Objective To know the efficacy of oral nursing by visible electric toothbrushes among patients with peroral endotracheal intuabtion. Methods Divided 108 trauma patients with peroral endo-tracheal intubation and clear consciousness into the research group and the control group randomly, there were 54 cases in each group. Routine oral nursing cares were used in the control group, while the visible electric toothbrushes was used in the research group. Compared the efficacy of oral nursing between the two groups. Results The incidence rate of mouth odor, plaque index and oral infection in the research group were better than those of in the control group. Conclusions Using visible electric toothbrushes for trau-ma patients with oral endotracheal tube is a kind of effective and feasibility method, which should be devel-oped in the clinical field.

To develop optimal shift systems for an improvement of work schedule satisfaction, health and work productivity, the effects of the direction of the rotational work shifting on the circadian rhythm and adaptation of physiological components and work mistakes were investigated in nursing students. Two groups of seven volunteers participated as experimental subjects, apd seven to twenty nursing students participated as a control group. The directions of rotation work shift were as follows CW(clockwise)-shift system rotation in the direction of day shift(3 days), evening shift(3 days), off duty(l day) and night shift(5 days), and CCW (counterclockwise) -shift system rotation in the reverse direction. Urinary Na, K, and Cl levels were measured with ion-selective electrodes. The levels of performance were measured by a questionnaire to determine the number of mistakes in 12 specific items during duty. The disturbance of Na the circadian rhythm was seen on day and night shifts, especially in the CCW-rotation shift system, and the magnitude of the daily variation was greatest in the CCW-rotation system. The daily rhythms of K and Cl shifted to the right on the evening shift, and the rhythms were reversed on the night shift, which suggests that they adapted to the altered shift work. However, the levels of Cl were higher in day and night shift workers, especially in CCW-shift system. In the ease of urine salts, it seems that the students in CW-shift system more easily adapted to the altered shift. The incidence of mistakes during work were more frequent on the CCW shift than in the CW shift. These data indicate that the direction of rotation effects the worker's health and work performance. These results indicate that the CCW rotation of shift work makes it more difficult for the workers to adapt to the shift on a physiological level, and has many more negative effects on the shift workers' health when compared with the CW rotation. Thus, a clockwise rotating shift system seems to be more desirable for the optimal health and performance of nurses.
Appointments and Schedules ; Circadian Rhythm* ; Efficiency ; Humans ; Incidence ; Ion-Selective Electrodes ; Salts ; Students, Nursing ; Volunteers ; Surveys and Questionnaires

No abstract available.
Adolescent* ; Humans ; Suicide*

Objective Through the UVB rays radiation skin injury model ,the study investigated the effect of seabuckthorn flavonoids on the protection and restoration of the skin ,in order to provide experimental basis of looking for the new drugs against ultraviolet injury .Methods By UVB radiating repeatedly ,the study built UVB radiation skin injury model in mice ,to observed the morphological changes of the skin in every groups of experimental animal ,the super oxide dismutase (SOD) activity of the skin and the peroxidation damage degree of the skin lipid ,which is also the content changes of malondialdehyde (MDA) and collagen .Results The change of model group whose epidermis layer increased and the dermis thickened was more obvious than the normal group ,so the UVB radiation skin injury model was built successfully .The model group compared with the normal group ,its SOD activity was significantly lower and its MDA content was significantly higher (P< 0 .01) .However ,the SOD activities of positive control group and being fed with seabuckthorn flavonoids group were significantly higher and their MDA contents were significantly lower (P<0 .01) .The model group compared with the normal group ,its collagen content was significantly lower (P< 0 .05) ,and the collagen contents of positive control group and being fed with seabuckthorn flavonoids group were higher ,whose difference was extremely significant(P< 0 .01) .However ,the positive control group had hyperplastic scar .Conclusion Seabuckthorn flavonoids had the fol‐lowing effects :preventing the UVB repeating radiation damage to the skin ,improving the SOD activity of skin tissue and the colla‐gen content ,inhibiting the increase of MDA content and scar hyperplasia ,and having antagonism effect of UVB causing mice skin photoaging .

Objective To investigate and analyse the status and influential factors of nurses' palliative care knowledge in Shanghai city.Methods Using cluster sampling method,a questionnaire survey using Palliative Care Quiz for Nursing (PCQN) was conducted on 973 nurses in 9 hospitals of Shanghai city.Results 939 nurses completed the survey whose scores were 8.88±2.51.The status quo of palliative care knowledge of Shanghai nurses were not very desirable.The scores of palliative care philosophy and principles and psychological,social and spiritual support were 0.376±0.009 and 0.310±0.008.The scores of knowledge of the pain and symptomcontrol was 0.496±0.005,which was better than the other two aspects.There were differences between dimension 1 and dimension 2,3 (t=-1 1.78,5.465,P＜0.01),and also between dimension 2 and 3 (t=19.673,P＜0.01).Conclusions Lacking of education and training,insufficient recognition of related institutions and the limit of traditional ideas caused the defect in the knowledge structure of palliative nursing.

Obesity is an independent risk factor for hypertension.Overactivation of sympathetic nervous system caused by obesity is an important path inducing hypertension.This article made following overview on research pro-gress of overactivation mechanism of sympathetic nervous system in obesity-related hypertension.

After a description of the development of narrative medicine and its complementary role in evidence-based medicine, the 3 mature foreign development and use models of narrative medical information ( Tobyoki, Pa-tient Voices and DIPEx ) , suggestions were put forward for providing narrative medical information service in do-mestic hospital library.

Objective:To observe the relationship between the expression of c-erbB-2,nm-23,ER,PR and five-year tumour-free survival time in primary breast cancer.Methods:Seventy-four breast cancer patients with expressions of c-erbB-2,nm-23,ER,PR were detected by using immunohistochemical S-P methods.Results:In the multiplicity,the expression of c-erbB-2 had negative correlation with five-year tumor-free survival time,while the expression of ER had positive correlation with five-year tumor-free survival time.In the mono factor analysis,the expression of nm-23 had positive correlation with five-year tumor-free survival time.Conclusion:Both c-erbB-2,nm-23 and ER could be considered as a prognostic value for breast cancer.The positive of c-erbB-2 may be related to poorly prognosis.The positive of ER and nm-23 may be related to a higher survival time.

Objective To summarize the nursing experience of interventional therapy in radiology interventional department so as to shorten the time of interventional therapy and elevate the therapeutic effect of it. Methods Combined with the literature related and the features of interventional therapy, the preoperative preparation and nursing ex-operative preparation and nursing experience of more than 8,000 patients with interventional therapy in our department were summarized. Results All patients went through the therapy successfully without bad feeling during operation. Nurses assisted doctors well and no malpraxis happened. Conclusion Thinking highly of preoperative nursing, postoperative care and patients protecting might improve the efficiency and also might decrease either the impact from other factors or harmful experience personally during operation.

OBJECTIVE To study the clinical features of Enterocococus infection in urinary tract among inpatients.METHODS The data of a total of 106 cases who suffered Enterocococus infection in urinary tract were retrospectively analyzed.RESULTS The infection rate was 30%.The risk factors included aggressive procedures in urinary tract,age,underlying diseases,etc.The most common species of Enterocococus were E.faecalis and E.faecium.They all were with high antibiotics resistance.CONCLUSIONS The Enterocococus are main pathogenic bacteria in urinary tract infection after Escherichia coli with atypical feature.Pay more attention to drug sensitivity,early diagnosis and rational treatment are very useful to control urinary tract infection.