临床压疮管理简易方法探究

To guarantee the fulfilling of nursing for pressure sores patients efficiently and normatively, we established "The quality evaluation standard of pressure score management", in which the content were comprehensive and the standard were definite.It is widely applied for clinical supervision, unified examination method, to guide clinical work, narrow the difference of evaluation, popularize the knowledge of pressure scores, improve the ability of would disposal, reported compliance rates of high risk of pressure scores increased as well as the rate of cure and nursing care of patients with pressure scores. Nursing care of patients with pressure sore was from passive to active, measures are effectively implemented, the management level of the skin was improved so that it turns out to be a simple and effective method. 为保证压疮护理各项措施的有效、规范落实，制定了《压疮管理质量评价标准》，其涵盖内容全面，工作标准明确。并依此进行临床督导，统一检查方法，指引临床工作，缩小评估差异，普及压疮知识，提高了创面处置能力，高危压疮上报符合率及压疮治愈好转率提高，压疮护理由被动变主动，措施得到有效落实，提高了皮肤管理水平，方法简单有效

FIELD APPLICATION OF THE PM LEADERSHIP THEORY ON THE SENIOR HIGH SCHOOL MASTERS OF SHANDONG PROVINCE IN CHINA

The teaching level of senior high school education is closely related to the management model and the leadership ability of the principal. This paper is an empirical study on the leadership behavior of the senior high school masters in Shandong Province using a modified from of the PM scale for leadership behavior assessment according to the characteristics of China’s educational system. The result of our research shows that the PM leadership behavior in the senior high school has these characteristics： The two functions of senior high school masters in “P” and “M” leadership behavior factors have significant differences when contrasted with the other organizations. Evaluations of teachers and managerial staff with regard to leadership behavior indicate a significant difference in the P leadership behavior factor. On the other hand, evaluations of teachers and the managerial staff indicate no significant difference in M leadership behavior factor. With regard to the values of working situation factors in schools, the teacher group and the managerial staff group indicate no significant difference in stimulation, satisfaction degree toward treatment and performance criteria, but indicate a distinctive difference in information communication. And, based on the present managerial situation of China’s senior high schools and the PM theory of leadership, some advice is presented on how to improve the management behavior of principals. Key words: leadership behaviour, P factor, M facto

Onsite data processing and monitoring for the Daya Bay Experiment

The Daya Bay Reactor Neutrino Experiment started running on September 23, 2011. The offline computing environment, consisting of 11 servers at Daya Bay, was built to process onsite data. With current computing ability, onsite data processing is running smoothly. The Performance Quality Monitoring system (PQM) has been developed to monitor the detector performance and data quality. Its main feature is the ability to efficiently process multi-data-stream from three experimental halls. The PQM processes raw data files from the Daya Bay data acquisition system, generates and publishes histograms via a graphical web interface by executing the user-defined algorithm modules, and saves the histograms for permanent storage. The fact that the whole process takes only around 40 minutes makes it valuable for the shift crew to monitor the running status of all the sub-detectors and the data quality

Experimental Investigation of Longitudinal Space-Time Correlations of the Velocity Field in Turbulent Rayleigh-B\'{e}nard Convection

We report an experimental investigation of the longitudinal space-time cross-correlation function of the velocity field, $C(r,\tau)$, in a cylindrical turbulent Rayleigh-B\'{e}nard convection cell using the particle image velocimetry (PIV) technique. We show that while the Taylor's frozen-flow hypothesis does not hold in turbulent thermal convection, the recent elliptic model advanced for turbulent shear flows [He & Zhang, \emph{Phys. Rev. E} \textbf{73}, 055303(R) (2006)] is valid for the present velocity field for all over the cell, i.e., the isocorrelation contours of the measured $C(r,\tau)$ have a shape of elliptical curves and hence $C(r,\tau)$ can be related to $C(r_E,0)$ via $r_E^2=(r-\beta\tau)^2+\gamma^2\tau^2$ with $\beta$ and $\gamma$ being two characteristic velocities. We further show that the fitted $\beta$ is proportional to the mean velocity of the flow, but the values of $\gamma$ are larger than the theoretical predictions. Specifically, we focus on two representative regions in the cell: the region near the cell sidewall and the cell's central region. It is found that $\beta$ and $\gamma$ are approximately the same near the sidewall, while $\beta\simeq0$ at cell center.Comment: 16 pages, 15 figures, submitted to J. Fluid Mec

Mtmr8 is essential for vasculature development in zebrafish embryos

<p>Abstract</p> <p>Background</p> <p>Embryonic morphogenesis of vascular and muscular systems is tightly coordinated, and a functional cooperation of Mtmr8 with PI3K in actin filament modeling and muscle development has been revealed in zebrafish. Here, we attempt to explore the function of Mtmr8 in vasculature development parallel to its function in muscle development.</p> <p>Results</p> <p>During early stage of somitogenesis, <it>mtmr8 </it>expression was detected in both somitic mesodem and ventral mesoderm. Knockdown of <it>mtmr8 </it>by morpholino impairs arterial endothelial marker expression, and results in endothelial cell reduction and vasculogenesis defects, such as retardation in intersegmental vessel development and interruption of trunk dorsal aorta. Moreover, <it>mtmr8 </it>morphants show loss of arterial endothelial cell identity in dorsal aorta, which is effectively rescued by low concentration of PI3K inhibitor, and by over-expression of <it>dnPKA </it>mRNA or <it>vegf </it>mRNA. Interestingly, <it>mtmr8 </it>expression is up-regulated when zebrafish embryos are treated with specific inhibitor of Hedgehog pathway that abolishes arterial marker expression.</p> <p>Conclusion</p> <p>These data indicate that Mtmr8 is essential for vasculature development in zebrafish embryos, and may play a role in arterial specification through repressing PI3K activity. It is suggested that Mtmr8 should represent a novel element of the Hedgehog/PI3K/VEGF signaling cascade that controls arterial specification.</p

Changes of plasma fibroblast growth factor-21 (FGF-21) in oral glucose tolerance test and effects of metformin on FGF-21 levels in type 2 diabetes mellitus

Wstęp: Badanie przeprowadzono w celu ustalenia, czy czynnik wzrostu fibroblastów-21 (FGF-21) uczestniczy w regulacji stężenia glukozy i czy zastosowanie metforminy u chorych na cukrzycę wpływa na stężenie FGF-21. Materiał i metody: Do badania włączono 43 osoby, w tym 27 chorych z nowo rozpoznaną cukrzycą typu 2 (nT2DM). U wszystkich przeprowadzono test doustnego obciążenia 75 g glukozy (OGTT). Próbki krwi pobrano w 0., 60.,120. i 180. minucie testu. Osobom z nT2DM zaproponowano udział w dalszych badaniach; zastosowano u nich metforminę w dawce 1,0 g/dobę przez tydzień. Wyniki: Zmiany stężenia FGF-21 w osoczu podczas OGTT zaobserwowano tylko w grupie chorych na nT2DM; w grupie kontrolnej stężenie FGF-21 pozostało niezmienione. Nie stwierdzono, by stężenia FGF-21 w poszczególnych punktach czasowych różniły się w zależności od płci badanych (p < 0,05). Zastosowanie metforminy u osób z nT2DM spowodowało istotne zmniejszenie stężeń glukozy i FGF-21 we wszystkich punktach czasowych OGTT oraz zmniejszenie stężenia insuliny w 60. i 180. minucie, co wskazuje na obniżenie wskaźnika HOMA-IR. Wnioski: FGF-21 nie uczestniczy w krótkoterminowej regulacji glikemii u ludzi, a zmiany jego stężenia podczas OGTT są opóźnione w T2DM. Być może FGF-21 bierze udział w metabolizowaniu metforminy, zwiększając wrażliwość na glukozę i insulinę. (Endokrynol Pol 2013; 64 (3): 220&#8211;224)Introduction: The objectives of our study were to investigate whether fibroblast growth factor-21 (FGF-21) is involved in short-term regulation of glucose and the change of FGF-21 after metformin use in diabetic subjects. Material and methods: 43 subjects were recruited in the study, including 27 new-onset type 2 diabetes patients (nT2DM). A 75 g oral glucose tolerance test (OGTT) was administered to them. Blood samples were taken at 0, 60 ,120 and 180 minute of OGTT. nT2DM subjects were invited for further investigation, metformin was administered in a dose of 1.0 g every day for 1 week. Results: Plasma FGF-21 changed significantly in the nT2DM group during the OGTT administration but not in the control group. No gender differences were observed at different time points in FGF-21 levels (p < 0.05). Administration of metformin for nT2DM resulted in a significant decrease in both glucose and FGF-21 at all OGTT times and in insulin at 60 min and 180 min, indicative of a decrease in HOMA-IR. Conclusion: FGF-21 does not seem to be involved in short-term regulation of glycaemia in human subjects, and the change in OGTT delayed in T2DM. FGF-21 may participate in the processing of metformin, improving glucose and insulin sensitivity. (Pol J Endocrinol 2013; 64 (3): 220&#8211;224

MiRNA-145 increases therapeutic sensibility to gemcitabine treatment of pancreatic adenocarcinoma cells.

Pancreatic adenocarcinoma is one of the most leading causes of cancer-related deaths worldwide. Although recent advances provide various treatment options, pancreatic adenocarcinoma has poor prognosis due to its late diagnosis and ineffective therapeutic multimodality. Gemcitabine is the effective first-line drug in pancreatic adenocarcinoma treatment. However, gemcitabine chemoresistance of pancreatic adenocarcinoma cells has been a major obstacle for limiting its treatment effect. Our study found that p70S6K1 plays an important role in gemcitabine chemoresistence. MiR-145 is a tumor suppressor which directly targets p70S6K1 for inhibiting its expression in pancreatic adenocarcinoma, providing new therapeutic scheme. Our findings revealed a new mechanism underlying gemcitabine chemoresistance in pancreatic adenocarcinoma cells