Effectiveness of Detailed Operating Room Quality Care on the Quality of Operating Room Care and Patient Satisfaction.

Objective: The current study was performed to assess the effectiveness of detailed operating room quality care on the quality of operating room care and patient satisfaction. Methods: A total of 102 patients who underwent surgery in Union Hospital, Tongji Medical College, Huazhong University of Science and Technology between October 2020 and April 2022 were recruited and assigned to receive either conventional operating room care (conventional group) or detailed operating room quality care (quality group), with 51 cases in each group. Outcome measures for the evaluation of the detailed quality care included quality of operating room care, safe operation, incidence of errors in instrument preparation, loss of parts, incidence of intraoperative adverse reactions, and patient satisfaction. Results: Patients who received quality care showed higher scores for information acquisition ability, communication ability, standardization of nursing process, and professionalism of nursing service than those who received conventional care (P = .021, .032, .003, .043). Detailed operating room quality care resulted in significantly higher standardization of anesthesia disinfection, promptness of instrument preparation, instrument and equipment management, effectiveness of auxiliary cooperation, and standardization of medical records scores versus conventional care (P = .004, .022, .036, .004, .002). Detailed operating room quality care was associated with a lower incidence of instrument preparation errors, lost parts, and intraoperative adverse reactions than conventional care (P < .05). Patients were more satisfied with quality care (49/51, 96.1%) than with conventional care (39/51, 76.5%) (P = .004). Conclusion: Detailed operating room quality care can significantly improve patient satisfaction, enhance the quality of operating room care and safe operation, and reduce the risk of instrument preparation errors, lost parts, and intraoperative complications in the operating room.

[Spatial-temporal Evolution of Ecosystem Health and Its Influencing Factors in Beijing-Tianjin-Hebei Region].

Exploring ecosystem health and its influencing factors is of great significance for promoting regional sustainable development. An ecosystem health assessment model was constructed, and the spatial-temporal evolution characteristics of ecosystem health in the Beijing-Tianjin-Hebei Region in 2000, 2010, and 2020 were analyzed. The geographical detector and GWR were used to identify the dominant factors affecting ecosystem health. The main conclusions were as follows:during the study period, the index of ecosystem natural health in the Beijing-Tianjin-Hebei Region was generally better in the north and west than that in the southeast, and it showed an overall upward trend. The index of ecosystem services in the Beijing-Tianjin-Hebei Region presented as a spatial differentiation pattern of high in the north and low in the south, and it showed a downward trend. The ecosystem health level in the Beijing-Tianjin-Hebei Region showed a trend of rising first and then declining, showing significant heterogeneity in spatial distribution. The ecological health level in the central urban area of large cities was mostly poor, and the ecosystem health level in the Yanshan and Taihang Mountains and Bohai Rim was better. During the study period, the spatial pattern of ecosystem health in the Beijing-Tianjin-Hebei Region remained relatively stable. The hot spots and sub-hot spots were mainly distributed in the northern mountainous areas of Hebei Province and the Taihang Mountains, and the cold spots and sub-cold spots were mainly distributed in the southeast plain and the surrounding areas of some big cities. Population density, annual average temperature, per capita cultivated land area, and urbanization level were the dominant factors of ecosystem health in the Beijing-Tianjin-Hebei Region, and they were all negatively correlated with ecosystem health.

Synthesis of Tetrahydro-2H-thiopyran 1,1-Dioxides via [1+1+1+1+1+1] Annulation: An Unconventional Usage of a Tethered C-S Synthon.

An unprecedented [1+1+1+1+1+1] annulation process has been developed for the construction of tetrahydro-2H-thiopyran 1,1-dioxides. Notably, rongalite acted as a tethered C-S synthon in this reaction and can be chemoselectively used as triple C1 units and as a source of sulfone. Mechanistic investigation indicated that two different carbon-increasing models are involved in this reaction in which rongalite serves as C1 units.

Effects of FSH and the weather during induced ovulation and timed artificial insemination to increase jenny conception rates.

Experiments were conducted to improve jenny conception rates through induced ovulation and timed insemination. Jennies in control, hCG and LH groups were injected intramuscularly with saline alone or saline containing hCG or LH, respectively, when the dominant follicle diameter reached 35 mm. Then, follicle development was checked every 8 h until the dominant follicle ovulated. While 76% of the hCG-treated jennies ovulated between 24 and 48 h, and 84% of the LH-treated ovulated between 24 and 40 h after injection, ovulations in control jennies scattered over an extended period after injection. Conception rates after insemination were significantly higher in LH- or hCG-treated jennies than in the conventionally-bred jennies. The LH preparation used in this study contained more FSH than the hCG preparation did, and supplementing the hCG treatment with FSH significantly improved ovulation synchronization. Ovulations in jennies treated on rainy days were significantly postponed and less synchronized compared to those in jennies treated on sunny days. Together, the results suggested that jenny conception could be significantly improved by inducing ovulation with LH or hCG treatment followed by timed insemination and that FSH and the weather during treatment had profound effects on ovulation induction of jennies.

[Epidemiological characteristics of malaria in Leshan City, 1950-2015].

OBJECTIVE: To analyze the epidemiological characteristics of malaria in Leshan City, so as to provide the evidence for formulating the strategy and measures for consolidating the achievements of malaria elimination. METHODS: The data of epidemiological characteristics of malaria in Leshan City from 1950 to 2015 were collected and analyzed with the descriptive epidemiology method. RESULTS: There were four larger scale epidemics of malaria in Leshan City from 1950 to 2015. The order of malaria in infectious diseases dropped from the first to the twentieth. The peak season for malaria epidemics ceased. The Plasmodium species, patient age, occupation and sex distribution of malaria were different in the different periods. In November 2016, the whole city achieved the national standard for malaria elimination. CONCLUSIONS: After years of prevention and control, the epidemiological characteristics of malaria have changed significantly in Leshan City, and the effect of anti-malarial measures is significant. In the future, we should strengthen the monitoring, and prevention and control of imported malaria.