Purpose:To discuss the functional neck dissection preserving cervical plexus in the treatment of differentiated thyroid cancer.Methods:15 cases of papillary thyroid cancer underwent functional neck dissection while preserving the cervical plexus. Results:Localization of positive lymph nodes were Ⅲ, Ⅳ, Ⅵ. The rate of neck node involvement of Ⅵ (+) is 57. 1%. No impairment of sensation of ears and lower necks and upper shoulders were found in the 15 patients. Conclusions:Indications:1.N 0 patients with papillary thyroid cancers. 2.N+ patients with papillary thyroid cancers whose metastatic lymph nodes are limited to level Ⅳ, or lymph nodes of parajugular are small (

Purpose:To study the clinic characteristic, diagnosis and therapy of hereditary nonpolypoid colorectal cancer.Methods:We analysed the diagnosis, therapy and follow up of hereditary nonpolypoid colorectal cancer in 32 cases from 11 families by studying the tumour site, pathologic results. Results:There were 43 cancer patients having 61 tumours in 11 families, and 32 cases were intestinal cancer with 39 tumours. In these 32 cases, there were 12 hereditary nonpolypoid colorectal cancer (37.5), and 5 cases were intestinal cancer (15.6). We examined the patients and their direct relatives and found 28 people had various cancer, of which 20 cases without any complaint. Conclusions:Hereditary nonpolypoid colorectal cancer is a dominant hereditary disease, with the characteristic of early flare up,prone to upper colon. They are always non contemporary polygeneous cancer or contemporary polygeneous cancer, and prone to take place outside of colon. So it is important not only for patients to be treated and followed up but also for their relatives to be instructed and followed up. We must study the disease history in details. [

Objective:To understand the current status of patient safety culture (PSC) of nurses in psychiatric department in China and to provide references for nursing managers to formulate effective nursing measures to improve the quality of psychiatric nursing services.Methods:Using the convenient sampling method, a total of 2 624 nurses in psychiatric department from 7 regions of China were selected as the research objects in September 2019. The Self-designed General Information Questionnaire and Hospital Survey on Patient Safety Culture (HSOPSC) were used for the survey. Multiple linear regression analysis was performed on the influencing factors of "adverse event reporting frequency" and "general perception of patient safety" of nurses in psychiatric department.Results:A total of 2 624 questionnaires were returned. The positive response rate of all dimensions of HSOPSC was from 43.33% to 83.31%. The results of multiple linear regression analysis showed that personnel allocation, non-punitive response to errors, feedback and communication to errors, shift and department transfer were the influencing factors of adverse event reporting frequency ( P<0.05) , together explaining 15.8% of the total variation. Personnel allocation, organizational learning and continuous improvement, non-punitive responses to errors, managers' expectations and actions to promote safety, feedback and communication on errors, management support for patient safety and shifts and department transfers were influencing factors for patient safety culture ( P<0.05) , together explaining 41.2% of the total variation. Conclusions:The cognitive level of psychiatric nurses on PSC needs to be improved. It is recommended that nursing managers intervene in three areas of personnel allocation of psychiatric nurses, non-punitive reactions to errors and frequency of adverse event reports, so as to improve psychiatric nurses' recognition of PSC, thereby improving the quality of psychiatric nursing services.

Objective:This study aims to investigate Mental health nurses′ perceptions of patient safety culture in different levels of hospitals, so as to provide the basis for understanding the perceptions of patients' safety culture among psychiatric nurses in different levels of hospitals.Methods:The self-designed general data questionnaire and the Hospital Patient Safety Culture Questionnaire were used to collect and analyze the data of 2 624 psychiatric nurses from level 3, level 2 and Level 1 hospitals in the seven administrative regions of China.Results:The scores of nurses in primary and secondary hospitals were 132.74±1.35 and 151.99±1.74, lower than 154.76±1.85 in tertiary hospitals ( χ2 value was 19.228, P < 0.01). There were statistically significant differences in the non-punitive response to error, feedback and communications about error, communication openness, hospital management support for patient safety, and frequency of events reported, overall perception of patient safety among psychiatric nurses at different levels of hospitals ( χ2 value was 7.997-37.681, P<0.05). Conclusions:The mental health nurses′ perceptions of patient safety culture in different levels of hospitals need to be improved, and hospital managers at all levels should focus on the non-punitive response to errors and personnel allocation. In addition, managers of primary and secondary hospitals also need to strengthen the training of nurses in such dimensions as feedback and communication of errors, openness of communication, management support for patient safety, frequency of adverse event reports, and overall sense of patient safety.

The cultivation of mental health nurses in the United States is unique. This article summarizes the educational requirements, training objectives, curriculum settings, teaching forms, and clinical practice of the mental health nursing talents at all levels in America, including undergraduates, masters, doctors of nursing practice, and doctors of nursing philosophy, aiming to provide references for the cultivation of mental health nursing talents in our country.

Objective:To understand the cognition and attitude of nursing managers to horizontal violence among nurses.Methods:From October to December 2018, semi-structured interviews were conducted with nursing managers in a Class ⅢGrade A hospital in Shanghai by using the purposive sampling method.Results:Five themes were extracted, namely, the low level of understanding of nurse managers on horizontal violence among nurses, effects of horizontal violence among nurses on psychology and work of nurses, the lack of enthusiasm of nursing managers in dealing with horizontal violence among nurses, nursing managers thoughthorizontalviolence was influenced by many factors and nursing managers thought that there was a lack of support for nurses suffering from horizontal violence.Conclusions:Nursing managers should enrich relevant knowledge, timely find and deal with horizontal violence in time and provide psychological support to victim nurses. Medical institutions should also formulate relevant rules and regulations to provide a basis for nursing managers when dealing with horizontal violence.