Objective： To investigate the effect of the nursing path on postoperative complications after endoscopic submucosal dissection （ESD）. Method： Patients＇ nursing paths for ESD were established based on a systematic...Objective： To investigate the effect of the nursing path on postoperative complications after endoscopic submucosal dissection （ESD）. Method： Patients＇ nursing paths for ESD were established based on a systematic analysis of relevant literature, previous clinical procedures and consultation with chief physicians from a gastroenterology department. Forty patients were divided into the observation or control group and were assigned to follow the nursing path or the conventional path after an ESD, respectively. Next, the incidence of postoperative complications of these two groups was measured, primarily assessing the occurrences of bleeding, perforation, infection, and anxiety. Results： The incidence of complications after ESD in the observation group was remarkably lower than that of the control group （P 〈 0.05）. Conclusion： The nursing path for ESD has a positive role in reducing certain frequent complications that occur after ESD, particularly infection and anxiety; in addition, the nursing path optimizes nursing care in patients with gastrointestinal stromal tumor.展开更多
This study reveals that the interannual variability of the western edge of the western North Pacific(WNP)subtropical high(WNPSH)in early summer experienced an interdecadal decrease around 1990.Correspondingly,the zona...This study reveals that the interannual variability of the western edge of the western North Pacific(WNP)subtropical high(WNPSH)in early summer experienced an interdecadal decrease around 1990.Correspondingly,the zonal movement of the WNPSH and the zonal extension of the high-pressure anomaly over the WNP(WNPHA)in abnormal years possess smaller ranges after 1990.The different influences of the tropical SSTAs are important for this interdecadal change,which exhibit slow El Nino decaying pattern before 1990 while rapid transformation from El Nino to La Nina after 1990.The early summer tropical SSTAs and the relevant atmospheric circulation anomalies present obvious interdecadal differences.Before 1990,the warm SSTAs over the northern Indian Ocean and southern South China Sea favor the WNPHA through eastward-propagating Kelvin wave and meridional-vertical circulation,respectively.Meanwhile,the warm SSTA over the tropical central Pacific induces anomalous ascent to its northwest through the Gill response,which could strengthen the anomalous descent over the WNP through meridional-vertical circulation and further favor the eastward extension of the WNPHA to central Pacific.After 1990,the warm SSTAs over the Maritime Continent and northern Indian Ocean cause the WNPHA through meridional-vertical and zonal-vertical circulation,respectively.Overall,the anomalous warm SSTs and ascent and the resultant anomalous descent over the WNP are located more westward and southward after 1990 than before 1990.Consequently,the WNPHA features narrower zonal range and less eastward extension after 1990,corresponding to the interdecadal decease in the interannual variability of the western edge of the WNPSH.On the other hand,the dominant oscillation period of ENSO experienced an interdecadal reduction around 1990,contributing to the change of the El Nino SSTA associated with the anomalous WNPSH from slow decaying type to rapid transformation type.展开更多
基金supported by the National Key Specialist Construction Project(nursing specialty)
文摘Objective： To investigate the effect of the nursing path on postoperative complications after endoscopic submucosal dissection （ESD）. Method： Patients＇ nursing paths for ESD were established based on a systematic analysis of relevant literature, previous clinical procedures and consultation with chief physicians from a gastroenterology department. Forty patients were divided into the observation or control group and were assigned to follow the nursing path or the conventional path after an ESD, respectively. Next, the incidence of postoperative complications of these two groups was measured, primarily assessing the occurrences of bleeding, perforation, infection, and anxiety. Results： The incidence of complications after ESD in the observation group was remarkably lower than that of the control group （P 〈 0.05）. Conclusion： The nursing path for ESD has a positive role in reducing certain frequent complications that occur after ESD, particularly infection and anxiety; in addition, the nursing path optimizes nursing care in patients with gastrointestinal stromal tumor.
基金National Key R&D Program of China(2016YFA0600601)Guangdong Basic and Applied Basic Research Foundation(2020A1515011572)Guangdong Province Key Laboratory for Climate Change and Natural Disaster Studies(2020B1212060025)。
文摘This study reveals that the interannual variability of the western edge of the western North Pacific(WNP)subtropical high(WNPSH)in early summer experienced an interdecadal decrease around 1990.Correspondingly,the zonal movement of the WNPSH and the zonal extension of the high-pressure anomaly over the WNP(WNPHA)in abnormal years possess smaller ranges after 1990.The different influences of the tropical SSTAs are important for this interdecadal change,which exhibit slow El Nino decaying pattern before 1990 while rapid transformation from El Nino to La Nina after 1990.The early summer tropical SSTAs and the relevant atmospheric circulation anomalies present obvious interdecadal differences.Before 1990,the warm SSTAs over the northern Indian Ocean and southern South China Sea favor the WNPHA through eastward-propagating Kelvin wave and meridional-vertical circulation,respectively.Meanwhile,the warm SSTA over the tropical central Pacific induces anomalous ascent to its northwest through the Gill response,which could strengthen the anomalous descent over the WNP through meridional-vertical circulation and further favor the eastward extension of the WNPHA to central Pacific.After 1990,the warm SSTAs over the Maritime Continent and northern Indian Ocean cause the WNPHA through meridional-vertical and zonal-vertical circulation,respectively.Overall,the anomalous warm SSTs and ascent and the resultant anomalous descent over the WNP are located more westward and southward after 1990 than before 1990.Consequently,the WNPHA features narrower zonal range and less eastward extension after 1990,corresponding to the interdecadal decease in the interannual variability of the western edge of the WNPSH.On the other hand,the dominant oscillation period of ENSO experienced an interdecadal reduction around 1990,contributing to the change of the El Nino SSTA associated with the anomalous WNPSH from slow decaying type to rapid transformation type.
