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CAREFUL NUMERICAL SIMULATION AND ANALYSIS OF MIGRATION-ACCUMULATION OF TANHAI REGION
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作者 袁益让 杜宁 韩玉笈 《Applied Mathematics and Mechanics(English Edition)》 SCIE EI 2005年第6期741-752,共12页
Numerical simulation of careful parallel arithmetic of oil resources migration-accumulation of Tanhai Region ( three-layer) was done. Careful parallel operator splitting-up implicit iterative scheme, parallel arithmet... Numerical simulation of careful parallel arithmetic of oil resources migration-accumulation of Tanhai Region ( three-layer) was done. Careful parallel operator splitting-up implicit iterative scheme, parallel arithmetic program, parallel arithmetic information and alternating-direction mesh subdivision were put forward. Parallel arithmetic and analysis of different CPU combinations were done. This numerical simulation test and the actual conditions are basically coincident. The convergence estimation of the model problem has successfully solved the difficult problem in the fields of permeation fluid mechanics, computational mathematics and petroleum geology. 展开更多
关键词 migration-accumulation Tanhai region careful numerical simulation parallel arithmetic program numerical analysis
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wary,cautious,careful,chary,circumspect,calculating,attentive的同义辨析
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作者 胡铁生 《语言教育》 1995年第2期40-42,共3页
《大学英语》精读课本(李荫华主编)第四册第五单元的课文中,有这洋一句话:Yet the public has every reason to be wary of professional deception,…与本句中 wary 一词意义较近的同义词还有 cautious,chary,circumspect,calculating... 《大学英语》精读课本(李荫华主编)第四册第五单元的课文中,有这洋一句话:Yet the public has every reason to be wary of professional deception,…与本句中 wary 一词意义较近的同义词还有 cautious,chary,circumspect,calculating,均含有对可能遇到或面临的危险或处事时所持的“谨慎”、“小心”的态度。其区别与用法如下: 展开更多
关键词 careful 精读课 CALCULATING 《大学英语》 professional 所持 DOING PRAISE 单元的 LOOKING
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FINAL SUCCESS AND LONG TERM TNTERESTS COMES FROM CAREFUL OPERATIONAL RESEARCH——A visit to Cai JingHua,executive director and Wu JiaLe,vice general manager of Guangdong Investment Limited
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作者 Ke Ren 《大经贸》 北大核心 1997年第2期92-93,共2页
The leading role of undertaking most part of business activities bytapping fund through public listing for Guangdong Enterprises(Holdings)Limited.(here-in-after called GDE)is Played by one of its affiliate,GuangdongIn... The leading role of undertaking most part of business activities bytapping fund through public listing for Guangdong Enterprises(Holdings)Limited.(here-in-after called GDE)is Played by one of its affiliate,GuangdongInvestment Limited (Here-in-after called GDI).In ten years of activeties,GDIPolicy makers deeply felt that their supreme responsibility was to create thebiggest wealth at present and in the future for the property owner,to achievethe biggest increase of property value,and in the meantime to contribute a bitfor the continuous progress of society. 展开更多
关键词 GDI FINAL SUCCESS AND LONG TERM TNTERESTS COMES FROM careful OPERATIONAL RESEARCH In A visit to Cai JingHua executive director and Wu JiaLe vice general manager of Guangdong Investment Limited
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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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Exercise interventions in adolescents with depression: a scoping review
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作者 Wen-Wen Wu Hai-Xia Feng +2 位作者 Si-Qin Wang Wu Zhou Liang-Liang Tan 《Nursing Communications》 2026年第1期1-7,共7页
This scoping review aims to synthesize evidence on exercise interventions for adolescents with depression by examining their components and evaluating their effects,thereby informing the development of standardized ex... This scoping review aims to synthesize evidence on exercise interventions for adolescents with depression by examining their components and evaluating their effects,thereby informing the development of standardized exercise programs for this population.Based on the Arksey and O’Malley framework for scoping reviews,the following databases were systematically searched:PubMed,Web of Science,Cochrane Library,Embase,EBSCO,China National Knowledge Infrastructure,Wanfang Database,VIP Database,and China Biomedical Literature Database.Based on the inclusion and exclusion criteria,the original studies applying exercise intervention in adolescents with depression were screened.A total of 9 papers were included,including 7 randomized controlled trials,1 quasi-experimental study,and 1 mixed study.The types of exercise interventions included aerobic exercise,resistance training,anti-gravity exercise,and stretching.The frequency of exercise was 30–60 min,3–5 times per week in most studies,with most intensities being moderate to high.Exercise intervention is feasible and effective in adolescents with depression.Nursing staff play a crucial role in implementing and supervising these interventions,from initial assessment to continuous monitoring of motivation and safety.In future studies,healthcare professionals should focus on assessing the condition and physical functional status of adolescents with depression and improving the specific content of exercise intervention to develop a scientific and standardized exercise training program for adolescents with depression. 展开更多
关键词 adolescent depression EXERCISE rehabilitative care scoping review
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Take Care of Your Har
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作者 Ruth Devlin 《空中英语教室(初级版.大家说英语)》 2026年第1期25-28,56,53,共6页
Take care of your hair to help it stay clean,strong and healthy.Wash your hair when it gets dirty,but not too often.For most people,that means every two to three days.People with oily hair wash it every one to two day... Take care of your hair to help it stay clean,strong and healthy.Wash your hair when it gets dirty,but not too often.For most people,that means every two to three days.People with oily hair wash it every one to two days.Use a brush or comb to keep your hair neat and smooth.It's also important to be gentle so you don't pull or break your hair.Never go to bed with wet hair.It can break easily when you sleep.Dry it before bed! 展开更多
关键词 sleep hygiene hair damage washing frequency hair type scalp health hair care BRUSHING oily hair
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Iron dyshomeostasis links obesity and neurological diseases
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作者 Bandy Chen 《Neural Regeneration Research》 2026年第5期1985-1986,共2页
With the industrialization of agriculture and the advancement of medical care,human life expectancy has increased considerably and continues to rise steadily.This results in novel and unprecedented challenges,namely o... With the industrialization of agriculture and the advancement of medical care,human life expectancy has increased considerably and continues to rise steadily.This results in novel and unprecedented challenges,namely obesity and neurodegeneration. 展开更多
关键词 industrialization agriculture human life expectancy OBESITY medical care advancement neurological diseases iron dysregulation NEURODEGENERATION
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Preoperative anxiety among patients and its correlation with their personality type and pain:A cross-sectional study
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作者 Nariman Salem Abdul Hadi Moursel +10 位作者 Ali Zahweh Dana Shhadi Fedaa Saad Mahdi Reda Mariam Mghames Rami Roumieh Rawan Tfaily Salim M Ramadan Bahaa Bou Dargham Omar Rajab Fatima Akel 《World Journal of Psychiatry》 2026年第1期278-290,共13页
BACKGROUND Preoperative anxiety is a significant concern for patients,as it affects surgical outcomes,satisfaction,and pain perception.Although both anxiety and pain are common in surgical settings,their relationship ... BACKGROUND Preoperative anxiety is a significant concern for patients,as it affects surgical outcomes,satisfaction,and pain perception.Although both anxiety and pain are common in surgical settings,their relationship with personality traits has not been previously investigated in the Lebanese population.AIM To examine the prevalence of preoperative anxiety,pain perception,and personality traits among Lebanese surgical patients,and to assess the associations between these factors.METHODS A descriptive cross-sectional study was conducted between April 2024 and January 2025 across Lebanese hospitals.A total of 392 adult patients were recruited through convenience sampling.Data were collected using a questionnaire that included sociodemographic,clinical,and surgical variables,the Amsterdam Preoperative Anxiety and Information Scale for anxiety,the Visual Analog Scale and Numerical Pain Rating Scale for preoperative pain,and the Ten-Item Personality Inventory for personality traits.Ethical approval was obtained from the Institutional Review Boards of Makassed General Hospital and Hammoud University Medical Center.RESULTS Overall,25%of participants experienced preoperative anxiety,and 34.5%reported moderate pain.Personality assessment showed that the majority of participants had moderate extraversion(84.1%),moderate emotional stability(65.1%),high conscientiousness(61%),high agreeableness(54.1%),and moderate openness(49.2%).High conscientiousness was significantly associated with higher pain perception(P<0.05),while high emotional stability was associated with lower levels of anxiety(P<0.05).No significant association was found between preoperative anxiety and pain(P>0.05).CONCLUSION This study challenges the assumption that preoperative anxiety and pain are directly correlated and highlights the role of personality traits in shaping patient experience.These findings support the potential value of integrating psychological profiling into preoperative care and lay the groundwork for developing personalized interventions to improve patient-centered surgical outcomes. 展开更多
关键词 Preoperative anxiety Pain perception Personality traits CONSCIENTIOUSNESS Emotional stability Lebanese hospitals Surgical patients Personalized care strategies
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Liquid biopsies in psychiatric disorders:Identifying peripheral biomarkers of brain health
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作者 Jennifer L.Payne Sarven Sabunciyan 《Neural Regeneration Research》 2026年第2期691-692,共2页
The inability to access brain tissue has greatly hindered our ability to study and care for individuals suffering from psychiatric and neurological conditions.Critics have questioned efforts to develop peripheral bloo... The inability to access brain tissue has greatly hindered our ability to study and care for individuals suffering from psychiatric and neurological conditions.Critics have questioned efforts to develop peripheral blood biomarkers in neurological and psychiatric disorders based on the assertion that disease pathology is limited to the brain.The discovery that all tissues,including the brain,release extracellular vesicles(Raposo and Stoorvogel,2013)and cell free DNAs(Chan et al.,2013)into various body fluids has provided a potential way to measure activity from inaccessible tissues like the central nervous system(CNS)and has given rise to the term“liquid biopsy.”The development of liquid biopsies that can diagnose and predict the course of psychiatric and neurological disorders would be transformative.The ability to predict episodic events such as mania,depression,and risk for suicide would be particularly useful for psychiatric care as it would enable the development of interventions that prevent mortality and improve outcomes.Additionally,biomarkers that are informative about drug response and aid in treatment decisions would be a significant advance in psychiatric care as it would prevent patients from having to endure multiple courses of ineffective treatments and side effects. 展开更多
关键词 develop peripheral blood biomarkers liquid biopsies study care individuals cell free dnas chan extracellular vesicles raposo body fluids neurological psychiatric disorders peripheral biomarkers
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Perioperative management of pediatric patients with inborn errors of metabolism during liver transplantation
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作者 Susan Paulin Akila Rajakumar +2 位作者 Jagadeesh Menon Naresh Shanmugam Mohamed Rela 《World Journal of Transplantation》 2026年第1期91-102,共12页
Inborn errors of metabolism(IEM)are rare disorders,most are liver-based with liver transplantation(LT)emerging as an effective cure in the pediatric population.LT has been shown to offer a cure or deter disease progre... Inborn errors of metabolism(IEM)are rare disorders,most are liver-based with liver transplantation(LT)emerging as an effective cure in the pediatric population.LT has been shown to offer a cure or deter disease progression and provide symptomatic improvement in patients with IEM.Each metabolic disorder is unique,with the missing enzyme or transporter protein causing substrate deficiency or toxic byproduct production.Knowledge about the distribution of deficient enzymes,the percentage of enzymes replaced by LT,and the extent of extrahepatic involvement helps anticipate and manage complications in the perioperative period.Most patients have multisystem involvement and can be on complex dietary regimens.Metabolic decompensation can be triggered due to the stress response to surgery,fasting and other unanticipated complications perioperatively.Thus,a multidisciplinary team’s input including those from metabolic specialists is essential to develop disease and patient-specific strategies for the perioperative management of these patients during LT.In this review,we outline the classification of IEM,indications for LT along with potential benefits,basic metabolic defects and their implications,details of extrahepatic involvement and perioperative management strategies for LT in children with some of the commonly presenting IEM,to assist anesthesiologists handling this cohort of patients. 展开更多
关键词 Inborn errors of metabolism Anaesthesia for paediatric liver transplantation Metabolic crisis Hyperammonemia in paediatric liver transplantation Perioperative care in metabolic liver diseases
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Relief Aid Carefully Audited
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《Beijing Review》 2008年第23期9-9,共1页
In a recent interview with the national TV broadcaster CCTV,Wang Zhongxin,Director of the Social Security Audit Department at the National Audit Office,talks about the procedures that are in effect to ensure relief su... In a recent interview with the national TV broadcaster CCTV,Wang Zhongxin,Director of the Social Security Audit Department at the National Audit Office,talks about the procedures that are in effect to ensure relief supplies for the Wenchuan earthquake victims reach the end users. Excerpts 展开更多
关键词 OFFICE Relief Aid carefully Audited
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Taming Financial Cycles Carefully
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《Beijing Review》 2017年第49期42-42,共1页
While the markets debate China's latest round of economic growth,
关键词 Taming Financial Cycles carefully China's latest round
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Multiple-site decontamination in critically ill patients requires careful implementation
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作者 Yuetian Yu Bin Lin +3 位作者 Lihui Wang Chunhui Xu Cheng Zhu Yuan Gao 《Infectious Medicine》 2024年第4期112-116,共5页
The EPICⅢstudy showed that 52%of patients admitted to the intensive care unit(ICU)have infectious diseases and that the incidence of ICU-acquired infections is increasing,leading to longer ICU stays and higher mortal... The EPICⅢstudy showed that 52%of patients admitted to the intensive care unit(ICU)have infectious diseases and that the incidence of ICU-acquired infections is increasing,leading to longer ICU stays and higher mortality rates.Multiple-site decontamination,a type of selective decontamination program,has been associated with a reduction in the incidence of ICU-acquired infection and decreased mortality rates in some critically ill patients.However,the standardized implementation and actual effectiveness of multiple-site decontamination require further investigation. 展开更多
关键词 Multiple-site decontamination Critically ill patients Intensive care unit
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Guide Care管理模式应用于帕金森病患者自我管理的效果
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作者 黄彦飞 李春林 +2 位作者 袁琼 顾秀莲 宁琪 《阿尔茨海默病及相关病杂志》 2025年第3期182-187,共6页
目的:探讨Guide Care管理模式应用于帕金森病患者自我管理的效果。方法:选取2021年11月至2022年12月在广西壮族自治区人民医院老年神经内科住院的帕金森病患者90例作为研究对象,按随机数字表法分为试验组(45例)和对照组(45例)。对照组... 目的:探讨Guide Care管理模式应用于帕金森病患者自我管理的效果。方法:选取2021年11月至2022年12月在广西壮族自治区人民医院老年神经内科住院的帕金森病患者90例作为研究对象,按随机数字表法分为试验组(45例)和对照组(45例)。对照组采用常规护理干预,试验组采用Guided Care管理模式干预。评估并比较两组患者自我管理能力、生存质量、病情进展及焦虑抑郁情况。干预时间持续6周。结果:试验组患者干预后自我管理3个维度(日常行为管理、管理认知和疾病管理)评分均高于对照组,试验组自我管理总分及日常行为管理总分均高于对照组,差异有统计学意义(P<0.001);两组帕金森病综合评分量表(unified-parkinson disease rating scale,UPDRS)各项评分均较治疗前降低,且试验组运动检查、日常生活活动、精神行为和情感评分均低于对照组,差异有统计学意义(P<0.001);干预后两组PDQ-39评分降低,且试验组评分低于对照组,差异有统计学意义(P<0.05);干预后试验组SAS和SDS评分显著低于对照组,差异有统计学意义(P<0.05)。结论:Guide Care管理模式可提高帕金森病患者的自我管理能力,改善患者的生活质量,延缓疾病进展。 展开更多
关键词 Guide Care 帕金森病 自我管理 生活质量
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X-CARE技术可降低头颅CT辐射剂量:基于体型特异性剂量估算值
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作者 王帆 曹伟 +1 位作者 梁保辉 王静 《分子影像学杂志》 2025年第3期296-301,共6页
目的 分析头颅CT检查时分别使用固定管电流技术、CARE Dose 4D和X-CARE技术时对受检者辐射剂量和图像质量的影响,探求一种保护敏感器官的头颅CT扫描方案。方法 前瞻性收集2023年5月~2024年2月在徐州市第一人民医院接受头颅CT检查的90例... 目的 分析头颅CT检查时分别使用固定管电流技术、CARE Dose 4D和X-CARE技术时对受检者辐射剂量和图像质量的影响,探求一种保护敏感器官的头颅CT扫描方案。方法 前瞻性收集2023年5月~2024年2月在徐州市第一人民医院接受头颅CT检查的90例患者,将其随机分为A、B、C组,分别使用固定管电流技术、CARE Dose 4D和X-CARE技术,30例/组。在扫描时将热释光剂量计置于患者眼睛表面,比较分析不同组患者的容积CT剂量指数(CTDIvol)、体型特异性剂量估算(SSDE)值以及眼晶状体表面辐射剂量的差异性;由2位放射科医师采用双盲法依据五分制进行图像质量主观评分,利用图像噪声(SD)、信噪比(SNR)和主观评分比较不同组患者图像质量的差异。结果 3组的CTDIvol分别为49.61±0.40、33.85±3.20、32.40±3.11 mGy,SSDE分别为34.26±1.77、28.08±5.34、27.29±5.30 mGy,眼睛表面剂量分别为6.76±0.46、3.41±0.40、2.05±0.73 mSv。相比于使用固定管电流技术,使用CARE Dose 4D和X-CARE技术时辐射剂量CTDIvol分别降低31.76%和34.69%,SSDE分别降低36.55%和38.34%。SSDE较CTDIvol低10.78%。对于图像质量,使用CARE Dose 4D和X-CARE技术时图像的噪声和SNR均低于固定管电流组,但3组图像的主观性评分差异无统计学意义(P>0.05)。结论 相比于SSDE,CTDIvol低估了受检者实际的辐射剂量。X-CARE技术能够在保证图像质量的前提下,有效降低头颅CT扫描的辐射剂量,同时眼睛部分的敏感器官也能得到很好保护。 展开更多
关键词 CARE Dose 4D X-CARE 体型特异性剂量估算 辐射剂量 图像质量
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住院患者肠内营养相关性腹泻CARE管理模式的构建与应用 被引量:1
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作者 张昕悦 王颖 +4 位作者 杜玫洁 王玫 何梅 蔡悦 崔梦影 《护理学杂志》 北大核心 2025年第9期74-78,共5页
目的构建住院患者肠内营养相关性腹泻CARE管理模式并评价其应用效果。方法通过组建多学科管理团队,基于循证及现况调查和多轮专家咨询形成肠内营养相关性CARE管理模式,包括综合预防、准确评估、转介与决策、评价与监测4个维度。选取2021... 目的构建住院患者肠内营养相关性腹泻CARE管理模式并评价其应用效果。方法通过组建多学科管理团队,基于循证及现况调查和多轮专家咨询形成肠内营养相关性CARE管理模式,包括综合预防、准确评估、转介与决策、评价与监测4个维度。选取2021年5-7月行肠内营养支持的1085例住院患者作为对照组,给予常规护理措施;选取2022年11月至2023年2月的1083例住院患者作为观察组,实施肠内营养相关性CARE管理模式。比较两组肠内营养支持期间的腹泻发生率及CARE管理模式实施前后护士肠内营养知识及态度水平。结果对照组肠内营养相关性腹泻发生率为22.30%,观察组为13.48%,两组比较,差异有统计学意义(P<0.05)。CARE管理模式实施后,护士肠内营养相关性腹泻定义及态度得分显著提升(均P<0.05)。结论实施肠内营养相关性腹泻CARE管理模式能有效降低患者腹泻发生率,提升护士肠内营养相关性腹泻知识及态度水平。 展开更多
关键词 住院患者 肠内营养 腹泻 证据转化 营养干预 CARE管理模式 循证护理
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双定位像联合Care Dose 4D技术在PET/CT体部检查中的临床价值
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作者 樊俊甫 黄伟 +3 位作者 杨田硕 朱荣华 魏静 陶维静 《医学研究与战创伤救治》 北大核心 2025年第11期1170-1175,共6页
目的研究双定位像联合Care Dose 4D技术在PET/CT体部扫描中的临床应用价值。方法收集2022年7月5日-2023年9月23日在南京医科大学附属淮安第一医院行Care Dose 4D模式下单定位像法(前后位)和双定位像法(前后位和侧位)2次PET/CT扫描的120... 目的研究双定位像联合Care Dose 4D技术在PET/CT体部扫描中的临床应用价值。方法收集2022年7月5日-2023年9月23日在南京医科大学附属淮安第一医院行Care Dose 4D模式下单定位像法(前后位)和双定位像法(前后位和侧位)2次PET/CT扫描的120例患者。计算患者体重指数(BMI)。设Care Dose 4D模式下单定位像法扫描为单定位像组,Care Dose 4D模式下双定位像法扫描为双定位像组。根据BMI值将患者再分为四个亚组:过低组(BMI<18.5 kg/m^(2))、正常组(18.5 kg/m^(2)≤BMI<25 kg/m^(2))、超重组(25 kg/m^(2)≤BMI<30 kg/m^(2))和肥胖组(BMI≥30 kg/m^(2))。记录患者2种扫描模式下毫安秒(mAs)、CT容积剂量指数(CTDI_(vol))、剂量长度乘积(DLP)并计算有效剂量(ED)。通过图像信噪比(SNR)、对比信噪比(CNR)客观评价图像质量;另外由2名高年资核医学诊断医师采用双盲法主观评价图像质量。采用配对样本t检验比较单定位像组及双定位像组的CTDI_(vol)、DLP、ED值。计算每个患者2次扫描辐射剂量差值,记为ΔCTDI_(vol)、ΔDLP及ΔED;分析不同BMI亚组(过低组、正常组、超重组及肥胖组)ΔCTDI_(vol)、ΔDLP及ΔED有无统计学差异。结果图像质量方面,客观评价除舌骨层面外,双定位像组图像SNR、CNR较单定位像组下降,其中左肾门层面及髂总动脉分叉层面差异具有统计学意义(P<0.05);医师主观评价两组图像质量均能满足临床诊断需求。辐射剂量方面,双定位像组[CTDI_(vol):(8.14±1.64)mGy、DLP:(704.89±146.91)mGy·cm、ED:(12.69±2.64)mSv]较单定位像组[CTDI_(vol):(9.49±2.05)mGy、DLP:(822.24±180.31)mGy·cm、ED:(14.80±3.25)mSv]明显下降,差异具有统计学意义(P<0.01)。随BMI升高患者辐射剂量下降越明显,其中正常组与超重组、正常组与肥胖组间ΔCTDI_(vol)、ΔDLP及ΔED差异均具有统计学意义(P<0.05)。结论双定位像联合Care Dose 4D技术应用于PET/CT体部扫描,在保证图像质量前提下,可有效降低患者CT辐射剂量。 展开更多
关键词 Care Dose 4D技术 定位像 辐射剂量 图像质量 PET/CT
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Challenges and improvement strategies in the hospitalization of chronic multimorbid patients 被引量:1
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作者 Andres Fontalba-Navas Francisco Pozo Muñoz +4 位作者 Rogelio Garcia Cisneros Maria Jose Garcia Larrosa Maria del Mar Callejon Gil Ignacio Garcia Delgado Maria Belen Jimenez Martinez 《World Journal of Clinical Cases》 SCIE 2025年第3期35-41,共7页
BACKGROUND Addressing the growing challenge of hospitalizing chronic multimorbid patients,this study examines the strain these conditions impose on healthcare systems at a local level,focusing on a pilot program.Chron... BACKGROUND Addressing the growing challenge of hospitalizing chronic multimorbid patients,this study examines the strain these conditions impose on healthcare systems at a local level,focusing on a pilot program.Chronic diseases and complex patients require comprehensive management strategies to reduce healthcare burdens and improve patient outcomes.If proven effective,this pilot model has the potential to be replicated in other healthcare settings to enhance the management of chronic multimorbid patients.AIM To evaluate the effectiveness of the high complexity unit(HCU)in managing chronic multimorbid patients through a multidisciplinary care model and to compare it with standard hospital care.METHODS The study employed a descriptive longitudinal approach,analyzing data from the Basic Minimum Data Set(BMDS)to compare hospitalization variables among the HCU,the Internal Medicine Service,and other services at Antequera Hospital throughout 2022.The HCU,designed for patients with complex chronic conditions,integrates a patient-centered model emphasizing multidisciplinary care and continuity post-discharge.RESULTS The study employed a descriptive longitudinal approach,analyzing data from the BMDS to compare hospitalization variables among the HCU,the Internal Medicine Service,and other services at Antequera Hospital throughout 2022.The HCU,designed for patients with complex chronic conditions,integrates a patient-centered model emphasizing multidisciplinary care and continuity post-discharge.CONCLUSION This study demonstrates the effectiveness of the HCU in managing patients with complex chronic diseases through a multidisciplinary approach.The coordinated care provided by the HCU results in improved patient outcomes,reduced unnecessary hospitalizations,and better management of patient complexity.The superiority of the HCU compared to standard care is evident in key outcomes such as fewer readmissions and higher patient satisfaction,reinforcing its value as a model of care to be replicated. 展开更多
关键词 High complexity unit Chronic multimorbidity Patient-centered care Integrated care Healthcare management
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Chinese Expert Consensus on the Definitions of Palliative Care and Hospice Care(2025) 被引量:7
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作者 Chinese Expert Consensus Working Group on the Definition of Palliative Care Xiao-Hong Ning +3 位作者 Yan-Ru Guo Duan-Qi Liu Yuan Qin Yu-Mei Wang 《Chinese Medical Sciences Journal》 2025年第2期89-99,共11页
Background and Objective The development of modern palliative care in China began in the 1980s and is currently in an accelerating phase.However,inconsistencies in terminology and concepts have hindered policy-making,... Background and Objective The development of modern palliative care in China began in the 1980s and is currently in an accelerating phase.However,inconsistencies in terminology and concepts have hindered policy-making,clinical practice,and academic research.The Terminology of Clinical Medicine(2023 edition)has determined huan-he-yi-liao(缓和医疗)and an-ning-liao-hu(安宁疗护)as the formal terms of"palliative care"and"hospice care",respectively.To align with these terms,this study aims to establish expert consensus definitions tailored to the Chinese context.Methods We systematically retrieved and collected domestic and international literature and policy documents related to the definition of palliative care,then deconstructed and analyzed the relevant conceptual elements of these definitions.Core expert panel built the initial recommended definition upon the conceptual elements and consensus definition of palliative care by the International Association for Hospice and Palliative Care(IAHPC)through two rounds of online discussions.After nomination and selection,61 professionals in the field of palliative care in China were invited to participate in the consensus expert group.Two rounds of Delphi consultation were conducted among the consensus experts,who were asked to score their agreement using Likert scale to the items in the initial recommended definition and the definition statements of palliative care and hospice care.Agreement rate of over 80%was considered as reaching consensus for each items.The core expert panel revised the items and the statements of recommended definitions based on the results from Delphi surveys.The final recommended definitions were formulated after feedback from patient and public involvement(PPI)group members.Results The response rates for the first and second round of Delphi surveys were 83.6%and 100.0%,respectively.The agreement rates of the items and statements of the recommended definitions exceeded 90%.Accordingly,the definitions based on Chinese expert consensus are recommended.Palliative care is an active holistic approach aimed at patients of all ages suffering from life-threatening illness and their families and caregivers.It seeks to improve their quality of life by preventing,assessing,and relieving physical,psychological,social,and spiritual suffering.Hospice care is an integral part of palliative care,focusing on holistic care for patients at the end of life and their families and caregivers.Its goal is to help patients to maintain dignity and achieve a good death by alleviating physical,psychological,social,and spiritual distress without intentionally hastening or postponing death,meanwhile improve the quality of life for families and caregivers.Conclusions This study has established the Chinese expert consensus definitions of palliative care and hospice care in China,as well as the relationship between the two.The definitions highlight the holistic nature of palliative care,providing a foundation for discipline development,clinical practice,and public communication. 展开更多
关键词 palliative care hospice care China DELPHI DEFINITION
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《2024 ESC/EACTS心房颤动管理指南》解读
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作者 王倩 张敬颖 +3 位作者 朱姿颖 欧敏行 陈雨卉 张秀杰 《护理研究》 北大核心 2025年第23期3905-3910,共6页
从护理视角对《2024 ESC/EACTS心房颤动管理指南》中心房颤动的管理策略进行解读,重点解读如何基于AF⁃CARE框架进行心房颤动病人的护理管理,旨在为相关护理指南的制订与更新提供依据,不断规范与完善心房颤动的专科护理、为临床护理实践... 从护理视角对《2024 ESC/EACTS心房颤动管理指南》中心房颤动的管理策略进行解读,重点解读如何基于AF⁃CARE框架进行心房颤动病人的护理管理,旨在为相关护理指南的制订与更新提供依据,不断规范与完善心房颤动的专科护理、为临床护理实践提供循证指导。 展开更多
关键词 心房颤动 共同决策 AF⁃CARE 指南 护理
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