With the increasing complexity of social public affairs,cross-departmental collaborative governance has become an important model of modern administrative management.However,conflicts of interest frequently occur duri...With the increasing complexity of social public affairs,cross-departmental collaborative governance has become an important model of modern administrative management.However,conflicts of interest frequently occur during the collaboration process,which are mainly reflected in resource allocation,goal differences,and power games.These conflicts are caused by factors such as cultural differences within departments,inconsistent performance evaluation systems,and personal interests of department members.To address these issues,it is necessary to design multi-level integration mechanisms,including establishing stable communication channels and unified goals and evaluation systems.Successful integration cases in various fields,such as food safety supervision,environmental protection,and urban transportation governance,show that effective integration mechanisms need to establish institutionalized communication carriers,form a consensus target system,and design guarantee measures with both incentives and constraints.Although current research has achieved certain results,there are still limitations,such as insufficient attention to underdeveloped regions,a lack of consideration of cultural factors,and a narrow focus on internal government collaboration.Future research can explore differentiated integration models,introduce third-party assessment institutions,and strengthen research on the participation mechanism of enterprises and social organizations.展开更多
Goals: The study has been initiated in order to describe the epidemiological, clinical and etiological aspect of the ascites. Patients and methods: This was a retrospective and descriptive study on the patients with a...Goals: The study has been initiated in order to describe the epidemiological, clinical and etiological aspect of the ascites. Patients and methods: This was a retrospective and descriptive study on the patients with an ascite and followed at the medicine department of Borgou departmental teaching hospital. Results: A total of 190 patients have presented an ascite or a hospital prevalence at 3.93%. A male predominance has been observed with a sex-ratio at 1.7. The average age was 39.7 ± 13.9 years. The reason for consultation is dominated by the increase of the abdominal volume (69.5%). The ascite fluid is macroscopically yellow citrine. The cirrhosis (28.5%) and the heart diseases (18.6%) were the most encountered causes of the ascites. Conclusion: The etiologies of ascites are various and dominated by the hepatic cirrhosis and the heart diseases.展开更多
As an innovative mode of social endowment, combining medical care with modern medical care technology and old-age service is an important direction of a series of social problems caused by the deepening of aging and t...As an innovative mode of social endowment, combining medical care with modern medical care technology and old-age service is an important direction of a series of social problems caused by the deepening of aging and the intensification of aging process in China. It is the inevitable choice for the development of Chinese characteristics for the aged. At present, with the continuous development of the combination of medical care and rehabilitation, the process of combination of medical care and breeding is slow, and the problems of inter departmental cooperation, high cost of resource integration and low service efficiency have emerged. The paper puts forward that multi head management of different responsibility management body is a bottleneck problem that hinders the integration of medical care. From the objective and subjective two points of view, the administrative system level barrier and the inter departmental interest game are the important reasons that obstruct the medical support and break through the estrangement of the Department and realize the cooperation. Then, according to the theory of large part system reform, the author boldly proposes the idea of establishing a new comprehensive functional department that specializes in the management of pension related affairs.展开更多
The Virology Department of the Institut Pasteur(Paris,France)held its biennial Journ´ees D´epartementales de Virologie(JDV)on May 13-15,2024,in the sea-side town of Le Touquet,France.This event brought toget...The Virology Department of the Institut Pasteur(Paris,France)held its biennial Journ´ees D´epartementales de Virologie(JDV)on May 13-15,2024,in the sea-side town of Le Touquet,France.This event brought together virologists across the department for a gathering of scien-tific exchange and collaboration.Placing young researchers in the spotlight,the meeting featured 25 talks,31 posters,and a keynote address.In this meeting report,we aim to introduce the depart-ment,present its current activities,and communicate its vision.展开更多
美国联邦政府采购体系以其繁多的法律体系和复杂的监管框架著称。2025年,随着特朗普政府成立政府效率部门(Department of Government Efficiency,DOGE),美国联邦政府正在探索如何通过创新技术和优化流程提高政府效率和透明度。笔者希望...美国联邦政府采购体系以其繁多的法律体系和复杂的监管框架著称。2025年,随着特朗普政府成立政府效率部门(Department of Government Efficiency,DOGE),美国联邦政府正在探索如何通过创新技术和优化流程提高政府效率和透明度。笔者希望通过对DOGE成立1个多月以来在推动美国联邦政府采购预算和监管模式的改革方面所采取的措施,探讨美国联邦政府采购的最新改革动向,包括预算削减与采购规模压缩、采购流程AI化、政府采购社会经济政策目标的调整、对采购组织机构和人员的影响、监管方式的改变,以及DOGE的法律与政治挑战、长期影响和示范效应。展开更多
Emergency department nurses face severe occupational stress leading to anxiety,depression,and burnout,which significantly impair their well-being and patientcare quality.This narrative review examined the role of mind...Emergency department nurses face severe occupational stress leading to anxiety,depression,and burnout,which significantly impair their well-being and patientcare quality.This narrative review examined the role of mindfulness-based stress reduction(MBSR)in addressing these challenges.Rooted in nonjudgmental present-moment awareness,MBSR enhances emotional regulation and reduces psychological distress by fostering adaptive coping strategies.Studies have demonstrated its efficacy in lowering anxiety,depressive symptoms,and emotional exhaustion,while improving workplace well-being,empathy,and job satisfaction.Mechanistically,MBSR improves interoceptive awareness and autonomic balance,as evidenced by physiological markers such as heart rate variability.However,gaps remain in long-term efficacy assessments,personalized interventions,and integration with multidisciplinary approaches.Future research should prioritize tailored biomarker-driven programs,longitudinal studies,and scalable implementation strategies in high-stress clinical settings.This review underscores MBSR’s potential as a sustainable,evidence-based tool to enhance emergency department nurses’mental health and professional performance,advocating for broader adoption and further refinement of its practical applications.展开更多
Objective:To evaluate the effectiveness of quality nursing in the management of reusable instruments in the Central Sterile Supply Department(CSSD).Methods:Eleven nurses from the CSSD department were selected from Jan...Objective:To evaluate the effectiveness of quality nursing in the management of reusable instruments in the Central Sterile Supply Department(CSSD).Methods:Eleven nurses from the CSSD department were selected from January to October 2024,and quality nursing activities were implemented in the management of reusable instruments.The completion of quality indicators was analyzed.The instrument quality management scores,department satisfaction,and nurses’professional ability scores before and after nursing management were compared.Results:After nursing intervention,the qualified rates of initial cleaning and final cleaning of sterilization instruments were 99.66%and 100%,respectively.The qualified rate of packaging was 99.97%,the wet package rate was 0.1‰,the loading qualified rate was 99.88%,and the qualified rate of distribution was 99.99%.After nursing intervention,the nurses’instrument quality management scores,department satisfaction,and nurses’professional ability scores were all higher than those before nursing intervention(P<0.05).Conclusion:Quality nursing activities can improve the cleaning,packaging,and sterilization qualified rates of reusable instruments in the CSSD,enhance the effect of instrument quality management,obtain higher department satisfaction from nurses,cultivate their professional abilities,and possess significant nursing management advantages.展开更多
Conversation A(in a department store)Sara:Department store directories are helpful.Sam:They are.Today,I have to buy new furniture and bedding for my apartment.They're on the sixth floor.
Aim:To evaluate the impact of professional training on pediatric outpatient nurses’cognition and attitudes towards the use of clown therapy,and to assess its clinical applicability.Design:A pre-and post-training eval...Aim:To evaluate the impact of professional training on pediatric outpatient nurses’cognition and attitudes towards the use of clown therapy,and to assess its clinical applicability.Design:A pre-and post-training evaluation study.Methods:A total of 31 pediatric outpatient nurses participated in the study,completing a self-designed 15-item questionnaire focused on clown therapy.The questionnaires were administered both before and after a structured training program.The assessment aimed to measure changes in nurses’knowledge and attitudes toward clown therapy.Results:The results indicated a statistically significant improvement in the nurses’cognition following the training(mean score post-training:8.55 vs pre-training:7.71,p=0.003).Conclusion:Notably,the training also eliminated the age-related differences in cognition observed prior to the intervention.Furthermore,nurses expressed more positive attitudes toward the clinical implementation of clown therapy post-training.展开更多
Objective:To evaluate laboratory findings that predict bacterial meningitis in emergency service and their diagnostic effectiveness.Methods:This retrospective cohort study analyzed data from patients presenting with m...Objective:To evaluate laboratory findings that predict bacterial meningitis in emergency service and their diagnostic effectiveness.Methods:This retrospective cohort study analyzed data from patients presenting with meningitis symptoms at a referral hospital in Mersin,Turkey,between January 2019 and January 2022.Clinical findings and laboratory results,including leukocyte count,C-reactive protein(CRP),and procalcitonin levels in blood,were examined.Logistic regression,Chi square test,and receiver operating characteristics(ROC)curve analyses assessed the predictive value of these parameters.Results:A total of 199 participants were included in the study;99 patients were diagnosed with meningitis after lumbar puncture and 100 served as controls.Patients with meningitis exhibited significantly higher leukocyte counts(median:11890×10^(3)/μL vs.7905×10^(3)/μL,P<0.001)and CRP levels(median:6.00 mg/dL vs.0.95 mg/dL,P<0.001)compared to controls.Procalcitonin levels were significantly elevated in meningitis patients(median:0.21 ng/mL vs.0.10 ng/mL,P<0.001).Logistic regression identified albumin(OR=0.16,95%CI=0.06-0.40),and CRP(OR=1.18,95%CI=1.08-1.28)as independent predictors of meningitis.ROC analysis for CRP demonstrated a sensitivity of 80.6%and specificity of 70.0%at a cut-off value of 2.23 mg/dL(AUC=0.792).Conclusions:Elevated albumin levels and CRP contents in the blood were significant predictors of meningitis in emergency service.Early identification of predictive markers may aid in timely lumbar puncture and management of atypical cases.展开更多
Objective:To analyze the clinical application and effects of the body restraint reduction program for severe neurological patients.Methods:A total of 206 patients admitted to the neurology department of the hospital f...Objective:To analyze the clinical application and effects of the body restraint reduction program for severe neurological patients.Methods:A total of 206 patients admitted to the neurology department of the hospital from January 2022 to May 2025 were selected as the research subjects.Among them,102 patients from January 2022 to May 2025 were assigned to the observation group,and 104 patients during the same period served as the control group.In practice,the control group received conventional body restraint,while the observation group adopted the reduction program.The incidence of unplanned extubation and restraint-related complications were compared between the two groups.Results:The body restraint rate and complication rate in the observation group were significantly lower(P<0.05).After nurse training,their knowledge mastery and operational ability were significantly higher than before training(P<0.01).Conclusion:The body restraint reduction program for severe neurological patients can effectively reduce the restraint rate and complication incidence,while helping improve nurses’restraint management capabilities,serving as an effective means to enhance overall nursing quality.展开更多
BACKGROUND Point-of-care ultrasound(POCUS)is the use of portable ultrasound devices by trained healthcare professionals to diagnose and monitor medical conditions directly at the patient's bedside,such as in emerg...BACKGROUND Point-of-care ultrasound(POCUS)is the use of portable ultrasound devices by trained healthcare professionals to diagnose and monitor medical conditions directly at the patient's bedside,such as in emergency settings.We described a case where POCUS use,in Pediatric Emergency Department,allowed an early diagnosis and timely management in the surgical department,with a favorable outcome for child.Therefore we write this case because it is desirable to po-pularize ultrasound as the fifth pillar of clinical examination especially in Emer-gency Department CASE SUMMARY A 13-year-old girl with acute gastrointestinal symptoms,such as vomit and abdominal and lumbar pains.Upon physical examination,the patient had lo-calized abdominal pain in the left lower quadrant.Ultrasonography performed at the bedside revealed an enlarged left ovary with an irregular structure containing a 3 cm cyst.These findings raised suspicion of ovarian torsion.The child tran-sferred to Gynecology Surgery Unit,where she was taken emergently to the ope-rating room CONCLUSION It is desirable to spread POCUS in emergency settings where it allows a sig-nificant saving of time in patient management.展开更多
The International Federation of Standards Users(IFAN)held the 52nd IFAN Members’Assembly and associated meetings on October 20-22 in Milan,Italy,which was hosted by the Italian standards body UNI.Xia Weijia(Vivian),M...The International Federation of Standards Users(IFAN)held the 52nd IFAN Members’Assembly and associated meetings on October 20-22 in Milan,Italy,which was hosted by the Italian standards body UNI.Xia Weijia(Vivian),Member of the IFAN Board and Director of International Standards Department of China Association for Standardization(CAS),was elected Vice-President of IFAN with a term of office from 2026 to 2028.It is the first time for a Chinese expert to take the position,which marks a further step of China’s participation in international standardization.展开更多
The proposal of carbon neutrality target makes decarbonization and hydrogenation typical features of future energy development in China.With a wide range of application scenarios,hydrogen energy will experience rapid ...The proposal of carbon neutrality target makes decarbonization and hydrogenation typical features of future energy development in China.With a wide range of application scenarios,hydrogen energy will experience rapid growth in production and consumption.To formulate an effective hydrogen energy development strategy for the future of China,this study employs the departmental scenario analysis method to calculate and evaluate the future consumption of hydrogen energy in China’s heavy industry,transportation,electricity,and other related fields.Multidimensional technical parameters are selected and predicted accurately and reliably in combination with different development scenarios.The findings indicate that the period from 2030 to 2050 will enjoy rapid development of hydrogen energy,having an average annual growth rate of 2%to 4%.The technological progress and breakthroughs scenario has the greatest potential for hydrogen demand scale among the four development scenarios.Under this scenario,the total demand for hydrogen energy is expected to reach 446.37Mt in 2060.Thetransportation sector will be the sector with the greatest potential for hydrogen deployment growth from 2023 to 2060,which is expected to rise from 0.038Mt to about 163.18Mt,with the ambitious growth in the future.Additionally,hydrogen energy has a considerable development potential in the steel sector,and the trend of de-refueling coke by hydrogenation in this sector will be imperative for this energy-intensive industries.展开更多
Patients with cheiro-oral syndrome(COS) often present with minor perioral and upper extremity sensory disturbances,which can be easily overlooked in busy emergency departments(EDs).^([1]) COS,a rare spectrum of stroke...Patients with cheiro-oral syndrome(COS) often present with minor perioral and upper extremity sensory disturbances,which can be easily overlooked in busy emergency departments(EDs).^([1]) COS,a rare spectrum of stroke syndromes,necessitates expeditious and aggressive modification of risk factors.展开更多
Objective:This study aims to identify the prevalence of bullying in the workplace and to examine its association with turnover(TO)intention and secondary traumatic stress(STS)among Jordanian nurses employed in Emergen...Objective:This study aims to identify the prevalence of bullying in the workplace and to examine its association with turnover(TO)intention and secondary traumatic stress(STS)among Jordanian nurses employed in Emergency Departments(EDs)and critical care units(CCUs).Nurses employed in the EDs and CCUs are exposed to high levels of bullying behaviors that may contribute to STS,leading to high rates of TO.Methods:A descriptive cross-sectional design was used.A sample of 150 Jordanian nurses working in CCUs and EDs completed the study.Data collection was performed using the Demographical Questionnaire,the Negative Acts Questionnaire-Revised(NAQ-R),ProQOL scale,and TO scale.The IBM SPSS software was used to analyze data.Results:About 10.7%and 89.3%were categorized as“occasionally bullied”and“victims of workplace bullying”subsequently.Workplace bullying was positively associated with TO intention(r=0.46,P<0.001)and STS(r=0.36,P<0.001).TO was positively associated with STS(r=0.36,P<0.001).Bullying was a unique significant predictor of TO intention(t=4.59,B=0.34,P<0.001)and STS(t=4.15,B=0.34,P<0.001).Conclusions:Bullying behavior has negative adversarial effects on TO and the experience of STS.The prevalence of bullying behavior in the EDs and CCUs remains high despite the increasing awareness of its negative impacts.Healthcare organizations should put systems in place to ensure that zero-tolerance policy are monitored in terms of the effectiveness of its implementation.展开更多
Pediatric emergency care(PEC)encompasses the specialized medical care delivered to infants,children,and adolescents facing urgent medical situations,addressing critical conditions such as infections,allergic responses...Pediatric emergency care(PEC)encompasses the specialized medical care delivered to infants,children,and adolescents facing urgent medical situations,addressing critical conditions such as infections,allergic responses,seizures,respiratory distress,and trauma.PEC calls for prompt,focused interventions to address each child's developmental and physiological needs.The literature was searched using Google Scholar,PubMed,and the Cochrane Library to retrieve studies assessing quality indicators and outcomes in pediatric emergencies.The search was limited to papers published in peer-reviewed journals between 01 Jan 2000 and 15 Dec 2024.This review evaluates current PEC standards such as patient safety,diagnostic precision,timeliness,and patient and family satisfaction.Patient safety is vital because children are particularly vulnerable to medical errors,such as inappropriate doses of medication.The provision of high-quality PEC is hampered by systemic issues such as inadequate training,a lack of re-sources,and restricted access to treatment.Telemedicine,pediatric transport units,artificial intelligence applications for diagnostics,and simulation-based training are suggested approaches to overcome these challenges.Research net-works and quality improvement initiatives are important steps to improve PEC care.展开更多
Han-Ping Shi,M.D.,Ph.D.,FACS,Professor of Surgery,Oncology and Nutrition.He is the current Chairman of the Department of GI Surgery/Clinical Nutrition at Beijing Shijitan Hospital,Capital Medical University,Beijing,Ch...Han-Ping Shi,M.D.,Ph.D.,FACS,Professor of Surgery,Oncology and Nutrition.He is the current Chairman of the Department of GI Surgery/Clinical Nutrition at Beijing Shijitan Hospital,Capital Medical University,Beijing,China.Dr.Shi received his M.D.degree at the School of Medicine,Wuhan University,Wuhan,and his Ph.D.degree at the Second Military Medical University,Shanghai,China.展开更多
Objective:To analyze the effect of optimizing the emergency nursing process on the nursing effect of patients with acute upper gastrointestinal bleeding(AUGB)in the emergency department.Methods:100 cases(Group A)were ...Objective:To analyze the effect of optimizing the emergency nursing process on the nursing effect of patients with acute upper gastrointestinal bleeding(AUGB)in the emergency department.Methods:100 cases(Group A)were randomly selected from AUGB patients who had undergone the routine emergency care process in the emergency department from January 2022 to December 2022,and 100 cases(Group B)were randomly selected from AUGB patients who had undergone the optimized emergency care process in the emergency department from January 2023 to December 2023.The nursing effects of the two groups were compared.Results:clinical indicators that include the emergency response time,time to open the infusion channel,time from diagnosis to specialty treatment,hospitalization time,resuscitation success rate,rebleeding rate,nursing satisfaction score,post-care SAS score,and SF-36 score in Group B were better than those in Group A(P<0.05).Conclusion:Optimization of the emergency care process for AUGB patients in the emergency department can improve the efficiency and success rate of resuscitation,reduce the risk of rebleeding,improve the mood and quality of life of patients,and make the patients more satisfied with the nursing service.展开更多
BACKGROUND:Large language models(LLMs)are being explored for disease prediction and diagnosis;however,their effi cacy for early sepsis identifi cation in emergency departments(EDs)remains unexplored.This study aims to...BACKGROUND:Large language models(LLMs)are being explored for disease prediction and diagnosis;however,their effi cacy for early sepsis identifi cation in emergency departments(EDs)remains unexplored.This study aims to evaluate MedGo,a novel medical LLM,as a decision-support tool for clinicians managing patients with suspected sepsis.METHODS:This retrospective study included anonymized medical records of 203 patients(mean age 79.9±10.2 years)with confi rmed sepsis from a tertiary hospital ED between January 2023 and January 2024.MedGo performance across nine sepsis-related assessment tasks was compared with that of two junior(<3 years of experience)and two senior(>10 years of experience)ED physicians.Assessments were scored on a 5-point Likert scale for accuracy,comprehensiveness,readability,and case-analysis skills.RESULTS:MedGo demonstrated diagnostic performance comparable to that of senior physicians across most metrics,achieving a median Likert score of 4 in accuracy,comprehensiveness,and readability.MedGo signifi cantly outperformed junior physicians(P<0.001 for accuracy and case-analysis skills).MedGo assistance significantly enhanced both junior(P<0.001)and senior(P<0.05)physicians'diagnostic accuracy.Notably,MedGo-assisted junior physicians achieved accuracy levels comparable to those of unassisted senior physicians.MedGo maintained consistent performance across varying sepsis severities.CONCLUSION:MedGo shows significant diagnostic efficacy for sepsis and effectively supports clinicians in the ED,particularly enhancing junior physicians’performance.Our study highlights the potential of MedGo as a valuable decision-support tool for sepsis management,paving the way for specialized sepsis AI models.展开更多
文摘With the increasing complexity of social public affairs,cross-departmental collaborative governance has become an important model of modern administrative management.However,conflicts of interest frequently occur during the collaboration process,which are mainly reflected in resource allocation,goal differences,and power games.These conflicts are caused by factors such as cultural differences within departments,inconsistent performance evaluation systems,and personal interests of department members.To address these issues,it is necessary to design multi-level integration mechanisms,including establishing stable communication channels and unified goals and evaluation systems.Successful integration cases in various fields,such as food safety supervision,environmental protection,and urban transportation governance,show that effective integration mechanisms need to establish institutionalized communication carriers,form a consensus target system,and design guarantee measures with both incentives and constraints.Although current research has achieved certain results,there are still limitations,such as insufficient attention to underdeveloped regions,a lack of consideration of cultural factors,and a narrow focus on internal government collaboration.Future research can explore differentiated integration models,introduce third-party assessment institutions,and strengthen research on the participation mechanism of enterprises and social organizations.
文摘Goals: The study has been initiated in order to describe the epidemiological, clinical and etiological aspect of the ascites. Patients and methods: This was a retrospective and descriptive study on the patients with an ascite and followed at the medicine department of Borgou departmental teaching hospital. Results: A total of 190 patients have presented an ascite or a hospital prevalence at 3.93%. A male predominance has been observed with a sex-ratio at 1.7. The average age was 39.7 ± 13.9 years. The reason for consultation is dominated by the increase of the abdominal volume (69.5%). The ascite fluid is macroscopically yellow citrine. The cirrhosis (28.5%) and the heart diseases (18.6%) were the most encountered causes of the ascites. Conclusion: The etiologies of ascites are various and dominated by the hepatic cirrhosis and the heart diseases.
文摘As an innovative mode of social endowment, combining medical care with modern medical care technology and old-age service is an important direction of a series of social problems caused by the deepening of aging and the intensification of aging process in China. It is the inevitable choice for the development of Chinese characteristics for the aged. At present, with the continuous development of the combination of medical care and rehabilitation, the process of combination of medical care and breeding is slow, and the problems of inter departmental cooperation, high cost of resource integration and low service efficiency have emerged. The paper puts forward that multi head management of different responsibility management body is a bottleneck problem that hinders the integration of medical care. From the objective and subjective two points of view, the administrative system level barrier and the inter departmental interest game are the important reasons that obstruct the medical support and break through the estrangement of the Department and realize the cooperation. Then, according to the theory of large part system reform, the author boldly proposes the idea of establishing a new comprehensive functional department that specializes in the management of pension related affairs.
文摘The Virology Department of the Institut Pasteur(Paris,France)held its biennial Journ´ees D´epartementales de Virologie(JDV)on May 13-15,2024,in the sea-side town of Le Touquet,France.This event brought together virologists across the department for a gathering of scien-tific exchange and collaboration.Placing young researchers in the spotlight,the meeting featured 25 talks,31 posters,and a keynote address.In this meeting report,we aim to introduce the depart-ment,present its current activities,and communicate its vision.
文摘美国联邦政府采购体系以其繁多的法律体系和复杂的监管框架著称。2025年,随着特朗普政府成立政府效率部门(Department of Government Efficiency,DOGE),美国联邦政府正在探索如何通过创新技术和优化流程提高政府效率和透明度。笔者希望通过对DOGE成立1个多月以来在推动美国联邦政府采购预算和监管模式的改革方面所采取的措施,探讨美国联邦政府采购的最新改革动向,包括预算削减与采购规模压缩、采购流程AI化、政府采购社会经济政策目标的调整、对采购组织机构和人员的影响、监管方式的改变,以及DOGE的法律与政治挑战、长期影响和示范效应。
文摘Emergency department nurses face severe occupational stress leading to anxiety,depression,and burnout,which significantly impair their well-being and patientcare quality.This narrative review examined the role of mindfulness-based stress reduction(MBSR)in addressing these challenges.Rooted in nonjudgmental present-moment awareness,MBSR enhances emotional regulation and reduces psychological distress by fostering adaptive coping strategies.Studies have demonstrated its efficacy in lowering anxiety,depressive symptoms,and emotional exhaustion,while improving workplace well-being,empathy,and job satisfaction.Mechanistically,MBSR improves interoceptive awareness and autonomic balance,as evidenced by physiological markers such as heart rate variability.However,gaps remain in long-term efficacy assessments,personalized interventions,and integration with multidisciplinary approaches.Future research should prioritize tailored biomarker-driven programs,longitudinal studies,and scalable implementation strategies in high-stress clinical settings.This review underscores MBSR’s potential as a sustainable,evidence-based tool to enhance emergency department nurses’mental health and professional performance,advocating for broader adoption and further refinement of its practical applications.
文摘Objective:To evaluate the effectiveness of quality nursing in the management of reusable instruments in the Central Sterile Supply Department(CSSD).Methods:Eleven nurses from the CSSD department were selected from January to October 2024,and quality nursing activities were implemented in the management of reusable instruments.The completion of quality indicators was analyzed.The instrument quality management scores,department satisfaction,and nurses’professional ability scores before and after nursing management were compared.Results:After nursing intervention,the qualified rates of initial cleaning and final cleaning of sterilization instruments were 99.66%and 100%,respectively.The qualified rate of packaging was 99.97%,the wet package rate was 0.1‰,the loading qualified rate was 99.88%,and the qualified rate of distribution was 99.99%.After nursing intervention,the nurses’instrument quality management scores,department satisfaction,and nurses’professional ability scores were all higher than those before nursing intervention(P<0.05).Conclusion:Quality nursing activities can improve the cleaning,packaging,and sterilization qualified rates of reusable instruments in the CSSD,enhance the effect of instrument quality management,obtain higher department satisfaction from nurses,cultivate their professional abilities,and possess significant nursing management advantages.
文摘Conversation A(in a department store)Sara:Department store directories are helpful.Sam:They are.Today,I have to buy new furniture and bedding for my apartment.They're on the sixth floor.
文摘Aim:To evaluate the impact of professional training on pediatric outpatient nurses’cognition and attitudes towards the use of clown therapy,and to assess its clinical applicability.Design:A pre-and post-training evaluation study.Methods:A total of 31 pediatric outpatient nurses participated in the study,completing a self-designed 15-item questionnaire focused on clown therapy.The questionnaires were administered both before and after a structured training program.The assessment aimed to measure changes in nurses’knowledge and attitudes toward clown therapy.Results:The results indicated a statistically significant improvement in the nurses’cognition following the training(mean score post-training:8.55 vs pre-training:7.71,p=0.003).Conclusion:Notably,the training also eliminated the age-related differences in cognition observed prior to the intervention.Furthermore,nurses expressed more positive attitudes toward the clinical implementation of clown therapy post-training.
文摘Objective:To evaluate laboratory findings that predict bacterial meningitis in emergency service and their diagnostic effectiveness.Methods:This retrospective cohort study analyzed data from patients presenting with meningitis symptoms at a referral hospital in Mersin,Turkey,between January 2019 and January 2022.Clinical findings and laboratory results,including leukocyte count,C-reactive protein(CRP),and procalcitonin levels in blood,were examined.Logistic regression,Chi square test,and receiver operating characteristics(ROC)curve analyses assessed the predictive value of these parameters.Results:A total of 199 participants were included in the study;99 patients were diagnosed with meningitis after lumbar puncture and 100 served as controls.Patients with meningitis exhibited significantly higher leukocyte counts(median:11890×10^(3)/μL vs.7905×10^(3)/μL,P<0.001)and CRP levels(median:6.00 mg/dL vs.0.95 mg/dL,P<0.001)compared to controls.Procalcitonin levels were significantly elevated in meningitis patients(median:0.21 ng/mL vs.0.10 ng/mL,P<0.001).Logistic regression identified albumin(OR=0.16,95%CI=0.06-0.40),and CRP(OR=1.18,95%CI=1.08-1.28)as independent predictors of meningitis.ROC analysis for CRP demonstrated a sensitivity of 80.6%and specificity of 70.0%at a cut-off value of 2.23 mg/dL(AUC=0.792).Conclusions:Elevated albumin levels and CRP contents in the blood were significant predictors of meningitis in emergency service.Early identification of predictive markers may aid in timely lumbar puncture and management of atypical cases.
文摘Objective:To analyze the clinical application and effects of the body restraint reduction program for severe neurological patients.Methods:A total of 206 patients admitted to the neurology department of the hospital from January 2022 to May 2025 were selected as the research subjects.Among them,102 patients from January 2022 to May 2025 were assigned to the observation group,and 104 patients during the same period served as the control group.In practice,the control group received conventional body restraint,while the observation group adopted the reduction program.The incidence of unplanned extubation and restraint-related complications were compared between the two groups.Results:The body restraint rate and complication rate in the observation group were significantly lower(P<0.05).After nurse training,their knowledge mastery and operational ability were significantly higher than before training(P<0.01).Conclusion:The body restraint reduction program for severe neurological patients can effectively reduce the restraint rate and complication incidence,while helping improve nurses’restraint management capabilities,serving as an effective means to enhance overall nursing quality.
文摘BACKGROUND Point-of-care ultrasound(POCUS)is the use of portable ultrasound devices by trained healthcare professionals to diagnose and monitor medical conditions directly at the patient's bedside,such as in emergency settings.We described a case where POCUS use,in Pediatric Emergency Department,allowed an early diagnosis and timely management in the surgical department,with a favorable outcome for child.Therefore we write this case because it is desirable to po-pularize ultrasound as the fifth pillar of clinical examination especially in Emer-gency Department CASE SUMMARY A 13-year-old girl with acute gastrointestinal symptoms,such as vomit and abdominal and lumbar pains.Upon physical examination,the patient had lo-calized abdominal pain in the left lower quadrant.Ultrasonography performed at the bedside revealed an enlarged left ovary with an irregular structure containing a 3 cm cyst.These findings raised suspicion of ovarian torsion.The child tran-sferred to Gynecology Surgery Unit,where she was taken emergently to the ope-rating room CONCLUSION It is desirable to spread POCUS in emergency settings where it allows a sig-nificant saving of time in patient management.
文摘The International Federation of Standards Users(IFAN)held the 52nd IFAN Members’Assembly and associated meetings on October 20-22 in Milan,Italy,which was hosted by the Italian standards body UNI.Xia Weijia(Vivian),Member of the IFAN Board and Director of International Standards Department of China Association for Standardization(CAS),was elected Vice-President of IFAN with a term of office from 2026 to 2028.It is the first time for a Chinese expert to take the position,which marks a further step of China’s participation in international standardization.
基金supported by the National Natural Science Foundation of China(No.71704178)Beijing Municipal Excellent Talents Foundation(No.2017000020124G133)Major consulting project of the Chinese Academy of Engineering(Nos.2023-JB-08,2022-PP-03).
文摘The proposal of carbon neutrality target makes decarbonization and hydrogenation typical features of future energy development in China.With a wide range of application scenarios,hydrogen energy will experience rapid growth in production and consumption.To formulate an effective hydrogen energy development strategy for the future of China,this study employs the departmental scenario analysis method to calculate and evaluate the future consumption of hydrogen energy in China’s heavy industry,transportation,electricity,and other related fields.Multidimensional technical parameters are selected and predicted accurately and reliably in combination with different development scenarios.The findings indicate that the period from 2030 to 2050 will enjoy rapid development of hydrogen energy,having an average annual growth rate of 2%to 4%.The technological progress and breakthroughs scenario has the greatest potential for hydrogen demand scale among the four development scenarios.Under this scenario,the total demand for hydrogen energy is expected to reach 446.37Mt in 2060.Thetransportation sector will be the sector with the greatest potential for hydrogen deployment growth from 2023 to 2060,which is expected to rise from 0.038Mt to about 163.18Mt,with the ambitious growth in the future.Additionally,hydrogen energy has a considerable development potential in the steel sector,and the trend of de-refueling coke by hydrogenation in this sector will be imperative for this energy-intensive industries.
文摘Patients with cheiro-oral syndrome(COS) often present with minor perioral and upper extremity sensory disturbances,which can be easily overlooked in busy emergency departments(EDs).^([1]) COS,a rare spectrum of stroke syndromes,necessitates expeditious and aggressive modification of risk factors.
文摘Objective:This study aims to identify the prevalence of bullying in the workplace and to examine its association with turnover(TO)intention and secondary traumatic stress(STS)among Jordanian nurses employed in Emergency Departments(EDs)and critical care units(CCUs).Nurses employed in the EDs and CCUs are exposed to high levels of bullying behaviors that may contribute to STS,leading to high rates of TO.Methods:A descriptive cross-sectional design was used.A sample of 150 Jordanian nurses working in CCUs and EDs completed the study.Data collection was performed using the Demographical Questionnaire,the Negative Acts Questionnaire-Revised(NAQ-R),ProQOL scale,and TO scale.The IBM SPSS software was used to analyze data.Results:About 10.7%and 89.3%were categorized as“occasionally bullied”and“victims of workplace bullying”subsequently.Workplace bullying was positively associated with TO intention(r=0.46,P<0.001)and STS(r=0.36,P<0.001).TO was positively associated with STS(r=0.36,P<0.001).Bullying was a unique significant predictor of TO intention(t=4.59,B=0.34,P<0.001)and STS(t=4.15,B=0.34,P<0.001).Conclusions:Bullying behavior has negative adversarial effects on TO and the experience of STS.The prevalence of bullying behavior in the EDs and CCUs remains high despite the increasing awareness of its negative impacts.Healthcare organizations should put systems in place to ensure that zero-tolerance policy are monitored in terms of the effectiveness of its implementation.
文摘Pediatric emergency care(PEC)encompasses the specialized medical care delivered to infants,children,and adolescents facing urgent medical situations,addressing critical conditions such as infections,allergic responses,seizures,respiratory distress,and trauma.PEC calls for prompt,focused interventions to address each child's developmental and physiological needs.The literature was searched using Google Scholar,PubMed,and the Cochrane Library to retrieve studies assessing quality indicators and outcomes in pediatric emergencies.The search was limited to papers published in peer-reviewed journals between 01 Jan 2000 and 15 Dec 2024.This review evaluates current PEC standards such as patient safety,diagnostic precision,timeliness,and patient and family satisfaction.Patient safety is vital because children are particularly vulnerable to medical errors,such as inappropriate doses of medication.The provision of high-quality PEC is hampered by systemic issues such as inadequate training,a lack of re-sources,and restricted access to treatment.Telemedicine,pediatric transport units,artificial intelligence applications for diagnostics,and simulation-based training are suggested approaches to overcome these challenges.Research net-works and quality improvement initiatives are important steps to improve PEC care.
文摘Han-Ping Shi,M.D.,Ph.D.,FACS,Professor of Surgery,Oncology and Nutrition.He is the current Chairman of the Department of GI Surgery/Clinical Nutrition at Beijing Shijitan Hospital,Capital Medical University,Beijing,China.Dr.Shi received his M.D.degree at the School of Medicine,Wuhan University,Wuhan,and his Ph.D.degree at the Second Military Medical University,Shanghai,China.
文摘Objective:To analyze the effect of optimizing the emergency nursing process on the nursing effect of patients with acute upper gastrointestinal bleeding(AUGB)in the emergency department.Methods:100 cases(Group A)were randomly selected from AUGB patients who had undergone the routine emergency care process in the emergency department from January 2022 to December 2022,and 100 cases(Group B)were randomly selected from AUGB patients who had undergone the optimized emergency care process in the emergency department from January 2023 to December 2023.The nursing effects of the two groups were compared.Results:clinical indicators that include the emergency response time,time to open the infusion channel,time from diagnosis to specialty treatment,hospitalization time,resuscitation success rate,rebleeding rate,nursing satisfaction score,post-care SAS score,and SF-36 score in Group B were better than those in Group A(P<0.05).Conclusion:Optimization of the emergency care process for AUGB patients in the emergency department can improve the efficiency and success rate of resuscitation,reduce the risk of rebleeding,improve the mood and quality of life of patients,and make the patients more satisfied with the nursing service.
基金supported by grants from the National Natural Science Foundation of China(82470074 to LT)the municipal Natural Science Foundation of Shanghai Scientific Committee of China(22ZR1451000 to LT)+6 种基金the Peak Supporting Clinical Discipline of Shanghai Health Bureau(2023ZDFC0104 to LT)the Medical Discipline Construction Program of Shanghai Pudong New Area Health Commission(the Key Disciplines Program,PWZxk2022-17 to LT)the Scientifi c Research Program of Shanghai Pudong New Area Health Commission(the Joint Research and Development Program,PW2023D-07 to LT)the Healthcare Talents Elite Program of Shanghai Pudong New Area(2025PDWSYCBJ-03 to LT)the Youth Science and Technology Program of Shanghai Pudong New Area(PW2024B-11 to CX)the People’s Livelihood Research Project of Shanghai Pudong Science and Economy Commission(PKJ2023-Y39 to DZ)the Scientifi c Research Program of Shanghai Pudong New Area Health Commission(the Science Popularization Program,PWKP2024B-19 to XL).
文摘BACKGROUND:Large language models(LLMs)are being explored for disease prediction and diagnosis;however,their effi cacy for early sepsis identifi cation in emergency departments(EDs)remains unexplored.This study aims to evaluate MedGo,a novel medical LLM,as a decision-support tool for clinicians managing patients with suspected sepsis.METHODS:This retrospective study included anonymized medical records of 203 patients(mean age 79.9±10.2 years)with confi rmed sepsis from a tertiary hospital ED between January 2023 and January 2024.MedGo performance across nine sepsis-related assessment tasks was compared with that of two junior(<3 years of experience)and two senior(>10 years of experience)ED physicians.Assessments were scored on a 5-point Likert scale for accuracy,comprehensiveness,readability,and case-analysis skills.RESULTS:MedGo demonstrated diagnostic performance comparable to that of senior physicians across most metrics,achieving a median Likert score of 4 in accuracy,comprehensiveness,and readability.MedGo signifi cantly outperformed junior physicians(P<0.001 for accuracy and case-analysis skills).MedGo assistance significantly enhanced both junior(P<0.001)and senior(P<0.05)physicians'diagnostic accuracy.Notably,MedGo-assisted junior physicians achieved accuracy levels comparable to those of unassisted senior physicians.MedGo maintained consistent performance across varying sepsis severities.CONCLUSION:MedGo shows significant diagnostic efficacy for sepsis and effectively supports clinicians in the ED,particularly enhancing junior physicians’performance.Our study highlights the potential of MedGo as a valuable decision-support tool for sepsis management,paving the way for specialized sepsis AI models.
