Advanced Emergency Medicine (E-Journal)
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Research on the innovation of nursing ward mode integrating Chinese medicine characteristics and humanistic care
Get PDFAs the concept of ‘patient-centered’ nursing continues to deepen, exploring a new model of nursing ward management that suits
Chinese characteristics has become a key issue in modern nursing reform. Traditional Chinese medicine (TCM) nursing, an essential part
of traditional Chinese medicine, offers significant advantages such as holistic thinking, syndrome differentiation-based care, and emotional
support. By effectively integrating the humanistic care philosophy centered on respecting life and individual feelings, it can help create a more humane, efficient, and culturally rich ward nursing model. This article reviews literature, conducts field observations, and studies case studies to outline the pathways for embedding humanistic elements in current TCM nursing practices, explores the feasible implementation
mechanisms of these elements in nursing wards, and proposes a new four-pronged ward nursing model: creating a TCM cultural atmosphere,
optimizing the humanistic nursing process, enhancing communication among medical staff and patients, and providing intelligent support
Research on the Application and Value of Exercise Training in Cardiac Rehabilitation
Get PDFThis study focuses on the application and effect evaluation of exercise training in cardiac rehabilitation. In view of the high incidence trend of cardiovascular diseases, the importance of cardiac rehabilitation in promoting patient recovery and improving quality of life
has become increasingly prominent. This paper elaborates on the implementation strategies of exercise training in cardiac rehabilitation,
including the formulation of personalized exercise prescriptions, safety monitoring of exercise training, and guidance and support from professionals
Clinical study of trastuzumab combined with chemotherapy in the treatment of HER2-positive breast cancer
Get PDFObjective: To evaluate the efficacy of trastuzumab combined with chemotherapy in patients with human epidermal factor receptor
2 (HER2) positive breast cancer. Methods: A total of 88 patients with HER2 positive breast cancer treated in our hospital from 2023 to January 2024 were selected. They were divided into two groups according to the random number table method: the control group44 cases, treated
with chemotherapy) and the observation group (44 cases, treated with trastuzumab combined with chemotherapy). The efficacy, incidence
adverse reactions, recurrence rate, metastasis rate, tumor marker levels, T lymphocyte subsets, estrogen receptor levels, and progesterone receptor levels before and after were compared between the two groups. Results: The efficacy of the observation group was higher than that of
the control group, and the recurrence and metastasis rates were (P0.05). Before treatment there were no significant differences in tumor marker levels, T lymphocyte subsets,
estrogen receptor levels, and progesterone receptor levels between the two groups (P>.05). After treatment, the tumor marker levels in the
observation group were lower than those in the control group, and the T lymphocyte subsets, estrogen levels, and progesterone receptor levels
were higher (
Exploring the mechanism of action of Hypoglycaemic Shuxin Formula in the treatment of diabetes mellitus combined with chronic heart failure based on network pharmacology and experimental validation
Get PDFThe purpose of this paper is to investigate the mechanism of action of traditional Chinese medicine (TCM)compound hypoglycemic
Shuxin formula in the treatment of diabetes mellitus(DM) combined with chronic heart failure(CHF) through network pharmacology methods
and experimental verification. Methods: The network pharmacology database and related platforms were applied to retrieve the active ingredients of Jiang Tang Shu Xin Recipe(JTSX) and the targets related to diabetes mellitus combined with chronic heart failure.The PPI protein
interaction network and compound drug-ingredient-target network were constructed. Molecular docking was performed to verify the affinity.
DM and CHF rat models were established, HE staining was performed, and the levels ofC-reactive protein (CRP), tumor necrosis factor alpha (TNF -α), and interleukin-6 (IL-6) in rat serum were detected using ELISA, and the levels of TNF-α and IL-6 in myocardial tissues were
detected by immunohistochemistry. Western blot method was used to verify the therapeutic efficacy of the network’s core pharmacological
targets. Results: A total of 171 active ingredients, 331 intersecting targets, and 196 signaling pathways were retrieved. The core components
are: 1-dimethyl-2,3- dihydrophenanthren-4-one, kaempferol, miltionone Ⅰ,Ginsenoside-Rh4, 3,9-di-O-methylnissolin,5,6-dihydroxy-7-isopropyl-1. The core targets are tyrosine kinase (SRC), epidermal growth factor (EGFR), serine/threonine protein kinase (AKT1),insulin (INS),
and tumor necrosis factor (TNF).The molecular docking results show that there is a good binding ability between the core components and
the core targets. The results of animal experiments hanve shown that: hypoglycemic Shuxin Fang can improve the degree of myocardial fibrosis, reduce the level of TNF-α, IL-6 in myocardial tissue and the expression of key protein AKT1 in myocardial tissue. Conclusion: JTSX
treats diabetes mellitus combined with chronic heart failure through multi-components and multi-targets, and exerts anti-fibrotic effect on
myocardial tissues
Prevention and Rehabilitation for Athletes Injuries on Sports Performance
Get PDFSports injuries pose a significant threat to athletic performance and career longevity, affecting athletes across all levels of competition. This paper examines the critical roles of prevention and rehabilitation strategies in mitigating these injuries and enhancing athletic
ability. It analyses common types and causes of sports injuries, including muscle strains, fractures, and overuse injuries, and explores the
intrinsic and extrinsic factors contributing to their occurrence. The paper then outlines comprehensive prevention and rehabilitation frameworks, emphasizing scientifically designed training programs, proper nutrition, rest, and psychological support. A central focus is placed on
the importance of technical training in skill development for improving performance and reducing injury risk. Furthermore, the multifaceted
effects of injuries on an athlete’s physical and mental well-being are discussed. The analysis concludes by highlighting the benefits of physiotherapy and future trends in athlete care, underscoring the necessity of a holistic approach that integrates physical, psychological, and technical elements to ensure optimal recovery and sustained performance
Strategies for chronic disease patients to cope with the health challenges of Post-Acute COVID-19 Syndrome
Get PDFBackground: SARS-CoV-2, the virus responsible for COVID-19, has undergone numerous mutations, resulting in widespread
health challenges and significant economic burdens. Beyond acute illness, a substantial number of individuals experience lingering symptoms, collectively termed post-acute COVID-19 syndrome (PACS) or long COVID. These symptoms, including fatigue, dyspnoea, and cognitive impairments, persist or emerge after the acute phase, affecting 10% to 70% of recovering patients, especially those with pre-existing
chronic illnesses. Chronic conditions such as cardiovascular diseases, diabetes, and respiratory disorders exacerbate the severity of PACS,
complicating disease management and quality of life.
Methods: A systematic review was conducted following PRISMA guidelines and the Joanna Briggs Institute methodology for qualitative reviews. A total of 25 articles were identified, with 10 meeting the inclusion criteria for qualitative synthesis, focusing on coping strategies used by chronic patients with PACS.
Results: The review highlights the complexity of managing PACS symptoms alongside chronic illnesses. Coping strategies are essential for mitigating psychological strain, improving symptom management, and enhancing overall well-being. The findings underscore the
need for targeted interventions to support this vulnerable population.
Conclusion: Understanding the interplay between chronic illnesses and PACS is critical for developing effective coping mechanisms.
Future research should prioritize integrative care approaches to reduce the dual burden of long COVID and chronic conditions
Application of lower eyelid muscle folding and implantation of silicone prosthesis in the formation of lying silkworms
Get PDFObjective: To observe the surgical effects of silicone prosthesis implantation for patients seeking aesthetic improvement who desire
fuller lying silkworms. Methods: A clinical study was conducted on 50 patients (average age 30±10 years) who underwent silicone prosthesis
implantation for lying silkworms at our hospital from August 2024 to May 2025. An incision was made 2 mm away from the lower eyelash,
and a sharp dissection cavity was created under the orbicularis oculi muscle close to the tarsus for the implantation of the silicone prosthesis. Additionally, the orbicularis oculi muscles of the upper and lower lips of the incision were folded and sutured to increase the fullness of the lying silkworms. Postoperative effects and complications were observed. Results: Among the 50 patients, 40 were rated as excellent, and 10 were rated as good. The first three days after surgery were characterized by swelling, and some patients experienced bruising and swelling, which obscured the initial effects due to inflammation and congestion. Rapid swelling reduction began on the fourth day, gradually revealing the prosthesis effect. By one month postoperatively, most of the swelling had resolved, and the lying silkworms appeared fuller. Conclusion: The improvement rate of the silicone prosthesis implantation for lying silkworms is 100%, with long-lasting effects. The 2-year maintenance rate remains to be observed, but the effects are durable with few complications
The predictive value of CysC combined with NGAL in critical newborns with acute kidney injury
Get PDFTo investigate the predictive value of cystatin C (CysC) combined with neutrophil gelatinase-associated lipocalin (NGAL) in critically ill newborns with acute kidney injury (AKI).The data of 143 critically ill newborns admitted to the NICU from October 2022 to October 2024 were retrospectively analyzed. They were divided into non-AKI group (114 cases) and AKI group (29 cases) based on whether they had AKI. The clinical data of the two groups were compared. CysC and NGAL were detected at admission to the NICU and 24 hours after admission to the NICU. The levels of CysC and NGAL were compared between the non-AKI group and the AKI group, and an ROC curve was drawn to evaluate the predictive value of CysC and NGAL on AKI in critical newborns.The levels of CysC and NGAL in the AKI group were measured upon admission to the NICU and 24 hours post-admission. Both markers were significantly higher compared to the non-AKI group (P < 0.05). The ROC curve showed that CysC and NGAL have predictive value for identifying critically ill neonates in the NICU. Specifically, the AUC values for predicting AKI in infants were 0.895 for CysC and 0.835 for NGAL, with a combined prediction AUC of 0.948. Furthermore, when measured 24 hours after NICU admission, the AUC values for predicting critical neonatal AKI were 0.798 for CysC and 0.806 for NGAL, with a combined forecast AUC of 0.847.CysC and NGAL have the value of predicting AKI in critically ill newborns. Compared with testing after admission to the NICU, the combined testing of CysC and NGAL when first admitted to the NICU has a better predictive effect on AKI
Solutions to Doctor-Patient Communication Barriers in Smart Healthcare Scenarios
Get PDFAs a product of the deep integration of new-generation information technology and medical services, smart healthcare has reconfigured the spatial and temporal boundaries of doctor-patient communication and interaction patterns. With the wide application of intelligent
terminals, remote diagnosis and treatment, data sharing and other technologies, communication tends to be efficient and convenient at the
same time, but also exposes the operational barriers, information disconnection and emotional weakening and other practical difficulties. As
the core link of medical service, the smoothness of doctor-patient communication directly affects the diagnosis and treatment effect and the
quality of doctor-patient relationship. This paper focuses on the importance of doctor-patient communication, problems and optimization
countermeasures in intelligent medical scenarios, and proposes to collaboratively promote from the dimensions of technology adaptation, information sharing, and humanistic exchanges, with the aim of promoting the continuous optimization and reconstruction of the doctor-patient
communication mechanism under the background of intelligent medical care.Introduction
Within this broader analytical framework, what might be characterized as intelligent healthcare, seemingly supported by developments
in artificial intelligence, the Internet of Things, and big data, appears to be substantially reshaping the landscape of traditional healthcare
services. Its prominent features appear to be a data-driven orientation, system connectivity, and operational intelligence. What this tends
to indicate is that these features not only tend to expand the conventional boundaries of diagnosis and treatment but also appear to reshape
the typical pathways of doctor-patient interaction. Considering the nuanced nature of these findings, communication has seemingly shifted
from predominantly face-to-face encounters to platform-based and remote interactions. While communication efficiency has ostensibly been
substantially improved, what appears particularly significant is that the problems of technical thresholds, communication distortion, and a
perceived lack of emotion also appear to be becoming more prominent. What seems to emerge from this shift is that doctor-patient communication is no longer merely a single information transfer but what appears to represent a composite process that integrates technical understanding, knowledge conversion, and emotional expression. What appears to follow from this analysis, therefore, is that systematically identifying and responding to these apparent barriers seems to have become a key consideration for the smooth progress of smart healthcare. From
this particular interpretive perspective, it appears necessary to explore the causes of this communication dilemma and the potential paths to
break it at a structural level
Efficacy of acetylcysteine combined with budesonide nebulization in the treatment of neonatal pneumonia and its effect on serum inflammatory factors and oxidative stress indicators
Get PDFTo investigate the clinical efficacy of acetylcysteine combined with budesonide nebulization in the treatment of neonatal pneumonia and its effect on serum inflammatory factors and oxidative stress indicators. 97 children with neonatal pneumonia admitted to our hospital
from September 2022 to July 2024 were selected and randomly divided into a control group (n=39, receiving budesonide aerosol treatment)
and an experimental group (n=38, receiving acetylcysteine combined with budesonide aerosol treatment). The clinical efficacy, inflammatory factor levels [tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6), C-reactive protein (CRP)], oxidative stress indicators [superoxide
dismutase (SOD), malondialdehyde (MDA) and glutathione peroxidase (GSH-Px)] and the incidence of adverse reactions during treatment
were compared between the two groups. After treatment, the total effective rate in the experimental group (97.37%) was higher than that in
the control group (82.05%)(