Enhancing captive breeding in giant pandas (Ailuropoda melanoleuca): maintaining lactation when cubs are rejected,and understanding variation in milk collection and associated factors

From 1997 to 2002, a female giant panda (Ailuropoda melanoleuca) was artificially stimulated and lactation was maintained, after her neonates were removed due to the female's inability to provide maternal care. Milk samples were collected and the amount of milk collected was quantified. The lactation curve of this animal was estimated based on the Gamma function: Y_t=at^be^−ct. The amount of milk collected showed significant, positive relationships with the number of days after parturition both in 1999 and in the whole study period from 1998 to 2002. This female's lactation curves fit the type I pattern of a typical mammalian lactation curve. Daily milk collection (g) during the first 30 days after parturition, and from 31 to 60 days after parturition, showed a consistent pattern with one peak at around 8:00 hr. More milk was collected during the latter period than during the former period. The amount of milk (g) collected on mucus excretion days was significantly less than that on days after mucus excretion had ended, yet no significant difference was found between milk collected one day before mucus days and on mucus days, or between milk collected one day before and one day after mucus days. Mucus excretion from the gastrointestinal tract significantly impacted the amount of milk collected. The results from this study may aid the captive propagation and conservation of giant pandas and other endangered and rare captive mammal species. Zoo Biol 28:331–342, 2009. © 2009 Wiley-Liss, Inc.     

Forage quality's influence on mule deer fawns

In many mule deer (Odocoileus hemionus) populations, recruitment of fawns drives population dynamics. The quality of food available to females and their fawns in summer and autumn may play an important role in fawn recruitment. We examined direct links between digestible energy (DE) content of food and the DE intake of females on the nutrient concentration of milk and between the nursing behavior, DE intake, growth, and survival in captive mule deer fawns. We offered females and their fawns diets that simulated the natural decline in DE content of forage from mid-summer to late autumn in many western landscapes. Fawns fed a higher DE diet weighed 14% more at the onset of winter, had fewer unsuccessful nursing attempts, consumed milk with more protein and energy, and had higher survival than fawns fed a low DE diet. Differences between fawn performances among treatments were greatest when diet quality began decreasing earlier in the summer. Because our results indicate that summer and autumn nutrition is likely to influence fawn recruitment, wildlife biologists should include metrics for summer precipitation and late autumn fawn mass in population models, and land managers should focus on methods for improving the nutritional carrying capacity of summer and early autumn habitats. © 2011 The Wildlife Society.     

手术室非惩罚性护理不良事件报告制度的建立

手术室护理不良事件发生率影响因素较多,建立非惩罚性护理不良事件报告制度是非常有效的控制不良事件的方法。通过在本院手术室建立非惩罚性护理不良事件报告制度,对上报的护理不良事件分析发生的根本原因并提出修正方案及预防措施,提升护理质量,完善护理流程及管理制度。     

远程护理管理对经皮冠状动脉介入治疗术后患者心理状态与生活质量的影响

目的:探讨远程护理管理对经皮冠状动脉介入治疗(PCI)术后患者心理状态与生活质量的影响。方法:选取52例PCI术后患者,随机分为照组和试验组,各26例,对照组给予常规护理,试验组在对照组基础上采用远程护理管理进行干预。采用Zung焦虑自评量表(SAS)、抑郁自评量表(SDS)评价两组患者心理状态,并用社会功能缺陷筛选量表(SDSS)对两组患者生活质量进行评价。结果:两组患者干预前SAS、SDS、SDSS评分无差异,实施干预后,两组患者均有SAS、SDS、SDSS评分下降、但试验组患者SAS、SDS、SDSS评分下降更明显,与对照组比较,差异有统计学意义(P0.01)。结论:远程护理管理有助于改善PCI术后患者焦虑、抑郁负性情绪,提高生活质量。     

基于博弈论的护理管理道德风险控制分析

护理管理过程中的委托代理关系及信息不对称性可能导致道德风险的存在,由此可能引发护患冲突,影响医院的品牌信誉和经济效益。以博弈论为研究方法,对护理管理过程中护理管理部门与护理人员之间和患者与护理人员之间存在的道德风险进行了博弈分析,找出了两种关系下博弈双方的混合战略纳什均衡。护理部与护理人员之间的混合战略纳什均衡是α=D/E与β=（E－B）/E,患者与护理人员之间的混合战略纳什均衡是γ=T/U与δ=（U＋R）/U。为持续维持护理管理中稳定均衡的博弈关系,医院应该采取措施加强道德风险的管理与防范,并开展延续护理服务,政府主导人力资源的配置改革并进行干预。     

实施“优质护理服务示范工程”的实践探讨

目的 探讨“优质护理服务示范工程”的实施及影响。方法 树立“优质护理服务示范工程”护理服务文化理念,制定“优质护理服务示范工程”护理服务标准及实施方法。结果 提高了病人满意度及护理工作质量、健康教育覆盖率及合格率,增进护患感情。结论 开展“优质护理服务示范工程”, 能提高护理质量, 确保护理安全,能扩大医院的知名度, 提升护理服务的品牌。     

围手术期护理干预对腹腔镜胆囊切除术疗效的影响

目的探讨围手术期实施护理干预措施,对腹腔镜胆囊切除术疗效的影响。方法腹腔镜胆囊切除术患者100例根据护理方法的不同随机分为护理干预和对照组各50例。对照组进行常规护理,护理干预在对照组的基础上采取一系列的术前、术中及术后的围手术期护理干预措施。观察比较两组腹腔镜胆囊切除术的疗效及并发症情况。结果护理干预组的手术时间、术中出血量及术后排气时间、术后住院时间均明显短于对照组（P〈0.05）。且护理干预组术后发生切口感染、出血以及胆漏、放射痛、肠粘连的发生率明显低于对照组（P〈0.05）。结论通过采取系列的围手术期护理干预措施,可以积极预防并发症的发生,缩短手术时间及住院时间,提高治疗效果。     

重症医学科护理质量与效率平衡的研究

??????? 目的 探索在保证护理安全的基础上提升护理工作效率的方法。 方法 按实施不同制度的时间段将患者分为A组和B组,A组实行三级责任护理管理制度;B组在实行三级责任护理管理制度并对现有病区进行合理分区的基础上,依据患者危重分级和护理人员分层来分配每个床单位的责任护士(双向分层管理制度),两组进行护理总时数、所护理的患者人数、不同危重分级患者的平均护理时数、同一患者不同危重分级平均天数等比较。 结果 B组中不同分层护理人员所护理的患者危重分级与护理时数成正比,但总护理时数相近,所护理人数随危重分级提高而减少,危重分级1级患者平均住院天数明显下降。 结论 双向分层管理组相对于三级责任护理管理组更能保证护理安全、提升护理工作效率。     

Infant development in two aquarium bottlenose dolphins

The behavioral development of two aquarium bottlenose dolphin calves, one male (born to a primiparous mother) and one female (born to a multiparous mother), was examined. From birth to 9 weeks of age, a total of 558.7 h of nursing and behavioral data were collected using focal sampling methods. Data from both calves revealed a pattern of increasing independence as they aged, but there were significant differences between the two calves. Suckling rates, mean suckles per bout, suckling bout rates, and bout durations for the male calf were higher than those for the female calf throughout the study. These frequencies declined significantly over time in the male's case but not in the female's case. Her suckling durations (lock-on time) were longer than his. The male spent more time in infant position (under the mother) than the female calf and less time swimming in echelon position (alongside the mother). Over time, the male spent less time in infant position, and the female calf spent more time socializing and less time echelon swimming. Both calves decreased the amount of time spent close to their mothers over the 9 week period, and the mothers decreased their role in proximity maintenance over time. We suggest that factors related to maternal primiparity caused the male calf to develop an effective compensatory response of frequent nursing and spending more time in infant position. Both calves survived and were healthy at the end of the observation period. © 1995 Wiley-Liss, Inc.