During the process of urbanization,community environments encounter challenges such as data disconnection and the underutilization of small and micro spaces.The establishment of“complete communities”necessitates the...During the process of urbanization,community environments encounter challenges such as data disconnection and the underutilization of small and micro spaces.The establishment of“complete communities”necessitates the implementation of refined governance strategies.This research develops a path for the precise establishment of community micro-gardens driven by mobile measurement.It involves the collection of environmental data via mobile devices equipped with various types of sensors,the generation of visualization maps that are adjusted for spatio-temporal synchronization,and the identification of environmental paint points,including areas of excessive temperature exposure and zones with elevated noise levels.Based on the aforementioned considerations,various plant allocation strategies have been proposed for distinct areas.For instance,the implementation of a composite shade and cooling vegetation system is recommended for regions experiencing high temperatures,while a triple protection structure is suggested for areas affected by odor contamination.The efficacy of these strategies is demonstrated through a case study of the micro-garden transformation in the Dongjie Community of Wulituo Street,Shijingshan,Beijing.The study presents operational technical pathways and plant response solutions aimed at facilitating data-driven governance of community micro-environments.展开更多
Objective:To investigate the effectiveness of quality management models in enhancing service quality at physical examination centers.Methods:A total of 1,200 examinees who received services at our hospital’s physical...Objective:To investigate the effectiveness of quality management models in enhancing service quality at physical examination centers.Methods:A total of 1,200 examinees who received services at our hospital’s physical examination center between January 2022 and June 2023 were randomly divided into a control group(600 cases)and an observation group(600 cases).The two groups were compared in terms of examination process duration,report quality scores,detection rate of abnormal findings,overall patient satisfaction,and staff job satisfaction.Results:The observation group showed significantly shorter examination time(98.5±15.2 minutes vs 156.3±22.7 minutes,P<0.01),higher report quality scores(92.4±3.5 vs 78.6±6.8 points,P<0.01),improved detection rate of abnormalities(38.7%vs 29.5%,P<0.05),increased patient satisfaction(97.2%vs 82.3%,P<0.01),and greater staff job satisfaction(90.5%vs 72.3%,P<0.01).Conclusion:Quality management models can significantly enhance service quality and operational efficiency at physical examination centers,improve examination outcomes and patient satisfaction,demonstrating substantial clinical application value.展开更多
[Objective] This study aimed to establish a physical examination method for artificial rainfall effect based on radar data. [Method] The radar base data of Shenyang was processed with interpolation by using the neares...[Objective] This study aimed to establish a physical examination method for artificial rainfall effect based on radar data. [Method] The radar base data of Shenyang was processed with interpolation by using the nearest neighbor in radial and oriental direction to establish corresponding response variables, and the effect of a precipitation enhancement case was analyzed. [Result] The trends of response variables showed that there was certain positive effect of the precipitation enhancement operation. [Conclusion] The analysis on a case was not sufficient enough, and statistical test should be the future direction of the study on the physical effect.展开更多
Because decompensated heart failure(HF)patients present primarily with symptoms of congestion,the assessment of volume status is of paramount importance.Despite the addition of new technologies that can predict intrac...Because decompensated heart failure(HF)patients present primarily with symptoms of congestion,the assessment of volume status is of paramount importance.Despite the addition of new technologies that can predict intracardiac filling pressures,the physical exam(PE)remains the most accessible and cost-effective tool available to clinicians.An elevated jugular venous pressure(JVP) is considered the most sensitive sign of volume overload,although the commonly used‘method of Lewis’has several limitations.A useful cutoff is that if the JVP is greater than 3 cm in vertical distance above the sternal angle,the central venous pressure is elevated.In addition to assessment of volume status,the PE in HF can reveal adverse prognostic signs,namely:elevated JVP,presence of third heart sound,elevated heart rate,low systolic BP,and low proportional pulse pressure(＜25%).This article will review the evidence for the diagnostic and prognostic utility of common PE findings in HF.展开更多
This paper studies the correlation between Traditional Chinese Medicine(TCM)Constitution discrimination and physical examination index based on BPNN algorithm.253cases of routine urine test were used to build a linkag...This paper studies the correlation between Traditional Chinese Medicine(TCM)Constitution discrimination and physical examination index based on BPNN algorithm.253cases of routine urine test were used to build a linkage model between TCM Constitution and physical indicators via BPNN algorithm.According to the test,the correct rate of learning and test group are60%and40%,respectively.A strong correlation was found between TCM Constitution and physical examination indexes.By applying cutting-edge knowledge and technologies,the development and modernization process of TCM can be greatly promoted.展开更多
Objective To establish correlation models between various physical examination indexes and traditional Chinese medicine(TCM)constitutions,and explore their relationships based on the radial basis function(RBF)neural n...Objective To establish correlation models between various physical examination indexes and traditional Chinese medicine(TCM)constitutions,and explore their relationships based on the radial basis function(RBF)neural network.Methods The raw data of physical examination indexes and TMC constitutions of 650 subjects who underwent a physical examination were cleaned,classified and sorted,on the basis of which valid data were retrieved and categorized into a training dataset and a test dataset.Subsequently,the RBF neural network was applied to the valid samples in the training set to establish correlation models between various physical examination indexes and TCM constitutions.The accuracy and the error margin of the correlation model were then verified using the valid samples in the test set.Results Of all selected samples,the highest accuracy rates were 80% for the blood lipid index-TCM constitution model;100% for the renal function index-TCM constitution model;100% for the blood routine(male)index-TCM constitution model;88.8% for the blood routine(female)index-TCM constitution model;84.1%for the urine routine index-TCM constitution model;and 100% for the blood transfusion index-TCM constitution model.Conclusions The samples selected in this study suggested that there is a strong correlation between physical examination indexes and TCM constitutions,making it feasible to apply the established correlation models to TCM constitution identification.展开更多
Objective Identification of one’s constitution based on a combination of features and back propagation neural network theory is needed in modern medicine and traditional Chinese medicine(TCM).We describe a method to ...Objective Identification of one’s constitution based on a combination of features and back propagation neural network theory is needed in modern medicine and traditional Chinese medicine(TCM).We describe a method to identify one’s constitution based on TCM constitution classification and a physical index model.Methods We created a constitution identification system based on neural network using Visio Studio development tool.We report the initial implementation of the system,the accuracy of which was verified using actual data.Results We found a relatively strong correlation between TCM constitution and physical indicators.Conclusion Finally,our report describes a possible application of the proposed system.展开更多
Background:Designing a simple and accessible approach to age estimation in children and youth is a great challenge in the fields of sports and physical activity(PA).This study was designed to develop and validate a ph...Background:Designing a simple and accessible approach to age estimation in children and youth is a great challenge in the fields of sports and physical activity(PA).This study was designed to develop and validate a physical-examination-based method of estimating age in young children.Methods:In a cross-sectional study conducted in 2014,we performed physical examinations and assessed PA among 14,970 elementary school children 7–12 years old in Shanghai,China.Additional biological information on the children's height and birth date was ascertained through their parents.Two indicators were applied to develop a gender-specific age estimation equation:The percentage of predicted mature height(PPMH) and the Tanner stage.The equation was validated through a k-fold cross-validation approach.To check for estimation accuracy,the association between the discrepancy of estimated age(EA) and chronological age and PA was examined.Results:The gender-specific equations of EA were as follows:EA_(boy) = –6.071 + 6.559 Tanner 2 + 13.315 Tanner 3 + 14.130 Tanner 4 + 0.190 PPMH – 0.071 Tanner 2 × PPMH – 0.146 Tanner 3 × PPMH – 0.155 Tanner 4 × PPMH;EA_(girl) = –4.524 – 1.251 Tanner 2 + 2.504 Tanner 3 + 8.752 Tanner 4 + 11.893 Tanner 5 + 0.158 PPMH + 0.017 Tanner 2 × PPMH – 0.024 Tanner 3 × PPMH – 0.087 Tanner 4 × PPMH – 0.118 Tanner5 × PPMH.The mean absolute error was 0.60 years for boys and 0.59 years for girls.The discrepancy score was negatively and weakly associated with self-reported moderate-to-vigorous PA in both genders(r_(boy) = –0.09,p < 0.001;r_(girl) = –0.12,p < 0.001).Conclusion:Findings suggest that physical examinations could provide a valid and reliable approach for estimating age in young Chinese children.展开更多
Objective: to analyze the experience of carrying out comprehensive nursing service for hypertension and pre-diabetes patients in physical examination. Methods: included in physical examination center in May 2019 to Ma...Objective: to analyze the experience of carrying out comprehensive nursing service for hypertension and pre-diabetes patients in physical examination. Methods: included in physical examination center in May 2019 to March 2021, the subjects of 40 patients with high blood pressure, diabetes, early diagnosis, random number table method is divided into research group and control group, each 20 cases, control group to carry out the routine nursing care, the team to carry out the comprehensive nursing, is two groups of patients with blood sugar and blood pressure levels to improve the situation and health behavior were assessed. Results: after nursing, the levels of fasting blood glucose, systolic blood pressure and diastolic blood pressure in the study group were lower than those in the control group, and HPLP- II score was higher than that in the control group, the difference was statistically significant (P < 0.05). Conclusion: comprehensive nursing for hypertension and pre-diabetes patients in physical examination is helpful to improve the disease control effect and health behavior of patients.展开更多
Objective: to explore the application value and practical significance of psychological nursing intervention in patients with suspected early lung cancer after physical examination screening. Methods: 80 patients with...Objective: to explore the application value and practical significance of psychological nursing intervention in patients with suspected early lung cancer after physical examination screening. Methods: 80 patients with suspected early lung cancer were selected after physical examination screening in our hospital (2018.01-2019.12), and randomly divided into counseling group and routine group according to 1:1. Nursing intervention was conducted in different ways for the two groups of patients, and relevant data were analyzed.Results: after the completion of nursing intervention, the SPB scores of the two groups of patients were compared. Through the score comparison, it was found that the score after nursing in the counseling group was significantly lower than that in the routine group, and there was a significant difference in the score comparison between the two groups (P < 0.05), which was statistically significant. Conclusion: the application of psychological nursing in patients with suspected early lung cancer after physical examination screening can effectively reduce the burden of patients' self-perception.展开更多
Objective: to analyze the effect of high-quality nursing intervention on the elderly during physical examination. Methods: a total of 150 elderly people who underwent physical examination in the physical examination c...Objective: to analyze the effect of high-quality nursing intervention on the elderly during physical examination. Methods: a total of 150 elderly people who underwent physical examination in the physical examination center of our hospital were selected as research samples. They were divided into the conventional group (75 cases) and the experimental group (75 cases) by using the random number arrangement table method. They were given basic nursing intervention in the conventional group and high-quality nursing intervention in the experimental group. The waiting time for physical examination and the total incidence of adverse events in each group were compared. Results: the waiting time of physical examination in the experimental group was shorter than that in the conventional group (P<0.05). The total incidence of adverse events in the experimental group and the conventional group was 2.44% and 14.63% respectively (P < 0.05). Conclusion: the implementation of high-quality nursing intervention for the elderly in the physical examination process can shorten the waiting time for physical examination, reduce adverse events and play a certain intervention effect.展开更多
Objective: to analyze the application effect of humanistic nursing care in medical examiners. Methods: 200 patients who came to our hospital for physical examination were selected to carry out this study. According to...Objective: to analyze the application effect of humanistic nursing care in medical examiners. Methods: 200 patients who came to our hospital for physical examination were selected to carry out this study. According to the different nursing methods, they were divided into two groups, that is, routine nursing was divided into the reference group (100 physical examinants), and humanistic nursing care was divided into the experimental group (100 physical examinants), and the nursing satisfaction of the two groups of physical examinants was compared. Results: the satisfaction of the experimental group was higher than that of the reference group (P < 0.05). Conclusion: the implementation of humanistic nursing care in the physical examination work of the hospital can make the physical examination patients feel more humanized nursing care, and feel more care from the hospital, so as to improve the nursing satisfaction of the physical examination patients.展开更多
Objective: to analyze the application of blood collection technique with no-pressure pulse band in physical examination center. Methods: a total of 200 patients who underwent venous blood collection in the physical ex...Objective: to analyze the application of blood collection technique with no-pressure pulse band in physical examination center. Methods: a total of 200 patients who underwent venous blood collection in the physical examination center of our hospital from January 2020 to December 2020 were selected. 100 patients in the control group received blood collection with pressure pulse band, and 100 patients in the experimental group received blood collection without pressure pulse band. The pain, coagulation rate of samples, operation time and department cost were analyzed. Results: the number of conscious pain and puncture discomfort in the control group was greater than that in the experimental group. The clotting rate of 3% in the control group was higher than that of 0. The operating efficiency of the control group was lower than that of the experimental group. The amount of 84 disinfectant solution uses per week in that control group was higher than that in the experimental group. Conclusion: in the physical examination, the blood collection technique without pressure pulse band was adopted for the examinees, which can reduce the damage of pressure pulse band to limbs and skin, control the appearance of coagulation samples, relieve pain and reduce consumables in the department.展开更多
Objective: to explore the role of PDCA health education intervention in the health management service of the physical examination center. Methods: 300 patients who underwent physical examination between July 2020 and ...Objective: to explore the role of PDCA health education intervention in the health management service of the physical examination center. Methods: 300 patients who underwent physical examination between July 2020 and October 2020 were included in the study and grouped together, with 150 patients in each group. The control group conducted physical examination according to the traditional physical examination procedures, while the experimental group gave PDCA health education intervention for physical examination, and compared the health examination quality data and nursing satisfaction of the two research groups. Results: the data of health examination quality in the experimental group were better than those of the control group, with statistical significance (P <0.05). Conclusion: the application of PDCA physical examination circulation mode to the health management service of physical examination center helps to improve the quality of physical examination, shorten the physical examination time of patients, improve the efficiency of physical examination, and improve the nursing quality, which is worth promotion and application.展开更多
Background Accurate evaluation of response following chemotherapy treatment is essential for surgical decision making in patients with breast cancer. Modalities that have been used to monitor response to neo-adjuvant ...Background Accurate evaluation of response following chemotherapy treatment is essential for surgical decision making in patients with breast cancer. Modalities that have been used to monitor response to neo-adjuvant chemotherapy （NAC） include physical examination （PE）, ultrasound （US）, and magnetic resonance imaging （MRI）. The purpose of this study was to evaluate the accuracy of PE, US, and MRI in predicting the response to NAC in patients with breast cancer. Methods According to the response evaluation criteria in solid tumors guidelines, the largest unidimensional measurement of the tumor diameter evaluated by PE, US, and MRI before and after NAC was classified into four grades, including clinical complete response, clinical partial response, clinical progressive disease, clinical stable disease, and compared with the final histopathological examination. Results Of the 64 patients who received NAC, the pathologic complete response （pCR） was shown in 13 of 64 patients （20%）. The sensitivity of PE, US, and MRI in predicting the major pathologic response was 73%, 75%, and 80%, respectively, and the specificity was 45%, 50%, and 50% respectively. For predicting a pCR, the sensitivity of PE, US, and MRI was 46%, 46%, and 39%, respectively, and the specificity was 65%, 98%, and 92% respectively. Conclusions Compared with final pathologic findings, all these three clinical and imaging modalities tended to obviously underestimate the pCR rate. A more appropriate, universal, and practical standard by clinical and imaging modalities in predicting the response to neo-adjuvant chemotherapy in vivo is essential.展开更多
Rhizosphere microorganisms,as one of the most important components of the soil microbiota and plant holobiont,play a key role in the medicinal plant-soil ecosystem,which are closely related to the growth,adaptability,...Rhizosphere microorganisms,as one of the most important components of the soil microbiota and plant holobiont,play a key role in the medicinal plant-soil ecosystem,which are closely related to the growth,adaptability,nutrient absorption,stress tolerance and pathogen resistance of host plants.In recent years,with the wide application of molecular biology and omics technologies,the outcomes of rhizosphere microorganisms on the health,biomass production and secondary metabolite biosynthesis of medicinal plants have received extensive attention.However,whether or to what extent rhizosphere microorganisms can contribute to the construction of the quality evaluation system of Chinese medicinal materials is still elusive.Based on the significant role of rhizosphere microbes in the survival and quality formation of medicinal plants,this paper proposed a new concept of rhizosphere microbial markers(micro-markers),expounded the relevant research methods and ideas of applying the new concept,highlighted the importance of micro-markers in the quality evaluation and control system of traditional Chinese medicines(TCMs),and introduced the potential value in soil environmental assessment,plant pest control and quality assessment of TCMs.It provides reference for developing ecological planting of TCMs and ensuring the production of high quality TCMs by regulating rhizosphere microbial communities.展开更多
Cataract is a very common eye disease and the most significant cause of blindness.In consideration of its burden on society,the focus was put on testing the risk factors of cataract and building robust machine learnin...Cataract is a very common eye disease and the most significant cause of blindness.In consideration of its burden on society,the focus was put on testing the risk factors of cataract and building robust machine learning models in which these factors can be utilized to predict the risk of cataract.The data used herein was collected by a Chinese physical examination center located in Shanghai.It contains more than 120,000 examinees and about 500 physical examination metrics.Firstly,association rules were adopted to filter 39 abnormalities which are more likely to incur the risk of cataract,and the significance of these abnormalities was tested with univariate analysis and multivariate analysis.The test results indicate that age,diabetes,refractive error,retinal arteriosclerosis,thyroid nodules,and incomplete mammary gland degeneration significantly increase the possibility of cataract.Various machine learning models were compared in terms of their performance in predicting the risk of cataract based on these six factors,among which the logistic regression model and the decision-tree based ensemble methods outperform others.The test set A U C of these models can reach 0.84.展开更多
INTRODUCTIONRestoring mechanical alignment and soft tissue balance in total knee arthroplasty （TKA） for valgus knees depend on the origin of deformity and soft tissue status. Valgus deformity can exist during knee f...INTRODUCTIONRestoring mechanical alignment and soft tissue balance in total knee arthroplasty （TKA） for valgus knees depend on the origin of deformity and soft tissue status. Valgus deformity can exist during knee flexion besides extension, which could lead to patellofemoral joint instability and soft tissue imbalance in the flexion gap, and thus complicate the surgical procedures.展开更多
Objective:To elucidate the progression of angioedema of the head and neck with routine management and to assess the utility of serial physical exams and fiberoptic laryngos-copy in its management. Methods:This study ...Objective:To elucidate the progression of angioedema of the head and neck with routine management and to assess the utility of serial physical exams and fiberoptic laryngos-copy in its management. Methods:This study was a prospective observational research. From 2013 to 2014, a prospec-tive observational study was conducted at a tertiary referral center. Forty patient were ap-proached, 7 refused, 33 (18e90 years old) were enrolled. Patients presented with angioedema involving the head and neck over a 12 month period were asked to participate in the study. Physical examination and fiberoptic laryngoscopy were performed at presentation and then repeated at least 1 h later. Results:Thirty-three patients with head and neck angioedema from any cause were enrolled (mean age 58, range 23e89 years). The upper lip was the most commonly involved site (58%). On reevaluation, 82% of patients reported subjective improvement in symptoms. Theassociation between subjective improvement and the physical exam, including fiberoptic laryngoscopy findings, was statistically significant (P<0.001). Conclusion:In stable patients with angioedema of any head and neck subsite, self-reported symptoms are associated with clinical stability or improvement as assessed by physical signs and fiberoptic laryngoscopy. Patients’ symptoms may be an appropriate surrogate to monitor clinical status without the need for routine serial physical examinations or fiberoptic laryngos-copy, though further study is needed. Copyright a 2016 Chinese Medical Association. Production and hosting by Elsevier B.V. on behalf of KeAi Communications Co., Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).展开更多
Objective:To study the application effect of the multi-role positioning service model in hypertensive patients in the health examination center.Methods:A total of 152 hypertensive patients admitted to the hospital’s ...Objective:To study the application effect of the multi-role positioning service model in hypertensive patients in the health examination center.Methods:A total of 152 hypertensive patients admitted to the hospital’s health examination center from January 2024 to January 2025 were selected as the subjects.They were randomly divided into two groups using a random number table method.The control group(76 cases)received conventional physical examination service mode,while the observation group(76 cases)adopted the multi-role positioning service model.The nurse proficiency and physical examination quality were compared between the two groups.Results:The nurse proficiency scores in the observation group were higher than those in the control group(P<0.05).The physical examination quality scores in the observation group were higher than those in the control group(P<0.05).Conclusion:The adoption of the multi-role positioning service model for hypertensive patients in the health examination center can improve nurse proficiency and physical examination quality.展开更多
文摘During the process of urbanization,community environments encounter challenges such as data disconnection and the underutilization of small and micro spaces.The establishment of“complete communities”necessitates the implementation of refined governance strategies.This research develops a path for the precise establishment of community micro-gardens driven by mobile measurement.It involves the collection of environmental data via mobile devices equipped with various types of sensors,the generation of visualization maps that are adjusted for spatio-temporal synchronization,and the identification of environmental paint points,including areas of excessive temperature exposure and zones with elevated noise levels.Based on the aforementioned considerations,various plant allocation strategies have been proposed for distinct areas.For instance,the implementation of a composite shade and cooling vegetation system is recommended for regions experiencing high temperatures,while a triple protection structure is suggested for areas affected by odor contamination.The efficacy of these strategies is demonstrated through a case study of the micro-garden transformation in the Dongjie Community of Wulituo Street,Shijingshan,Beijing.The study presents operational technical pathways and plant response solutions aimed at facilitating data-driven governance of community micro-environments.
文摘Objective:To investigate the effectiveness of quality management models in enhancing service quality at physical examination centers.Methods:A total of 1,200 examinees who received services at our hospital’s physical examination center between January 2022 and June 2023 were randomly divided into a control group(600 cases)and an observation group(600 cases).The two groups were compared in terms of examination process duration,report quality scores,detection rate of abnormal findings,overall patient satisfaction,and staff job satisfaction.Results:The observation group showed significantly shorter examination time(98.5±15.2 minutes vs 156.3±22.7 minutes,P<0.01),higher report quality scores(92.4±3.5 vs 78.6±6.8 points,P<0.01),improved detection rate of abnormalities(38.7%vs 29.5%,P<0.05),increased patient satisfaction(97.2%vs 82.3%,P<0.01),and greater staff job satisfaction(90.5%vs 72.3%,P<0.01).Conclusion:Quality management models can significantly enhance service quality and operational efficiency at physical examination centers,improve examination outcomes and patient satisfaction,demonstrating substantial clinical application value.
基金Supported by the Key Scientific and Technological Project of Liaoning Province during the 12~(th) Five-Year Plan Period(201102383)~~
文摘[Objective] This study aimed to establish a physical examination method for artificial rainfall effect based on radar data. [Method] The radar base data of Shenyang was processed with interpolation by using the nearest neighbor in radial and oriental direction to establish corresponding response variables, and the effect of a precipitation enhancement case was analyzed. [Result] The trends of response variables showed that there was certain positive effect of the precipitation enhancement operation. [Conclusion] The analysis on a case was not sufficient enough, and statistical test should be the future direction of the study on the physical effect.
文摘Because decompensated heart failure(HF)patients present primarily with symptoms of congestion,the assessment of volume status is of paramount importance.Despite the addition of new technologies that can predict intracardiac filling pressures,the physical exam(PE)remains the most accessible and cost-effective tool available to clinicians.An elevated jugular venous pressure(JVP) is considered the most sensitive sign of volume overload,although the commonly used‘method of Lewis’has several limitations.A useful cutoff is that if the JVP is greater than 3 cm in vertical distance above the sternal angle,the central venous pressure is elevated.In addition to assessment of volume status,the PE in HF can reveal adverse prognostic signs,namely:elevated JVP,presence of third heart sound,elevated heart rate,low systolic BP,and low proportional pulse pressure(＜25%).This article will review the evidence for the diagnostic and prognostic utility of common PE findings in HF.
基金funding support from the Young Talents for research on Traditional Chinese Medicine Science and Technology in Sichuan (No.2016Q065)
文摘This paper studies the correlation between Traditional Chinese Medicine(TCM)Constitution discrimination and physical examination index based on BPNN algorithm.253cases of routine urine test were used to build a linkage model between TCM Constitution and physical indicators via BPNN algorithm.According to the test,the correct rate of learning and test group are60%and40%,respectively.A strong correlation was found between TCM Constitution and physical examination indexes.By applying cutting-edge knowledge and technologies,the development and modernization process of TCM can be greatly promoted.
基金the funding support from the National Key Research and Development Project of China(No.2018YFC1707606)National Natural Science Foundation of China(No.81904324)Youth Foundation of Sichuan Administration of Traditional Chinese Medicine(No.2016Q065).
文摘Objective To establish correlation models between various physical examination indexes and traditional Chinese medicine(TCM)constitutions,and explore their relationships based on the radial basis function(RBF)neural network.Methods The raw data of physical examination indexes and TMC constitutions of 650 subjects who underwent a physical examination were cleaned,classified and sorted,on the basis of which valid data were retrieved and categorized into a training dataset and a test dataset.Subsequently,the RBF neural network was applied to the valid samples in the training set to establish correlation models between various physical examination indexes and TCM constitutions.The accuracy and the error margin of the correlation model were then verified using the valid samples in the test set.Results Of all selected samples,the highest accuracy rates were 80% for the blood lipid index-TCM constitution model;100% for the renal function index-TCM constitution model;100% for the blood routine(male)index-TCM constitution model;88.8% for the blood routine(female)index-TCM constitution model;84.1%for the urine routine index-TCM constitution model;and 100% for the blood transfusion index-TCM constitution model.Conclusions The samples selected in this study suggested that there is a strong correlation between physical examination indexes and TCM constitutions,making it feasible to apply the established correlation models to TCM constitution identification.
基金funding support from the Traditional Chinese Medicine of Sichuan Province Youth Science and Technology Research Special Fund (No.2016Q065)Chengdu University of TCM Fund for Development of Science and Technology (No.ZRQN1790)
文摘Objective Identification of one’s constitution based on a combination of features and back propagation neural network theory is needed in modern medicine and traditional Chinese medicine(TCM).We describe a method to identify one’s constitution based on TCM constitution classification and a physical index model.Methods We created a constitution identification system based on neural network using Visio Studio development tool.We report the initial implementation of the system,the accuracy of which was verified using actual data.Results We found a relatively strong correlation between TCM constitution and physical indicators.Conclusion Finally,our report describes a possible application of the proposed system.
基金supported by National Natural Science Foundation of China(81422040,81172685)Ministry of Education New Century Excellent Talents(NCET-13-0362)+3 种基金Shanghai Science and Technology Commission(12411950405,14441904004,13QH1401800)The fourth round of Three-Year Public Health Action Plan(2015–2017)(GWIV-36)Shanghai Municipal Education Commission(D1502)The Ministry of Science and Technology(2010CB535000)
文摘Background:Designing a simple and accessible approach to age estimation in children and youth is a great challenge in the fields of sports and physical activity(PA).This study was designed to develop and validate a physical-examination-based method of estimating age in young children.Methods:In a cross-sectional study conducted in 2014,we performed physical examinations and assessed PA among 14,970 elementary school children 7–12 years old in Shanghai,China.Additional biological information on the children's height and birth date was ascertained through their parents.Two indicators were applied to develop a gender-specific age estimation equation:The percentage of predicted mature height(PPMH) and the Tanner stage.The equation was validated through a k-fold cross-validation approach.To check for estimation accuracy,the association between the discrepancy of estimated age(EA) and chronological age and PA was examined.Results:The gender-specific equations of EA were as follows:EA_(boy) = –6.071 + 6.559 Tanner 2 + 13.315 Tanner 3 + 14.130 Tanner 4 + 0.190 PPMH – 0.071 Tanner 2 × PPMH – 0.146 Tanner 3 × PPMH – 0.155 Tanner 4 × PPMH;EA_(girl) = –4.524 – 1.251 Tanner 2 + 2.504 Tanner 3 + 8.752 Tanner 4 + 11.893 Tanner 5 + 0.158 PPMH + 0.017 Tanner 2 × PPMH – 0.024 Tanner 3 × PPMH – 0.087 Tanner 4 × PPMH – 0.118 Tanner5 × PPMH.The mean absolute error was 0.60 years for boys and 0.59 years for girls.The discrepancy score was negatively and weakly associated with self-reported moderate-to-vigorous PA in both genders(r_(boy) = –0.09,p < 0.001;r_(girl) = –0.12,p < 0.001).Conclusion:Findings suggest that physical examinations could provide a valid and reliable approach for estimating age in young Chinese children.
文摘Objective: to analyze the experience of carrying out comprehensive nursing service for hypertension and pre-diabetes patients in physical examination. Methods: included in physical examination center in May 2019 to March 2021, the subjects of 40 patients with high blood pressure, diabetes, early diagnosis, random number table method is divided into research group and control group, each 20 cases, control group to carry out the routine nursing care, the team to carry out the comprehensive nursing, is two groups of patients with blood sugar and blood pressure levels to improve the situation and health behavior were assessed. Results: after nursing, the levels of fasting blood glucose, systolic blood pressure and diastolic blood pressure in the study group were lower than those in the control group, and HPLP- II score was higher than that in the control group, the difference was statistically significant (P < 0.05). Conclusion: comprehensive nursing for hypertension and pre-diabetes patients in physical examination is helpful to improve the disease control effect and health behavior of patients.
文摘Objective: to explore the application value and practical significance of psychological nursing intervention in patients with suspected early lung cancer after physical examination screening. Methods: 80 patients with suspected early lung cancer were selected after physical examination screening in our hospital (2018.01-2019.12), and randomly divided into counseling group and routine group according to 1:1. Nursing intervention was conducted in different ways for the two groups of patients, and relevant data were analyzed.Results: after the completion of nursing intervention, the SPB scores of the two groups of patients were compared. Through the score comparison, it was found that the score after nursing in the counseling group was significantly lower than that in the routine group, and there was a significant difference in the score comparison between the two groups (P < 0.05), which was statistically significant. Conclusion: the application of psychological nursing in patients with suspected early lung cancer after physical examination screening can effectively reduce the burden of patients' self-perception.
文摘Objective: to analyze the effect of high-quality nursing intervention on the elderly during physical examination. Methods: a total of 150 elderly people who underwent physical examination in the physical examination center of our hospital were selected as research samples. They were divided into the conventional group (75 cases) and the experimental group (75 cases) by using the random number arrangement table method. They were given basic nursing intervention in the conventional group and high-quality nursing intervention in the experimental group. The waiting time for physical examination and the total incidence of adverse events in each group were compared. Results: the waiting time of physical examination in the experimental group was shorter than that in the conventional group (P<0.05). The total incidence of adverse events in the experimental group and the conventional group was 2.44% and 14.63% respectively (P < 0.05). Conclusion: the implementation of high-quality nursing intervention for the elderly in the physical examination process can shorten the waiting time for physical examination, reduce adverse events and play a certain intervention effect.
文摘Objective: to analyze the application effect of humanistic nursing care in medical examiners. Methods: 200 patients who came to our hospital for physical examination were selected to carry out this study. According to the different nursing methods, they were divided into two groups, that is, routine nursing was divided into the reference group (100 physical examinants), and humanistic nursing care was divided into the experimental group (100 physical examinants), and the nursing satisfaction of the two groups of physical examinants was compared. Results: the satisfaction of the experimental group was higher than that of the reference group (P < 0.05). Conclusion: the implementation of humanistic nursing care in the physical examination work of the hospital can make the physical examination patients feel more humanized nursing care, and feel more care from the hospital, so as to improve the nursing satisfaction of the physical examination patients.
文摘Objective: to analyze the application of blood collection technique with no-pressure pulse band in physical examination center. Methods: a total of 200 patients who underwent venous blood collection in the physical examination center of our hospital from January 2020 to December 2020 were selected. 100 patients in the control group received blood collection with pressure pulse band, and 100 patients in the experimental group received blood collection without pressure pulse band. The pain, coagulation rate of samples, operation time and department cost were analyzed. Results: the number of conscious pain and puncture discomfort in the control group was greater than that in the experimental group. The clotting rate of 3% in the control group was higher than that of 0. The operating efficiency of the control group was lower than that of the experimental group. The amount of 84 disinfectant solution uses per week in that control group was higher than that in the experimental group. Conclusion: in the physical examination, the blood collection technique without pressure pulse band was adopted for the examinees, which can reduce the damage of pressure pulse band to limbs and skin, control the appearance of coagulation samples, relieve pain and reduce consumables in the department.
文摘Objective: to explore the role of PDCA health education intervention in the health management service of the physical examination center. Methods: 300 patients who underwent physical examination between July 2020 and October 2020 were included in the study and grouped together, with 150 patients in each group. The control group conducted physical examination according to the traditional physical examination procedures, while the experimental group gave PDCA health education intervention for physical examination, and compared the health examination quality data and nursing satisfaction of the two research groups. Results: the data of health examination quality in the experimental group were better than those of the control group, with statistical significance (P <0.05). Conclusion: the application of PDCA physical examination circulation mode to the health management service of physical examination center helps to improve the quality of physical examination, shorten the physical examination time of patients, improve the efficiency of physical examination, and improve the nursing quality, which is worth promotion and application.
文摘Background Accurate evaluation of response following chemotherapy treatment is essential for surgical decision making in patients with breast cancer. Modalities that have been used to monitor response to neo-adjuvant chemotherapy （NAC） include physical examination （PE）, ultrasound （US）, and magnetic resonance imaging （MRI）. The purpose of this study was to evaluate the accuracy of PE, US, and MRI in predicting the response to NAC in patients with breast cancer. Methods According to the response evaluation criteria in solid tumors guidelines, the largest unidimensional measurement of the tumor diameter evaluated by PE, US, and MRI before and after NAC was classified into four grades, including clinical complete response, clinical partial response, clinical progressive disease, clinical stable disease, and compared with the final histopathological examination. Results Of the 64 patients who received NAC, the pathologic complete response （pCR） was shown in 13 of 64 patients （20%）. The sensitivity of PE, US, and MRI in predicting the major pathologic response was 73%, 75%, and 80%, respectively, and the specificity was 45%, 50%, and 50% respectively. For predicting a pCR, the sensitivity of PE, US, and MRI was 46%, 46%, and 39%, respectively, and the specificity was 65%, 98%, and 92% respectively. Conclusions Compared with final pathologic findings, all these three clinical and imaging modalities tended to obviously underestimate the pCR rate. A more appropriate, universal, and practical standard by clinical and imaging modalities in predicting the response to neo-adjuvant chemotherapy in vivo is essential.
基金funded by Innovation Team and Talents Cultivation Program of National Administration of Traditional Chinese Medicine(No.ZYYCXTD-D-202005)the CAMS Innovation Fund for Medical Sciences(CIFMS)(ID:2021-I2M-1-071 and 2022-I2M-2-001).
文摘Rhizosphere microorganisms,as one of the most important components of the soil microbiota and plant holobiont,play a key role in the medicinal plant-soil ecosystem,which are closely related to the growth,adaptability,nutrient absorption,stress tolerance and pathogen resistance of host plants.In recent years,with the wide application of molecular biology and omics technologies,the outcomes of rhizosphere microorganisms on the health,biomass production and secondary metabolite biosynthesis of medicinal plants have received extensive attention.However,whether or to what extent rhizosphere microorganisms can contribute to the construction of the quality evaluation system of Chinese medicinal materials is still elusive.Based on the significant role of rhizosphere microbes in the survival and quality formation of medicinal plants,this paper proposed a new concept of rhizosphere microbial markers(micro-markers),expounded the relevant research methods and ideas of applying the new concept,highlighted the importance of micro-markers in the quality evaluation and control system of traditional Chinese medicines(TCMs),and introduced the potential value in soil environmental assessment,plant pest control and quality assessment of TCMs.It provides reference for developing ecological planting of TCMs and ensuring the production of high quality TCMs by regulating rhizosphere microbial communities.
基金the National Key R&D Program of China under Grant No.2020AAA0103800.
文摘Cataract is a very common eye disease and the most significant cause of blindness.In consideration of its burden on society,the focus was put on testing the risk factors of cataract and building robust machine learning models in which these factors can be utilized to predict the risk of cataract.The data used herein was collected by a Chinese physical examination center located in Shanghai.It contains more than 120,000 examinees and about 500 physical examination metrics.Firstly,association rules were adopted to filter 39 abnormalities which are more likely to incur the risk of cataract,and the significance of these abnormalities was tested with univariate analysis and multivariate analysis.The test results indicate that age,diabetes,refractive error,retinal arteriosclerosis,thyroid nodules,and incomplete mammary gland degeneration significantly increase the possibility of cataract.Various machine learning models were compared in terms of their performance in predicting the risk of cataract based on these six factors,among which the logistic regression model and the decision-tree based ensemble methods outperform others.The test set A U C of these models can reach 0.84.
文摘INTRODUCTIONRestoring mechanical alignment and soft tissue balance in total knee arthroplasty （TKA） for valgus knees depend on the origin of deformity and soft tissue status. Valgus deformity can exist during knee flexion besides extension, which could lead to patellofemoral joint instability and soft tissue imbalance in the flexion gap, and thus complicate the surgical procedures.
文摘Objective:To elucidate the progression of angioedema of the head and neck with routine management and to assess the utility of serial physical exams and fiberoptic laryngos-copy in its management. Methods:This study was a prospective observational research. From 2013 to 2014, a prospec-tive observational study was conducted at a tertiary referral center. Forty patient were ap-proached, 7 refused, 33 (18e90 years old) were enrolled. Patients presented with angioedema involving the head and neck over a 12 month period were asked to participate in the study. Physical examination and fiberoptic laryngoscopy were performed at presentation and then repeated at least 1 h later. Results:Thirty-three patients with head and neck angioedema from any cause were enrolled (mean age 58, range 23e89 years). The upper lip was the most commonly involved site (58%). On reevaluation, 82% of patients reported subjective improvement in symptoms. Theassociation between subjective improvement and the physical exam, including fiberoptic laryngoscopy findings, was statistically significant (P<0.001). Conclusion:In stable patients with angioedema of any head and neck subsite, self-reported symptoms are associated with clinical stability or improvement as assessed by physical signs and fiberoptic laryngoscopy. Patients’ symptoms may be an appropriate surrogate to monitor clinical status without the need for routine serial physical examinations or fiberoptic laryngos-copy, though further study is needed. Copyright a 2016 Chinese Medical Association. Production and hosting by Elsevier B.V. on behalf of KeAi Communications Co., Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
文摘Objective:To study the application effect of the multi-role positioning service model in hypertensive patients in the health examination center.Methods:A total of 152 hypertensive patients admitted to the hospital’s health examination center from January 2024 to January 2025 were selected as the subjects.They were randomly divided into two groups using a random number table method.The control group(76 cases)received conventional physical examination service mode,while the observation group(76 cases)adopted the multi-role positioning service model.The nurse proficiency and physical examination quality were compared between the two groups.Results:The nurse proficiency scores in the observation group were higher than those in the control group(P<0.05).The physical examination quality scores in the observation group were higher than those in the control group(P<0.05).Conclusion:The adoption of the multi-role positioning service model for hypertensive patients in the health examination center can improve nurse proficiency and physical examination quality.
