics from the World Health Organization (WHO),the incidence and fatality rate of cervical cancers are obviously rising and getting younger in resent years,which seriously threatens the health of women.In China,the mortality of cervical cancer is the first in the female reproductive tract malignant tumor.Although cervical cancer screening has received more and more attention,which reduces the risk of cervical cancer,it does not prevent the necessary factors of cervical cancer,i.e.the HPV infection.Therefore,effective prevention and treatment methods are urgently needed to control the occurrence and development of HPV infection.Both Chinese and Western medicine have made significant progress in the treatment of persistent HPV infection,and they have own advantages and can complement each other.The combination of Chinese and Western medicine is expected to be an effective way to treat cervical persistent HPV infection.
3.Review on Post-ICU follow-up care
Chinese Journal of Practical Nursing 2018;34(36):2868-2871
After leaving the ICU, many ICU patients and their families will be affected by the long-term effects of physical, psychological and social dysfunction, which will affect their recovery and quality of life.Therefore, it is necessary to provide follow-up care services for this group. The follow-up of ICU after more than 20 years of development has a positive effect on helping patients and their families cope with various problems after ICU and promoting comprehensive rehabilitation of patients. This article reviews the development of follow-up care after ICU, the follow-up care model after ICU, and the common tools for follow-up care after ICU, which provides reference and basis for follow-up nursing practice in domestic ICU.
4.The research status of using of physical restraint and restraint minimization act
Chinese Journal of Practical Nursing 2018;34(3):235-240
Physical restraint is a conventional nursing practice at home and abroad. AS the use of physical restraint in the hospital, the risk has been increasingly emerging. Many scholars have already realized the necessity of Restraint Minimization Act and the voices of reducing the using of physical restraint run high constantly. Therefore, this paper would review the status quo of the using of physical restraint, advantages and disadvantages, ethical issue, influencing factors and restraint minimization act domestic and international, so as to provide help and support for further research.
5.Research progress in the role of TRPV channel-induced Ca 2+ signal in osteoclast differentiation and bone resorption
Shuwei GONG ; Jianxiong MA ; Xinlong MA
Chinese Journal of Orthopaedics 2022;42(10):668-674
Osteoclast is a type of multinuclear giant cell, which plays a role in bone resorption in the homeostasis of bone mass. Excessive bone resorption leads to osteoporosis and other diseases characterized by decreased bone mass. Ca 2+ metabolism plays an important role as a second messenger in the differentiation, migration, fusion and bone resorption of osteoclast. The transient receptor potential vanilloid (TRPV) ion channel is expressed in a variety of cells, including osteoclast. Current studies have found that the TRPV ion channel can participate in the production and bone resorption function of osteoclast by increasing intracellular Ca 2+ concentration and calcium oscillations. This article reviews the relationship between the TRPV ion channel and the changes of Ca 2+ concentration and the potential mechanisms involved in osteoclast activity, so as to provide a reference for further research on diseases characterized by abnormally increased activation of osteoclast in the future.
6.Prevention and caring of children's tic disorders based on incubative evil theory
International Journal of Traditional Chinese Medicine 2022;44(11):1201-1205
Tic disorder (TD) is a common neuro-developmental disorders in children during school age. The cause is complex and it can be induced or aggravated by varies of factors such as genetics, exogenous pathogens, and emotions. TD affects children's self-cognition, academic level, and social function, and causes parents to have unhealthy psychological states such as anxiety and depression, and affects family harmony. Therefore, clinical attention should not only be paid to the treatment of this disease, but also to prevention and nursing care. Incubative evil theory is one of the important theories of Traditional Chinese Medicine. This theory can help to treat and prevent diseases. Incubative evil is characterized by no symptoms with spontaneous attack by latent pathogen, but symptoms appearance induced by the pathogen. The pathological process of TD is similar to incubative evil characteristics. This paper discusses the prevention and nursing care of children's tic disorder based on the theory of incubative evil.
7.Research progress of cell senescence in diabetic foot ulcers
Yiru BAO ; Zhaojun ZHU ; Zhaohui ZHANG
Chinese Journal of Geriatrics 2023;42(3):361-365
Diabetic foot ulcers are common in elderly people with diabetes.Ongoing research is aimed at unraveling the complicated molecular mechanisms underlying diabetic foot ulcers.The role of cellular aging in delayed healing of diabetic foot ulcers has been recognized.Analyzing the relationship between cellular aging and diabetic foot ulcers, examining how cellular aging delays the healing of diabetic foot wounds, and identifying treatment methods for the removal of senescent cells and for slowing down cellular senescence will provide new therapeutic targets and strategies for the development of drugs for diabetic foot ulcers.
8.The incidence and clinical characteristics of metabolic syndrome in rheumatoid arthritis and osteo-arthritis
Changlei WANG ; Chunyu KONG ; Wufang QI
Chinese Journal of Rheumatology 2020;24(1):24-32
Objective:To explore the difference between the prevalence of metabolic syndrome (MetS) and its influencing factors between rheumatoid arthritis (RA) patients and osteoarthritis (OA) patients.Methods:2 024 patients with RA were selected as the experimental group inthe First Central Hospital of Tianjin from January 1, 2014 to March 12, 2019. A total of 1 271 patients with OA who were treated at the same time served as the control group.Relevant indicators were measured, and correlation analysis was performed using logistic regression.Results:The prevalence of MetS in the past six years did not differ significantly inpatients with RA ( χ2=5.77, P=0.06) and OA ( χ2=1.11, P=0.57). MetS risk factors were more prevalent inpatients with OA, and the prevalence of MetS in patients with OA was also higher than patients with RA ( χ2=19.07, P<0.01). In logistic regression model, the prevalence of MetS was positively correlated with body weight {RA: 1.14[(95% CI(1.10, 1.18), P<0.01]; OA: 1.11[95% CI(1.07, 1.16), P<0.01]}, blood levels of triglyceride {RA:2.64[95% CI(1.58, 4.40), P<0.01] and OA: 2.91[95% CI(1.32, 6.43), P=0.01]}, and glucose {RA:1.67[95% CI(1.42, 1.97), P<0.01] and OA: 1.76[95% CI(1.31, 2.35), P<0.01]}, and negatively correlated with blood level of high-density lipoprotein cholesterol{RA: 0.09[95% CI(0.02, 0.32), P<0.01] and OA: 0.03[95% CI(0.01, 0.25), P<0.01]} in patients with RA and OA. MetS risk factors such as serum creatinine (Scr) only presented in RA patients 1.04 [ OR: 95% CI(1.01, 1.06), P<0.01]. Conclusion:The prevalence of MetS did not decrease in patients with chronic inflammatory arthritis in the past six years, and OA patients havea greater risk of MetS.
9.Association between serum magnesium concentration and metabolic syndrome, diabetes, hypertension, hyperuricemia in patients with rheumatoid arthritis
Changlei WANG ; Chunyu KONG ; Wufang QI
Chinese Journal of Rheumatology 2020;24(6):403-408
Objective:To examine the associations between serum magnesium (Mg) concentration and metabolic syndrome (MetS), diabetes (DM), hypertension (HTN), hyperuricemia (HU) in rheumatoid arthritis (RA) patients.Methods:From June 29, 2013 to February 29, 2019, 1 009 RA patients were collected at Tianjin First Central Hospital. The Mg concentration, clinical and laboratory indicators, living habits and medication were collected. The multivariate adjusted Logistic regression model was used to evaluate the relationship between Mg and MetS, DM, HTN, and HU.Results:Compared with the lowest quintile serum magnesium, In the MetS regression analysis, OR and 95% CI were 0.26 [95% CI(0.09, 0.76), P=0.01)], 0.17 [95% CI (0.06, 0.47), P<0.01], 0.27 [95% CI(0.09, 0.76), CI=0.01], and 0.22 [95% CI(0.09, 0.58), P<0.01], in second, third, fourth, and fifth (highest) quantiles of serum Mg, respectively, P for trend <0.01. In DM regression analysis, after adjusting for multiple potential confounders in Model 2, OR and 95% CI were 0.58 [95% CI (0.35, 0.96), P=0.03], and 0.51 [95% CI (0.29, 0.89), P=0.02], in third and fifth quantiles of the serum Mg, respectively, P for trend =0.01. But in model 3 this correlation disappears. HTN and HU were not associated with serum Mg ( P>0.05), P for trend >0.05. Conclusion:There was a negative correlation between serum Mg concentration and MetS in RA patients, But no correlation with HTN, HU. After adjusting the glomerular filtration rate, the negative correlation between serum Mg and DM also disappeared.
10.Development and psychometric testing of filial piety value scale among children whose parents were advanced cancer patients
Hanfei CUI ; Xin ZHANG ; Fengqi DONG ; Ruishuang ZHENG
Chinese Journal of Practical Nursing 2020;36(17):1286-1292
Objective:To develop an assessment instrument for evaluating Filial Piety Value Scale among Children Whose Parents were Advanced Cancer Patients and to test the reliability and validity of the tool.Methods:Through literature review, semi-structured interview and expert letter consultation, the first version of the Filial Piety Value Scale (FVS) was developed. A convenience sampling method was adopted to recruit 352 children of patients with advanced cancer as respondents. Item analysis, reliability and validity were adopted to evaluate the items, and finally the formal version of FVS was developed.Results:The Internal Consistency of FVS was 0.86, and the content validity index of each item was 0.93-1.00.Two factors were extracted from exploratory factor analysis, and the cumulative contribution rate of variance was 60.25%. The two factors were named as Care (10 items) and Respect (5 items).The correlation coefficient between the total score of FVS and the total score of Filial Piety Values Index (FVI) was 0.496, and the correlation coefficient between the FVS total score and FVI Care and Respect score was 0.50 and 0.46, and the results were statistically significant ( P<0.01). Conclusion:The Filial Piety Value Scale of children whose parents were advanced cancer patients has good reliability and validity, which can be used to evaluate the filial piety value of children whose parents are advanced cancer.