Objective To systematically evaluate the factors affecting taste alteration in patients undergoing cancer chemotherapy.Methods PubMed,Cochrane Library,Web of Science,CINAHL,Embase,CBM,CNKI,WanFang Data and VIP were searched from the establishment until August 1,2024.The retrieved literature was independently screened,evaluated and the data were extracted by 2 researchers,and statistical analysis was performed using Stata 17.0 software.Results A total of 18 studies were included,involving 4 686 patients.The incidence of taste changes is 73.46％.Totally 9 influencing factors were extracted through quantitative analysis,including oral mucositis(OR=1.98),dry mouth(OR=1.82),nausea(OR=3.05),loss of appetite(OR=2.41),use of triple antiemetic drugs(OR=2.45),gynecological cancers(OR=0.67),lung cancer(OR=0.57),paclitaxel types of chemotherapy d rugs(OR=2.86),and smoking(β=9.38).Conclusion The alteration of taste in cancer chemotherapy patients is in-fluenced by multiple factors.Nurses should regularly and dynamically assess changes in taste and implement individualized and refined nursing interventions in clinical practice to prevent or delay the development of taste alterations,thereby improving patients' quality of life and treatment adherence.

Objective To systematically evaluate the factors affecting taste alteration in patients undergoing cancer chemotherapy.Methods PubMed,Cochrane Library,Web of Science,CINAHL,Embase,CBM,CNKI,WanFang Data and VIP were searched from the establishment until August 1,2024.The retrieved literature was independently screened,evaluated and the data were extracted by 2 researchers,and statistical analysis was performed using Stata 17.0 software.Results A total of 18 studies were included,involving 4 686 patients.The incidence of taste changes is 73.46％.Totally 9 influencing factors were extracted through quantitative analysis,including oral mucositis(OR=1.98),dry mouth(OR=1.82),nausea(OR=3.05),loss of appetite(OR=2.41),use of triple antiemetic drugs(OR=2.45),gynecological cancers(OR=0.67),lung cancer(OR=0.57),paclitaxel types of chemotherapy d rugs(OR=2.86),and smoking(β=9.38).Conclusion The alteration of taste in cancer chemotherapy patients is in-fluenced by multiple factors.Nurses should regularly and dynamically assess changes in taste and implement individualized and refined nursing interventions in clinical practice to prevent or delay the development of taste alterations,thereby improving patients' quality of life and treatment adherence.

Objective:To study the effects of electromagnetic radiation（EMR）on the nervous system of rats in a simulated warship environment，so as to provide reference for improving the working condition for deck crew.Methods:A total of 36 adult male SD rats were randomly divided into six groups，with six rats in each group. There were four exposure groups：60 V/m exposure for 1 d and 3 d，120 V/m exposure for 1 d and 3 d. There were two control groups：control group for 1 d and control group for 3 d. After exposure，cholinergic neurotransmitters，blood-brain barrier permeability，and HSP70 were detected.Results:The content of ACh in hippocampus in the 60 V/m exposure for 3 d group［（515.52±5.88）pmol/L］was lower than that in the control group for 3 d［（550.94±20.44）pmol/L］，with statistically significant difference（ P<0.05）. The contents of ACh in cerebral cortex in the 60 V/m exposure for 1 d group［（578.84±25.14）pmol/L］and the 120 V/m exposure for 1 d group［（519.62±13.09）pmol/L］were both lower than that in the control group for 1 d［（605.13±17.99）pmol/L］，with statistically significant differences（ P<0.05； P<0.01）. The contents of ACh in cerebral cortex in 60 V/m exposure for 3 d group［（586.20±12.20）pmol/L］and the 120 V/m exposure for 3 d group［（591.22±9.78）pmol/L］were both lower than that in the control group for 3 d［（623.68±15.07）pmol/L］，with statistically significant differences（ P<0.01）. The contents of AChE in hippocampus and cerebral cortex were significantly increased in all four exposure groups compared with their correspondent control groups（ P<0.01），respectively；the concentrations of S100β in serum were significantly increased in the exposure for 3 d groups（ P<0.01）；after radio frequency（RF）exposure，the positive expressions of Hsp70 increased rapidly. Conclusion:After 1 day or 3 days of S-band RF exposure with electric field intensities of 60 V/m and 120 V/m，the cholinergic neurotransmitters in the brains of SD rats have changed，the permeability of blood-brain barrier is increased，and the positive expressions of Hsp70 are increased. It is speculated that S-band RF exposure can affect neurological system of SD rats，suggesting that the EMR of this band can bring potential harm to the deck crew，which demands appropriate protective measures.

Objective:To study the effects of electromagnetic radiation（EMR）on the nervous system of rats in a simulated warship environment，so as to provide reference for improving the working condition for deck crew.Methods:A total of 36 adult male SD rats were randomly divided into six groups，with six rats in each group. There were four exposure groups：60 V/m exposure for 1 d and 3 d，120 V/m exposure for 1 d and 3 d. There were two control groups：control group for 1 d and control group for 3 d. After exposure，cholinergic neurotransmitters，blood-brain barrier permeability，and HSP70 were detected.Results:The content of ACh in hippocampus in the 60 V/m exposure for 3 d group［（515.52±5.88）pmol/L］was lower than that in the control group for 3 d［（550.94±20.44）pmol/L］，with statistically significant difference（ P<0.05）. The contents of ACh in cerebral cortex in the 60 V/m exposure for 1 d group［（578.84±25.14）pmol/L］and the 120 V/m exposure for 1 d group［（519.62±13.09）pmol/L］were both lower than that in the control group for 1 d［（605.13±17.99）pmol/L］，with statistically significant differences（ P<0.05； P<0.01）. The contents of ACh in cerebral cortex in 60 V/m exposure for 3 d group［（586.20±12.20）pmol/L］and the 120 V/m exposure for 3 d group［（591.22±9.78）pmol/L］were both lower than that in the control group for 3 d［（623.68±15.07）pmol/L］，with statistically significant differences（ P<0.01）. The contents of AChE in hippocampus and cerebral cortex were significantly increased in all four exposure groups compared with their correspondent control groups（ P<0.01），respectively；the concentrations of S100β in serum were significantly increased in the exposure for 3 d groups（ P<0.01）；after radio frequency（RF）exposure，the positive expressions of Hsp70 increased rapidly. Conclusion:After 1 day or 3 days of S-band RF exposure with electric field intensities of 60 V/m and 120 V/m，the cholinergic neurotransmitters in the brains of SD rats have changed，the permeability of blood-brain barrier is increased，and the positive expressions of Hsp70 are increased. It is speculated that S-band RF exposure can affect neurological system of SD rats，suggesting that the EMR of this band can bring potential harm to the deck crew，which demands appropriate protective measures.

Objective:To find an effective statistical analysis model for analyzing the detected concentration of the cabin airborne microorganism, so as to provide a method to obtain the theoretical limits of allowable concentration of cabin airborne microbial pollution.Methods:According to the principles of mathematical statistics, the detected data were processed by five mapping transformations: linear transformation y= x, negative exponential transformation y=1/ x, root exponential transformation y=sqrt( x), logarithmic transformation y=log10( x), and inverse trigonometric function transformation y=arctg( x). The distribution of data was analyzed by six probability function models: normal distribution, gamma distribution, exponential distribution, Rayleigh distribution, Weibull distribution, and beta distribution; when the mapping transformation confidence level α=0.05, Kolmogorov-Smirnov test (KS test) was used to test the acceptability of the model. When P≥α, the distribution model was deemed as "not to be rejected" . Results:After linear transformation, negative exponential transformation, root exponential transformation, and logarithmic transformation, the detected concentrations of the cabin airborne microorganism of large surface warships and submarines accepted normal distribution model, gamma distribution model, and Weibull distribution model ( P≥α), while that in the ordinary surface warships accepted Weibull distribution model ( P≥α). Conclusion:Weibull distribution model has good generality in the statistical analysis of the detected concentration of the cabin airborne microorganism, which can be used to calculate the theoretical parameters of allowable concentration.

Objective:To find an effective statistical analysis model for analyzing the detected concentration of the cabin airborne microorganism, so as to provide a method to obtain the theoretical limits of allowable concentration of cabin airborne microbial pollution.Methods:According to the principles of mathematical statistics, the detected data were processed by five mapping transformations: linear transformation y= x, negative exponential transformation y=1/ x, root exponential transformation y=sqrt( x), logarithmic transformation y=log10( x), and inverse trigonometric function transformation y=arctg( x). The distribution of data was analyzed by six probability function models: normal distribution, gamma distribution, exponential distribution, Rayleigh distribution, Weibull distribution, and beta distribution; when the mapping transformation confidence level α=0.05, Kolmogorov-Smirnov test (KS test) was used to test the acceptability of the model. When P≥α, the distribution model was deemed as "not to be rejected" . Results:After linear transformation, negative exponential transformation, root exponential transformation, and logarithmic transformation, the detected concentrations of the cabin airborne microorganism of large surface warships and submarines accepted normal distribution model, gamma distribution model, and Weibull distribution model ( P≥α), while that in the ordinary surface warships accepted Weibull distribution model ( P≥α). Conclusion:Weibull distribution model has good generality in the statistical analysis of the detected concentration of the cabin airborne microorganism, which can be used to calculate the theoretical parameters of allowable concentration.

Objective:To study the inactivation efficacy of pulsed light with different irradiation intensities on microorganisms, so as to provide a validation for the design of sterilization techniques.Methods:Using Staphylococcus aureus (ATCC25923) and Bacillus subtilis (ATCC9372) as experimental bacteria. The carrier quantitative germicidal test was used to evaluate the inactivation efficacy. The exponential dilution method and the pour plate method were used to measure the inactivation efficacy. The scanning electron microscope and transmission electron microscope were used to observe the effects of different irradiation intensities of light on bacterial structure. The bacterial control group (CO group) and the bacterial test group (T group) were set up with the same initial concentration in the experiment. In the CO group, the bacteria without pulsed light irradiation were cultured in parallel for 30 s, 60 s, and 90 s. In the T group, bacteria received irradiation 50 cm, 100 cm, 150 cm, and 200 cm away from the pulsed light source respectively, and the irradiation time duration was set as 30 s, 60 s, and 90 s for each distance.Results:The inactivation rate of ATCC25923 was 100% and that of ATCC9372 was 99.9% when they were 50 cm and 100 cm away from the pulsed light source for 30 s. When the irradiation distance was increased to 150 cm, the inactivation rates of ATCC25923 for 30 s, 60 s, and 90 s were 81.9%, 95.4%, and 100%, respectively; and those of ATCC9372 were 76.0%, 92.3%, and 99.9%, respectively. When the irradiation distance was increased to 200 cm, the inactivation efficiency of pulsed light was significantly reduced; the inactivation rates of ATCC25923 at the three detection time points were reduced to 24.5%, 38.8%, and 48.8%, respectively, and those of ATCC9372 were reduced to 14.2%, 20.0%, and 28.5%.Conclusion:Pulsed light can quickly eradicate microorganisms, and its inactivation rate and efficiency are closely related to the intensity of irradiation.

Objective:To study the inactivation efficacy of pulsed light with different irradiation intensities on microorganisms, so as to provide a validation for the design of sterilization techniques.Methods:Using Staphylococcus aureus (ATCC25923) and Bacillus subtilis (ATCC9372) as experimental bacteria. The carrier quantitative germicidal test was used to evaluate the inactivation efficacy. The exponential dilution method and the pour plate method were used to measure the inactivation efficacy. The scanning electron microscope and transmission electron microscope were used to observe the effects of different irradiation intensities of light on bacterial structure. The bacterial control group (CO group) and the bacterial test group (T group) were set up with the same initial concentration in the experiment. In the CO group, the bacteria without pulsed light irradiation were cultured in parallel for 30 s, 60 s, and 90 s. In the T group, bacteria received irradiation 50 cm, 100 cm, 150 cm, and 200 cm away from the pulsed light source respectively, and the irradiation time duration was set as 30 s, 60 s, and 90 s for each distance.Results:The inactivation rate of ATCC25923 was 100% and that of ATCC9372 was 99.9% when they were 50 cm and 100 cm away from the pulsed light source for 30 s. When the irradiation distance was increased to 150 cm, the inactivation rates of ATCC25923 for 30 s, 60 s, and 90 s were 81.9%, 95.4%, and 100%, respectively; and those of ATCC9372 were 76.0%, 92.3%, and 99.9%, respectively. When the irradiation distance was increased to 200 cm, the inactivation efficiency of pulsed light was significantly reduced; the inactivation rates of ATCC25923 at the three detection time points were reduced to 24.5%, 38.8%, and 48.8%, respectively, and those of ATCC9372 were reduced to 14.2%, 20.0%, and 28.5%.Conclusion:Pulsed light can quickly eradicate microorganisms, and its inactivation rate and efficiency are closely related to the intensity of irradiation.

Objective To construct a scoring system of combination of procalcitonin and C-reactive protein for diagnosis of invasive bacterial diarrhea in children. Methods The clinical data of hospitalized children with acute diarrhea were retrospectively analyzed. All of the children were divided into two groups, invasive bacterial diarrhea group and nonbacterial diarrhea group. The scoring system of combination of two markers for diagnosis of invasive bacterial diarrhea in children was constructed by means of two categories logistic regression analysis using procalcitonin and C- reactive protein as parameters. In addition,receiver operating characteristic curve(ROC)was used to evaluate the diagnostic accuracy.Results One hundred ten cases of invasive bacterial diarrhea and 108 cases of nonbacterial diarrhea were included. The levels of serum procalcitonin and C-reactive protein in invasive bacterial diarrhea group were significantly higher than those in nonbacterial diarrhea group, and there were statistical difference(P all<0.05).The area under the ROC curve(AUC)of invasive bacterial diarrhea was 0.894 when the established scoring system was used, which was higher than the AUCs when either serum procalcitonin or in C- reactive protein was used (P<0.05). The best diagnostic boundary value for combination of serum procalcitonin and C- reactive protein scoring was 0.52 with a sensitivity at 80.9% and specificity at 88.9%. Conclusions The scoring system of combination of procalcitonin and C- reactive protein has good accuracy in diagnosis of invasive bacterial diarrhea in children, and can assist the early diagnosis of the disease.

Objective To evaluate the clinical effect of popliteal artery perforator-based sural neurovascular flap for repairing soft tissue defects in middle and distal upper leg.Methods Between December,2011 to September,2015,18 cases with skin soft tissue defects on the middle and distal upper leg were treated with popliteal artery perforator-based sural neurovascular flap,in which 12 cases were males,and 6 cases were females.The age was from 24 to 55 years,with the average age of 35.9 years.The size of tissue defects ranged from 3.0 cm × 3.0 cm to 7.0 cm × 9.0 cm.Results All flaps survived completely in 18 cases,1 case of marginal infection heated after dressing,and the rest cases in Ⅰ healing.The outline and function of survived flap were satisfactory during 3-16 months follow-up,with two-point discrimination of 4.0-10.0 mm.Conclusion The anterograde sural neurovascular flap based on the popliteal artery perforator provides a practical option for covering tissue defects in middle and distal upper leg.This flap is characteristiced by reliable blood supply without sacrificing main vesses,good contour and texture,in addition,the operation is easy of handling.