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Being a Father of a Premature Newborn: The Parental Experience and the Father/Premature Newborn Relationship: A Study Carried out in the department of Neonatology intensive care unit of Mohammed VI University Hospital

中华医学会急诊医学分会第十六次全国急诊医学学术年会

作者： wenfang li zhaofen lin department of Emergency and intensive care unit Changzheng Hospital Second Military Medical University

Objectives Evaluating data of quality control in a large cohort of integrated in-hospital emergency department (ED) and intensive care unit(ICU) projects to improve the outcome of rescue on acutely critical patients. ...

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Open Journal of Pediatrics 2024年第2期14卷 412-419页

作者： Hasnae Elhaddadi Sahar Messaoudi Anass Ayyad Rim Amrani department of Neonatology intensive care unit Mohammed VI University Hospital Faculty of Medicine and Pharmacy of Oujda Mohammed First University Oujda Morocco

Introduction: Despite advances in obstetrics and pediatrics over the past 20 years, premature birth remains an unpredictable event that can have a devastating impact on parenthood. This study aimed to analyze the psycho-affective experiences of fathers of premature newborns. Methods: This was a descriptive cross-sectional study, carried out in the department of neonatology and neonatal intensive care unit of the CHU Mohamed VI in OUJDA, over 6 months from March 2022 to August 2022. It focused on 30 fathers of premature newborns hospitalized in our department. Results: The majority of fathers described a state of fear and stress, and attributed their negative experience to the unexpected nature of the premature birth. At the first meeting, half the fathers had a positive image of their newborn’s physical appearance, while 22% of fathers reported feeling uncomfortable about their newborn’s low weight. Most fathers reported that they appreciated the welcome they received, the skill with which they cared for their newborn, and the availability of the pediatrician to provide information on their child’s state of health. Two fathers enjoyed skin-to-skin contact with their newborns. None of the fathers met a psychologist. When they returned home, half the fathers had a positive outlook, marked by happiness at being able to fully invest in their role as fathers, the other half reported being torn between the desire to see their child integrated into the family cocoon and the fear of not being able to manage delicate situations properly without a medical team. Conclusion: Bringing a premature baby into the world can be a difficult experience, leading to the development of even minor psychological distress in some fathers, and hence the need for specific psychological care.

关键词： Prematurity Psychiatrist Emotional Disorder Depression

Opinions and attitudes toward targeted temperature management in the emergency department and intensive care unit in a developing country: a survey study

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World Journal of Emergency Medicine 2023年第2期14卷 138-142页

作者： Abdullah Bakhsh Hadeel Alotaibi Sara Alothman Abdulrahman Alothman Rahaf Alothman Abdulrahman Alsulami Malak Alamoudi Ali Alothman Ali Al-Shareef department of Emergency Medicine the King Abdulaziz UniversityJeddah 21589Saudi Arabia Faculty of Medicine the King Abdulaziz UniversityJeddah 21589Saudi Arabia department of Anesthesia Intensive Care Unitthe King Abdulaziz UniversityJeddah 21589Saudi Arabia College of Medicine King Saud Bin Abdulaziz University for Health SciencesCollege of MedicineJeddah 21589Saudi Arabia King Abdulaziz Medical City Jeddah 21589Saudi Arabia King Abdullah International Medical Research Center Jeddah 21589Saudi Arabia

INTRODUCTION The past two decades have witnessed one of the most contentious scientific debates in the field of temperature management after cardiac arrest in *** started in 2002,following the publication of two groundbreaking trials showing lower mortality rates and improved neurologic recovery with the use of active cooling.[1,2]International recommendations advocate active cooling in the range of 32–34℃for comatose survivors of out-of-hospital cardiac arrest (OHCA).[3,4]The year2013 marked the tipping point with the release of the TTM 1 trial.

关键词： breaking release showing

Trends in point-of-care ultrasound protocols in the emergency department and intensive care unit:a review

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Emergency and Critical care Medicine 2023年第2期3卷 64-69页

作者： Xinhui Fan Yuan Bian Guoying Wang Weikang Liu Luyao Gao Yuhui Pan Shengchuan Cao Qiuhuan Yuan Shujian Wei Feng Xu Yuguo Chen department of Emergency and Chest Pain Center Shandong Provincial Clinical Research Center for Emergency and Critical Care MedicineInstitute of Emergency and Critical Care Medicine of Shandong UniversityKey Laboratory of Emergency and Critical Care Medicine of Shandong ProvinceKey Laboratory of Cardiopulmonary-Cerebral Resuscitation Research of Shandong ProvinceQilu Hospital of Shandong UniversityJinanChina.

Together with the development of the focused assessment with sonography for trauma protocol for ultrasound in trauma patients,point-of-care ultrasound is widely used in the field of emergency and critical care *** have established several classic operating protocols for different diseases,such as acute respiratory failure,shock,and cardiac arrest,in the emergency department and intensive care *** further development in the portability and popularity of ultrasonic equipment,it is expected to be used as a new type of technology for physical examination,including inspection,palpation,percussion,auscultation,and insonation,which will improve the clinical medicine practice in the future.

关键词： Auscultation and insonation Inspection Palpation Percussion Point-of-care ultrasound Protocol Seven-point and nineplane protocol

Integrated emergency department and general intensive care unit management on health outcomes

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Chinese Medical Journal 2021年第21期134卷 2553-2555页

作者： Shan-Lin Mao Zi Ge Hui Zhao Yan-Xue Wang Jun Cao Zhi-Jie Xia Emergency and Acute Critical care department Huashan Hospital NorthFudan UniversityShanghai 201907China

The emergency department(ED)should reliably provide the required medical treatment to patients who are in an emergency or are critically ***,the ED faced two challenges in China.

关键词： China department critically

Hypoxia-preconditioned bone marrow-derived mesenchymal stem cells protect neurons from cardiac arrest-induced pyroptosis

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Neural Regeneration Research 2025年第4期20卷 1103-1123页

作者： Xiahong Tang Nan Zheng Qingming Lin Yan You Zheng Gong Yangping Zhuang Jiali Wu Yu Wang Hanlin Huang Jun Ke Feng Chen Shengli Clinical Medical College of Fujian Medical University Fujian Medical UniversityFuzhouFujian ProvinceChina department of Emergency Fujian Provincial HospitalFuzhouFujian ProvinceChina Fujian Provincial Key Laboratory of Emergency Medicine FuzhouFujian ProvinceChina The Second department of intensive care unit Fujian Provincial Hospital South BranchFuzhouFujian ProvinceChina

Cardiac arrest can lead to severe neurological impairment as a result of inflammation,mitochondrial dysfunction,and post-cardiopulmonary resuscitation neurological *** preconditioning has been shown to improve migration and survival of bone marrow–derived mesenchymal stem cells and reduce pyroptosis after cardiac arrest,but the specific mechanisms by which hypoxia-preconditioned bone marrow–derived mesenchymal stem cells protect against brain injury after cardiac arrest are *** this end,we established an in vitro co-culture model of bone marrow–derived mesenchymal stem cells and oxygen–glucose deprived primary neurons and found that hypoxic preconditioning enhanced the protective effect of bone marrow stromal stem cells against neuronal pyroptosis,possibly through inhibition of the MAPK and nuclear factor κB ***,we transplanted hypoxia-preconditioned bone marrow–derived mesenchymal stem cells into the lateral ventricle after the return of spontaneous circulation in an 8-minute cardiac arrest rat model induced by *** results showed that hypoxia-preconditioned bone marrow–derived mesenchymal stem cells significantly reduced cardiac arrest–induced neuronal pyroptosis,oxidative stress,and mitochondrial damage,whereas knockdown of the liver isoform of phosphofructokinase in bone marrow–derived mesenchymal stem cells inhibited these *** conclude,hypoxia-preconditioned bone marrow–derived mesenchymal stem cells offer a promising therapeutic approach for neuronal injury following cardiac arrest,and their beneficial effects are potentially associated with increased expression of the liver isoform of phosphofructokinase following hypoxic preconditioning.

关键词： bone marrow–derived mesenchymal stem cells cardiac arrest cardiac resuscitation hypoxic preconditioning liver isoform of phosphofructokinase mitochondria neuroinflammation oxidative stress pyroptosis reactive oxygen species

Heat shock protein 70 protects PC12 cells against ischemia-hypoxia/reoxygenation by maintaining intracellular Ca^(2+) homeostasis

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Neural Regeneration Research 2016年第7期11卷 1134-1140页

作者： Yuan Liu Xue-chun Wang Dan Hu Shu-ran Huang Qing-shu Li Zhi Li Yan Qu department of intensive care unit Affiliated Qingdao Municipal Hospital of Qingdao University department of intensive care unit Affiliated Hospital of Jining Medical University

Heat shock protein 70（HSP70） maintains Ca^2＋ homeostasis in PC12 cells,which may protect against apoptosis;however,the mechanisms of neuroprotection are ***,in this study,we examined Ca^2＋ levels in PC12 cells transfected with an exogenous lentiviral HSP70 gene expression construct,and we subsequently subjected the cells to ischemia-hypoxia/reoxygenation ***70 overexpression increased neuronal viability and ATPase activity,and it decreased cellular reactive oxygen species levels and intracellular Ca^2＋ concentration after hypoxia/***70 overexpression enhanced the protein and m RNA expression levels of sarcoplasmic/endoplasmic reticulum Ca^2＋-ATPase（SERCA）,but it decreased the protein and m RNA levels of inositol 1,4,5-trisphosphate receptor（IP3R）,thereby leading to decreased intracellular Ca^2＋concentration after ischemia-hypoxia/*** results suggest that exogenous HSP70 protects against ischemia-hypoxia/reoxygenation injury,at least in part,by maintaining cellular Ca^2＋ homeostasis,by upregulating SERCA expression and by downregulating IP_3 R expression.

关键词： homeostasis intracellular reticulum neuronal endoplasmic maintaining ATPase unclear minutes exogenous

Protective effect of periplaneta americana extract on intestinal mucosal barrier function in patients with sepsis

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Journal of Traditional Chinese Medicine 2013年第1期33卷 70-73页

作者： Hongwei Zhang Liyou Wei Zhenyu Zhang Shuzheng Liu Gang Zhao Jing Zhang Yanling Hu The department of intensive care unit The second Hospital of Tangshan The department of Orthopaedics The second Hospital of Tangshan The department of intensive care unit People's Hospital of Tangshan

OBJECTIVE： To investigate the effect of the periplaneta americana extract on the intestinal mucosal barrier and prognostic implications in patients with sepsis. METHODS： Sixty and six patients with sepsis were assigned randomly to treatment group （32 cases） and control group （32 cases）. The extractfrom periplaneta americana plus conventional medication for sepsis was administered to the treatment group, while the control group only received conventional treatment. The gastrointestinal function scores and acute physiology and chronic health evaluation II （APACHE 11 ） scores of all subjects were documented at baseline, at days 1, 3 and 7 after treatment respectively and their blood endotoxin was tested at the same time points as well. The incidence of death was recorded for both groups throughout the trial. RESULTS： At days 3 and 7 after treatment, gastrointestinal function score, APACHE II, and endotoxin level in treatment group wasbetter than that in con- trol group and the difference between them was significant （both P〈0~05）. Although the incidence of death in treatment group was less than that in control group, the difference between the two groups was not significant （P〉 0.05）. CONCLUSION： The extract of periplaneta ameri- cana had protective effect on intestinal mucosal barrier and could improve the condition and prog- nosis in patients with sepsis.

关键词： Periplaneta americana extract Sepsis APACHE Endotoxins Gastrointestinal diseases

Protective effect of Xuebijing injection on myocardial injury in patients with sepsis: a randomized clinical trial

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Journal of Traditional Chinese Medicine 2016年第6期36卷 706-710页

作者： Zhang Hongwei Wei Liyou Zhao Gang Liu Shuzheng Zhang Zhenyu Zhang Jing Yang Yajing department of intensive care unit and Orthopaedics the Second Hospital of Tangshan Health Science Center Xi'an Jiaotong University department of intensive care unit and Clinical laboratory the Second Hospital of Tangshan department of intensive care unit People's Hospital of Tangshan

OBJECTIVE: To investigate the protective effect and possible mechanism of Xuebijing Injection on myocardial injury in patients with sepsis, and to evaluate its prognostic ***: Patients with septic myocardial injury were recruited, and were randomly divided into two groups: treatment group and control group. All patients in two groups received conventional cluster treatment, the patients in treatment group additional received Xuebijing injection dissolved in0.9% sodium chloride injection, and the patients in control group received the same amount of 0.9%sodium chloride injection. At the beginning of treatment and 3, 7 and 10-day after treatment, lab-oratory indicators of cardiac troponin Ⅰ(cTnI),N-terminal pro B-type natriuretic peptide(NT-pro BNP) and procalcitonin(PCT) were respectively tested in venous blood. The patient's length of stay in intensive care unit(ICU) and the mortality in 28 days were ***: At 3, 7 and 10-day after treatment, the improvements of c Tn I, NT-pro BNP and PCT in treatment group were better than those in control group, and the differences were statistically significant(P 0.05). The ICU length of stay of treatment group was shorter than that of control group(P > 0.05).CONCLUSION: Xuebijing injection could improve the levels of c Tn I, NT-pro BNP and PCT in patients with septic myocardial *** it had a protective effect on myocardial injury.

关键词： Sepsis Myocardial reperfusion injury Cardiac troponin Ⅰ Pro-brain natriuretic peptide(1-76) Procalcitonin Randomized clinical trials Xuebijing injection

Changes in intestinal microflora in rats with acute respiratory distress syndrome

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World Journal of Gastroenterology 2014年第19期20卷 5849-5858页

作者： Yan Li Xiang-Yong Liu Ming-Ming Ma Zhi-Jiang Qi Xiao-Qiang Zhang Zhi Li Guo-Hong Cao Jun Li Wei-Wei Zhu Xiao-Zhi Wang department of Respiratory Medicine and intensive care unit Affiliated Hospital of Binzhou Medical University department of intensive care unit Zhangqiu People’s Hospital department of Cell Biology Binzhou Medical University department of intensive care unit Dezhou People’s Hospital

AIM: To implement high-throughput 16S rDNA sequencing to study microbial diversity in the fecal matter of rats with acute lung injury/acute respiratory distress syndrome (ALI/ARDS).

关键词： Lipopolysaccharide Acute lung injury Acute respiratory distress syndrome Intestinal microflora High-throughput sequencing