ABSTRACT
Objective@#To survey the current situation of wearing protective articles by accompanying examiners in the nursing conditions of intervention and non-intervention during CT diagnosis in a tertiary A hospital.@*Methods@#A control group and an intervention group were set up to investigate the situation of wearing protective devices. Attempt was made to use mobile lead screens in place of personal protective devices and their effects were investigated.@*Results@#A total of 4 890 unavoidable accompanying examiners wearing protective equipment during CT examination were investigated. After nursing guidance, the wearing rate increased from 73% to 94%, and the complete wearing rate increased from 19% to 81%. Refusal to wear protective devices was mostly due to limited time. Refusal rate of emergency accompanying examiners was significantly higher than that of outpatient and inpatient accompanying examiners. After using mobile lead screen, the probability of personnel protection increased to 99%.@*Conclusions@#Nursing intervention can effectively improve the wearing rate and complete wearing rate of protective articles for accompanying examiners. Moving glass lead screen is conducive to the improvement of protection level for accompanying examiners..
ABSTRACT
Objective To survey the current situation of wearing protective articles by accompanying examiners in the nursing conditions of intervention and non-intervention during CT diagnosis in a tertiary A hospital. Methods A control group and an intervention group were set up to investigate the situation of wearing protective devices. Attempt was made to use mobile lead screens in place of personal protective devices and their effects were investigated. Results A total of 4890 unavoidable accompanying examiners wearing protective equipment during CT examination were investigated. After nursing guidance, the wearing rate increased from 73％ to 94％, and the complete wearing rate increased from 19％ to 81％. Refusal to wear protective devices was mostly due to limited time. Refusal rate of emergency accompanying examiners was significantly higher than that of outpatient and inpatient accompanying examiners. After using mobile lead screen, the probability of personnel protection increased to 99％. Conclusions Nursing intervention can effectively improve the wearing rate and complete wearing rate of protective articles for accompanying examiners. Moving glass lead screen is conducive to the improvement of protection level for accompanying examiners..
ABSTRACT
Objective To study the application value of serum follicular statin 1(FSTL-1) in the diagnosis of chronic heart fail-ure(CHF) .Methods A total of 60 CHF children treated from January 2013 to January 2016 in hospital were selected as observa-tion group .According to New York Heart Association (HYHA) ,the subjects were divided into Type Ⅱ group ,Type Ⅲ group and Type Ⅳ group ,20 cases in each group .In addition ,60 healthy children were selected as control group .FSTL-1 ,NT-proBNP and LVMI were detected and analyzed .Results FSTL-1 ,NT-proBNP and LVMI in Type Ⅱ group ,Type Ⅲ group and Type Ⅳ group were higher than those of control group(P< 0 .05) .As the grade of cardiac function increasing ,FSTL-1 ,NT-proBNP and LVMI were higher(P<0 .05) .FSTL-1 had positive correlations with NT-proBNP and LVMI .The positive rate of FSTL-1 for diagnosis CHF was 96 .67% ,which had no significant difference with gold standard (P>0 .05) .Conclusion With the progress of illness ,the level of FSTL-1 increases ,which is importance in the diagnosis and monitoring of CHF .It is worthy of further application and pro-motion in clinical practices .
ABSTRACT
Objective To study the application value of serum follicular statin 1(FSTL-1) in the diagnosis of chronic heart fail-ure(CHF) .Methods A total of 60 CHF children treated from January 2013 to January 2016 in hospital were selected as observa-tion group .According to New York Heart Association (HYHA) ,the subjects were divided into Type Ⅱ group ,Type Ⅲ group and Type Ⅳ group ,20 cases in each group .In addition ,60 healthy children were selected as control group .FSTL-1 ,NT-proBNP and LVMI were detected and analyzed .Results FSTL-1 ,NT-proBNP and LVMI in Type Ⅱ group ,Type Ⅲ group and Type Ⅳ group were higher than those of control group(P< 0 .05) .As the grade of cardiac function increasing ,FSTL-1 ,NT-proBNP and LVMI were higher(P<0 .05) .FSTL-1 had positive correlations with NT-proBNP and LVMI .The positive rate of FSTL-1 for diagnosis CHF was 96 .67% ,which had no significant difference with gold standard (P>0 .05) .Conclusion With the progress of illness ,the level of FSTL-1 increases ,which is importance in the diagnosis and monitoring of CHF .It is worthy of further application and pro-motion in clinical practices .
ABSTRACT
Objective To observe expression level of serum vascular endothelial growth factor-C (VEGF-C),VEGF-C receptor-2 and VEGF-C receptor-3 in patients with acute leukemia (AL) and to explore its clinical significance.Methods Enzyme-linked immuno sorbent assay (ELISA) was used to detect the serum expression levels of VEGF-C,VEGFR-2,and VEGFR-3 of 51 patients diagnosed with acute leukemia,43 patients under medical treatment and 16 healthy blood donors.Results (1) Serum VEGF-C,VEGFR-2,and VEGFR-3 expression levels in AL patients were significantly higher than those in normal control group.(2) Serum VEGF-C and VEGFR-2 expression levels in complete remission (CR) group significantly declined after treatment.Serum VEGF-C and VEGFR-2 expression levels in non-complete remission (NR) group slightly declined after treatment but no significant difference was found (P＞0.05).(3) No significant difference was found in serum VEGFR-3 expression levels both in CR group and NR group after treatment (P＞0.05).(4) Serum VEGF-C,VEGFR-2,and VEGFR-3 expression levels in NR group were significantly higher than those in CR group before treatment (P＜0.08).Conclusions Observing serum expression level of VEGF-C,VEGFR-2,and VEGFR-3 of AL patients may be helpful in monitoring curative effects and prognosis of acute leukemia.
ABSTRACT
Objectives To evaluate the count of endothelial progenitor cells (EPCs) in peripheral blood (PB) and bone marrow (BM) of acute leukemia (AL) patients and explore its clinical significance.Methods EPCs were detected by flow cytometry procedures in 43 AL patients and in 10 benign hematologic patients as control group.Results The absolute counts of EPCs in AL patients before the treatment [(119.46± 72.23)/μl in BM and (13.69±8.26)/pl in PB] were significantly higher than those in control group [(23.21 ± 12.59)/pl in BM and (1.86±1.18)/μl in PB] (P ＜ 0.01).The absolute counts of EPCs were significandy higher in BM than those in BP in AL patients before the treatment (P ＜ 0.001).After the treatment, the absolute counts of EPCs in no remission (NR) group [(110.02±67.28)/μl in BM and (10.04±9.51)/μ1 in PB] were significantly higher than those in control group (P ＜ 0.05), while the counts of EPCs in complete remission (CR) group were no significant difference compared with those in control group (P ＞ 0.05).After the treatment ,the absolute counts of EPCs both in BM and in BP of CR group [(26.32±17.44)/μl and (2.54±2.12)/μl, respectively] were significantly lower than those before treatment [(113.18±69.22)/μl and (14.45±10.76)/μl, respectively] (P ＜ 0.05), however those of NR group were no significant difference than before (P ＞ 0.05).The absolute counts of EPCs whether in PB or in BM were no significant difference between acute myeloid leukemia (AML) and acute lymphoid leukemia (ALL) (P ＞ 0.05).The absolute counts of EPCs in PB of AL had a positive correlation with β2-MG and LDH (P ＜ 0.05).Conclusions EPC levels are significantly increased in BM and BP of AL patients and may correlate with disease status, response to treatment and prognosis.
ABSTRACT
Objective To discuss the value of nursing work in 64-slice CT urography. Methods 240 patients participated in the 64-slice CT urography, inquiring medical history and iodine allergic history, paying attention to their psychological state and finishing iodine preliminary test before examination, ob-serving patients carefully, pre-judging any possible adverse effect and formulating corresponding measures during the examination, giving expectant treatment according to the various condition and nursing instruc-tion. Results 239 patients passed through the examination smoothly, agents exosmosis happened in one case and led to failure, but satisfactory image was obtained after rescanning. Conclusions Nursing oper-ation penetrates every step of 64-slice CT urography, which is a non-traumatic, low-expense and high-safety examination. Effect nursing directly influences the accuracy of the results, proficient nursing opera-tion and patient psychological nursing is the important part of it.