脑卒中伴吞咽障碍患者早期康复护理干预

目的：探讨早期康复护理对脑卒中合并吞咽困难患者吞咽功能预后的影响。方法选择60例脑卒中合并吞咽困难患者,随机分为观察组和对照组,两组均给予内科常规治疗,观察组采用早期康复护理干预,对照组采用常规护理。结果6个月后两组洼田饮水实验评分比较,P<0.05,差异有显著性意义;两组临床疗效总有效率比较,P<0.05,两组比较差异有显著性意义(P<0.05);两组营养状况比较,观察组治疗前后比较,<0.05,观察组治疗后与对照组治疗后比较,<0.05,比较差异有显著性意义(P<0.05)。结论对脑卒中合并吞咽困难患者采用早期康复护理,可促进吞咽功能的重建与恢复,改善了机体的营养状况。     

137例护理干预用于病毒性心肌炎患者的临床观察

目的观察护理干预用于病毒性心肌炎的临床效果。方法将231例慢性支气管炎患者随机分为干预组137例与对照组94例。两组均给予相关对症治疗,干预组在此基础上给予护理干预。观察两组护理前后生活能力和生活质量评分及护理满意度情况。结果护理后,两组生活能力评分均增高,且干预组高于对照组,差异均有统计学意义(P<0.05);两组生活质量评分均降低,且干预组低于对照组,差异均有统计学意义(P<0.05);干预组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论护理干预用于病毒性心肌炎患者可明显改善患者生活质量,提高患者生活能力和护理满意度的,值得临床推广应用。     

高血压性脑出血护理体会

目的探讨高血压性脑出血患者的护理效果。方法选取2012年1月~2014年9月我院收治的高血压性脑出血患者76例作为研究对象。按照随机数字表法,把所有患者均分为观察组(38例)和对照组(38例)。对照组患者进行基本护理,包括环境护理、用药指导、生命体征监测等。观察组患者在对照组护理的基础上,进行整体护理。包括心理护理、血压控制、口腔护理、褥疮护理、饮食护理。观察两组患者病情治疗总有效率、生活质量评分变化情况等指标。结果观察组患者治疗总有效率为86.84%,对照组为44.74%,两组比较,观察组高于对照组,差异具有统计学意义(P<0.05)。干预前,两组患者生活质量评分差异无统计学意义(P>0.05);干预后,两组患者生活质量评分均高于同组干预前,差异具有统计学意义(P<0.05);观察组患者生活质量评分高于对照组,两组比较,差异具有统计学意义(P<0.05)。结论对高血压性脑出血患者进行整体护理,可有效提高治疗总有效率,改善患者生活质量评分情况,值得临床推广。     

护理干预对骨折患者术后焦虑及疼痛的影响分析

目的探讨护理干预应用在骨折患者中对术后焦虑和疼痛的影响及应用效果。方法选择我院手术治疗的骨折患者152例作为研究对象,采取随机数字表法分为观察组和对照组,每组各76例,对照组给予骨科常规护理,观察组采用综合护理干预措施,观察两组护理效果。结果观察组患者护理后焦虑和抑郁情绪改善的幅度优于对照组,组间对比经统计学分析,差异具有统计学意义(P<0.05)。观察组患者术后疼痛评分、护理满意度、住院时间均短于对照组,经统计学分析比较,差异具有统计学意义(P<0.05)。结论采用综合护理干预措施应用在骨折患者中可以减轻患者焦虑和抑郁等负性情绪,减轻术后疼痛程度,提高临床护理满意度,缩短住院时间,值得在临床上大力推广使用。     

脑梗死并发糖尿病护理体会

目的探讨脑梗死并发糖尿病的护理效果。方法选取2011年1月~2014年8月我院收治的脑梗死合并糖尿病患者78例作为研究对象。按照随机数字表法将患者均分为观察组和对照组,每组39例。两组患者均进行常规对症治疗。对照组患者进行常规护理,缓解患者病情,包括病情观察、血糖监测、血压监测等。观察组患者在对照组护理的基础上,进行综合护理干预。具体包括局部皮肤护理、偏瘫护理、心理护理等。观察患者临床疗效、NIHSS评分、ADL评分变化情况。结果观察组临床总有效率为97.44%,对照组为71.79%,观察组高于对照组,两组比较,差异具有统计学意义(P<0.05)。治疗前,两组NIHSS评分、ADL评分差异无统计学意义(P>0.05)。治疗后,观察组NIHSS评分、ADL评分均高于对照组,差异具有统计学意义(P<0.05)。治疗后,两组NIHSS评分、ADL评分均高于同组治疗前,差异具有统计学意义(P<0.05)。结论对脑梗死并发糖尿病患者进行整体综合护理,可提高临床疗效,改善患者生活能力、活动能力评分,值得临床推广。     

全程系统化护理干预对慢性前列腺炎治疗依从性的影响

目的 探讨全程系统化护理干预对慢性前列腺炎(CP)治疗依从性的影响.方法 100例确诊为慢性前列腺炎的患者,随机分为对照组和观察组,对照组给予常规护理;观察组接受常规护理外,同时给予全程系统化护理干预(认知干预、心理干预、行为干预).护理干预前后用CP症状积分指数表(NIH-CPSI)、自制的病人健康行为问卷调查表、自制的病人治疗依从性问卷调查表进行评价,比较两组患者治疗依从性.结果 两组干预前后的CP症状评分、焦虑情绪均有改善.观察组在"疼痛不适"、"生活质量"、"焦虑评分"、"健康行为"、"治疗依从性"改善明显,与对照组比较具有显著性差异(P<0.05).结论 全程系统化护理干预能帮助患者知晓CP的相关知识,改善认知态度,选择有益的生活方式,坚持遵医嘱用药、体查,从而提高CP患者的治疗依从性,提高治疗有效率,最终达到提高CP患者的生活质量.     

健康教育应用于白血病护理中的临床效果及可行性分析

目的探讨健康教育应用于白血病护理中的临床效果及可行性。方法选取在我院接诊的50例白血病患者作为研究对象,并将其随机性分为观察组和对照组,每组有25例患者,其中对照组患者接受常规护理,观察组患者在常规护理的基础上接受健康教育护理,对两组患者的临床护理效果进行观察,比较两组患者的生活质量评分和护理满意度。结果观察组患者的生活质量评分高于对照组,组间比较差异具有统计学意义(P<0.05)。观察组患者的护理满意度高于对照组,组间比较差异具有统计学意义(P<0.05)。结论在白血病的临床护理过程中,健康教育护理取得了较好的临床效果,具有可行性。     

认知行为疗法联合护理干预在体外受精胚胎移植术孕妇早孕期的应用

目的探讨认知行为疗法联合护理干预在体外受精胚胎移植术孕妇早孕期的临床应用效果。方法选择2011年1月-2012年1月在我院进行体外授精胚胎移植术的120例患者,随机分为两组,对照组患者进行常规护理,实验组在常规护理的基础上进行认知行为疗法及护理干预,比较两组患者的临床应用效果。结果实验组患者受精率、总胚胎数及妊娠率均明显高于对照组患者,两组间差异具有显著性(χ2=4.357;5.208;6.009;P0.05);实验组患者的焦虑值、收缩压、舒张压及脉搏明显低于对照组,两组间差异均具有显著性(t=-6.293;-4.678;-4.489;-3.334;P0.05)。结论认知行为疗法及护理干预体外受精胚胎移植术孕妇早孕期的临床应用效果较好,可明显提高患者的受精率及妊娠率,且可改善患者的焦虑状态,临床应用价值较高。     

预防性护理模式在乙肝病毒感染患者围术期的应用

目的：研究乙肝病毒感染患者围术期采用预防性护理干预的临床效果。方法：选取2013年3月至2015年3月在本院行手术治疗的乙肝病毒感染患者146例,随机将其分为对照组与观察组各73例,对照组患者围术期仅开展常规护理干预,观察组患者围术期均给予预防性护理模式。分别比较两组患者围术期抗病毒治疗的临床依从性、术后生活质量以及手术室消毒质量,并分析预防性护理模式的临床应用价值。结果：观察组患者临床治疗依从性显著好于对照组(P<0.05),其躯体健康、精神健康、睡眠质量及社会功能等生活质量评分明显好于对照组(P<0.05)。同时,观察组护士对乙肝病毒感染的预防认知评分与防护质量评分均显著高于对照组(P<0.05)。结论：乙肝病毒感染患者围术期采用预防性护理模式可良好改善患者基本状态与临床依从性。     

心理护理干预对门诊输液患者静脉输液效果的影响

目的 探讨心理护理干预在门诊输液患者静脉输液中应用的临床效果.方法 选取我院2013年1月～2014年5月于门诊治疗需输液患者240例,随机分为两组,每组120例,观察组给予心理护理干预,而对照组给予传统护理,比较两组护理后各项满意度评分、总满意率、穿刺一次成功率以及依从性情况.结果 观察组输液室管理满意度评分、操作技能满意度评分、健康教育满意度评分、疼痛程度满意度评分均显著高于对照组,差异均具有统计学意义(P＜0.05);观察组总满意率、穿刺一次成功率、依从性均高于对照组,差异均具有统计学意义(P＜0.05).结论 心理护理干预在门诊输液患者静脉输液中应用临床效果较好,患者满意度好,适合广泛推广.     

Schizophrenia in a North Swedish geographical isolate, 1900–1977. Epidemiology, genetics and biochemistry

Over 200 schizophrenic patients belonging to three major and interrelated pedigree complexes have been investigated over the past 30 years in a North Swedish geographically isolated population, presently numbering about 6,000. An intensive investigation of a number of biochemical correlates and genetic markers in a few selected families belonging to one of the major pedigrees has indicated new strategies for the current research program.
Schizophrenia, as defined operationally, is significantly associated with decreased activities of two enzymes (1) blood platelet monoamine oxidase, (2) plasma dopamine-β-hydroxylase, and (3) with the genetic marker Gc² (group specific antigen). Both enzymes are subject to genetic variation. A positive score for linkage between schizophrenia and low plasma DBH activity has been calculated, but, so far, available data are insufficient for discrimination between linkage and partial contribution of genetically controlled low plasma DBH to the pathogenesis of the disease. Alternatively, both mechanisms could be involved.
As a model for continued research, schizophrenia is explained as based on a double dominant-recessive genotype (Aabb), representing a vulnerability which in about 50 % of cases develops into clinical schizophrenia. It is suggested that the dominant mutation (A) operates on or affects MAO activity, and that the recessive genotype (bb) is instrumental in low variates of DBH activity and very likely such variates within the normal range of physiological variation. Moreover, it is suggested that the combined effects of MAO- and DBH-reduced efficiency on the metabolism of e.g. dopamine could be an essential pathogenic mechanism for the schizophrenic illness which is segregating in this population.     

HLA in North Colombia Chimila Amerindians

HLA-A,-B,-C,-DRB1 and -DQB1 alleles have been studied in Chimila Amerindians from Sabana de San Angel (North Colombian Coast) by using high resolution molecular typing. A frequent extended haplotype was found:HLA-A*24:02-B*51:10-C*15:02-BRB1*04:07-DQB1*03:02 (28.7%) which has also been described in Amerinndian Mayos Mexican population (Mexico, California Gulf, Pacific Ocean). Other haplotypes had already been found in Amerindians from Mexico (Pacific and Atlantic Coast), Peru (highlands and Amazon Basin), Bolivia and North USA. A geographic pattern according to HLA allele or haplotype frequencies is lacking in Amerindians, as already known. Also, five new extended haplotypes were found in Chimila Amerindians. Their HLA-A*24:02 high frequencies characteristic is shared with aboriginal populations of Taiwan; also, HLA-C*01:02 high frequencies are found in New Zealand Maoris, New Caledonians and Kimberly Aborigines from Australia. Finally, this study may show a model of evolutionary factors acting and rising one HLA allele frequency (-A*24:02), but not in others that belong to the same or different HLA loci.     

The universal muscular chamber. A basic unit of the genitourinary, cardiovascular, gastro-intestinal, skeletal, cutaneous, respiratory and other systems, endocameral hypertension; and spasm, the key to their idiopathic diseases and arthropathies

Starting with the integument, we see many organs are contractile sacs or multiples thereof, which tubes or bags constitute the major part of the entire body. Recognition of this basic unit and its characteristics sheds new light, individually and collectively, on many disorders previously considered unrelated. Muscular tears and perforations develop in the walls of these chambers, being no way peculiar to those organs, wherein, hydrochloric acid occurs. So, it is not necessary to explain the absence of excessive acid from patients who exhibit holes in the gastric, uterine, aortic, duodenal, rectal, pulmonary, retina, and other walls. Muscle, not acid is the great common factor relating idiopathic disorders in the gastrointestinal tract to each other and to similar diseases in other systems. When the units are linked together, the lesions tend to appear as arthropathies, i.e. at the joints. Rephrasing common-place observations, frees us from conventional, conceptual cul-de-sacs. An observation is only as good as its interpretation, so all possibilities must be considered, otherwise, we will remain blinded by our misconceptions.     

Der Einfluß von Nahrungsmitteln und Rauchen auf die klinisch-chemische Diagnostik von Phäochromozytom,Neuroblastom und Karzinoid-Syndrom

Zusammenfassung Der Einfluß von verschiedenen Nahrungsmitteln auf Methoden zur Bestimmung von Adrenalin (AD), Noradrenalin (NA), Vanillinmandelsäure (VMS), Metanephrinen (MN), Homovanillinsäure (HVS) und 5-Hydroxyindolessigsäure (5-HIE) im 24 h-Harn zur Diagnose des Phäochromozytoms bzw. Karzinoid-Syndroms wurde untersucht. Die in die Untersuchung einbezogenen Nahrungsmittel waren: Tee, Kaffee, Mandeln, Ananas, Käse, Walnüsse, Vanillepudding, Bananen, Tomaten und Milchschokolade. Außerdem wurde der Einfluß des Zigarettenrauchens auf die Bestimmung von AD, NA, VMS und MN untersucht.Walnüsse führten zu einer starken Erhöhung der 5-HIE-Ausscheidung. Bananen erhöhten die Ausscheidung von AD, NA, VMS, MN und 5-HIE. Kaffee und Ananas bewirkten eine geringe Zunahme der MN-Werte. Rauchen von 20–30 Zigaretten/Tag beeinflußte keine der vier Variablen.Wenn die beschriebenen Methoden benutzt werden, sollte lediglich auf den Verzehr von Bananen und Walnüssen vor und während der Harnsammelperioden verzichtet werden, da die oberen Normgrenzen im Harn überschritten werden könnten. Ein Verzicht auf Kaffee und Ananas in normalen Mengen ist nicht erforderlich. Es besteht kein Anlaß, weiterhin die bisherigen umfangreichen Restriktionen der übrigen Nahrungsmittel beizubehalten.     

A comparative study of the effects of dimebon,obsidan, finoptin,and cordaron on the functional state of ischemic focus and size of necrotic zone in experimental myocardial infarction

Dimebon, an antihistamine agent, exerts a moderate antianginal effect, improving the function of ischemic focus in the myocardium and decreasing the necrotic zone in experimental myocardial infarction. Dimebon is less active than obsidan, finoptin (except for the size of the necrotic zone), and cordaron. Translated fromByulleten' Eksperimental'noi Biologii i Meditsiny, Vol. 122, No. 12, pp. 642–644, December, 1996     

Effects of sex steroid hormones on lipid peroxidation and glutathione antioxidant system in rat skin

Effects of estradiol and testosterone on the intensity of lipid peroxidation and contents of glutathione redox system components in the dermis and epidermis of rat skin were studied. Only estradiol induced considerable dose-dependent and tissue-specific biphasic antioxidant effects on the skin. Translated fromByulleten' Eksperimental'noi Biologii i Meditsiny, Vol. 128, No. 12, pp. 663–666, December, 1999     

Adhesion and growth of CaCo2 cells on surface-modified PEEK substrata

A series of surface-functionalized poly(ether ether ketone) (PEEK) films has been prepared by selective wet-chemistry; they are hydroxylated polymer (PEEK-OH) obtained by reduction, aminated polymer (PEEK-[]-NH2) prepared by coupling a diisocyanate reagent to PEEKOH (PEEK-[]-NCO) followed by hydrolysis, and carboxylated and aminocarboxylated polymers (PEEK-[]-GABA and PEEK-Lysine) resulting from the coupling of aminoacids to PEEK-[]-NCO. The aminated and carboxylated substrata promoted the adhesion and growth of CaCo2 cells in the presence of serum. Fibronectin (FN), an extra-cellular matrix protein, has been covalently fixed and/or adsorbed on various PEEK substrata, in the presence or not of a polymeric surfactant (Pluronic F68). The performances of the FN-grafted substrata (PEEK-[]-FN(1) and PEEK-[]-FN(2)) were significantly higher than those of reference substrata simply coated with FN (PEEK-OH(+FN)(1) and (2), PEEK-[]-NH2(+FN)(1) and (2)), considering the adhesion and spreading of CaCo2 cells in the absence of serum. Moreover, the stability of the adherent cells on the FN-adsorbed substrata dramatically depended on the experimental conditions applied during the PEEK coating with FN.     

THE ODYSSEY – A JUNGIAN PERSPECTIVE: INDIVIDUATION AND MEETING WITH THE ARCHETYPES OF THE COLLECTIVE UNCONSCIOUS

Homer's epic tale of the 20-year return of Odysseus from the Trojan War is investigated with particular reference to Jung's theory of individuation. Odysseus' meetings with 'the anima' in the form of goddesses, sirens and female monsters and his visit to Hades demonstrate the confrontation and humanization of aspects of the archetypal level of the psyche, central to Jung's theories of psychic growth and development. Jung's important ideas of the psychoid level and the transcendent function are explored and linked both to his investigations into medieval alchemy and with findings from contemporary neuroscience. The importance of Jung's constructive method of the interpretation of dreams and myths is shown to be central.