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Objective@#To investigate the situation and influential factors of the job burnout among the nurses in Guangzhou, China.@*Methods@#In April 2017, 166 nurses from 8 hospitals in Guangzhou were surveyed by applying the Maslach Burnout Inventory (MBI) to investigate their Emotion Exhaustion (EE) , Depersonalization (DP) and Personal Accomplishment (PA) , and applying Simplified Coping Style Questionnaire (SCSQ) to examine negative coping style and positive coping style based on group random sampling.@*Results@#The nurses exhibited moderate burnout on both EE and DP, as well as severe burnout on PA. Compared with the nurses in the general hospitals, the nurses in the occupational disease hospital had lower scores on both EE and DP (t=-7.305, -3.442, P<0.01) , and they had higher scores on PA (t=2.597, P<0.05) . The married nurses had higher scores on EE (t=2.988, P<0.01) . The nurses in the disinfection supply department had higher scores on EE and lower scores on PA than the nurses in other departments (t=3.788, -3.990, P<0.01) . There was a significant difference on EE between different working age groups (F=3.225, P<0.01) . 6-10 years and 21-25 years of working age had higher scores on EE. Positive coping was negatively correlated with DP (r=-0.190) , and it positively correlated with PA (r=0.323) . Negative coping was positively correlated with both EE and DP (r=0.389, 0.293) .Hospitals types, negative coping style and positive coping style both entered the regression equation for EE (R2=0.368, P<0.01) and the regression equation for DP (R2=0.199, P<0.01) . Positive coping style and department types entered the regression equation for PA (R2=0.201, P<0.01) .@*Conclusion@#Nurses in Guangzhou got moderate level on both EE and DP, lower level on PA. Hospitals types, department types, marital status, working ages and coping style are all the influential factors of job burnout.
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Objective Based on active monitoring MRSA carriage for hospitalized patients, the relationship between colonization pressure and MRSA cross transmission in wards without rigorous contactisolation measures was analyzed, and the role of colonization pressure in predicting MRSA cross transmission was further evaluated. Methods From March to December 2009, active MRSA colonization screening was performed for 240 hospitalized patients in emergency ward and 94 cases in RICU in our hospital. rep-PCR method was employed to do homology analysis on MRSA strains obtained in this study. MRSA weekly colonization pressure, threshold colonization pressure ,cross transmission rate were calculated respectively. RR of MRSA cross transmission under higher level of colonization pressure and lower level of colonization pressure was analyzed. Results MRSA carriage rates on admission for patients in emergency wards and RICU were 6. 25% (15/2A0) and 13. 83 % (13/94) ,and MRSA cross transmission occurred in 13 weeks and 14 weeks in above two units, respectively. Threshold colonization pressures for above two units were 6. 49%and 17. 66%, respectively. For emergency ward, the MRSA cross transmission rate under higher level of colonization pressure was significantly higher than that under lower level of colonization pressure (x2 = 7. 10,P＜0. 01), the RR of MRSA transmission was 9. 61 (95% CI:1. 25-74.00). For RICU, the MRSA cross transmission rate under higher level of colonization pressure was significantly higher than that under lower level of colonization pressure(x2 = 12. 60, P＜0. 01 ), the RR of MRSA transmission was 15.87 (95% CI:2. 06-122. 10). Conclusions Higher level of colonization pressure is an important risk factor for MRSA transmission, and average colonization pressure can be used as a prediction index for MRSA transmission and strengthening prevention and control measures.
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Excessive release of glutamate can cause many nervous system disorders. It has been reported that when a high dose of penicillin sodium is administered into the rat's brain, epilepsy, accompanied with glutamate elevation, will result. In this experiment, a low dose of penicillin sodium (1000 kIU/l) was microinjected into the rat's lateral ventricle to set up an overexcitation model, in which the concentration of ipsilateral hippocampal glutamate was monitored in vivo. by microdialysis-HPLC method as an indicator of the rat's excitatory state. Influences of sedative-hypnotic drugs on this model were verified by coadministration of diazepam or phenobarbital with Na-PCN intracerebroventricularly. In models, hippocampal glutamate concentration was elevated to 307% compared with its baseline level (p < 0.05), and this increase of glutamate was inhibited completely when different doses of diazepam or phenobarbital were administered (p < 0.05). The sedative effect of jujuboside A and trifluoperazine were then studied with this model. Jujuboside A (JuA) 0.1 g/l also reduced the glutamate level significantly (p < 0.05). Calmodulin antagonist trifluoperazine showed similar inhibitory effect as JuA, which may indicate that the effect of JuA is correlated with its anticalmodulin action. This model can be used to investigate the inhibitory effect of central nervous system drugs.
