1.The clinical observation and the nursing countermeasures about using the TR band to stop blooding
Xuejun JIANG ; Jian LIN ; Aimei TAN ; Xuelong ZHANG ; Weilan QIU ; Xingfei RUAN ; Yu LU
Chinese Journal of Practical Nursing 2006;0(24):-
Objective To evaluate the clinical values of the TR band, analyze the factors about the hemorrhage delay at the same time. Methods Divided 98 patients who had accepted the radial artery interventional radiology into the observation group (52 cases) and the control group (46 cases) randomly. The TR band was used in the observation group and the routine nursing method was used in the control group. Results The incidence rate of complication in the observation group was significant lower than that of in the control group,P
2.Indications for percutaneous renal biopsy in children with asymptomatic hematuria
Yufeng LI ; Minjiang WEI ; Weilan WU ; Huimin CHEN ; Yu DONG ; Jing JIN ; Yaju ZHU ; Yinliang GONG ; Wenjie SHAN
Journal of Clinical Pediatrics 2017;35(7):494-497
Objective To explore the indications for percutaneous renal biopsy of asymptomatic hematuria in children. Methods The renal pathological types of 485 children with asymptomatic hematuria were analyzed retrospectively. According to the degree of hematuria and whether or not combined with proteinuria, the children were divided into microscopic hematuria group, gross hematuria group and hematuria with proteinuria group. The microscopic hematuria group was further divided into urine red blood cell<15/HPF group, (15~30)/HPF group, and >30/HPF group according to hematuria degree. Results In 227 males and 258 females with the average age of 7.23±2.93 years, there were 318 cases in microscopic hematuria group, in which the most common pathological types were minor lesions (64.8%), followed by focal glomerular lesions (16.7%) and focal segmental glomerulosclerosis (8.2%). There were 119 cases in gross hematuria group, in which the most common pathological types were also minor lesions (26.1%), followed by IgA nephropathy (24.4%) and mesangial proliferative glomerulopathy (20.2%). There were 48 cases in hematuria with proteinuria group, in which the most common pathological types were IgA nephropathy (29.2%) and minor lesions (29.2%). The distribution of the pathological types among microscopic hematuria group, gross hematuria group and hematuria with proteinuria group were statistically different (χ2=152.03, P<0.001). In three groups, microscopic hematuria group had the highest proportion of minor lesions, while gross hematuria group and hematuria with proteinuria group had higher proportion of IgA nephropathy and mesangial proliferative glomerulonephritis . In microscopic hematuria group, there were 149 children with urine red blood cell<15/HPF, 96 with urine red blood cell (15~30)/HPF, and 73 with urine red blood cell >30/HPF. There was no difference in pathological types among three sub-groups (χ2=15.18, P=0.51), and mild lesions were the most common pathological types in each group. Conclusion Renal biopsy should be performed at earliest possible time to make pathological diagnosis in asymptomatic hematuria children with gross hematuria or proteinuria.
3.Nursing experience of thrombolytic catheter of acute limb arterial em-bolism
Weilan YU ; Aiqiong LUO ; Xiangmei LIU ; Xiaoqin CHEN
China Modern Doctor 2014;(26):115-117
Objective To sum up the nursing experience of thrombolytic catheter of acute limb arterial embolism. Methods Reviewed and analyzed from January to December 2013, 38 cases of patients with acute limb arterial em-bolism in our hospital clinical data and nursing experience. Results Under the nursing intervention in patients with co-operate treatment actively, 29 patients with embolization artery completely opening, 9 cases of part. Clinical symptoms completely relieve the 31 cases, partial in 7 cases; 1 weeks after the inner psychological state, quality of life scores in every domains compared with admission, the difference was statistically significant (P < 0.01). Conclusion Catheter thrombolysis is an effective method for treatment of acute limb arterial embolism; Appropriate nursing intervention can effectively improve the patient's treatment adherence and confidence, to reduce the psychological problems, it is impor-tant to improve the therapeutic effect and quality of life of patients.
4.Differential bone metabolism and protein expression in mice fed a high-fat diet versus Daurian ground squirrels following natural pre-hibernation fattening.
Xuli GAO ; Shenyang SHEN ; Qiaohua NIU ; Weilan MIAO ; Yuting HAN ; Ziwei HAO ; Ning AN ; Yingyu YANG ; Yu ZHANG ; Han ZHANG ; Kenneth B STOREY ; Hui CHANG
Journal of Zhejiang University. Science. B 2022;23(12):1042-1056
This study compared the effects on bone metabolism and morphology of pathological obesity induced by excessive fat intake in a non-hibernator (mice) versus healthy obesity due to pre-hibernation fattening in a hibernator (ground squirrels). Kunming mice were fed a high-fat diet to provide a model of pathological obesity (OB group). Daurian ground squirrels fattened naturally in their pre-hibernation season (PRE group) were used as a healthy obesity model. Micro-computed tomography (micro-CT) and three-point bending tests were used to determine the microstructure and mechanical properties of bone. Western blots were used to analyze protein expression levels related to bone metabolism (Runt-related transcription factor 2 (RunX2), osteocalcin (OCN), alkaline phosphatase (ALP), osteoprotegerin (OPG), receptor activator of nuclear factor-κB ligand (RANKL), cathepsin K, matrix metallopeptidase 9 (MMP9), patched protein homolog 1 (Ptch1), phosphorylated β-catenin (P-β-catenin), and glycogen synthase kinase-3β (GSK-3β)). Compared with controls, there was no obvious bone loss in the OB mice, and the stiffness of the femur was increased significantly. Compared with summer active squirrels, bone formation was enhanced but the mechanical properties did not change in the PRE group squirrels. In OB mice, western blots showed significantly increased expression levels of all proteins except RunX2, OPG, and Ptch1. PRE ground squirrels showed significantly increased expression of most proteins except OCN and Ptch1, which decreased significantly, and P-β-catenin and OPG, which did not change. In conclusion, for non-hibernating mice, moderate obesity had a certain protective effect on bones, demonstrating two-way regulation, increasing both bone loss and bone formation. For pre-hibernating ground squirrels, the healthy obesity acquired before hibernation had a positive effect on the microstructure of bones, and also enhanced the expression levels of proteins related to bone formation, bone resorption, and Wnt signaling.
Mice
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Animals
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Hibernation
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Core Binding Factor Alpha 1 Subunit/metabolism*
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Glycogen Synthase Kinase 3 beta/metabolism*
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Diet, High-Fat
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X-Ray Microtomography
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Sciuridae/metabolism*
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Obesity