Effect of flipped classroom model on training of newly-contracted nurses / 现代临床护理

Objective To explore the effect of the flipped classroom model on the training of nursing theory and skills to newly-contracted nurses. Methods A total of 122 newly-contracted nurses in 2013 were selected as the control group, where the traditional training methods were adopted. The 303 newly-contracted nurses recruited into the hospital in 2014 were set as the experimental group, where the training was carried out by using the flipped classroom model for 1 year. After training, the differences between the two groups in the theoretical test and nursing skills assessment were compared. A satisfaction survey about the flipped classroom model was made in the experimental group. Results Both the scores on the nursing theory and skills in the experimental group were higher than those in the control group (all P<0.001).More than 88.9％of the newly-contracted nurses in the experimental group was for the training arrangement, classroom experience and application of the flipped class model. Conclusion The application of the flipped classroom model in the training of nursing for newly-contracted nurses can improve the learning effect of newly-contracted nurses and enhance their nursing theory and skills.

Experience of carinal resection and reconstruction in the treatment of carinal tumor and bronchogenic carcinoma / 中国肺癌杂志

<p><b>BACKGROUND</b>Carinal resection and reconstruction is an emphasis in surgical treatment of carinal tumor and bronchogenic carcinoma involving carina. The aim of this study is to discuss the clinical value of carinoplasty in lung cancer surgery.</p><p><b>METHODS</b>From 1982 to 2004, 41 cases of central bronchogenic carcinoma that invaded the carina accepted carinal resection and reconstruction in this hospital. Of the 41 patients, 25 patients underwent simutaneously additional cardiovascular plasty operation besides carinoplasty. There were 12 different types of carinal resection and reconstruction in this series.</p><p><b>RESULTS</b>There was 1 perioperative death (because of anastomotic leakage) in this group. Arrhythmia occured in 12 patients, atelectasis in 6 patient and pneumonia in 5 patients. Five patients were assisted ventilation through breathing machine because of pulmonary function failure. The 1-, 3-, and 5-year survival rates were 76.21%, 47.23% and 26.83% respectively.</p><p><b>CONCLUSIONS</b>The carinoplasty is a good method to treat central bronchogenic carcinoma which invaded the carina. With this method lung cancer tissue can be resected maximally, meanwhile, it can save pulmonary function of patient maximally. Postoperative multi-modality therapy is helpful to increase postoperative survival rate and improve quality of life.</p>

Surgical treatment for locally advanced lung cancer invading heart and great vessels / 中国肺癌杂志

<p><b>BACKGROUND</b>To summarize the surgical treatment for locally advanced lung cancer invading heart and great vessels.</p><p><b>METHODS</b>One hundred and eighteen cases of lung cancer accepting cardiovascular plasty operation from 1980 to 2001 were reviewed.</p><p><b>RESULTS</b>The operations included partial resection of left atrium in 38 cases, pulmonary artery resection and restruction in 48 cases, replacement or partial resection of superior vena cava in 25 cases, partial resection of pulmonary conus in 3 cases, and lober replantation in 4 cases respectively. There was no perioperative death, and the 1-, 3-, 5- and 10 year survival rate was 72.68%, 55.20%, 28.62% and 20.36% respectively.</p><p><b>CONCLUSIONS</b>Cardiovascular plasty in the surgical treatment of locally advanced lung cancer invading heart or great vessels can remarkably increase the long-term survival and improve the life quality of the patients.</p>