The Effect of O2O Education Combined with Peer Education Management Model in Patients with Chronic Obstructive Pulmonary Disease

Objective:To explore the effect of online-to-offline(O2O)education combined with the peer education management model in patients with chronic obstructive pulmonary disease(COPD).Methods:Using convenience sampling,72 patients with COPD who were hospitalized in the respiratory medicine department of a tertiary-level hospital from March to December 2021 were selected as study subjects.Randomized grouping was carried out using the random number table method,the control group was given routine COPD health education in the department,and the intervention group applied O2O trinity health management combined with peer education on the basis of routine care.After 6 months of follow-up after discharge,the two groups were observed and compared for changes in pulmonary function,depression status,self-care ability,and quality of life.Results:At 3 and 6 months after the intervention,the lung function indexes and depression status of the two groups of patients improved significantly,and the improvement effect was more significant in the intervention group(P<0.05);after the intervention,the self-care ability scores of the patients in the intervention group were significantly higher than those of the control group(P<0.05);the quality-of-life scores of the two groups of patients decreased at 3 months after discharge,in which the quality-of-life scores in the intervention group was significantly lower than that of the control group(P<0.05).Conclusion:O2O education combined with the peer education management model can effectively improve the lung function of patients with COPD,depression,self-care ability,and quality of life.

Dietary resistant starch alleviates Escherichia coli-induced bone loss in meat ducks by promoting short-chain fatty acid production and inhibiting Malt1/NF-κB inflammasome activation

Background:Escherichia coli(E.coli)infection in humans and animals usually comes with gut dysbiosis,which is potential culprit to skeletal health,it is still unclear to whether diet interfered gut microbiome changes can be a protective strategy to bone loss development.Here,the effects of resistant starch from raw potato starch(RPS),a type of prebiotic,on E.coli-induced bone loss and gut microbial composition in meat ducks were evaluated.Results:The results showed that dietary 12%RPS treatment improved bone quality,depressed bone resorption,and attenuated the pro-inflammatory reaction in both ileum and bone marrow.Meanwhile,the 12%RPS diet also increased the abundance of Firmicutes in E.coli-treated birds,along with higher production of short-chain fatty acids(SCFAs)especially propionate and butyrate.Whereas addition ofβ-acid,an inhibitor of bacterial SCFAs production,to the drinking water of ducks fed 12%RPS diet significantly decreased SCFAs level in cecum content and eliminated RPS-induced tibial mass improvement.Further,treatment with MI-2 to abrogate mucosa-associated lymphoid tissue lymphoma translocation protein 1(Malt1)activity replicated the protective role of dietary 12%RPS in E.coli-induced bone loss including reduced the inhibition on nuclear factorκB(NF-κB)inflammasome activation,decreased bone resorption,and improved bone quality,which were correlated with comparable and higher regulatory T cells(Treg)frequency in MI-2 and 12%RPS group,respectively.Conclusions:These findings suggested that the diet with 12%RPS could alleviate E.coli-induced bone loss in meat ducks by changing the gut microbial composition and promoting concomitant SCFAs production,and consequently inhibiting Malt1/NF-κB inflammasome activation and Treg cells expansion.

Application of Flipped Classroom Combined with PBL Teaching Method in the Teaching of Respiratory Intensive Care Unit Nursing

Objective:The aim is to investigate the application effect of flipped classroom combined with problem-based learning(PBL)teaching method in the teaching of respiratory intensive care unit nursing.Methods:100 fresh nursing students who were interned in the respiratory intensive care unit of our hospital from June 2020 to May 2022 were selected and randomly divided into 50 students in the control group and 50 students in the experimental group.The students in the control group were taught by PBL teaching method,and the students in the experimental group were taught by flipped classroom combined with PBL teaching method.After the completion of the teaching,the teachers combined the performance of the two groups of students,and scored them comprehensively in terms of their professional theoretical knowledge,clinical operation skills,independent learning ability,and teamwork ability,and carried out a survey of the experimental group’s students in terms of their satisfaction with the understanding of theoretical knowledge,clinical operation,independent learning ability,teamwork ability,and other dimensions.Results:There was no statistical significance in the specialized theoretical knowledge scores of the two groups of students(P>0.05).The scores of clinical operation,independent learning ability,and teamwork ability of the two groups of students were statistically significant(P<0.05),and all the scores of the students in the experimental group were higher than that of the control group.More than 90%of the students believed that the flipped classroom combined with PBL teaching method could assist in the comprehension of theoretical knowledge,improve the clinical operation skills,enhance the ability of independent learning and teamwork;there were 92%of the students supported the use of flipped classroom combined with PBL teaching in respiratory intensive care unit nursing teaching.Conclusion:In the teaching of respiratory intensive care unit nursing,the use of flipped classroom combined with PBL teaching method can improve the learning effect of students,and has certain value in teaching.

Study on the Application Effects of the Teach-Back Method Combined with WeChat Tutorials on Chronic Disease Self-Management in Patients with Chronic Obstructive Pulmonary Disease(COPD)

Objective:To study the application effects of teach-back method combined with WeChat education in patients with chronic obstructive pulmonary disease(COPD).Methods:Convenience sampling was used to select 103 patients with COPD hospitalized in the department of respiratory medicine of a tertiary-level hospital from March to June 2021 as study subjects.Randomized grouping was carried out using the random number table method.The routine care was given in the control group,and the teach-back method combined with WeChat tutorials on the basis of routine care was applied in the intervention group.In the follow-up three months after discharge,the changes in pulmonary function,self-care ability,and quality of life of patients in the two groups were observed and compared.Results:After the intervention,the pulmonary function indexes of both groups improved significantly,and the improvement effect was more significant in the intervention group(P<0.05);after the intervention,the self-care ability scores of the patients in the intervention group were significantly higher than those of the control group(P<0.05);the quality-of-life scores of the patients in the two groups decreased at 3 months after discharge,and the scores of the patients in the intervention group were significantly lower than those of the patients in the control group(P<0.05).Conclusion:The teach-back method combined with WeChat education can effectively improve the pulmonary function,self-care ability,and quality of life of patients with COPD.

Spin torque nano-oscillators with a perpendicular spin polarizer

We present an overview in the understanding of spin-transfer torque(STT) induced magnetization dynamics in spintorque nano-oscillator(STNO) devices. The STNO contains an in-plane(IP) magnetized free layer and an out-of-plane(OP) magnetized spin polarizing layer. After a brief introduction, we first use mesoscopic micromagnetic simulations,which are based on the Landau–Lifshitz–Gilbert equation including the STT effect, to specify how a spin-torque term may tune the magnetization precession orbits of the free layer, showing that the oscillator frequency is proportional to the current density and the z-component of the free layer magnetization. Next, we propose a pendulum-like model within the macrospin approximation to describe the dynamic properties in such type of STNOs. After that, we further show the procession dynamics of the STNOs excited by IP and OP dual spin-polarizers. Both the numerical simulations and analytical theory indicate that the precession frequency is linearly proportional to the spin-torque of the OP polarizer only and is irrelevant to the spin-torque of the IP polarizer. Finally, a promising approach of coordinate transformation from the laboratory frame to the rotation frame is introduced, by which the nonstationary OP magnetization precession process is therefore transformed into the stationary process in the rotation frame. Through this method, a promising digital frequency shift-key modulation technique is presented, in which the magnetization precession can be well controlled at a given orbit as well as its precession frequency can be tuned with the co-action of spin polarized current and magnetic field(or electric field) pulses.

A comparative study to determine the effects of breed and feed restriction on glucose metabolism of chickens

The glucose metabolism of poultry draws wide attention as they have nearly twice the fasting blood glucose than that of mammals.To define the relationship between glucose metabolism and breed of chicken,the outcomes from different growth rate chickens showed that Arbor Acres(AA)broilers,a well-known fast-growing breed,had a lower fasting blood glucose concentration and glucose clearance rate when compared to Silky chickens,a Chinese traditional medicinal chicken with black skin and a slow growth rate.Moreover,AA broilers had a relatively slow rise in blood glucose in response to oral glucose solution than the Silky chickens on 21 and 42 d(P<0.05),which is probably attributed to downregulated expression of pancreatic insulin(INS),and upregulated transcription of phosphoenolpyruvate carboxy kinase 1(PCK1)and glucose transporter 2(GLUT2)in the liver of AA broilers(P<0.05).In response to feeding restriction from 7 to 21 d,both the fasting blood glucose and the response speed of AA broilers to oral glucose were increased on d 21(P<0.05),and the serum glucose concentrations after 3 weeks compensatory growth were improved by early feed restriction in AA broilers.Feed restriction could also upregulate the mRNA level of pancreatic INS on d 21 and 42,as well as decrease the expressions of PCK1,glucose-6-phosphatase catalytic(G6PC),and GLUT2 in the liver on d 21(P<0.05)when compared to the free feeding group.These results revealed that Silky chickens have a stronger capability to regulate glucose homeostasis than AA broilers,and feed restriction could improve the fasting blood glucose and the response to oral glucose of AA broilers.

Precision Methylome and In Vivo Methylation Kinetics Characterization of Klebsiella pneumoniae

Klebsiella pneumoniae(K.pneumoniae)is an important pathogen that can cause severe hospital-and community-acquired infections.To systematically investigate its methylation features,we determined the whole-genome sequences of 14 K.pneumoniae strains covering varying serotypes,multilocus sequence types,clonal groups,viscosity/virulence,and drug resistance.Their methylomes were further characterized using Pacific Biosciences single-molecule real-time and bisulfite technologies.We identified 15 methylation motifs[13 N6-methyladenine(6mA)and two 5-methylcytosine(5mC)motifs],among which eight were novel.Their corresponding DNA methyltransferases were also validated.Additionally,we analyzed the genomic distribution of GATC and CCWGG methylation motifs shared by all strains,and identified differential distribution patterns of some hemi-/un-methylated GATC motifs,which tend to be located within intergenic regions(IGRs).Specifically,we characterized the in vivo methylation kinetics at single-base resolution on a genome-wide scale by simulating the dynamic processes of replication-mediated passive demethylation and MTase-catalyzed re-methylation.The slow methylation of the GATC motifs in the replication origin(oriC)regions and IGRs implicates the epigenetic regulation of replication initiation and transcription.Our findings illustrate the first comprehensive dynamic methylome map of K.pneumoniae at single-base resolution,and provide a useful reference to better understand epigenetic regulation in this and other bacterial species.