Paraplegia caused by spinal cord injury is a serious neurological complication, for which surgery is currently the main treatment method. Due to different surgical approaches, patients are usually expected to maintain a passive prone position for a long time or switch between the supine and prone positions. Affected by multiple factors such as neurogenic sensory disorders, pathological changes in muscle tone and operative duration, the risk of intraoperative acquired pressure injury (IAPI) is significantly increased. Current clinical prevention strategies for IAPI in these patients predominantly focus on localized pressure relief during positioning, lacking systematic, standardized comprehensive prevention protocols or evidence-based guidelines. To address it, Department of Nursing, Orthopedics Branch, China International Exchange and Promotive Association for Medical and Health Care, Spinal Trauma Professional Committee, Orthopedics Branch, Chinese Medical Doctor Association, Nursing Group of Spine and Spinal Cord Professional Committee of Chinese Association of Rehabilitation Medicine organized experts in relevant fields to formulate Guideline for the prevention of intraoperative acquired pressure injury in paraplegic patients with spinal cord injury ( version 2025), based on evidence-based medical evidence and latest research results and clinical practice at home and abroad. Eleven recommendations were put forward from the aspects of preoperative risk assessment, intraoperative prevention strategies, postoperative handover and monitoring, and supportive mechanisms for IAPI prevention, aiming to standardize the prevention measures and management strategies of IAPI in paraplegic patients with spinal cord injury and accelerate the recovery of patients and improve the therapeutic effect.

Paraplegia caused by spinal cord injury is a serious neurological complication, for which surgery is currently the main treatment method. Due to different surgical approaches, patients are usually expected to maintain a passive prone position for a long time or switch between the supine and prone positions. Affected by multiple factors such as neurogenic sensory disorders, pathological changes in muscle tone and operative duration, the risk of intraoperative acquired pressure injury (IAPI) is significantly increased. Current clinical prevention strategies for IAPI in these patients predominantly focus on localized pressure relief during positioning, lacking systematic, standardized comprehensive prevention protocols or evidence-based guidelines. To address it, Department of Nursing, Orthopedics Branch, China International Exchange and Promotive Association for Medical and Health Care, Spinal Trauma Professional Committee, Orthopedics Branch, Chinese Medical Doctor Association, Nursing Group of Spine and Spinal Cord Professional Committee of Chinese Association of Rehabilitation Medicine organized experts in relevant fields to formulate Guideline for the prevention of intraoperative acquired pressure injury in paraplegic patients with spinal cord injury ( version 2025), based on evidence-based medical evidence and latest research results and clinical practice at home and abroad. Eleven recommendations were put forward from the aspects of preoperative risk assessment, intraoperative prevention strategies, postoperative handover and monitoring, and supportive mechanisms for IAPI prevention, aiming to standardize the prevention measures and management strategies of IAPI in paraplegic patients with spinal cord injury and accelerate the recovery of patients and improve the therapeutic effect.

Hip fracture in the elderly is characterized by high incidence, high disability rate, and high mortality and has been recognized as a public health issue threatening their health. Surgery is the preferred choice for the treatment of elderly patients with hip fracture. However, lower extremity deep venous thrombosis (DVT) has an extremely high incidence rate during the perioperative period, and may significantly increase the risk of patients′ death once it progresses to pulmonary embolism. In response to this issue, the clinical guidelines and expert consensuses all emphasize active application of comprehensive preventive measures, including basic prevention, physical prevention, and pharmacological prevention. In this prevention system, basic prevention is the basis of physical and pharmacological prevention. However,there is a lack of unified and definite recommendations for basic preventive measures in clinical practice. To this end, the Orthopedic Nursing Professional Committee of the Chinese Nursing Association and Nursing Department of the Orthopedic Branch of the China International Exchange and Promotive Association for Medical and Health Care organized relevant nursing experts to formulate Expert consensus on perioperative basic prevention for lower extremity deep venous thrombosis in elderly patients with hip fracture ( version 2024) . A total of 10 recommendations were proposed, aiming to standardize the basic preventive measures for lower extremity DVT in elderly patients with hip fractures during the perioperative period and promote their subsequent rehabilitation.

Objective:To construct an unaccompanied patient ward management system based on the harmony theory and explore its effects in the Department of Breast and Plastic Surgery.Methods:Patients from the Department of Breast and Plastic Surgery, the University of Hong Kong-Shenzhen Hospital from January to July 2021 were selected as the control group ( n=1 213) , who received conventional accompanied care. Those admitted from January to July 2022 were the observation group ( n=1 057) , who received harmonious unaccompanied care. The occurrence rate of adverse events, patient satisfaction, and medical staff's job satisfaction between the two groups were compared. Results:The occurrence rate of adverse events in the observation group (0/1 057) was lower than that in the control group (1/1 213) , with no statistically significant difference ( P>0.05) . Both patients' satisfaction and medical staff's job satisfaction in the observation group were higher than those in the control group, with statistically significant differences ( P<0.05) . Conclusions:The construction of the unaccompanied patient ward management system based on the harmony theory contributes to standardizing high-quality nursing comprehensively. It improves both patients' satisfaction and medical staff's job satisfaction, promoting harmonious doctor-patient relationships.

In December 2019, the corona virus disease 2019 (COVID-19) broke out in Wuhan, Hubei Province. Although the number of newly confirmed COVID-19 cases in provinces outside of Hubei Province has declined continuously since February 4, the epidemic of COVID-19 remains serious. As companies resume work, it is still inevitable that some high-energy orthopedic trauma patients and elderly patients with low-energy fractures will need surgical treatment. The operating room, as a place for close contact between doctors, patients and nurses, increases the risk of infection and transmission. Based on the current needs of orthopedic trauma patients and the situation of the country's resistance to the epidemic of COVID-19, the authors expound the operating room management, preparation of medical materials, transfer of patients needing surgery, intraoperative protection and post-operative end disinfection in Third Hospital of Hebei Medical University so as to provide reference for prevention and control management of the operating room during the epidemic period.

Objective To investigate the protective effect of sipunculusnudus polysaccharide (SNP) on HUVEC cell damage induced by ionizing radiation.Methods The survival rate of HUVEC cells was detected by CCK-8,after irradiation with 137Cs γ-rays and pre-treatment with SNP,and optimal absorption dose rate of 137Cs γ-ray was 8 Gy and optimal concentration of SNP was confirmed to be 100 g/mL.The radiation sensitivity of HUVEC cells pretreated with SNP was detected by clone formation assay.Apoptosis rate of HUVEC cells was measured by Hoechst33342/PI staining and flow cytometry.Results The results indicated that the survival rate of HUVEC cells decreased significantly with the increase of irradiation dose (P ＜ 0.01).When pretreated with SNP,the survival rate of HUVEC cells significantly increased,and it was positively correlated with the concentration of SNP.When the end concentration of SNP was as high as 100 μg/ml,the survival rate reached the highest (84.96％),and the survival rate after irradiation increased from 63.43％ to 84.96％ (P ＜0.01).The rate of clone formation in the SNP-treated group was also significantly higher as compared with that of the control group(P ＜ 0.01).Compared with the irradiation model group,the apoptosis rate and intracellular reactive oxygen species (ROS) levels in the SNP-treated group decreased significantly,with the apoptosis rate decreasing from 15.6％ to 6.8％,and ROS level decreasing from 47.10 × 104 to 41.77 × 104,with statistical signficance (P ＜ 0.05 or P ＜ 0.01).The blue fluorescence of the Hoechst 33342 coloring and red fluorescence of PI coloring also decreased signficantly in the SNP-treated group (P ＜ 0.01).Conclusion The results suggested that SNP pretreatment could increase cell survival rate and cloning rate after irradiation,reduce radiation-induced apoptosis and intracellular ROS levels effectively,indicating that SNP treatment could exert a certain protective effect on HUVEC cell damage induced by ionizing radiation.

Objective To investigate the protective effect of sipunculusnudus polysaccharide (SNP) on HUVEC cell damage induced by ionizing radiation.Methods The survival rate of HUVEC cells was detected by CCK-8,after irradiation with 137Cs γ-rays and pre-treatment with SNP,and optimal absorption dose rate of 137Cs γ-ray was 8 Gy and optimal concentration of SNP was confirmed to be 100 g/mL.The radiation sensitivity of HUVEC cells pretreated with SNP was detected by clone formation assay.Apoptosis rate of HUVEC cells was measured by Hoechst33342/PI staining and flow cytometry.Results The results indicated that the survival rate of HUVEC cells decreased significantly with the increase of irradiation dose (P ＜ 0.01).When pretreated with SNP,the survival rate of HUVEC cells significantly increased,and it was positively correlated with the concentration of SNP.When the end concentration of SNP was as high as 100 μg/ml,the survival rate reached the highest (84.96％),and the survival rate after irradiation increased from 63.43％ to 84.96％ (P ＜0.01).The rate of clone formation in the SNP-treated group was also significantly higher as compared with that of the control group(P ＜ 0.01).Compared with the irradiation model group,the apoptosis rate and intracellular reactive oxygen species (ROS) levels in the SNP-treated group decreased significantly,with the apoptosis rate decreasing from 15.6％ to 6.8％,and ROS level decreasing from 47.10 × 104 to 41.77 × 104,with statistical signficance (P ＜ 0.05 or P ＜ 0.01).The blue fluorescence of the Hoechst 33342 coloring and red fluorescence of PI coloring also decreased signficantly in the SNP-treated group (P ＜ 0.01).Conclusion The results suggested that SNP pretreatment could increase cell survival rate and cloning rate after irradiation,reduce radiation-induced apoptosis and intracellular ROS levels effectively,indicating that SNP treatment could exert a certain protective effect on HUVEC cell damage induced by ionizing radiation.