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.

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 ; Circadian Rhythm* ; Efficiency ; Humans ; Incidence ; Ion-Selective Electrodes ; Salts ; Students, Nursing ; Volunteers ; Surveys and Questionnaires

No abstract available.
Adolescent* ; Humans ; Suicide*

Child ; Hematuria ; diagnosis ; Humans

Brain metastases from lung cancer is a significant cause of morbidity and mortality,whichis lack of effective treatment.Because chemotherapeutic drugs are thought to not cross the blood-brain barrier(BBB), the role of chemotherapy in the treatment of brain metastases remains controversial. For yearsradiotherapy has been the standard treatment for brain metastases.However, recent studies have confirmedthat the BBB in patients with brain metastases tumors are broken down.At the same time,researchers havefound some new methods for chemotherapeutic drugs to reach the brain metastases.Chemotherapy will play amore and more active role in the treatment of brain metastases tumors.

Objective To investigate the mechanism of Thapsigargin in the proliferation of SW480 and provide experimental basis for development of anti-signaling therapy for patients with colon cancer by detection of intracellular calcium concentration in Thapsigargininduced human colon cell line SW480,.Methods Level of[Ca2+]was measured by fluorescence measurement with fura-2/AM,a fluorescent index of calcium.The suppression rate of SW480 cells was calculated by MTY assay.Results Thapsigargin promoted the levels of [Ca2+]from(133.26±5.17,197.46±4.62)to(436.63±5.21,766.41±3.12),and increased the suppression rate from(10.67±5.28)to(31.46±7.21).When W7 Was combined used with Thapsigargin,no significant changes were found in the levels of[Ca2+]and increment of the suppression rate.Condusion Thapsigargin might promote the proliferation of SW480 cells and lead to apoptosis.but the signaling pathway still remain to he studied.

Objective To get the message of master, attitudes and clinical implementation of ICU nurses about clearing the secretion on airbag in patients with mechanical ventilation. Methods Using the method of questionnaires and simple sampling, 85 questionnaires were issued to ICU nurses of four general hospitals in our city.and survey results were analyzed. Results The score had significant difference among ICU nurses with different ages,titles and departments,but no difference among nursing staff with different educational background,There were not enough knowledge and not positive attitudes and atmosphere in nurses about clearing the secretion on airbag for patients with mechanical ventilation. Conclusions Knowledge of management of clearing the secretion on airbag should be popularized, standardized training to nurses should be strengthened,these are the important methods to increase the cognitive degree on secretion on airbag. The accreditation of ICU nurses should be practicedjiurses should work with certificates and quality of care for artificial airway should be ensured. A unified,scientific nursing practice standard and process to clear the secretion on airbag should be established.

Objective To observe the effect of potassium sodium dehydroandrographolide succinate for injection (PSDS)combining with smecta enema treatment on children with autumn diarrhea.Methods 102 children patients with autumn diarrhea were selected and divided into the control group,the PSDS group and the combination group with 34 patients in each group.The control group received symptomatic supportive treatment,based upon this,the PSDS group received PSDS,and the combination group adopted PSDS and smecta enema treatment.The treatment effect was compared between the three groups.Results The effect of the PSDS group and the combination group was better than the control group,the effect of the combination group was better than the PSDS group.Conclusions Combination of PSDS with smecta enema treatment for children with autumn diarrhea has significant effect,but enough attention should be paid to peri-anal nursing.

The paper presented the motivation,progress and roadblocks for venture capital to play a role in private medical institutions during the ongoing health reform.The author raised policy suggestions to introduce venture capital into private medical institutions,from such points as laws and regulations,establishment of state-owned venture capital firms,building of exit channels,establishment of managed healthcare market,and development of VC talents for healthcare industry.

Objective To develop a medicated trachea cannnla pad which can keep the skin around incision of trachea desiccant, prevent and treat infection of incisional wound effectively. Methods Ac-cording to the manufacture and feature of 3L paste dressing,high-grade wadding,cloth,abeorbent cotton anddrug were made into medicated trachea eannnla pad and used in clinic. 72 conscious patients underwenttracheotomy were randomly divided into the observation group and the control group (36 cases in eachgroup). The disposable medicated trachea cannula pad was used in the observation group. In the controlgroup, sheared asepsis gauze was used only. Bacterial culture from the incision of trachea region and localincision was inspected on the third day,the sixth day and the tenth day after tracheotomy.Furthermore thesatisfaction degree of patients was also compared. Results The positive rate of bacterial culture in theobservation group was significantly lower than that in the control group; the local infection in the observa-tion group was significantly reduced than that in the control group; compared with the control group, thesatisfaction degree in the observation group was also more high (P < 0.01). Conclusions The methodprotecting the incision of trachea with the disposable medicated trachea cannnla pad can be operated easily.It not only can keep the skin around incision of trachea desiccant, improve patients" comfort, but also canprotect and treat infection of incisional wound effectively, reduce infection, promote rehabilitation, decreaselength of hospital stay and expense. So it deserves to be generalized in clinic.