护理行为干预在腹部手术后疼痛护理中的应用

Objective: To investigate the effect of behavioral intervention for the post-operation pain in abdomen. Methods: Forty patients from the county hospital during October 2013 to January 2014 were selected as the observation objects and randomly divided into two groups, intervention group and control groups with 20 patients in each．The control group received conventional general care and the intervention group received nursing behavior interventions，including, the effective evaluation of pain, improvement of health education, strengthening of physical intervention, psychological intervention and psychosocial intervention etc. Two sets of VAS scores and nursing intervention effects were analyzed with statistical methods. Results: After taking nursing behavior interventions，the intervention group had significantly lower VAS scores，and lower level was more significant than that in the control group，The difference has statistically significant P<0.05)．The intervention group has higher satisfaction for nursing service. Conclusion: The implementation of nursing behavior interventions can significantly relieve the patient pain, improve the postoperative analgesic treatment effect, and raise the quality of nursing and the comfort and satisfaction of the patients. Thereby reducing the incidence of postoperative complications, and promoting the patient recover. 目的 探讨护理行为干预对腹部手术后患者疼痛程度的影响。方法 选择某县人民医院2013年10月—2014年1月腹部手术后的部分患者作为实验对象，通过实验对照的方式，收集资料，随机抽取40名腹部手术后的患者分为对照组和实验组，每组各20人，对照组在实施腹部手术后采取常规的护理措施，实验组进行护理行为干预（有效的评估疼痛、完善健康教育、加强生理干预、心理干预及社会心理干预），应用统计学方法对比分析两组VAS评分及护理干预效果。结果 通过护理行为干预措施后，干预组患者的VAS评分明显降低，且降低程度较对照组更明显，差异有统计学意义(P<0.05)。干预组患者对护理服务满意度高。结论 护理行为干预能减轻腹部手术后患者的疼痛，提高术后镇痛治疗效果，提高患者的舒适度和满意度，增强患者对疼痛的耐受力，从而减少术后并发症的发生，促进患者恢复健康

N′-(4-Hydr­oxy-3-methoxy­benzyl­idene)-4-methoxy­benzohydrazide monohydrate

In the title compound, C16H16N2O4·H2O, the dihedral angle between the two aromatic rings is 19.6 (2)°. In the crystal structure, mol­ecules are linked into a three-dimensional network by inter­molecular N—H⋯O, O—H⋯N and O—H⋯O hydrogen bonds

N′-(5-Bromo-2-hydr­oxy-3-methoxy­benzyl­idene)-4-hydr­oxy-3-methoxy­benzohydrazide dihydrate

In the title compound, C16H15BrN2O5·2H2O, the dihedral angle between the two aromatic rings is 2.9 (2)° and an intra­molecular O—H⋯N hydrogen bond is observed. One of the water mol­ecule is disordered over two positions, with occupancies of 0.83 (3) and 0.17 (3). In the crystal structure, mol­ecules are linked into a three-dimensional network by inter­molecular O—H⋯O, O—H⋯(O,O), O—H⋯N and N—H⋯O hydrogen bonds. π–π inter­actions involving Br-substituted benzene rings, with a centroid–centroid distance of 3.552 (3) Å are also observed

Synchronous Detection of BPV and BVDV with Duplex Taqman qPCR Method

Background: Bovine parvovirus (BPV) and bovine viral diarrhea virus (BVDV) are commonly etiologies causing diarrhea in dairy herds. BPV is a member of bocaparvovirus genus with a non-enveloped capsid. BVDV, belonging to Pestivirus genus in Flaviviridae, possesses a single-stranded RNA, and is classified into BVDV-1 and BVDV-2 genotypes according to the 5’UTR sequence. 21 genetic groups of BVDV-1 and four groups of BVDV-2 have been found. Diagnosis of viral diarrhea is often relied on virus detection by isolation or detection of serum antibody. The main objective of the present study was to establish a duplex real time PCR (qPCR) based on Taqman probe to detect synchronously BPV and BVDV. Materials, Methods & Results: TaqMan probe and primers were designed and synthesized from the sequences of conserved 5′ - untranslated regions (5′ UTR) of Haden strain of BPV and NADL strain of BVDV. The cDNAs were transcribed in vitro to make standard curves before optimizing the assay. DNA/PCR products were ligated into pMD18-T vector, and then used to transfer BL-21 competent cells to acquire the recombinant plasmids of pMD18-T-BPV and pMD18-T-BVDV. Optimum reaction conditions were comparatively selected. The sensitivity, specificity and reproducibility of TaqMan probe qRT-PCR were evaluated respectively. The results showed the concentrations of pMD18-T-BPV or pMD18-T-BVDV were 2.0 × 1010 DNA copies/μL, respectively. A duplex Taqman qPCR method was developed by optimizing the amplification conditions to simultaneously detect BPV and BVDV. The assay targets at highly conserved VP2 gene of BPV and 5′ UTR gene of BVDV. This qPCR assay was assessed for specificity and sensitivity using DNA of BPV and cDNA of BVDV. For clinical validation, 308 samples were tested from clinically diarrhea calves. The results showed that optimum annealing temperature was achieved in 43.2 ℃ fro duplex BPV and BPIV. Dynamic curves and standard curves were created following amplification of recombinant plasmids using the optimized duplex Taqman BPV and BVDV, with an amplification efficiency of 95.69%. Duplex Taqman qPCR could only detect DNA of BPV and cDNA of BVDV with a strong specificity. The detection limitation was as low as 2.0 × 102 copies/μL of pMD18-T-BPV plasmid and 2.0 × 101 copies/μL for pMD18-T-BVDV plasmid, respectively. Sensitivity of detection was 100-fold higher than conventional PCR. Duplex Taqman qPCR had excellent repeatability or stability with less than 1.2% of intra-assay and inter-assay. 35 and 47 positive feces samples were identified using duplex Taqman qPCR in comparison to 30 and 42 positives for universal PCR, respectively. Discussion: The bovine viral diarrhea virus (BVDV) is a key pathogenic factor in bovine diarrhea. Currently, few effective measures are available for the treatment or prevention for BVDV and BPV infections in animals. The technique was proven to be repeatable and linear over a range of at least 5 magnitudes, from 101 to 105 RNA/DNA copies, thus ensuring an accurate measurement of BPV DNA and BVDV RNA loads in clinical samples. In conclusion, a duplex Taqman qPCR was established for detecting simultaneously BPV and BVDV. Taqman qPCR method was rapid and specific assay. This assay was 100-fold sensitive than conventional PCR. It will be propitious to rapidly and differentially diagnose pathogens of viral diarrhea of dairy farms. Taqman qPCR method was rapid and specific assay and had a sensitivity of 2.0 copies/μL

Detection of Pneumocystis jirovecii and Toxoplasma gondii in patients with lung infections by a duplex qPCR assay

Pneumocystis pneumonia (PCP) and pulmonary toxoplasmosis (PT) are caused by Pneumocystis jirovecii and Toxoplasma gondii. The clinical symptoms and imaging of PCP and PT are indistinguishable. A duplex qPCR was developed to differentiate between these two pathogens. In testing 92 clinical samples to validate the performance of this method for P. jirovecii detection, it identified 31 positive samples for P. jirovecii infection, consistent with clinical diagnosis. Among the remainder of the 61 clinical samples with suspected PCP, yet showing as negative by the conventional PCR diagnosis approach, 6 of them proved positive using our new assay. Our new approach also produced similar results in identification of T. gondii infections, giving a result of 2 positive and 20 negative in clinical samples. An investigation was undertaken on the prevalence of P. jirovecii and T. gondii infections using 113 samples from lung infection patients. 9% (10/113) were shown to be positive with infections of P. jirovecii, 2% with T. gondii (2/113) and 5% (6/113) were co-infected with both pathogens. Although this duplex qPCR can detect individual P. jirovecii and T. gondii infection, and co-infection of both pathogens, further large-scale investigations are needed to validate its performance, especially in T. gondii detection. Our assay provides a rapid and accurate tool for PCP and PT diagnosis in immunocompromised population and clinical surveillance of these infections in patients with no immune defects

A simulation study on the measurement of D0-D0bar mixing parameter y at BES-III

We established a method on measuring the \dzdzb mixing parameter $y$ for BESIII experiment at the BEPCII $e^+e^-$ collider. In this method, the doubly tagged $\psi(3770) \to D^0 \overline{D^0}$ events, with one $D$ decays to CP-eigenstates and the other $D$ decays semileptonically, are used to reconstruct the signals. Since this analysis requires good $e/\pi$ separation, a likelihood approach, which combines the $dE/dx$, time of flight and the electromagnetic shower detectors information, is used for particle identification. We estimate the sensitivity of the measurement of $y$ to be 0.007 based on a $20fb^{-1}$ fully simulated MC sample.Comment: 6 pages, 7 figure