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This paper summarizes the practical of medical integration model in the Traditional Chinese Medicine nursing ward round for a patient with lumbar disc herniation. Based on the review of patient’s clinical data, responsible nurse had reported the case analysis, and doctors had comprehensively analyzed the illness condition of the patient. The key nursing contents were discussed and nursing measures were jointly formulated. Through the integration of medical and nursing rounds, the professional complementarity between medical and nursing can be rebuilt, and a mode consisting of medical treatment, nursing care and patient participation can be achieved. (总结1例腰椎间盘突出患者的医护一体化中医护理查房实践经验。分析患者临床资料, 由责任护士汇报病例, 医生分析病情, 医护联合对重点护理内容进行讨论, 协同制定护理措施。通过医护一体化查房, 医护之间专业互补, 重建医、护、患三位一体的治疗和护理模式, 达到实施整体护理的效果。)

This paper summarized the nursing management for a patient undergoing bilateral knee replacement surgery. The psychological care and postoperative preparation were carried out after nursing evaluation. Individualized rehabilitation plan including prevention of postoperative complications, rehabilitation exercise and regular follow-up was implemented to improve the recovery of the patient. (本文总结了1例双膝关节置换术(TKA)患者的护理经验, 入院后针对评估结果开展心理护理, 做好术前准备; 术后实施个体化的快速康复方案, 预防并发症, 早期指导康复训练, 定期随访, 促进患者早日康复。)

Objective: To study the effects of Huannao Yicong formula (HNYCF) extract on behavior and ultrastructure of mitochondria in hippocampus CA1 area of APP transgenic mice of different months, and explore its partial mechanism in treating Alzheimer's disease (AD) through the perspective of energy metabolism., Method: One hundred and twenty APP695V717I transgenic mice of 3-month old were divided randomly into model group, Donepezil group (0.65 x 10(-3) g x kg(-1) x d(-1)), HNYCF extract large dose group (2.8 g x kg(-1) x d(-1)) and HNYCF extract small dose group (1.4 g x kg(-1) x d(-1)), and 30 mice in each group. Another 30 C57BL/6J mice with the same age and background were used as normal control group. All animals were administered once daily by gavage with the corresponding drug or distilled water. The course of intervention was 4 and 6 months. Behavioral changes were observed by Morris water maze test and step down test. Ultrastructure of mitochondria in hippocampus CA1 area was observed by transmission electron microscope., Result: At the age of 7 and 9 month, the number of times of passing through platform, swimming time and path length of model group increased significantly (P < 0.05, P < 0.01) in Morris water maze test, and the latent period decreased (P < 0.01) in step down test compared with normal group, and it would get worse with the development of disease course. HNYCF extract could increase the number of times of passing through platform, swimming time and path length (P < 0.05, P < 0.01) in Morris water maze test, prolong latent period in step down test of different age. At the age of 7 and 9 month, mitochondrial of hippocampus CA1 area was disrupted and dissolved. Most ridge structure arranged in a mess, and some ridge showed expanding, matrix loosing and swollen appearance, and it would get worse with the development of disease course. HNYCF extract could improve ultrastructure of mitochondria in hippocampus CA1 area, and increase its quality., Conclusion: Learning and memory ability decreased in APP transgenic mice model, and the quantity of neural mitochondria in hippocampus CA1 area with structure disrupting, and it would get worse with the development of disease course. HNYCF extract could improve the learning and memory ability of APP transgenic mice model, its mechanism might relate with improving ultrastructure of mitochondria in hippocampus, and increasing its quantity.