The coexistence of multiple symptoms of acquired immunodeficiency syndrome (AIDS) has caused serious distress to patients. Symptom management based on the premise of grasping the general situation of symptoms becomes the responsibility of the nursing staff. However, the development and use of symptom assessment tools for AIDS populations at China and abroad have not been effectively sorted out and clarified. This article summarizes and analyzes this situation in related fields, aiming to provide reference and basis for future research.

Objective To analyze the current status and clinical characteristics of urinary incontinence in 138 elderly female inpatients so as to provide thoughts and directions for management and intervention implemented by medical institutions for urinary incontinence people. Methods Cross-sectional investigation was used in this study. From August 2018 to November 2018, this study selected elderly female inpatients at a Class Ⅲ Grade A hospital in Beijing by cluster sampling. The primary screening was carried out with the International Consultation on Incontinence Questionnaire Urinary Incontinence Short Form (ICI-Q-SF) and urinary incontinence knowledge scale. This study analyzed the clinical characteristics and urinary incontinence knowledge in elderly female inpatients with urinary incontinence. Results Among 1105 elderly female inpatients ≥ 60 years old, there were 138 of them with urinary incontinence accounting for 12.5％. Among 138 elderly female inpatients with urinary incontinence, the ages were (74.37±8.49) ranged from 60 to 99; the score of urinary incontinence assessment was (7.09±4.59) from 1 to 21; patients with the mild or moderate level of urinary incontinence occupied 90.6％ (125/138);87.0％ (120/138) of patients were with basic diseases interacted with urinary incontinence. There was a statistical difference in the self-perception influence of the urinary incontinence on life among patients with different conditions (P < 0.05). There were statistical differences in the urinary incontinence knowledge among patients with different education levels (P< 0.01). Conclusions In China, it still faces severe problem of urinary incontinence in elderly female inpatients. Basis diseases of some patients interact with urinary incontinence. Urinary incontinence medical problems should be explored with the scientific, standardized and effective methods because of the bottleneck that public lack knowledge.

Objective:To explore the effects of family-centered continuous follow-up nursing in neonate delivery among acquired immune deficiency syndrome (AIDS) families.Methods:This study adopted the historical control clinical trial design, and randomly selected 60 neonate with preventing human immunodeficiency virus (HIV) mother-to-child transmission and met the inclusion and exclusion criteria in Department of Pediatrics of Beijing Ditan Hospital affiliated to Capital Medical University as subjects from January 2015 to December 2017. A total of 30 neonate from January 2015 to June 2016 were in control group, and 30 neonate from July 2016 to December 2017 were in observation group. Control group carried out the routine outpatient follow-up nursing, while observation group implemented the family-centered follow-up nursing. This study compared the success rate and compliance of preventing mother-to-child transmission, nutritional indicators as well as incidence of malnutrition between two groups.Results:The head circumference, height and arm circumference of infants aged 18 months in observation group were better than those in control group with statistical differences ( P<0.05) ; but there was no statistical difference in the weight ( P>0.05) . The success rates of preventing mother-to-child transmission between two groups were all 100%. The compliance with preventing mother-to-child transmission of observation group was higher than that of control group with a statistical difference ( P<0.05) ; rates of missed further consultation and readmission of observation group was lower than those of control group with statistical differences ( P<0.05) . The block therapy knowledge of guardians of observation group was better than those of control group with statistical difference ( P<0.05) . Conclusions:Family-centered continuous follow-up nursing can effectively improve the compliance with preventing mother-to-child transmission of infants, reduce rates of missed further consultation and readmission, promote the growth of infants and healthy development of nutritional status.

In recent years, with the improvement of living standards, lifestyle changes, and the advancement of medical examination methods, the detection rate of non-alcoholic fatty liver disease (NAFLD) has increased year by year, and it has become one of the important chronic liver diseases that seriously threaten human health worldwide. By far, there has been no ideal and effective treatment for NAFLD. Successful lifestyle intervention is unanimously recognized by experts at home and abroad as the most effective way to change the outcome of the disease. Although many scholars at home and abroad have explored different aspects of diet and exercise for patients with NAFLD in the past two decades, there are still no effective strategies or programs that can be used for reference. Therefore, this study organizes and summarizes relevant articles in recent years, and aims to provide a reference and basis for the future prevention and control of fatty liver and health management in China.

Objective? By investigating the current situation of medical staff, this paper preliminarily analyzed the problems existing in the construction of blood-borne occupational exposure protection system and safety culture, and provided theoretical basis for the establishment of an efficient and feasible protection system in medical institutions in China in the future. Methods? This study was designed for cross-sectional study. A total of 514 staff from different levels of medical institutions and different occupations were selected by convenience sampling from March 2017 to February 2018. A self-made cognitive questionnaire on blood-borne occupational exposure system and safety culture in medical institutions was used to conduct a questionnaire survey, and the results were analyzed. Results? 80%-90% of the respondents have a certain grasp of blood-borne occupational exposure. Respondents who did not achieve standard prevention eventually had occupational exposure of 90.35%(103/114), while those who could achieve standard prevention at work only had 57.50% (230/400). The difference was statistically significant (P＜0.05). There were significant differences in standard prevention awareness rate, occupational exposure and post-treatment methods of sharp instrument injuries among staff with different professional titles (P＜ 0.05). There were significant differences in occupational exposure and post-treatment of sharp instrument injuries among staff with different working years (P＜ 0.05). Conclusions? Different levels of medical institutions have made progress in process establishment, protective equipment allocation and related knowledge training, but also reflected the different levels of occupational exposure problems. More ideas and enlightenments were put forward for how to further reduce the incidence of blood-borne occupational exposure of medical institutions staff and improve their coping ability in the future.

ObjectiveTo establish the inservice training program of the circulatory classroom, and to discuss its training effects. Methods? A one-year round circulatory classroom training was conducted for all nurses in a tertiary general hospital in Beijing from January to December 2017, using a self-controlled study design. Totally 329 and 339 on-the-job nurses were selected as the respondents before and after the implementation of the circular classroom. The satisfaction of nurses before and after the intervention, the purpose of participating in the training and the training needs were analyzed by questionnaire survey. Results? After the intervention, the satisfaction of nurses with the new training program of circulatory classroom was 99.41%, which was higher than that of routine training, and the difference was statistically significant (P＜ 0.05). After the intervention, 84.4% of nurses took improving their clinical comprehensive ability and enriching their knowledge as the main purpose of participating in the training. The difference was statistically significant compared with that before the intervention (P＜0.05). 74.33% to 95.58% nurses considered that the new training has a great help to their own work, and indicated that they could actively and effectively translate what they learned into practical work. 86.43% of nurses prefer to use noon time to study. Conclusions? In-service circulatory classroom training can alleviate the contradiction between work and study in the continuing education, and enhance the enthusiasm and feasibility of nurses participating in continuing education.

Objective To explore nursing intervention management mode that are suitable for medical environment and resources in outpatient department of stomatology in comprehensive hospitals in China, that are effect in relieving anxiety of patients, and that are with strong operability.Methods According to randomized controlled clinical trial, 208 patients, treated in Department of Stomatology from September to October in 2015, were chosen and were randomly divided into research group and control group, each with 104 cases. Routine nursing was conducted to patients in the control group, while besides that, extra multi-dimensional cognitive intervention was implemented to patients in the research group. Before and after treatment, anxiety of the patients in the two groups was evaluated by dental fear scale (DFS), and their satisfaction towards nursing was evaluated by visual analogue scale (VAS).Results Before treatment, DFS scores of patients in the research group were (50.07±10.35), and (49.18±11.67) in the control group (t=0.696,P=0.891). After treatment, DFS scores of patients in the research group were (31.27±7.02), significantly lower than before the treatment; while DFS scores of patients in the control group were (55.67±16.93), significantly higher than before the treatment; besides, DFS scores of patients in the research group were significantly lower than that in the control group (t=12.447,P<0.001). Satisfaction towards nursing of patients in the research group was 96.2%, significantly higher than 84.6% in the control group (χ2=137.692,P<0.001).Conclusions The multi-dimensional cognitive intervention can relieve anxiety of patients during dental treatment and improve patients' satisfaction towards nursing.

OBJECTIVETo explore the effects of periodontal inflammation on the functions of gut barrier (ecological barrier, mechanical barrier, and immune barrier) in mice.

METHODSTwenty male C57BL/6J mice were randomly divided into perio-dontitis (P) or control (C) groups. The P group was subjected under a 10-day ligation with Porphyromonas gingivalis to induce periodontitis, whereas the C group was ligated with sham. Maxillae were obtained to assess alveolar bone loss. The phylogenetic structure and diversity of microbial communities in the gut were analyzed by 16s rRNA pyrosequencing. Immunohisto-chemical analysis was performed to determine the expressions of occludin, claudin2, and NOD2 in the ileum.

RESULTSCom-pared with the C group, the P group displayed significant alveolar bone loss (P<0.001). In addition, no significant influence on the main phyla and genus Parabacteroides of the two groups was observed (P>0.05). However, the ileum of the P group showed significantly upregulated occludin, claudin2, and NOD2 (P=0.039, P=0.011, and P=0.039, respectively).

CONCLUSIONSPeriodontal inflammation influences to some extent the mechanical and immune barrier functions of the mice gut. 
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Alveolar Bone Loss ; Animals ; Inflammation ; Male ; Mice ; Mice, Inbred C57BL ; Periodontitis ; Phylogeny ; Porphyromonas gingivalis ; RNA, Ribosomal, 16S

Objective:To investigate the content and mode of pharmaceutical care for the patients with severe burn and promote the rational use of drugs. Methods:Taking the treatment for one patient with severe burn as example,pharmacists provided pharmaceu-tical care in respects of anti-infection therapy,organ preservation,nutritional support, drug interactions, drug precautions, drug incom-patibility, adverse drug reactions and the effect evaluation . Results:The program of rational drug use was provided for clinics through the implementation of pharmaceutical care. The vital signs of the patient were stable, and then the patient left on pass and continued to be treated with rehabilitation therapy. Conclusion:It is necessary for clinical pharmacists to perform pharmaceutical care for the pa-tients with severe burn,reduce the abuse of drugs and improve the medication safety and effectiveness. Meanwhile, the collaborative service of doctors,pharmacists,nurses and inspectors to patients reflects the value of clinical pharmacists.

Objective To investigate the effect of responsibility contracting system in clinical teaching.Methods One hundred and eighty eights probationers from August 2009 to July 2010 as controls were trained by functional nursing teaching. Another 192 probationers from August 2009 to July 2010 were assigned as the experiment group,and given clinical teaching by way of the Responsibility Contracting System.The teaching effects in the two groups were compared.Results The probationers in the experiment group had significant improvements in the ability to perform health education,manipulation of nursing skills,ability in observation skills,and nursing documents writing,compared to the control group(P<0?01).Conclusions The teaching mode of responsibility contracting system is effective in strengthening the responsibility of probationer nurses,attaching great importance to the implementation of basic nursing,improving students’ability in implementation of health education and performance of skill manipulation and nursing,and eventually improving the level and quality of nursing teaching?