Objective Systemic analysis the effect of the application of continuity nursing in community diabetes.Methods Retrieve documents from the PubMed,Cochrane Library,EMBASE,Science Direct,CBM,WANFANG Data and CNKI.Dating from the dates of establishment to May,2014.Randomized controlled trials (RCTs) on continuity of patient care for patients with diabetes were included.Two reviewers independently screened the literature according to the inclusion and exclusion criteria,extracted the data and assessed the quality of the included studies,and then meta-analysis was performed by RevMan 5.1 software.Results 5 RCTs (156 cases with diabetes) were involved into this Meta-analysis.The experimental group was superior to the control group in FBG,2h PBG,HbA1c and the level of treatment compliance,with statistically significant differences,P＜0.05.The descriptive analysis showed that the differences in the score of diabetes knowledge and the quality of life were statistically significant,P＜0.05,because the data could not be converted.Conclusions The continuity nursing can improve the compliance and the quality of life of community diabetes,ameliorate certain biochemical indicators.Study of large sample and RCTs should be take because of the existence of some restraining factors.

Objective To investigate the association of chlamydia pneumoniae infection with ankylosing spondylitis (AS).MethodsSerum samples were obtained from 33 AS patients and 22 healthy controls.Enzyme-linked immunosorbent assay (ELISA) was applied to mearsure serum anti-Chlamydia pneumoniae antibodies (IgM/IgG),while immunofluorescence assay (IFA) was used to detect Chlamydia pneumoniae LPS antigen,and polymerase chain reaction (PCR) was used to amplify Chlamydia pneumoniae DNA in peripheral blood cells. Immunohistochemistical technique was applied to examine Chlamydia pneumoniae LPS antigen in synovial tissue from another 9 AS patients who received total hip replacement and 13 patients with comminuted femoral fractures.ResultsThe positive rates of Chlamydia pneumoniae IgM,LPS antigen and chlamydia pneumoniae DNA were higher in AS patients than those in healthy controls (78.8％ vs 22.7％,x2 =16.867,P =0.000; 66.7％ vs 31.8％,x2 =6.431,P =0.011; 33.3％ vs 9.1％,x2 =4.298,P =0.038).Chlamydia pneumoniae DNA positive rate was correlated with erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) levels (Z =-2.774 and -2.829,P =0.004).In synovial tissues,chlamydial LPS-containing inflammatory cells were observed in 77.8％(7/9) AS patients,while those in fracture patients was 30.8％ ( 4/13 ) ( P =0.08 ).Conclusion Chlamydia pneumoniae infection is common in blood circulation and joint cavity of AS patients and may be associated with the pathogenesis of AS.

Objective To explore the effect of the application of theory of human care on the emotional disorder in hospitalized patients with type 2 diabetes .Methods Two hundred and fifty-six hospitalized patientswith type 2 diabetes from May 2012 to October 2012 were chosen and received the nursing based on theory of human care.The self-rating anxiety scale ( SAS) and the self-rating depression scale ( SDS) on the day of admission and before discharge were used to evaluated the application effect .Results The scores of SAS and SDS on the day of admission were respectively (52.63 ±8.13), (53.24 ±9.28) in patients, and were higher than those in the national norm , and the differences were statistically significant ( t =22.41, 16.52, respectively;P<0.01).After intervention, the emotional disorder in patients was significant improved , and the scores of SAS and SDS at discharge were respectively (40.23 ±6.34), (41.36 ±6.41), and were lower than those before intervention, and the differences were statistically significant (t=5.66, 4.89, respectively;P<0.01).Conclusions There are many emotional disorders in hospitalized patients with type 2 diabetes; the nursing based on theory of human care is helpful to improve their emotions , and promote their physical and mental health, and is worthy to apply in clinic .

Objective To investigate the effects of goal-setting method for community diabetes patients′self-management capabilities. Methods Since January 2013 we established target support groups to help people set goals, which included diet control, regular exercise, prescribed medication, blood glucose monitoring, foot care and prevention and treatment of hyperglycemia and hypoglycemia. We conducted health lectures, follow-up and other measures to help patients achieve the goals, and observed the level of target completion, self management and glycemic control after 3 months. Results The constitution of six most complete goals setting were diet control 88. 89%, regular exercise 90. 48%, prescribed medication 100. 00%, blood glucose monitoring 54. 54%, foot care 100. 00%, prevention and treatment of hyperglycemia and hypoglycemia 80. 00%;self-management skills increased from the total score (81. 68 ± 19. 36) to (97. 11 ± 15. 11), and the differences were statistically significant (t =4. 562,P <0. 05). Compared with before the intervention, the fasting blood glucose after 3 months′ intervention was ( 9. 22 ± 0. 23 ) mmol/L, postprandial blood glucose (9.31 ±0.90)mmol/L, and glycosylated hemoglobin (7. 02 ± 1. 49)%, which were statistically significant (t=1. 219,2. 52,4. 887;P<0. 05). Conclusions The goal setting, which can ameliorate diabetes patients′self-management skills and control the blood glucose level, is worth of clinical promotion.

Objective To summarize our experience with surgical management of renal neoplasm involving inferoir veno cava.Methods We review the data of 115 patients,including 74 male patients and 41 female patients,with renal neoplasm involving venous system between March 1993 and December 2015.The mean age was 52 years old,ranging 22 to 77 years old.The tumor was found in right side in 77 cases and left side in 38 cases.There were 15 patients (13.0％) with renal vein thrombus,38 (33.1％) with infrahepatic thrombus,29 (25.2％) with low retrohepatic thrombus,20 (17.4％) with high retrohepatic thrombus,and 13 (11.3％) with supradiaphragmatic thrombus.The mean age was 52 years old,ranging 22 to 77 years old.The tumor was found in right side in 77 cases and left side in 38 cases.All patients accepted the radical nephrectomy.Primary outcomes were overall survival (OS),and cancer special survival (CSS) in patients with renal cell carcinoma (RCC) estimated by Kaplan-Meier method.Secondary outcome included operative and oncological features,past-operative complications and hospital mortality.Cox proportional hazard model was used to univariate and multivariate analysis for risk factor impacting on OS of RCC patients.Results Complete resections of renal neoplasm with tumor thrombus were achieved in 113 patients (98.3％),2 patients died intraoperatively due to the dropping of thrombus.Postoperative complication rate was 16.8％.Hospital mortality was 2.6％.Mean follow-up interval was 48 months.OS rates at 5-,and 10-year in RCC patients were 66.5％,and 61.8％,respectively.Metastasis was an independent risk factor affecting on OS (P =0.000).However,the level of thrombus was not an risk factor affecting the prognosis.Conclusions Radical resection of renal tumor and caval thrombus is an effective treatment for prolonging survival in patients with RCC extending into venous system.Retrohepatic caval tumor thrombus below or above the main hepatic vein should be dichotomized and managed respectively with diverse techniques.Metastatic rather than the level of thrombus was a risk factor impacting on RCC patient survival.