Durian (Durio zibethinus Murr.) cultivars as nutritional supplementation to rat's diets.

The properties of Mon Thong, Chani and Kan Yao durian (Durio zibethinus Murr.) cultivars were compared in vitro and in vivo studies in order to find the best one as a supplement to antiatherosclerotic diet. Total polyphenols (361.4+/-35.3 mgGAE/100g FW), flavonoids (93.9+/-8.9 mgCE/100g FW) and total antioxidant capacity determined by DPPH and beta-carotene-linoleic acid assays (261.3+/-25.3 microMTE/100g FW and 77.8+/-7.8% of inhibition) were maximal in Mon Thong in comparison with Chani and Kan Yao and showed a good correlation between these three variables (R(2)=0.9859). Five groups of rats were fed diets supplemented with cholesterol and different durian cultivars. Diets supplemented with Mon Thong and to a lesser degree with Chani and Kan Yao significantly hindered the rise in the plasma lipids (TC - 8.7%, 16.1% and 10.3% and (b) LDL-C - 20.1%, 31.3% and 23.5% for the Chol/Kan Yao, Chol/Mon Thong and Chol/Chani, respectively) and the decrease in plasma antioxidant activity (P<0.05). Nitrogen retention remained significantly higher in Chol/Mon Thong than in other diet groups. Diet supplemented with Mon Thong affected the composition of plasma fibrinogen in rats and showed more intensity in protein bands around 47 kDa. No lesions were found in the examined tissue of heart and brains. Mon Thong cultivar is preferable for the supplementation of the diet as positively influenced the lipid, antioxidant, protein and metabolic status. The durian fruit till now was not investigated extensively, therefore based on the results of this study durian cultivars can be used as a relatively new source of antioxidants.     

不同质量胚胎囊胚培养比较以及对妊娠结局的影响

目的:探讨不同质量胚胎进行囊胚培养的情况以及移植后对妊娠结局的影响。方法:收集2018年1月—2019年12月太原市中心医院生殖中心行常规体外受精/卵胞浆内单精子显微注射-胚胎移植(IVF/ICSI-ET)助孕且进行囊胚培养的患者资料,根据囊胚培养前胚胎质量分为优质胚胎囊胚培养组(A组)与非优质胚胎囊胚培养组(B组),比较两组患者一般情况、囊胚培养情况以及妊娠结局。结果:共156个周期患者资料,两组年龄、体质量指数(BMI)、不孕年限、基础雌二醇(E₂)、基础促卵泡激素(FSH)、子宫内膜厚度等一般资料比较,差异无统计学意义(P>0.05)。囊胚培养结果显示,A组囊胚形成率和可利用囊胚形成率都高于B组(P<0.05)。妊娠结局显示,两组移植胚胎数、临床妊娠率比较,差异无统计学意义(P>0.05),但A组多胎率高于B组(P<0.05)。结论:优质胚胎囊胚培养形成率及可利用囊胚率优于非优质胚胎,但临床妊娠率无差异,只是优质胚胎囊胚培养移植后多胎率较高,临床可对非优质胚胎进行囊胚培养以提高临床妊娠率。     

优质护理服务“院帮院”活动的做法及其效果

目的:了解"院帮院"服务形式对"优质护理服务示范工程"活动在重庆市二级医院中推广的作用。方法:采用自行设计的问卷,对走访的川渝地区11所医院、106个病房,1082名护士进行帮扶前、后问卷调查和分析。结果:帮扶前、后对比显示,11所医院共增加护士852名,病房排班模式采用个人包干或小组责任制整体护理工作模式的病房比例由37.74%增加到72.64%;护士护理文书书写时间由帮扶前2.25±0.57小时/(人·天)缩短到帮扶后1.21±0.68小时/(人·天),护士健康宣教用时由帮扶前0.56±0.34小时/(人·天)增加到帮扶后2.61±0.97小时/(人·天),两项数据前、后对比差异均有统计学意义(P0.05)。结论:"院帮院"形式对"优质护理服务示范工程"活动在重庆市二级医院中的推广有明显成效。     

绩效评价在临床优质护理管理中的应用与效果

目的探索绩效评价在临床优质护理服务中的应用及其效果,以调动护士工作的积极性和主动性,提高护理质量。方法设计护士工作绩效考核项目、具体内容及每项分值,对护士绩效进行量化考核,并评价其效果。结果在优质护理服务中实施护士绩效评价,护理质量及患者和医生对护理工作满意度均显著提高。结论临床优质护理服务中实施量化的护士绩效考核,有助于提高护士工作的主观能动性和积极性,增强服务意识,提高护理质量和护理管理效率,提高患者及医生对护理工作的满意度。     

手术室优质护理在子宫肌瘤切除术中的应用价值研究

目的：探索手术室优质护理在子宫肌瘤切除术中的应用价值。方法：纳入2019年1月至2020年12月84例子宫肌瘤切除术患者，随机分二组。常规组42例采取常规护理，手术室优质护理组患者则采取手术室优质护理。比较两组患者住院时间和并发症出现率，并比较护理前后患者心理应激状态的指标。结果：手术室优质护理组患者护理后患者住院时间短于常规组，并发症出现率低于常规组，P＜0.05。护理前，两组患者心理应激状态的指标比较没有显著差异，P＞0.05。护理后，手术室优质护理组患者心理应激状态的指标显著低于常规组，P＜0.05。结论：手术室优质护理对子宫肌瘤切除术后效果确切，可减轻患者心理应激，减少并发症，缩短住院时间。     

Organic acids profiles of the most important Dalmatian native grapevine (V. vinifera L.) cultivars

Native grapevine cultivars are important for viticulture production in Croatia, especially in the Dalmatian wine-growing region. Their evaluation for wine production has been intensively studied in recent decades. Tartaric, malic and citric acids are the most important organic acids in Vitis vinifera L. cultivars and these play an important role in the wine-making process, affecting some of the most important characteristics of wine. For this reason, the organic acid composition of the seven most important Dalmatian native grapevine cultivars was determined using high-pressure liquid chromatography (HPLC). Trial cultivars were planted, ensuring uniformity of the environmental conditions that can largely influence the concentration of organic acids. Significant differences in the content of tartaric, malic and citric acid were determined between cultivars over the three years of the study. Tartaric acid ranged from 4.5 to 7.18 g/L, malic acid from 0.31 to 3.40 g/L, and citric acid from 110 to 368 mg/L depending on the year of study, but with clear differences between the cultivars studied. The effects of crop levels and climatic conditions over the three years of study are also discussed.     

当归不同栽培品种(品系)种子含油量及组分分析

目的:对当归不同栽培品种(品系)不同成熟期种子油脂肪酸成分进行定性定量分析。方法:采用索氏提取法提取样品,气相色谱-质谱(GC-MS)联用技术进行成分分析。结果:综合运用MassworksTM质谱解析软件、谱库检索等解析手段鉴定出当归种子油中11种脂肪酸成分,对样品进行主成分分析,得出己酸、油酸、癸酸是当归不同栽培品种(品系)不同成熟度种子共有的特征性脂肪酸组成;对样品进行聚类分析可将当归不同栽培品种(品系)不同成熟度种子样品进行分类。结论:确定当归主产地种子最佳采收期为8月22日至8月30日;建议岷归3号、岷归4号可以作为重点推广的优良品种。     

我院开展优质护理服务现场会的实践与探讨

针对优质服务工作管理中存在的问题与难点,有步骤、有重点地在全院范围内开展优质服务现场会,加强规范化管理。以科室为单位,采取护理部组织协调、督导落实,科室展示品牌、传授经验、现场观摩、共同评价的方式召开优质服务现场会,使其成为传递信息及解决实际问题的平台,有效地发挥了护士长的管理职能,调动、扩大了全院护士的参与性,促进了团队精神的培养及专科护理文化建设。     

体检中心精细化管理探索

目的：在三甲医院体检中心引进精细化管理体系,通过实践总结出本中心的规范化管理经验,提升服务能力,满足体检中心获得可持续性发展的需要。方法在传统医院管理基础上合理应用精细化管理体系在体检工作中,设置和管理好每个环节,合理利用医疗资源。结果通过运用精细化管理体系,加强体检中心内部管理,将体检和健康管理有机结合,使医疗质量、服务水平和能力都得到全面提升,提高客户满意度。讨论三甲医院体检中心开展精细化管理是必要的、可行的、有效的,是体检中心在管理发展上的趋势。