RADIOFREQUENCY CATHTER ABLATION IN MANAGEMENT OF A GERONTAL PATIENT WITH PERMANENT JUNCTION RECIPROCATING TACHYCARDIA

Pettamna lintta Rfdpraittal Tuhyortk 【fAt) iwdy ion of urtylin* H nut or onij thnpr k X opdml, k am ou* oudbmyopuhy. b iko 【albd ubyculk aritonDopMiy In dfab.IUdlolteqD.ier Ckteto Ablujm (RFCA) i】 one of uk bot my to ml USa. A mUl rub* tb PJKT M DM npoiud Ihm Tie me ii lUty-one 】【ui oU nu, Etettophytlolotj Study (EPS) dmoMMri Ital a mlbonlc th u|b iBtemOtaiu Dodd lad UDtonfc duoufh 【tow piUmy 1C iko toned dow pithoy Lotmlbl kft poitaiiqxd, Wbm PJRT lpp【ub| the usnoiy puhwy mi ibkttd by RFCA to fee Id) pMooiqttl bcutoi. no mi pom 20Wx

Clinical significance of serum TK1 and PNI in the prognosis of geriatric patients with advanced non-small cell lung cancer:a retrospective study

Objective:This study was designed to evaluate the clinical significance of the serum thymidine kinase 1(TK1)and prognosis nutrition index(PNI)in the prognosis of elderly patients with advanced non-small cell lung cancer(NSCLC).Methods:A total of 126 elderly patients with advanced non-small cell lung cancer from Jan.2015 to Apr.2016 were enrolled.The clinical,pathological and survival information were collected.The serum TK1 level was measured as well as PNI was calculated when the patient was admitted to our hospital for the first time.The relationship between serum TK1,PNI,and clinical prognostic characteristics was analyzed.The clinical significance of serum TK1 and PNI in the prognosis of elderly patients with advanced non-small cell lung cancer was investigated.Results:The results showed that the survival time of the patients was related to TK1 and PNI.The further Kaplan-Meier method and log-rank tests showed that the long-term outcome of the high-TK1 group was significantly worse than low-TK1 group(mOS,27 m vs.15 m,P=0.047).Besides,the Kaplan-Meier method and log-rank tests also showed that the long-term outcome of high-PNI group was significantly better than low-PNI group(mOS,31.5 m vs.16 m,P=0.015).However,the Spearman’s correlation analysis showed there was no correlation between PNI and TK1.The univariate and multivariate analysis showed that TK1,PNI and the number of metastatic sites were independent prognostic factors.Conclusions:The study confirmed the TK1 and PNI were independent prognostic factors of advanced NSCLC in the elderly.More attention worth is paid in routine clinical practice for patients cell proliferation and nutritional status.

Evidence-based intervention on postoperative fear,compliance,and self-efficacy in elderly patients with hip fracture

BACKGROUND Elderly patients tend to have poor self-efficacy and poor confidence in postoperative rehabilitation for hip fractures,and are prone to negative emotions,which affect treatment compliance.AIM To evaluate the effects of evidence-based intervention on postoperative fear,compliance,and self-efficacy in elderly patients with hip fractures.METHODS A total of 120 patients with hip fracture surgically treated from June 2018 to June 2020 at the orthopedic department of our hospital were selected and divided into intervention and routine groups(n=60 each)according to different nursing methods.The basic rehabilitation methods of the two groups were consistent,but patients in the intervention group received evidence-based nursing interventions at the same time.Differences between groups in the scores of motion phobia,pain fear,rehabilitation training compliance,self-efficacy,nursing satisfaction,and hip joint function were compared before and after the intervention.RESULTS Before the intervention,there were no statistically significant differences in motion phobia and pain fear scores between the groups(all P>0.05).However,motion phobia scores at 1 wk after intervention initiation(P<0.05),and pain fear scores at 1 wk and 2 wk after intervention initiation(all P<0.05),were significantly lower in the intervention group than in the routine group.On the first day of intervention,there was no significant difference in rehabilitation treatment compliance between the groups(P>0.05);however,at 2 wk after intervention initiation,rehabilitation compliance was significantly better in the intervention group than in the routine group(P<0.05).Before the intervention,there were no statistically significant differences in the scores for the two self-efficacy dimensions(overcoming difficulties and rehabilitation exercise self-efficacy)and the total self-efficacy score between the groups(all P>0.05).After 2 wk of intervention,the scores for these two dimensions of self-efficacy and the total self-efficacy score were significantly higher in the intervention group than in the routine group(all P<0.05).At 3 and 6 mo after surgery,hip function as evaluated by the Harris hip score,was significantly better in the intervention group than in the routine group(P<0.05).Additionally,overall nursing satisfaction was significantly higher in the intervention group than in the routine group(P<0.05).CONCLUSION Evidence-based nursing intervention can alleviate fear of postoperative rehabilitation in elderly patients who underwent hip fracture surgery,and improve rehabilitation treatment compliance and patient self-efficacy,which promote hip function recovery.