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2. Effects of Individualized Nursing Based on Zero-Defect Theory on Perioperative Patients Undergoing Laparoscopic Cholecystectomy

Author

Lihong Lan, Xiaozheng Zhu, Bili Ye, Huizhen Jiang, and Yuntao Huang

Subjects
Article Subject, Depression, Biochemistry (medical), Clinical Biochemistry, General Medicine, Anxiety, Length of Stay, Perioperative Care, Postoperative Complications, Cholecystectomy, Laparoscopic, Genetics, Humans, Nursing Care, Postoperative Period, Precision Medicine, Molecular Biology
Abstract

Objective. This study is aimed at analyzing the effects of individualized nursing based on the zero-defect theory on perioperative patients undergoing laparoscopic cholecystectomy. Methods. 174 patients who underwent laparoscopic cholecystectomy from 1st November 2019 to 30th November 2020 were enrolled as the research subjects and randomly divided into control and observation groups. The patients in the control group received conventional perioperative nursing care, and the patients in the observation group were treated with individualized nursing based on the zero-defect theory. Results. The heart rate, diastolic blood pressure, and systolic blood pressure level of patients in two groups after nursing decreased significantly, and the reduction in the observation group was more significant than that in the control group. The depression and anxiety scores of the two groups after nursing were decreased, and the decrease in the observation group was significantly greater than that in the control group. The time to first postoperative exhaust, return to normal intake, out-of-bed activity, and hospital stay in the observation group was less than that in the control group. The incidence of postoperative complications in the observation group was substantially lower than that in the control group. The satisfaction degree of nursing care in the observation group was significantly higher than that in the control group. Conclusion. Individualized nursing care based on zero-defect theory can effectively reduce the perioperative psychological stress response of patients with laparoscopic cholecystectomy. It helps to improve the negative emotions of depression and anxiety, promotes the recovery of disease, reduces postoperative complications, and improves nursing satisfaction, which is worthy of clinical promotion.

Published
2022

3. Comparison of the first three waves of avian influenza A(H7N9) virus circulation in the mainland of the People's Republic of China.

Author

Nijuan Xiang, Iuliano, A. Danielle, Yanping Zhang, Ruiqi Ren, Xingyi Geng, Bili Ye, Wenxiao Tu, Chao Li, Yong Lv, Ming Yang, Jian Zhao, Yali Wang, Fuqiang Yang, Lei Zhou, Bo Liu, Yuelong Shu, Daxin Ni, Zijian Feng, and Qun Li

Subjects
H7N9 Influenza, AVIAN influenza, H1N1 influenza, INFLUENZA, VIRAL transmission
Abstract

Background: H7N9 human cases were first detected in mainland China in March 2013. Circulation of this virus has continued each year shifting to typical winter months. We compared the clinical and epidemiologic characteristics for the first three waves of virus circulation. Methods: The first wave was defined as reported cases with onset dates between March 31-September 30, 2013, the second wave was defined as October 1, 2013-September 30, 2014 and the third wave was defined as October 1, 2014-September 30, 2015. We used simple descriptive statistics to compare characteristics of the three distinct waves of virus circulation. Results: In mainland China, 134 cases, 306 cases and 219 cases were detected and reported in first three waves, respectively. The median age of cases was statistically significantly older in the first wave (61 years vs. 56 years, 56 years, p < 0.001) compared to the following two waves. Most reported cases were among men in all three waves. There was no statistically significant difference between case fatality proportions (33, 42 and 45%, respectively, p = 0.08). There were no significant statistical differences for time from illness onset to first seeking healthcare, hospitalization, lab confirmation, initiation antiviral treatment and death between the three waves. A similar percentage of cases in all waves reported exposure to poultry or live poultry markets (87%, 88%, 90%, respectively). There was no statistically significant difference in the occurrence of severe disease between the each of the first three waves of virus circulation. Twenty-one clusters were reported during these three waves (4, 11 and 6 clusters, respectively), of which, 14 were considered to be possible human-to-human transmission. Conclusion: Though our case investigation for the first three waves found few differences between the epidemiologic and clinical characteristics, there is continued international concern about the pandemic potential of this virus. Since the virus continues to circulate, causes more severe disease, has the ability to mutate and become transmissible from human-to-human, and there is limited natural protection from infection in communities, it is critical that surveillance systems in China and elsewhere are alert to the influenza H7N9 virus. [ABSTRACT FROM AUTHOR]

Published
2016
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4. Comparison of the first three waves of avian influenza A(H7N9) virus circulation in the mainland of the People’s Republic of China

Author

Ruiqi Ren, Xingyi Geng, Qun Li, Nijuan Xiang, Yali Wang, Wenxiao Tu, Daxin Ni, Zijian Feng, Ch ao Li, Fuqiang Yang, A. Danielle Iuliano, Ming Yang, Bo Liu, Yong Lv, Jian Zhao, Yuelong Shu, Yanping Zhang, Lei Zhou, and Bili Ye

Subjects
0301 basic medicine, Mainland China, Adult, Male, Veterinary medicine, China, Adolescent, Avian influenza, medicine.disease_cause, Influenza A Virus, H7N9 Subtype, Virus, H7N9, 03 medical and health sciences, Young Adult, 0302 clinical medicine, Age Distribution, Pandemic, Case fatality rate, Influenza, Human, medicine, Humans, 030212 general & internal medicine, Child, Pandemics, Aged, Aged, 80 and over, Transmission (medicine), business.industry, Middle Aged, Influenza A virus subtype H5N1, Hospitalization, 030104 developmental biology, Infectious Diseases, Child, Preschool, Human mortality from H5N1, Female, Seasons, business, Demography, Research Article
Abstract

Background H7N9 human cases were first detected in mainland China in March 2013. Circulation of this virus has continued each year shifting to typical winter months. We compared the clinical and epidemiologic characteristics for the first three waves of virus circulation. Methods The first wave was defined as reported cases with onset dates between March 31-September 30, 2013, the second wave was defined as October 1, 2013-September 30, 2014 and the third wave was defined as October 1, 2014-September 30, 2015. We used simple descriptive statistics to compare characteristics of the three distinct waves of virus circulation. Results In mainland China, 134 cases, 306 cases and 219 cases were detected and reported in first three waves, respectively. The median age of cases was statistically significantly older in the first wave (61 years vs. 56 years, 56 years, p

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