Objective: To analyze the chemical constituents of Morchella esculenta, and to determine the main activeingredient of it, so as to better control the quality of Morchella esculenta and promote the development and utilization of Morchella. Methods: The compounds were extracted and percolated by ethanol. The samples were separated using silicagel and identified by13C-NMR data. HPLC was used to assay the contents of 4-Hydroxybenzyl alcohol. Results: A totalof 5 compounds were isolated and their structures were identified as 11, 15, 19-trimethyl-5, 9-eicosadienoic acid, cis-13-Docosenoic acid&Erucic acid, 4-Hydroxybenzyl alcohol, Ergosta-5, 7, 22-triene-3β-ol and Mannitol. Conclusion: 4-Hydroxybenzyl alcohol was first isolated from the Morchella esculenta fruiting body, and HPLC method for thedetermination of 4-Hydroxybenzyl alcohol was established. The content of 4-Hydroxybenzyl alcohol were no less than0.40％. The determination method can be used for quality control of Morchella esculenta.

Objective:To investigate the status of disaster preparedness of pediatric nurses and its influencing factors, as well as the impact path of psychological capital and perceived organizational support on disaster preparedness.Methods:This was a cross-sectional study. A total of 361 pediatric nurses from Henan Provincial People ′s Hospital, the Third Affiliated Hospital of Zhengzhou University, Fuwai Central China Cardiovascular Hospital were sampled from August to October 2021. They were investigated by the general information questionnaire, psychological capital questionnaire, perceived organizational support questionnaire and disaster preparedness questionnaire. SPSS25.0 was used to analyze the questionnaire and scale data, and AMOS23.0 was used to construct a structural equation model about the disaster preparedness of pediatric nurses. Results:The scores of disaster preparedness from pediatric nurses was 4.65 ± 0.92. The level of disaster preparedness was significantly positively correlated with psychological capital and perceived organizational support ( r=0.690, 0.525, both P<0.05). Disaster training and emergency drill 2 dimensions of psychological capital questionnaire (hope, resilience), perceived organizational support were independent contributing factors ( P<0.05). Psychological capital had direct effect on disaster preparedness. And the direct effect was 0.77, the indirect effect was 0.11, the total effect was 0.88, and the direct effect of perceived organizational support on disaster preparedness was 0.21. Conclusions:The score of disaster preparedness of pediatric nurses was in the middle level. Hospital managers should strengthen the training of pediatric nurses in disaster knowledge, operational and simulation exercise, pay attention to the level of nurses' psychological capital and perceived organizational support, so as to provide reference for the follow-up clinical pediatric disaster nursing education and management.

Objective: To evaluate the association between the ratio of early diastolic transmitral velocity to early diastolic mitral annular velocity (E/E') and left atrial pressure (LAP) estimated from invasive catheter measurements in patients with atrial fibrillation (AF). Methods: A total of 46 consecutive patients with non-valvular AF and preserved left ventricular ejection fraction (LVEF) admitted in our department to receive the first radiofrequency ablation from May to July 2017 were included. All patients underwent echocardiography at 24-48 hours before radiofrequency ablation, and LAP was invasively measured during the ablation procedure. According to mean LAP, patients were divided into 2 groups of normal LAP (LAP≤12 mmHg(1 mmHg=0.133 kPa, n=31) and elevated LAP (LAP>12 mmHg, n=15). Linear correlation analysis was used to evaluate the relationship between E/E' and LAP. Results: E/E' correlated well with LAP (septal E/E' (E/E'_sep), r= 0.397, P=0.006; lateral E/E' (E/E'_lat), r=0.433, P=0.003; mean E/E' (E/E'_mean), r=0.431, P=0.003). Using receiver operating characteristic analysis, the optimal cut-off for E/E'_sep was 12.5 (sensitivity 73.3%, specificity 67.7%), E/E'_lat was 10.8 (sensitivity 80.0%, specificity 77.4%), E/E'_mean was 11.0 (sensitivity 86.7%, specificity 64.5%) to predict mean LAP>12 mmHg. Conclusion E/E', especially the E/E'_lat, is positively correlated with LAP in patients with AF and preserved LVEF, and may be used to estimate the diastolic function in AF patients with preserved LVEF.

Objective:To explore the current status and influencing factors of the physiological function of patients with chronic heart failure.Methods:From January to September 2020, convenience sampling was used to select 330 patients with chronic heart failure in Fuwai Central China Cardiovascular Hospital and Henan Provincial People's Hospital as the research object. The General Information Questionnaire, Patient-Reported Outcomes Instrument for Chronic Heart Failure (CHF-PRO) , and Self-Management Scale of Heart Failure Patients were used to conduct a cross-sectional survey.Results:A total of 330 questionnaires were distributed and 315 valid questionnaires were returned. The standardized score of self-reported physiological function of patients with chronic heart failure was (54.24±16.56) . The results of multiple linear regression analysis showed that the patient's age, occupational type, drinking history, heart function classification, number of complications, heart failure diagnosis time and self-management were the influencing factors of the physiological function of patients with chronic heart failure with a statistical difference ( P<0.05) , explaining 39.6% of the total variation. Conclusions:Patients with chronic heart failure based on the patient-reported outcomes have low levels of physiological function.Clinical nursing staff should give personalized intervention guidance based on the patient's demographic and disease characteristics, so as to improve the patient's physiological function and long-term prognosis.