Objective:To explore the effect of structured interdisciplinary bedside rounds (SIBR) model on diarrhea and nutritional status in patients with stroke receiving enteral nutrition through nasogastric tube.Methods:From February to September 2021, 117 stroke patients with enteral nutrition through nasogastric tube admitted to Taiyuan Central Hospital were selected as the study subject by convenient sampling. The patients were divided into the control group (57 cases) and the intervention group (60 cases) according to the ward at the time of admission. The control group received routine enteral nutrition intervention, and the intervention group carried out enteral nutrition intervention based on SIBR model. The incidence of diarrhea and incontinence dermatitis during hospitalization, the nutritional indicators before treatment and on the seventh and fourteenth days of nutritional treatment, the incidence of complications during hospitalization and the length of hospitalization were compared between the two groups.Results:The incidence, duration, severity of diarrhea and the incidence of incontinence dermatitis in the intervention group were lower than those in the control group, and the incidence of constipation, gastric retention and pulmonary infection were lower than those in the control group, and the length of hospitalization was less than that in the control group, and the differences were statistically significant ( P<0.05) . After 14 days of nutritional treatment, the albumin, total protein and hemoglobin in the intervention group were better than those in the control group, with statistical differences ( P<0.05) . Conclusions:SIBR model integrates the content of ward round, shortens the time of ward round, increases the work efficiency, effectively reduces the incidence of diarrhea and incontinence dermatitis in patients with stroke receiving enteral nutrition through nasogastric tube, improves the nutritional status of patients, reduces the incidence of complications, and shortens the length of hospitalization.

Objective:To develop a self-directed learning feedback system for patients with post-stroke dysphagia (PSD) and analyze its effectiveness.Methods:From November 2022 to July 2023, convenience sampling was used to select 108 PSD patients from the Neurological Disease Center of Taiyuan Central Hospital as the research subject. The patients were divided into a control group and an experimental group using a random number table method, with 54 cases in each group. The control group received routine nursing upon discharge, while the experimental group was treated intervention measures through the self-directed learning feedback system. The self-efficacy, quality of life, swallowing function, and psychological status of two groups of patients were compared before intervention and one and three months after intervention, respectively.Results:A total of 52 patients in the experimental group and 50 patients in the control group completed the study. Repeated measures analysis of variance showed that the self-efficacy and quality of life scores of both groups improved with the extension of intervention time, and the self-efficacy and quality of life scores of the experimental group were higher than those of the control group at one and three months after intervention, with statistical differences ( P<0.01). After one and three months of intervention, the severity scores of dysphagia in the experimental group were lower than those in the control group, and the differences were statistically significant ( P<0.01). As the intervention time extended, the psychological status scores of the experimental group were lower than those of the control group at different time periods, and the differences were statistically significant ( P<0.05) . Conclusions:The application of self-directed learning feedback system in the rehabilitation of PSD patients at home can improve their self-efficacy, quality of life and swallowing function, and relieve negative emotions, which is worthy of further promotion.

OBJECTIVETo evaluate the efficacy of periodontal treatment for the management of cardiovascular risk factors.

METHODSEligible studies in Cochrane Controlled Trials Register/CENTRAL, PubMed, EMBASE, and China Biology Medicine disc (CBMdisc) were searched until October 13, 2011. References of the included studies were hand searched. Two reviewers assessed the risk of bias and extracted the data of the included studies in duplicate. Meta-analysis was conducted with Revman 5.1.

RESULTSSix randomized controlled trials involving 682 participants were included. One case had low risk of bias, another one had moderate risk of bias, and the remaining four had high risk of bias. Meta-analysis showed that periodontal treatment has no significant effect on C-reactive protein, total cholesterol, low-density lipoprotein cholesterol, and triglycerides (P > 0.05). However, the treatment had a significant effect on high-density lipoprotein cholesterol [MD = 0.05, 95% CI (0.00, 0.09), P = 0.04].

CONCLUSIONPeriodontal treatment has good effects on controlling high-density lipoprotein cholesterol although more randomized controlled trials must be conducted to verify its effectiveness.

C-Reactive Protein ; Cardiovascular Diseases ; China ; Humans ; Periodontics ; Periodontitis ; Risk Factors

Objective To assess the health status of rodent laboratory animals by pathological diagnosis, our lab has being take apart in investigating the quality of laboratory animals in Beijing area for years and offer some advices for standardized breeding to ensure accurate results of scientific research.This paper focuses on the analysis of laboratory rodent samples that collected in October 2014.Methods We collected the heart, liver, spleen, lung, kidney, large intestine and small intestine, and put these organs into 10%Calcium formaldehyde solution for fixation, and then prepared into two different sections for optical microscopy observation including all paraffin specimens stained with H&E and the frozen sections stained with Oil Red-O and PAS.Results The vast majority of laboratory rodents were up to standard, but there still a problem in individual units.The main problem is liver and lung disease.The rate of Hepatocyte swellingis 6%(mouse), 2.5% (rat), 8.2% (guinea pig), moreover part of them were lipidosis, according to Oil Red-O stain.the mainly problem of lung is congestion ,edema and Interstitial pneumonia ,the detectable rate of pulmonarydiseases is 15.5%(guinea pig).Conclusions The vast majority of laboratory rodents were pathologically diagnosed as healthy animals.The liver disease may be caused by improper feeding.And disease of lung may led by haze, unqualified bedding and low temperature.