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Objective To study the effect of squatting toilet behavior on gastric transport time (GTT) and complete examination rate of small bowel (CER) during capsule endoscopy. Methods A total of 122 patients who underwent capsule endoscopy at the Second Affiliated Hospital of Chongqing Medical University from January to December 2019 were recruited and randomly divided into test group (n=63) and control group (n=59). The patients of the test group were asked to take squatting posture for toileting after swallowing the capsule, while those of the control group were asked to take sitting in defecation if needed. GTT, small bowel transit time (SBTT), CER and diagnostic yield (DY) were compared between the 2 groups. Results There were no significant differences in gender, age and conditions during hospitalization between the test group and the control group. The test group obtained obviously higher CER (92.06% vs 79.66%, P=0.048) and shorter GTT (26.7 vs 45.6 min, P=0.027) when compared with the control group. No statistical differences were seen in SBTT and DY between the 2 groups. Conclusion Squatting posture for toileting of patients accepted capsule endoscopy can reduce the transit time of capsules in the stomach and increase the CER.

Objective To investigate the application effect of narrative medicine in the ideological and political education of Traditional Chinese Medicine nursing courses. Methods Totally120 nursing students from two classes in a certain university of Traditional Chinese Medicine were divided into the two groups by cluster grouping method. The course assessment score, narrative nursing knowledge-attitude-behavior questionnaire and Jefferson Scales of Empathy (JSE) were used to evaluate the teaching effect. Results The final exam scores for the study group and control groups were (87. 65±8. 42) points and (79. 34±4. 23) points, respectively, and with a significant difference (P＜0. 01). The narrative nursing knowledge-attitude-behavior scores for the study group and control groups were (98. 54±4. 73) points and (80. 23±4. 51) points, respectively, with a significant difference (P＜0. 01). The JSE scores for the study group and control groups after training were (118. 27±8. 13) points and (105. 47±6. 24) points, respectively, with a significant difference (P＜0. 01). Conclusion It is effective to improve the teaching effect and empathy level of nursing students by integrating narrative medicine into the ideological and political education of Traditional Chinese Medicine nursing courses (目的 探讨叙事医学融入《中医护理学》课程思政教学中的应用效果。方法 2021年9月—12月, 选取两个班级120名护理专业学生为对象, 其中一个班级(n=60)设为对照组, 按照《中医护理学》教学大纲内容进行教学; 另一个班级(n=60)设为研究组, 将叙事医学融入《中医护理学》课程思政教学。对比两组课程总成绩、叙事护理知识-态度-行为问卷、Jefferson同理心测量量表(JSE)评分。结果 研究组学生课程总成绩为(87. 65±4. 23)分, 差异有统计学意义(P＜0. 01); 研究组学生叙事护理知信行得分为(98. 54±4. 73)分, 高于对照组的(80. 23±4. 51)分, 差异有统计学意义(P＜0. 01)。研究组学生JSE量表得分为(118. 27±6. 24)分、差异有统计学意义(P＜0. 01)。结论 将叙事医学融入中医护理学课程思政教学, 有助于提高教学效果, 提升护生共情水平。)

Liver transplantation, the only effective treatment for end stage liver disease, is characterized by complicated surgery, long surgery time, and high trauma. Patients may experience a variety of difficulties following surgery, including infection, abdominal bleeding and rejection, all of which directly affect the quality of rehabilitation. Enhanced Recovery After Surgery (ERAS), a novel perioperative management strategy, can effectively promote postoperative recovery of patients and has been extensively implemented in various fields of surgery. However, there are no scientific and universal ERAS protocols in the fields of liver transplantation in China. The first Consensus Recommendations of Enhanced Recovery for Liver Transplantation was issued by the International Liver Transplantation Society in December 2022, offering recommendations about ERAS strategies for liver transplantation recipients who receive deceased and living organ donations, and for living donors of liver transplantation. This paper provides a detailed interpretation of the key points to offer a practical reference for domestic liver transplantation perioperative ERAS management.

Influenced by the new crown epidemic, online teaching has entered the public’s view, and exploring the hybrid teaching between online and offline has become the hot content of university Chemistry course practice nowadays. This paper systematically studies the willingness of participants, influencing factors, support systems, and the evaluation of the effects of the knowledge interaction in the university Chemistry SPOC hybrid teaching mode. The teaching effect evaluation index system of the new mode is constructed using the AHP method of covariance correction. Taking part of the textbook of the university Chemistry course as an example of course design, a two-month teaching practice is carried out in the Chemistry major of X university through the 12xue platform to explore the advantages and disadvantages of the SPOC online and off-line blended teaching mode in the teaching of university Chemistry. The experimental results show that the adoption of the SPOC blended teaching mode in university Chemistry teaching practice has a certain effect on improving students’ Chemistry performance, with a performance improvement of 43.95 percentage points. And it helps students improve their independent learning abilities. The exploration of this teaching method provides a new way for college Chemistry teachers to enhance their teaching methods.