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Effectiveness of traditional chinese medicine nursing intervention on constipation and anxiety in chemotherapy

Nursing Communications 2024年第10期8卷 1-6页

作者： Ming-Si Fan Hai-Lei Bian Li Ni Cardiac Intensive Care Unit Shanghai East Hospital of Tongji UniversityShanghai 200120China operating theatre department Shanghai East Hospital of Tongji UniversityShanghai 200120China

Background:In a study conducted from March to September 2021,124 cancer patients undergoing chemotherapy at our hospital were divided into two *** control group received routine inpatient nursing care,while the observation group received Traditional Chinese Medicine(TCM)nursing interventions in addition to routine *** analysis was conducted to compare the incidence of clinical adverse reactions,constipation scores,and changes in anxiety levels between the two *** results showed that the observation group,receiving TCM nursing interventions,had lower incidence of clinical adverse reactions and lower constipation scores compared to the control ***,anxiety levels were found to decrease significantly in the observation group *** findings suggest that incorporating TCM nursing interventions in the care of cancer patients undergoing chemotherapy may help in reducing the occurrence of adverse reactions,alleviating constipation,and managing anxiety *** research is needed to explore the full potential of integrating TCM into conventional nursing care for cancer ***:Following interventions,both groups experienced varying degrees of clinical adverse reactions,with the observation group demonstrating a significantly lower total incidence(29.03%)compared to the control *** disparity was statistically significant(P<0.05).Furthermore,improvements were observed in defecation time(0.53±0.18)points and defecation frequency(1.17±0.25)points *** findings suggest that the intervention had a positive impact on reducing adverse reactions and improving defecation ***:In a recent study,researchers found that individuals in the observation group experienced lower levels of difficulty with defecation and had a more regular defecation form compared to those in the control *** results showed a significant difference in defecation difficulty and form,with the observation g

关键词： chemotherapy cancer TCM syndrome constipation anxiety

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Serum procalcitonin levels are associated with rhabdomyolysis following exertional heatstroke: an over 10-year intensive care survey

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World Journal of Emergency Medicine 2024年第1期15卷 23-27页

作者： Li Zhong Feifei Shuai Conglin Wang Lipeng Han Zhifeng Liu Ming Wu department of Traditional Chinese Medicine the First Affi liated HospitalGuizhou University of Chinese MedicineGuiyang 550001China department of Medical Critical Care Medicine General Hospital of Southern Theatre Command of People’s Liberation ArmyGuangzhou 510010China department of Infection and Critical Care Medicine Shenzhen Second People’s Hospital&First Affi liated Hospital of Shenzhen UniversityHealth Science CenterShenzhen 518035China department of Nosocomial Infection Prevention and Control Shenzhen Second People’s HospitalShenzhen 518035China Key Laboratory of Hot Zone Trauma Care and Tissue Repair of People's Liberation Army General Hospital of Southern Theatre Command of People's Liberation ArmyGuangzhou 510010China

BACKGROUND:Heatstroke has become a common emergency event in ***(PCT)is used as a biomarker of infection in the emergency department(ED),but its role in rhabdomyolysis(RM)following exertional heatstroke(EHS)remains ***:A retrospective cohort study enrolled patients with EHS from the intensive care unit(ICU).We collected RM biomarkers,inflammation markers,critical disease scores at admission,24 h,48 h,and discharge,and 90-day *** analysis,linear regression and curve fi tting were used to identify the relationship between PCT and ***:A total of 162 patients were recruited and divided into RM(n=56)and non-RM(n=106)*** was positively correlated with myoglobin(Mb),acute hepatic injury,disseminated intravascular coagulation(DIC),Sequential Organ Failure Assessment(SOFA)score,and Acute Physiology and Chronic Health Evaluation II(APACHE II)score,with correlation coefficients of 0.214,0.237,0.285,0.454,and 0.368,respectively(all P<0.05).Interestingly,the results of curve fi tting revealed a nonlinear relationship between PCT and RM,and a two-piecewise linear regression model showed that PCT was related to RM with an odds ratio of 1.3 and a cut-off of<4.6 ng/*** analysis revealed that RM was associated with higher mortality compared to non-RM cases(P=0.0093).CONCLUSION:High serum PCT concentrations are associated with RM after EHS in critically ill *** PCT concentrations should be interpreted cautiously in patients with EHS in the ED.

关键词： Procalcitonin Myoglobin Rhabdomyolysis Exertional heatstroke

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Umbilical Cord Prolapse Managed by Assisted Vacuum Delivery

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Case Reports in Clinical Medicine 2024年第7期13卷 234-240页

作者： Katherine Magali Michael Haule Musa Faraay Eltruda Tesha Obstetrics and Gynecology department Manyara Regional Referral Hospital Babati Tanzania theatre and Anaesthesia Unit Manyara Regional Referral Hospital Babati Tanzania

G4P3L3 was at 40 weeks of gestation who was admitted in active stage of labor with normal fetal heart rate. At 8 cm cervical dilatation she experienced spontaneous rupture of membrane with clear liquor. Cord prolapse was detected and was prepared for caesarian section meanwhile she was kept in knee chest position and bladder was filled with normal saline 0.9%. 30 min before operation she was fully dilated with signs of Non reassuring fetal status, vacuum extraction was done to assist delivery as soon as possible. The APGAR score was 6 and 10 in the first and fifth minutes respectively. Mother and the baby were discharged the next day in good condition.

关键词： Umbilical Cord Prolapse Operative Vaginal Delivery Vacuum Extraction

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A biobank of patient derived glioma organoids

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Science China Life Sciences 2024年

作者： Yulin Wen Hongmin Bai Qing Li Sainan Huang Xiaokun Jia Guangjin Pan Hongjie Yao State Key Laboratory of Respiratory Disease Guangzhou Institutes of Biomedicine and Health Chinese Academy of Sciences Guangzhou Medical University University of Chinese Academy of Sciences department of Neurosurgery General Hospital of Southern Theatre Command department of Basic Research Guangzhou National Laboratory

Dear Editor,Gliomas are the most prevalent malignant tumors affecting the central nervous system (CNS), categorized into low-grade gliomas (LGG) comprising CNS WHO grades 2–3, and high-grade gliomas(HGG) encompassing CNS WHO grade 4(Aldape et al., 2015). The current standard therapeutic approach involves maximal safe margin excision followed by radiotherapy and temozolomide (TMZ)treatment (Armstrong et al., 2020).However, due to the unique site and microenvironment of gliomas, patients experience limited benefits from emerging revolutionary therapies such as targeted therapy and immunotherapy (Sampson et al., 2020; Yang et al., 2022).

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The exploration of cell population data in clinical use: Beyond infectious diseases

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iLABMED 2024年第2期2卷 125-140页

作者： Shayuanzi Huang Yin Liu Liu Qian Juan Zhou Dong Wang department of Laboratory Medicine the First Affiliated HospitalSun Yat-Sen UniversityGuangzhouGuangdongChina department of Laboratory Medicine Guangxi Hospital Division of the First Affiliated HospitalSun Yat-Sen UniversityNanningGuangxiChina department of Medical Affair Danaher Diagnostic PlatformShanghaiChina department of Oncology General Hospital of the Southern Theatre CommandPLAGuangzhouGuangdongChina

Cell population data(CPD)is regarded as the fingerprint of a blood cell at a given *** parameters harbor information associated with cell morphology and can be automatically generated using modern hematological *** studies have revealed many unique clinical applications for CPD,especially for infectious diseases,such as *** example,one monocyte-related CPD parameter is the monocyte distribution width(MDW),which can be generated using a Beckman Coulter hematological *** has received FDA and CE approval for aiding in sepsis diagnosis in adult patients in the emergency ***,MDW can serve as a diagnostic biomarker in patients infected with *** has also been widely explored for possible clinical applications beyond infectious dis-eases,such as for predicting myelodysplastic syndromes,screening for he-matological malignancies,and detecting sterile *** parameter measurements are easily obtained and quite cost-effective,making them practical for clinical ***,there are some potential drawbacks of CPD *** pre-analytical conditions can affect CPD ***-more,CPD are specific to certain hematological analyzers and the result cannot be transferred between different *** practical usefulness of CPD reference intervals is also still *** this review,wesummarize the current studies related to CPD and its clinical *** well-designed clinical studies related to CPD are still expected.

关键词： cell population data Coulter principle hematology analyzer infectious diseases white blood cell

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Effectiveness of Music-Based Therapeutic Intervention on People with Dementia: A Rapid Review

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Advances in Alzheimer's Disease 2024年第2期13卷 35-47页

作者： Shreejeet Shrestha Samikshya Karmacharya Yadav Prasad Joshi Prasa Shrestha department of Public Health Asian College for Advance Studies Lalitpur Nepal department of Operation theatre Gosford Hospital New South Wales Health Gosford Australia Faculty of Science Health and Technology Nepal Open University Lalitpur Nepal Manmohan Memorial Institute of Health Sciences Kathmandu Nepal department of General Practice and Emergency Medicine Chitwan Medical College Bharatpur Nepal

Background: Dementia is a condition with progressive cognitive dysfunction and manifestation of both behavioral and psychosocial symptoms. Non-pharmacological measures such as music therapy are gaining importance since efficacy and safety of people with dementia have been questionable for pharmacological measures. Patient’s response to music is persistent even in the later stage of dementia. Aim: This rapid review aims to identify, analyze, evaluate, and summarize the best available evidence on the effectiveness of music-based therapeutic interventions among people with dementia. Method: CINAHL Cochrane Library, internet websites of rapid review producers, and reference lists were searched to identify articles for inclusion. Two reviewers independently screened the literature search results. Effectiveness, music-based therapeutic intervention, dementia, Alzheimer’s disease, systematic review and systematic review with meta-analysis terms were used to abstract data from included studies. Main Findings: 11 SRs and SRs with meta-analysis were reviewed which revealed positive effect of music therapy on five major outcomes with 9 studies effect on behavioral outcome, 6 studies with positive effect on psychosocial outcome reducing anxiety, 6 with improved cognition, 1 study revealed with improved quality of life and 1 study revealed effect on physiological outcomes. Conclusion: Music therapy has positive effect on treatment of dementia but further studies with larger sample size and specified to single intervention should be conducted to provide generalisable and precise results on this topic.

关键词： Dementia Rapid Review Music Therapy Behavioral Cognitive Quality of Life

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A multicenter uroflowmetry study of healthy women in China

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Chinese Medical Journal 2024年第10期137卷 1225-1227页

作者： Xiaodong Liu Lingfeng Meng Jiawen Wang Tianming Ma Benkang Shi Hai Huang Qingwei Wang Min Chen Limin Liao Hong Shen Zhongqing Wei Yuansong Xiao Tiejun Pan Jian Ren Peng Zhang Xiaojun Tian Yaoguang Zhang department of Urology Beijing HospitalNational Center of GerontologyInstitute of Geriatric MedicineChinese Academy of Medical Sciences&Peking Union Medical CollegeBeijing 100730China Graduate School of Peking Union Medical College Beijing 100730China department of Urology Qilu HospitalShandong UniversityJinanShandong 250013China department of Urology SUN YAT-SEN Memorial HospitalGuangzhouGuangdong 510235China department of Urology The First Affiliated Hospital of Zhengzhou UniversityZhengzhouHenan 450003China department of Urology Tongji HospitalTongji Medical College of Huazhong University of Science and TechnologyWuhanHubei 430030China department of Urology China Rehabilitation Research CenterBeijing 100068China department of Urology West China HospitalChengduSichuan 610041China department of Urology The Second Affiliated Hospital of Nanjing Medical UniversityNanjingJiangsu 210011China department of Urology General Hospital of Southern Theatre CommandGuangzhouGuangdong 510010China department of Urology General Hospital of Central Theatre CommandWuhanHubei 430071China department of Urology China-Japan Friendship HospitalBeijing 100029China department of Urology Beijing Chao-Yang HospitalBeijing 100027China department of Urology Peking University Third HospitalBeijing 100191China

Uroflowmetry is an uroflow measurement technique used to record the voided volume(VV)and flow rate,which can help clinicians objectively evaluate lower urinary tract ***,few uroflowmetry studies have focused on the female population,[1]especially on the uroflow curve standard ***,we sought to establish dependable uroflow reference values and nomograms for Chinese women and to evaluate the relationship between uroflow patterns and demographic data.

关键词： function. flowmetry analysis.

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Critical emancipatory reflection on establishing an equal,trusting relationship among surgery participants in clinical practice in China

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Frontiers of Nursing 2019年第1期6卷 47-52页

作者： Yan-Ling Lai The department of Anesthesiology & operating theatre Sun Yat-sen University Cancer CenterState Key Laboratory of Oncology in South ChinaCollaborative Innovation Center for Cancer Medicine

Objective: Reflection is considered to be one of the important ways to learn from one's experience, and one should be encouraged to apply the skill of reflection in lifelong learning. The author used the critical emancipatory reflection theory to reflect on a practice issue,which was related to the relationship between doctors and nurses, and tries to become a lifelong reflective practitioner in clinical ***: Smyth's reflective framework, which includes the steps describe, inform, confront, and reconstruct, will be used in this article to help the author to understand the process of reflection and improve the skill of reflection. Utilizing Smyth's reflective framework to reflect on an issue in practice allows the author to break the routine way of thinking and learn from experience, as well as providing a higher quality of service for ***: The theory of emancipatory reflection along with the critical reflection theory will be used to determine the beliefs and values that rule the author's action and derive how these are distinct from what the author is supposed to achieve. Besides, critical emancipatory reflection theory will be used to discover the dominant power structures in clinical practice; symbolic interaction and hegemony will be utilized to discover the factors that prevent the author from achieving the desired goals; socialization theory will be applied to facilitate the author in improving the professional ***: Using the critical emancipatory reflection on the issue in practice helps the author to find out the constraints in practice,bridge the espoused value and enacted value, and thereafter undertake transformative changes in practice. Eventually, the author can improve the skill of critical emancipatory reflection and become a lifelong reflective practitioner, and the quality of clinical practice can be improved as a result.

关键词： critical emancipatory reflection Smyth’s framework reflective practice working relationship patient-centered service

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Characteristics of intracranial plaque in patients with non-cardioembolic stroke and intracranial large vessel occlusion

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Stroke & Vascular Neurology 2023年第5期8卷 387-398,I0015,I0016页

作者： Dan Wang Zi-Yang Shang Yu Cui Ben-Qiang Yang George Ntaios Hui-Sheng Chen department of Neurology General Hospital of Northern Theatre CommandShenyangLiaoningChina Radiology General Hospital of Northern Theatre CommandShenyangLiaoningChina department of Medicine University of ThessalyLarissaGreece

Objective To determine the characteristics of intracranial plaque proximal to large vessel occlusion(LVO)in stroke patients without major-risk cardioembolic source using 3.0 T high-resolution MRI(HR-MRI).Methods We retrospectively enrolled eligible patients from January 2015 to July *** multidimensional parameters of plaque such as remodelling index(RI),plaque burden(PB),percentage lipid-rich necrotic core(%LRNC),presence of discontinuity of plaque surface(DPS),fibrous cap rupture,intraplaque haemorrhage and complicated plaque were evaluated by *** Among 279 stroke patients,intracranial plaque proximal to LVO was more prevalent in the ipsilateral versus contralateral side to stroke(75.6%vs 58.8%,p<0.001).The larger PB(p<0.001),RI(p<0.001)and%LRNC(p=0.001),the higher prevalence of DPS(61.1%vs 50.6%,p=0.041)and complicated plaque(63.0%vs 50.6%,p=0.016)were observed in the plaque ipsilateral versus contralateral to *** analysis showed that RI and PB were positively associated with an ischaemic stroke(RI:crude OR:1.303,95%CI 1.072 to 1.584,p=0.008;PB:crude OR:1.677,95%CI 1.381 to 2.037,p<0.001).In subgroup with<50%stenotic plaque,the greater PB,RI,%LRNC and the presence of complicated plaque were more closely related to stroke,which was not evident in subgroup with≥50%stenotic *** This is the first study to report the characteristics of intracranial plaque proximal to LVO in non-cardioembolic *** provides potential evidence to support different aetiological roles of<50%stenotic vs≥50%stenotic intracranial plaque in this population.

关键词： patients intracranial occlusion

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Risk factors for brain injury in patients with exertional heatstroke:A 5-year experience

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Chinese Journal of Traumatology 2024年第2期27卷 91-96页

作者： Li Zhong Ming Wu Zhe-Ying Liu Yan Liu Zhi-Feng Liu department of Traditional Chinese Medicine The First Affiliated HospitalGuizhou University of Chinese MedicineGuiyang550001China department of Infection and Critical Care Medicine The Second People's Hospital of Shenzhen&First Affiliated Hospital of Shenzhen UniversityHealth Science CenterShenzhenGuangdong province518035China department of Medical Critical Care Medicine General Hospital of Southem Theatre Command of PLA.Guangzhou510010China Guangdong Branch Center National Clinical Research Center for Geriatric Diseases(Chinese PLA General Hospital)Guangzhou510010China

Purpose:Minimal data exist on brain injury in patients with exertional heatstroke(EHS)in developing *** this study,we explored the risk factors for brain injury induced by EHS 90-day after ***:A retrospective cohort study of patients with EHS was conducted in the intensive care unit of the General Hospital of Southern Theater Command of PLA in China from April 2014 to June *** were divided into non-brain injury(fully recovered)and brain injury groups(comprising deceased patients or those with neurological sequelae).The brain injury group was further subdivided into a death group and a sequela group for detailed *** information,neurological performance and information on important organ injuries in the acute stage were recorded and *** logistic regression was used to identify risk factors for brain injury after EHS and mortality risk factors for brain injury,and Kaplan-Meier survival curve was used to evaluate the effect of the neurological dysfunction on ***:Out of the 147 EHS patients,117 were enrolled,of which 96(82.1%)recovered,13(11.1%)died,and 8(6.8%)experienced neurological *** significant differences were found between non-brain injury and brain injury groups in age,hypotension,duration of consciousness disorders,time to drop core body temperature below 38.5℃,lymphocyte counts,platelet counts,procalcitonin,alanine aminotransferase,aspartate aminotransferase,creatinine,cystatin C,coagulation parameters,international normalized ratio,acute physiology and chronic health evaluation II scores,sequential organ failure assessment(SOFA)scores,and Glasgow coma scale scores(all p<0.05).Multivariate logistic regression showed that age(OR=1.090,95%CI:1.02-1.17,p=0.008),time to drop core temperature(OR=8.223,95%CI:2.30-29.40,p=0.001),and SOFA scores(OR=1.676,95%CI:1.29-2.18,p<0.001)are independent risk factors for brain injury induced by *** Kaplan-Meier curves suggest significa

关键词： Exertional heatstroke Brain injury Sequela Risk factors Disorders of consciousness

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