Application Effect of Early Rehabilitation Nursing in Elderly Cerebral Infarction Patients with Dysphagia

Objective:To observe the application effect of early rehabilitation nursing in elderly cerebral infarction patients with dysphagia.Methods:120 cases of elderly cerebral infarction patients with dysphagia were divided into 60 cases in the control group and 60 cases in the observation group by the double-blind method,and conventional nursing and early rehabilitation nursing were implemented respectively.Swallowing function,quality of life,adverse events,and nursing satisfaction were compared before and after nursing care.Results:After nursing,the swallowing function score of the observation group(1.01±0.18 points)was lower than that of the control group,and the quality of life score(160.63±9.95 points)was higher than that of the control group(P<0.05);the incidence rates of aspiration and aspiration pneumonia in the observation group(5.00%and 3.33%)were lower than that of the control group(P<0.05);the total nursing satisfaction of the observation group(98.33%)was higher than that of the control group(P<0.05).Conclusion:Early rehabilitation nursing can reduce the degree of dysphagia in elderly patients with cerebral infarction,reduce the incidents of aspiration and aspiration pneumonia,and improve the quality of life,with high nursing satisfaction.

Evaluation of the Effect and Efficiency of Ear Tip Bloodletting Combined with Xianfang Huoming Yin in the Treatment of Early-Stage Wheals

Objective:To evaluate the effect and efficiency of ear tip bloodletting combined with Xianfang Huoming Yin(XFH)in the treatment of early-stage wheals.Methods:70 patients with early-stage wheals admitted from September 2020 to September 2022 were divided into two groups by randomized numerical table method,with 35 cases/group.Both groups received conventional treatment,the control group combined with XFH,and the observation group combined with ear tip bloodletting therapy and XFH.Conscious symptom scores,ocular indexes,therapeutic effects,and sleep quality between the two groups were compared.Results:After the treatment,the patients in the observation group had lower self-awareness symptom scores and sleep quality scores as compared to those in the control group;the diameter of the mass in the observation group was smaller than that of the control group after treatment;the average tear film rupture time and the time taken for the first non-contact tear film to rupture were longer in the observation group than those in the control group;the total effective rate of the treatment in the observation group was higher than that of the control group(P<0.05).Conclusion:Ear tip bloodletting combined with XFH was ideal for the treatment of early-stage wheals and has a high effective rate.

Effect of sitagliptin combined with Yiqi yangyin huoxue decoction on clinical efficacy and hemorheology in early diabetic nephropathy

BACKGROUND Early diabetic nephropathy(DN)is a complication of diabetes mellitus.It mainly affects kidney microvessels and glomerular function,and its timely and effective treatment is critical for early DN.However,the effects of treatments comprising simple Western medicine are not optimal.With the promotion and implementation of integrated Chinese and western medicine treatments,remarkable results have been achieved for many diseases.To this end,we explored the clinical efficacy of integrated traditional Chinese and western medicines for the treatment of early DN.AIM To investigate the effect of sitagliptin tablets combined with Yiqi yangyin huoxue decoction on clinical efficacy and hemorheology in patients with early DN.METHODS Through a retrospective analysis,123 patients with early DN were admitted to the endocrinology clinic of the Changzhou NO.7 People’s Hospital from January 2021 to October 2022 and were selected as study subjects.After rigorous screening,100 patients with early DN were enrolled.The control group(CG,n=50)and the observation group(OG,n=50)were divided according to the treatment method.The CG were treated with sitagliptin,and the OG were treated with sitagliptin plus the Yiqi yangyin huoxue decoction.Both groups were treated for 3 mo.For both groups,the baseline data and clinical efficacy were compared,and changes in blood glucose levels,lipid levels,renal function,and hematological indicators before(T0)and after(T1)treatment were assessed.RESULTS The total effective rate for the OG was 94.00%and that of the CG was 80.00%(P<0.05).After treatment(T1),the levels of fasting blood glucose,2 h postprandial glucose,total cholesterol,triacylglycerol,and low-density lipoprotein cholesterol in OG patients were obviously lower than those in the CG(P<0.05),and cystatin C,homocysteine,urinary microalbumin,and blood creatinine values in OG patients were also obviously lower than those in the CG(P<0.05);erythrocyte deposition,plasma viscosity,whole blood high shear viscosity,and whole blood low shear viscosity were markedly lower in OG patients than in the CG(P<0.05).CONCLUSION Sitagliptin combined with Yiqi yangyin huoxue decoction has a remarkable effect when used to treat patients with early DN.Further,it is helpful in improving hemorheological indices and controlling disease progression.

Study on the efficacy of early treatment with pirfenidone on the lung function of patients with idiopathic pulmonary fibrosis

BACKGROUND Idiopathic pulmonary fibrosis(IPF)is classified under fibrotic interstitial pneumonia,characterized by a chronic and progressive course.The predominant clinical features of IPF include dyspnea and pulmonary dysfunction.AIM To assess the effects of pirfenidone in the early treatment of IPF on lung function in patients.METHODS A retrospective analysis was performed on 113 patients with IPF who were treated in our hospital from November 2017 to January 2023.These patients were divided into two groups:control group(n=53)and observation group(n=60).In the control group,patients received routine therapy in combination with methylprednisolone tablets,while those in the observation group received routine therapy together with pirfenidone.After applying these distinct treatment approaches to the two groups,we assessed several parameters,including the overall effectiveness of clinical therapy,the occurrence of adverse reactions(e.g.,nausea,vomiting,and anorexia),symptom severity scores,pulmonary function index levels,inflammatory marker levels,and the 6-min walk distance before and after treatment in both groups.RESULTS The observation group exhibited significantly higher rates than the control group after therapy,with a clear distinction(P<0.05).After treatment,the observation group experienced significantly fewer adverse reactions than the control group,with a noticeable difference(P<0.05).When analyzing the symptom severity scores between the two groups of patients after treatment,the observation group had significantly lower scores than the control group,with a distinct difference(P<0.05).When comparing the pulmonary function index levels between the two groups of patients after therapy,the observation group displayed significantly higher levels than the control group,with a noticeable difference(P<0.05).Evaluating the inflammatory marker data(C-reactive protein,interleukin-2[IL-2],and IL-8)between the two groups of patients after therapy,the observation group exhibited significantly lower levels than the control group,with significant disparities(P<0.05).Comparison of the 6-min walking distance data between the two groups of patients after treatment showed that the observation group achieved significantly greater distances than the control group,with a marked difference(P<0.05).CONCLUSION Prompt initiation of pirfenidone treatment in individuals diagnosed with IPF can enhance pulmonary function,elevate inflammatory factor levels,and increase the distance covered in the 6-min walk test.This intervention is conducive to effectively decreasing the occurrence of adverse reactions in patients.

A Comprehensive Study on the digestive Endoscopic Technique and Narrow-Band Imaging for Early Gastric Cancer Screening

Objective:To explore the implementation of gastrointestinal endoscopy technology and endoscopic narrow-band imaging(NBI)in the early screening of gastric cancer and to observe and study their application effects.Methods:During the period from March 2023 to August 2023,312 patients who received gastroscopy in the Kunming Guandu District People’s Hospital were selected,and they underwent both conventional gastroscopy and endoscopic NBI,with clinicopathological tissue biopsy serving as the gold standard.The application value for early screening of gastric cancer was observed and analyzed.Results:The scoring data showed that the clarity of gastric mucosal glandular tube structure,microvascular structure clarity,and lesion contour scoring data of conventional gastroscopy were lower than those of the NBI technology(P<0.05).The screening rate of pathological biopsy in 312 patients was 18.59%(58 cases).Conventional gastroscopy showed a screening rate of 11.53%(36 cases),while NBI technology examined a screening rate of 17.63%(55 cases),and the two-by-two comparison of the screening rate data of the three groups was not statistically significant(P>0.05).The sensitivity,specificity,accuracy,positive predictive value,and negative predictive value of conventional gastroscopy appeared to be lower than those of NBI technology(P<0.05).Conclusion:In the early screening of gastric cancer,endoscopic NBI technology can be applied to patients.Compared with conventional gastroscopy,it provides a clearer visualization of the structure of the gastric mucosal glandular structure and microvascular structure,with a certain screening rate.Additionally,its sensitivity,specificity,accuracy,positive predictive value,and negative predictive value are higher,demonstrating outstanding effectiveness.

Study on Effect of Iron in Anther Media of Early Japonica Rice in Cold Region

In this study, through vitro culturing anthers of 7 F1 progenies of early Japonica rice in cold region on medium with different Fe2+ contents, it was found that Fe2+ content generated greater impacts on the induction rate and green plantlet differentiation. The result demonstrated that if Fe2+ increased from 32 to 40 mg/kg, the induction rate of early Japonica rice anther culture in N6 culture media was more then 1.4 times higher than that in N6 culture media containing 5.6 mg/kg Fe2+. In this concentration range, the induction rate increased with the increase of Fe2+ content, while if the concentration was over this concentration range, the induction rate decreased with the increase of Fe2+, showing single peak distribution. When the Fe2+ was 40 mg/kg in differentiation medium, the differentiation rate decreased dramatically. The green plantlet differentiations of callus which were induced on culture media containing 32-40 mg/kg Fe2+ were different, when they were cultured on MS culture media, and 85.7% materials could increase green plantlet productivity to about 7.8%. Therefore, increasing Fe2+in induction media properly could increase anther culture efficiency of early Japonica rice in cold region.

Application Effects of Photosynthesis Synergist in Early Hybrid Rice

In order to explore the application effect of Yezhiyuan in early hybrid rice,Liangliangyou No.211 and Lingliangyou No.268 were tested in a teaching base in Hunan Agricultural University and Xidu Town, Hengyang County, with Yezhiyuan.The test results showed that the application of photosynthesis synergist in later tillering stage would increase the content of chlorophyll of functional leaf and photosynthetic rate, reduce transpiration rate and enhance yield per unit area. With Yezhiyuan applied, both of photosynthetic rate and chlorophyll content kept higher compared with control group in two experimental sites, and practical yield in Hunan Agricultural University grew 8.54% higher compared with control group, and 10.67%in Hengyang.

Early effect modeling of silicon-on-insulator SiGe heterojunction bipolar transistors

Silicon germanium （SiGe） heterojunction bipolar transistor （HBT） on thin silicon-on-insulator （SOI） has recently been demonstrated and integrated into the latest SOI BiCMOS technology. The Early effect of the SOI SiGe HBT is analysed considering vertical and horizontal collector depletion, which is different from that of a bulk counterpart. A new compact formula of the Early voltage is presented and validated by an ISE TCAD simulation. The Early voltage shows a kink with the increase of the reverse base-collector bias. Large differences are observed between SOI devices and their bulk counterparts. The presented Early effect model can be employed for a fast evaluation of the Early voltage and is useful to the design, the simulation and the fabrication of high performance SOI SiCe devices and circuits.

Allelopathic Effects of Cedrus deodara Needle Extracts on Seed Germination and Early Growth of Three Turfgrasses

[Objectives]This study was conducted to provide reference for plant landscaping,optimization of planting structure and rational allocation of species in Cedrus deodara gardens.[Methods]With three common garden plants in northern China,Trifolium repens L.,Poa pratensis L.and Trifolium pratense L.,as receptors,the effects of four concentrations(0.025,0.05,0.075 and 0.10 g/ml)of C.deodara needle extract on seed germination and early seedling growth of the three turfgrasses were studied by the Petri dish filter paper method,using a clear water treatment(0 g/ml)as control check(CK).Data were subjected to analysis of variance(ANOVA)and multiple comparisons(Duncan)using SPSS16.0.[Results]Different concentrations of C.deodara needle extract had significant inhibitory effects on seed germination,radicle and seedling height growth of T.repens,T.pratense and P.pratensis(P<0.05),and the inhibitory effects increased with the increase of concentration.When the concentration reached 0.075 g/ml,seed germination and seedling growth of T.repens stopped,and radicle and seedling growth of T.pratense and P.pratensis also stopped.When the concentration was equal to 0.10 g/ml,germination of T.pratense and P.pratensis seeds was inhibited,and the absolute values of allelopathic index was the largest,that is,the inhibitory effects were the largest.And with the increase of concentration,the absolute value of synthetical allelopathic index also increased.The extract of C.deodara needles contained main allelochemicals leading to the scarcity of understory vegetation.[Conclusions]This study provides a theoretical basis for reasonable garden plant configuration during C.deodara greening and garden landscaping.

Medium-term and Long-term Momentum and Contrarian Effects on China during 1994-2004

We examine momentum and contrarian effects in China＇s stock market during 1994-2004 and find that no medium momentum effects exist. Meanwhile, contrarian strategy works effectively over the horizon of 18-36 months. 1-month gap for avoiding bid-ask bounce and lead-lag effect make no considerable change to our empirical results. Transaction costs seem to have no significant impact on contrarian strategies＇ profit.

Ecological risk assessment and early warning of heavy metal cumulation in the soils near the Luanchuan molybdenum polymetallic mine concentration area,Henan Province,central China

The Luanchuan molybdenum polymetallic mine concentration area is rich in mineral resources and has a long history of mining.The environmental impact of long-term mining activities cannot be ignored.It is of great significance to study the ecological risk and the accumulation trends of heavy metals in the soil of mining areas for scientific prevention and control of heavy metal pollution.Taking the Taowanbeigou River Basin in the mine concentration area as the research object,the ecological pollution risk and cumulative effect of heavy metals in the soil of the basin were studied by using the comprehensive pollution index method,potential ecological risk assessment method and geoaccumulation index method.On this basis,the cumulative exceeding years of specific heavy metals were predicted by using the early warning model.The comprehensive potential ecological risk of heavy metals in the soil near the Luanchuan mine concentration area is moderate,and the single element Cd is the main ecological risk factor,with a contribution rate of 53.6%.The overall cumulative degrees of Cu and Pb in the soil are“none-moderate”,Zn and Cd are moderate,Mo has reached an extremely strong cumulative level,Hg,As and Cr risks are not obvious,and the overall cumulative risks order is Mo>Cd>Zn>Cu>Pb>Hg.According to the current accumulation rate and taking the risk screening values for soil contamination of agricultural land as the reference standard,the locations over standard rates of Cu,Zn and Cd will exceed 78%in 90years,and the over standard rate of Pb will reach approximately 57%in 200 years.The cumulative exceeding standard periods of As,Cr and Hg are generally long,which basically indicates that these elements do not pose a significant potential threat to the ecological environment.Mining activities will accelerate the accumulation of heavy metals in soil.With the continuous development of mining activities,the potential pollution risk of heavy metals in the soil of mining areas will also increase.

Isolation, Identification and Earliness Effect Analysis of Rice Dominant Earliness Gene Ef-cd

Ef-cd gene is a dominant earliness gene located on the short arm of rice chromosome 3. In this paper, through continuous backcross, self-pollination and molecular marker assisted selection, individual Ef-cd gene was isolated and its nearly isogenic lines were constructed by using early-maturing indica line 6442S-7 as the donor parent, and by using latematuring indica line Minghui 63 （MH63）, Shuhui 881 （SH881） and Shuhui 527 （SH527） as the recurrent parents （genetic background）, respectively. Further, it was found out that Ef-cd gene could generally advance rice to head 11-14 d earlier. So, it was considered that Ef-cd gene played an important role in rapid developing early-maturing and super high-yielding rice varieties.

THE EARLY RELATIVE BIOLOGICAL EFFECTIVENESS OF SINGLE DOSE OF FAST NEUTRONS（35MeV_（p→Be）） FOR BONE MARROW IN MICE

The early RBE of the bone marrow in mice after studied irradiation with fast neutrons(35 MeVp→Be) was studied.60Co-γ ray was used for referent beams.Using the dos.making 50% loss of the nucleated cells of bone marrow in mice relative to control group mice to calculated the RBE value which was 2.13±0.18.Meanwhile,the relationship of the RBE values and the dose of neutrons was noted.On log-log plot the RBE values decrease with increasing dose of fast neutrons and it is consistent with a slope of -0.39± 0.10.The α/β ratios were estimated from linear-quadratic model of cell survival,they are 14.4±1.30 Gy for fast neutrons and 0.83±0.10 Gy for γ-ray,respectively.

Effect of Epalrestat combined with Huoxue Huayu preparation on early diabetic retinopathy and its effect on serum oxidative stress and inflammatory factors

Objective:To investigate the effect of Epalrestat combined with Huoxue Huayu preparation on early diabetic retinopathy and its effect on serum oxidative stress and inflammatory factors.Methods:132 patients with early diabetic retinopathy from June 2017 to July 2019 in our hospital were randomly divided into the control group(66 cases)and the observation group(66 cases);The control group was treated with epalrestat,and the observation group was treated with epalrestat combined with ginkgo damo injection;The treatment effect,blood rheology indexes,serum oxidative stress indexes and inflammatory factor indexes of the two groups were compared.Results:The treatment efficiency of the observation group(96.96%)was significantly higher than that of the control group(84.84%)(P<0.05).After 3 months of treatment,the high-cut whole blood viscosity(3.62±0.45 mPa/s),low-cut whole blood viscosity(1.54±0.26 mPa/s),erythrocyte sedimentation rate(15.63±2.97 mm/s)of the observation group compared with the control group(4.57±0.52 mPa/s,2.91±0.30 mPa/s,22.36±3.38 mm/s)were significantly lower(P<0.05).After 3 months of treatment,the SOD(93.41±10.17 nmol/mL)and TAC(20.57±3.76 u/mL)of the observation group compared with the control group(82.26±9.45 nmol/mL,18.26±3.63 u/mL)were significantly higher(P<0.05),and the MDA of the observation group(9.22±1.98 u/mL)was significantly lower than that of the control group(12.13±1.06 u/mL)(P<0.05).After 3 months of treatment,the CRP(9.74±1.12 mg/L),IL-2(70.37±12.13 ng/L),TNF-a(11.36±2.08 ng/L)of the observation group compared with the control group(15.28±1.73 mg/L L,82.46±10.58 ng/L,16.28±2.43 ng/L)were significantly lower(P<0.05).Conclusion:Epalrestat combined with Huoxue Huayu preparation is more effective in the treatment of early diabetic retinopathy,and can significantly improve the blood rheology indexes,serum oxidative stress indexes and inflammatory factor indexes of patients.

Effect of Early Controlled Hypotension on Patients with Traumatic Brain Injury

Objective:To investigate the clinical effect of early controlled hypotensive therapy in patients with traumatic braininjury(TBI).Methods:68 patients with acute 1Bl in our hospital were selected for this investigation.They were evenly divided into a control group and an observation group according to the difference of blood pressure and basic level,whose lesion area after treatment,postoperative intracranial pressure after 2 d and 7d,and Gcs score of prognostic quality before and after treatment were made comparison.Results:The post-treatment lesion area of the observation group was lower than that in the control group(P<0.05);the postoperative intracranial pressure after 2d and 7d of the control group was better than the observation group(P<0.05),and the same with GCS score,which has statistical sigmificance(P< 0.05).Conclusion:Early controlled hypotensive therapy has a significant clinical effect on patients with brain trauuma,it can reduce the lesion area after treatment and postoperative intracranial pressure as well.

Effect of lung volume reduction surgery on early function of lung and pulmonary hemodynamics in COPD

Objective To evaluate the effects of lung volume reduction surgery (LVRS) on early lung function and pulmonary hemodynamics in severe chronic obstructive pulmonary disease (COPD). Methods 31 patients with severe COPD underwent LVRS, bilateral LVRS in 11 patients and unilateral in 20 patients. The results of lung function (FEV1, RV, TLC), arterial blood gas analysis (PAO2, PACO2 ) and color Doppler echocardiography (CD,CI,FS,EF,PAP) were analyzed before and 3 month after LVRS in 26 cases. Results FEV1, RV and TLC were improved significantly after surgery ( P 【 0. 01). PaO2 increased (P 【 0. 05 ) and PaCO2, decreased postoperatively (P 【 0. 01). According to the Doppler echocardiography, there were no statistic differences in cardiac functions (CO, CI, FS, EF, and PAP) between pre- and post-operation. The 6-minute-walk-distance in 26 patients was (227 ± 88) m, significantly increased after surgery. Conclusion LVRS is effective in the treatment of patients with severe COPD. 3 months after operation, the

两种早期预警评分系统对急性冠状动脉综合征患者发生心搏骤停的预测效果分析

目的探讨两种早期预警评分系统对急性冠状动脉综合征患者发生心搏骤停的预测效果。方法采取回顾性病例-对照研究,便利选取2018年12月至2022年12月因急性冠状动脉综合征入某医院急诊科进行治疗的300例患者作为研究对象,按入院24 h后是否发生心搏骤停分为病例组(158例)和对照组(142例)。病例组收集患者在心搏骤停发生前30 min、1 h、2 h、4 h、8 h、16 h、24 h的生命体征,并带入改良早期预警评分量表和重要性早期预警评分量表;对照组随机选择24 h内具有完整资料的时间点与病例组相对应,收集内容及方法同病例组。结果病例组患者心搏骤停前30 min至24 h各个时间点,两个量表评分均明显高于对照组(P<0.05)。心搏骤停前8 h,改良早期预警评分的ROC曲线下面积为0.642,具有较低的预测效能,重要性早期预警评分的ROC曲线下面积为0.783,预测效能中等。心搏骤停发生前的8 h内,重要性早期预警评分的ROC曲线下面积均>0.7,且各值比较差异均无统计学意义(P>0.05)。重要性早期预警评分对各种类型的急性冠状动脉综合征患者发生心搏骤停的ROC曲线下面积均>0.7。结论重要性早期预警评分比改良早期预警评分具有更高的预测效能,能够提前8 h预测心搏骤停的发生,且对各种类型的急性冠状动脉综合征患者均有良好的预测效果,建议临床推广应用。

基于概率模型的四川省降水诱发地质灾害风险预警方法研究

开展降水诱发地质灾害风险预警是降低地质灾害风险的重要手段之一。基于2008-2019年四川省地质灾害历史灾情数据,在地理分区基础上,以地形、岩土、植被、气候因子为区划评价因子,采用信息量模型,将四川省划分为7个地质灾害分区。以正态化处理后的地质灾害有效降水量为建模因子,采用高斯拟合方法,建立各分区降水诱发地质灾害概率模型,并进行地质灾害预警检验。结果表明:(1)四川省可划分为盆地及盆周山区低易发区、中等易发区、高易发区,西南山地次易发区、易发区,川西高原次易发区、易发区等7个地质灾害分区。(2)ROC(Receiver Operating Characteristic)曲线分析表明,盆地及盆周山区的地质灾害分区精度略低于西南山地区和川西高原区的分区精度。(3)各分区正态化处理后的有效降水量与地质灾害频率具有很好的高斯分布关系。(4)建立的降水诱发地质灾害概率模型的地质灾害预警成功率为72%,当日降水量≥10 mm时,地质灾害预警成功率为83%。

早龄期机制砂混凝土抗压强度与弹性模量时效关系及本构模型试验研究

为了研究早龄期机制砂混凝土在单轴受压状态下抗压强度与弹性模量的时效关系和本构模型,通过对8组不同龄期的C60机制砂混凝土试件进行立方体抗压强度试验、静力受压弹性模量试验和单轴受压应力-应变曲线试验,并参考多种已有研究模型,建立了早龄期机制砂混凝土在单轴受压状态下的抗压强度与弹性模量时效关系模型和分段式应力-应变本构模型。结果表明,采用的抗压强度与弹性模量时效关系模型和分段式应力-应变本构模型与试验数据吻合效果理想,能够较好地描述早龄期C60机制砂混凝土在单轴受压状态下的力学性能。