热射病合并多器官功能障碍综合征持续静- 静脉血液滤过治疗的护理

目的:探讨热射病合并多器官功能障碍综合征(MODS)持续静-静脉血液滤过(CVVH)的治疗作用并总结护理要点。方法:回顾分析2008年5月至2010年9月,我院收治的6例热射病合并MODS,及时运用CVVH并采取综合治疗措施,对治疗和护理进行总结。结果:6例患者5例痊愈,1例死亡。通过早期积极采用CVVH联合综合治疗措施,可快速降低患者体温,防止因高热引起的恶性循环。结论:CVVH是热射病合MODS有效治疗方法,其可早期纠正电解质及酸碱紊乱,且对代谢产物和炎症因子的清除也有重要作用。期间严密的观察与护理,以及配合治疗的连续性,是成功救治这类患者的关键。     

甲钴胺联合高能激光治疗带状疱疹疗效观察及护理体会

目的:探讨甲钴胺联合高能激光治疗带状疱疹疗效及护理方法。方法:自2008年1月至2010年3月入院的81例带状疱疹患者分为两组,治疗组予甲钴胺、单磷酸阿糖腺苷和高能激光联合治疗并配合精心护理,对照组仅予单磷酸阿糖腺苷治疗,两组均在治疗第10天时观察症状及体征的变化。患者出院后随访半年。结果:治疗组与对照组有效率分别为90.2%和56.4%,差异有统计学意义(P<0.05)。治疗组与对照组的止疱时间(1.4±1.1天vs2.6±1.3天)、结痂时间(5.4±1.4天vs8.1±1.5天)和止痛时间(3.0±1.6天vs 5.8±3.3天),以及治疗后两组患者直观模拟尺评分结果(2.95±1.45 vs 3.97±1.85)差异有统计学意义(P<0.05)。随访半年结果治疗组出现后遗神经痛较对照组少(P<0.05)。结论:甲钴胺联合高能激光治疗带状疱疹并配合精心护理有利于取得良好的临床治疗效果。     

Effects of search experience in a resource-heterogeneous environment on the oviposition decisions of the seed beetle, Callosobruchus maculatus (F.)

Abstract.  1. This study investigates how female seed beetles, Callosobruchus maculatus , distribute their eggs on various-sized seeds when the size of seed was varied during the egg-laying period.
2. Beetles were allowed to lay eggs on one of three arrays of 64 adzuki beans ( Vigna angularis ). Each array contained four size classes of seed, ranging from small (5.0–5.5 mm diameter) to large (6.5–7.0 mm), but differed in how they were distributed within the environment. In the most heterogeneous condition (the 64-patch design), the four sizes were interspersed, while in the least heterogeneous condition (the four-patch design) they were grouped into four separate blocks. Thus, a beetle exploring the 64-patch design would frequently encounter all four seed sizes, whereas a beetle exploring the four-patch design would only rarely encounter a change in bean size.
3. Beetles experiencing greater seed size heterogeneity were more likely to lay eggs on larger seeds, whereas those in the blocked condition were more likely to oviposit on small seeds. Beetle responses to seed size heterogeneity suggest that the degree of preference for large seeds depends on a female's recent experience.
4. Female beetles exhibited size discrimination throughout their egg-laying process; however, there was a trade-off between seed size and egg discrimination (i.e. avoiding those seeds already containing developing eggs) in response to the change in fitness gained from either laying on larger seeds or lower egg-load seeds during the egg-laying process.
5. Our model provides the first evidence that evolving seed size discrimination ability is adaptive for the seed beetle with egg-discrimination ability.     

Jumping spiders attend to context during learned avoidance of aposematic prey

A large number of studies on both animals and humans have demonstratedthat learning is influenced by context or secondary cues thatare present when an association is formed. Few studies, however,have examined the functional value of attending to context.We first demonstrated that jumping spiders, Phidippus princeps,could be trained to avoid aposematic, distasteful milkweed bugs,Oncopeltus fasciatus. Spiders readily attacked bugs on firstexposure but were significantly less likely to do so after eighttrials, although they subsequently attacked and ate crickets.Spiders exposed to nontoxic milkweed bugs reared on sunflowerseeds did not show the same decline in attack rate. We nextexamined the effects of secondary contextual cues on spiderlearning by training spiders to avoid milkweed bugs in one oftwo environments. When spiders were tested in an environmentdifferent from the one in which they were trained, attack ratesincreased, and spiders no longer demonstrated retention of theassociation. Spiders tested in the same environment in whichthey were trained continued to avoid attacking the bugs. Theseresults have potential consequences for the evolution of bothpredator and prey and point to the importance of studying context-dependentlearning.     

Suppressive effect of exposure to Chenopodium album var. centrorubrum on the feeding response of the tortoise beetle, Cassida nebulosa, to spinach

Depending upon preceding dietary exposure, the tortoise beetle, Cassida nebulosa L. (Coleoptera: Chrysomelidae), exhibits various feeding responses to spinach, Spinacia oleracea L. (Chenopodiaceae). Adult tortoise beetles reared as adults on the main host Chenopodium album var. centrorubrum Makino (CAC) (Chenopodiaceae) eat little spinach, whereas those reared on spinach accept this plant as food. In this study, we investigated the suppressive effect of exposure to CAC on the feeding response of tortoise beetles to spinach. To investigate the effect of chemical factors in CAC, we provided beetles with Gomphrena globosa L. (Amaranthaceae) as the base food and exposed them to a CAC extract, because bioassays have indicated that exposure to G. globosa did not affect the feeding response of beetles to spinach. Adults reared on G. globosa treated with CAC extract consumed significantly less than adults reared on untreated G. globosa . Thus, we determined that exposure to CAC components is responsible for the suppressive effect on the feeding response to spinach observed in the beetles. In a choice feeding test with membrane filter discs, we found that adults reared on G. globosa treated with CAC extract exhibited a greater feeding deterrent response to the spinach deterrent than adults reared on untreated G. globosa leaves. Therefore, the suppression of spinach consumption due to exposure to CAC is probably caused by the development of a response to the feeding deterrents present in spinach.     

Hormonal and experiential control of female-male mounting in the female rat

Mounting behavior in the female rat has been studied extensively in same-sex interactions, but not in the heterosexual dyad. The present study examined the display of female mounting of castrated noncopulating male rats (FMM). Ovariectomized (OVX) sexually naive female rats (N = 80) were given either estrogen (E) + progesterone (P), E + oil (O), P + O, or O + O treatment for five tests with castrated male rats. FMMs were observed in both the E + P and E + O females. The influence of the ovarian cycle on FMM was also investigated. Vaginal smears from sexually naive females (N = 16) were taken daily for 12 days immediately after testing with castrated males. FMM frequency was greatest during Proestrus. Finally, OVX females (N = 30) treated with E + P were given either 0, 1, 10 multi-ejaculatory heterosexual experiences with intact, sexually experienced males, prior to tests with intact, copulating or castrated, noncopulating males for five tests. Sexually naive females displayed a greater number of mounts relative to the sexually experienced females when tested with castrated, noncopulating males. In contrast, very few FMMs were observed in females of any group tested with intact, copulating males. These data suggest that FMM occurs naturally in rats as a "super-solicitational" behavior that is modified by hormone treatment and prior heterosexual experience.     

经鼻面罩BiPAP正压通气治疗重症支气管哮喘合并Ⅱ型呼吸衰竭的临床观察

目的观察经鼻面罩BiPAP无创正压通气治疗重症支气管哮喘合并Ⅱ型呼吸衰竭的临床效果。方法观察患者行呼吸机治疗前,治疗后4、12、24、48h的临床症状及血气分析。结果治疗后患者的临床症状、血气分析（pH、PaCO2、PaO2）均有显著改善,且无严重并发症发生。结论 BiPAP无创正压通气有助于呼吸改善,正确有效的护理措施对保证通气治疗的效果、减少并发症具有重要意义。     

离子导入疗法对防治糖尿病视网膜病变及改善症状的临床研究

目的：探讨离子导入疗法对糖尿病视网膜病变患者进行护理的临床效果。方法：选取88例（122眼）糖尿病视网膜病变患者,随机分为照组和实验组,其中对照组44例（58眼）,给予常规护理治疗;实验组44例（64眼）,在对照组基础上采用离子导入疗法进行护理。观察患者视网膜改变、视力的改善及自觉症状改善情况。结果：实验组实施干预后,视网膜改变、视力的改善、自觉症状的改善显效率明显高于对照组,差异有统计学意义（P〈0．01）。结论：离子导入疗法有助于改善糖尿病视网膜病变患者眼底血液循环。促进出血点吸收、改善临床症状,操作简单易行,患者易于接受。     

护理干预对输尿管镜钬激光碎石术患者生活质量的影响

目的:探讨护理干预对输尿管镜钬激光碎石术患者生活质量的影响。方法:采取前瞻性随机对照的方法,从2008年5月到2010年12月,共有123例接受输尿管镜钬激光碎石术的输尿管结石患者被随机分成对照组和护理干预组。使用世界卫生组织生存质量测定量表简表评价输尿管镜钬激光碎石术对患者生活质量的影响。结果:非护理干预组和护理干预组的世界卫生组织生存质量测定量表简表的生活质量评分手术后比手术前有明显改善(P<0.05)。输尿管镜钬激光碎石术后,护理干预组患者的生活质量优于非护理干预组。结论:护理干预能明显改善输尿管镜钬激光碎石术患者的生活质量。     

心内科住院患者心理问题分析与护理对策研究

目的:了解心内科住院患者的心理问题,找出心内科住院患者常见的心理问题以及产生心理问题的原因,探讨改善心内科住院患者心理问题的有效护理措施。方法:对我院2011年1月-2011年4月心内科802例住院患者采取问卷调查及深入访谈相结合的方式进行调查。结果:对802例目标患者进行数据分析,心内科患者常见的心理问题为:焦虑与抑郁、多疑、恐惧紧张、绝望与悲哀;产生心理障碍的原因在于患者自身疾病、经济状况、环境等。结论:心内科住院患者心理问较为严重,通过实行有针对性的护理措施,有效治疗心内科患者的心理问题,减轻患者心理压力,促进患者的健康,保护患者安全。