1.Effect of total parenteral nutrition or early enteral and parenteral nutrition on immune function in critically ill neurosurgical patients
Xingru WU ; Zibin TIAN ; Liandi LI ; Xinjuan KONG ; Liangzhou WEI ; Cuiping ZHANG ; Qingxi ZHAO
Chinese Journal of Clinical Nutrition 2010;18(3):171-174
Objective To explore the effect of support with total parenteral nutrition(TPN)or early enteral and parenteral nutrition(EN+PN)on immune function of critically ill neurosurgical patients.Methods In this prospective control study,patients were divided inte TPN group and EN+PN group based on the timing of admission.The changes of immunological indicators including CD3,CD4,CD8,CD4/CD8,CD3/CD25,IgA,IgG,IgM,and serum protein before and after nutritional support were compared.Results The percentage of T lymphocyte subsets CD3,CD4,and CD8,the ratio of CD3+/CD25+,the plasma leveh of IgA,IgM,and IgG,and the serum protein were significantly increased after nutrifional supports(P<0.05,P<0.01).However,compared with the TPN group,the percentages of T lymphocyte subsets(CD3,CD4,and CD8),the ratio of CD4+/CD8+,the plasma levels of IgA,IgM,and IgG,and the serum protein were significantly higher in EN+PN group(P<0.05,P<0.01).Conclusions Both TPN and EN+PN can promote the recovery of immune function,while EN+PN is superior to TPN.Early nutritional support should be provided to critically ill neurosurgical patients.
2.Comparative study of physical therapist allocation, education and training, and professional accreditation system in East Asia
Xingru LIN ; Yingzhe ZHAO ; Ya LIU ; Shuyue SUN ; Peiwu GUO ; Fang WU ; Xiaoyao OUYANG ; Qi JING ; Jianhua ZHANG
Chinese Journal of Rehabilitation Theory and Practice 2022;28(11):1334-1341
ObjectiveTo compare the current development of physical therapists in China, Japan and South Korea. MethodsThe condition of configuration, education and practice of physical therapists in China, Japan and South Korea were browsed from the official websites and existing data. ResultsThe allocation, education and training mechanism, and the professional accreditation system needs to be optimized in China. ConclusionThe physical therapists should be allocated based on rehabilitation service settings and needing, trained based on the World Health Organization's Rehabilitation Competency Framework and the International Classification of Functioning, Disability and Health, and the professional system should be constructed based on the World Health Organization's Rehabilitation Competency Framework and national professional admission systems.
3.Bronchoscopic transparenchymal nodule access in the diagnosis and management of pulmonary nodules.
Quncheng ZHANG ; Xuan WU ; Huizhen YANG ; Ya SUN ; Ziqi WANG ; Li YANG ; Nan WEI ; Yihua ZHANG ; Yuanjian YANG ; Xingru ZHAO ; Felix Jf HERTH ; Xiaoju ZHANG
Chinese Medical Journal 2023;136(13):1615-1617