A Great Challenge: Preserve or Improve the Classification of the Journal Investigación y Educación en Enfermería

The first issue of the IEE Journal was published in September 1983 and it was the beginning of a permanent growth process for the dissemination of knowledge in Nursing, product of research, theoretical reflection, and exchange of care experiences. It was regulated by Agreement 027 of 02 August of 2005 by the Academic Council of the Faculty of Nursing at Universidad de Antioquia, which defines it as "the dissemination body, through which technical and scientific knowledge is disseminated referring to health and disease and to processes related with such, to the practice of Nursing and of other health and related disciplines. It also constitutes a channel to exchange knowledge and experiences with national and foreign disciplines of the social and health sciences".

Observation on the curative effect of transanal opening of intersphincteric space in the treatment of complex anal fistula / 临床外科杂志

Objective To evaluate the efficacy of transanal opening of intersphincteric space(TROPIS)for the treatment of complex anal fistula.Methods 41 patients with complex anal fistula were randomly divided into two groups by random envelope method:21 patients in the treatment group were treated with TROPIS;20 patients in the control group were treated with traditional low incision and high thread drawing surgery.The curative effect,postoperative pain score,wound healing time,treatment failure rate,anal sphincter function and postoperative complications were compared between the two groups.Results The visual analoguescale scores(VAS)of anal pain in the treatment group and the control group 8 hours,24 hours,3 days,7 days and the first defecation after operation were(1.81±1.12)vs.(5.00±1.49),(1.10±1.14)vs.(4.35±1.42),(0.86±1.01)vs.(4.35±1.27),(0.81±1.08)vs(4.25±1.41),(3.05±1.56)vs(6.70±1.17),respectively,with significant differences(P＜0.01).The VAS of anal pain in the treatment group and the control group 14 days after operation were(0.67±1.07)vs(0.80±1.11),respectively,with no significant difference(P＞0.05).1 case in the treatment group(4.76％)and 1 case in the control group(5.00％)had wound infection after surgery,there was no significant difference in the rate of wound infection between the two groups(P＞0.05).2 cases(9.52％)in the treatment group and 3 cases(15.00％)in the control group underwent postoperative catheterization,there was no significant difference in urinary retention between the two groups(P＞0.05).In the treatment group,16 cases were cured,3 cases were markedly effective,and the total effective rate was 90.48％,while in the control group,16 cases were cured,2 cases were markedly effective,and the total effective rate was 90.00％,there was no significant difference between the two groups(P＞0.05).The wound healing time of the treatment group and the control group were(37.31± 3.42)days vs(48.13±4.08)days,respectively,with a statistically significant difference(P＜0.01).12 months after operation,2 patients in the treatment group and 1 patient in the control group lost the follow-up.12 months after operation,the ST Marks anal incontinence scores in the treatment group and the control group were(0.53±1.07)and(1.74±2.77),respectively,with a statistically significant difference(P＜0.05).There were 6 patients(31.58％)in the treatment group and 4 patients(21.05％)in the control group who failed in treatment,there was no significant difference in the rate of treatment failure between the two groups(P＞0.05).Conclusion The TROPIS is reliable in treating anal fistula,and has the advantages of less pain,quick recovery and less damage to anal function.

IMAGODRAMA: uso de bonecos e objetos-auxiliares em psicodrama individual e on-line / IMAGODRAMA: use of puppets, and auxiliary objects in individual and online psychodrama / IMAGODRAMA: uso de muñecos y objetos-auxiliares en psicodrama individual y online

Este artigo aborda aspectos referentes à utilização de objetos-auxiliares e mediadores em psicodrama individual e on-line a partir das suas funções terapêuticas, e associados à técnica de construção de imagens psicodramáticas com bonecos. Retoma o enquadre clássico da metodologia psicodramática com o objetivo de adequar os instrumentos fundamentais do psicodrama ao atendimento on-line e, em seguida, abrir a discussão teórica sobre as nomenclaturas surgidas no Brasil, decorrentes de diferentes enquadres em psicodrama individual. Conclui sua escrita com as definições dos conceitos de objetos-auxiliares, mediadores e criativos, ilustrando com três sessões on-line sobre o uso de bonecos e objetos-auxiliares em psicodrama clínico, definindo sua prática clínica, seja presencial ou on-line, como Imagodrama.

This article addresses aspects related to the use of auxiliary and mediating objects in individual and online psychodrama based on their therapeutic functions and associated with the technique of constructing psychodramatic images with puppets. It returns to the classic framework of the psychodramatic methodology, intending to adjust the fundamental instruments of psychodrama to online care, and then to open a theoretical discussion about the nomenclatures that started in Brazil resulting from different frameworks in individual psychodrama. It concludes with the definitions of the concepts of the auxiliary, mediating, and creative objects, illustrating three online sessions on the use of auxiliary objects in clinical psychodrama.

Este artículo aborda aspectos referentes a la utilización de objetos-auxiliares y mediadores en psicodrama individual y online a partir de sus funciones terapéuticas, y asociados a la técnica de construcción de imágenes psicodramáticas con muñecos. Retoma el encuadre clásico de la metodología psicodramática con el objetivo de adecuar los instrumentos fundamentales del psicodrama a la atención online y, en seguida, abrir la discusión teórica sobre las nomenclaturas surgidas en Brasil, derivados de diferentes encuadres en psicodrama individual. Concluye su escritura con las definiciones de los conceptos de objetos-auxiliares, mediadores y creativos, ilustrando con tres sesiones online sobre el uso de muñecos y objetos-auxiliares en psicodrama clínico, definiendo su práctica clínica, ya sea presencial u online, como Imagodrama.

Correlation and prognosis analysis of hypoalbuminemia in patients with heart failure with preserved ejection fraction / 中国医师进修杂志

Objective To investigate the correlation between hypoalbuminemia and heart failure with preserved ejection fraction (HFpEF) and to analyze the prognosis of patients with HFpEF and hypoalbuminemia. Methods Three hundred and fourteen patients with HFpEF who were hospitalized in Department of Cardiology, Shengjing Hospital of China Medical University from January 2012 to December 2013 were analyzed retrospectively. These patients were divided into two groups according to the serum albumin, hypoalbuminemia ( < 35g/L) group and normal albumin group ( ≥ 35g/L). The prognostic correlation between hypoalbuminemia and HFpEF was analyzed by COX regression analysis. Results Patients with hypoalbuminemia had a higher mortality: 20.2%(20/99) vs. 9.8%(21/215). There was no significant difference in the average hospitalization time、hospital mortality and readmissions for heart failure between two groups. Univariate COX regression analysis showed that the relative risk ratio of readmissions between normal albumin group and hypoalbuminemia group was 0.554(0.374-0.820), and the relative risk ratio of cardiogenic death was 0.283(0.148-0.538), P < 0.05. Conclusions HFpEF patients with hypoalbuminemia have relative poor heart function; hypoalbuminemia may be a risk factor of cardiac death for patients with HFpEF.

Correlation and prognosis analysis of hypoalbuminemia in patients with heart failure with preserved ejection fraction / 中国医师进修杂志

Objective@#To investigate the correlation between hypoalbuminemia and heart failure with preserved ejection fraction (HFpEF) and to analyze the prognosis of patients with HFpEF and hypoalbuminemia.@*Methods@#Three hundred and fourteen patients with HFpEF who were hospitalized in Department of Cardiology, Shengjing Hospital of China Medical University from January 2012 to December 2013 were analyzed retrospectively. These patients were divided into two groups according to the serum albumin, hypoalbuminemia (< 35g/L) group and normal albumin group (≥ 35g/L). The prognostic correlation between hypoalbuminemia and HFpEF was analyzed by COX regression analysis.@*Results@#Patients with hypoalbuminemia had a higher mortality: 20.2%(20/99) vs. 9.8%(21/215). There was no significant difference in the average hospitalization time、hospital mortality and readmissions for heart failure between two groups. Univariate COX regression analysis showed that the relative risk ratio of readmissions between normal albumin group and hypoalbuminemia group was 0.554(0.374-0.820), and the relative risk ratio of cardiogenic death was 0.283(0.148-0.538), P < 0.05.@*Conclusions@#HFpEF patients with hypoalbuminemia have relative poor heart function; hypoalbuminemia may be a risk factor of cardiac death for patients with HFpEF.

Clinical study of radical laparoscopic myomectomy in 31 cases / 中国实用妇科与产科杂志

OBJECTIVE: To study the characteristics and clinical application of radical laparoscopic myomectomy.METHODS: Retrospectively analyze the clinical data of 31 patients with uterine leiomyomas undergoing laparoscopic radical myomectomy at the Department of Obstetrics and Gynecology,the First Affiliated Hospital of Soochow University,from January 2016 to December 2018.The surgical indications,operation time,intraoperative blood loss,postoperative menstrual recovery,postoperative uterine fibroid recurrence rate and postoperative sexual and life quality change indicators were analyzed.RESULTS: All patients were with multiple uterine fibroids(averaged 42.6±3.5 years),and all of them received successful operation.There were no patients who underwent laparotomy or hysterectomy.The postoperative fibroids residual rate among the 31 patients was 3.23%(1 case).The recurrence rate of postoperative uterine fibroids half a year later was 9.68%(3 cases).Five patients has no significant change in postoperative menstruation volume while the other 25 patients had volume reduction(t=8.614,P0.05).Only one patient suffered from hot flashes,night sweating and other menopausal symptoms.WHOQOL-BREF scale was used for patients to assess preoperative and postoperative quality of life,and there were obviously improved psychological and physiological score in patients after operation(P<0.05).CONCLUSION: For women with multiple uterine fibroids who have surgical indications and a strong desire to retain the uterine but have no fertility requirements,radical laparoscopic myomectomy may be the most effective surgical therapy,which can achieve the purpose of surgical treatment,improving the resection rate,and maintaining low postoperative recurrence rate,preserving menstruation and the function of uterus and ovary,and increasing the sexual life quality.

Avaliação da qualidade de pepinos em conserva / Evaluation of the quality of canned cucumbers

O trabalho teve como objetivo avaliar as características físicas, as físico-químicas e a rotulagem de 11 marcas de pepinos em conserva comercializados no município de Itaqui, RS. Foram realizadas a contagem do número de pepinos nos recipientes, a determinação do diâmetro e do comprimento dos pepinos, peso bruto, peso líquido, peso drenado, espaço livre, vácuo, pH, acidez total titulável e cloretos. Os rótulos das amostras de pepinos em conserva avaliados obedeceram às normas de rotulagem geral de acordo com a legislação. Os valores de peso líquido e drenado foram superiores aos especificados pelos fabricantes. O espaço livre no frasco continente variou de 0,83 a 2,23 cm e o vácuo apresentou valores entre 2,67 e 8,33 pol. Hg. A acidez total titulável apresentou valores entre 0,48 e 0,92 g de ácido acético/100 g. O pH em todas as amostras foi menor do que 4,5. Os teores de cloretos variaram de 1,70 a 3,47 g de cloreto de sódio/100 g. Pode-se afirmar que os pepinos em conserva avaliados são seguros, pois apresentaram pH menor que 4,5. No entanto, as marcas comercializadas não apresentaram padrão para as demais variáveis, pois foram encontradas diferenças nesses parâmetros avaliados.

The objective of this study was to evaluate the physical, the physical-chemical characteristics and the labeling of 11 brands of canned cucumbers commercialized in the municipality of Itaqui, RS. The cucumbers quantity, diameter, length, gross weight, net weight, drained weight, free space, vacuum, pH, total titratable acidity and chlorides were determined. All of the evaluated canned cucumber labels complied with the general labeling standards in accordance with the legislation. The values of liquid weight and drained weight were higher than those stated by the manufacturers. The free space in the container ranged from 0.83 to 2.23 cm, and the vacuum values were from 2.67 to 8.33 in pol. Hg. The titratable total acidity presented values from 0.48 to 0.92 g of acetic acid/100 g. The pH for all of the samples was less than 4.5. The chloride contents (g sodium chloride/100 g) ranged from 1.70 to 3.47. It can be stated that the evaluated canned cucumbers are safe, since they presented pH lower than 4.5. However,the commercial brands did not show the standard for the other variables, as differences were found in these evaluated parameters.

Avaliação da qualidade de pepinos em conserva / Evaluation of the quality of canned cucumbers

O trabalho teve como objetivo avaliar as características físicas, as físico-químicas e a rotulagemde 11 marcas de pepinos em conserva comercializados no município de Itaqui, RS. Foramrealizadas a contagem do número de pepinos nos recipientes, a determinação do diâmetro edo comprimento dos pepinos, peso bruto, peso líquido, peso drenado, espaço livre, vácuo, pH,acidez total titulável e cloretos. Os rótulos das amostras de pepinos em conserva avaliadosobedeceram às normas de rotulagem geral de acordo com a legislação. Os valores de peso líquido edrenado foram superiores aos especificados pelos fabricantes. O espaço livre no frasco continentevariou de 0,83 a 2,23 cm e o vácuo apresentou valores entre 2,67 e 8,33 pol. Hg. A acidez totaltitulável apresentou valores entre 0,48 e 0,92 g de ácido acético/100 g. O pH em todas as amostrasfoi menor do que 4,5. Os teores de cloretos variaram de 1,70 a 3,47 g de cloreto de sódio/100 g.Pode-se afirmar que os pepinos em conserva avaliados são seguros, pois apresentaram pH menorque 4,5. No entanto, as marcas comercializadas não apresentaram padrão para as demais variáveis,pois foram encontradas diferenças nesses parâmetros avaliados.

The objective of this study was to evaluate the physical, the physical-chemical characteristicsand the labeling of 11 brands of canned cucumbers commercialized in the municipality ofItaqui, RS. The cucumbers quantity, diameter, length, gross weight, net weight, drainedweight, free space, vacuum, pH, total titratable acidity and chlorides were determined. All of theevaluated canned cucumber labels complied with the general labeling standards in accordancewith the legislation. The values of liquid weight and drained weight were higher than thosestated by the manufacturers. The free space in the container ranged from 0.83 to 2.23 cm, andthe vacuum values were from 2.67 to 8.33 in pol. Hg. The titratable total acidity presented valuesfrom 0.48 to 0.92 g of acetic acid/100 g. The pH for all of the samples was less than 4.5. Thechloride contents (g sodium chloride/100 g) ranged from 1.70 to 3.47. It can be stated thatthe evaluated canned cucumbers are safe, since they presented pH lower than 4.5. However,the commercial brands did not show the standard for the other variables, as differences werefound in these evaluated parameters.

Effect of trehalose on survival rate for fat cells after cryopreservation / 中南大学学报(医学版)

Objective:To explore effects of trehalose as a cryopreserve agent on survival rate of fatty tissue after cryopreservation.Methods:The liposuction was used on the abdomen of adult female.After centrifugation and purification,adipose was randomized into the following three groups,the trehalose group,the fetal bovine serum (FBS)+ 10％DMSO group and the physiological saline group.The specimens were cryopreserved at-196 ℃ for 3 months and then the HE staining,glucose transfer method and CK method were used to detect the cell survival rate in each group.Results:The activity of adipose in the trehalose group and FBS+10％DMSO group adipose was higher than that in the physiological saline group (P＜0.05);while there was no significant difference between the trehalose group and FBS+10％DMSO group (P＞0.05).Conclusion:As cryoprotectant,trehalose could keep fat cell viability,and adipose tissue can be used for clinical transplantation after 3 months' freezing.

The disposition of keeping carotid artery continuity in treatment of carotid body tumor / 医学研究生学报

Objective Carotid body tumor is closely related to carotid artery .How to deal with carotid artery is the guaranty of successful surgery .The aim of this study was to summary the experience of keeping carotid artery continuity in the treatment of 15 carotid body tumor cases . Methods Clinical data of 15 cases with 17 carotid body tumors , in which 2 patients had bilateral tumors , were collected.The 17 carotid body tumors were classified as Shamblin I (6 cases),Ⅱ(6 cases) andⅢ(5 cases).Fifteen tumors were dissected simplely.Among these 15 tumors, three of Shamblin Ⅱand two of Shamblin Ⅲunderwent repair of the break of carotid artery.The rest two of Shamblin Ⅲunderwent tumor and external carotid artery excision and internal carotid artery repairment .Matas pressing test of carotid artery or carotid artery balloon occlusion test was not performed in any patient . Results All 17 tumors were successfully excised .None of the 17 tumors underwent anastomosis or reconstruction of internal carotid artery or arteria carotis com -mun.The continuity of carotid artery or internal carotid artery was kept in all the patients after tumor excision .Hoarseness and bucking induced by the injury of vagus nerve occurred in 13 cases, and bucking recovery in all the cases after 2 years follow up, and only one case remained mild hoarseness .Hypoglossal nerve injury occurred in 4 cases with tongue deviation , and the symptom recovery after 6 months follow up.No one had recurrent by the follow-up period ranging from 1 to 9 years. Conclusion Most carotid body tumors could be completely resected by tumor dissection method with the accurate treatment , thereby the continuity of carotid artery could be kept.The Matas pressing test of carotid artery or carotid artery balloon occlusion test is not necessarily to every patient .

Study on Thoughts and Methods of Personal Health and Clinical Nursing by Professor Luo Lingjie / 世界科学技术-中医药现代化

Professor Luo Lingjie is a national famous old doctor of traditional Chinese medicine (TCM). He has a set of effective thoughts and methods on health maintenance. The core of the thought is Tiao-Xin, that is to say the emotion regulation is the key to health. The idea and method include three aspects, which include emotion regulation, diet regimen and exercise regimen. The emotion regulation is divided into clean ears, optimistic mood, learn to adapt, maintain psychological balance, and comply with nature. Diet regimen is fell into pay attention to the health food, regular diet, dietotherapy as primary and followed by drug, comply with the four seasons, reasonable to choose the food. There are four principles of exercise regimen, which are the choice of sports according to individual person with the aim to relax the body, move to raise the shape which should be combined with static to repose, proceed in an orderly way and persevere it step by step. The idea and method can also be used for daily personal health and clinical nursing for health maintenance. It is important that the physical and spiritual needs be consistent with long-term practice.

Radiofrequency myolysis: New conservative management of myoma / 대한산부인과학회지

OBJECTIVE: To evaluate the clinical efficacy of radiofrequency myolysis which is new developed uterine preserving management of myoma. METHODS: 17 patinets (27 myomas) who done radiofrequency myolysis between Oct. 2004-Dec. 2004 were participated this study. Preoperatively, Hemoglobin and subjective symptoms were checked and size of myoma was checked using ultrasonogram or computed tomogram (CT). Radiofrequency was applied to myoma for 10 to 40 minutes per one. Follow up sonogram or CT were done 7 days, 1 month, 2 month and 3 month after myolysis. RESULTS: Average age of patients was 42.7+/-8.6 (yr) and average size of myoma was 4.9+/-2.3 cm. We followed 27 nodules. After 3 months, reduction of volume was observed 65%, from 30% to 94%. 3 nodule, which was followed only 2 months, reduced by 46%. About subjective symptoms, 80% reduction was reported after 3 months (50-100%). Menorrhagia reduced 91% in average and pressure symptoms reduced 71% in average. No severe complication like bowel injury, bladder injury, infection and pulomonary embolism was not observed. Serious vaginal bleeding was reported for 3 patients, and their hemoglobin decreased from 10.8 mg/dL preoperatively to 8.7 mg/dL postopertively. CONCLUSION: Radiofrequency myolysis decreased myoma 65% in average. No serious complication were reported.

A Study of Okada Shoshun Documents: Biographies of Okada Family Members and Annotations to Some Documents / 日本東洋医学雑誌

This article analyzes the Okada Documents that were kept by the descendents of Okada Shôshun (1827-97) for over a hundred years and recently became available for scholarly use. In the existing scholarship, Okada Shôshun was considered merely one of many practitioners of East Asian medicine in the early Meiji period. His family background was obscure. This study of the newly emerged documents shows that his family practiced medicine for six generations-from the mid-Edo until the Meiji period-and produced medical administrators in the Bakufu. Also, a book on pharmaceuticals preserved in the Documents and written by his adoptive father, Shôseki, reveals that the family originally specialized in surgery. In addition, because Shôshun studied at the Bakufu's official medical school, Igakkan, under the guidance of the Taki family, the Documents include rare books such as Taki Motonori's “Rankei sensei yakushitsu kijô” (draft), Taki Motoyasu's “Isekikô” (the first draft), “Byômei san, ” and “Qianjin yueling.” Since the mid-1870s, Shôshun participated earnestly in the movement to preserve East Asian medicine and was particularly close to Asada Sôhaku (1815-94). The Documents include Sôhaku's medical essay (untitled), a book manuscript written by Shôshun with commentary by Sôhaku, and sixty-two letters that were exchanged between Shôshun and Sôhaku.

Optimizing the Best Medium of HP by Orthogonal Test Design / 中国药房

OBJECTIVE:To select the best medium prescription of HP.METHOD:To select the best solid medium of HP by orthogonal test design and to study the condition of preserving HP.RESULTS & CONCLUSIONS:There are significant deviations of growing circumstance of HP on the different cultivation medium.The best solid cultivation medium for HP is colombian agar or brain heart infusion agar medium with 2.5%mixed antibiotic added with 5.0%bovine serum and kept the pH of medium at 7.5.HP is preserved under —70 ℃～—80 ℃,which could be successfully antibiotic.

Elaboração de uma semi-conserva de pescado de água doce "Picles de Peixe". I. Tempo de cura, acidificação, textura e nível de sal

In this study the interaction between curing time, acidification and saltiness was studied in order to determine the conditions necessary to produce a botted semi-preserve of freswater fish. The species utilized were jaraqui Semaprochilodus ssp. Curimatã Prochilodus nigricans, dourado Brachyplatistoma flaviocans e pirarucu Arapaima gigas. Four weeks in the inicial curing brine was necessary to obtain the best results with respect to texture. The curing brine had a pH of 4-5, achieved by using 5% acid per 100 g of fish, and 15% (p/v) of salt. Agreeable flavor was obtained using a flavoring brine of 1% (v/v) acid, 2% salt (p/v) and 1% seasoning additives.

Neste trabalho são estudadas as condições para a correta combinação entre o tempo de cura, acidificação e nível de sal para produzir uma semi-conserva de pescado de de água doce acondicionada em vidro, utilizando o efeito da combinalção sal/ácido. As espécies utilizadas foram jaraqui (Semaprochilodus spp.), Curimatá (Prochilodus nigricans), Dourado (Brachyplastistoma flavicans) e Pirarucu (Arapaima gigas). Na salmora de cura prelimiar o tempo indicado para se obter uma melhor textura foi de 4 semanas, a acidificação até 4,5 foi alcançada na solução contendo 5% de ácido/100 gramas de pescado e o nível adequado de sal foi de 15% (p/v). Na salmora flavorizante a proporção de ácido foi de 1% (v/v) o que torna o produto de sabor agradável, sal na concentração de 2% (p/v) e a adição de 1% de condimentos.

Multi-organ preservation solution: progress in laboratory research and prospects of clinical application / 第二军医大学学报

UW solution has bean considered the gold standard for abdominal organ preservation. Celsior solution and HTK solution, with low potassium and low viscosity, are becoming more widely used in the preservation of the kidney, liver and pancreas, and are gradually accepted as an ideal alternative for UW solution. Recent studies have found that addition of trophic factors can attenuate hypothermic ischemic injury to the donor organ, thus improving the preservation outcome. This paper reviews the progress in laboratory research and looks foward to the clinical application of multi-organ preservation solution.

DEGRADATION KINETICS OF ACONITINE IN THE SAMPLE OF RABBITS / 西安交通大学学报(医学版)

A high performance liquid chromatography (HPLC)has been used to determine aconitine in the sample of rabbits. Kinetics of degradation of aconitine in vitro was studied. The degradation of aconite from the poisoned specimens (coagulated blood, liver) treated differently in vitro was characterized by pseudo-secondorder kinetics. The K. of aconitine in these samples was the biggest in the fixed section of 4% aqueous solution of formaldehyde (1.5619, O.7728?g/d), bigger in the fixed section of 95% alcohol(0.4891, 0.07536?g/d) and the smallest in the refrigerator at 4℃ (0.06372, 0.03903 ?g/d), respectively. That is, aconitine in the poisoned samples was decomposed slowly in the refrigerator and secondly in the fixative of alcohol. Amount of aconitine might be extrapolated from the result of examination of specimens taken from the subject after poisoning or killing by the poison, using the kinetics equation.