1.Clinical Study on the Time-effectiveness of Acupuncture in Treating Hypertensive Intracerebral Hemorrhage
Shanghai Journal of Acupuncture and Moxibustion 2016;35(6):666-669
Objective To explore the time-effectiveness of acupuncture in treating hypertensive intracerebral hemorrhage (HICH), and to find the best intervention time of acupuncture. Method The eligible HICH patients were randomized into a 2 d acupuncture group, a 7 d acupuncture group, and a 14 d acupuncture group. The National Institute of Health Stroke Scale (NIHSS) and Barthel Index (BI) were adopted for evaluation, and the clinical efficacies of acupuncture intervened at different time points for HICH were observed. Result The treatment efficacy of the 2 d acupuncture was better than that of the 7 d acupuncture group(P<0.05), and the treatment efficacy of the 7 d acupuncture group was better than that of the 14 d acupuncture group(P<0.05). There were no significant between-group differences in comparing the security indexes. Conclusion Acupuncture is safe and effective in treating HICH, and its efficacy is related to the intervention time, the earlier the better.
2.Analysis of Nursing Diagnosis about 175 Cases of Stroke Patients
Chinese Journal of Practical Nursing 2001;17(5):8-10
The holistic nursing care which central is “nursing procedure” require nurse to find the health problems of patients and solve them.But in professional nursing,it is urgent and generates that how to master and give correctly nursing diagnosis.In this article,we sum up and analysis 542 cases of the nursing diagnosis about 175 stroke patients.Then give the trend of centralized distribution and limitation about diagnosis.After it,we give the way to solve them.
3.Medical Ethical Analysis of Management Mode of Correspondence of Potencyscale- Taking the Department of Neurology as an Example
Xiaoling LIU ; Jingyan LI ; Yulian ZHANG
Chinese Medical Ethics 2016;29(5):824-826
Objective:To explore the effect of management mode of correspondence of potencyscale on impro-ving the nurses′job satisfaction and patient satisfaction in the department of neurology and analyze the medical eth-ics. Methods:We selected 37 nurses in the department of neurology. From July 2013 to March 2014, they were provided with the traditional management mode, whereas from March 2014 to June 2015 with management mode of correspondence of potencyscale. The questionnaire survey was conducted to measure the job satisfaction of nurses and the satisfaction degree of patients. Results:After the implementation of management mode of correspondence of potencyscale, the research indexes were significantly higher than before. Conclusion:The management mode of correspondence of potencyscale can improve the nursing staff′s work enthusiasm, patient satisfaction, and the quali-ty of care. Meanwhile, it is the specific practice of nursing ethics.
4.Effects of intravenous anesthetics on the phagocytosis of human neutrophils
Yulian LIU ; Zuoran ZHANG ; Jing LIU
Chinese Journal of Anesthesiology 1994;0(04):-
The effects of intravenous anesthetics on phagocytosis of human neutrophils were observed in vitro. 1?10~6/ml of neutrophils, isolated from heparinized venous blood of healthy human,was mixed at equivalent volume with normal saline (as control), four different concentrations (clinical doses) of droperidoI, midazolam, fentanyl,etomidate or sodium hydroxybutyrate respectively. All mixtures were incubated in each of four 24-pore culture plates. The equivalent volumes of staphylococci 6~9?10~9/ml were added to these mixtures, 10 mins, 30 mins, 2hs or 24hs after incubation individually. The successive incubations lasted 45 mins,and the neutrophil phagoeytosis rate (NPR) was calculated. The results showed that NPR was correlated negatively with the concentration of each anesthetic mentioned above. but was related to its acting-duration. It is demonstrated that these intravenous anesthetics may reduce the phagoeytosis of neutrophils in a dose-related way,therefore we suggest that antibiotics or antineoplastics should be used in combination with these anesthetics during operation.
5.Indoor Air Pollution Caused by Smoking
Yulian CHEN ; Jialin TANG ; Minhui ZHANG
Journal of Environment and Health 2007;0(12):-
Objective To understand the indoor air pollution caused by smoking and the influencing factors.Methods On the different time after and before smoking,the concentrations of carbon monoxide(CO),inhalabe particle(IP),formaldehyde,total volatile organic compounds(TVOC) in the air in an office were determined,the influence factors such as ventilated conditions and the number of smokers were investigated.Results When the windows and doors were closed,the concentrations of indoor air pollutants at the different time after smoking in the office were obviously higher than those without smoking,and formaldehyde and TVOC still exceeded the standard limit after 3 hours.When the windows and doors were opened,the concentrations of indoor air pollutants after smoking increased obviously,but decreased to the level of no smoking about 30 minutes later.When the windows and doors were opened,the peak values of the indoor air pollutants resulted by smoking were obviously lower than those when the windows and doors were closed.The peak values of the pollutants were positively related to the number of smokers. Conclusion Indoor air pollution caused by smoking is serious.Ventilation can reduce the indoor air pollution effectively.
6.Nosocomial Infection in 428 Cases with Cerebral Stroke:Properties and Nursing Care
Yulian ZHANG ; Ruqin HUANG ; Jianmin GAO
Chinese Journal of Nosocomiology 2006;0(06):-
OBJECTIVE To investigate the properties of nosocomial infections among acute stroke victims,analyze the risk factors associated with these infections,and find out effective methods of care and management.METHODS Between Jan 2003 to Dec 2006,428 cases of stroke victims were studied to analyze the special properties and risk factors related to hospital infections among them.RESULTS Their nosocomial infection rate was 8.93%,repetitive infection rate was 9.41%,and the top five infected sites were the lower respiratory tract,digestive tract,urinary tract,upper respiratory tract and skin,with their respective rates as 47.66%,17.76%,15.19%,9.81%and 6.31%.The occurrence of hospital infections was associated with stroke as well as the quality of the nursing care process,invasive procedures,duration of stay in the hospital,dietary conditions,etc.CONCLUSIONS Nosocomial infection is still a high frequent complication in cerebral stroke and those related factors should be paid attention.To effectively decrease nosocomial infections related to stroke,it is necessary to improve nursing care and supervision as well as control over the quality of care.
7.Construction and regulated expression of mouse TGF-?1 recombinant adenovirus vector
Yan ZHANG ; Yulian XU ; Qian SHEN
Chinese Journal of Pathophysiology 1989;0(06):-
AIM: To construct a recombinant adenovirus vector which regulated expression of mouse transforming growth factor beta (TGF-?1). METHODS: Total RNA was extracted from Balb/c mice spleen pre-treated with Con A to clone TGF-?1. pTRE-shuttle vector was used as mediator to ligate TGF-?1 gene and the backbone of the replication-incompetent adenoviral vector. The constructed recombinant adenovirus contains tetracycline-responsive element which can regulate the expression of inserted genes. Identifying the desired recombinant adenovirus, it was packaged in HEK 293 cells. Supernatant of high titer adenovirus was collected to detect the TGF-?1 gene expression by ELISA kit. RESULTS: The constructed recombinant adenovirus had been identified by restriction endonucleases cutting, sequencing and PCR. In the supernatant of infected cells, it expressed the mice TGF-?1 in high concentration to 91.16 ng/L. CONCLUSION: The mice TGF-?1 recombinant adenovirus has been built which make a basis for further research and use in gene therapy.
8.Protective effects of 4-phenyl butyrate acid on the heart function of diabetic rats
Yulian HE ; Yan XIONG ; Mei ZHANG
Chinese Pharmacological Bulletin 2014;(8):1137-1141
Aim Tostudytheeffectof4-phenlybuty-rate acid(4-PBA) on the heart function of diabetic rats and to explore its underlying mechanism. Methods MaleSprague-Dawley(SD)ratsweredividedintothree groups randomly: ( 1 ) control rats;( 2 ) diabetic rats;(3) 4-PBA treated diabetic rats. Type 1 diabetic mod-el was induced by single intraperitoneal injection of strepotozotocin (60 mg·kg-1 ) . After five weeks dia-betic model was established, diabetic rats were treated with 4-PBA by P. O at the dose of 1 g·kg-1 per day for 20 weeks. At the end of the experiment, hemody-namics of the left ventricle and main artery were detec-ted through right carotid artery cannulation in rats. The level of blood glucose, the activity of superoxide dis-mutase( SOD) and nitric oxide synthetase ( NOS) and the content of malondialdehyde ( MDA ) and nitric ox-ide( NO) of serum and myocardial tissue in rats were measuredbycolorimetry.Results Thetreatmentof4-PBA had no effect on blood glucose, the weight of body and heart, but slightly increased systolic and diastolic pressure of artery, heart rate, systolic pressure of left ventricular, maximum increase rate and minimum de-crease rate of left ventricular pressure( ± dp/dt) in di-abetic rats. It also slightly decreased diastolic pressure of left ventricular, shortened diastolic duration of left ventricular ( P > 0. 05 ) . Moreover, it significantly shortened relaxation time of left ventricular in diabetic rats (P<0. 05). In addition, the treatment of 4-PBA obviously enhanced the activity of SOD and NOS, NO content, and reduced the content of MDA in serum and heartofdiabeticrats(P<0.05).Conclusion 4-PBA has a potential protective effect on heart function in diabetic rats, which is achieved by ameliorating he-modynamics and significantly improving diastolic dys-function in diabetic rats. The underlying mechanism may be related to the inhibition of oxidative stress and promoting the genesis of NO in myocardial tissue.
9.Training students for translation skills of medical English
Shengqu LIN ; Shuxu ZHANG ; Yulian RUAN
Chinese Journal of Medical Education Research 2003;0(04):-
Medical translation is not onlya kind of transmission of medical information but also mutual communication in culture. It is absolutely necessary to train medical students for the translation skills of medical English. This paper has exemplified training on how to deal with medical terms,phrases,texts as well as culture when translating,which is of some importance for the education of medical students.
10.Vague expression and its translation in medical English
Shengqu LIN ; Yulian RUAN ; Shuxu ZHANG
Chinese Journal of Medical Education Research 2012;11(1):89-93
In real life,vague expression is ubiquitous in any nation and any language.Medical English,as a branch of English for Science and Technology ( EST ),is typical in accuracy of word use.However,like other kind of language,it adopts vague expression,too.Vague expression plays an important role in medical practice.In communication of medical practitioners and patients,appropriate vague expression will improve language expression and communication efficiency.In medical English,the vague words that express approximate,presuming,or uncertain meaning are usually used to replace the exact meaning words.The correspondent translation methods such as literal translation,meaning translation,specialization etc can be used according to the different context.