Advanced Emergency Medicine (E-Journal)
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Research on the Application Value of Comfort Nursing Intervention in the Nursing of Senile Chronic Heart Failure
Get PDFObjective: To analyze the application value of comfort nursing intervention in senile chronic heart failure nursing. Methods: The 120 heart failures discharged from our hospital in 2018 and 2019 were selected. The changes in nursing satisfaction, specialty nursing quality indicators and the incidence of pressure ulcers in hospitalized patients were compared and analyzed between the two groups. Results: The average satisfaction degree of the two groups was 97.48% and 97.22% respectively, and the difference between the groups was statistically significant (P<0.05). The correct rates of acute left heart failure in the two groups were 99.56% and 98.13%, and the difference between the groups was statistically significant (P<0.05), and two groups of patients with NYHA 3 heart failure or above intake control accuracy was 99.95% and 99.99%, and the difference between groups was statistically significant (P>0.05), and the incidence of pressure ulcer was 0.18‰ and 0, and there was no significant difference between the two groups. Conclusion: Comfort nursing intervention has achieved good nursing satisfaction and clinical effect in elderly patients with heart failure
Clinical Observation on the Treatment of Jellyfish Stinging Dermatitis with Qibai Collapse Stains
Get PDFObjective: To observe the clinical effect on the treatment of jellyfish stinging dermatitis with Qibai collapse stains, and analyze the application value of Qibai collapse stains. Methods: From January 2018 to December 2019, 180 patients with jellyfish stinging dermatitis admitted to our hospital were selected as the research objects. They were randomly divided into experimental group and control group, and the patients in the control group were given routine treatment. Based on the routine treatment, the experimental group was treated combined with external application of Qibai collapse stains ointment. Compared with the therapeutic effect of the two groups, the clinical value in the treatment of jellyfish stinging dermatitis with Qibai collapse stains ointment was analyzed. Results: The total effective rate was 97.8% in the experimental group and 83.3% in the control group. The difference between the two groups was statistically significant (
Detection and Optimization of Cardiac Markers Based on High Sensitivity C-Reactive Protein
Get PDFCardiac markers play an important role in prognosis and follow-up treatment. Therefore, it is of great practical significance to study the detection methods of high-sensitivity C-reactive protein cardiac markers. The purpose of this paper is to study the optimal method for the detection of cardiac markers of high-sensitivity C-reactive protein. In this paper, the significance of cardiac markers and high-sensitivity C-reactive protein and the relationship between them and myocardial infarction were first described. The BCA method for the purification and identification of C-reactive protein was studied, and then the determination and optimization of high-sensitivity C-reactive protein and high-sensitivity C-reactive protein in healthy people were further understood. To explore the application of serum high sensitive C-reactive protein in the detection of cardiac markers in 50 patients with acute myocardial infarction and 50 healthy people. The results showed that the experimental group was (21.57 ± 1.50), (37.62 ± 1.66), (529.20 ± 5.72), (95.79 ± 6.24) ng / ml, the control group was (0.90 ± 1.10), (1.71 ± 0.14), (35.25 ± 4.21), (0.99 ± 0.71) ng / ml, and the difference between the two groups was statistically significant (P < 0.05)
Thinking and Discussion on Nursing Mode of New Infectious Diseases
Get PDFWith the spread of new coronavirus in the world, all countries are facing a serious public health security crisis. How to effectively deal with new infectious diseases has become a hot topic of research and discussion. Based on this, this paper first studies the self-protection of nursing staff under the new infectious disease epidemic situation, then analyses the nursing strategies of the new infectious disease epidemic situation, and finally gives the management strategies and suggestions for the new infectious disease epidemic situation nursing
Application Research and Practice of TBL Innovative Teaching Method in the Course of Clinical Biochemical Testing Technology
Get PDFThe purpose of this study is to explore the practical application effect of TBL innovative teaching method in the course of clinical biochemistry test technology. The research object is all undergraduate students in the laboratory major of 2018 medical school of our university. The research method is comparative experiment method, the teaching method of LBL teaching is set as control group, while the experimental group adopts TBL teaching method. By the final teaching evaluation and the data collected in the process, the influence of TBL teaching methods on the teaching effect of the course is compared and analyzed. The evaluation methods are combined with subjective and objective evaluation. The evaluation methods include questionnaire, student mutual evaluation, final test and other multiple ways. And the results of this study showed that the average score of the experimental group using TBL teaching method was significantly higher than that of the control group using traditional teaching method. In addition, through the process evaluation, it was found that the students in the experimental group were superior to the students in the control group in terms of learning interest, communication ability and learning methods. As a result, the application of TBL teaching method in the teaching of clinical biochemistry test obviously promotes the teaching quality and effect of this course
An Experimental Study on the Establishment of Pulmonary Hypertension Model in Rats induced by Monocrotaline
Get PDFPulmonary hypertension is called PH for short. It is caused by the pulmonary artery vascular disease leading to pulmonary vascular resistance, and the increase right lung compartment load, which resulting in weakening or even collapse of the right ventricular function. The establishment of rat PH model under the action of monocrotaline is a repeatable, simple and accessible operation technique, which has been widely used in the treatment of pulmonary hypertension. This paper discusses the principle and properties of the PH model on rats under the monocrotaline action
COVID-19 Cases Detection: Suspect Case Strategy
Get PDFBackground and objective:Â as COVID-19 has triggered enormous human casualties and disastrous economic loss, the strategies to contain its spread are urgently needed. We aim to assess the value of our suspect case strategy on COVID-19 cases detection and ensure it to be a complement to the RT-PCR test. Materials and methods:Â from January 23 to April 30, 2020, patients admitted to our emergence isolation ward (EIW) were analyzed in this study. With RT-PCR as a reference standard, all participants were assigned to COVID-19 positive and negative groups. We compared the performance of the suspect case strategy, WBC, LYM, and chest radiography on COVID-19 detection. Results:Â one hundred twenty-five cases were analyzed in the study period. The receiver operating characteristic (ROC) curve revealed the sensitivity of WBC and LYM on COVID-19 detection was 92.11% and 76.31%, respectively. The sensitivity of the suspect case was 94.73%, and the sensitivity of chest CT was 53.33%. Statistically significant differences were observed for the suspect case, WBCs, LYM, and chest CT on COVID-19 detection. Discussion:Â suspect case strategy can help identify false negative RT-PCR tests and be a useful complement to RT-PCR in some countries with a tremendous shortage of RT-PCR agents and specialized laboratory during the COVID-19 outbreak
Prion Interaction with Normal Protein in Topological Changing Secondary Structure to Aggregation
Get PDFPrion is a protein smaller than virus and it infects host in the absence of nucleic acid. The secondary structure of protein folds incorrectly from α-helices to β-sheets through breaking and re-formation of hydrogen bond. Structural analogy of α-helix and DNA double helix and comparing differences between α-helix and β-sheet show prion's infectivity and propagation. Aggregates of dimers and polymers generate β-amyloid fibril in Alzheimer's disease
Discussion on the Effect of Emergency Tracheal Intubation on Cardiopulmonary Resuscitation by Emergency Medical Staff
Get PDFObjective: To study the positive effect of emergency tracheal intubation on cardiopulmonary resuscitation. Methods: 90 patients with cardiopulmonary arrest were randomly selected from the emergency department of our hospital from November 2017 to November 2019, and were randomly divided into the control group and the experimental group (n=45). The control group was given routine anesthesia combined with cardiopulmonary resuscitation, while the experimental group was given emergency tracheal intubation combined with cardiopulmonary resuscitation. The effect of cardiopulmonary resuscitation and operation time of the two groups were observed and discussed, and the results were recorded. Results: Under different intervention measures, the time from visiting a doctor to tracheal intubation in the experimental group was obviously shorter than that in the control group (P < 0.05). There is no significant difference in the time of intubation between the two groups (P > 0.05). In addition, the success probability of cardiopulmonary resuscitation and the discharge survival rate in the experimental group were higher than those in the control group (P < 0.05). The above-mentioned results with p < 0.05 indicated the statistically significant differences. Conclusion: In clinical practice, emergency tracheal intubation for patients with cardiopulmonary arrest by emergency medical staff can bring a higher success probability of cardiopulmonary resuscitation, buy valuable time for rescue operation, and obviously improve the prognosis of patients. Therefore, it is worthy of wider promotion and application
Analysis of Clinical Effects of Huangqi Maidong Decoction Combined with Insulin Aspart Injection in the Treatment of Gestational Diabetes
Get PDFObjective: This article mainly explores the therapeutic effect of Huangqi Maidong Decoction combined with aspart insulin injection on patients with gestational diabetes. Methods: The study period was from January 20, 2017 to December 15, 2018. A total of 156 patients with gestational diabetes mellitus admitted in this hospital were selected and grouped by the randomization principle. They were grouped by randomization into the Chinese medicine group (n = 52 cases), the western medicine group (n = 52 cases) and the study group (n = 52 cases), and patients in the Chinese medicine group were treated with Huangqi Maidong Decoction. Patients in the western medicine group were treated with aspart insulin injection. And patients in the study group were treated with Huangqi Maidong Decoction combined with aspart insulin injection to help patients to recover. Four weeks are taken as a course of treatment. After one course of treatment, the three groups of patients were compared for blood glucose control and delivery mode. It is impossible to predict the outcome of pregnancy and the corresponding results. After one course of treatment, the blood glucose control, delivery mode and pregnancy outcome of the study group was better than those of the traditional Chinese medicine group and western medicine group, which was statistically significant (P < 0.05). And asphyxia occurred in the study group after the intervention. Pneumonia and hypoglycemia were significantly less than those in the traditional Chinese medicine group and the western medicine group with statistical significance (P < 0.05). Conclusion: In the clinical treatment of gestational diabetic patients, the clinical effect of Huangqi Maidong Decoction combined with aspart insulin injection is obvious. It can control the blood sugar of the patient, promote the natural delivery of the mother, and improve the pregnancy outcome and newborn outcome to ensure the safety of mothers and infants