Child ; Electroencephalography ; Epilepsy ; diagnosis ; Humans ; Syndrome ; Video Recording

Objective To explore the influences of doctor-nurse collaboration on job satisfaction and turnover intention among nurses in stomatological hospital. Methods A total of 545 nurses from grade Ⅲ-A stomatological hospital were investigated by convenience sampling method from January 2015 to February 2015 using general data questionnaire, doctor-nurse collaboration scale, nurses′ job satisfaction scale and turnover intention questionnaire. Results The scores of doctor-nurse collaboration scale, job satisfaction and turnover intention were (86. 46 ± 14. 52), (136. 08 ± 14. 88) and (20. 31 ± 3. 67). The doctor-nurse collaboration level was positively correlated with job satisfaction (r=0. 328, P<0. 01) and negatively correlated with turnover intention (r= -0. 220, P<0. 01). Doctor-nurse collaboration level could be positive to predict the situation of job satisfaction (t=2. 871, P <0. 01), and negative to predict the possibility of quitting current job (t =-6. 209, P < 0. 01). Conclusions The situation of nurse job satisfaction and turnover intention is not optimistic in stomatological hospital. Improving the level of doctor-nurse collaboration can help to improve job satisfaction and reduce turnover intention.

Objective To explore the effect of enhanced recovery after surgery (ERAS) in reducing post-traumatic stress disorder (PTSD).Methods Totally 95 patients who received cardiopulmonary bypass surgery in the Department of Cardio-Thoracic Surgery, the Second People's Hospital of Liaocheng between January 2013 and July 2014 were selected as a control group, while another 95 patients who were hospitalized between August 2014 and December 2015 were selected as a treatment group. The patients in the control group received conventional nursing in the Department of Cardio-Thoracic Surgery, while the patients in the treatment group received ERAS on the basis of conventional nursing. The positive rate and level of PTSD symptoms of the patients in the two groups were then evaluated with PCL-C Scale.Results The positive rates of the patients in the treatment group and the control group were 3.16% and 10.53%, respectively (χ2=4.046,P<0.05). The PCL-C scores at different time were statistically different between the patients in the two groups(F=135.15,P<0.05),the PCL-C scores were statistically different between the patients in the two groups(F=33.84,P<0.05),and there were interaction between time and intervention (F=8.47, P<0.01). The positive rates of higher awareness, emphasis on experience and evasion/numbness symptoms of the patients in the treatment group were 21.89%, 12.42% and 10.83%, lower than those of the patients in the control group 28.42%, 15.16% and 14.73% (χ2=16.118, 4.489, 13.678;P<0.01).Conclusions The concept of ERAS used during the perioperative period of cardiac surgery can effectively reduce the incidence and level of PTSD symptoms.

Objective To describe the prevalence of workplace violence against nurses in emergency departments,and investigate its related cognition and demands of nurses. Methods A total of 385 emergency department nurses from 13 general hospitals in Beijing were recruited by convenient sampling method and were investigated with the Version of Hospital Workplace Violence Questionnaire in February to October 2014. Results The prevalence of workplace violence against nurses was 89.9% during the past 12 months. The incidence of verbal abuse,threat, physical assault and sexual assault were 89.9%,70.6%,20.5% and 3.9% respectively. The responses of nurses were mainly "tolerance and avoidance","explain patiently" and "ask for help";81.6% of the nurses considered that workplace violence was inevitable in the workplace,and 78.7% of the nurses thought the hospital was not capable of dealing with workplace violence in the past. The nurses demanded that the hospital to increase the prevention of workplace violence training,to set up a sector to deal with violence events,or to take on workplace violence policy of "zero tolerance". Conclusions Workplace violence against nurses is prevalent in emergency departments. Nurses hope the hospital to have more positive attitude against workplace violence and take more measures to prevent and deal with it. Further intervention should be conducted to reduce workplace violence against nurses by individuals,hospitals,the government and the whole society.

Objective? To investigate the status of professional identity,job burnout and organizational affective commitment of dental clinic nurses and analyze their correlation. Methods? Cross-sectional study was carry out on 275 dental clinic nurses from 14 Class Ⅲ hospitals in Beijing, as measured by Professional Identity Scale, the Revised Edition of the Maslach Burnout Inventory-General Survey and the Affective Commitment Scale(ACS). The statistical analysis performed by SPSS 24.0 and Amos 21.0 software. Results? The score of Professional Identity Scale of 237 dental clinic nurses was(121.34±20.34), moreover the nurse who working in general hospitals exhibited higher score than in dental-specialized hospitals,the difference was statistically significan(t P=0.041). The score of the Revised Edition of the Maslach Burnout Inventory-General Survey of 237 dental clinic nurses was (1.96±1.02),the average score of entries of ACS was (4.07±0.79). The results of the analysis showed that the professional identity scores of nurses with different working years were statistically different (P＜0.05). The scores of nurses with different working years, academic qualifications and professional titles were statistically different on Job burnout (P＜0.05). Moderate correlations were found among the scores of professional identity, job burnout and organizational affective commitment (P＜0.001), while organizational affective commitment had an intermediate effect between professional identity and job burnout, accounting for 31.5% of total effects. Conclusions? The status of professional identity and organizational affective commitment of dental clinic nurses in tertiary hospitals is at moderate-to-high level, and the status of job burnout in most of them is at low-to-moderate level. Moderate correlations are found among them, while organizational affective commitment plays an intermediate role between professional identity and job burnout. In order to reduce job burnout and establish harmonious and stable working environment, nurse administrators should implement intervention to improve professional identity and enhance organizational affective commitment.

Objective To evaluate the efficacy of the suspended overlength biliary stents modified from nasobiliary tube for prevention of duodenobiliary reflux. Methods Suspended overlength biliary stents were placed in the intrahepatic bile duct of 18 patients with extrahepatic bile duct stricture who underwent biliary stents implantation once or more via ERCP from February 2014 to May 2016.Data of these patients were followed up to June 30, 2017 with self-control method. The patency time of suspended overlength biliary stents was compared with the ordinary biliary stents which were implanted in the last ERCP. Incidence of complications was recorded.Results Eighteen patients were enrolled in the study, but one patient lost follow-up. Finally 17 patients were enrolled in the analysis. Nine patients were malignant and 8 benign biliary stricture. The median patency time of suspended overlength biliary stents was 210 days, which was much longer than that of ordinary stents with median patency time of 139 days(P＝0. 015). The median patency time of overlength biliary stents and metal stents in 3 patients with malignant stricture were 278 days and 205 days (P＝1. 000). The median patency time of overlength biliary stents and traditional plastic stents in 6 patients with malignant stricture were 156 days and 65 days, respectively(P＝0. 049). The median patency time of this innovative stents was prolonged in benign biliary stricture patients (254 days VS 143 days, P＝0. 025). Only one patient developed mild pancreatitis after ERCP. Conclusion Suspended overlength biliary stents can prolong the patency time without increasing postoperative complications, which is worth popularization.

ObjectiveTo investigate the effects of visual motion-induced brain-computer interface (BCI) technology on upper limb motor function and cognitive function of patients with stroke. MethodsFrom July, 2021 to March, 2022, 50 stroke patients with upper limb hand dysfunction in Shaanxi Provincial Rehabilitation Hospital were randomly divided into control group (n = 25) and experimental group (n = 25). Both groups received conventional rehabilitation therapy, in addition, the control group received passive rehabilitation training, and the experimental group received visual motion-induced BCI rehabilitation training, for two weeks. They were assessed with Fugl-Meyer Assessment-Upper Extremities (FMA-UE), modified Barthel Index (MBI) and Montreal Cognitive Assessment (MoCA) before and after treatment. Brain participation was evaluated during the whole training process of the experimental group. ResultsBefore treatment, there was no difference in the scores of FMA-UE, MBI and MoCA between two groups (P > 0.05). Two weeks after treatment, the scores of FMA-UE, MBI and MoCA improved in both groups (t > 2.481, P < 0.001), and were better in the exprimental group than in the control group (t > 2.453, P < 0.05); the mean brain participation of the experimental group increased 21% after treatment. ConclusionVisual motion-induced BCI rehabilitation training could promote the recovery of motor function of upper limb, and cognitive function of patients with stroke.

BACKGROUNDHelicobacter pylori (Hp) is a common and potentially curable cause of gastric mucosa lesion. This study investigated the relationship of Hp infection with histological changes in gastric mucosa and gastric cancer in Hp-positive patients compared with Hp-eradication patients followed up for ten years.

METHODSFrom an initial group of 1 006 adults, 552 Hp-positive subjects were randomly assigned to a treatment group (T; n = 276) or a placebo group (P; n = 276). In the randomized, double-blind, placebo-controlled, parallel trial, T group subjects received oral doses of omeprazole, amoxicillin and clarithromycin for 1 week; those in the P group received a placebo. One month after treatment ended, a 13C urea breath test was performed, and Hp was undetectable in 88.89% of the T group. All subjects were followed at 1, 5, 8, and 10 years after treatment, with endoscopy and biopsies for histological examination.

RESULTSGastric mucosa inflammation was significantly milder in the T group than that in the P group one year after Hp eradication and this persisted for 10 years. Glandular atrophy and intestinal metaplasia (IM) had deteriorated in both groups during ten years. However, the increased score of glandular atrophy at both the gastric antrum and corpus, and IM only at the gastric antrum, in the P group was more obvious than that in the T group. During the 10 years, 9 patients were diagnosed with gastric cancer (2 in the T group; 7 in the P group; P = 0.176). When mucosal atrophy was absent at the gastric antrum and corpus when entering the study, the incidence of gastric cancer in the P group (n = 6) was much higher than that in the T group (n = 0, P = 0.013).

CONCLUSIONSHp eradication may significantly diminish and help halt progression of gastric mucosal inflammation and delay the development of IM and atrophy gastritis. Hp eradication is helpful for reducing the risk for gastric cancer, especially in the early stage of Hp infection.

Adult ; Aged ; Amoxicillin ; therapeutic use ; Anti-Bacterial Agents ; therapeutic use ; Clarithromycin ; therapeutic use ; Double-Blind Method ; Female ; Follow-Up Studies ; Gastric Mucosa ; drug effects ; pathology ; Gastritis, Atrophic ; diagnosis ; drug therapy ; Helicobacter Infections ; drug therapy ; Helicobacter pylori ; pathogenicity ; Humans ; Male ; Middle Aged ; Omeprazole ; therapeutic use ; Stomach Neoplasms ; diagnosis ; prevention & control