ABSTRACT
Objective To evaluate the effect of Oncomelania hupensis snail control of cutting the beach group in the south of Shaobo Lake. Methods The general situation of the project of cutting the beach was surveyed, and the snail distribution was surveyed and the results were compared before and after cutting the beach in the beach group. Results The area of cutting beach was 928.33 hm2, the cubic meter of earthwork was 1 717.00 m3, the area of dumping ground was 425.76 hm2, the beach surface elevation was 3.2 m after cutting the beach, and the beach surface was fallen to 1.0 m under the ordinary water level. The area with snails was 44.69 hm2 before cutting the beach in 2011 but the area with snails was 1.78 hm2 after cutting the beach in 2018. The area with remaining snails was declined by 96.02% in 2018 as compared with that in 2011, and surviving snails were distributed on the uncut beach face. Conclusion In Shaobo Lake, the O. hupensis snail breeding environment is eliminated by raising or lowering the beach, so it is an effective measure of snail control in lake regions.
ABSTRACT
Objective To evaluate the effect of Oncomelania hupensis snail control of cutting the beach group in the south of Shaobo Lake. Methods The general situation of the project of cutting the beach was surveyed, and the snail distribution was surveyed and the results were compared before and after cutting the beach in the beach group. Results The area of cutting beach was 928.33 hm2, the cubic meter of earthwork was 1 717.00 m3, the area of dumping ground was 425.76 hm2, the beach surface elevation was 3.2 m after cutting the beach, and the beach surface was fallen to 1.0 m under the ordinary water level. The area with snails was 44.69 hm2 before cutting the beach in 2011 but the area with snails was 1.78 hm2 after cutting the beach in 2018. The area with remaining snails was declined by 96.02% in 2018 as compared with that in 2011, and surviving snails were distributed on the uncut beach face. Conclusion In Shaobo Lake, the O. hupensis snail breeding environment is eliminated by raising or lowering the beach, so it is an effective measure of snail control in lake regions.
ABSTRACT
Purpose To observe the changes of histopathology and expression levels of ER, PR, HER-2 and Ki-67 in breast cancer after neoadjuvant chemotherapy (NTC), and to evaluate the relationship between the curative effect and clinico-pathological characteristics of breast cancer. Methods 93 ca-ses of invasive breast cancer with NTC were collected and retro-spectively analyzed. Pathologic evaluation of chemotherapeutic effect were evaluated by Miller-Payne (MP) grading system. Results Tumor cells, tumor stroma and lymph nodes status presented different histopathological changes after NTC. There were significant relationship between curative effect and patients age (Z=-1.993, P=0.046 ), histological grade (χ2=7.261, P=0.027), molecular subtypes (χ2=8.289, P=0.040), while it had no statistical relationship between curative effect and tumor size (Z=-1.091, P=0.275) and lymph node status (Z=-1.107, P = 0.268). Expression of ER, PR, HER-2 and Ki-67 showed different degrees of change before and after NTC. The concordance rates of ER, PR, HER-2 and Ki-67 were 81.0％, 72.2％, 83.5％ and 55.7％, respective-ly. And there was no significant difference in expression of these four molecular indicators before and after NTC (χ2 =0.428, P=0.934). Conclusion The histomorphology of tumor cell, tumor stroma and lymph node status can be influenced by NTC. Objective evaluation of the changes of histopathology and molecular indicators after NTC may valuable in predicting clinical prognosis and guiding individual treatment of breast cancer.
ABSTRACT
Objective To evaluate the effect of full-time infection control nurses' supervision on the compliance to implementation of comprehensive intervention measures and incidence of ventilator-associated pneumonia (VAP).Methods Full-time infection control nurses in the general intensive care unit(ICU) of a hospital were assigned,compliance to comprehensive intervention measures among all patients who were admitted to ICU was monitored.September 2012-April 2014 was pre-intervention stage,May 2014-December 2015 was post-intervention stage.Utilization of ventilator and occurrence of VAP before and after implementing intervention measures were analyzed statistically.Results A total of 1 373 patients were monitored before intervention,1 477 were monitored after intervention.Utilization rates of ventilator before and after intervention were 31.89％ and 40.95％ respectively.Incidence of VAP before and after intervention were 31.97‰ and 17.82‰ respectively,incidence of MDRO infection were 11.99‰ and 6.41‰ respectively.Microbial monitoring results of environmental object surface after intervention were all qualified (all≤5 CFU/cm2).Fluorescence labeling clearance rate and hand hygiene compliance rate increased gradually in each quarter,reached more than 80％ in the latter period;compliance to semireclining position was all 100％ from the fourth quarter of 2014 to the fourth quarter of 2015.Conclusion Through implementation of comprehensive intervention measures by full time infection control nurses,incidence of VAP can be decreased significantly,quality of medical treatment is improved,and safety of patients is ensured.