Objective: To evaluate the feasibility and efficacy of naked-eye assessment (NA) of ultrasound-guided fine needle aspiration cytology(US-FNAC) smears, which was performed by a trained non-cytological physician. Methods: A total of 290 smears of FNAC in 143 thyroid nodules were used to evaluate the value of NA by an assistant with more than two years experience of intervention with ultrasound guidance. NA results such as the background of smear (bloody/non-bloody), thickness (thick/thin), as well as the contents (granulated/non-granulated) were recorded. The correlation between NA and cytological results was analyzed. Number of cells under microscopy, the non-diagnostic rate, and the significance between benignity and malignancy with different features of specimens were compared. Results: There was no significant difference between the NA background and cytological findings(P=0.707, 0.200, 0.705, respectively). There was significance in number of cells, non-dianostic rate between thick and thinner specimens (P=0.000, 0.001, respectively). However, there was no significance in benignity and malignancy between thick and thinner specimens (P=0.385). There was significance in cytology results between the granulated and non-granulated smears(all P=0.000). The difference was found in 51.1% of the smears with granulates were malignancy in cytology. While 77.8% of the non-granulated smears were ultimately diagnosed as benignity. Conclusions The NA could be performed by a trained non-cytological physician and contribute to preliminary predictions of cytology effect.

Objective To explore the effects of collaborative nursing model on preventing anterior resection syndrome (ARS).Methods From July 2016 to April 2017, 130 patients with low rectum anus preserving operation in Anhui Provincial Hospital were selected. All of the patients were divided into observation group (n=69) and control group (n=61) according to hospital stay. Patients of control group were treated with routine nursing. Patients of observation group accepted intervention with the collaborative nursing model. The recovery of anal function and life quality of patients after surgery in two groups were evaluated with the Low Anterior Resection Syndrome (LARS) and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core-30 (EORTC QLQ-C30) respectively.Results Three months after surgery, the score of LARS and score of the general health of QLQ-C30 was (25.49±1.67) and (79.87±4.78) respectively in observation group, higher than those in control group with significant differences (t=2.753, 3.376;P<0.05). Conclusions The implementation of collaborative nursing model can improve the recovery of anal function and life quality of rectum cancer patients as well as effectively prevent the incidence of ARS.