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CAREDose4D在鼻咽癌放疗定位中的应用 被引量:4
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作者 成肇杰 韦婷 +4 位作者 梁卫学 王占宇 刘光明 周建红 林欢 《中国医学物理学杂志》 CSCD 2021年第11期1349-1354,共6页
目的:探讨CARE Dose 4D技术在鼻咽癌放疗定位中的应用价值。方法:将60例拟放疗的鼻咽癌患者随机分为A组和B组,每组30例。A组管电压120 kV固定300 mAs行常规扫描,B组管电压120 kV并开启CARE Dose 4D设置预设值为500 mAs进行扫描。在这两... 目的:探讨CARE Dose 4D技术在鼻咽癌放疗定位中的应用价值。方法:将60例拟放疗的鼻咽癌患者随机分为A组和B组,每组30例。A组管电压120 kV固定300 mAs行常规扫描,B组管电压120 kV并开启CARE Dose 4D设置预设值为500 mAs进行扫描。在这两种不同扫描方式下扫描CIRS 064M电子密度模体,验证CT-RED转换曲线是否有差异。客观评价两组图像的噪声(SD)、信噪比(SNR)、对比噪声比(CNR)、GTV的CT值、剂量长度乘积(DLP)、容积CT剂量指数(CTDI_(vol))及有效辐射剂量(ED)。并由两位高年资医师对图像进行主观评分。结果:两种扫描方式下,CT值及CT-RED转换曲线无明显差异,保证了靶区剂量计算的精确性;B组与A组比较CTDI_(vol)降低35%,DLP、ED均降低43%,差异有统计学意义(P<0.001);客观评价中两组图像的SNR、CNR、GTV的平均CT值之间的差异无统计学意义(P>0.05)。两组图像在三角肌平面,A组SD高于B组,差异有统计学意义(t=30.809,P<0.001);两组图像主观评价有显著性差异(z=-2.445,P<0.05)。A组图像中由于肩部横断面内颈部淋巴引流区噪声较大,对医生勾画该层面的靶区造成了一定困扰,从靶区勾画角度来说,B组图像要优A组。结论:在鼻咽癌放疗定位中应用CARE Dose 4D技术是可行的,可提高图像质量,同时大幅降低患者的有效辐射剂量。 展开更多
关键词 鼻咽癌 CARE Dose 4D 放疗 靶区勾画 有效辐射剂量
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Rapidly Progressing Hepatic Angiosarcoma Terminally Cared for at Home: A Case Discussion—Hepatic Angiosarcoma Taken Palliative Care at Home
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作者 Hiroaki Yamane Aki Yoshimitsu +1 位作者 Tomoko Itagaki Motoi Yamane 《Case Reports in Clinical Medicine》 2024年第11期477-484,共8页
Background: Hepatic angiosarcoma is a rare disease with a poor prognosis due to its tendency for distant sites. Few opportunities exist for palliative treatment of hepatic angiosarcomas at home. Here, we report a rare... Background: Hepatic angiosarcoma is a rare disease with a poor prognosis due to its tendency for distant sites. Few opportunities exist for palliative treatment of hepatic angiosarcomas at home. Here, we report a rare case of palliative treatment of hepatic angiosarcoma at home. Case Presentation: An 87-year-old male patient complained of upper abdominal pain and anorexia, persisting for 2 months. Computed tomography revealed multiple tumors in the liver, spleen, left kidney, and bone. Hepatic angiosarcoma was diagnosed based on the liver biopsy results. Due to his advanced age and dementia, the patient and his family decided to receive palliative treatment at home, thereby initiating home medical care at our clinic. During the first visit, oral opioid medication was introduced, and home oxygen therapy (HOT) was initiated because of complaints of cancer pain and respiratory distress. As oral intake became difficult, the patient was switched to a patch opioid, and suppositories were used for ton use. The patient was treated with morphine and HOT;however, the improvement in respiratory distress was below acceptable. The patient died at home on the ninth day after his visit. Conclusion: To the best of our knowledge, this is the first case report on palliative care for hepatic angiosarcoma at home. Owing to the rapid progression of this disease, home physicians must know its characteristics and provide appropriate medical care. 展开更多
关键词 Hepatic Angiosarcoma Home-Based Palliative Care Service Home Oxygen Therapy Invasive Tumor
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数字化时代下CARE模式引领社区护理学实践教学变革的研究
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作者 王艳 曾兢 +2 位作者 张泽华 徐萍 饶磊 《中文科技期刊数据库(文摘版)教育》 2026年第4期013-017,共5页
探究数字化时代下CARE模式引领社区护理学实践教学变革的应用效果。方法 选取我校2024年9月-2025年6月在读护理本科生共104人作为研究对象,将CARE模式(关注-接触-回应-激励)与社区护理实践相结合,构建全新的社区护理学课程模式,借助系... 探究数字化时代下CARE模式引领社区护理学实践教学变革的应用效果。方法 选取我校2024年9月-2025年6月在读护理本科生共104人作为研究对象,将CARE模式(关注-接触-回应-激励)与社区护理实践相结合,构建全新的社区护理学课程模式,借助系统化实践方案的设计,推动学生的知识整合与能力提升。结果 干预后护生人文关怀能力总分,认知及耐心维度得分均高于干预前(p<0.05);评判性思维总分、求知欲及系统化能力维度得分均高于干预前(p<0.05);职业认同感总分及五个维度得分均高于干预前(p<0.05)。结论 在社区护理中应用CARE模式有助于建立良好的护患关系,提供个性化的护理,并增强患者在管理自己健康方面的主动性。这种关注、接触、回应和激励的方法可以有效地提高社区护理的质量,并使社区居民从中受益。同时也能提升护生的人文关怀能力、评判性思维及职业认同感,对培养高素质社区护理人才具有积极意义。 展开更多
关键词 社区护理 教学实践 CARE模式
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缓和医疗定义与基本原则
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作者 宁晓红 李飞 阎格 《国际老年医学杂志》 2026年第1期F0002-F0002,共1页
缓和医疗缓和医疗(Palliative care)是一种积极的全人照护实践,面向因危及生命的疾病而遭受痛苦的各年龄段患者及其家属和照护者,通过预防、评估和缓解其身体、心理、社会和灵性痛苦,提升患者及其家属和照护者的生命质量。
关键词 Palliative care 痛苦 患者 全人照护 家属
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双定位像结合CareDose4D和CarekV技术在降低肺部CT辐射剂量的临床应用价值 被引量:26
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作者 赵飞 李磊 +7 位作者 蒲进 彭婉琳 李玉明 张凯 张金戈 刘柯伶 夏春潮 李真林 《中华放射医学与防护杂志》 CAS CSCD 北大核心 2017年第5期389-392,共4页
目的探讨双定位像结合CareDose4D和CarekV技术在肺部CT检查中的可行性及其临床应用价值。方法连续纳入临床确诊为肺部肿瘤行肺部CT扫描的患者60例,按随机数表法分为对照组和试验组,每组各30例,对照组行单定位像(AP)结合CareDose4D... 目的探讨双定位像结合CareDose4D和CarekV技术在肺部CT检查中的可行性及其临床应用价值。方法连续纳入临床确诊为肺部肿瘤行肺部CT扫描的患者60例,按随机数表法分为对照组和试验组,每组各30例,对照组行单定位像(AP)结合CareDose4D和CarekV技术扫描,试验组行双定位像(AP和lat)结合CareDose4D和CarekV技术扫描。由2位高年资医师采用双盲法对两组图像和病变组织的信噪比(SNR)、对比噪声比(CNR),及整体图像质量进行综合分析和评价,同时计算有效辐射剂量。结果60例患者均成功完成肺部CT检查,试验组整体图像质量评分为4.57±0.45,与对照组的4.73±0.45相比差异无统计学意义(P〉0.05)。对照组图像SNR、CNR、病变组织SNR、CNR与试验组相比差异均无统计学意义(P〉0.05)。试验组和对照组的容积CT剂量指数CTDIvol、剂量长度乘积(DLP)、有效剂量(E),差异有统计学意义(t=8.514、8.464、8.464,P〈0.001)。与对照组相比,试验组有效剂量降低了33.3%。结论较单定位像(AP)肺部CT检查,双定位像(AP和lat)结合CareDose4D和CarekV技术肺部CT检查可获得满足诊断及临床需求图像,同时明显降低辐射剂量,可成为肺部CT常规检查方式。 展开更多
关键词 肺部 辐射剂量 CARE DOSE 4D CARE KV 定位像
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海洋科学数据全生命周期治理框架——以GEOTRACES中国项目为例
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作者 许艳苹 蔡毅华 《厦门大学学报(自然科学版)》 北大核心 2026年第2期253-261,共9页
[目的]针对现有海洋科学数据存在多源异构、质量参差不齐、交互性低等问题,对海洋科学数据治理框架进行研究,以推动海洋科学数据的开放共享与权益保护,实现数据共享可持续发展.[方法]参照国际海洋观测计划规范,融合FAIR原则(findable,ac... [目的]针对现有海洋科学数据存在多源异构、质量参差不齐、交互性低等问题,对海洋科学数据治理框架进行研究,以推动海洋科学数据的开放共享与权益保护,实现数据共享可持续发展.[方法]参照国际海洋观测计划规范,融合FAIR原则(findable,accessible,interoperable,reusable,可发现、可获取、可交互和可再利用)和CARE原则(collective benefit,authority to control,responsibility,ethics,集体利益、控制权、责任与伦理),对海洋科学数据进行全生命周期的治理.[结果]本研究基于全生命周期的不同责任主体,构建“FAIR+CARE原则”融合的海洋科学数据治理框架和实施路径,并应用于痕量元素及同位素海洋生物地球化学循环国际研究(GEOTRACES)中国项目的海洋科学数据治理中,实现数据申请与共享“零”拒绝,提高了科学家共享和开放数据的意愿.[结论]这一新框架推动了数据的开放共享与可持续发展,并可推广应用到其他领域的大数据治理中,为我国构建符合国际规范、兼顾技术与伦理责任的数据治理研究提供参考. 展开更多
关键词 海洋科学数据 数据治理 全生命周期 FAIR原则 CARE原则
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CareDose 4D联合Care kV对CT肺部磨玻璃密度结节图像质量影响的体模研究 被引量:16
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作者 胡仕北 周鹏 +4 位作者 何长久 青浩渺 张涛 彭育标 李德珊 《中华放射医学与防护杂志》 CAS CSCD 北大核心 2019年第7期534-538,共5页
目的探讨CareDose 4D联合Care kV对CT肺部磨玻璃密度结节(ground glass nodule, GGN)图像质量和辐射剂量的影响。方法采用7种低剂量方案对含有6个GGN的胸部仿真体模行CT扫描。方案1采用CareDose 4D + Care kV。方案2、3、4管电压120 kV... 目的探讨CareDose 4D联合Care kV对CT肺部磨玻璃密度结节(ground glass nodule, GGN)图像质量和辐射剂量的影响。方法采用7种低剂量方案对含有6个GGN的胸部仿真体模行CT扫描。方案1采用CareDose 4D + Care kV。方案2、3、4管电压120 kV,管电流分别为30、20、10 mAs。方案5、6、7管电压100 kV,管电流分别为30、20、10 mAs。比较不同方案的图像质量[CT值、对比噪声比(CNR)、噪声值(SD)和主观评分]和有效剂量(E)。结果各方案GGN的CT值差异无统计学意义(P>0.05)。方案1的SD高于方案2、3、5,低于方案7,而CNR低于方案2、3、5,高于方案7,差异均有统计学意义(t=13.020、9.560、8.120、-5.720、-7.849、-5.192、-4.130、1.361,P<0.05)。方案1的SD、CNR与方案4、6差异均无统计学意义(P>0.05)。方案1、2、3、5、6各GGN的主观评分均≥3分,方案4、7各有1个GGN的主观评分<3分。方案1的E较方案2、3、5、6分别降低了63.0%、44.4%、38.8%、9.1%。结论CareDose 4D联合Care kV在低剂量肺部CT扫描中,可保证GGN的图像质量,有效降低辐射剂量。 展开更多
关键词 caredose 4D CARE KV 磨玻璃密度结节 辐射剂量 图像质量
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智能最佳管电压技术SEMI模式联合迭代算法扫描冠状动脉钙化积分的低剂量研究
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作者 刘宇航 李伟 +4 位作者 牛延涛 张永县 王宇辰 杨冰冰 刘丹丹 《CT理论与应用研究(中英文)》 2026年第1期135-142,共8页
目的:探讨智能最佳管电压技术SEMI模式(Care kV SEMI)联合迭代算法在冠状动脉检查中钙化积分低剂量扫描成像中的可行性。方法:模体实验采用Care kV SEMI模式和管电流调制技术(CareDose 4D on)。参数设置:SEMI 120 kV(ref.kV分别为100 kV... 目的:探讨智能最佳管电压技术SEMI模式(Care kV SEMI)联合迭代算法在冠状动脉检查中钙化积分低剂量扫描成像中的可行性。方法:模体实验采用Care kV SEMI模式和管电流调制技术(CareDose 4D on)。参数设置:SEMI 120 kV(ref.kV分别为100 kV、120 kV),ref.mAs分别为40、60和80 mAs,重建算法分别为滤波反投影算法(FBP)、基于模型的高级迭代算法(ADMIRE)3、4、5。比较各组图像的容积CT剂量指数(CTDI_(vol))、对比噪声比(CNR_(模))和品质因子(FOM)。回顾性分析30例冠状动脉钙化积分扫描图像作为对照组(ref.kV 120 kV,ref.mAs 80 mAs,重建滤波反投影(FBP)算法),前瞻性采集109例患者冠脉钙化积分CT图像作为实验组(ref.kV 100 kV,ref.mAs 80 mAs,重建算法分别为FBP、ADMIRE 3、5),两组实际管电压均为SEMI 120 kV。记录并计算剂量长度乘积(DLP)、有效剂量(ED)、左主干(LM)和右冠状动脉(RCA)开口层面的CNR_(患)、钙化积分(Agatston Score)以及风险分级。由两名高年资诊断医生对患者冠脉图像进行4分法主观评价。对临床研究两组患者冠状动脉CT钙化积分扫描的辐射剂量、钙化积分数值、风险分级以及图像质量差异进行统计学分析。结果:①模体研究结果:实验组辐射剂量较对照组均降低;相同扫描条件CNR_(模)随迭代算法等级增加而增加;ref.kV 100 kV+ref.mAs 80 mAs组4种重建算法下FOM均高于对照组。②临床研究结果:实验组与对照组ED存在统计学差异;实验组FBP和对照组CNR_(患)在LM和RCA两个层面上均无统计学差异;实验组不同重建算法所得Agatston积分间无统计学差异;实验组风险等级Kappa值分别为0.93和0.88,一致性好;两名医生主观评价Kappa值为0.952,实验组与对照组主观评分有统计学差异。结论:BMI 18~25患者进行冠状动脉钙化积分CT扫描时,使用Care kV SEMI模式联合迭代算法对钙化积分和风险分级影响较小,可以有效降低患者辐射剂量。 展开更多
关键词 CARE kV SEMI模式 迭代算法 钙化积分 体层摄影术 低剂量
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Guided Care理念下康复护理对老年2型糖尿病患者自我管理能力及血糖控制的影响
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作者 邹芸 叶莉莉 许贞蓉 《糖尿病新世界》 2026年第2期139-143,共5页
目的观察Guided Care理念下康复护理对老年2型糖尿病患者自我管理能力及血糖控制的影响。方法非随机方便选取2024年1—10月上海交通大学医学院附属新华医院老年科收治的80例老年2型糖尿病患者,根据不同护理方法将其分为对照组和研究组,... 目的观察Guided Care理念下康复护理对老年2型糖尿病患者自我管理能力及血糖控制的影响。方法非随机方便选取2024年1—10月上海交通大学医学院附属新华医院老年科收治的80例老年2型糖尿病患者,根据不同护理方法将其分为对照组和研究组,每组40例。对照组进行常规护理,研究组进行Guided Care理念下康复护理。比较两组血糖指标、自我管理能力(糖尿病自我管理行为量表与糖尿病管理自我效能量表)以及护理满意度。结果护理后,两组空腹血糖、餐后2 h血糖、糖化血红蛋白水平均低于护理前,且研究组低于对照组,差异均有统计学意义(P均<0.05)。护理后,两组行为管理与自我效能评分均高于护理前,且研究组高于对照组,差异均有统计学意义(P均<0.05)。研究组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论将Guided Care理念下康复护理模式应用于老年2型糖尿病患者,能有效控制患者血糖指标,提高其自护能力以及护理满意程度。 展开更多
关键词 2型糖尿病 Guided Care理念 康复护理 血糖指标 自我管理能力
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CARE kV技术对冠状动脉CT血管成像辐射剂量的影响
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作者 沈心楠 周卓航 +3 位作者 王艺婷 王美淇 杨亚敬 张志伟 《CT理论与应用研究(中英文)》 2026年第1期129-134,共6页
目的:探讨CARE kV技术对冠状动脉CT血管成像(CCTA)辐射剂量的影响。方法:回顾性分析2023年12月至2024年12月于重庆医科大学附属第一医院行冠状动脉CTA(CCTA)检查的1529例患者的资料。所有检查均使用CARE kV技术,根据设备自动选择的管电... 目的:探讨CARE kV技术对冠状动脉CT血管成像(CCTA)辐射剂量的影响。方法:回顾性分析2023年12月至2024年12月于重庆医科大学附属第一医院行冠状动脉CTA(CCTA)检查的1529例患者的资料。所有检查均使用CARE kV技术,根据设备自动选择的管电压对患者进行分组。记录患者的辐射剂量数据:容积CT剂量指数(CTDI_(vol))、剂量长度乘积(DLP)、体型特异性剂量估计值(SSDE),基于DLP的有效剂量ED_DLP和基于蒙特卡罗模拟的有效剂量ED_Radimetrics,并以SSDE/CTDI_(vol)、ED_Radimetrics/ED_DLP表征不同剂量评价指标的差异。采用Kruskal-Wallis H检验结合Bonferroni校正进行组间比较,Spearman相关性分析评估管电压与剂量指标及比值的相关性。结果:根据实际使用的管电压将患者分为4组:70 kV组(n=815)、80 kV组(n=541)、90 kV组(n=67)、100 kV组(n=106)。各组间所有剂量指标(CTDI_(vol)、DLP、SSDE、ED_DLP、ED_Radimetrics)及剂量比值(SSDE/CTDI_(vol)、ED_Radimetrics/ED_DLP)差异均具有统计学意义。经Spearman分析,管电压与CTDI_(vol)(r_(s)=0.53,P<0.05)、DLP(r_(s)=0.49,P<0.05)、SSDE(r_(s)=0.54,P<0.05)、ED_DLP(r_(s)=0.49,P<0.05)、ED_Radimetrics(r_(s)=0.46,P<0.05)呈中等正相关,与SSDE/CTDI_(vol)呈弱负相关(r_(s)=−0.30,r_(s)<0.05),与ED_Radimetrics/ED_DLP呈微弱正相关(r_(s)=0.07,P<0.05)。结论:CARE kV技术可有效降低CCTA检查的辐射剂量。该技术应用下各剂量学指标与管电压呈中等正相关,证实管电压选择是剂量控制的关键变量。常规剂量指标CTDI_(vol)和ED_DLP系统性低估真实剂量,且低估程度与CARE kV选择的管电压的相关性较弱。推荐将SSDE和ED_Radimetrics纳入剂量管理体系,实现更精准的辐射防护和风险评估。 展开更多
关键词 CARE kV 冠状动脉计算机断层扫描 管电压 体型特异性剂量估计值 有效剂量
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Study on the inhibition of TNF-α-induced inflammation and aging in human skin fibroblast cells by Cyperus esculentus root oil
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作者 Wanping Zhang Jiayi Wang +4 位作者 Donghan Jia Meiling Mo Ying Liang Changmei Peng Yue Wang 《日用化学工业(中英文)》 北大核心 2026年第3期302-313,共12页
Cyperus esculentus root oil(CEL)is a plant of significant economic value,rich in unsaturated fatty acids like oleic acid,linoleic acid,and linolenic acid.In this study,human dermal fibroblasts(HSF)were used to create ... Cyperus esculentus root oil(CEL)is a plant of significant economic value,rich in unsaturated fatty acids like oleic acid,linoleic acid,and linolenic acid.In this study,human dermal fibroblasts(HSF)were used to create an inflammatory model,and the impact of coldpressed oil from CEL on the secretion of inflammatory factors was assessed.The results showed that CEL significantly inhibited IL-6 and IL-1βthat were secreted by HSF cells induced by tumor necrosis factor-α(TNF-α)(P<0.0001),with inhibition rates of 50.79%and 20.26%,respectively.Furthermore,CEL markedly enhanced the secretion of the anti-inflammatory factor IL-10(P<0.01),with an improvement rate of 94.42%.The study further explored the impact of CEL on collagen type I(Col-I)and hyaluronic acid(HA)secretion in the cells.The results demonstrated that CEL effectively increased Col-I secretion by 26.15%(P<0.0001)and HA by 30.2%(P<0.0001)when it was administered at a maximum safe mass fraction of 6%,which consequently showed its potential anti-aging and moisturizing properties.Additionally,fluorescence real-time quantitative polymerase chain reaction(PCR)experiments confirmed that CEL significantly inhibited the TNF-α-induced expression of IL-6,IL-1β,and matrix metalloproteinases(MMP-1,3,9)in HSF cells,while promoted the mRNA expression levels of IL-10 and hyaluronic acid synthase.This modulation suggested that CEL exerted anti-inflammatory and anti-aging effects.Finally,the oil’s anti-inflammatory,anti-senility,and moisturizing effects were validated through the clinical evaluations.In summary,CEL,as a natural raw material abundant in unsaturated fatty acids,shows promising potential for further development and usage in cosmetics due to its anti-inflammatory,anti-aging,and moisturizing properties in personal care. 展开更多
关键词 Cyperus esculentus root oil ANTI-INFLAMMATORY ANTI-AGING moisturizing personal care
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AI and Aging China has been looking to AI technology to transform the senior care industry
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作者 Chen Ke 《China Report ASEAN》 2026年第2期52-54,共3页
It’s no secret that China has an aging population.Statistics from the Seventh National Population Census in 2020 showed that the country had 190.64 million people aged 65 or above,accounting for13.5 percent of its to... It’s no secret that China has an aging population.Statistics from the Seventh National Population Census in 2020 showed that the country had 190.64 million people aged 65 or above,accounting for13.5 percent of its total population.This proportion is now gradually approaching the internationally recognized threshold of 14 percent for a deeply aging society.China’s rapidly aging and mobility-limited population faces a severe shortage of millions of senior care workers. 展开更多
关键词 AI senior care senior care workers aging population workforce shortage
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Integrated Predictive Nursing Care for a Case of Imported Severe Malignant Malaria with Spontaneous Splenic Rupture
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作者 Na Bai Jing Wu +1 位作者 Lili Tian Wenting Li 《Journal of Clinical and Nursing Research》 2026年第1期181-192,共12页
A case of imported severe falciparum malaria with spontaneous splenic rupture was reported in this paper.The patient,an African migrant worker,developed hemolytic anemia,sepsis,thrombocytopenia,coagulation dysfunction... A case of imported severe falciparum malaria with spontaneous splenic rupture was reported in this paper.The patient,an African migrant worker,developed hemolytic anemia,sepsis,thrombocytopenia,coagulation dysfunction,liver failure,renal insufficiency,electrolyte disturbance and other clinical manifestations after returning to the local area.Plasmodium falciparum was found by peripheral blood smearscopy and was diagnosed as severe falciparum malaria.After standardized anti-malaria treatment,plasma exchange+cytokine adsorption therapy,the establishment of“forewarning-forewarning-prevention-emergency”predictive nursing management model,the establishment of an integrated nursing team,the division of medical care is clear,professional knowledge is complementary,after three months of regular follow-up,the patient has no malaria recurrence,no refire,the function of all organs returned to normal. 展开更多
关键词 Severe falciparum malaria Imported malaria Splenorrhagia Integration of health care Predictive care Plasma exchange Cytokine adsorption
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New Paths Lead to Gulu Village’s Real Well-Being
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作者 MA LI 《China Today》 2026年第4期38-40,共3页
Over the past few decades,a hilltop Yi ethnic village in Sichuan Province has been transformed from an isolated and impoverished village to a modern and prosperous community.AT this year’s“two sessions,”Zheng Chunw... Over the past few decades,a hilltop Yi ethnic village in Sichuan Province has been transformed from an isolated and impoverished village to a modern and prosperous community.AT this year’s“two sessions,”Zheng Chunwang,a national lawmaker,submitted two proposals:one on improving the elderly care service system in rural areas,and the other one on accelerating the renovation of unsafe rural housing. 展开更多
关键词 rural areas village transformation accelerating renovation unsafe rural housing well being safety elderly care improving elderly care service system housing renovation
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Whole genome analysis of a Non-O1,Non-O139 Vibrio cholerae isolate from a bacteremia case in Ho Chi Minh City
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作者 Tuan-Loc Le Ngoc-Lan Nguyen +1 位作者 Duc-Khai Luong Hieu Vu-Quang 《Asian Pacific Journal of Tropical Medicine》 2026年第2期94-96,I0062-I0065,共7页
Non-O1/non-O139 Vibrio(V.)cholerae(NOVC)has emerged as a potential pathogen in patients with compromised health conditions[1].We report the whole genome sequencing(WGS)of a rare NOVC sepsis isolate(GenBank Accession:G... Non-O1/non-O139 Vibrio(V.)cholerae(NOVC)has emerged as a potential pathogen in patients with compromised health conditions[1].We report the whole genome sequencing(WGS)of a rare NOVC sepsis isolate(GenBank Accession:GCF_051906115.1)from an 89-year-old male admitted to the Intensive Care Unit(ICU)with septic shock(lactate 6.61 mmol/L)digestive illness. 展开更多
关键词 septic shock intensive care BACTEREMIA intensive care unit whole genome sequencing wgs Whole genome analysis non O non O Vibrio cholerae sepsis
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Efficacy and Safety Evaluation of Dexmedetomidine in Sedation of Neurosurgical Intensive Care Patients:A Retrospective Cohort Study
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作者 Binbin Zhu Weilong Zhong 《Journal of Clinical and Nursing Research》 2026年第2期101-107,共7页
Objective:To investigate the effect of dexmedetomidine(DEX)on the incidence of delirium and clinical prognosis in patients with neurosurgical ICU.Methods:This study was a retrospective cohort study that enrolled patie... Objective:To investigate the effect of dexmedetomidine(DEX)on the incidence of delirium and clinical prognosis in patients with neurosurgical ICU.Methods:This study was a retrospective cohort study that enrolled patients admitted to the Neurosurgery ICU of our hospital between January 2021 and December 2023 who required mechanical ventilation(duration>48 hours).Based on sedation protocols,patients were divided into a dexmedetomidine group(DEX group,n=60)and a midazolam routine sedation group(control group,n=60).The primary endpoint was the incidence of delirium during ICU stay,while secondary endpoints included mechanical ventilation duration,ICU length of stay,28-day mortality rate,and adverse events.Results:The incidence of delirium in the DEX group was significantly lower than that in the control group(31.7%vs.58.3%,p=0.004).Additionally,the duration of mechanical ventilation in the DEX group was significantly shorter than that in the control group[(7.2±2.5)days vs.(9.8±3.4)days,p<0.001],and the ICU stay was also significantly reduced[(13.5±4.2)days vs.(16.8±5.7)days,p=0.002].There were no statistically significant differences in the 28-day mortality rate(DEX group:13.3%vs.control group:16.7%,p=0.59)or the rate of unintended extubation(DEX group:3.3%vs.control group:5.0%,p=0.64)between the two groups.In terms of safety,the incidence of bradycardia was significantly higher in the DEX group than in the control group(15.0%vs.3.3%,p=0.03).Conclusion:In neurosurgical patients on mechanical ventilation,dexmedetomidine sedation can effectively reduce the incidence of delirium and shorten the duration of mechanical ventilation and ICU stay,but the potential risk of bradycardia should be monitored. 展开更多
关键词 DEXMEDETOMIDINE NEUROSURGERY Intensive care SEDATION DELIRIUM
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The Cultivation of Caring Thinking in Education for the Re-Creation of the Democratic Human Being
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作者 Alexandros Theodoridis 《Philosophy Study》 2026年第1期1-17,共17页
In a world growing ever more cruel and violent as nihilism becomes generalized,a world in which the disintegration of the human assumes dimensions that threaten its very cohesion,the demand for the humanization of the... In a world growing ever more cruel and violent as nihilism becomes generalized,a world in which the disintegration of the human assumes dimensions that threaten its very cohesion,the demand for the humanization of the Western individual asserts itself as an urgent historical task.Among the institutions implicated in this process,education assumes a central role,as it is within it that wonder and critical thinking are gradually eliminated,together with the demand for shared deliberation,coherent meaning,and the tragic dimension of human existence,while an education of cruelty comes to permeate it from end to end.In order to prevent the full entrenchment of evil in the social world,from which only destruction can be expected,a decisive role could be played by caring thinking that would be coordinated with corresponding action and would come to deeply characterize the educational institution.Such a form of thinking was proposed in the second half of the twentieth century and took flesh and bones within the framework of the Philosophy for Children movement.Its contemporary application within educational practice could reactivate phronesis(practical wisdom)and contribute to enabling the Western human being to re-create themselves as a democratic human being-one who desires the creation of a world of freedom,equality,and justice,and who acts accordingly to bring it about:the creation of a compassionate and prudent world,the preservation of which would be the responsibility of all. 展开更多
关键词 Western world EDUCATION CRUELTY VIOLENCE caring thinking democratic human being
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Here’s to Friendship and Health:The China-Uganda Friendship Hospital provides a vital facility for much needed health care in the region
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作者 GODFREY OLUKYA 《ChinAfrica》 2026年第4期42-43,共2页
Kenneth Mugweri is a happy man after recently being discharged from the China-Uganda Friendship Hospital in Naguru,located on the outskirts of Uganda’s capital Kampala.
关键词 health care friendship hospital DISCHARGE China Uganda Naguru kenneth mugweri Kampala
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Effectiveness of a stepped self-care program for stroke survivors:A quasi-experimental study
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作者 Zihao Ruan Dan Wang +5 位作者 Wenna Wang Yongxia Mei Hui Wang Suyan Chen Qiushi Zhang Zhenxiang Zhang 《International Journal of Nursing Sciences》 2026年第1期45-52,I0004,共9页
Objectives This study aimed to evaluate the effectiveness of the stepped self-care program on the self-care,self-efficacy,and quality of life of stroke survivors.Methods This quasi-experimental study allocated 110 str... Objectives This study aimed to evaluate the effectiveness of the stepped self-care program on the self-care,self-efficacy,and quality of life of stroke survivors.Methods This quasi-experimental study allocated 110 stroke survivors from two neurology wards into an intervention group(n=55)who received the stepped self-care program and a control group(n=55)who received usual care from June to December 2023.The Self-Care of Stroke Inventory,Stroke Self-Efficacy Questionnaire,and the short version of the Stroke Specific Quality of Life Scale were administered at baseline(T0),immediately post-intervention(T_(1)),and at 1-month(T_(2))and 3-month(T_(3))follow-ups.Data were analyzed using repeated measures analyses of variance,and generalized estimating equations.Results A total of 48 participants in the intervention group and 50 participants in the control group completed the study.No statistically significant differences were observed at T0 in any of the measured indicators(all P>0.05).The study showed significant group,time,and group×time interaction effects across the assessed outcomes(all P<0.05).Follow-up between-group comparisons at T_(1),T_(2),and T_(3) indicated that the intervention group had significantly higher scores in self-care maintenance,self-care monitoring,self-care management,self-efficacy,and quality of life than the control group(all P<0.001).Conclusions The stepped self-care program significantly improved self-care behaviors,self-efficacy,and quality of life among stroke survivors.These findings support the broader implementation of this approach in post-discharge home self-care. 展开更多
关键词 Quality of life SELF-CARE SELF-EFFICACY Stepped care program STROKE
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Effects of Continuous Care on Children with Enterostomy and Their Families in China
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作者 Shanwei Li Ying Wang Yan Tang 《Journal of Clinical and Nursing Research》 2026年第1期400-408,共9页
Background:Continuous care for children with enterostomy and their families has been gaining popularity in China.Objective:To evaluate the feasibility of continuous care for children with enterostomy and their familie... Background:Continuous care for children with enterostomy and their families has been gaining popularity in China.Objective:To evaluate the feasibility of continuous care for children with enterostomy and their families in China.Methods:The PubMed,Web of Science,Embase,Cochrane Library,EBSCO,CNKI,CBM,VIP,and WanFang were searched for clinical trials until December 30,2025.Two reviewers independently searched articles,evaluated quality and extracted data.This review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses(PRISMA).Results:33 studies involving 2774 participants were included.The meta-analysis showed that continuous care strategy can significantly reduce the incidence of complications in children with enterostomy(OR=0.20,95%CI=0.16-0.26,p<0.001,I2=0%),effectively improve the family caregiver ability for enterostomy(MD=-10.34,95%CI=-13.82 to-6.85,p<0.001,I2=99%),shorten the time for family members to replace stoma bags(MD=-13.57,95%CI=-19.66 to-7.49,p<0.001,I2=100%),and alleviate negative emotions such as anxiety(SMD=-1.80,95%CI=-2.36 to-1.23,p<0.001,I2=92%)and depression(SMD=-1.54,95%CI=-2.04 to-1.04,p<0.001,I2=89%)in the families of the affected children.Conclusions:Continuous care can reduce complications of enterostomy in children,improve the family caregiver ability for enterostomy and alleviate negative emotions of family members such as anxiety and depression. 展开更多
关键词 Continuous care Pediatric enterostomy Family members Enterostomy nursing META-ANALYSIS
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