目的性责任细分化护理联合心理支持干预对肺结核患者希望水平、心理状态及自护能力的影响

目的:探究目的性责任细分化护理联合心理支持干预对肺结核患者希望水平、心理状态及自护能力的影响。方法:按随机数字表法将2023年1月至2023年12月鄱阳县人民医院收治的60例肺结核患者分为两组,即对照组与观察组,各30例,其中对照组的护理方案为常规护理干预,观察组则实施目的性责任细分化护理联合心理支持干预,比较两组希望水平、心理状态及自护能力。结果:干预后,观察组Herth希望指数(HHI)、自我护理能力量表(ESCA)评分高于对照组,汉密尔顿抑郁量表(HAMD)及汉密尔顿焦虑量表(HAMA)评分较对照组均明显下降,有统计学差异(P<0.05)。结论:目的性责任细分化护理联合心理支持干预可提高肺结核患者希望水平,改善心理状态,增强患者自护能力。

目的性责任细分化护理与心理疏导 在乙型肝炎患者中的应用效果分析

目的:分析目的性责任细分化护理与心理疏导在乙型肝炎(简称乙肝)患者中的应用效果。方法:选取2022年1—12月河源市紫金县人民医院收治的乙肝患者60例作为研究对象,随机分为对照组与观察组,各30例。对照组实施常规护理与心理疏导,观察组实施目的性责任细分化护理与心理疏导。比较两组的用药依从性、自护能力和心理健康状况。结果:观察组用药依从率高于对照组,差异有统计学意义(P=0.023)。护理前,两组自我护理能力量表(ESCA)、汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分比较,差异无统计学意义(P>0.05);护理后,两组ESCA评分升高,观察组高于对照组,两组HAMA、HAMD评分降低,观察组低于对照组,差异有统计学意义(P<0.05)。结论:目的性责任细分化护理与心理疏导在乙肝患者中的应用效果显著,能够提高患者的服药依从性和自护能力,减轻负面情绪。

目的性责任细分化护理结合心理疏导在乙型肝炎患者中的应用价值

目的 分析目的性责任细分化护理结合心理疏导在乙型肝炎(简称“乙肝”)患者中的应用效果。方法 选取2021年1~12月于徐州医科大学附属医院诊治的110例乙肝患者作为研究对象,将其按抽签法随机分为对照组和观察组,每组55例。对照组患者给予常规护理结合心理疏导,观察组患者给予目的性责任细分化护理结合心理疏导,均连续干预3个月。比较2组患者的肝功能、心理状态、用药依从率、自护能力和生活质量。结果 干预1个月和3个月后,2组的丙氨酸氨基转移酶(ALT)、总胆红素(TBiL)和天门冬氨酸氨基转移酶(AST)水平均低于干预前(P均<0.05);观察组的ALT、TBiL和AST水平均低于同期对照组(P均<0.05)。干预1个月和3个月后,2组的抑郁自评量表(SDS)和焦虑自评量表(SAS)评分均低于干预前(P均<0.05);观察组的SAS和SDS评分均低于同期对照组(P均<0.05)。观察组在干预3个月后的用药总依从率相比于对照组更高(P<0.05)。干预1个月和3个月后,2组的自我护理能力量表(ESCA)和健康调查量表36(SF-36)评分均高于干预前(P均<0.05);观察组的ESCA和SF-36评分均高于同期对照组(P均<0.05)。结论 目的性责任细分化护理结合心理疏导可提高乙肝患者的肝功能、用药依从率、自护能力和生活质量,减轻其不良情绪。

目的性责任细分化护理对乙型肝炎患者主观幸福感及疾病知识掌握的影响

目的探究目的性责任细分化护理对乙型肝炎患者主观幸福感及疾病知识掌握的影响。方法选取2019年11月-2020年11月我院接诊的80例乙型肝炎患者作为研究对象,按照护理方法不同分为常规护理组和细分化组,各40例。常规护理组采用常规护理方法进行护理;细分化组在常规护理组基础上增加目的性责任细分化护理进行护理。观察2组生活质量、主观幸福感、疾病知识掌握、遵医行为、护理满意度。结果与常规护理组相比,细分化组生活质量、主观幸福感、疾病知识掌握评分较高(P<0.05);与常规护理组相比,细分化组遵医行为、护理满意度均较高(P<0.05)。结论目的性责任细分化护理可有效提高乙型肝炎患者主观幸福感、疾病知识掌握,值得在临床中推广使用。

关于教育报刊的“性格特征”

就像人有个性一样,报刊也有自己的性格特征。教育报刊的性格特征就是教育报刊的根本属性,教育性、专业性、实用性、细分性,是教育报刊的性格特征,也是它区别于其他报刊的根本属性。

以客户细分提升客户忠诚

CRM实践者真正想从CRM中得到的是什么?又如何达到呢?

服务类商标法律保护研究

《刑法修正案》(十一)的修订中明确了服务类商标的法律地位,加大了对服务商标的保护力度,进一步改进与完善原有刑法关于服务商标的不足之处。本文旨在通过分析商标注册现况,研究服务商标法律保护的发展与现状,来针对于服务商标的细分性、分离性、跨种类适用性三大特点结合相关案例进行辨别分析。

东营凹陷DX176块低电阻率油层评价技术

针对东营凹陷DX176块沙四段低电阻率油层的特点,提出了基于储层岩性细分和含水饱和度泥质校正的低电阻率油层测井评价方法。阐述了岩性细分的方法、岩性与低电阻率油层成因的关系。分析了泥质的特性、泥质在地层的分布形式以及地层电阻率与泥质含量的关系。对简化的西门杜模型、双水模型和混合泥质模型等3个具有泥质校正功能的含水饱和度计算模型进行研究、分析和对比,并对混合泥质含水饱和度计算模型进行改进。总结出适用于该块低电阻率油层的油、水综合评价技术。该方法在DX176块应用效果良好,测井解释符合率达到90%。

Constituents from Ranunculus sieboldii Miq.

Aim To investigate the chemical composition of Ranunculus sieboldii Miq..Methods Repeated column chromatography over silica gel, polyamide and RP-18 followed by gelfiltration on sephadex LH-20 were used to isolate chemical constituents, and their structures wereelucidated by extensive spectroscopic methods (UV, IR, MS, ~1H NMR, ^(13)C NMR) including 2D NMR(COSY, HMQC, HMBC, NOESY) techniques and by direct comparing spectral data with those reported inliterature. Results Five flavonoid glycosides named apigenin-4'-O-α-L-rhamnopyranoside (1),apigenin-7-O-β-D-glucopyranosyl-4'-O-α-L-rhamnopyranoside (2), apigenin-8-C-α-L-arabinopyranoside(3), apigenin-8-C-β-D-ga-lactopyranoside (4) , tricin-7-O-β-D-glucopyranoside (5), together withtricin (6), luteolin (7), scopoletin (8), esculetin (9), scoparone (10), ferulic acid (11),protocatechuic acid (12) , and tematolide (13) were isolated from the 95% etha-nolic extract of itswhole plant, and their cytotoxic activities were preliminarily tested. Conclusion Compounds 1-12were obtained from this genus and compound 13 from this species for the first time. Furthermore,compound 1 was for the first time isolated from nature while the ^(13)C NMR data of compounds 2 and3 are reported for the first time. The bioassay revealed that compound 1 was active against BEL-7407and A549 cell lines (IC_(45) 43, 77 μg·mL^(-1)), 8 and 10 showed inhibitory activities on KB celllines (IC_(50) 78, 44 μg·mL^(-1)) and HL-60 cell lines (Ic_(50) 85, 85 μg·mL^(-1)), while 7exerted moderate cytotoxic activities on KB, BFL-7407, A549 and HL-60 cell lines with their IC_(50)being 51, 55, 44 and 10 μg·mL^(-1) , respectively.

AFLP Analysis of Cytoplasmic Male-sterile Line and Its Maintainer Line of Pepper

[Objective] The aim of this study was to analyze the cytoplasmic male sterile line 21A and its maintainer line 21B of peppers by AFLP,and lay the foundation for further studies on molecular mechanism of the cytoplasmic male sterility in peppers.[Method] Cytoplasmic male sterility(CMS)line 21A and its maintainer line 21B were analyzed by AFLP to obtain the specific amplified fragments of cytoplasmic male sterile line 21A,while the specific amplified fragments were recovered or sequenced,and analyzed by BLAST...

Subcellular Distribution of Calcium, Magnesium and Iron in Brassica napus Leaves during Cold Acclimatization

[Objective] The aim of the present study was to investigate the characteristics of calcium （Ca）, magnesium （Mg） and iron （Fe） subcellular distributions in oilseed rape （Brassica napus L.） leaves during cold acclimatization. [Method] A field experiment was conducted at two contrasting environments with three replicates and included a freezing sensitive variety （cv. Zhongshuang No. 11, ZS） and a freezing tolerant variety （cv. Ganyouza No. 1, GY）. [Result] The concentrations of Ca, Mg and Fe were significantly increased in plants roots, and the concentrations of Ca and Mg were significantly decreased but the Fe concentration was significantly increased in plants shoots. In leaves, the Ca concentration stored in soluble fraction was significantly increased and the Ca concentration of organelle-contained fraction and cell wall-associated fraction were significantly decreased with experiment time. The Mg concentrations stored in soluble fraction, organelle-contained fraction and cell wall-associated fraction were decreased with time. In contrary, the Fe concentration stored in soluble fraction, organelle-contained fraction and cell wall associated-fraction was significantly increased with time. Meanwhile, the changes of these measures of ZS were much higher than those of GY during cold acclimatization, which might be due to the GY is a freezing tolerant variety but ZS is not. [Conclusion] These results suggested that increasing the concentrations of Ca, Mg and Fe in plants shoots might increase the cold resistance of oilseed rape.

Enantioseparation of Several PharmaceuticalRacemates with High PerformanceCapillary electrophoresis

With high performance capillary electrophoresis using -cyclodextrin or its deriveatives as the chiral selectors, five pairs of drug enantiomers were separated, The PH of the back- gmund electrolyte and the chiral selector concentrations were optimized; and the effect of organic modifier on separation of chlorpheniramine enantiomers was also inver

Effects of BYHW Decoction and Its Effective Constituents on the Fluidity of the Cell Membrane in a Stroke-Modeled Rat Brain

With in vitro spin labeling electron spin resonance (ESR) spectroscopy, we have studied the effects of Bu Yang Huan Wu (BYHW) decoction and its effective constituents such as astragaloside IV ferulic acid, chuanxiongzine, rutin, chlorogenic acid, 9,10 dimethoxy pterocarpane 7 O β D glucoside, calycosin, formononetin, calycosin 7 O glucoside, paeoniflorin, paeonal and quercein on the cell membrane fluidity of a rat brain which was modeled after the dual cervical arteries were intercepted and released for realizing an ischemia reperfusion injury which was selected as a brain stroke model. Our results indicated that the cell membrane fluidity in the model group decreased approximately 8% compared with the control group, and after brain cells were incubatied with species, the membrane fluidity could be recovered closely to the control level depending on the BYHW decoction and its different constituents. As the membrane fluidity is a very sensitive biological index which reflectsd the cell status, our method will be useful to study the molecular mechanism of tradition Chinese medicine (TCM) and its combination recipe.

Microstructure and mechanical properties of cryo-rolled AA6061 Al alloy

The microstructure and mechanical properties of the age hardening AA6061 Al alloy subjected to cryo-rolling（CR） and room temperature rolling（RTR） treatments were investigated. The rolled and aged alloys were analyzed by using DSC, EBSD, TEM, Vickers hardness analysis and tensile test. The results show that the cryo-rolled treatment has an effect on the precipitation sequence of AA6061 Al alloy. The ultrafine grain structures are formed to promote the fine second phase particles to disperse in the aluminum matrix after the peak aging, which is attributed to lots of dislocations tangled in the rolling process. Therefore, the strength and ductility of AA6061 Al alloy are simultaneously modified after the cryo-rolling and aging treatment compared with room temperature rolled one.

Isolation of Ca^(2+) Tolerant Cardiomyocytes from Aadult Rats for Patch Clamp Studies

Objective: To investigate the factors affecting the viability and Ca 2+ tolerance of isolated rats' cardiac myocytes for patch clamp research. Methods: Hearts were firstly perfused by the Langendorff perfusion apparatus with normal Tyrode's solution, then with Ca 2+-free Tyrode's solution and subsequently with low Ca 2+ enzyme solution containing collagenase 0.1-0.2 g/L. All the solutions were saturated with oxygen and the perfusion temperature was kept at 37 ℃. Finally hearts were washed by Ca 2+-free Tyrode's solution, after which the ventricles were minced into small pieces in KB solution, dispersed and filtered. The isolated myocytes were stored in KB solution at room temperature for 1 h and recovered to normal calcium concentration before patch clamp experiments.Results: When all the factors such as water, enzyme, Ca 2+,pH, and oxygen were well controlled, the well constructed and rod-like cardiac myocytes with a yielding rate of 30%-50% came out.Conclusion: All the factors should be well controlled, which ensured the isolated cells Ca 2+ tolerant and appropriate for patch clamp experiments.

Study on Capillary Zone Electrophoretic Separation of Chlorpheniramine Enantiomers with β-Cyclodextrin

The chlorpheniramine enantiomers were separated with capillary zone electrophoresis using β-cyclodextrin as the chiral selector.The effects of the concentration of β-cyclodextrin, the electrolyte pH and organic modifier(urea) on the difference in apparent electrophoretic mobilities of the enantiomels were investigated.

Primary Identification of Alien Chromatin in T911289,a Maintainer of Wheat Male Sterile Line with Cytoplasm of Aegilops kotschyi

The genomic composition of 1911289, a wheat ( Tritium aestivum L.) maintainer of K-CMS, was examined by several methods, such as genomic in situ hybridization (GISH), biochemical marking, and DNA molecular marking. The results got by GISH and PCR amplification of dispersed rye-specific repetitive DNA sequence suggested that the alien chromatin in T911289 derived from rye. Specifically PCR amplification of the rye-specific microsatellite primers (SCM9) and seed storage protein analysis indicated that the alien chromatin in T911289 had developed from the short arm of 1R chromosome of rye (1RS). PCR amplification by using microsatellite primers locating on 1BS and seed storage protein analysis also revealed that 1911289 had lost the arm of 1BS or a small distal segment of it. We conclude that T911289 is a heterogeneous population which displays two distinct different types of translocation, i.e. the Robertsonian translocation and small segment translocation. The Robertsonian translocation type observed in our study is different from the 1BL/1RS translocation which is widely used in wheat production; it may be a novel and complex translocation form. Though the linkage between the desirable agronomic traits and the deleterious genes expressed as sticky dough has not got broken in T911289, the recovery of small segment translocation will still benefit the genetic study of wheat and rye.

3D elastic wave equation forward modeling based on the precise integration method

The Finite Difference （FD） method is an important method for seismic numerical simulations. It helps us understand regular patterns in seismic wave propagation, analyze seismic attributes, and interpret seismic data. However, because of its discretization, the FD method is only stable under certain conditions. The Arbitrary Difference Precise Integration （ADPI） method is based on the FD method and adopts an integration scheme in the time domain and an arbitrary difference scheme in the space domain. Therefore, the ADPI method is a semi-analytical method. In this paper, we deduce the formula for the ADPI method based on the 3D elastic equation and improve its stability. In forward modeling cases, the ADPI method was implemented in 2D and 3D elastic wave equation forward modeling. Results show that the travel time of the reflected seismic wave is accurate. Compared with the acoustic wave field, the elastic wave field contains more wave types, including PS- and PP- reflected waves, transmitted waves, and diffracted waves, which is important to interpretation of seismic data. The method can be easily applied to elastic wave equation numerical simulations for eoloical models.

Effects of V2O5 on Proliferation and Differentiation of Limb Bud Cells of Rat

The micromass culture was used to determine the effects of vanadium pentoxide (V2O5 ) on the proliferation and differentiation of limb bud cells of rat. In the in vitro test, the results showed that V2O5 had obvious inhibiting effects on both proliferation and differentiation of limb bud cells with a dosedependent response, its proliferating and differentiating IC50 being 13.64 and 4.77μmol/L, respectively. In the in vivo/in vitro test, the results showed that V2O5 had no obvious effect on cell proliferation but had obvious inhibiting effect on cell differentiation. These results indicated that V2O5 might have a specific inhibiting effect on the differentiation of limb bud cells.

Ascitic fluid analysis for diagnosis and monitoring of spontaneous bacterial peritonitis

Polymorphonuclear (PMN) cell count in the ascitic fluid is essential for the diagnosis and management of spontaneous bacterial peritonitis (SBP). To date, PMN cell count is routinely performed by traditional manual counting. However, this method is time-consuming, costly, and not always timely available. Therefore, considerable efforts have been made in recent years to develop an alternative test for a more rapid diagnosis and monitoring of SBP. The use of urinary reagent strips was proposed to achieve an "instant" bedside diagnosis of SBP. A series of reports evaluated the urine strip test for SBP diagnosis and reported promising results. However, a recent large multicenter study revealed a surprising lack of diagnostic effi cacy of the urine screening test for SBP diagnosis. Another method, more recently proposed as an alternative to the manual PMN count, is the measurement of lactoferrin in ascitic fluid, but the data available on the diagnostic value of this test are limited to a single study. However, both urinary reagent strips and ascitic lactoferrin tests are qualitative methods and need, therefore, to be further confirmed by standard cytology of the ascitic fluid. To date, the only quantitative method proposed as a valid alternative to manual PMN counting is automated blood cell counters, commonly used in all laboratories for blood cell counting. Data available in the literature on the diagnostic performance of this method are limited but very promising, and this tool seems to have the potential to replace the manual counting method.