Objective To analyze the effect of holistic nursing care model on disease control and fetal outcomes in pregnant women with hypertension.Methods A total of 120 pregnant women with hypertension in our hospital were selected and divided into observation group and control group,patients in the control group received routine nursing,and the observation group received whole nursing mode on the basis of routine nursing,and the disease control degree and fetal outcomes of the two groups were compared and analyzed.Results The difference between two groups in systolic pressure,diastolic pressure and mean arterial pressure before nursing showed no significant difference (P ＞ 0.05);After nursing,blood pressure of two groups was significantly improved than nursing before,but improvement degree of systolic blood pressure,diastolic pressure and mean arterial pressure in the observation group was significantly better than that in the control group,and the difference was statistically significant (P ＜ 0.05).The SAS and SDS scores of two groups were improved after nursing,and the observation group improved more,the differences were statistically significant (P ＜ 0.05).Eclampsia,uterine atony,fetal distress,cesarean section,postpartum hemorrhage in the observation group were lower than that in the control group,and the difference was statistically significant (P ＜ 0.05).There was no significant difference between two groups in the incidence of placental abruption and perinatal mortality (P ＞ 0.05).Neonatal Apgar score,incidence rate of fetal distress and neonatal asphyxia in the observation group were better than of the control group,the difference was statistically significant (P ＜ 0.05).Conclusion Holistic nursing can effectively improve blood pressure in the pregnancy with hypertension,reduce the incidence of adverse fetal outcomes.

Objective To analyze the effect of holistic nursing care model on disease control and fetal outcomes in pregnant women with hypertension.Methods A total of 120 pregnant women with hypertension in our hospital were selected and divided into observation group and control group,patients in the control group received routine nursing,and the observation group received whole nursing mode on the basis of routine nursing,and the disease control degree and fetal outcomes of the two groups were compared and analyzed.Results The difference between two groups in systolic pressure,diastolic pressure and mean arterial pressure before nursing showed no significant difference (P ＞ 0.05);After nursing,blood pressure of two groups was significantly improved than nursing before,but improvement degree of systolic blood pressure,diastolic pressure and mean arterial pressure in the observation group was significantly better than that in the control group,and the difference was statistically significant (P ＜ 0.05).The SAS and SDS scores of two groups were improved after nursing,and the observation group improved more,the differences were statistically significant (P ＜ 0.05).Eclampsia,uterine atony,fetal distress,cesarean section,postpartum hemorrhage in the observation group were lower than that in the control group,and the difference was statistically significant (P ＜ 0.05).There was no significant difference between two groups in the incidence of placental abruption and perinatal mortality (P ＞ 0.05).Neonatal Apgar score,incidence rate of fetal distress and neonatal asphyxia in the observation group were better than of the control group,the difference was statistically significant (P ＜ 0.05).Conclusion Holistic nursing can effectively improve blood pressure in the pregnancy with hypertension,reduce the incidence of adverse fetal outcomes.

This study summarizes the skills training work of the National College Students' Clinical Skills Competition for 9 consecutive years, and explores a set of teaching methods suitable for the standardized training of residents of anesthesiology. This method is applied to the clinical operation, professional theory, clinical thinking, humanistic care, doctor-patient communication and other aspects of the standardized training of residents. The results show that the teaching effect of all aspects of standardized training of residents is more practical and efficient, and residents can quickly master the basic operation skills of anesthesia in a short time, indicating that the training method of clinical skills competition of college students can be applied in the standardized training of anesthesia residents, which can effectively improve the training effect.

OBJECTIVETo study and summarize the etiology of children patients with chronic kidney disease (CKD) stage 2 to 5 seen in Children's Hospital of Fudan University from Jan. 2004 to Dec. 2013.

METHODBy complying with the NKF-K/DOQI guidelines, we collected data of 264 cases of children patients with CKD stage 2-5 from Jan. 2004 to Dec. 2013 in the medical record system of Children's Hospital of Fudan University. And we retrospectively analyzed their age and CKD stage at first diagnosis, primary diseases, complications, etc.

RESULTIn the collected 264 cases, 52 cases (19.7%) were diagnosed at stage 2, 67 (25.4%) at stage 3, 52 (19.7%) at stage 4 and 93 (35.2%) at stage 5. For disease causes, 116 cases (43.9%) had congenital anomalies of the kidney and urinary tract (CAKUT), 61 cases (23.1%) had glomerular disease, 15 (5.7%) had hereditary kidney disease, 14 (5.3%) had other diseases and in 58 cases (22.0%) the causes of disease were unknown. In the group with age between 0 and 3.0 and 3.1 and 6.0 years, 57.1% (24 cases) and 60.0% (30 cases) had primary disease with CAKUT. In the group with age older than 10 years, 49.2% (30 cases) had primary disease with glomerular disease and 32.0% (32 cases) with unknown causes.

CONCLUSIONThe major cause of CKD stage 2-5 in children in our hospital during the last ten years was CAKUT (43.9%), followed by glomerular disease (23.1%). The primary diseases of CKD were significantly different between the 2 age groups. CAKUT was more common in infants and preschool children while for adolescents, glomerular disease was the major cause.

Child ; Child, Preschool ; China ; Humans ; Infant ; Infant, Newborn ; Kidney ; physiopathology ; Renal Insufficiency, Chronic ; etiology ; Retrospective Studies

Objective: Subthreshold attention-deficit/hyperactivity disorder (ADHD) has been suggested to be a “morbid condition” which also needs medical attention. Methods: The present study recruited 89 children with subthreshold ADHD (sADHD), 115 children with diagnosed ADHD (cADHD), and 79 healthy controls (HC) to explore the clinical manifestation, executive functions (EFs) of sADHD, and the caregiver strain. The clinical manifestation was evaluated through clinical interviews and parent-reports. Executive functions were assessed both experimentally and ecologically. Caregiver strain was measured by a parent-reported questionnaire. Results: For the clinical manifestation, both sADHD and cADHD indicated impairments when compared with HC. The comorbidities and the scaled symptoms indicated that the externalizing behaviors were relatively less serious in sADHD than cADHD, whereas the internalizing behaviors between two groups were comparable. For ecological EFs, sADHD scored between cADHD and HC in inhibition and working memory. For experimental EFs, sADHD was comparable to cADHD in inhibition, shifting, and was worse than cADHD in verbal working memory. For the caregiver strain, all scores of sADHD were between that in cADHD and that in HC. Conclusion Our present findings supported the suggestion of subthreshold ADHD as “morbid condition,” which should be treated with caution in clinical practice, especially for the internalizing behaviors and some key components of EFs.

The paper summarizes the clinical and follow-up data of percutaneous endoscopic gastrostomy (PEG) in three infants with chronic kidney disease to explore the safety and reliability of using PEG to improve the growth and development, and nutritional status. During follow-up, the weight and height of case 1 and 3 were obviously improved. Case 2 was followed up for 3 months, due to dying of cardiac arrest, and the infant's height and weight were not significantly improved. Serum albumin and prealbumin improved in 3 cases after PEG. No PEG-related infection occurred in 3 infants.