1.Study of professional nursing training in promoting nurses' humanistic quality
Fengying XI ; Guihua YANG ; Zongxia CHANG ; Wei YUAN
Chinese Journal of Practical Nursing 2010;26(30):38-39
Objective To integrate nurses' humanistic quality into professional nursing training, in order to improve humanistic quality and nursing quality. Methods Nurses with working years within 6 years in our hospital were chosen from May, 2009 to May, 2010. And through non-professional reading, specified materials reading, multimedia lectures, particularly the refining and essence of reading reports, humanities knowledge and humanistic care consciousness was melted into personal morality, words, deeds and cultivation. Investigation about satisfaction degree was carried out among patients before and after the training. Results Satisfaction degree of patients increased after training, so did the satisfaction degree of nurses to reading reports. Conclusions To integrate nurses' humanistic quality into professional nursing training can improve humanistic quality of nurses and nursing quality. Nurses' professional image will be increasingly standard, overall quality and service quality can be improved, and thought of dedicated service for patients will be consolidated.
2.The expression of heat shock 27 000 associated protein 1 in the brains of drug-refractory epilepsy
Jijun SUN ; Lifeng GUAN ; Xuefeng WANG ; Zhiqin XI ; Jinmei LI ; Yun GONG ; Fengying LIU ; Yuan WU ; Hui YANG ; Jianguo ZHANG ; Yuping WANG ; Yunlin LI ; Yong LU ; Hongwei LI
Chinese Journal of Neurology 2005;0(08):-
Objective To study the expression of heat shock 27 000 associated protein 1 ( HSPBAP1, GenBank: AK096705) in the brain tissues of patients with drug-refractory epilepsy and discuss its function in the pathogenesis. Methods Fluorescent quantitative polymerase chain reaction ( FQ-PCR) and immunohistochemistry were used to test the expression of HSPBAP1 in the surgically removed brain tissues of patients with drug-refractory epilepsy from the brain bank of our department ( n = 36) , and the results were compared with that of normal controls (n = 8 ). Results The relative expression of HSPBAP1 mRNA in the brains of patients with drug-refractory epilepsy was more than 34. 11 times that of controls, and HSPBAP1 protein expression was significantly increased in temporal lobe cortex (0. 0507?0. 0003, P
3.Prevalence of deep venous thrombosis in burn patients and its influencing factors
Fengying GAO ; Yaofeng XI ; Mingxia ZHENG ; Fen QIAO
Chinese Journal of Burns 2016;32(3):176-180
Objective To investigate the prevalence of deep venous thrombosis (DVT) in burn patients,and to explore its influencing factors.Methods Clinical data of 2 506 burn patients admitted to our ward from January 2009 to January 2014,conforming to the study criteria,were retrospectively analyzed.Patients were divided into DVT group (n =26) and non-DVT group (n =2 480) according to whether or not DVT occurred during hospitalization.The incidence of DVT was calculated.The diagnosis time and type of DVT were recorded.The data of gender,age,depth of burn,total burn area,location of injury,cause of injury,infection of wound,venous transfusion of fluid (hypertonic solution and blood),location of intravenous catheterization,skin grafting,timing of first skin grafting after injury,D-dimer,bedridden duration after injury among patients between two groups were compared with chi-square test and Wilcoxon test.Indexes with statistically significant differences between two groups were selected,and they were processed with multivariate logistic stepwise regression analysis to screen the independent risk factors of DVT.Results (1) The incidence of DVT was 1.04% (26/2 506).The diagnosis time of DVT was 16-62(40 ± 12)d,and patients diagnosed as having DVT after the 20th day post injury accounted for 92.3% (24/26).All DVT occurred in lower limbs,with 1 case of central type,24 cases of peripheral type,and 1 case of mixed type.(2) There were no statistically significant differences in gender,location of injury (upper limbs,trunk,head and face),cause of injury,jugular vein catheterization,skin grafting,and timing of first skin grafting after injury among patients between two groups (withx 2 values from 1.853 to 3.742,Z =3.342,P values above 0.05).There were statistically significant differences in age,depth of burn,total burn area,burn in lower limbs,infection of wound,venous transfusion of hypertonic solution and blood,femoral vein and subclavian vein catheterization,D-dimer,and bedridden duration after injury among patients between two groups (with x2 values from 4.569 to 11.324,Zvalues respectively 7.357 and 7.012,P <0.05 orP <0.01).(3) Age,total burn area,burn in lower limbs,infection of wound,and D-dimer were the independent risk factors of DVT (with odds ratio respectively 2.904,2.655,3.574,2.786,3.142,95% confidence interval respectively 1.504-7.652,1.368-6.594,1.958-8.511,1.459-7.001,1.922-8.062,P values below 0.05).Conclusions The incidence of DVT in burn patients is relatively low;it is diagnosed after the 20th day post injury in most patients,and the overwhelming majority is the peripheral type.Age,total burn area,burn in lower limbs,infection of wound,and D-dimer are the independent risk factors of DVT in burn patients,with which its occurrence could be predicted.
4.Overexpression of extracelluar signal regulated protein kinase in the temporal lobe of human drug-resistant epilepsy
Zhiqin XI ; Xuefeng WANG ; Yuan WU ; Jijun SUN ; Xi ZHU ; Fei XIAO ; Jinmei LI ; Lifeng GUAN ; Yun GONG ; Fengying LIU ; Yong YAN ; Zhenli GUO ; Guoming LUAN ; Jianguo ZHANG ; Yuping WANG
Chinese Journal of Neurology 2005;0(10):-
Objective To investigate expression of extracelluar signal regulated protein kinase(ERK)and phosphorylation ERK(p-ERK)in the temporal lobe from patients with DR-TLE so as to explore the possible roles of ERK in the pathogenesis of DR-TLE.Methods Expression of ERK was detected with Western blot and immunohistochemistry in 32 patients with DR-TLE(24 temporal lobe,8 hippocampi),as compared with 12 controls(9 temporal lobe,3 hippocampi).Results ERK and p-ERK expression in DR-TLE was significantly higher(0.2266?0.0613,0.2097?0.0183 and 0.1924?0.0054,respectively)than those of controls(0.1840?0.0023,0.1974?0.0056 and 0.1825?0.0063,respectively,all P
5.Expression of cyclin dependent kinases-5 in the temporal lobes of the drug resistance epilepsy patients
Zhi-Qin XI ; Xue-Feng WANG ; Zhen-Li GUO ; Xian-Jun KE ; Ji-Jun SUN ; Yuan WU ; Jin-Mei LI ; Fei XIAO ; Xi ZHU ; Li-Feng GUAN ; Yun GONG ; Fengying LIU ; Guoming LUAN ; Jianguo ZHANG ; Yuping WANG ;
Chinese Journal of Neurology 2000;0(05):-
Objective To investigate the expression of cyclin dependent kinases 5(CDK5)in the temporal lobes of the epilepsy patients and to explore the possible roles of CDK5 in the pathogenesis of refractory epilepsy.Methods The brain tissues of intractable epilepsy(IE)were studied by fluorescence quantative polymerase chain reaction(FQ-PCR)for CDK5 mRNA,while immunohistochemistry and Western blot were used to study the protein expression.Nonepileptogenic control brain tissues were used for comparison.Results FQ-PCR analysis showed that the expression of CDK5 mRNA in epilepsy patients was significant higher than those in the control group.And immunohistochemistry showed that the protein mainly existed in the neuron and glial.At the 35000 relative molecular mass,Western blot could been seen that there is a limpid strap.The optical density of CDK5 in IE(temporal lobe 1.4293?0.1839,hippocampus 2.0733?0.4738)was significantly higher than that in the control(temporal lobe 0.9680?0.4147, hippocampus 1.4030?0.6160,P
6.Influencing factors of all-cause death among patients with acute myocardial infarction complicated with renal insufficiency by nomogram
Jianbin LI ; Xiaofeng HAN ; Fengying HU ; Jing LIU ; Rong LI ; Xi GUO
Chinese Journal of Thoracic and Cardiovascular Surgery 2022;38(11):665-672
Objective:To explore the influencing factors of all-cause death in patients with acute myocardial infarction (AMI) and renal insufficiency(RI), and establish a clinical prediction tool.Methods:Collected 727 patients who were hospitalized in Beijing Anzhen Hospital from January 1st 2014 to April 31th 2019, and diagnosed as AMI with RI. Recorded the patients' baseline characteristics, past medical history, current complications, laboratory and auxiliary examination results, treatment methods (included target vessel reconstruction methods, medications, etc.), and follow-up patients for all-cause deaths. Firstly, multivariate Cox regression analysis was used to construct the model in the training set(485 cases). Secondly, the receiver operating characteristic curve ( ROC), calibration curve and clinical decision curve analysis (DCA) were drawn in the validation set(242 cases) to further verify the effect of the prediction model. Finally, a nomogram was developed based on the verified risk factors. Results:Multivariate Cox regression analysis found that there were nine predictors for the prognosis of all-cause death in patients with AMI & RI, the dangerous factors included women, comorbidities, high direct bilirubin, cardiogenic shock, respiratory failure, co-infection and hemofiltration; the protective factors included PCI and taking aspirin. Model evaluation results showed that the AUC of the validation set was 0.82; the calibration line was close to the ideal calibration line, and the slope≈1, the intercept≈0, and the fitting effect was good. Clinical decision-making when the all-cause mortality rate was 35%, the net benefit of active intervention patients based on the Cox model was 38%. A visual nomogram model was developed based on the prognostic risk factors that have been evaluated and predicted to be good. Conclusion:Women, with a history of comorbidities, direct high bilirubin, combined with cardiogenic shock, combined with respiratory failure, combined infection, hemofiltration, PCI and taking aspirin, these nine factors will affect all causes of AMI & RI. For the probability of death, the model developed in this research has high accuracy.