ABSTRACT
Objective To explore the effect of SBAR communication mode in handover between delivery room and neonatal department. Methods A total of 100 cases of neonates transferred from neonatal intensive care unit from March to June 2016 were selected as the control group.The traditional oral transfer mode was used. From June to September 2016, 106 cases of newborn infants who were transferred to neonatal intensive care unit were observed in the observation group. The newborns were transferred with SBAR structural framework. The differences of the integrity, the correct rate, the proportion of adverse events,the transfer time and the satisfaction of the medical staff in the 2 groups were compared. Results The integrity, the correct rate, the proportion of adverse events, the satisfaction of the medical and nursing staff on the integrity of the handover, the accuracy of the description of the disease,the practicality,and the operability were 99.06%(105/106), 99.06%(105/106), 15.09%(16/106), 93.33%(28/30), 90.00%(27/30), 96.67%(29/30), 93.33%(28/30) in the observation group, 89.00%(89/100), 94.00%(94/100),2.00%(2/100),63.33%(19/30),60.00%(18/30),73.33%(22/30),26.67%(8/30)in the control group,the differences were significant(χ2=4.008-27.778,P<0.05 or 0.01).There was no significant difference in the transit time (P> 0.05). Conclusions The design and application of the handover record based on SBAR communication mode in the delivery room and neonatal department improve the integrity of the patient′s condition,the correct rate,can detect adverse events in time.The staff were more comprehensive,more accurate description of the disease description, this form is simple and practical, operable, by the clinical staff of the trust,it is worth in the delivery room and the promotion of the use of newborns.
ABSTRACT
Objective To explore the clinical,neuroimage,and neuropsychological profiles of semantic dementia (SD).Methods Detailed medical history were collected on 18 SD patients.Brain MRI scans were administered.Neuropsychological evaluation taping semantic memory (things naming),overall cognitive function ( Mini-mental State Examination,MMSE),visuoconstructive skill ( Clock Drawing Test,CDT), daily functional ability (Activities of Daily Living, ADL), neuropsychiatric symptoms (Neuropsychiatric Inventory,NPI),and disease severity (Frontotemporal Lobar Degeneration Modified Clinical Dementia Rating Scale,FTLD-CDR) were performed on all patients.Results The mean age at onset was (60.6 ± 8.5 ) years,with 5 cases over 65. All patients developed progressive word-finding difficulty and anomic speech.Ten patients complained significant memory impairment and 14 experienced behavioral disturbance.Five patients were previously diagnosed as Alzheimer' s disease (AD) and 1 as schizophrenia.All patients developed marked semantic memory impairment both for living things and nonliving things.The mean score on MMSE was 10.94 ± 8.86,with 16 cases performed incorrectly on naming.Mean score on CDT copy was 4.61 ±0.85,with 14 cases scored normally.Mean score on ADL was 29.72 ± 8.75.Cases with a 5-year course showed a significant overall decline.Fourteen cases presented behavior symptoms and scored 8.00 ± 7.22 on NPI.All patients scored worst on language domain among all the domains evaluated in FTLD-CDR.Atrophy,typically involving the left anterior temporal was shown on MRI scans.However,predominantly right temporal atrophy was observed in one patient.Atrophy confined to the temporal lobe in patients with early stage and extended to the contralateral temporal,frontal lobe,and parietal lobe as disease progression. Conclusions Current study suggested that SD tend to develop in presenile age.However,about 1/3 cases develop the disease after 65 years. Deficit in language is the earliest and most prominent symptom. Behavior change is prevalent as well. Patients are commonly misdiagnosed as AD or lack a definite diagnosis.Visuoconstructive skill and other abilities are relatively preserved in the early stage.With progression into the 5th years,overall decline comes inevitably.Brain scans can reflect the disease characteristics and progression. Of note,there exists individual with right dominant atrophy.
ABSTRACT
Objective:To explore the time course of memory recovery during post-traumatic amnesia after brain injury.Methods: A patient (WGS, aged 34) with lesions in the left temporal lobe was compared with four matched control subjects on various cognitive tests. These tests included Galveston Orientation and Amnesia test, Wechsler Memory Scale-Revised Test, Semantic Memory, and Remote Memory Test. WGS was tested at 20th days and 33rd days after the brain injury. Results: During the period of post-traumatic amnesia, marked recovery was observed for orientation, semantic memory and remote memory (especially the recent and the earlier items). While the recovery of learning for new knowledge was slow, learning curve of association of unrelated items was flat.Conclusion: The differential time courses for recovery of cognitive functions should be well considered in rehabilitative training after traumatic brain injury.