Research progress on the mechanism of nursing manpower factors on patients' safe / 中国实用护理杂志

This article reviewed the present situation of the research on the relationship between the number of nursing staff, education level, skill combination and patient safety at home and abroad, as well as the indirect mechanism of nursing manpower factors on patient safety through intermediary factors such as working environment, attendance, nursing lack and so on. In view of the problems existing in domestic research, some suggestions were put forward, such as carrying out longitudinal and intervention research on patient safety, optimizing the allocation of nursing human resources and patient safety indicators, exploring the mechanism of multiple nursing factors and patient safety and conducting empirical analysis. To provide reference for hospital managers to improve nursing quality and ensure patient safety.

Correlation between fragment size of ulnar coronoid process fracture and patient prognosis / 中华创伤骨科杂志

Objective:To investigate the relationship between fragment size of ulnar coronoid process fracture and patient prognosis.Methods:A retrospective study was conducted of the 34 patients who had been treated at Department of Orthopaedics, The Second Hospital Affiliated to Lanzhou University for fracture of ulnar coronoid process combined with elbow dislocation from July 2016 to December 2020. They were assigned into 2 groups according to their different treatments. In the surgery (internal fixation) group of 23 cases, there were 15 males and 8 females, aged from 22 to 71 years; in the conservative treatment group of 11 cases, there were 8 males and 3 females, aged from 38 to 78 years. Preoperatively, the sizes of coronoid process and fracture fragments were measured by elbow CT scan and 3D reconstruction, and a size-weighted ratio Z (%) corresponding to the fragment of coronoid process fracture was calculated. At the last follow-up, American Hospital for Special Surgery total elbow scoring system (HSS2) score was used to assess their therapeutic efficacy, the correlation between the ratio Z and HSS2 score for elbow function was calculated, and complications were recorded.Results:There were no significant differences between the surgery and conservative treatment groups in gender or age ( P>0.05). All the 34 patients were followed up for 18 to 54 months (average, 36.7 months). At the last follow-up, the HSS2 score was 93.77±0.84 (from 82 to 98) for the surgery group and 86.00±1.42 (from 78 to 90) for the conservative treatment group; the complications rate was 13.04% (3/23) for the former and 63.64% (7/11) for the latter. There was a linear relationship between the size-weighted ratio Z of the coronoid fracture fragment and the HSS2 elbow function score in the surgery group ( P<0.01). The linear regression equation between them was: y=99.44-0.121x ( r2=0.86, P<0.01). There was a linear relationship between the size-weighted ratio Z of the coronoid fracture fragment and the HSS2 elbow function score in the conservative treatment group ( P<0.01). The linear regression equation between them was: y=89.46-0.144x ( r2=-0.91, P<0.01). When a HSS2 elbow joint function score 90 was substituted into both linear regression equations, the results were x=78.02 for the surgery group and x=3.75 for the conservative treatment group. Conclusions:Conservative treatment may not lead to a satisfactory prognosis for the patients with coronoid process fracture whose size-weighted ratio of fracture fragment is larger than 3.75. Open reduction and internal fixation usually leads to a satisfactory prognosis for those whose size-weighted ratio of fracture fragment is smaller than 78.02.

The contradictions in the existing physics and the psychological factors that influence them to be valued

Besides the limitation of cognition level, the factors that affect the correctness of academic evaluation are as follows: collusion-recognizationeffect, backfire effect, cognitive maladjustment, inattentional blindness and aesthetic fatigue. It's hard for readers (especially the reviewers of academic achievements) not to fall into the trap. Therefore, the probability of misjudgment of academic achievements of "questioning and denying current prevailing theories or creating new theories" is very high. The intolerable contradictions in the existing physical theories, such as space paradox, time paradox, quantum entanglement paradox, are exposed by means of thought experiments and "topresentthefacts,reasonthingsout", and take these works as examples to reveal the formation and utilization of these adverse psychological effects. The conclusions are as follows: both special relativity and Copenhagen interpretation of quantum mechanics have fatal injury; it is difficult to eliminate the misjudgment of academic achievements, but the misjudgment rate can be reduced. The concepts of “invariance of spatial attribution”and “inaction association”are established. These works can urge readers to treat new and old physics theories more carefully, promote the development of physics, and promote the birth and improvement of the evaluation theory of science and technology

Fenomenologia e relatividade: Husserl, Weyl, Einstein e o conceito de essência / Phenomenology and Relativity: Husserl, Weyl, Einstein and the Concept of Essence / Fenomenología y Relatividad: Husserl, Weyl, Einstein y el Concepto de Esencia

O objetivo deste artigo é desenhar uma nova concepção de "essência", a partir da análise das obras de Husserl (por exemplo, Filosofia da Aritmética, Investigações Lógicas, Ideias) e comparando com as considerações de Einstein e Weyl (a maioria delas inéditas) sobre fundamentar um novo método que combina "análise filosófica da essência" e "construção matemática". A pesquisa sobre a natureza física do espaço-tempo nos fornece um exemplo de análise fenomenológica pura das essências. Ao desenvolver essa concepção de essência, a subjetividade e a consciência fenomenológicas desempenham um papel importante para representar uma representação relativamente objetiva da realidade das coisas. Por essa razão, o objetivo principal deste trabalho é buscar a complementaridade entre objetividade e subjetividade na consciência representacional e na produção de essências; Além disso, este estudo tem como objetivo demonstrar como a intersubjetividade fenomenológica atua na constituição das essências, para que possamos considerar a constituição das essências intersubjetivas como um caso possível de construção de um mundo real.

This paper aims to draw a new conception of "essence", starting from the analysis of Husserl's works (e.g. Philosophy of Arithmetic, Logical investigations, Ideas) and comparing with the Einstein and Weyl considerations (most of them unpublished) about grounding a new physical method which combines "philosophical analysis of essence" and "mathematical construction". The research about the physical nature of space-time provides us with an example of pure phenomenological analysis of essences. In developing this conception of essence, phenomenological subjectivity and consciousness play an important role in order to depict a relatively objective representation of thingly reality. For this reason, the principal purpose of this paper is seeking to address the complementarity between objectivity and subjectivity in the representational consciousness and in its production of essences; moreover, this study aims to demonstrate how phenomenological intersubjectivity acts on the constitution of essences, so that we might consider the intersubjective essences' constitution as one possible case of constructing a real world.

Este trabajo pretende dibujar una nueva concepción de "esencia", comenzando por el análisis de las obras de Husserl (por ejemplo, Filosofía de la aritmética, Investigaciones lógicas, Ideas) y comparando las consideraciones de Einstein y Weyl (la mayoría de ellas inéditas) sobre cómo establecer un nuevo físico método que combina "análisis filosófico de la esencia" y "construcción matemática". La investigación sobre la naturaleza física del espacio-tiempo nos proporciona un ejemplo de análisis fenomenológico puro de las esencias. Al desarrollar esta concepción de la esencia, la subjetividad fenomenológica y la conciencia juegan un papel importante para representar una representación relativamente objetiva de la realidad de las cosas. Por esta razón, el propósito principal de este artículo es tratar de abordar la complementariedad entre la objetividad y la subjetividad en la conciencia representacional y en su producción de esencias; además, este estudio pretende demostrar cómo la intersubjetividad fenomenológica actúa sobre la constitución de las esencias, de modo que podríamos considerar la constitución de las esencias intersubjetivas como un posible caso de construir un mundo real

Relativity and integrality of the acupoint effect specificity / 中国针灸

The researches on the acupoint effect specificity were summarized to explore whether the integrality of the acupoint effect specificity existed and analyze the connection between the relativity and integrality of the acupoint effect specificity. The literature on the clinical and experimental researches relevant with the acupoint effect specificity was retrieved through CNKI from January 2007 to October 2017. A total of 39 papers met the retrieving criteria. Separately, in terms of the holism of TCM theory, the holism of meridian theory and modern research, the integrality of acupoint effect specificity was analyzed. The relativity and the integrality are indicated in the acupoint effect specificity. The integrality of acupoint effect specificity is closely related to the holism of TCM theory as well as the meridians. Just because of its integrality, the acupoint effect specificity is relative, rather than absolute.

Investigation of Correlation between Parameters of Thrombelastogram and Platelet Count in Perioperative Patients / 现代检验医学杂志

Objective To investigate thrombelastogram (TEG) correlation between parameters and platelet count in perioperative period patients.Methods Selected 139 patients,69 cases with thrombocytopenia,35 cases with normal platelet number and 35 cases with thrombocytosis from 2012 January to 2014 May,monitored TEG,blood coagulation function and the change of blood routine during perioperative period.Spearman test was used to analyze the different level of platelet count and other coagulation parameters.Results The positive correlation between platelet count and TEG parameters were:MA (r=0.57,P＜0.57),Angle (r=0.54,P＜0.000 1),CI (r=0.57,P＜0.000 1),and R was negatively correlated with platelet count (r=-0.27,P＜0.000 1).There was no significant correlation between PT,APTT and platelet count.In mild lack of platelet group [(87.34 ± 10.43) × 109/L] and normal group [(198.47 ± 45.30) × 109/L],platelet count was positively correlated with MA and Angle.In severe lower [(39.33±10.63) × 109/L] and higher group [(330.34±35.43) × 109/L],there was no correlation between platelet platelet count with MA or Angle.Conclusion Platelet count was significantly correlated with CI,Angle and MA,but in patients with moderately severe lower platelet and platelet increase the platelet count do not reflect the aggregation function,MA is more sensitive response to platelet function.

Exploration on Relativity in The Expression of Traditional Chinese Medicine / 世界科学技术-中医药现代化

At present,Traditional Chinese Medicine (TCM) researchers and educators have not paid enough attention to relativity in the expression of TCM,so that the efficacy and clinical application methods of herbs cannot be accurately understood,causing some misleading and obstacles for clinical application and new drug discovery.This study analyzed reasons of relativity in TCM,and put forward the correct cognitive and comprehension approaches by exploring relativity of clinical diagnosis and basic theory of prescriptions.At the same time,this article focused on the relativity in the expression of efficacy of herbs,such as similar drug efficacy,efficacy intensity,site expression,efficacy description,efficacy system,efficacy level,efficacy and drug variety,toxicity and energy,efficacy and dosage forms,administration pathways.In addition,this article analyzed relativity in the expression of herbal properties,including primary and secondary relations,four properties of drugs,channel tropism,five flavours,and concerted application.Cognizing relativity in the expression of TCM with thinking way of TCM provides enlightenment for TCM researchers.

Relations between nonalcoholic fatty liver disease and metabolic syndrome / 中华流行病学杂志

Objective To analyze the relation between nonalcoholic fatty liver disease (NAFLD) and metabolic syndrome (MS) among adults from the Functional University Society (FUS).Methods This survey was conducted among the staff of Wuhan University who underwent physical check-ups from 2010 to 2011 at the Affiliated Hospital of Wuhan University.The participants had records related to medical history,clinical examination,anthropometry,laboratory tests and routine liver ultrasonography.According to the diagnostic criteria of NAFLD,the cases were divided into two groups—with NAFLD or without.MS and its relevant risk factors of the two groups were compared.Results 1) The prevalence rates of nonalcoholic fatty liver disease and MS were 20.7％,and 13.3％,respectively.People with nonalcoholic fatty liver disease had higher levels of BMI,SBP,DBP,TG,FPG and lower level of HDL-C than those who did not have the problem.2) The risks of NAFLD group in developing MS,obesity,hypertension and dyslipidemia were higher than the non-group (P＜0.001).3) The NAFLD group had 1.66,4.22,8.72 and 25.62 times chances of having 1 to 4 risk factors on MS than those without NAFLD.Conclusion NAFLD was closely associated with MS and its relevant risk factors.

Relativity between Deviation of Nasal Septum and Acute Sinusitis / 浙江中医药大学学报

[Objective] To discuss the relativity between the deviation of nasal spetum and acute sinusitis ’offering relative theoretic base for clinical perven-tion, causa morbi, diagnosis and treatment.[Method] Select 1 case of deviation of nasal spetum from Hangzhou City First People Hospital, make pair com-parison 2 sides of the sinus, record the attack of 2 flanks of sinus with deviation of septum(frontal sinus, maxil ary sinus, frontal and back ethmoidal cellules, sphenoid sinus) for the sinusitis, and make quantitative analysis to the severity, evalulate susceptivity and severity. [Result] There ’s no difference of statistical meaning on the occurrence rate and sinusitis scores for the 2 flanks of the patient.[Conclusion]For such patient of acute sinusitis, the susceptivity and severi-ty are the same for 2 flanks of nasal cavity; the pure correction of the deviation can ’t effectively prevent or treat acute sinusitis; for such patient, we shal correspondingly evaluate and treat the compensatory change caused by deviated spetum.

Sobre a transitoriedade: a seta do tempo / On transience: the arrow of time / Sobre la transitoriedad: la flecha del tiempo

O método crítico (criticismo), que isola e descreve metodologias de estudo, formulado por Kant, foi uma raiz da psicanálise de Freud - e de toda ciência moderna. Senso comum, formulado por Locke, base da ciência moderna e da psicanálise, difere de lugar comum, ambas as concepções popularizadas e banalizadas no meio leigo, propagando-se nos movimentos de origem científica por dificuldades de aprendizado das contribuições de autores clássicos. O presente estudo examina criticamente, segundo o vértice psicanalítico e a formulação da história das ideias (Vico e Berlin), a concepção de tempo enquanto verdade absoluta, independente de espaço.

Kant’s criticism, a critic description of methodologies, was one of the roots which gave birth to Freud’s psycho-analysis as well as of all modern science. Common sense, as formulated by John Locke, is the main bearing of modern science as well as of psycho-analysis. It differs from common place, the popularized concepts obtained by banality which permeate the laymen’s environment and, alas, propagated to movements whose origin was scientific, due to difficulties of learning what the classical authors wrote. The present study scrutinizes critically, under a twofold method, the psycho-analytic vertex and the history of idea’s vertex (Vico and Berlin), the concept of “Time”, specially when it is regarded as an absolute truth, quite independent of “Space”.

El método crítico (“criticismo”) que aísla y describe metodologías de estudio formulado por Kant, fue una raíz del psicoanálisis de Freud - y de toda ciencia moderna. Sentido común, formulado por Locke, base de la ciencia moderna y del psicoanálisis, difiere de lugar común, concepción popularizada y banalizada en el medio lego, propagándose en los movimientos de origen científico, por dificultades de aprendizaje de las contribuciones de autores clásicos. El presente estudio examina críticamente, según el vértice psicoanalítico y la formulación de la historia de las ideas (Vico y Berlin), y concepción de “Tiempo”, como verdad absoluta, independiente de “Espacio”.

Clinical values and relativity of NSE and ProGRP (31-98) in patients with small-cell lung cancer / 肿瘤研究与临床

Objective To study the clinical values and relativity of serum levels of NSE and ProGRP (P31-98) in patients with small-cell lung cancer. Methods Serum levels of NSE and ProGRP (31-98) was measured by ELISA in 159 patients with small cell lung cancer(SCLC), 99 patients with benign lung diseases, and 100 healthy subjects, 141 SCLC patients before and after treatment were also measured. Results The medians of NSE and ProGRP (31-98) was 21.33 μg/L and 323.70 pg/ml in patients with SCLC, 4.24 μg/L and 11.94 pg/ml in patients with benign lung diseases, 5.82 μg/L and 8.54 pg/ml in healthy subjects respectively,significantly increased in patients with SCLC as compared to that of the other two groups (P ＜0.01).Given the cut-off levels of 10.35 pg/L for NSE and 47.98 pg/ml for ProGRP(31-98), the sensitivity of diagnosis in SCLC was 71.1% and 88.7 %, respectively.The combination sensitivity and specificity of NSE and ProGRP(31-98)was 95.6 % and 96.8 %. The medians of NSE in SCLC patients with extensive and limited disease was 14.75 μg/L and 34.10 μg/L, the sensitivity was 51.14 % and 93.44 %, respectively; ProGRP (31-98) in the two groups was 143.14 pg/ml and 1061.14 pg/ml, 80.61% and 98.61%, respectively.In SCLC patients with remission after treatment the levels of NSE and ProGRP31-98 was significantly lower than that before treatment, but the levels without remission had no significantly change. There was significant relationship between NSE and ProGRP(31-98) in serum levels of patients with SCLC (r =0.379, P ＜0.01).Conclusion The serum levels of NSE and ProGRP (31-98) in patients are both increased, there are a significant relationship.But ProGRP(31-98) is a more specific and sensitive marker than NSE for the diagnosis of SCLC.The combination of the two markers can improve positive rate and validity.

Effect of CT scanning parameters on CT number / 中华放射医学与防护杂志

Objective To study the effects on tissue CT number caused by scan protocols.Methods The phantom was repeatedly scanned in different protocols by changing only one of parameters,such as X-ray tube voltage,mAs and recon kernel,while other parameters were ketp unchanged.The CT number of different materials in phantom were measured and analyzed.Results The CT numbers of tissues changed remarkably with the tube voltage and had different relativity for different tissues.The CT numbers had positive correlation with kV for such maierials as polyethyle,lexan,perspex,but for teflon the correlation was negative.The mAs and recon kernel had no effects on CT number.Conclusions The CT number of tissue changes with scanning X-ray tube voltage,so the setting of scan parameters should be taken into account in image diagnosis and radiotherapy.

Study on the relations between high risk human papillomavirus and cervical intraepithelial neoplasia in married women from Beijing / 中华流行病学杂志

Objective To investigate the prevalence and relationship between high risk human papillomavirus(HR-HPV)and cervical intraepithelial neoplasia(CIN)in married women from Beijing.Methods From March 2007 to September 2008,a total of 6185 married women were sampled,covering 137 communities in 12 districts.The samples were screened by high-risk HPV DNA test(HC2)and cytological test.For those participants with cytological test results≥ASCUS,pathological tests were performed.An interview was also carried out with the same questionnaire.Results from the tests were inputted into the database twice using EpiData 3.0,reviewed,analyzed,using SPSS 15.0.Results(1)The prevalence rates of HR-HPV and CIN were 9.9% and 6.0%,respectively for the age group 25 to 54.(2)The peak age groups for HR-HPV and CIN prevalence rates were 30 to 34 years old.(3)The prevalence rates of positive cytology(40.3%)and CIN (30.4%)in HR-HPV positive female population were significantly higher than that in HR-HPV negative group.(4)Data from unconditional logistic regression analysis showed that,when comparing with the normal subjects,the risk odds ratios of HR-HPV with low grade CIN and cervical cancer/high grade CIN were 8.385 and 97.416 and the attributable risk proportions with these groups were 88.1% and 99.0%,respectively.Conclusion HR-HPV infection seemed to be the main risk factor for CIN.Married women,from age group 30-34,were under the high risk group in both HR-HPV infection and CIN incidence.

Relativity study between serum cortisol level and post-stroke depression in old patients with stroke / 中华行为医学与脑科学杂志

Objective To explore relativity between serum cortisol and post-stroke depression in old patients with stroke. Methods Serum cortisols of 41 stroke patients were examined two weeks after stroke, and they were all assessed through Hamilton Depression Scale and then happening rates of post-stroke depression observed in both normal cortisol group and enhanced cortisol group were tested through χ2 test. Meanwhile relativity between serum cortisol level and post-stroke depression were analysised. Results Happening rates of post-stroke depression had an evidently difference between both normal cortisol group and enhanced cortisol group(χ2=4.11;P <0.05). Mark of normal cortisol group was 15.29±7.28, enhanced cortisol group was 25.85±10.81, both groups had an evidently difference( P <0.01). Serum cortisols were not obviously relative to depression degree in normal cortisol group( r =0.295;P =0.194) while they were obviously relative in enhanced cortisol group( r =0.702;P =0.001). Conclusion Enhanced cortisol could forecast higher possibility of depression after the old post-stroke, and detecting cortisol could offer theory foundation for prevention and cure of post-stroke depression.

Ciência e arte: relações improváveis? / Science and art: unlikely relations?

Este artigo discute as relações entre ciência e arte, principalmente entre física e pintura, com o objetivo de apresentar uma abordagem cultural para a ciência. Dessa forma, entendemos que a compreensão dos conteúdos da ciência torna-se mais significativa. Abordamos diferentes momentos da história desde a revolução científica até o século XX. As relações aqui salientadas não buscam uma relação causal entre ciência e arte, mas sim uma visão mais significativa do que é o processo de construção do conhecimento. Assim, a ciência se desnuda para nós como parte da cultura e pode nos ajudar a compreender melhor o processo histórico que nos trouxe até aqui.

With the goal of presenting a cultural approach to science, the article discusses relations between science and art, especially between physics and painting. From this standpoint, we can see how understanding the substance of science becomes more important. Different moments in history are examined, from the scientific revolution down through the twentieth century. The relations highlighted herein are not chosen in an effort to undercover a causal relation between science and art but to arrive at a more meaningful understanding of how knowledge is constructed. Science is thus revealed to be part of culture, which can help us better understand the historical process through which we have come to this point.

On the Formation of Chinese Great Classic “Shokanron”, and Its Specificity / 日本東洋医学雑誌

The author has attempted to reveal the evolution behind the great Chinese classic “Shokanron”, through historical study. Results suggest that it originally evolved from human anatomical trials in the Xin Dynasty (AD 16). Subsequently, some person or persons engaged in these anatomical trials created a new standard, i. e. verification. This newly developed school created the methodology for describing clinical cases, according to a standard format. The followers of this school then accumulated clinical case studies over several generations, with Chochukei finally compiling “Shokanron” (AD 200). In this classic, Chochukei put forth the theory of six disease stages, and presented a manual for acute febrile disease treatment.

Investigation on Epidemiology and Relativity between TCM Types and Influencing Factors to Hypertension Fatness in Zhejiang province / 浙江中医药大学学报

[objective]Get to know something about middle-aged and senile hypertension fat people in Zhejiang province,analyse the relativity between TCM types and factors influencing hypertension fatness(HF),offer foundation to the prevention and treatment of HF with TCM. [Method]Take hypertension people over 40 years old as subjects in some communities of urban districts of Hangzhou city,Shaoxing city,Quzhou city and Wenzhou city in Zhejiang province;by filling in the table of“investigation table on epidemiology of community hypertension”,study the disease characteristics,distribution of TCM types of hypertensive fatness and the relativity between factors influencing hypertensive fatness and TCM types.[Result](1)In 3795 hypertension patients investigated,1444 are of hypertensive fatness,occupying 36.33%;among which,785 are overweighted,659 fat,798 central fat,646 peripheral fat,632 class I hypertension,559 class Ⅱ,253 class Ⅲ.(2)On TCM types,most are of accumulation of sputum wetness,occupying 50.07%,25.00%,13.99% and 11.94% for Yin deficiency and overwhelming Yang,deficiency of Yin and Yang and overwhelming liver fire respectively.(3)There’s relationship between ages,education,blood pressure classes and TCM types(P

Chronic cough and postnasal drip syndrome / 医学研究生学报

To discuss the relativity of chronic cough and postnasal drip syndrome(PNDS) for better clinical diagnosis and treatment.

A kinetic study on the relationship between IL-5,sIL-2R and eosinophil apoptosis in asthmatic patient's airway inflammation / 中国免疫学杂志

Objective:To explore the relationship between eosinophil(EOS) and IL-5,sIL-2R in asthmatic patients in sputum. Methods:Thirty asthmatic patients (asthmatic group) during exacerbation and stable stage and twenty healthy persons were selected.IL-5 and sIL-2R in sputum were determined by ELISA ,EOS apoptosis was identified by flow cytometre.Results:IL-5 ,sIL-2R and EOS apoptosis percentages in the patients during exacerbation and stable stage in sputum were increased significantly,.There were no expression of EOS apoptosis in the healthy persons. Data analyses revealed a negative correlation between EOS apoptosis and the levels of IL-5, and a closer correlation between the percentages and IL-5.Conclusion:EOS underwent apoptosis in asthmatic airway and EOS apoptosis was regulated by IL-5.There were no correlation between EOS apoptosis and sIL-2R.

Relativity of the patients' right frou the prevention and cure of SARS / 中国医学伦理学

Any rights should be within the range of exertion, as well as the patients' right is relative. Which kind of the rights the patients have? Why should the rights be lmited? and what's that? To avoid the abuse of rights, the text discusses the limits of the patients' rights from the prevention and cure of the SARS disease.