Evidence map›Paper›PMID 37490177›Full record

ArticleMolecular and cellular biochemistry2024

Effect of PI3K/AKT/mTOR signaling pathway-based clustered nursing care combined with papaverine injection on vascular inflammation and vascular crisis after replantation of severed fingers.

Na Wang, Haijing Xiao, Hongyan Lu, Kai Chen, Shuhong Zhang, Fei Liu, Ning Zhang, Haijing Zhang, Siyu Chen, Xiaoli Xu

Open access · hybridAbstract read
In one paragraph

Article in Molecular and cellular biochemistry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Trial
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Na Wang *Department of Hand, Foot and Ankle Surgery, General Hospital of Ningxia Medical University, Yinchuan, China.
Haijing Xiao *Outpatient Department of the People's Hospital of Ningxia Hui Autonomous Region, Yinchuan, China.
Hongyan LuNursing Department, General Hospital of Ningxia Medical University, 804 Shengli South Street, Xingqing District, Yinchuan, 750004, Ningxia, China. txgwh@163.com.
Kai ChenDepartment of Hand, Foot and Ankle Surgery, General Hospital of Ningxia Medical University, Yinchuan, China. footckai@163.com.
Shuhong ZhangDepartment of Hepatobiliary Surgery, General Hospital of Ningxia Medical University, Yinchuan, China.
Fei LiuDepartment of Hand, Foot and Ankle Surgery, General Hospital of Ningxia Medical University, Yinchuan, China.
Ning ZhangDepartment of Hand, Foot and Ankle Surgery, General Hospital of Ningxia Medical University, Yinchuan, China.
Haijing ZhangDepartment of Hand, Foot and Ankle Surgery, General Hospital of Ningxia Medical University, Yinchuan, China.
Siyu ChenDepartment of Hand, Foot and Ankle Surgery, General Hospital of Ningxia Medical University, Yinchuan, China.
Xiaoli XuDepartment of Stomatology, General Hospital of Ningxia Medical University, Yinchuan, China.
Ningxia Medical University · CNNingxia Medical University General Hospital · CNThe Fourth People's Hospital of Ningxia Hui Autonomous Region · CN

Funding

Autonomous region health system research subjects 2022-NWKY-053
6 · The paper itself

Abstract

This research aimed to investigate the effect of PI3K (phosphatidylinositol 3-kinase)/AKT (protein kinase B)/mTOR (mammalian target protein of rapamycin) signaling pathway-based clustering care combined with papaverine injection on vascular inflammation and vascular crisis after finger amputation and replantation. 100 patients admitted in General Hospital of Ningxia Medical University from April 2022 to December 2022 for replantation of severed fingers were selected and divided into a control group (n = 50) and an observation group (n = 50) using the randomized grouping principle. The control group received a papaverine injection and general nursing care, the observation group received a papaverine injection and clustered care. The pain score; constipation incidence; replantation finger survival rate; physician, nurse, and patient satisfaction; serum inflammatory factors; vascular crisis parameters; and occurrence of adverse reactions were compared between the two patient groups. Enzyme-linked immunosorbent assay was performed to detect PI3K, AKT, and mTOR protein concentrations in the venous blood of the two groups, and statistical analysis of the data was performed. On postoperative day 7, the pain score and incidence of constipation in the observation group were lower than those in the control group (P < 0.05); the survival rate of reimplanted fingers in the observation group was 88.00%, which was higher than that in the control group 80.00% (P < 0.05); the satisfaction of doctors, nurses, and patients in the observation group was higher than that in the control group; the concentrations of interleukin-1 (IL-1), tumor necrosis factor (TNF-α), blood flow resistance index (RI), and arterial pulsatility index (PI) in the observation group were lower than those in the control group, while the concentration of interleukin-10 (IL-10), vascular diameter, and Vm (mean blood flow velocity) were higher in the observation group than those in the control group; the differences were statistically significant (P < 0.05). The difference in the incidence of adverse reactions between the two groups was not statistically significant (P > 0.05). The concentrations of PI3K, AKT, and mTOR proteins in the observation group were higher than those in the control group (P < 0.05). The concentrations of PI3K, AKT, and mTOR proteins in the observation group were higher than those in the control group (P < 0.05). Overall, these findings suggest that clustered care combined with papaverine injection reduces vascular inflammatory symptoms and vascular crisis in the treatment of severed finger replantation through the PI3K/AKT/mTOR signaling pathway.

Indexed as

FingersPapaverineProto-Oncogene Proteins c-aktSignal TransductionTOR Serine-Threonine KinasesAdultFemaleFinger InjuriesHumansInflammationMaleMiddle AgedPhosphatidylinositol 3-KinasesReplantationVasculitisMTOR protein, humanPapaverinePhosphatidylinositol 3-KinasesProto-Oncogene Proteins c-aktTOR Serine-Threonine KinasesClustered nursing carePapaverine injectionPI3K/AKT/mTOR signaling pathwaySevered finger replantationVascular crisisVascular inflammation

Identifiers

PMID37490177
PMCPMC11224086
OpenAlexW4385230936

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.