1.Using visible electric toothbrushes during the course of oral nursing for patients with peroral endo-tracheal intubation
Chinese Journal of Practical Nursing 2009;25(29):19-22
Objective To know the efficacy of oral nursing by visible electric toothbrushes among patients with peroral endotracheal intuabtion. Methods Divided 108 trauma patients with peroral endo-tracheal intubation and clear consciousness into the research group and the control group randomly, there were 54 cases in each group. Routine oral nursing cares were used in the control group, while the visible electric toothbrushes was used in the research group. Compared the efficacy of oral nursing between the two groups. Results The incidence rate of mouth odor, plaque index and oral infection in the research group were better than those of in the control group. Conclusions Using visible electric toothbrushes for trau-ma patients with oral endotracheal tube is a kind of effective and feasibility method, which should be devel-oped in the clinical field.
2.The Effect of Shift Rotation Directions on Work Mistakes and Circadian Rhythms of Urinary Na, K, Cl.
Journal of Korean Academy of Adult Nursing 1999;11(1):158-168
To develop optimal shift systems for an improvement of work schedule satisfaction, health and work productivity, the effects of the direction of the rotational work shifting on the circadian rhythm and adaptation of physiological components and work mistakes were investigated in nursing students. Two groups of seven volunteers participated as experimental subjects, apd seven to twenty nursing students participated as a control group. The directions of rotation work shift were as follows CW(clockwise)-shift system rotation in the direction of day shift(3 days), evening shift(3 days), off duty(l day) and night shift(5 days), and CCW (counterclockwise) -shift system rotation in the reverse direction. Urinary Na, K, and Cl levels were measured with ion-selective electrodes. The levels of performance were measured by a questionnaire to determine the number of mistakes in 12 specific items during duty. The disturbance of Na the circadian rhythm was seen on day and night shifts, especially in the CCW-rotation shift system, and the magnitude of the daily variation was greatest in the CCW-rotation system. The daily rhythms of K and Cl shifted to the right on the evening shift, and the rhythms were reversed on the night shift, which suggests that they adapted to the altered shift work. However, the levels of Cl were higher in day and night shift workers, especially in CCW-shift system. In the ease of urine salts, it seems that the students in CW-shift system more easily adapted to the altered shift. The incidence of mistakes during work were more frequent on the CCW shift than in the CW shift. These data indicate that the direction of rotation effects the worker's health and work performance. These results indicate that the CCW rotation of shift work makes it more difficult for the workers to adapt to the shift on a physiological level, and has many more negative effects on the shift workers' health when compared with the CW rotation. Thus, a clockwise rotating shift system seems to be more desirable for the optimal health and performance of nurses.
Appointments and Schedules
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Circadian Rhythm*
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Efficiency
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Humans
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Incidence
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Ion-Selective Electrodes
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Salts
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Students, Nursing
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Volunteers
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Surveys and Questionnaires
3.Suicide in Adolescents.
Journal of the Korean Medical Association 1997;40(10):1282-1287
No abstract available.
Adolescent*
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Humans
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Suicide*
4.Therapeutic effect of coronary artery stent implantation on acute myocardial infarction
Chinese Journal of cardiovascular Rehabilitation Medicine 2016;25(1):97-100
Objective:To explore therapeutic effect of coronary artery stent implantation (CASI) on acute myocardial infarction (AMI ) . Methods :According to voluntary choice , a total of 89 AMI patients were divided into drug thrombolysis group (n=44 ,received intravenous drug thrombolytic therapy) and CASI group (n=45 ,received CA‐SI treatment) .Therapeutic effect ,symptom relieving time after treatment ,hospitalization duration and left ventric‐ular ejection fraction (LVEF) were compared between two groups ;all patients were followed up for 1~3 years ,in‐cidence of death and cardiac events ,including re -occlusion ,severe heart failure and severe arrhythmias were ob‐served and compared between two groups .Results:Success rate of reperfusion of CASI group was significantly high‐er than that of drug thrombolysis group (91.11% vs .68.18% ) , P<0.05. Compared with drug thrombolysis group , there were significant rise in LVEF [(42.58 ± 13.10)% vs .(57.32 ± 18.61)% ] ,and significant reductions in symp‐tom relieving time [ (8.09 ± 8.31) h vs .(3.75 ± 3.58) h] and hospitalization duration [ (19.84 ± 8.15) d vs . (13.01 ± 5.40) d] in CASI group , P<0.01 all .During follow -up ,compared with drug thrombolysis group ,there were significant reductions in incidence rates of severe heart failure (18.18% vs .4.44% ) ,severe arrhythmias (22.73% vs .6.67% ) and death (6.82% vs .2.22% ) in CASI group , P<0.05 or <0.01.Conclusion:Coronary ar‐tery stent implantation possesses significant therapeutic effect on acute myocardial infarction ,it can significantly shorten hospitalization duration ,and its incidence rate of adverse cardiac events is significantly lower than that of drug thrombolysis ,which is worth extending .
5.Therapeutic Observation of Moxibustion plus Cupping for Trigeminal Neuralgia Due to Wind-cold
Shanghai Journal of Acupuncture and Moxibustion 2016;35(7):812-814
To observe the clinical efficacy of moxibustion plus cupping in treating trigeminal neuralgia due to wind-cold.Method Seventy patients with trigeminal neuralgia due to wind-cold were randomized into a treatment group and a control group, 35 cases in each group. The treatment group was intervened by moxibustion plus cupping, while the control group was by ordinary acupuncture. The Visual Analogue Scale (VAS) and other pain indexes were observed before treatment and after 2 treatment courses, and the clinical efficacies were compared.Result The total effective rate was 85.7% in the treatment group versus 57.1% in the control group, and the difference was statistically significant (P<0.05). The VAS scores were significantly changed after treatment in both groups (P<0.01). After treatment, the VAS score of the treatment group was significantly different from that of the control group (P<0.01). After intervention, the scores of pain range, pain intensity, pain duration, attack frequency, quality of life, affection, and global pain score in the treatment group were significantly different from that in the control group (P<0.05).Conclusion Moxibustion plus cupping is an effective approach in treating trigeminal neuralgia due to wind-cold.
6.Analysis of the changes of adhesion-related cytokines of the wound exudates after the hysteroscopy adhesion separation technique
Journal of Chinese Physician 2016;18(5):706-709
Objective To explore the change characteristics of platelet derived growth factor BB (PDGF-BB),transforming growth factor beta 1 (TGF-beta 1),and alkaline fibroblast factor (bFGF) of the wound exudates after the hysteroscopy adhesion separation technique.Methods Thirty two cases of intrauterine adhesions patients were selected who received the hysteroscopy adhesion separation technique from June 2014-June 2015 as the observation group,and 24 cases of hysteroscopy septum resection patients during the same period as the control group.PDGF-BB,TGF-beta 1,and bFGF of the wound exudates were measured with enzyme-linked immunosobent assay (ELISA) method at the postoperative 3,6,9,12,24,48,72 h.Results At the postoperative 3,6,9 and 12 h:PDGF-BB level of the observation group was (2.73 ± 0.72) ng/ml,(3.69 ± 0.74) ng/ml,(5.78 ± 0.82) ng/ml,and (5.94 ± 0.85) ng/ml,respectively;TGF-β1 level was (3.63 ±0.57) ng/ml,(9.89 ±0.95) ng/ml,(8.24 ±0.82) ng/ml,and (7.64 ±0.75) ng/ml,respectively;bFGF level was (20.23 ± 2.35) ng/ml,(92.46 ± 23.96) ng/ml,(387.84 ±76.63)ng/ml,and (1178.53 ± 127.95)ng/ml,respectively.PDGF-BB level of the control group was (2.52 ± 0.53) ng/ml,(2.63 ± 0.55) ng/ml,(4.72 ± 0.67) ng/ml,and (4.52 ± 0.61) ng/ml,respectively;TGF-β1 level was (3.07 ±0.59)ng/ml,(7.43 ±0.67) ng/ml,(5.43 ±0.57) ng/ml,and (4.68 ±O.77)ng/ml,respectively;bFGF level was (18.25 ±2.46) ng/ml,(81.49 ±20.18) ng/ml,(237.06 ±53.97) ng/ml,and (747.02 ± 107.73) ng/ml,respectively.The PDGF-BB,TGF-beta 1,and bFGF levels of two groups at the postoperative 3,6,9 h were risen quickly,and continued to the 72 h after surgery,the peak concentration of three indices of the observation group were higher than the control group,the difference had statistical significance (P < 0.05).Conclusions The levels of PDGF-BB,TGF-beta 1,and bFGF of the wound exudates were obviously increased after the hysteroscopy adhesion separation technique.
7.Investigation and analysis on status quo of grasping knowledge about palliative nursing of nurses in Shanghai
Chinese Journal of Practical Nursing 2015;31(18):1386-1390
Objective To investigate and analyse the status and influential factors of nurses' palliative care knowledge in Shanghai city.Methods Using cluster sampling method,a questionnaire survey using Palliative Care Quiz for Nursing (PCQN) was conducted on 973 nurses in 9 hospitals of Shanghai city.Results 939 nurses completed the survey whose scores were 8.88±2.51.The status quo of palliative care knowledge of Shanghai nurses were not very desirable.The scores of palliative care philosophy and principles and psychological,social and spiritual support were 0.376±0.009 and 0.310±0.008.The scores of knowledge of the pain and symptomcontrol was 0.496±0.005,which was better than the other two aspects.There were differences between dimension 1 and dimension 2,3 (t=-1 1.78,5.465,P<0.01),and also between dimension 2 and 3 (t=19.673,P<0.01).Conclusions Lacking of education and training,insufficient recognition of related institutions and the limit of traditional ideas caused the defect in the knowledge structure of palliative nursing.
8.Liver transverse groove right notch on the posterior Calot's triangle anatomic application in LC surgery
Chinese Journal of Primary Medicine and Pharmacy 2015;22(9):1376-1378
Objective To investigate the application of laparoscopic cholecystectomy(LC) in the liver,cross ditch right notch identification,prevention of bile duct injury anatomy of cystic duct.Methods 224 cases with liver transverse groove had right notch,all operations in the liver transverse groove right notch on the separation of anatomic posterior Calot's triangle LC operation.Results 224 cases of LC were performed smoothly,the entire group without the occurrence of bile duct injury,hemorrhage,conversion to open surgery,postoperative all patients recovered were well cured.Conclusion Liver transverse groove notch on the right posterior Calot's triangle anatomic helps to avoid LC operation structure and variation of extrahepatic bile duct,which can effectively prevent the biliary duct injury.
9.Better understanding retinal and choroidal vascular diseases with optical coherence tomography angiography
Chinese Journal of Ocular Fundus Diseases 2016;32(4):353-356
Optical coherence tomography angiography (OCTA) is a new and non-invasive imaging technique that is able to detect blood flow signal in the retina and the choroid within seconds.OCTA is different from the traditional angiography methods.The major advantages of OCTA are that it can observe blood flow signal in different layers of the retina and the choroid without injecting any dye,provide blood flow information that traditional angiography cannot provide,and enrich pathophysiological knowledge of the retinal and choroidal vascular diseases.,which help us to make an accurate diagnosis and efficient evaluation of these diseases.However there is a large upgrade potential either on OCTA technique itself or on clinical application of OCTA.We need to fully understand the advantage and disadvantage,and differences of OCTA and traditional angiography.We also need to know how to interpret the result of OCTA.With that we could make a fast diagnosis in a non-invasive way and improve our knowledge of the retinal and choroidal vascular diseases.
10.Advance of related adhesion molecule in homing of hematopoietic stem cell transplantation
Journal of Leukemia & Lymphoma 2011;20(9):571-573
Hematopoietic stem cell transplantation is the effective method with blood diseases, malignant tumor and some hereditary disease.In hematopoietic stem cell transplantation process,HS/PC homing to hematopoietic organization is the premise to reconstruct the hematopoietic function. Adhesion molecules(AM)on the HS/PC and HIM played a crucial role.This article related AM in transplanting hemopoietic stem cells homing mechanism reviewed the progress.