1.Nursing safety intervention mechanism of safety management effect observation in the operating room
China Medical Equipment 2013;(10):98-99,100
Objective: To study the nursing safety of early intervention in the operation safety of significance and value. Methods: structural system safety nursing intervention system and nursing intervention group, strengthen the safety of surgery nursing process, positive structure risk intervention, safe and harmonious care system, and the communication with patients to guide nursing needs initiative requirements, in bad or accident occurs to timely summary and analysis, and make corresponding rules and regulations timely make up and change. Results:the study enthusiasm of nursing personnel was improved, and the service quality and prevent error ability was strengthened, safety and legal consciousness have been strengthened, and the operating process and system more standard, accident incidence reduced significantly, and increase patients satisfaction. Conclusion:be a timely reasonable safety prevention and effective nursing in the operation security urgent.
2.Relationship between white matter microstructural features and cognitive function in patients with bipolar disorder
Junfan LIANG ; Hua LIU ; Xinyin GUO ; Xuehua LI ; Jixiang YUAN ; Minglan YU ; Tingting WANG ; Rongfang HE ; Bo XIANG ; Kezhi LIU ; Xuemei LIANG
Chinese Mental Health Journal 2024;38(10):833-839
Objective:To explore the white matter structural characteristics in patients with bipolar disorder(BD)using diffusion tensor imaging(DTI)and investigate their relationship with cognitive function.Methods:A total of 15 patients with BD type Ⅰ and 26 patients with BD type Ⅱ who met the Diagnostic and Statistical Manual of Mental Disorders,Fourth Edition(DSM-Ⅳ)diagnostic criteria and 37 normal controls were included.Cognitive function was assessed with the Trail Making Test(TMT)and Repeatable Battery for the Assessment of Neuropsy-chological Status(RBANS).The tract-based spatial statistics(TBSS)method was used to explore the differences in fractional anisotropy(FA)and mean diffusivity(MD)among the three groups and perform correlation analyses with cognitive function.Results:Patients with BD Ⅰ and BD Ⅱ had lower scores in attention(P<0.001),delayed memory(P<0.01),and total scores(P<0.001)on the RBANS compared to the normal control group.They also exhibited lower FA values in the corpus callosum and right superior corona radiata compared to the normal control group(P<0.05).In the BD Ⅰ group,there was a positive correlation between FA values in the genu of corpus cal-losum and visuospatial/constructional scores(r=0.74,P<0.05),while in the BD Ⅱ group,a positive correlation was found between FA values in the same region and language function scores(r=0.55,P<0.05).Conclusion:It suggests that patients with bipolar disorder may have impaired white matter integrity in the corpus callosum and right superior corona radiata,which may be associated with cognitive impairment.