Objective To determine the status of self-efficacy and self-care agency of the empty nest elderly patients in the community,and analyze their correlation. Methods A total of 320 empty nest elderly with chronic disease in Fushun, Liaoning Province. The General Information Questionnaire, Exercise of Self-Care Agency scale (ESCA) and the Chronic Disease Self-efficacy Scale were used to investigate the empty nest elderly with chronic disease in the community and analyze the present situation level of the self-care agency and the self-efficacy and the correlation between them. Results General data showed no significant difference between solitary empty-nest elderly and connubial empty-nest elderly (P>0.05). Solitary empty-nest elderly got (93.36 ± 13.49) points and (5.22 ± 0.62) points in ESCA and the Chronic Disease Self-efficacy Scale,which were lower than (98.10±11.34) points and (5.32±0.30) points of connubial empty-nest elderly, the difference was statistically significant (t=-0.866,-0.467, P<0.05). There was significantly positive correlation between self-efficacy and self-care agency (r=0.318, P<0.01). Conclusions There is positive correlation between self-efficacy and self-care agency. It is suggested to implement community-based nursing interventions to enhance their self-efficacy and to promote their self-care agency,there by to improve their quality of life .

Echocardiography, Three-Dimensional ; Heart Defects, Congenital ; diagnostic imaging ; therapy ; Humans

Brain ; physiopathology ; Child ; Electroencephalography ; Epilepsy ; diagnosis ; physiopathology ; Humans ; Monitoring, Ambulatory ; Monitoring, Physiologic ; Predictive Value of Tests ; Time Factors

Humans ; Infant, Newborn ; Spasms, Infantile ; diagnosis ; therapy

Arthritis, Rheumatoid ; diagnosis ; drug therapy ; Diagnosis, Differential ; Drugs, Chinese Herbal ; therapeutic use ; Female ; Humans ; Male ; Medicine, Chinese Traditional ; methods ; Phytotherapy ; methods

Epilepsy, Absence ; Humans

Abstract?AIM: To comparatively analyze the efficacy and clinical value of cutting frontal muscular slap or not during frontalis aponeurosis flap suspension in treating congenital severe ptosis.?METHODS: Clinical data of 44 children ( 54 eyes ) with congenital severe ptosis treated in our hospital from May 2013 to October 2015 was retrospectively analyzed. Children included were divided into two groups according to the different ways of operation, observation group ( cutting frontal muscular slap ) and control group ( without cutting frontal muscular slap ) , 22 cases ( 27 eyes ) in each group. The general information, postoperative follow-up, eyelid closure and complication occurrence in two groups were compared.?RESULTS: The general information of the two groups had no statistical difference (P>0.05).After 1, 6mo, the cosmetic correction rate, the rate of overcorrection, and the rate of under correction in two groups had no statistical difference (P>0.05), but the activity of upper eyelid in observation group was bigger than that in control group (P<0.05).After 1, 6mo, the incomplete closure in two groups had no statistical difference ( P>0.05 ) , but eyelid fissure height in natural closed eyelids in control group was higher than that in observe group ( P<0.05 ).After 1mo, 2 eyes in control group were with abnormal feelings in frontal part, and 3 eyes in observation group.After 6mo, 2 eyes in control group were with abnormal feelings in frontal part, and 3 eyes in observation group.There were no complications such as exposure keratitis, eyelid margin deformity, infection, hematoma, and diplopia in two groups.?CONCLUSION: The total therapeutic effects of two different surgery procedures in treating severe congenital ptosis are quite similar.The surgery with cutting frontal muscular slap could improve the activity of upper eyelid and postoperative eyelid closure.

AIM: To optimize the method of extracion and isolation for anthraquinone component from rhubarb for increasing the extraction rate and purity. METHODS: Rhubarb was extracted 4 times in the refluxing method with ethanol. The borate buffer solution was used as extracted fluid. Rhein, rheum emodin and chrysophanol could be obtained by Deltar 4 000 high-pressure making system, and the pure product obtained by recrystallizing with acetone. The YWG C 18 column was (4.6?250) mm, the flow rate 1.0 ml. min -1, and UV detection wavelength 254 nm. Methanol, water and acid perchloride were taken as mobile phase with the ratio of 910.01. RESULTS: Deltar 4000 high-pressure making system could be used to isolate the anthraquinone component from rhubarb, the purity of rhein, rheum emodin and chrysophanol was more than 80%, and the ertraction rate of rheum emodin reached 0.6%. CONCLUSION: The extraction of the anthraquinone component is simple and cheap with ethanol from rhubarb, and the extraction rate is high. Deltar 4000 high pressure making system can be used to isolate the anthraquinone component from rhubarb with a high the extraction rate and purity.

Objective There are two main functions of gastrointestinal tract,digestion and absorption,and barrier function.The latter has an important defensive effect,which keeps the body away from the invading and damaging of bacteria and endotoxin.It maintains the systemic homeostasis.Intestinal dysfunction would happen when body suffers from diseases or harmful stimulations.The more serious intestinal disorders would harm the intestinal protective mechanism,or intestinal barrier function,and bacterial/endotoxin translocation,of intestinal failure(IF) would ensue.This article provides a critical review of the evidence indicating that an increase in bacterial translocation is associated with sepsis,and even the multiple organ failure syndrome in critically ill patients.The in-transit microorganisms play an essential role in the homeostasis of local and systemic immunity.Methods All studies published from 2000 to June 2005 about intestinal permeability,bacterial translocation,and systemic inflammatory response syndrome were located by search of PubMed.Results Clinical and experimental studies investigating the correlation between bacterial translocation and systemic inflammatory response syndrome,associated with the damage of the gut barrier function.To keep the mucosal barrier function intact is one of the main issues in the prevention of bacterial translocation.This could be achieved by the adequate delivery of oxygen and nutrient supplementation to the gut.Enteral nutrition,probiotic can be a good choice.Conclusion With a better understanding of the bacteria-host interactions in health and the alterations induced by critical illness,new therapies that improve the environment of both may lead to better recovery rates in intensive care unit patients.