OBJECTIVE To discuss the effect of the different methods on the surface disinfection after the non-infected surgery.METHODS The surface of the objects in the operating room after non-infected surgery was monitored which were divided randomly into group A(n:30) and group B(n:30).The samples of group A which wiping with water and of group B which spraying with Dian′er Kang spray disinfectant were collected.RESULTS After using water to wipe the surface of the surgery mattress,the body position mattress,the arm-support,the instrument table,and the standing stool,the numbers of the fall bacteria were(8.96?3.41),(6.87?2.39),(5.75?2.30),(6.80?2.31) and(7.94?3.40)CFU/cm2,respectively.After the method of spraying by Dian′er Kang spray disinfectant,the numbers were(0.56?1.22),(0.65?1.96),(0.50?1.20),(0.70?1.51) and(0.75?1.30)CFU/cm2.There was statistically significant difference between them(P

Objective To analyze the present situation of the dental instrument cleaning and disinfection in Hainan province and to explore the management mode of dental instrument cleaning and disinfection which is suitable for the provincial situation .Meth-ods By adopting the stratified random sampling method according to the hospital grades ,24 hospitals in Hainan province were per-formed the questionnaire survey on the cleaning mode of oral instruments ,layout of cleaning and disinfection room ,cleaning method and facilities ,protection measures and training of cleaning staff .Results 14 hospitals (58 .33% ) had the sterilization and supply center for conducting the centralized processing on the dental instruments .The tertiary hospitals and the second-grade hospitals had the independent cleaning and disinfection rooms with the rational layout and professional cleaning staff ;the safeguard facilities had the application in place ,the training of the related cleaning and disinfection work and the cleaning process conformed the require-ment of the standards .Among 10 first-grade and below hospitals ,only 1 hospital(10 .00% ) had the rational layout of cleaning and disinfection rooms ;3 hospitals(30 .00% ) had the professional cleaning staff ;the related training of the cleaning staff was not basi-cally carried out and the safeguard was not in place ,most of the cleaning and disinfection instruments and the cleaning process were not in accordance with the requirements .The qualification rates of instruments cleaning and disinfection in different grades of hospi-tals by the ATP bioluminescence assay were 100 .00% ,90 .00% and 80 .00% .Conclusion The existing problems are general and prominent in the hospitals of the first-grade and below .It is suggested that the regionalized disinfection and supply management mode is implemented for maximally realizing the optimized resource configuration in the disinfection and supply center .

OBJECTIVETo investigate the role of phospholipid transfer protein (PLTP) in cigarette smoke extract (CSE)-induced apoptosis of rat alveolar type II cells (RLE-6TN) in vitro.

METHODSRat alveolar epithelial cell line RLE-6TN were transfected with a small interfering RNA (siRNA) targeting PLTP prior to exposure to different concentrations of CSE for 24 or 48 h. The morphological changes of the apoptotic cells were observed by fluorescence microscopy with Hochest staining, and the cell apoptosis rate was measured with flow cytometry. The expression level of PLTP and caspase-3 activity in the cells were examined with Western blotting.

RESULTSExposure to CSE significantly increased the cell apoptosis rate from (1.68∓0.098)% to (18.663∓0.964)% (P<0.001). Hoechst staining revealed distinct apoptotic changes in CSE-treated cells, which showed increased PLTP expression and caspase-3 activity. PLTP knockdown with the specific siRNA partly suppressed the SCE-induced enhancement of caspase-3 activity in the cells.

CONCLUSIONPLTP may play a role in CSE-induced apoptosis of rat alveolar cells in vitro.

Animals ; Apoptosis ; Caspase 3 ; metabolism ; Cell Line ; Epithelial Cells ; cytology ; Phospholipid Transfer Proteins ; metabolism ; RNA, Small Interfering ; Rats ; Smoke ; adverse effects ; Tobacco ; adverse effects

Objective To investigate the role of phospholipid transfer protein (PLTP) in cigarette smoke extract (CSE)-induced apoptosis of rat alveolar type II cells (RLE-6TN) in vitro. Methods Rat alveolar epithelial cell line RLE-6TN were transfected with a small interfering RNA (siRNA) targeting PLTP prior to exposure to different concentrations of CSE for 24 or 48 h. The morphological changes of the apoptotic cells were observed by fluorescence microscopy with Hochest staining, and the cell apoptosis rate was measured with flow cytometry. The expression level of PLTP and caspase-3 activity in the cells were examined with Western blotting. Results Exposure to CSE significantly increased the cell apoptosis rate from (1.68±0.098)%to (18.663 ± 0.964)%(P<0.001). Hoechst staining revealed distinct apoptotic changes in CSE-treated cells, which showed increased PLTP expression and caspase-3 activity. PLTP knockdown with the specific siRNA partly suppressed the SCE-induced enhanc-ement of caspase-3 activity in the cells. Conclusion PLTP may play a role in CSE-induced apoptosis of rat alveolar cells in vitro.

Objective To investigate the role of phospholipid transfer protein (PLTP) in cigarette smoke extract (CSE)-induced apoptosis of rat alveolar type II cells (RLE-6TN) in vitro. Methods Rat alveolar epithelial cell line RLE-6TN were transfected with a small interfering RNA (siRNA) targeting PLTP prior to exposure to different concentrations of CSE for 24 or 48 h. The morphological changes of the apoptotic cells were observed by fluorescence microscopy with Hochest staining, and the cell apoptosis rate was measured with flow cytometry. The expression level of PLTP and caspase-3 activity in the cells were examined with Western blotting. Results Exposure to CSE significantly increased the cell apoptosis rate from (1.68±0.098)%to (18.663 ± 0.964)%(P<0.001). Hoechst staining revealed distinct apoptotic changes in CSE-treated cells, which showed increased PLTP expression and caspase-3 activity. PLTP knockdown with the specific siRNA partly suppressed the SCE-induced enhanc-ement of caspase-3 activity in the cells. Conclusion PLTP may play a role in CSE-induced apoptosis of rat alveolar cells in vitro.

Objective To develop an independent surgical pressure injury risk assessment scale in elec-tive adult surgery patients.Methods Items were collected by comprehensive literature search,clinical case analy-sis and interviewing clinical medical staff,and screened by scoring method to gain an initial test scale. Using the initial test scale for two round of Delphi methods consulted by the experts and then the experts pre-investigated of 103 elective adult surgery patients.Each scale items were tested and selected by Delphi method,data integrity,re-sponse's distribution,variance analysis,correlation coefficient method,factor analysis method and the Krone Bach coefficient method to form the scale. Results The final scale were composed of 16 items such as gender, body mass index,anesthesia mode and operative position.Conclusion The final scale screened by subjective and objective methods is accurate,independent and operable,and it can accurately predict the risk of pressure injury in elective adult surgery patients,guide nursing measures and reduce the incidence of pressure injury effectively.

Objective: Cardiac magnetic resonance (CMR) is a diagnostic tool that provides precise and reproducible information about cardiac structure, function, and tissue characterization, aiding in the monitoring of chemotherapy response in patients with lightchain cardiac amyloidosis (AL-CA). This study aimed to evaluate the feasibility of CMR in monitoring responses to chemotherapy in patients with AL-CA. Materials and Methods: In this prospective study, we enrolled 111 patients with AL-CA (50.5% male; median age, 54 [interquartile range, 49–63] years). Patients underwent longitudinal monitoring using biomarkers and CMR imaging. At followup after chemotherapy, patients were categorized into superior and inferior response groups based on their hematological and cardiac laboratory responses to chemotherapy. Changes in CMR findings across therapies and differences between response groups were analyzed. Results: Following chemotherapy (before vs. after), there were significant increases in myocardial T2 (43.6 ± 3.5 ms vs. 44.6 ± 4.1 ms; P = 0.008), recovery in right ventricular (RV) longitudinal strain (median of -9.6% vs. -11.7%; P = 0.031), and decrease in RV extracellular volume fraction (ECV) (median of 53.9% vs. 51.6%; P = 0.048). These changes were more pronounced in the superior-response group. Patients with superior cardiac laboratory response showed significantly greater reductions in RV ECV (-2.9% [interquartile range, -8.7%–1.1%] vs. 1.7% [-5.5%–7.1%]; P = 0.017) and left ventricular ECV (-2.0% [-6.0%–1.3%] vs. 2.0% [-3.0%–5.0%]; P = 0.01) compared with those with inferior response. Conclusion Cardiac amyloid deposition can regress following chemotherapy in patients with AL-CA, particularly showing more prominent regression, possibly earlier, in the RV. CMR emerges as an effective tool for monitoring associated tissue characteristics and ventricular functional recovery in patients with AL-CA undergoing chemotherapy, thereby supporting its utility in treatment response assessment.