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Under the situation of regular epidemic prevention and control of COVID-19, the hospitals need to establish an emergency personnel pool and update it regularly. The author introduced the experience of establishing and managing the emergency personnel pool in a hospital, including the use of information technology to achieve scientific grouping and dynamic management, strengthening the emergency response ability, epidemic prevention and control training and assessment of all staff, ensuring their mental health and logistics support, and improving the performance assessment, salary and welfare system of emergency personnel.From December 2021 to May 2022, the members of the emergency personnel pool completed a total of 62 emergency support tasks. The response time and team gathering time of all emergency tasks were reduced to less than 1 hour. A total of 4 421 medical personnel were sent. The nucleic acid test results of COVID-19 during the tasks were negative, the infection rate was zero, and no adverse events occurred.
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Objective:To observe the application effect of standard management-flexible teaching-pay attention to comprehensive quality improvement-correct evaluation (SFPC) teaching on the internship teaching of nursing students in department of obstetrics and gynecology.Methods:Forty-five nursing students who interned in the department of obstetrics and gynecology from July to December 2019 were classified as the control group, and the traditional teaching was adopted. Another 47 nursing students who interned from January to June 2020 were taken as research group, and SFPC was applied. The rotation assessment scores, clinical communication ability and comprehensive ability before and after the internship, and satisfaction with teaching of these nursing students were compared between the two groups. SPSS 23.0 was used for t test, chi-square test and rank sum test. Results:The results of theoretical and operational assessment of obstetrics and gynecology in the research group were significantly higher than those in the control group[(94.28±5.77) vs. (83.91±5.19); (91.85±5.27) vs. (81.07±5.24)]. The scores of building harmonious relationship, identifying patients' problems, keen listening, passing effective information, joint participation and verification of feelings after the teaching were significantly higher than those before teaching ( P<0.05). The scores of ideological quality, teaching activities, ability evaluation and other activities in the comprehensive ability assessment were significantly higher than those before teaching ( P<0.05), and those of research group were significantly higher than those of the control group ( P<0.05). The were significant differences in the grade distribution of teaching satisfaction between the two groups ( P<0.05), and the total satisfaction rate of nursing students in the study group was higher than that in the control group (95.74% vs. 80.00%). Conclusion:The application of SFPC teaching in the clinical teaching of nursing students in department of obstetrics and gynecology can significantly improve the performances of nursing students, clinical communication ability, comprehensive ability and nursing students' satisfaction with teaching.
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Objective:To investigate the effect of montelukast sodium tablets combined with ambroxol hydrochloride on immune function and inflammatory factors in children with Mycoplasma pneumoniae pneumonia.Methods:From January 2018 to December 2018, 146 children with Mycoplasma pneumoniae pneumonia admitted in Taizhou Tumor Hospital were randomly divided intoobservation group and control group according the random digital table method, with 73 cases in each group.Both two groups were treated with routine treatment after admission, including continuous low flow oxygen inhalation, sedation, nutritional support, antiasthmatic, expectorant, maintenance of acid-base balance, correction of water electrolyte disorder and anti-infection treatment.The control group was treated with ambroxol hydrochloride, while the observation group was treated with montelukast sodium tablets combined with ambroxol hydrochloride.The course of treatment in both two groups was 2 weeks.The disappearance time of main symptoms, changes of lung function, immune function and inflammatory factors before and after treatment were compared between the two groups.Results:The disappearance time of cough [(3.65±0.87)d], expectoration[(3.49±0.46)d] and fever[(3.32±0.61)d] in the observation group were shorter than those in the control group [(5.54±0.91)d, (5.32±0.71)d and (4.65±0.79)d] ( t=12.827, 18.482, 11.385, all P<0.05). The FEV 1/FVC [(84.36±6.78)%], FEV 1[(2.87±0.54)L] and MVV[(89.74±4.31)L/min] in the observation group were higher than those in the control group[(70.18±7.54)%, (2.05±0.41)L and (82.13±3.78)L/min] ( t=11.948, 10.333, 11.342, all P<0.05). The serum IgA[(0.89±0.14)pg/L], and the IgG[(9.01±0.65)pg/L] and IgM [(1.48±0.21)pg/L] in the observation group were lower than those in the control group [(1.06±0.12)pg/L, (9.81±0.54)pg/L and (1.81±0.15)pg/L] ( t=7.887, 8.089 and 10.925, all P<0.05). The serum levels of TNF-α [(24.13±6.59)mg/L], IL-6[(16.32±5.21)ng/L] and CRP[(7.28±1.43)mg/L] in the observation group were lower than those in the control group[(37.48±8.97)mg/L, (28.78±6.19)ng/L and (18.93±3.45)mg/L](all P<0.05). The total effective rate of the observation group(91.78%) was higher than that of the control group(73.34%)(χ 2=7.180, P<0.05). Conclusion:Montelukast sodium tablet combined with ambroxol hydrochloride has obvious curative effect on children with Mycoplasma pneumoniae pneumonia, and the immune function and inflammatory reaction of children are obviously improved.
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Objective:To investigate the serum interleukin-32(IL-32) level in children with bacterial pneumonia and its relationship with the severity of the disease.Methods:From January 2019 to December 2019, 300 children with bacterial pneumonia in Taizhou Cancer Hospital were selected as the pneumonia group, and 300 healthy children in our hospital were selected as control group.The serum levels of IL-32, IL-6, IL-8 and tumor necrosis factor-α(TNF-α) were measured by double antibody sandwich enzyme-linked immunosorbent assay.Results:The serum levels of IL-32[(212.46±16.74)ng/L], IL-6[(0.29±0.06)μg/L], IL-8[(0.41±0.08)μg/L] and TNF-α[(1.15±0.11)μg/L] in the pneumonia group were higher than those in the control group[(116.51±14.52)ng/L, (0.07±0.02)μg/L, (0.09±0.03)μg/L, (0.14±0.03)μg/L](all P<0.05). The serum levels of IL-32[(128.76±15.42)ng/L], IL-6[(0.15±0.04)μg/L], IL-8[(0.16±0.05)μg/L] and TNF-α[(0.29±0.06)μg/L] in children with pneumonia during recovery were lower than those in early stage[(212.46±16.74)ng/L, (0.29±0.06)μg/L, (0.41±0.08)μg/L, (1.15±0.11)μg/L](all P<0.05). The levels of serum IL-32[(232.16±16.02)ng/L], IL-6[(0.37±0.08)μg/L], IL-8[(0.54±0.09)μg/L], TNF-α[(1.42±0.15)μg/L] in the severe pneumonia group were higher than those in the non-severe pneumonia group[(184.26±16.31)ng/L, (0.23±0.05)μg/L, (0.26±0.06)μg/L, (0.79±0.12)μg/L](all P<0.05). There were positive correlation between serum IL-32 level and IL-6( r=0.602), IL-8( r=0.624), TNF-α( r=0.593) levels in children with pneumonia(all P<0.05). Conclusion:The serum IL-32 level is elevated in children with bacterial pneumonia.The serum IL-32 level can reflect the therapeutic effect, severity and inflammatory response of children with bacterial pneumonia.