手术不能切除的胰腺癌行微波固化治疗并发症的防治

目的总结微波固化治疗在手术不能切除的胰腺癌中应用时的并发症的防治.方法对我院自2004年3月以来对6例微波固化治疗不能切除的胰腺癌病例进行回顾性分析.结果本组6例均因胰腺癌行开放性手术,术中病理证实为胰腺癌,病期较晚,无法切除;围手术期无死亡病例,后死亡2例.结论在术中超声的引导以及术中旁开测温计的监控下,对于手术不能切除的胰腺癌进行微波固化治疗是安全有效的;常规放置胰床引流管;术后应用生长抑素或其类似物,可有效减少并发症的发生.     

网络化护士长手册的应用

目的全面实现护理管理信息化,提高护理管理效率与水平.方法采用SQL Server数据库、Power Builder开发语言,以及客户端/服务器(C/S)构架,研制了"网络化护士长手册",并应用于临床护理管理工作中.结果对全院护士长手册进行网络化管理,护理部进行实时监控,取消了护理单元各种护理管理表格,取得了良好的使用效果.结论网络化护士长手册的实施,促进了护理管理科学化,确保了护理管理信息的及时性、完整性、准确性,提高了工作效率.     

Exploring Lactation Consultant Views on Infant Safe Sleep

Objectives The purpose of this qualitative study was to explore the infant safe sleep beliefs and occupational practices of lactation consultants and to determine if lactation consultants give advice to clients that is consistent with the American Academy of Pediatrics’ recommendations on this topic. Methods Focus groups were conducted with certified lactation consultants in two cities in Ohio. Participants discussed the role of lactation consultants, the infant sleep advice they provide to women, their views on the American Academy of Pediatrics’ infant safe sleep recommendations and related policies, and perceived benefits and barriers associated with providing infant safe sleep education as part of their work. A member-checking session was held to ensure the credibility of the findings. Results Four focus groups were conducted with 22 certified lactation consultants between September and November 2015. Major themes that emerged included: lactation consultants’ beliefs regarding the importance of bedsharing for supporting breastfeeding success; their disagreement with the infant safe sleep recommendations of the American Academy of Pediatrics; their frustration with policies that restrict consultants’ ability to discuss bedsharing; and the impact of infant safe sleep policies on their work and the advice they provide. Conclusions for Practice Lactation consultants interact with mothers of newborns at a critical time for infant safe sleep decision-making and may influence a woman’s choices related to this topic. Women may not be receiving messages from lactation consultants that are consistent with the infant safe sleep recommendations of the American Academy of Pediatrics.     

Clinical and laboratory factors contributing to uninterpretable beryllium lymphocyte proliferation tests (BeLPT)

Background

The beryllium lymphocyte proliferation test (BeLPT), has become the principal clinical test for detecting beryllium sensitization and chronic beryllium disease. Uninterpretable BeLPT results can occur in a small but significant proportion of tests from poor lymphocyte growth (PG) or over proliferation of lymphocytes (OP). The clinical and laboratory causes of uninterpretable results are not known.

Methods

BeLPT data from the US Department of Energy‐supported Former Worker Screening Program were analyzed for a 10‐year period. Drivers of uninterpretable BeLPTs were investigated using multivariable models and classification techniques.

Results

Three participant attributes were significantly associated with PG, while OP showed no significant associations. Serum lot for the lymphocyte growth medium accounted for 21% of the variation in PG and 16% in OP.

Conclusion

Serum lots influence the likelihood of having uninterpretable BeLPT. To better understand uninterpretable results and possibly reduce their occurrence, additional laboratory‐related factors should be addressed.

     

丹川注射液对心力衰竭患者LVEF、BNP的影响

目的:观察丹川注射液治疗心力衰竭的临床疗效。方法:选取本院2013年1月—2014年1月收治的心力衰竭患者160例,随机分为对照组和观察组各80例。对照组采用常规治疗,观察组在对照组治疗的基础上加用丹川注射液治疗,两组患者均治疗2周,观察两组患者临床疗效。结果:观察组有效率为90.00%,对照组有效率为77.5%,两组有效率比较,差异具有显著性意义(P0.05)。两组患者治疗后LVEF水平、BNP水平与治疗前比较,均有明显改善,差异具有统计学意义(P0.05)。结论:丹川注射液可明显改善心力衰竭患者临床症状及心功能。