1.EFFECTS OF SUPRANUTRITIONAL LEVELS OF YEAST-SELENIUM ON ANTIOXIDATION STATUS AND IMMUNE FUNCTION IN MICE WITH TUMOUR
Jingyang ZHAO ; Changyan DENG ; Yuanzhu XIONG
Acta Nutrimenta Sinica 1956;0(01):-
Objective:To study the effects of supranutrional levels of yeast-selenium on antioxida-tion status and immune function in mice with tumour.Method:Sixty KM mice were divided into three groups: control group,yeast-selenium Ⅰ group and Ⅱgroup.The mice were supplemented with 0.5ml normal saline,3.2 ?g and 6.4 ?g yeast-selenium respectively by gavage on time a day based on the low selenium diet.The mice were inoculated with Ehrich ascites carcinoma(EAC) after 13 d.The tumour weight and immune function and antioxidative indices in blood were measured after 23 d.Results: The two yeast-selenium levels increased the activities of GSHPx(P
2.A qualitative study on ICU doctors'opinions and suggestions on implementing palliative care
Sijia ZHOU ; Changyan LYU ; Weisi PENG ; Wuhong DENG ; Wei LI ; Xiufen YANG ; Weixiang LUO
Chinese Medical Ethics 2024;37(8):941-948
Objective:To understand intensive care unit(ICU)doctors'opinions and suggestions on implementing palliative care,and provides a reference basis for the implementation of palliative care in Chinese ICU.Methods:A purposive sampling technique was used to conduct one-on-one semi-structured interviews with 11 ICU doctors.Colaizzi's phenomenological analysis method was utilized to code,classify,interpret,and comprehensively analyze the interview data.Results:A total of 4 themes and 18 sub-themes was extracted,including cognitive biases toward palliative care,the belief that implementing palliative care in the ICU has significant humanistic implications(palliative care practice is the most perfect embodiment of medical humanities,palliative care in the ICU can alleviate patient pain and reduce invasive operations,palliative care can achieve comfortable care for ICU patients,palliative care focuses on maintaining the dignity of ICU patients,palliative care can pay attention to the inner voice of ICU patients,and implementing palliative care will help to more effectively allocate resources),difficulties faced by ICU in carrying out palliative care(lack of clarity in relevant policies at the legal level,closed management environment in the ICU,insufficient manpower in the ICU and lack of palliative care professional team,inadequate understanding of ICU patients'families,lack of death education,not included in medical insurance payments,and lack of communication skills of young doctors),strategies to promote the development of palliative care in the ICU(ICU palliative care can be piloted first,the development of ICU palliative care screening tools will help with the development of palliative care,the palliative environment and the handling of death procedures can be further optimized,and the application and implementation of scientific methods to shorten the gap between evidence and practice of palliative care).Conclusions:The integration of palliative care and ICU in China is still blank.The significance of implementing palliative care in ICU should be emphasized,ICU doctors'knowledge and skills of palliative care should be improved from multiple perspectives,patient preference should be emphasized to improve the knowledge and acceptance of palliative care of ICU patients'families,and the promotion of palliative care in ICU clinical practice should be pioneered and piloted.