Fast-track program vs traditional care in surgery for gastric cancer

AIM:To systematically review the evidence for the effectiveness of fast-track program vs traditional care in laparoscopic or open surgery for gastric cancer.METHODS:PubMed,Embase and the Cochrane library databases were electronically searched for published studies between January 1995 and April 2013,and only randomized trials were included.The references of relevant studies were manually searched for further studies that may have been missed.Search terms included"gastric cancer","fast track"and"enhanced recovery".Five outcome variables were considered most suitable for analysis:postoperative hospital stay,medical cost,duration to first flatus,C-reactive protein(CRP)level and complications.Postoperative hospital stay was calculated from the date of operation to the date of discharge.Fixed effects model was used for meta-analysis.RESULTS:Compared with traditional care,fasttrack program could significantly decrease the postoperative hospital stay[weighted mean difference(WMD)=-1.19,95%CI:-1.79--0.60,P=0.0001,fixed model],duration to first flatus(WMD=-6.82,95%CI:-11.51--2.13,P=0.004),medical costs(WMD=-2590,95%CI:-4054--1126,P=0.001),and the level of CRP(WMD=-17.78,95%CI:-32.22--3.35,P=0.0001)in laparoscopic surgery for gastric cancer.In open surgery for gastric cancer,fast-track program could also significantly decrease the postoperative hospital stay(WMD=-1.99,95%CI:-2.09--1.89,P=0.0001),duration to first flatus(WMD=-12.0,95%CI:-18.89--5.11,P=0.001),medical cost(WMD=-3674,95%CI:-5025--2323,P=0.0001),and the level of CRP(WMD=-27.34,95%CI:-35.42--19.26,P=0.0001).Furthermore,fast-track program did not significantly increase the incidence of complication(RR=1.39,95%CI:0.77-2.51,P=0.27,for laparoscopic surgery;and RR=1.52,95%CI:0.90-2.56,P=0.12,for open surgery).CONCLUSION:Our overall results suggested that compared with traditional care,fast-track program could result in shorter postoperative hospital stay,less medical costs,and lower level of CRP,with no more complications occurring in both laparoscopic and open surgery for gastric cancer.

Progress in Traditional Chinese and Weste rn Medicine Treatments and Nursing Care of Knee Osteoarthritis

This paper reviews the causes of knee osteoarthritis, traditional Chinese and Western medicine therapies and nursing research progress and indicates that traditional Chinese and Western medicine have gradually recognized the cause of knee osteoarthritis. Knee osteoarthritis has been treated with various treatments and nursing care planning, and the combination of traditional Chinese and Western medicine has constantly been improved. Nurses should instruct the discharged patient to correctly treat their disease, adopt the health education, and, via the establishment of a healthy lifestyle, insist on a functional exercise to relieve the pain, delay disease progression, and improve quality of life.

Traditional Chinese nursing care for post-stroke depression patients:A review

Objective:To probe into the status quo of degree of mental illness and traditional Chinese nursing care in patients with post-stroke depression,so as to provide evidences for improving patient’ quality of life totally.It will promote the recovery of the depression of the patients more effectively.Methods:Screening,analyzing,summarizing a great deal of domestic and foreign literature on post-stroke depression.Results:The comprehensive nursing interventions of TCM for patients with post-stroke depression is beneficial to the relief of their depressive symptoms and improve the quality of life of patients,such as TCM treatment of acupuncture,acupressure,music therapy,acupuncture,dietary care and rehabilitation training for Chinese medicine,etc.Conclusion:Depression is a problem worthy of attention after stroke.Nursing staff need to master the relevant knowledge to take effective interventions to meet the goals of doctors,nurses and patients.

An ethnobotanical survey of medicinal plants used by ethnic people in West and South district of Tripura, India

An ethno-medicinal investigation was conducted to highlights the traditional knowledge of medicinal plants being used by the tribe in West and South district of Tripura. This paper provides information about the different uses of plants used in their primary health care system. Tripura is a small north-eastern state of India and also a part of both Himalayan and Indo-Burma biodiversity region. It is a goldmine of medicinal plants and use of different plants in tribal traditional heath care systems has long history. Nineteen different tribes in Tripura, depend on natural resources at a great extent. This paper documented 113 medicinal plant species from 56 families along with their botanical name, local name, family name, habit, medicinal parts used, and traditional usage of application. The dominant families are Euphorbiaceae （7 species）, Apocynaceae （6 species）, Fabaceae and Rubiaceae （5 species each）, Caesalpiniaceae, Asteraceae, Liliaceae and Verbenaceae （4 species each）, Combretaceae, Labiatae, Malvaceae, Rutaceae and Zingiberaceae （3 species each）. Tribes of Tripura have rich traditional knowledge on plant based medicine. Different parts of the plants in crude form/plant extracts/decoctions/infusion or pastes are employed in diverse veterinary and human diseases by the tribe＇s of Tripura in daily life.

全程优质护理在急性心肌梗塞患者中的应用效果

目的:探讨全程优质护理在急性心肌梗塞患者中的护理效果。方法:将80例患者分为改进组(优质护理,n=40)和常规组(传统护理模式,n=40)两组。结果:实施全程优质护理后,改进组患者的平均住院天数、平均住院费用明显下降(P<0.05),患者满意度和护理质量评分也明显提高(P<0.05)。结论:通过两组比较,全程优质护理能增加患者满意度、缩短住院时间、降低住院费用、促进患者康复。

Ethnobotanical and Indigenous Knowledge of Important Plants in East Hararghe, Eastern Ethiopia

An ethnobotanical study was conducted in East Hararghe, Ethiopia to identify and investigate the use of various plants by the traditional healers and communities engaged in domestic, pesticide and medicinal use. A total of 78 species were observed to be used by the local inhabitants in the region for the treatments of various ailments. Out of these, herbs constitute 49% followed by trees(36%) and shrubs only 15%. However, most frequently used plant parts were leaf and aerial parts(20) followed by seed(13), fruit(12), other parts(10), rhizome(7) and bark(1). Most of the plants were found to be used for medicinal, aromatic and food flavouring(spices, condiments) purposes. Out of 78 species recorded in the present study, 11 were reported to cure stomachache, seven for cold, cough and respiratory problem, six for diarrhoea and five species were found capable of curing fever. Fabaceae was the largest family contributing to medicinal plant use with seven species followed by Solanaceae, Myrtaceae,(5 spp.), and Zingiberaceae, Asteraceae, Liliaceae(4 spp. each). Some of the important plants utilized for taking care of variety of ailments are Azadirachta indica, Brassica nigra, Balanites aegyptiaca, Maytenus ovatus, Rosmarinus officinalis and Trigonella foenum graecum. Most of these medicinal and aromatic plants(MAPs) play a significant role in the household economy and were observed to be very popular among the people. Unpopular plants were left out of the study. This study provides useful and basic information on usage of different plants for conducting further studies aimed at conservation and documentation of traditional medicine system and economic welfare of rural peoples of the East Hararghe, Ethiopia. It also revealed that indigenous practices contributed to sustainable management of plants.

Practice of the construction and management of TCM nursing outpatient service--takes a breast specialty in a third-grade hospital in Beijing as an example

Through the phased construction,the breast specialty traditional Chinese medicine(TCM)nursing clinic of our hospital has achieved good results.From 2017 to 2019,the number of patients increased by 7.6%,and the clinical cure rate increased by 9.4%.Take the breast specialty TCM nursing clinic of our hospital as an example,introduce the registration method of TCM nursing clinic,the TCM nurse home call qualification,service mode,and the clinical diagnosis and treatment effect of specialty TCM nursing.It is pointed out that the construction of TCM nursing clinic needs to be guided by clinical efficacy,and to provide patients with professional TCM care through clear positioning,disease refinement,medical division of labor,and highlighting the technical characteristics of TCM nursing.By reviewing the construction and development of breast specialty TCM nursing clinic in our hospital,we introduced the experience in detail,in order to provide ideas and guidance for the construction of other clinical specialty TCM nursing clinic.