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Objective:To translate the Healthcare Education Micro Learning Environment Measure (HEMLEM), and test the reliability and validity of the Chinese version of HEMLEM.Methods:HEMLEM was translated into Chinese version, convenient sampling and electronic questionaire survey methods were applied, and the reliability and validity of the scale was tested by electronic questionnaire survey among 141 nursing interns in China-Japan Friendship Hospital from November to December, 2021.Results:The Cronbach α coefficient of internal consistency of the total scale was 0.971, and the Cronbach α coefficient of the two sub-scales was 0.953 and 0.951, respectively, and the retest reliability was 0.901, the correlation coefficient with the Chinese version of Clinical Learning Environment Assessment Scale was 0.799. Two common factor was extracted from exploratory factor analysis, with a cumulative contribution of 83.478%.Conclusions:The Chinese version of HEMLEM has the same structure as the original scale, and has high reliability and validity, which can be used to evaluate the teaching environment of clinical departments.
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Objective:On the basis of the development of nurses' core competence and the hierarchical management, to construct a nursing training system that meets the development and needs of clinical nursing.Methods:The energy level system of nurses was constructed: design and develop training modules for practical nurse, competent nurse, advanced nurse and specialist nurse. Developed energy level education and training modules, and determined the access conditions and assessment standards for energy level promotion, so as to ensure that the effect of education and training was achieved and met the requirements for nurse level promotion. The satisfaction of nurses with the training system was preliminarily evaluated.Results:Nurse level training system in line with clinical nurses' career development was constructed, and established an online education platform suitable for clinical nurses' learning. Nurses had high satisfaction with level promotion training system, with an average evaluation score of 4.0-4.9 (full score is 5), and the lowest satisfaction score of A2 level (4.0).Conclusions:The training system for level promotion of clinical nurses is feasible, which can meet the training needs of clinical nurses and help to improve the comprehensive clinical nursing ability of nurses.
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Objective@#To investigate the status quo of surgical instrument maintenance at 549 hospitals nationwide and analyze the existing problems, so as to lay a foundation for further development of relevant standards.@*Methods@#In January 2019, 549 hospitals of different grades in 33 provinces, autonomous regions and municipalities were surveyed by a convenience sampling. The survey covered the basic information, the cognition of the management personnel on instrument maintenance, and the status quo of surgical instrument maintenances of the hospitals. Descriptive analysis was carried out on the data, and the number and percentage of counting data were described.@*Results@#368(59.74%)hospitals were manned with special post for cleaning precision surgical instruments, 426(69.16%) were manned with special post for cleaning quality inspection, and 382(62.01%) were manned with special post for assembly and packaging. 347(56.33%)for manufacturers training, 299(48.53%)for self-study manufacturers instruction, 420(68.18%)by department internal training; 116(18.83%)for manual cleaning, 413(67.05%)for manual and ultrasonic cleaning, 87(14.12%)for mechanical cleaning; High pressure steam sterilization was used in 518(84.10%), hydrogen peroxide plasma sterilization was used in 398(64.61%), and ethylene oxide sterilization was used in 222(36.04%) hospitals.@*Conclusions@#The maintenance of surgical instruments should be carried out by professional personnel, relevant training should be carried out, management personnel should strengthen the inspection, and relevant standards and norms should be formulated to unify the management of surgical instruments.
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Objective To investigate the status quo of surgical instrument maintenance at 549 hospitals nationwide and analyze the existing problems,so as to lay a foundation for further development of relevant standards.Methods In January 2019,549 hospitals of different grades in 33 provinces,autonomous regions and municipalities were surveyed by a convenience sampling.The survey covered the basic information,the cognition of the management personnel on instrument maintenance,and the status quo of surgical instrument maintenances of the hospitals.Descriptive analysis was carried out on the data,and the number and percentage of counting data were described.Results 368 (59.74％) hospitals were manned with special post for cleaning precision surgical instruments,426 (69.16％) were manned with special post for cleaning quality inspection,and 382 (62.01％) were manned with special post for assembly and packaging.347 (56.33％) for manufacturers training,299 (48.53％) for self-study manufacturers instruction,420 (68.18％) by department internal training;116 (18.83％) for manual cleaning,413 (67.05 ％)for manual and ultrasonic cleaning,87 (14.12％) for mechanical cleaning;High pressure steam sterilization was used in 518 (84.10％),hydrogen peroxide plasma sterilization was used in 398 (64.61％),and ethylene oxide sterilization was used in 222 (36.04％) hospitals.Conclusions The maintenance of surgical instruments should be carried out by professional personnel,relevant training should be carried out,management personnel should strengthen the inspection,and relevant standards and norms should be formulated to unify the management of surgical instruments.
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Objective To evaluate the effect of recruitment maneuver on early postoperative lung ventilation in patients undergoing laparoscopic cholecystectomy using electrical impedance tomography (EIT). Methods Thirty American Society of Anesthesiologists physical status Ⅰor Ⅱ patients of both se-xes, aged 30-60 yr, with body mass index of 18-28 kg∕m2 , scheduled for elective laparoscopic cholecys-tectomy, were divided into 2 groups (n= 15 each) using a random number table: control group (group C) and recruitment maneuver group ( group R). Recruitment maneuver was performed with a pressure of 30 mmHg, lasting for 30 s, starting from 5 min after establishment of pneumoperitoneum and from the end of pneumoperitoneum in group R. EIT was carried out before anesthesia induction (baseline) and after extuba-tion, and the percentages of area in center of ventilation (CoV), dependent silent spaces (DSS) and non-dependent silent spaces (NSS) were recorded. Results There was no significant difference in the percent-ages of area in CoV, DSS or NSS between the two groups (P>0. 05). Compared with the baseline before induction, the percentage of area in CoV was significantly decreased, and the percentages of area in DSS and NSS were increased after extubation in group C, and the percentages of DSS and NSS were increased (P<0. 05) and no significant change was found in the percentage of area in CoV in group R (P>0. 05). Conclusion Recruitment maneuver can alleviate decrease in early postoperative regional lung ventilation, and it does not improve atelectasis and hypoventilation in patients undergoing laparoscopic cholecystectomy.
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Objective To explore the effect of combined Naikan therapy and modified Morita therapy on psychological distress and post traumatic growth in elderly patients with cancer pain.Methods Ninety elderly patients with cancer pain were randomly assigned into two groups;those in the study group(n =45)were given Naikan therapy and modified Morita therapy for 4 weeks and those in the control group (n =45) were given standardized aerodyne treatment and standardized nursing care.All subjects were assessed with the Distress Thermometer and Problem Listand the Post traumatic Growth Inventory before and after Naikan therapy and modified Morita therapy.Results Compared with the control group,the study group was associated with significantly decreased scores of psychological distress(1.8± 0.1 vs.3.9 ± 0.2,t =1.78,P＜0.05),emotional problems (1.2 ± 0.4,vs.2.4±0.4,t=1.41,P＜0.05)and family problems(1.1±0.1,vs.2.9±0.1,t=1.63,P＜0.05).The study group also showed markedly higher scores in posttraumatic growth(66.0± 19.9 vs.45.3± 27.6,t=2.58,P＜0.05),relationships to others(34.8±12.1 vs.23.8±12.2,t=1.91,P＜0.05),new possibilities(25.2 ± 10.1 vs.13.7± 4.4,t=1.94,P＜0.05),personal strength(20.7 ± 10.4 vs.7.6 ± 3.1,t =2.03,P ＜ 0.05),spiritual change (11.6 ± 5.6 vs.5.4 ± 2.7,t =1.26,P ＜ 0.05),and appreciation of life(18.9±6.2 vs.6.1±-2.1,t=1.88,P＜0.05) than the control group.Conclusions Naikan therapy and modified Morita therapy can decrease psychological distress and improve post traumatic growth in elderly patients with cancer pain.
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Objective To study the expression of RhoA and C-myc in gastric carcinoma , and to discuss the action in infiltration and metastasis of gastric carcinoma as well as their dependability. Methods RhoA protein expression and C-myc protein expression were detected by immunohistochemical method in 46 cases of gastric carcinoma and 20 cases of normal tissues..RhoA protein expression was compared with clinical pathologic parameters as related to C-myc. Results The positive rate of RhoA,C-myc were significantly higher in gastric carcinoma than in normal tissue (P < 0.05). The expression of RhoA and C-myc were associated with the loss of tumor differentiation, lymph node metastasis and deep invasion (P<0.05). There was a significant correlation between RhoA and C-myc (r=0.62, P<0.05). Conclusions The data suggests that the expression level of RhoA protein was closely related to biological behavior of gastric carcinoma. RhoA and C-myc were possibly both correlated with the infiltration and metastasis of gastric carcinoma.
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Objective To explore the use of the transabdominal ultrasound with different frequency scanning anterior lower segment uterine scar situation for maternal guidance .Methods Pregnant women had a history of cesarean section 323 cases, and were lower uterine segment transverse incision .Of which seven cases of cesarean section were 8 months to 12 months, 49 patients 13 months to 24 months, 89 patients 25 months to 36 months, and more than 169 cases of 37 months.High-frequency ultrasound was use for ab-dominal and dynamic monitoring of different-year anterior lower segment uterine scar thickness and healing .Pregnancy outcomes ob-served were compared with surgery .Results With the extension of cesarean time , grade I uterine scar was also increased to 25~36 months (2 years ) which was the most obvious , and grade II and III scars were reduced accordingly .When group 25~36 months was used as the control group , there was statistically significant difference relative to group 8 ~12 months and 13 ~24 months ( P 37 months ( P >0.05).Among 323 cases, seven cases had uterine rup-ture that was confirmed by surgery with a rupture rate of about 2.1%.The rupture rate was about 28.6%in group 8~12 months, a-bout 2%in group 13~24 months, about 1.0%in group 25~36 months, and about 1.2%in group >37 months.When group 25~36 months was used as the control group , there was statistically significant difference relative to groups 8~12 months and 13~24 months ( P 37 months ( P >0.05 ) .Conclusions Abdominal ultra-sound with different frequency scanning can monitor the thickness and continuity of anterior lower segment uterine scar to estimate the scar healing situation , and guide uterine scar grading .Therefore, it is great significance in guiding clinical decision of motherhood ap-proach.
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Objective To investigate the effect of the extracts of Centella asiatica(L.) Urban (ECA) on the depressive-like behavior alteration in rats and mice. Method 60 Wistar rats were randomly divided into 6 groups (10 rats each), the normal group, model group, Fluoxetine group, ECA high dose group (component 10.08 mg+component 24.48 mg/kg), ECA middle dose group (component 1 0.04 mg+component 2 2.24 mg/kg) and ECA low dose group component 1 0.02 mg+component 2 1.12 mg/kg. Chronic unpredictable mild stress (CUMS) induced depression in rats and sugar consumption to detect the antidepressant effect of ECU. 60 Kunming mice were randomly divided into six groups as above. Locomotor activity, forced swim, tail suspension test were used to detect the effect of ECA on the behavioral alteration in mice. Results Compared with model group, sugar consumption in ECA groups was significant increased (P<0.01). ECA treatments also decreased duration of immobility in the tail suspension test and forced swim. Conclusion ECA could improve the depressive-like behavior in rats and mice.
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The length of cervical canal was monitored by perineal ultrasonography in 377 pregnant women with 22 to 36 weeks of gestation,at the same time the contents of fibronectin (fFN) in cervical secretions were measured.The rate of cervical canal length shortening from the time of first visit to the appearance of preterm signs was calculated.When the cervical length shortening rate was 16％ ～ 60％,fFN (+) was correlated with higher preterm birth rate (P ＜0.01),while when the shorten rate ＞ 60％ there was no significant difference in preterm delivery rate between fFN (+) and fFN (-) groups (P ＞ 0.05).The results indicate that the monitoring of cervical canal length combined with fiberonectin measurement in cervical secretion may better predict pretenn birth.