Homemade Glove Retrieval Bag in Laparoscopic Complete Excision of Benign Ovarian Teratoma with Ovarian Tissue Preservation in Children: A Case Series

Study ObjectiveTo present our experience of laparoscopic resection of pediatric benign ovarian teratomas with gonadal preservation, using a homemade glove retrieval bag.Design, Setting, Participants, Interventions, and Main Outcome MeasuresReview of all girls with benign ovarian teratomas who were managed with laparoscopic ovarian-sparing surgery (OSS) at our hospital between January 2013 and December 2018.ResultsEleven patients were included for analysis with a mean age of 6.1 years. Ten patients received elective surgery, whereas 1 patient received emergency surgery because of ovarian torsion. Main indication for OSS was the existence of a dissection plane between tumor margins and healthy ovarian tissue. Postoperative outcome and follow-up were uneventful with a median follow-up of 30.1 months (range; 12-60 months).ConclusionLaparoscopic OSS can be safely performed for these tumors. Laparoscopic magnification with energy devices are excellent tools in such procedures. The homemade glove bag can be used to retrieve the tumor effectively in countries with limited resources.     

Évaluation de l’utilisabilité des poches industrielles de nutrition parentérale

ObjectivesTo assess the compliance of parenteral nutrition bags to standards and to evaluate the ease of use and the time required to mix the different compartments of bags sold on the French market in 2014.Materials and methodsThree in vitro tests have been carried out: volume measurement, tests of penetration and adhesion of the infusion needle. Users evaluated the various stages of bags preparation using the Likert scale. The reading time of the instruction guide and the preparation time of the bags were recorded.ResultsAccording to in vitro tests, all bags were in conformity with the standards. The assessment of ease of use revealed variations between the different bags. Bags with two compartments displayed similar general appreciation but a different handling time. Two ranges of bags with three compartments for central line (Olimel^® and Kabiven^®) obtained different results in terms of general appreciation and handling time. One of three ranges of bags with three compartments for administration via peripheral route got better appreciations and a lower handling time than the two others.ConclusionAll bags were in conformity with standards in terms of volume and connection between the bag and the infusion set. The handling test showed variations of the preparation time and the ease of use.     

Use of ventilation bag for the respiratory support during magnetic resonance imaging in Arnold-Chiari ventilated patients,a case report

Context: Magnetic Resonance Imaging (MRI) is an essential diagnostic tool for neuroimaging tissues such as the spinal cord. Unfortunately, the use of MRI may be limited in ventilated patients, who cannot maintain the supine position in spontaneous breathing for the whole duration of the exam (i.e. neuro-muscular patients with diaphragm involvement). The use of MRI-compatible ventilator during MRI could be a solution but they are not universally available. Furthermore, their performances are not up to those of the conventional ones and they are not always compatible with Non Invasive Ventilation (NIV).

Findings: This case report describes an easy and low-cost solution to ventilate a patient non-invasively during the MRI procedure. The patient in this case was a 45-yr-old man, wheelchair-dependent and chronically ventilated in NIV with a forced vital capacity in supine position of 370?ml (10% of predicted normal), affected by Arnold-Chiari Syndrome, and in need of a MRI diagnostic control.

Conclusion: The technique proposed, that does not affect the MRI images quality, consists in ventilating the patient using a simple nonmetallic Ventilation Bag, operated by a Respiratory Therapist. This has been proven a useful and economical solution for ventilatory support during MRI for a respiratory-dependent patient with Arnold-Chiari Syndrome.     

自制双层盐袋固定袋应用于永久起搏器植入术后压迫的效果分析

摘要 目的：探讨自制双层盐袋固定袋在永久起搏器植入术后患者切口压迫中的效果。方法： 2015年1月～2016年6月间在心内科行永久起搏器植入术的患者,随机进行分组。对照组患者术后使用两个500g普通盐袋压迫12～24 h,观察组患者术后采用自制的双层盐袋固定袋压迫切口6～12 h。观察患者术后并发症、心理、睡眠状况、舒适度,患者和护士对压迫工具的满意度。结果：观察组与对照组相比,观察组患者术后并发症少、患者心理、睡眠状况及术后舒适度更好,患者和护士的满意度高（P＜0.05）。结论：使用自制的双层盐袋固定袋压迫切口处,临床使用效果满意,有效降低术后并发症,提高患者的睡眠质量。 关键词 盐袋;永久起搏器;切口压迫;并发症;舒适度     

方差分析法优选生蒲黄包煎袋及其提取液热稳定性考察

目的：优选生蒲黄包煎提取工艺中包煎袋的材料、层数和装量容积比,并对生蒲黄提取液进行热稳定性考察。方法：采用HPLC法同时测定香蒲新苷、异鼠李素-3-O-新橙皮苷含量。以香蒲新苷、异鼠李素-3-O-新橙皮苷和溢出率为评价指标并进行综合评分。在SPSS 22.0软件上,以综合评分为数据资料,采用方差分析法对包煎袋的材料、层数和装量容积比进行单因素方差分析并多重比较。通过测定不同受热温度和时间下香蒲新苷、异鼠李素-3-O-新橙皮苷含量的变化,考察蒲黄提取液的热稳定性。结果：蒲黄应置于装量容积比为1∶4的两层无纺布袋中,按已优选的醇提工艺提取。回收乙醇后的提取液在高温或长时间受热下易降解,提取液应采用减压浓缩。结论：蒲黄提取工艺应避免高温或长时间受热,浓缩工艺应采用减压浓缩,以降低成分的降解。优选的蒲黄包煎袋材料、层数、装量容积比合理可行、稳定科学,适合于该制剂的工业化生产。     

芪术养生保健袋泡茶对免疫低下小鼠免疫功能的影响

目的:观察芪术养生保健袋泡茶对免疫低下小鼠免疫功能的影响。方法:取ICR小鼠60只,雄性,随机分为正常组、模型组、玉屏风组、袋泡茶高剂量组、袋泡茶中剂量组和袋泡茶低剂量组,每组各10只。正常组和模型组给予等量生理盐水,玉屏风组给予玉屏风口服液0.02m L·g-1,袋泡茶高剂量组给予袋泡茶14.4 g·kg-1,袋泡茶中剂量组给予袋泡茶7.2 g·kg-1,袋泡茶低剂量组给予袋泡茶3.6 g·kg-1。通过芪术养生保健袋泡茶对免疫低下小鼠血液中炭粒吞噬廓清能力、溶血素抗体生成及迟发型超敏(DTH)反应等的影响,观察其对免疫低下小鼠免疫功能的影响。结果:与正常组比较,模型组小鼠吞噬指数K值明显降低,差异具有统计学意义(P0.05);与模型组比较,玉屏风组小鼠吞噬系数较明显降低,芪术袋泡茶各剂量组有升高趋势,差异具有统计学意义(P0.05)。与正常组比较,芪术养生袋泡茶模型组小鼠OD值、绵羊红细胞半数溶血时吸收度值(HC50)明显降低,差异具有统计学意义(P0.05);与模型组比较,芪术养生袋泡茶各剂量组OD值、HC50明显升高,差异具有统计学意义(P0.05)。与正常组比较,模型组小鼠OD值明显降低,差异具有统计学意义(P0.05)。与模型组比较,袋泡茶各剂量组OD值明显升高,差异具有统计学意义(P0.05)。结论:芪术养生袋泡茶具有增强免疫低下小鼠血液中炭粒吞噬廓清能力,促进免疫低下小鼠溶血素抗体生成、对免疫低下小鼠的迟发型超敏反应具有增强作用。     

再造回肠储粪袋对全结肠切除术后排便的影响

为观察人工再造回肠储粪袋对结肠慢传输型便秘全结肠切除术后排便的影响,将48例结肠慢传输型便秘患者随机分为试验组和对照组,试验组24例采用全结肠切除后回肠末端造J型储粪袋后与直肠吻合治疗,对照组24例不造人工储粪袋。观察两组患者术后的排便情况。结果显示,试验组较对照组大便不成形例数、水样便例数、排便次数明显减少（P〈0．05）。结果表明,人工储粪袋对结肠慢传输型便秘患者全结肠切除术后排便影响很大,可以明显减少长期腹泻情况,提高患者的生活质量。     

10％的盐水冰袋用于体外循环术后高热患者降温效果的研究

目的探讨采用10％的盐水冰袋冰敷在体外循环术后高热患者物理降温中的效果。方法对124例体外循环术后高热患者的物理降温效果进行比较，研究组60例，应用10％的盐水冰袋作为物理降温的用具；对照组64例，使用传统的橡胶冰袋冰敷作为物理降温用具。记录降温后不同时间患者体温下降的情况。结果2组病例冰枕冰敷后0．5，1．5h降温效果差异无显著性（P〉0．05）；冰枕冰敷后2．5，4．0h降温效果差异有显著性（P〈0．05）。结论10％的盐水冰袋冰敷具有降温效果好、持续时间长，冰袋内为霜水，患者感觉舒适，值得临床推广应用。     

肾衰宁胶囊治疗慢性肾衰竭早中期患者的疗效及对肾功能指标的影响

目的:探讨肾衰宁胶囊治疗早中期慢性肾衰竭(CRF)患者的临床疗效及患者肾功能指标的变化。方法:选取2012年3月至2014年12月本院收治的早中期CRF患者82例,随机分为对照组及观察组,每组41例。对照组在常规治疗的基础上给予包醛氧淀粉治疗,观察组在对照组的基础上联合肾衰宁胶囊治疗,2个月为1个疗程,2组患者均连续治疗2个疗程。统计2组患者临床疗效及主要临床症状积分,检测治疗前后2组患者Hb、Alb、24 h UPQ及UA的变化;比较治疗前后2组患者肾功能指标。结果:观察组临床总有效率为85.37%,较对照组的46.34%显著提高(P0.01);与治疗前比较,治疗后对照组仅食少纳呆及肢体麻木积分明显降低,而观察组面色晦暗、食少纳呆、倦怠乏力、腰膝酸软、肢体麻木及口淡不渴积分均明显降低,且显著低于对照组(P0.05或P0.01);与治疗前比较,治疗后对照组Hb、Alb含量明显降低,而观察组无显著变化,且显著高于对照组(P0.05或P0.01);2组患者24 h UPQ及观察组Cys-C、BUN、Scr水平均显著降低,且观察组上述指标均明显低于对照组(P0.01);观察组Ccr明显升高,且明显高于对照组(P0.05或P0.01);2组患者UA含量均无显著变化(P0.05)。结论:肾衰宁胶囊可明显改善早中期CRF患者主要临床症状,阻碍CRF进展,还可调节患者肾脏血流循环,促进患者肾功能恢复,疗效显著优于常规治疗。     

Eurobloodpack: a common European design for blood bag systems with integral leucodepletion filters

Three EBA specified blood bag configurations ('Eurobloodpack') are described which are capable of meeting >80% of its member's requirements. These include a 'top-and-top' and two 'bottom-and-top' packs enabling aseptic, pre-donation collection of up to 40 ml of samples, 427.5-522.5 ml of whole blood and the preparation of an extensive range of blood components. Features currently beyond the scope of ISO standardisation have been controlled including: anticoagulant and additive volumes; collection needle and sampling system; transfer tubing; cross-match line; base label; leucodepletion filter performance; compatibility of access ports and transfusion sets. Eurobloodpack has significant advantages for blood services and blood bag manufacturers.