Objective To evaluate the efficacy of loose-leaf textbooks in nursing risk education for nursing interns.Methods A random number table was used to divide 120 nursing interns in the geriatric oncology department into intervention and control groups,with 60 in each group.The control group received standard clinical nursing instruction,while the intervention group was taught using loose-leaf teaching materials in addition to standard clinical instruction.Occupational risk cognition,pa-tient safety perception,theoretical scores,clinical skills scores,and teaching satisfaction were compared between the two groups.Results The intervention group showed significantly higher scores in occupational risk cognition,patient safety perception,theo-retical achievement,clinical skills achievement,and teaching satisfaction compared to the control group(P＜0.05).Conclu-sion Loose-leaf textbooks enhance nursing interns' learning of occupational risks,improve patient safety perception,boost theo-retical and clinical skills performance,and increase teaching satisfaction.

Objective To evaluate the efficacy of loose-leaf textbooks in nursing risk education for nursing interns.Methods A random number table was used to divide 120 nursing interns in the geriatric oncology department into intervention and control groups,with 60 in each group.The control group received standard clinical nursing instruction,while the intervention group was taught using loose-leaf teaching materials in addition to standard clinical instruction.Occupational risk cognition,pa-tient safety perception,theoretical scores,clinical skills scores,and teaching satisfaction were compared between the two groups.Results The intervention group showed significantly higher scores in occupational risk cognition,patient safety perception,theo-retical achievement,clinical skills achievement,and teaching satisfaction compared to the control group(P＜0.05).Conclu-sion Loose-leaf textbooks enhance nursing interns' learning of occupational risks,improve patient safety perception,boost theo-retical and clinical skills performance,and increase teaching satisfaction.

Objective To observe the effects of Najia method of midday-midnight point selection for acute ischemic stroke (AIS) model rats onthe contents of NSE and S100B protein in serum. Methods SPF SD male rats were chosen to establish the models by middle cerebral artery bolt method. Rats were divided into blank group, sham-operation group, model group, channel-point group, and Najia method group by random number table method. Blank group, sham-operation group, and model group were in the absence of treatment, while the channel-point group received acupuncture treatment according to differentiation syndrome. Najia method group used Najia method of midday-midnight point selection to conduct acupuncture treatment once a day. Improvement of neural function and cerebral infarction volume were observed. The contents of NSE and S100B protein in serum were detected. Results Compared with model group, neurological function score, infarct volume and infarct volume percentage, and the contents of NSE and S100B protein in serum decreased in Najia method group and channel-point group (P<0.05, P<0.01). The effects of Najia group were generally better than the channel-point group. Conclusion Najia method of midday-midnight point selection can decrease the content of NSE and S100B protein in serum of AIS model rats, so as to achieve the effects of neuroprotection and treatment.

Objective To investigate the effects of prescription of nourishing blood and stretching of stoke (PNBSS) on the levels of TXB2 and 6-Keto-PGF1αin serum of patients with acute ischemic cerebrovascular disease (AICD);To discuss its action mechanism in AICD treatment. Methods Ninety patients with AICD were randomly divided into trial group and control group, 45 cases in each group. The control group received western routine treatment, while the trail group received the western routine treatment plus PNBSS, one dose per day, for one week. Rating scale of neurologic deficit was employed to evaluate treatment effectiveness. Venous blood was collected before the treatment and on the 3rd and 7th days of treatment. Levels of TXB2 and 6-Keto-PGF1αin serum were detected respectively. Results The score of neurologic deficit of post-treatment in two groups apparently decreased compared with baseline (P<0.01), and score of neurologic deficit in trial group on 7th day was lower than that of control group (P<0.05). The total effective rate in trial group was 93.3%, which was apparently higher than that of control group (84.4%). The level of TXB2 in serum and ratio of TXB2/6-Keto-PGF1α (T/P) in two groups on 3rd and 7th days remarkably decreased compared with baseline (P<0.01), while the level of 6-Keto-PGF1α in two groups on 3rd and 7th days was higher than that of baseline (P<0.01). Meanwhile, the level of TXB2 and ratio of T/P in two groups on 7th day were apparently lower than that of 3rd day (P<0.01), and the level of 6-Keto-PGF1αon 7th day was higher than that of 3rd day (P<0.01). The level of TXB2 in serum and ratio of T/P on 3rd and 7th days in trial group were apparently lower than that of control group (P<0.01, P<0.05), while the level of 6-Keto-PGF1α on 3rd and 7th days in trial group was apparently higher than that of control group (P<0.01, P<0.05). Conclusion One of the mechanisms of PNBSS for AICD appears to inhibit overavtivity of thrombocyte, and regulate the misadjustment of ratio of T/P.