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改良版Cubbin&Jackson量表诊断ICU患者压力性损伤最佳界值的多中心研究

中华护理杂志 2024年第12期59卷 1436-1442页

作者：杨庄裴菊红杨秋霞吕琳魏育婷陶红霞张红燕马玉霞韩琳兰州大学护理学院兰州市730000 兰州大学第一临床医学院兰州市730000 甘肃省人民医院伤口造口治疗中心甘肃省人民医院护理部

目的探讨改良版Cubbin&Jackson量表诊断国内ICU患者压力性损伤的适用性和最佳界值。方法采用便利抽样法,选取2021年4月—2022年10月在甘肃省35所三级医院住院的6203例ICU患者作为调查对象,由经过规范化培训的ICU护士检查患者全身皮... 详细信息

目的探讨改良版Cubbin&Jackson量表诊断国内ICU患者压力性损伤的适用性和最佳界值。方法采用便利抽样法,选取2021年4月—2022年10月在甘肃省35所三级医院住院的6203例ICU患者作为调查对象,由经过规范化培训的ICU护士检查患者全身皮肤并收集相关资料,判定是否存在压力性损伤及其分期,同时采用改良版Cubbin&Jackson量表进行压力性损伤风险评估。使用软件统计分析改良版Cubbin&Jackson量表诊断ICU患者压力性损伤的受试者工作特征曲线下面积(area under the curve,AUC)、约登指数、灵敏度和特异度等指标。结果6203例ICU患者住院期间共有79例发生压力性损伤,发生率为1.27%。分层分析显示,改良版Cubbin&Jackson量表预测诊断不同性别、年龄、ICU住院天数、是否机械通气和是否手术的ICU患者压力性损伤的AUC为0.74~0.92,约登指数为0.40~0.74,灵敏度和特异度分别为77.27%~94.44%、62.44%~82.63%。总分≤28分时,改良版Cubbin&Jackson量表的AUC最大(0.86),其约登指数、灵敏度、特异度、阳性预测值、阴性预测值、阳性似然比和阴性似然比分别为0.60、92.41%、67.26%、3.50%、99.86%、2.82、0.11。结论改良版Cubbin&Jackson量表可作为有效预测、诊断国内ICU患者压力性损伤的适用工具,最佳界值以≤28分为宜。

关键词：压力性损伤改良版Cubbin & Jackson量表重症监护病房风险评估预测界值护理

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基于CASI&SASI航空高光谱的雄安新区西南部农田土壤重金属镍含量反演研究

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地质与勘探 2022年第6期58卷 1307-1320页

作者：倪斌黄照强江淼张亚龙朱富晓中国冶金地质总局矿产资源研究院北京101300

农田土壤中重金属元素富集会严重制约农作物的生长,且对人类健康造成潜在威胁。高光谱遥感数据具有极高的光谱分辨率,因而可在土壤重金属污染元素信息的定量研究中发挥重要作用。本文以雄安新区西南部及其周边农田土壤作为研究对象,在... 详细信息

农田土壤中重金属元素富集会严重制约农作物的生长,且对人类健康造成潜在威胁。高光谱遥感数据具有极高的光谱分辨率,因而可在土壤重金属污染元素信息的定量研究中发挥重要作用。本文以雄安新区西南部及其周边农田土壤作为研究对象,在实验室测定土壤重金属元素Ni的含量,并与土壤可见-近红外高光谱数据建立土壤重金属Ni含量的定量估测模型,进一步基于CASI&SASI航空高光谱数据快速反演研究区农田土壤重金属Ni的含量,获取其分布特征。本文研究并建立了研究区土壤重金属元素基于不同光谱变换形式的多元逐步回归、偏最小二乘回归和BP神经网络统计估算模型,通过模型验证与对比,探索研究区土壤重金属Ni元素含量的最优反演模型。研究结果表明:(1)基于各光谱变换的BP神经网络模型的建模和预测精度整体上大于偏最小二乘法和多元逐步回归法模型,模型拟合精度高,预测能力较好;(2)综合来看,一阶微分处理能普遍改善模型预测效果,其中BP神经网络模型的一阶微分变换结果最佳,对于Ni元素建模精度R 2高达97.1%,验证集精度R 2高达98%以上;(3)选用精度最好的BP神经网络模型,通过CASI&SASI高光谱数据对研究区重金属Ni含量进行反演,反演结果与实测Ni含量数据一致性很好。

关键词： CASI & SASI 高光谱多元逐步回归偏最小二乘回归神经网络重金属反演模型评价雄安新区

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Fisher&Paykel AIRVO_(2)高流量氧疗与无创通气在肺癌合并呼吸衰竭患者中的应用

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中国医疗器械信息 2023年第7期29卷 101-103页

作者：白洁天津市泰达医院呼吸科天津300457

目的:对比分析Fisher&Paykel AIRVO_(2)高流量氧疗与无创通气在肺癌合并呼吸衰竭患者中的应用效果。方法:将2019年1月~2021年12月本院收治的肺癌合并呼吸衰竭患者78例作为研究对象,根据电脑随机分组法实现患者分组,其中39例患者为... 详细信息

目的:对比分析Fisher&Paykel AIRVO_(2)高流量氧疗与无创通气在肺癌合并呼吸衰竭患者中的应用效果。方法:将2019年1月~2021年12月本院收治的肺癌合并呼吸衰竭患者78例作为研究对象,根据电脑随机分组法实现患者分组,其中39例患者为观察组,给予Fisher&Paykel AIRVO_(2)高流量氧疗,另外39例患者为对照组,给予无创通气,分析比较两组患者的治疗效果。结果:治疗前两组患者呼吸循环情况、呼吸困难程度、舒适度评分以及肺部感染评分与健康状况评分均无显著差异,P>0.05;观察组患者治疗后上述指标显著差别于对照组患者,P<0.05。结论:对于肺癌合并呼吸衰竭患者来说Fisher&Paykel AIRVO_(2)高流量氧疗是一种理想的治疗方式,与无创通气相比效果更为显著。

关键词： Fisher & Paykel AIRVO_(2)高流量氧疗无创通气肺癌呼吸衰竭

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Does environmental quality and weather induce COVID-19: Case study of Istanbul, Turkey

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ENVIRONMENTAL FORENSICS 2023年第1-2期24卷 9-20页

作者： Shahzad, Khurram Farooq, Taimoor Hassan Dogan, Buhari Hu, Li Zhong Shahzad, Umer Northwest Univ Coll Life Sci Key Lab Resource Biol & Biotechnol Western China Minist Educ Xian Peoples R China Cent South Univ Forestry & Technol Coll Life Sci & Technol Changsha Peoples R China Suleyman Demirel Univ Dept Econ Isparta Turkey Anhui Univ Finance & Econ Ctr Environm Econ & Policy Bengbu 233030 Peoples R China

The coronavirus pandemic has infected more than 100 million people worldwide with COVID-19, with millions of deaths across the globe. In this research, we explored the effects of environmental and weather variables with daily COVID-19 cases and COVID-19 fatalities in Istanbul, Turkey. Turkey has the 8th highest number of COVID-19 cases globally, with the highest infections and deaths in Istanbul. This may be the first study to conduct a comprehensive investigation for environmental quality (air quality pollutants, e.g., PM2.5 and PM10, ozone, nitrogen dioxide, sulfur dioxide, carbon monoxide, etc.), weather parameters (temperature, humidity) and COVID-19 in Turkey. The authors collected meteorological data from 11 March 2020 to 8 February 2021 and COVID-19 data from Istanbul and other regions. The results from empirical estimations, correlation analysis, and quantile on quantile techniques support that air quality and temperature significantly influence COVID-19 deaths in Istanbul. This research may help policymakers and health scientists to take specific measures to reduce the spread of coronavirus across different global cities. The effects of air quality on COVID-19 in Istanbul was investigated. The study applied correlation and quantile on quantile techniques over daily data. Temperature significantly induces the spread of COVID-19 in Istanbul at all quantiles. Air quality and Nitrogen are positively linked with COVID-19 new cases.

关键词： COVID-19 coronavirus environment air quality temperature humidity Istanbul nitrogen dioxide sulfur dioxide carbon monoxide &

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Feasibility, acceptability, and effectiveness of non-pharmaceutical interventions against infectious diseases among crisis-affected populations: a scoping review

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Infectious Diseases of Poverty 2022年第1期11卷 8-26页

作者： Jonathan A.Polonsky Sangeeta Bhatia Keith Fraser Arran Hamlet Janetta Skarp Isaac J.Stopard Stéphane Hugonnet Laurent Kaiser Christian Lengeler Karl Blanchet Paul Spiegel World Health Organization GenevaSwitzerland Institute of Global Health Faculty of MedicineUniversity of GenevaGenevaSwitzerland MRC Centre for Global Infectious Disease Analysis Department of Infectious Disease EpidemiologyImperial College LondonLondonUK Abdul Latif Jameel Institute for Disease and Emergency Analytics Imperial College LondonLondonUK Swiss Tropical and Public Health Institute BaselSwitzerland University of Basel BaselSwitzerland Geneva Centre of Humanitarian Studies University of GenevaGenevaSwitzerland Center for Humanitarian Health Johns Hopkins Bloomberg School of Public HealthBaltimoreUSA

Background:Non-pharmaceutical interventions(NPIs)are a crucial suite of measures to prevent and control infectious disease *** being particularly important for crisis-affected populations and those living in informal settlements,who typically reside in overcrowded and resource limited settings with inadequate access to healthcare,guidance on NPI implementation rarely takes the specific needs of such populations into *** therefore conducted a systematic scoping review of the published evidence to describe the landscape of research and identify evidence gaps concerning the acceptability,feasibility,and effectiveness of NPIs among crisis-affected populations and informal ***:We systematically reviewed peer-reviewed articles published between 1970 and 2020 to collate available evidence on the feasibility,acceptability,and effectiveness of NPIs in crisis-affected populations and informal *** performed quality assessments of each study using a standardised *** analysed the data to produce descriptive summaries according to a number of categories:date of publication;geographical region of intervention;typology of crisis,shelter,modes of transmission,NPI,research design;study design;and study ***:Our review included 158 studies published in 85 peer-reviewed *** research used low quality study *** acceptability,feasibility,and effectiveness of NPIs was highly context *** general,simple and cost-effective interventions such as community-level environmental cleaning and provision of water,sanitation and hygiene services,and distribution of items for personal protection such as insecticide-treated nets,were both highly feasible and ***,financial,and human resource constraints affected both the implementation and sustainability of *** engagement emerged as a strong factor contributing to the effectiveness of ***,measures that involve po

关键词： Disease outbreaks Communicable disease control Prevention & control Vulnerable populations Warfare and armed conflicts Disasters Relief work Poverty areas

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Pedicled Flaps in Partial Breast Reconstruction 1st Ed.

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2023年

作者： Moustapha Hamdi Raghavan Vidya Amit Agrawal

ISBN: (纸本)9783031084829

Oncoplastic techniques have evolved over the last decade with the increasing use of pedicled flaps to enable partial breast reconstruction. This handy guide fills a gap in available publications to describe current trends, to help advance the knowledge and update skills of the reader. After an historical introduction, chapters on pre-operative mapping and imaging, as well as on patient selection for each approach, over eleven chapters are devoted to specific flaps and to their combination. The crucial management of complications and radiotherapy planning are also developed in dedicated parts. With contributions from world-renowned plastic and oncoplastic breast surgeons, step-by-step videos linked to thesurgical chapters and a wealth of original photographs and illustrations, Pedicled Flaps in Partial Breast Reconstruction will be a valued reference for fellows, residents, practicing and highly experienced plastic surgeons, breast surgeons, and practitioners in related surgical sub-specialties, who will find this a useful tool in their day-to-day practice.

关键词： Plastic & Reconstructive Surgery

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Sexual Behaviour and Health in Older Adults 1st Ed.

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2023年

作者： Lee Smith Igor Grabovac

ISBN: (纸本)9783031210280

Sexual activity is an essential part of intimate relationships, though it tends to decline in frequency as people grow older. Nevertheless, for many older people, sex still remains an important part of their life. There’s a common misconception that as people age, they lose their interest in sex and capacity for sexual behaviour. This is not the case, as a number of national surveys *** new research presented here indicates that the less sex older people have, the more likely they are to experience mental and physical health problems. Men and women who reported a decrease in the frequency of sexual activities were also more likely to report a deterioration in self-perceived health. Additionally, men with erectile dysfunction were also more likely to be diagnosed with cancer or coronary heart disease. This research has also determined that older adults who experience a decline in sexual activity report poorer well-being than those who maintain their levels of sexual desire, activity and function in later life, and that men who remain sexually active in later life continue to have better cognitive performance compared to those who don’t. Despite these health benefits, medical professionals do little to promote sexual activity in older adults, and the literature suggests that there is a lack of knowledge on how to approach the subject and how to promote such *** is the first comprehensive book specifically exploring all areas of sexual behaviour and health in older adults, and drawing on the latest research in this area. It offers a valuable resource for researchers and clinicians in various health fields (medicine, nursing, occupational therapy, psychology, public health, etc.), as well as students in undergraduate and graduate programs.

关键词： Geriatrics & Gerontology

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Robotic Surgery Devices in Surgical Specialties 1st Ed.

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2023年

作者： João Pádua Manzano Lydia Masako Ferreira

ISBN: (纸本)9783031351013

Great exponents of surgery in Robotic System science and technology provides the readers with innovations in the field of Plastic Surgery, Orthopedics, Gynecology, Neurosurgery, Ophthalmology, Cardiac Surgery, Gastrosurgery, Head and Neck Surgery, Pediatric Surgery, Urology and Thoracic Surgery in Solo Surgery Robots.Robotic Surgery Devices in Surgical Specialties will cover a target audience that goes beyond a single specialty; medical students, residents, fellows and even experts on the subject will find this title of great value. It will certainly be the bedside book for several professionals and a source of inspiration for many to follow the field of robotic surgery.

关键词： Mechanical Engineering & Machines

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Prebiotics, Probiotics and Nutraceuticals 1st Ed.

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2022年

作者： Kambaska Kumar Behera Renu Bist Sangita Mohanty et al

ISBN: (数字)9789811689901

ISBN: (纸本)9789811689895

This volume incorporates sixteen seminal papers on issue based research and their practical applications covering latest information and progress on different area of nutritional supplement research fight against disease. The book highlights the frontier issues and applications in nutritional biotechnology with wide coverage of the themes like Potentiality of Probiotics in Inactivation of Tetrodotoxin, Therapeutic Strategy for the Deterrence of COVID-19 with Relevance to Probiotics and Prospectives of Prebiotics, Probiotics and Synbiotics for Sustainable Development in *** based Bioactive compounds in Cancer Therapeutics, Recent Trends in Natural Medicines and Nutraceuticals Research, Probiotics as efficacious therapeutic option for treating gut-related diseases: molecular and immune-biological perspectives, The progressive development of probiotics, prebiotics, synbiotics research, and its multipurpose use in the ornamental fishery, The commercial perspective of probiotics, and bioremediating components in aquaculture pond management: A Case Study andPrebiotics as promising therapeutics for treating gut-related disorders : Biochemical and Molecular Perspectives. Prebiotics and Probiotics as Functional Foods: Prospect and Promises in Metabolic Diseases, Implications of probiotics and prebiotics on immune functions. Recent Trends in Natural Medicines and Nutraceuticals Research, Nutraceuticals are alternative to modern medicines, Socio-Economic Study of Prospective of probiotic, prebiotic and synbiotic for sustainable development of aquaculture in Indian Sunderban. This book will be very useful for the scholars, biotechnologists, agricultural scientists, nutritionist, medical doctors, researchers, teachers and students in the emerging field of biotechnology.

关键词： Nutrition & Dietetics

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Nutritional Toxicology 1st Ed.

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2022年

作者： Lishi Zhang

ISBN: (数字)9789811908729

ISBN: (纸本)9789811908705

Nutritional Toxicology is an interaction of nutrition, toxicology, biochemistry and food science, etc. Its main research scope involves the effects of nutrients on metabolisms of toxicants and their mechanisms, the interaction of the toxicants and contaminants originated from diet with nutrients and nutrition process, the adverse health outcome of nutrients excess, as well as methodology of research and related food and nutrition regulation process. Also the risk assessment of toxicants and contaminants in foods, and risk benefit assessment of nutrients (dietary supplementation) has become an emerging topic. This book provides novel and provocative insights into the fields of nutrition, food science and toxicology. It also offers a state-of-the-art report on recent discoveries concerning nutritional toxicology and where the field is going. It mainly focuses on advances made over the past 20 years. It will benefit graduate students, researchers and food and nutrition related regulation parties.

关键词： Nutrition & Dietetics

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