Assessment of consistency between peer-reviewed publications and clinical trial registrations in nursing journals.

BACKGROUND: The inconsistencies between randomized clinical trials (RCTs) registrations and peer-reviewed publications may distort trial results and threaten the validity of evidence-based medicine. Previous studies have found many inconsistencies between RCTs registrations and peer-reviewed publications, and outcome reporting bias is prevalent. AIMS: The aims of this review were to assess whether the primary outcomes and other data reported in publications and registered records in RCTs of nursing journals were consistent and whether discrepancies in the reporting of primary outcomes favored statistically significant results. Moreover, we reviewed the proportion of RCTs for prospective registration. METHODS: We systematically searched PubMed for RCTs published in the top 10 nursing journals between March 5, 2020, and March 5, 2022. Registration numbers were extracted from the publications, and registered records were identified from the registration platforms. The publications and registered records were compared to identify consistency. Inconsistencies were subdivided into discrepancies and omissions. RESULTS: A total of 70 RCTs published in seven journals were included. The inconsistencies involved sample size estimation (71.4%), random sequence generation (75.7%), allocation concealment (97.1%), blinding (82.9%), primary outcomes (60.0%) and secondary outcomes (84.3%). Among the inconsistencies in the primary outcomes, 21.4% were due to discrepancies and 38.6% resulted from omissions. Fifty-three percent (8/15) presented discrepancies in the primary outcomes that favored statistically significant results. Additionally, although only 40.0% of the studies were prospective registrations, the number of prospectively registered trials has trended upward over time. LINKING EVIDENCE TO ACTION: While not including all RCTs in the nursing field, our sample reflected a general trend: inconsistencies between publications and trial registrations were prevalent in the included nursing journals. Our research helps to provide a way to improve the transparency of research reports. Ensuring that clinical practice has access to transparent and reliable research results are essential to achieve the best possible evidence-based medicine.

Cardiac Magnetic Resonance Assessment of the Protective Effect of Remote Ischemic Postconditioning on Coronary Microcirculation after Reperfusion Therapy for Acute ST-Segment Elevation Myocardial Infarction.

This study intends to evaluate the characteristics of coronary microcirculatory function in patients with myocardial infarction undergoing reperfusion and its predictive value in assessing cardiac function, myocardial activity, recovery of ventricular wall motion after infarction, and distant myocardial remodeling by cardiac magnetic resonance technique (CMRI). Materials and Methods. The 293 cases of patients with myocardial infarction treated in our hospital from August 2017 to August 2021 were selected as the subjects of this retrospective study, 13 cases were shed due to transfer and moving, and the rest were divided into 140 cases each in the emergency and elective groups according to emergency percutaneous coronary intervention (PCI) and elective PCI. The patients' myocardial infarct volume ventricular volume, microcirculatory obstruction volume ventricular volume, microcirculatory obstruction volume/myocardial infarct volume, and LVEF, combined with BP and troponin T, were analysed by CMR for comparative analysis, hemodynamic, and cardiac function index differences. Results. The hemodynamics (CO, CI, SV, SI, LVSW1, and LCW) measured at different times were significantly different between the two groups; patients in the emergency group had significantly lower EDV and ESV than the elective group at 7-10 d postoperatively; and EDV, ESV, and LVEF improved in both groups after 3 months, while EDV, ESV, and LVEF improved significantly better in the emergency group than in the elective group, and the difference was statistically significant (P < 0.05). The myocardial infarct quality, VSM score, and ventricular wall motion abnormality score were significantly lower in the emergency group than in the elective group from 7 to 10 d after PCI; myocardial infarct quality, VSM score, and ventricular wall motion abnormality score improved in both groups at 3 months after PCI; and the degree of improvement of myocardial infarct quality and VSM score was significantly better in the emergency group than in the elective group (P < 0.05). Conclusion. Acute myocardial infarction patients with significant effect of emergency PCI treatment can be on their postmyocardial infarction left ventricular function, and in the treatment of coronary heart disease, myocardial infarction diagnosis has a certain reference value.

[Occurrence and Ecological Risk Assessment of Typical Persistent Organic Pollutants in Hengshui Lake].

Sediment samples were collected from 11 typical sites in Hengshui Lake separately in August 2018 and March 2019. Characteristics and ecological risk assessment of typical persistent organic pollutants (POPs), including polycyclic aromatic hydrocarbons (PAHs), organochlorine pesticides (OCPs), and polybrominated diphenyl ethers (PBDEs), in these sediments were analyzed. The results showed that the average content of ΣPAHs in sediments of Hengshui Lake was 875.49 ng·g-1 and 1010.17 ng·g-1 in August 2018 and March 2019, respectively. Compared with other regions in China and abroad, ΣPAHs in sediments from Hengshui Lake were at moderate pollution level. Distribution of ΣPAHs varied between different sites, but the values changed within a narrow range in different seasons. Sources of PAHs in sediments from Hengshui Lake were complex, but combustion of wood and coal was the main source, followed by oil pollution. Generally, the ecological risk of PAHs was at a low level. However, fluorene pollution control should be strengthened. For ΣOCPs, the average values in sediments were 35.57 ng·g-1 and 38.39 ng·g-1 in August and March, respectively. Compared with other regions, the pollution of ΣOCPs was at a moderate level. In addition, the distribution of ΣOCPs varied a small amount between different sites. There were significant differences between the two seasons. The contents of DDTs in sediments were mainly related to the residual DDTs after long-term soil weathering and the input of recent DDTs sources. Contents of HCHs in sediments were influenced by the use of HCHs in industrial history and inputs of agricultural lindane. Generally, the ecological risk of OCPs was at a medium level, but the DDTs pollution control should be strengthened. For ΣPBDEs, the average values were 1.77 ng·g-1 and 1.45 ng·g-1 in the sediments in August 2018 and March 2019, respectively. Compared with other regions, they were at a lower pollution level. The distribution of ΣPBDEs showed small differences between different sites, and did not obviously vary between spring and summer. The PBDEs in sediments were mainly low-bromine PBDEs, which might be contaminated with penta-BDEs from textiles and foams. Additionally, PBDEs were also probably input by distant settlement and migration from the atmosphere, and soil flushing into the lake. PBDEs posed no immediate ecological risk.

A pooled analysis of the LAMP assay for the detection of Neisseria meningitidis.

BACKGROUND: Neisseria meningitidis is a major cause of bacterial meningitis, and these infections are associated with a high mortality rate. Rapid and reliable diagnosis of bacterial meningitis is critical in clinical practice. However, this disease often occurs in economically depressed areas, so an inexpensive, easy to use, and accurate technology is needed. We performed a pooled-analysis to assess the potential of the recently developed loop-mediated isothermal amplification (LAMP) assay for detection of meningococcus. METHODS: Pubmed, Embase, and Web of Science were searched to identify original studies that used the LAMP assay to detect meningococcus. After pooling of data, the sensitivity and specificity were calculated, a summary receiver operating characteristic (SROC) curve was determined, and the area under the SROC curve was computed to determine diagnostic accuracy. Publication bias was assessed using Deek's funnel plot. RESULTS: We examined 14 studies within 6 publications. The LAMP assay had high sensitivity (94%) and specificity (100%) in the detection of meningococcus in all studies. The area under the SROC curve (0.980) indicated high overall accuracy of the LAMP assay. There was no evidence of publication bias. DISCUSSION: The LAMP assay has accuracy comparable to bacterial culture and PCR for detection of meningococcus, but is less expensive and easier to use. We suggest the adoption of the LAMP assay to detect meningococcus, especially in economically depressed areas.

Emergency Information Systems for Performance Assessment Value Before and After the Child Abuse and Sexual Assault of Time After Medical Intervention.

This study was designed to investigate child abuse and sexual assault in the emergency medical treatment process, child abuse and sexual assault a total of 2014 years of the city informed of 82 accounted for 23 hospital. The use of teamwork and information systems intervention before and after, child abuse and sexual assault for the time required for medical treatment, the effectiveness of valuation step.Project object for child abuse and sexual abuse of patients in the emergency room. I Data were collected using direct observation and retrospective chart review method. The results show medical record was reduced from 11 to 4 step step; time from 1 hour 52 minutes to 46 minutes, greatly enhance emergency service satisfaction.

[Vertical Distribution and Pollution Risk Assessment of Nitrogen, Phosphorus, and Organic Matter in Sediment of Inflowing Rivers of Erhai Lake Estuarine Wetland in Wet and Dry Seasons].

The estuarine wetland of Luoshijiang River, which flows into Erhai Lake in Yunnan province, was regarded as the typical research object. Sediment samples in the estuarine wetland of Luoshijiang River were collected by the cylindrical sediment sampler and the samples were from surface layer (0-10cm), middle layer (10-30 cm), and bottom layer (30-60 cm). The vertical distribution of total nitrogen, total phosphorus, and total organic material in dry and rainy season was analyzed and contamination risk assessment of sediment was accomplished. The results showed that: ① In dry season, average concentrations of total nitrogen in sediment on surface, middle and bottom layer at estuarine wetland of Luoshijiang River were respectively 1.734, 1.453 and 1.255 g·kg-1, the average concentrations of total phosphorus were respectively 1.085, 1.034 and 0.992 g·kg-1, the average concentrations of organic material were respectively 59.051, 47.730 and 42.133 g·kg-1. In rainy season, average concentrations of total nitrogen in sediment on surface, middle and bottom layer at estuarine wetland of Luoshijiang River were respectively 1.147, 0.948 and 0.895 g·kg-1, the average concentrations of total phosphorus were respectively 0.599, 0.523 and 0.519 g·kg-1, the average concentrations of organic material were respectively 53.098, 46.897 and 43.395 g·kg-1. ② Single factor pollution index, organic nitrogen and organic index assessment were used to evaluate the contamination level of sediment, the assessment results showed that: In dry season, the contamination level of nitrogen and phosphorus in sediment was on severe level, organic material contamination was on medium level. In rainy season, the contamination levels of ON and OI were medium, and that of PI was mild. Generally, the contamination levels of nitrogen, phosphorus and organic material in sediment tendency were as follows: dry season>rainy season, and the pollution index of each layer followed the sequence of surface layer > middle layer > bottom layer, and the most extraordinary contamination of them on surface layer was uncovered whatever the season was. ③ Pollution origin of estuarine wetland of Luoshijiang River in dry and wet season had great differences, it was mainly the exogenous source in dry season, but it was the internal source in wet season; The potential risk of release of nutrient salt of sediment in dry season was higher than the wet, and the risk in the surface layer was the highest.

Effect of icarisid II on diabetic rats with erectile dysfunction and its potential mechanism via assessment of AGEs, autophagy, mTOR and the NO-cGMP pathway.

Erectile dysfunction (ED) is a major complication of diabetes mellitus. Icariin has been shown to enhance erectile function through its bioactive form, icarisid II. This study investigates the effects of icarisid II on diabetic rats with ED and its potential mechanism via the assessment of advanced glycosylation end products (AGEs), autophagy, mTOR and the NO-cGMP pathway. Icarisid II was extracted from icariin by an enzymatic method. In the control and diabetic ED groups, rats were administered normal saline; in the icarisid II group, rats were administered icarisid II intragastrically. Erectile function was evaluated by measuring intracavernosal pressure/mean arterial pressure (ICP/MAP). AGE concentrations, nitric oxide synthase (NOS) activity and cGMP concentration were assessed by enzyme immunoassay. Cell proliferation was analysed using methyl thiazolyl tetrazolium assay and flow cytometry. Autophagosomes were observed by transmission electron microscopy, monodansylcadaverine staining and GFP-LC3 localisation. The expression of NOS isoforms and key proteins in autophagy were examined by western blot. Our results have shown that Icarisid II increased ICP/MAP values, the smooth muscle cell (SMC) growth curve, S phase and SMC/collagen fibril (SMC/CF) proportions and decreased Beclin 1 (P<0.05). Icarisid II significantly increased the proliferative index and p-p70S6K(Thr389) levels and decreased the numbers of autophagosomes and the levels of LC3-II (P<0.01). Icarisid II decreased AGE concentrations and increased cGMP concentration, NOS activity (P<0.05) and cNOS levels (P<0.01) in the diabetic ED group. Therefore, Icarisid II constitutes a promising compound for diabetic ED and might be involved in the upregulation of SMC proliferation and the NO-cGMP pathway and the downregulation of AGEs, autophagy and the mTOR pathway.

Preoperative assessment of hilar cholangiocarcinoma: combination of cholangiography and CT angiography.

BACKGROUND: Hilar cholangiocarcinoma is one of the most difficult carcinomas to manage because of the location of the main tumor at the hepatic hilus and the complex anatomy of the biliary, arterial, and portal systems. To plan an operation, it is important to acquire accurate information about the relationship between hilar cholangiocarcinoma and adjacent vessels. This study aimed to evaluate the clinical value of cholangiography combined with spiral CT three-dimensional (3D) angiography for a preoperative assessment of hilar cholangiocarcinoma. METHODS: From March 2007 to August 2009, cholangiography was performed in 13 patients with hilar cholangiocarcinoma. Meanwhile, contrast-enhanced abdominal scanning was performed using 16-slice spiral CT, and the 3D images of the hepatic artery and portal vein were acquired. The level and range of invasion of the hepatic artery, the portal vein, and the bile duct, the preoperative Bismuth classification, and T-staging were recorded and compared with those after surgical exploration. RESULTS: The hepatic artery and portal vein were reconstructed successfully in all these patients. Percutaneous transhepatic cholangiography was performed in 9 patients, endoscopic retrograde cholangiopancreatography in 1, and magnetic resonance cholangiopancreatography in 3. The CT angiography records of invasion of the hepatic artery were consistent with the results of explorations in these patients. The data from 5 of the 13 patients were consistent with those on invasion of the portal vein. The results of the Bismuth classification and the T-staging system were consistent with those of surgical exploration in 12 of the 13 patients. Seven of 8 patients who were estimated to be suitable for operation based on images were curatively treated and 5 who were judged to be unsuitable for curative operation by cholangiography and CT angiography were confirmed intraoperatively and underwent palliative procedures. CONCLUSIONS: Cholangiography combined with multi-slice spiral 3D CT angiography can satisfactorily delineate the local invasion of hilar cholangiocarcinoma and accurately evaluate the resectability. This approach, therefore, contributes to the planning of safe operation.