ABSTRACT
Objective To investigate nutritional knowledge,attitude,and practice (K-A-P) of medical staff in the nerve-related departments in Hebei province,with the aim of determining a basis for the effective education of nutrition.Methods A multicenter,observational study was utilized to conduct a questionnaire survey.642 medical staff in nerve-related departments from 15 hospitals in 11 prefecture level cities was surveyed from September 2016 to March 2017 in Hebei Province.Results were statistically analyzed.Results The overall scores of nutrition knowledge,attitude,and practice were 34.88±22.90,69.14± 16.75 and 42.86± 18.22,respectively.There were positive correlations between nutrition knowledge and attitude (r=0.150,P＜ 0.001),knowledge and practice (r=0.152,P＜0.001),and attitude and practice (r =0.432,P＜0.001).The nutrition knowledge score of male medical staff was higher than that of female (t =3.546,P＜0.01) however,there was no significant difference between males and females in nutrition attitude and practice scores (t =0.685,P=0.494;t=1.649,P=0.091).In addition,the nutrition knowledge scores of physicians and medical technicians were significantly higher than that of nurses (F=46.89,P＜0.01) while the nutrition practice scores of physicians were significantly higher than both medical technicians and nurses (F=7.85,P＜0.01).It was also found that nutrition attitude scores of senior and secondary medical staff were higher than junior medical staff (F=5.116,P=0.002) and nutrition practice scores of senior and secondary senior medical staff were higher than that of junior medical staff (F=4.074,P=0.007).Furthermore,it was found that nutrition knoledge scores of undergraduate,master and doctoral degree staff were higher than that of junior college staff (F=15.617,P＜0.001) and nutrition attitude score of undergraduate and master degree staff were significantly higher than that of junior college staff (F =4.11,P =0.003).It was also found that the nutrition knowledge scores of medical staff with less than 5 years of work experience were significantly higher than those with more than 5 years of work experience (F=3.312,P =0.02).However,the scores of nutrition attitude of medical staff with more than 15 years of work experience were significantly higher than those with less than 15 years of work experience (F=6.356,P＜0.001) and the scores of nutrition practice of medical staff with 10-15 years of work experience were higher than that of less than 5 years and 5-10 years of work experience (F=2.959,P=0.032).It was also identified that the top three ways to obtain nutrition knowledge were learning at work (68.85％),learning at university (68.69％) and reading books and journals (57.79％).Conclusion The medical staff of nerve-related departments in Hebei province has positive attitudes towards nutrition treatments.However,their mastery of nutritional knowledge and practice could and should be improved further.Therefore,it is necessary to strengthen the nutrition education for medical staff of the nerve profession.
ABSTRACT
Objective To observe the effects of different environmental intervention on the learning-memory ability and choline acetyltransferase (ChAT) expression around the infarct in rats with unilateral local cerebral infarction.Methods SD rats were subjected to electric coagulation of MCA and then were assigned randomly to ①control group(5 in each group housed in a standard cage),②learn training group(housed in a maze cage),③enriched environment group(housed in a enriched environment cage).24 days later,rats were trained by water maze,and then killed for immunohistochemistry staining.The expression of ChAT in peri-ischemic cortex was examined.Results The escape latency of rats in enriched environment was the shortest((26.9 ± 4.8)s),and the times striding over the platform was the most(6.1 ±1.1),longer (33.6 ± 5.1)s and less (4.8 ± 1.2)in the learn training group,the longest ((41.4 ± 6.4) s) and least (3.3 ± 0.9) in the control group.The positive cells of ChAT in enriched environment group (40.3 ± 8.4) were higher than those in learn training group (35.6 ± 7.8) and those in control group (25.4 ± 6.5).Conclusion Enriched environment after MCAO could promote the learning-memory ability and up-regulate the expression of ChAT in the peri-ischemic regions.
ABSTRACT
Objective To explore the effects of dl-3-n-butylphthalide on learning-memory ability and Na+-K+-ATPase activity of mitochondria in rats with chronic cerebral hypoperfusion.Methods Sprague-Dawlay rats were randomly divided into sham group( n= 10) ,model group (Permanent occlusion of bilateral common cawater maze test.Na+-K+-ATPase activity in mitochondria of forebrain tissue were also measured.Results Compared with sham group, memory ability of rats in model group decreased obviously( ( 10.41 ± 3.81 ), ( 25.54 prot- 1 , p ＜0.05 ).The memory ability of rats in large/small dose dl-3-n-butylphthalide groups both increased notably compared with the model group( respectively( 11.72 ± 5.78 ) s and ( 12.48 ± 5.45 ) s, P ＜ 0.01 ) and Na + -0.05 ).The effectives of large dose dl-3-n-butylphthalide and that of small dose dl-3-n-butylphthalide have no significantly differences.Conclusion Dl-3-n-butylphthalide could increase the Na + -K +-ATPase activity and protect mitochondria, improve the learning-memory ability of rats with chronic cerebral hypoperfusion.
ABSTRACT
@#Objective To observe the changes of magnetoencephalography (MEG) during stretching and flexing forefinger in one hemiplegic patient before and after rehabilitation training.MethodsThe cerebral electromagnetic wave of one hemiplegic patient during stretching and flexing both forefingers was recorded by MEG and superposed with magnetic resonance imaging (MRI) to form magnetic source imaging (MSI). The changes of MEG before and after rehabilitation training were analyzed.ResultsThere was no movement evoking magnetic fields in right hemisphere motor cortex at two MSI detections, but detected in left hemisphere motor cortex. The latent period of the first and the second detection was -34.2 ms and -61.7 ms respectively. The exiting motor cortex was located in precentral gyrus. The exiting motor cortex at the second detection was located more front medial and low than at the first detection. The volume of the exiting motor cortex (9569.6 m3) at the second detection was more larger than the first detection (2309.7 m3). There was no movement evoking somatosensory magnetic fields in right hemisphere motor cortex at first MSI detection, but found at the second detection, the latent period was 91.1 ms, and the exiting cortex was located in postcentral gyrus.ConclusionThe cortex somatosensory function of patient with stroke recovers early than the motor function and the uninjured hemisphere function can improve obviously after rehabilitation training.