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Objective:To investigate the mastery and application of medical ethics basic knowledge in geriatric ward medical staffs,and the way which they receive relevant education. Methods:From November 2016 to January 2017,240 questionnaires about medical ethics were distributed among medical staffs in clinical department in the Chinese PLA General Hospital,among them,30 were medical groups and 210 were nursing groups;and a total of 233 valid questionnaires were collected. The nurses were divided into geriatric ward nursing group and non - geriat-ric ward nursing group,according to whether they work in the geriatric wards or not. Results:Only 2. 14％ and 7. 72％ participants fully and correctly answered the core concepts and basic principles of medical ethics,respec-tively. The rate of informed consent in medical staffs in geriatric group was significantly higher than that of non -geriatric group (92. 66％ vs 82. 11％ ,P = 0. 02);the patient' s privacy protection in geriatric nursing group was significantly higher than that of non - geriatric nursing group (92. 66％ vs 31. 57％ ,P < 0. 001). 28. 75％ of the respondents received medical ethics continuing education curriculum,and the proportion of correctly receiving ex-pectable death in these medical staffs (71. 40％ ) was significantly higher than that of other education pathway groups (36. 17％ ). Conclusion:Medical staffs lack more knowledge on medical ethics. Clinical work in geriatric medicine has higher demand for medical ethics knowledge,and continuing medical education can help to improve the cognitive level of medical ethics in medical staffs.
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OBJECTIVE To investigate the distribution and characterization of the classes Ⅰ,Ⅱ and Ⅲ integrons on Stenotrophomonas maltophilia and clarify their influence on the bacterial drug-resistance.METHODS A multi-PCR assay using specific primers of int1,int2 and int3 was constructed to screen classes Ⅰ,Ⅱ and Ⅲ integrons.RESULTS Class Ⅰ integron was detected in 13.4% of clinical isolates,3 isolates harbored among class Ⅱ integrons. There was not been reported in abroad.CONCLUSIONS Classes Ⅰ and Ⅱ integrons could play an important role in causing the antibiotic multidrug resistance.
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Objective To study the dynamic changes in calcineurin-? expression in lung tissue of rats under simulated weightlessness condition,and the influence of ligustrazine(tetramethylpyrazine) on the changes in its expression.Methods The rat model of simulated weightlessness condition was reproduced by suspending the rat by tail in-30?.Thirty healthy Wistar rats were randomly divided into 3 groups(10 each): control group,suspended group(rat was suspended by tail for 7 days) and ligustrazine group(rat was suspended by tail and ligustrazine was given for 7days).In the ligustrazine group,the ligustrazine was gavaged in a dose of 1.5mg/kg(once a day).The expression of calcineurin-? in lung tissue was determined by immunohisochemistry and Western blotting.Results It was revealed by immunohisochemistry and Western blotting that the level of expression of calcineurin-? in lung tissue of the animals in suspended group was significantly higher that in control group and ligustrazine group(P0.05).Conclusion The level of expression of calcineurin-? in rat lung tissue may be increased obviously under the simulated microgravity condition,while ligustrazine treatment may down-regulate the calcineurin-? expression.
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Objective To study the effects of simulated gravity loss on nuclear factor Kappa-B expression in rats′ pulmonary tissue, and to investigate the mechanism of changes in NF-?B during simulated loss of gravity. Methods Tail-suspension(TS) was used as the method to simulate the physiological effects of weightlessness. 40 Wistar male rats Wistar rats were randomly divided into 4 groups: control for 7 days (7d CON), 21d CON, TS for 7d (TS7d) and TS21d. The dynamic express of nuclear factor Kappa-B in lung tissue was respectively assessed using the immunohisochemical technique. Results Compared with control group, the expression level of NF-?B in the lung tissue of tail-suspension 7d rats was elevated significantly (P
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OBJECTIVE To compare commonly used antibiotics including cefotaxime,ceftazidime imipenem and meropenem inductivity to L1,L2 ?-lactamases from Stenotrophomonas maltophilia.METHODS RT-PCR method was used to determine the expression of L1,L2 ?-lactamases under the condition of different concentrations(1/4,1,4?MIC)of antimicrobial agents.Electrophoresis strip of L1,L2 ?-lactamases was quantified by software Image J.Minimal inhibitory concentrations(MICs)were detected by agar dilution method when different concentrations of antibiotics were as inductors.RESULTS Different concentrations of four antibiotics being used as inductors,electrophoresis strips of L1,L2 amplicons were not found in strains of blank control and those whose media had imipenem,meropenem or cefotaxime(4?MIC).The weaker electrophoresis strips were found in the isolates whose media had ceftazidime(1/4,1,4?MIC)or cefotaxime(1/4?MIC),but the strongest electrophoresis strips,the most quantities of expression and higher MICs were shown in the isolates whose media had cefotaxime(1?MIC)(P