In December 2019, a new type viral pneumonia cases occurred in Wuhan, Hubei Province;and then named "2019 novel coronavirus(2019-nCoV)" by the World Health Organization(WHO) on 12 January 2020. For it is a n...In December 2019, a new type viral pneumonia cases occurred in Wuhan, Hubei Province;and then named "2019 novel coronavirus(2019-nCoV)" by the World Health Organization(WHO) on 12 January 2020. For it is a never been experienced respiratory disease before and with infection ability widely and quickly, it attracted the world’s attention but without treatment and control manual. For the request from frontline clinicians and public health professionals of 2019-nCoV infected pneumonia management, an evidence-based guideline urgently needs to be developed. Therefore, we drafted this guideline according to the rapid advice guidelines methodology and general rules of WHO guideline development;we also added the first-hand management data of Zhongnan Hospital of Wuhan University. This guideline includes the guideline methodology, epidemiological characteristics, disease screening and population prevention, diagnosis, treatment and control(including traditional Chinese Medicine), nosocomial infection prevention and control, and disease nursing of the 2019-nCoV. Moreover, we also provide a whole process of a successful treatment case of the severe 2019-nCoV infected pneumonia and experience and lessons of hospital rescue for 2019-nCoV infections. This rapid advice guideline is suitable for the first frontline doctors and nurses, managers of hospitals and healthcare sections, community residents, public health persons, relevant researchers, and all person who are interested in the 2019-nCoV.展开更多
Objective:To provide some valuable research ideas for the prevention of 2019-nCoV through reviewing and commenting the Chinese herbs in existing prevention programs of TCM.Methods:Firstly,searching the prevention and ...Objective:To provide some valuable research ideas for the prevention of 2019-nCoV through reviewing and commenting the Chinese herbs in existing prevention programs of TCM.Methods:Firstly,searching the prevention and treatment programs for 2019-nCoV issued before January 29,2020.There are only three sources that can be selected in,including national and provincial health commissions,research and clinical institutes of TCM and national famous TCM doctors.Secondly,from the collections of all prevention and treatment programs,we sorted out prevention parts within Chinese herbs or patent drugs.Thirdly,we divided these TCM prevention programs into three categories and the classification is based on the two aspects of Zhengqi and pathogenic factors.Results:We classified the herbs into three parts:dispelling pathogenic factors mainly,tonifying Zhengqi with dispelling pathogenic factors and syndrome differentiation according to the two most important aspects,Zhengqi and pathogenic factors in TCM prevention theory.Reviewing the above three parts according to TCM theories and introducing some modern pharmacological researches of these herbs.Some matters needing attention were pointed out in clinical application of traditional Chinese herbs.Comments and perspectives:We made the comments on shortcomings of the present situation and look forward to what can be done later from three aspects:collection of clinical data,clinical controlled study and modern pharmacological research.展开更多
Listed examples of virus transmission epidemics that can be strongly transmitted through the air<span "=""> </span><span style="font-family:Verdana;">caused by sunspot change...Listed examples of virus transmission epidemics that can be strongly transmitted through the air<span "=""> </span><span style="font-family:Verdana;">caused by sunspot change cycle</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">analyzed the mechanism that promotes the generation of new viruses. From the schematic diagram of the changes in the combined force of the hydrodynamic effect of the sun sweeping the earth and the sweeping force, </span><span style="font-family:Verdana;">we </span><span style="font-family:Verdana;">obtain the </span><span style="font-family:Verdana;">places that are prone to light vortices are 30 degrees north latitude and 30 degrees</span><span "=""> </span><span style="font-family:Verdana;">south latitude on the east coast of the mainland creatively</span><span style="font-family:Verdana;">. </span><span style="font-family:Verdana;">The curved continental lines are perfect, the range of the light vortex generated is more obviously, and the effect is stronger. And the curved continental lines are perfect, the range of the light vortex generated is more obviously, and the effect is stronger. It is inferred that the light vortex produces the special amplified energy so</span><span style="font-family:Verdana;"> that can</span><span style="font-family:Verdana;"> make the virus mutate to produce a new highly infectious novel coronavirus. The earliest known place and time of the novel coronavirus origin are consistent with the reasoning of the new theory. Because the radius and frequency of the light vortex are different, the resulting virus strains are also different. Moreover, the fatality rate in the light vortex area is much higher than that in the non-light vortex area, indicating that the virus</span><span style="font-family:Verdana;">’</span><span style="font-family:Verdana;">s toxicity and lethality are higher in the light vortex area, so it can explain why Russia, India, and countries in the African equatorial region mortality are much lower than the United States, Italy, Spain and Brazil. Finally, preventive and recommended measures are proposed.</span>展开更多
At present,patients with coronavirus disease 2019(COVID‑19)are showing a surge in the world,to explore the clinical characteristics,treatment,and care of different types of COVID‑19.The authors reviewed the existing l...At present,patients with coronavirus disease 2019(COVID‑19)are showing a surge in the world,to explore the clinical characteristics,treatment,and care of different types of COVID‑19.The authors reviewed the existing literature,selected,and analyzed the diagnosis and treatment records of 11 patients with COVID‑19 who were initially cured,including patient information,clinical manifestations,auxiliary examination results,treatment principles,nursing evaluation,nursing goals,nursing diagnosis,and nursing measures,and found clinical similarities and differences in the care of different types of patients.Among them,nine patients recovered and discharged after receiving treatment,and two died.As there is no specific medicine,only symptomatic treatment and supportive treatment can be given.Eleven common nursing measures and special nursing measures of different levels were carried out for patients diagnosed with mild,common,severe,and critical illnesses,and different treatment methods were given according to the severity of signs and symptoms.By summarizing the similarities and differences of clinical nursing interventions,we hope to help improve the quality of care for patients diagnosed with COVID‑19.展开更多
To date,there are no known specific antiviral medicines recommended for coronavirus disease 2019(COVID‑19).The treatment mainly focuses on the improvement of the immunity of the individual and the application of palli...To date,there are no known specific antiviral medicines recommended for coronavirus disease 2019(COVID‑19).The treatment mainly focuses on the improvement of the immunity of the individual and the application of palliative treatment.A case of a patient diagnosed with mild COVID‑19 and then later developed common COVID‑19 which was treated and closely monitored at home will be presented.The patient was advised for self‑quarantine with several prescribed medications.Nursing home and self‑care advice were given to the patient,including a change of lifestyle for the duration of the isolation,medication advice,symptomatic care,change of diet,how to monitor the progress of the disease,psychological care,and follow‑up instructions.During the course of the nursing plan,the patient showed significant improvements,and normal life functions were restored.On February 05,2020,novel coronavirus nucleic acid test showed negative after re‑examination;the patient was cured.Therefore,providing adequate nursing plan for home‑based self‑care treatment can effectively cure mild and common cases of COVID‑19.展开更多
2019新型冠状病毒(2019 novel coronavirus,2019-nCoV),因2019年12月发生在中国武汉的不明原因病毒性肺炎病例而被发现,并于2020年1月12日被世界卫生组织(World Health Organization,WHO)命名。在之后的1个月内,2019-nCoV在湖北省内、...2019新型冠状病毒(2019 novel coronavirus,2019-nCoV),因2019年12月发生在中国武汉的不明原因病毒性肺炎病例而被发现,并于2020年1月12日被世界卫生组织(World Health Organization,WHO)命名。在之后的1个月内,2019-nCoV在湖北省内、中国甚至其他国家传播,造成了数以千计病例的出现,同时也引起了民众一定程度的恐慌。本指南的制订希望能够从疾病流行病学、病因学、诊断、治疗、护理、医院感染控制等方面给临床医师、社区居民等提供医疗护理及居家照护的相关指导。展开更多
基金supported(in part)by the Entrusted Project of National Center for Medical Service Administration,National Health and Family Planning Commission China(No.[2019]099)the First Level Funding of the Second Medical Leading Talent Project in Hubei Provincethe Special Project for Emergency of the Ministry of Science and Technology(2020YFC0841300)。
文摘In December 2019, a new type viral pneumonia cases occurred in Wuhan, Hubei Province;and then named "2019 novel coronavirus(2019-nCoV)" by the World Health Organization(WHO) on 12 January 2020. For it is a never been experienced respiratory disease before and with infection ability widely and quickly, it attracted the world’s attention but without treatment and control manual. For the request from frontline clinicians and public health professionals of 2019-nCoV infected pneumonia management, an evidence-based guideline urgently needs to be developed. Therefore, we drafted this guideline according to the rapid advice guidelines methodology and general rules of WHO guideline development;we also added the first-hand management data of Zhongnan Hospital of Wuhan University. This guideline includes the guideline methodology, epidemiological characteristics, disease screening and population prevention, diagnosis, treatment and control(including traditional Chinese Medicine), nosocomial infection prevention and control, and disease nursing of the 2019-nCoV. Moreover, we also provide a whole process of a successful treatment case of the severe 2019-nCoV infected pneumonia and experience and lessons of hospital rescue for 2019-nCoV infections. This rapid advice guideline is suitable for the first frontline doctors and nurses, managers of hospitals and healthcare sections, community residents, public health persons, relevant researchers, and all person who are interested in the 2019-nCoV.
基金supported by grant from the Research Project for 2019-nCoV of TCM School of Hainan Medical University.
文摘Objective:To provide some valuable research ideas for the prevention of 2019-nCoV through reviewing and commenting the Chinese herbs in existing prevention programs of TCM.Methods:Firstly,searching the prevention and treatment programs for 2019-nCoV issued before January 29,2020.There are only three sources that can be selected in,including national and provincial health commissions,research and clinical institutes of TCM and national famous TCM doctors.Secondly,from the collections of all prevention and treatment programs,we sorted out prevention parts within Chinese herbs or patent drugs.Thirdly,we divided these TCM prevention programs into three categories and the classification is based on the two aspects of Zhengqi and pathogenic factors.Results:We classified the herbs into three parts:dispelling pathogenic factors mainly,tonifying Zhengqi with dispelling pathogenic factors and syndrome differentiation according to the two most important aspects,Zhengqi and pathogenic factors in TCM prevention theory.Reviewing the above three parts according to TCM theories and introducing some modern pharmacological researches of these herbs.Some matters needing attention were pointed out in clinical application of traditional Chinese herbs.Comments and perspectives:We made the comments on shortcomings of the present situation and look forward to what can be done later from three aspects:collection of clinical data,clinical controlled study and modern pharmacological research.
文摘Listed examples of virus transmission epidemics that can be strongly transmitted through the air<span "=""> </span><span style="font-family:Verdana;">caused by sunspot change cycle</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">analyzed the mechanism that promotes the generation of new viruses. From the schematic diagram of the changes in the combined force of the hydrodynamic effect of the sun sweeping the earth and the sweeping force, </span><span style="font-family:Verdana;">we </span><span style="font-family:Verdana;">obtain the </span><span style="font-family:Verdana;">places that are prone to light vortices are 30 degrees north latitude and 30 degrees</span><span "=""> </span><span style="font-family:Verdana;">south latitude on the east coast of the mainland creatively</span><span style="font-family:Verdana;">. </span><span style="font-family:Verdana;">The curved continental lines are perfect, the range of the light vortex generated is more obviously, and the effect is stronger. And the curved continental lines are perfect, the range of the light vortex generated is more obviously, and the effect is stronger. It is inferred that the light vortex produces the special amplified energy so</span><span style="font-family:Verdana;"> that can</span><span style="font-family:Verdana;"> make the virus mutate to produce a new highly infectious novel coronavirus. The earliest known place and time of the novel coronavirus origin are consistent with the reasoning of the new theory. Because the radius and frequency of the light vortex are different, the resulting virus strains are also different. Moreover, the fatality rate in the light vortex area is much higher than that in the non-light vortex area, indicating that the virus</span><span style="font-family:Verdana;">’</span><span style="font-family:Verdana;">s toxicity and lethality are higher in the light vortex area, so it can explain why Russia, India, and countries in the African equatorial region mortality are much lower than the United States, Italy, Spain and Brazil. Finally, preventive and recommended measures are proposed.</span>
文摘At present,patients with coronavirus disease 2019(COVID‑19)are showing a surge in the world,to explore the clinical characteristics,treatment,and care of different types of COVID‑19.The authors reviewed the existing literature,selected,and analyzed the diagnosis and treatment records of 11 patients with COVID‑19 who were initially cured,including patient information,clinical manifestations,auxiliary examination results,treatment principles,nursing evaluation,nursing goals,nursing diagnosis,and nursing measures,and found clinical similarities and differences in the care of different types of patients.Among them,nine patients recovered and discharged after receiving treatment,and two died.As there is no specific medicine,only symptomatic treatment and supportive treatment can be given.Eleven common nursing measures and special nursing measures of different levels were carried out for patients diagnosed with mild,common,severe,and critical illnesses,and different treatment methods were given according to the severity of signs and symptoms.By summarizing the similarities and differences of clinical nursing interventions,we hope to help improve the quality of care for patients diagnosed with COVID‑19.
文摘To date,there are no known specific antiviral medicines recommended for coronavirus disease 2019(COVID‑19).The treatment mainly focuses on the improvement of the immunity of the individual and the application of palliative treatment.A case of a patient diagnosed with mild COVID‑19 and then later developed common COVID‑19 which was treated and closely monitored at home will be presented.The patient was advised for self‑quarantine with several prescribed medications.Nursing home and self‑care advice were given to the patient,including a change of lifestyle for the duration of the isolation,medication advice,symptomatic care,change of diet,how to monitor the progress of the disease,psychological care,and follow‑up instructions.During the course of the nursing plan,the patient showed significant improvements,and normal life functions were restored.On February 05,2020,novel coronavirus nucleic acid test showed negative after re‑examination;the patient was cured.Therefore,providing adequate nursing plan for home‑based self‑care treatment can effectively cure mild and common cases of COVID‑19.
文摘2019新型冠状病毒(2019 novel coronavirus,2019-nCoV),因2019年12月发生在中国武汉的不明原因病毒性肺炎病例而被发现,并于2020年1月12日被世界卫生组织(World Health Organization,WHO)命名。在之后的1个月内,2019-nCoV在湖北省内、中国甚至其他国家传播,造成了数以千计病例的出现,同时也引起了民众一定程度的恐慌。本指南的制订希望能够从疾病流行病学、病因学、诊断、治疗、护理、医院感染控制等方面给临床医师、社区居民等提供医疗护理及居家照护的相关指导。
