The specific forms and contents of narrative nursing clinical practice were analyzed. On the basis of a brief review of the concept and origin of narrative nursing and the significance of it, this paper focuses on the field, methods, forms and evaluation methods of clinical practice of narrative nursing. The study found that through the literature review, the value of narrative medicine has been fully affirmed, but how to implement theory to a real clinical nursing practice environment has not yet been reported more. Therefore, exploring the narrative nursing in the clinical workplace, rich forms, contents and methods of clinical practice can provide new methods and new ideas for nursing humanistic care and clinical practice, and has certain social significance, academic significance, individual significance and application prospect.

Objective To research the binding specificity of new recombination toxin LHRH-PE40 and LHRH receptor on the surface of human colon carcinoma cell line Lovo and the mechanism of anti-proliferation,and determine the apoptosis.Methods Lovo cells were analysed by LHRH-PE40 marked with()~(125)Ⅰ;the cytocidal effect of the anti-tumor was evaluated by MTT assay,and the apoptotic rate was analysed by flow cytometry.Results Lovo cells had the binding of aglucone and receptor.Half lethal dose of human colon carcinoma cells Lovo with LHRH-PE40 was 0.24 mg?L~(-1).The apoptotic rate was increased when the LHRH-PE40 concentration was ranged from 0.1 to 10 mg?L~(-1)(P

Humans ; Hypertension, Pulmonary ; diagnosis ; Magnetic Resonance Imaging

Objective Comprehensive geriatric assessment is the core technology,this paper describes the concept of comprehensive geriatric assessment,objects,content,assessment methods,interventions and research pro-gress,provide experience to carry out comprehensive geriatric assessment in Tibet,the Tibet region to explore for com-prehensive geriatric assessment mode.

Objective To investigate the nursing cooperation in clinical application of RetCamⅢ wide-field digital pediatric retinal imaging system.Methods 119 patients were given pointed nursing guidance while they underwent RetCamⅢ wide-field digital pediatric retinal imaging system examination.Results All patients accomplished the examination.29 cases had adverse reactions after using mydriatic.27 cases felt discomfort during the examination.22 cases appeared adverse reactions after examination,but relieved after nursing cooperation and guidance.Conclusions RetCamⅢ wide-field digital pediatric retinal imaging system is a rapid,safe and effective method for pediatric fundus examination.Favorable nursing cooperation and guidance is the guarantee of accurate and effective examination and harmonious relationship between doctor-nurse-patient.

Objective To understand the making of laws and regulations for banning smoking in the public places in big cities in China and to provide the reference for making a national code.Methods The methods of literature search and review were employed,as well as questionnaire survey.Results 45.7% of the big cities had the relevant local laws and(or)regulations and 10.4% of the codes were issued by the local People's Congress,1.3% by the other institutions.Definitions used in the local legal and regulatory codes are different.Of the local legal and regulatory codes,17.4% involved four to six types of the public places,68.7% involved seven to eight types and 13.9% involved nine to ten types.Among the codes,8.6% provided that smoke ban inspector should be appointed by the authority in charge,31.9% required the department where smoking is banned to appoint the inspector,58.6% did not request the appointment at all.As for the violating law unit,9.6% of the codes issued a fine of 5-500 Yuan,20.0% issued a fine of 500-1 000 Yuan,10.4% issued a fine of 1 000-2 000 Yuan and 9.6% issued a fine of 2 000-5 000 Yuan.As for the violating law individual,12.1% of the codes issued a 1-5 Yuan fine,22.4% issued a 5-10 Yuan and 10.3% issued a 20-100 Yuan.In 5.8% of the big cities,the codes were revised.Conclusion Up to now,there is no a national law for banning smoking in the public places in China.The effect of the local laws and regulations on banning smoking in the public places is not satisfactory.China still has a long way to go in controlling smoking in the public places compared with the advanced countries.

Objective To compare the accuracy of intraocular lens(IOL)power calculations by using 6 formulas(SRK-T,Haigis,Binkhorst-Ⅱ,Hoffer Q,Holladay-1,SRK-Ⅱ)in different axial lengths of the eye,in order to improve the accuracy of predicating IOL powers for patients after cataract surgery.Design Retrospective comparative clinical analysis.Participants 169 patients(169 eyes)with age-related cataract underwent regular phacoemulsification and posterior chamber IOL implantation.Methods 169 eyes with cataract were divided into five groups according to the axial lengths:AXL≤22mm,22mm28.4mm.The axial lengths and keratometry of the 169 eyes were measured with A-mode ultrasound before operation,and the actual postoperative refraction was measured with the methods of computer and retinoscopy optometry when patients could gain best corrected visual acuity one month after surgery or later.Inputting the axial lengths,keratometry and IOL powers into A-mode ultrasound,the predicted postoperative refraction was calculated with SRK-T,Haigis,Binkhorst-Ⅱ,Hoffer Q,Holladay-1,SRK-Ⅱ formulas,and the differences of predicted and actual postoperative refractions in different axial lengths were compared.Main Outcome Measures The absolute value with the differences of the predicted and actual postoperative refractions,i.e.absolute predicted errors.Results(1)Comparing the difference of predicted and actual postoperative refraction,there was no statistical significance between the five formulas in the groups of axial length(AXL)≤22mm,22mm28.4mm,but the average absolute predicted error of Haigis and SRK-T formulas is significantly smaller than SRK-Ⅱand Binkhorst-Ⅱ formulas.Conclusions In existing sample size,there was no obvious influence on postoperative refraction when using other five formulas except Binkhorst-Ⅱ.But in the extremely long AXL group,Haigis and SRK-T formulas have some ascendancy over the other formulas.

Objective To investigate the feasibility of inducing controlled hypotension (CH) with nicardipine and low dose esmolol and its influence on blood catecholamine, blood beta 2-microlobulin (?2-mG) and tissue aerobic metabolism. Methods Thirty patients undergoing elective surgery for bone tumor were randomly divided into 3 groups: control group (C, n = 10); nicardipine group (N, n = 10) and nicardipine + esmolol group (N + E, n= 10). Controlled hypotension (CH) was started 15 min after incision. In group N nicardipine was infused at 2.5?g?kg-1?min-1 initially and in group N + E nicardipine (2.5?g?kg-1?min-1 ) and esmolol (12. 5?g?kg-1?min-1) were infused initially. When MAP was reduced to 60-70mm Hg nicardipine infusion rate was adjusted to maintain MAP at this level in both groups. In control group no CH was induced. The patients were premedicated with pethidine 25-50mg and scopolamine 0.3?g im. Anesthesia was induced with fentanyl 3?g?kg-1, propofol 1.2-2.5mg?kg-1 and vecuronium 0. 12mg?kg-1 iv and maintained with isoflurane inhalation (end-tidal concentration 1.0%-2.0%) and intermittent iv boluses of vecuronium . Radial artery was cannulated for continuous BP monitoring and internal jugular vein was cannulated for CVP monitoring. ECG , SpO2 and end-tidal CO2 concentration were continuously monitored . Blood samples were taken before CH (T0) , when MAP was reduced to 60-70mm Hg (T1), 30 min after CH had been maintained for 30min(T2 ), at the end of CH (T3) and at the end of operation (T4 ) for determination of concentrations of catecholamine ,?2-mG , lactate and Hb. Results The demographic data including age, body weight and height were comparable among the three groups. There was no significant difference in preoperative Hb and ALT, AST, Cr andBUN levels. There was also no significant difference in the duration of CH between group N and group N + E . In group C and N norepinephrine (NE) level gradually increased during CH whereas in group N + E NE level increased only slightly during CH as compared with the baseline value (T0) , and was maintained at this low level.?2-mG level was not significantly elevated during CH but lactate level increased significantly during CH in all three groups . There was no significant difference in urine output during CH among the three groups. Conclusion Hypotension with nicardipine does not result in tissue anaerobic metabolism and renal damage. Its combination with low dose esmolol has stress-inhibiting effect.

AlM:To provide a proper assessment of the clinical use of orthokeratology by observing and analyzing the ocular biometric changes of the eyes and the stereopsis of the myopia.
METHODS:Sixty eyes from 30 myopia ( from 8 to 17 years old) were fitted with orthokeratology. Stereopsis, visual acuity, near visual acuity, central corneal thickness, anterior chamber depth, average anterior corneal refractive power ( K value ) , and intraocular pressure were measured before the orthokeratology treatment and 3mo after it. Refraction was expressed as spherical equivalent ( SE) , and the subjects were divided into 3 groups according to refraction: low myopia group (SE<-3.00D), moderate myopia group (-3. 00D≤SE<-6. 00D), and high myopia group (SE≥-6. 00D).
RESULTS:All subjects had significant improvements in visual acuity and near visual acuity 3mo after the orthokeratology treatment (P<0. 01). ln the comparisons of any pair of the groups, there was no significant difference in the near visual acuity ( P>0. 05 ). Three months after the orthokeratology treatment, Naked eye near stereoacuity values of all subjects were decreased (P<0. 01). There was no significant difference in the comparisons of the differences of stereopsis between any pair of the groups ( P> 0. 05 ). There was significant correlation in stereopsis and anisometropia ( Pearson coefficient r = 0. 778, P < 0. 01 ). And with greater anisometropia, the stereopsis was higher. All subjects had significantly lower K values than before 3mo after the orthokeratology treatment ( P< 0. 01 ). There was no significant difference in central corneal thickness, anterior chamber depth, and intraocular pressure (P>0. 05).
CONCLUSlON:Orthokeratology could lower K value in a short time and change the corneal curvature to correct myopia, to improve visual acuity and near visual acuity. lt also has an influence on improving stereopsis. There are no obviously changes in patients' central corneal thickness, anterior chamber depth or intraocular pressure after the orthokeratology treatment, making it a safe and effective treatment for adolescent.

In this study,we isolated and characterized chlorobenzene degrading bacteria from the effluent and sludge samples of one chemical plant.Minimal medium supplemented with chlorobenzene as sole car-bon source was used during the enrichment and domestication process.Seven major bacterial isolates were obtained and purified.Their 16S rRNA genes were amplified by PCR for sequencing and their identities were determined with homology comparisons.Five of the seven isolates belong to Actinomycetales in-cluding Kocuria KD139,Rhodococcus KD140,Rhodococcus KD142,Arthrobacter KD230,and Ar-throbacter KD232;one is classified as Bacillus d KD178;and another one as Stenotrophomonas KD237.The phylogenetic tree was also constructed based on the analysis of 16S rRNA gene sequences.Chloro-benzene concentrations were quantified with gas chromatography to investigate the bio-degradation rates of the isolated strains.Stenotrophomonas KD237 degraded 60.78% chlorobenzene in the minimal medium within 24 h.