BACKGROUND Post-operative infection is a common and serious complication following drugeluting trans arterial chemo embolization(D-TACE)in patients with hepatocellular carcinoma(HCC),potentially compromising treatment...BACKGROUND Post-operative infection is a common and serious complication following drugeluting trans arterial chemo embolization(D-TACE)in patients with hepatocellular carcinoma(HCC),potentially compromising treatment efficacy and increasing morbidity.AIM To investigate the risk factors associated with post-operative infection in HCC patients undergoing D-TACE,and to provide evidence for clinical prevention and targeted intervention strategies.METHODS Clinical data of 77 primary HCC patients who underwent D-TACE in our hospital from January 2022 to December 2023 were retrospectively analyzed.Patient demographics,laboratory test results,tumor characteristics,and surgery-related parameters were collected.Univariate and multivariate logistic regression analyses were performed to identify risk factors for post-operative infection.RESULTS Post-operative infection occurred in 20 cases(25.97%)among the 77 patients.Univariate analysis showed that age≥65 years,Child-Pugh grade B,tumor diameter≥5 cm,operation time≥120 minutes,preoperative albumin<35 g/L,and comorbid diabetes were significantly associated with post-operative infection(P<0.05).Multivariate logistic regression analysis identified Child-Pugh grade B(OR=2.851,95%CI:1.426-5.698),operation time≥120 minutes(OR=2.367,95%CI:1.238-4.523),and preoperative albumin<35 g/L(OR=2.156,95%CI:1.147-4.052)as independent risk factors for post-operative infection.CONCLUSION Liver function status,operation time,and preoperative albumin level are significant factors affecting post-operative infection in HCC patients undergoing D-TACE.For high-risk patients,enhanced perioperative management,appropriate timing of surgery,and active improvement of nutritional status should be implemented to reduce the risk of post-operative infection.展开更多
BACKGROUND Improvements in the standard of living have led to increased attention to perianal disease.Although surgical treatments are effective,the outcomes of postoperative recovery(POR)are influenced by various fac...BACKGROUND Improvements in the standard of living have led to increased attention to perianal disease.Although surgical treatments are effective,the outcomes of postoperative recovery(POR)are influenced by various factors,including individual differences among patients,the characteristics of the disease itself,and the psychological state of the patient.Understanding these factors can help healthcare providers develop more personalized and effective post-operative care plans for patients with perianal disease.AIM To investigate the effect of illness perception(IP)and negative emotions on POR outcomes in patients with perianal disease.METHODS A total of 146 patients with perianal disease admitted to the First People's Hospital of Changde City from March to December 2023 were recruited.We employed a general information questionnaire,the Brief Illness Perception Questionnaire(B-IPQ),and the Hospital Anxiety and Depression Scale(HADS).We used the 15-item Quality of Recovery Score(QoR-15)to measure patients’recovery effects.Finally,we conducted Pearson’s correlation analysis to examine the relationship between pre-operative IP and anxiety and depression levels with POR quality.RESULTS Fifty-three(36.3%)had poor knowledge of their disease.Thirty(20.5%)were suspected of having anxiety and 99(67.8%)exhibited symptoms.Forty(27.4%)were suspected of having depression and 102(69.9%)displayed symptoms.The B-IPQ,HADS-A,HADS-D,and QoR-15 scores were 46.82±9.97,12.99±3.60,12.58±3.36,and 96.77±9.85,respectively.There was a negative correlation between pre-operative IP,anxiety,and depression with POR quality.The influence of age and disease course on post-operative rehabilitation effect are both negative.The impact of B-IPQ,HADS-A,and HADS-D on POR was negative.Collectively,these variables accounted for 72.6%of the variance in POR.CONCLUSION The quality of POR in patients with perianal disease is medium and is related to age,disease course,IP,anxiety,and depression.展开更多
BACKGROUND Tourniquets are commonly used in elective extremity orthopaedic surgery to reduce blood loss,improve visualization in the surgical field,and to potentially reduce surgical time.There is a lack of consensus ...BACKGROUND Tourniquets are commonly used in elective extremity orthopaedic surgery to reduce blood loss,improve visualization in the surgical field,and to potentially reduce surgical time.There is a lack of consensus in existing guidelines regarding the optimal tourniquet pressure,placement site,and duration of use.There is a paucity of data on the relationship between the site of a tourniquet and postoperative pain in foot and ankle surgery.AIM To explore the relationship between tourniquet site and intensity of post-operative pain scores in patients undergoing elective foot and ankle surgery.METHODS Retrospective analysis of prospectively collected data on 201 patients who underwent foot and ankle surgery in a single institution was undertaken.Intraoperative tourniquet duration,tourniquet pressure and site,and postoperative pain scores using Visual Analogue Score were collected in immediate recovery,at six hours and at 24 h post-op.Scatter plots were used to analyse the data and to assess for the statistical correlation between tourniquet pressure,duration,site,and pain scores using Pearson correlation coefficient.RESULTS All patients who underwent foot and ankle surgery had tourniquet pressure of 250 mmHg for ankle tourniquet and 300 mmHg for thigh.There was no correlation between the site of the tourniquet and pain scores in recovery,at six hours and after 24 h.There was a weak correlation between tourniquet time and Visual Analogue Score immediately post-op(r=0.14,P=0.04)but not at six or 24 h post-operatively.CONCLUSION This study shows that there was no statistically significant correlation between tourniquet pressure,site and postop pain in patients undergoing foot and ankle surgery.The choice of using a tourniquet is based on the surgeon's preference,with the goal of minimizing the duration of its application at the operative site.展开更多
Background:Post-operative atrial fibrillation(POAF)frequently occurs after cardiac surgery.Although adult congenital heart disease(ACHD)patients have higher rates of arrhythmia than the general population,there is sca...Background:Post-operative atrial fibrillation(POAF)frequently occurs after cardiac surgery.Although adult congenital heart disease(ACHD)patients have higher rates of arrhythmia than the general population,there is scant literature on POAF in ACHD patients.Objectives:Identify key risk factors associated with post-operative atrial fibrillation and evaluate the short-and mid-term significance of developing POAF.Methods:A retrospective cohort study was conducted of ACHD patients from 2013–2021 at the University of Colorado Hospital and Children’s Hospital of Colorado.The institutional Society of Thoracic Surgeons(STS)surgical registry was used to identify patients≥18-year-old with congenital heart disease who underwent cardiac surgery during the study period.Results:A total of 168 patients(48%female)were included.The median age was 36 years(IQR 28–48).Onehundred and fifty patients(90%)had moderate ACHD anatomical complexity,and 10 patients(6%)had severe ACHD anatomical complexity based on initial ACHD diagnosis.POAF occurred in 40(24%)patients.Older age,history of supraventricular tachycardia,intra-operative arrhythmia,and post-operative hypokalemia independently predicted POAF.POAF was associated with an increased length of stay(8 vs.5 days,p<0.001)and recurrence of atrial fibrillation(46%vs.21%,OR 3.35,p=0.002)but did not predict mortality,stroke,or bleeding event.Conclusion:Atrial fibrillation is a common complication after cardiac surgery in the ACHD population.Older age,history of supraventricular tachycardia,intra-operative arrhythmia,and post-operative hypokalemia independently predicted POAF.Further investigation is needed to understand the long-term impacts of POAF.展开更多
本文旨在探讨色彩在“One Day Cake”包装设计中的应用研究。通过对色彩心理学、视觉传达理论以及市场调研的综合分析,本文揭示了色彩如何影响消费者的情感体验、购买决策以及品牌形象的塑造。研究发现,合理运用色彩不仅能提升产品的吸...本文旨在探讨色彩在“One Day Cake”包装设计中的应用研究。通过对色彩心理学、视觉传达理论以及市场调研的综合分析,本文揭示了色彩如何影响消费者的情感体验、购买决策以及品牌形象的塑造。研究发现,合理运用色彩不仅能提升产品的吸引力,还能增强品牌的认知度和忠诚度。本文通过问卷调查、翻阅资料和案例分析,提供了实证支持,并提出了具体的色彩应用策略。研究结果表明,色彩在“One Day Cake”的包装设计中发挥了重要的辅助功能,对品牌传播具有显著的价值。展开更多
Temperature is a key meteorological factor that affects tropospheric ozone(O_(3)),with both humid-heat(sauna days)and dry-heat(roast days)conditions leading to O_(3) exceedances.However,the mechanisms influencing O_(3...Temperature is a key meteorological factor that affects tropospheric ozone(O_(3)),with both humid-heat(sauna days)and dry-heat(roast days)conditions leading to O_(3) exceedances.However,the mechanisms influencing O_(3) formation and degradation under these two weather conditions remain unclear.Therefore,experiments were conducted in Beijing from 2019 to 2021 to observe O_(3),its precursors,and related meteorological elements.A total of 18 days with O_(3) exceedances were selected,including 10 sauna days and 8 roast days.The results of this study revealed that on roast days,the sensible heat flux was 143.5 W/m^(2) greater and the wind speed gradient was 0.018 s^(-1) greater than those on sauna days,indicating more intense thermal and dynamic turbulence.The strong turbulence enhanced the vertical cycle of nitrogen dioxide(NO_(2))and O_(3),resulting in a 58.2μg/(m^(2)·h)increase in NO_(2) upward transport rate and a 1034.4μg/(m^(2)·h)increase in O_(3) downward transport rate on roast days than sauna days.Subsequently,a box model analysis was used to examine O_(3) formation under the two types of weather conditions,revealing that the NO_(2)-O_(3) vertical cycling speed dominated the O_(3) sensitivity.The O_(3) sensitivity was synergistically controlled by nitrogen oxides(NO_(x))and volatile organic compounds on sauna days,while it tended to be NO_(x)-limited on roast days.The aim of this study was to provide a scientific theoretical basis for the control of O_(3) under different types of high temperature weather conditions.展开更多
The World Standards Day(WSD),the big day of global standardizers,is celebrated annually on October 14.Themed“Shared vision for a better world:Spotlight on SDG 17—Partnership for the goals”,this year’s WSD places g...The World Standards Day(WSD),the big day of global standardizers,is celebrated annually on October 14.Themed“Shared vision for a better world:Spotlight on SDG 17—Partnership for the goals”,this year’s WSD places greater emphasis on joint efforts and cooperation for SDGs.展开更多
Objective:The day surgery mode has significantly reduced preoperative waiting time for patients.However,this mode also led to brief and sometimes abrupt interactions between patients with vision loss and nursing staff...Objective:The day surgery mode has significantly reduced preoperative waiting time for patients.However,this mode also led to brief and sometimes abrupt interactions between patients with vision loss and nursing staff during the preoperative visits.Additionally,patients may experience negative emotions.The aim of this study was to describe the preoperative experiences and identify related stressful factors among patients waiting vitreo-retinal day surgery.Methods:This study was guided by an interpretive approach.Semi-structured,face-to-face,in-depth interviews were conducted with patients from August 2021 to October 2024.Inductive content analysis and research software were used to analyze the data.Results:Twenty-seven patients agreed to participate the interviews.Their ages ranged from 19 to 70 years old.The waiting time before hospitalization varied from 7 to 90 days.Three main categories emerged from patients’complaints:day surgery procedures,concerns about eye conditions and supports.Conclusions:The findings underscore the importance of preoperative care services.It is suggested that providing accurate preoperative information and effective support can significantly enhance the quality of preoperative care service.展开更多
I had a three-day holiday for May Day and I went to Qingdao. It was sunny and hot. I had great fun playing in the water. In the afternoon, I went shopping. But there were too many peoplein the market. I didn't rea...I had a three-day holiday for May Day and I went to Qingdao. It was sunny and hot. I had great fun playing in the water. In the afternoon, I went shopping. But there were too many peoplein the market. I didn't really enjoy it.The next day, it was rainy, so I went to a museum. I found a little girl crying in the corner.展开更多
Objective:Pediatric patients undergoing day surgery often experience significant anxiety,which can negatively impact both the child and their parents.Addressing this anxiety is crucial to ensure a smooth surgical expe...Objective:Pediatric patients undergoing day surgery often experience significant anxiety,which can negatively impact both the child and their parents.Addressing this anxiety is crucial to ensure a smooth surgical experience and recovery.This mini review aims to evaluate the impact of preoperative anxiety in children,identify contributing factors,and explore effective strategies to manage this anxiety during day surgery.Methods:A literature review was conducted,focusing on studies that assess anxiety levels in pediatric patients before day surgery and the interventions designed to alleviate this anxiety.The review included both psychological and procedural strategies.Results:Preoperative anxiety in children can be influenced by a variety of factors,including age,previous medical experiences,parental anxiety,and the hospital environment.Untreated anxiety may lead to increased postoperative pain,behavioral changes,and extended recovery times.Several strategies,including psychological preparation,family centered approaches,and the involvement of child life specialists,have been shown to effectively reduce anxiety.Conclusions:Managing anxiety in pediatric day surgery is vital to improving both surgical outcomes and the overall experience for children and their families.Healthcare professionals can play a key role in reducing anxiety through targeted interventions and supportive care.展开更多
针对中国高职院校服装专业群国际化教学面临的挑战,推出了一种创新的教学形式——“One Day Project”。教学特点是中外学生跨专业、跨文化合作;教学形式是将服装设计、服装工艺、时尚传媒、时装管理、人物形象、时尚表演等相关专业的...针对中国高职院校服装专业群国际化教学面临的挑战,推出了一种创新的教学形式——“One Day Project”。教学特点是中外学生跨专业、跨文化合作;教学形式是将服装设计、服装工艺、时尚传媒、时装管理、人物形象、时尚表演等相关专业的师生聚合,同一天共同完成项目目标。这一教学形式不仅提升了学生的国际化视野和创新能力,还提高了教学质量和水平,为培养具备国际竞争力的服装专业人才,为我国职业教育现代化和国际化发展提供了有益探索。展开更多
Focusing on“Shared vision for a better world:Spotlight on SDG 17—Partnership for the goals”,the themed event of World Standards Day 2025 was held on October 14 in Beijing.Presided over by Xiao Han,Director-General ...Focusing on“Shared vision for a better world:Spotlight on SDG 17—Partnership for the goals”,the themed event of World Standards Day 2025 was held on October 14 in Beijing.Presided over by Xiao Han,Director-General of Standards Innovative Department of SAMR,the event was attended by Deng Zhiyong,Vice Minister of SAMR and Administrator of SAC,and addressed by Sergio Mujica,ISO Secretary-General,and Jo Cops,IEC President,via videos.展开更多
On March 5,the 2025 Cultural Exchange Activity for the Spouses of Diplomats in China themed“A Women’s Gathering.Stitching a Beautiful World”was held at EVE Castle in Beijing.This event was co-organized by the Spous...On March 5,the 2025 Cultural Exchange Activity for the Spouses of Diplomats in China themed“A Women’s Gathering.Stitching a Beautiful World”was held at EVE Castle in Beijing.This event was co-organized by the Spouses of Diplomats’Club and the Mexican Embassy in China.The wives of Ambassadors from many countries around the world have gathered in Beijing to celebrate International Women’s Day.展开更多
This paper presents the findings of a two-week monitoring project on Gender Based Violence(GBV)in Tanzanian and explores how the media outlets frame the marginalized voices,institutional narratives,and intersectional ...This paper presents the findings of a two-week monitoring project on Gender Based Violence(GBV)in Tanzanian and explores how the media outlets frame the marginalized voices,institutional narratives,and intersectional inclusivity.Drawing qualitative approach and analysis of media coverage of GBV during the 202416 Days of Activism campaign remarkably November 25 to December 10,2024,it reveals the extent that media platforms amplify or marginalize survivor voices.Through two weeks of media monitoring across print,broadcast,and social media including sources notably Mwananchi,TBC1,Cloud FM,and advocacy-driven digital platforms and campaigns through#EndGBVNow and#16DaysOfActivism the study explores recurring themes,language use,tone,and inclusivity.Guided by critical gender theories including Judith Butler’s gender performativity and Gave Tuchman’s symbolic annihilation,the analysis reveals media’s dual role in either perpetuating or challenging patriarchal narratives.Findings indicate that traditional media often foreground prevailing institutional voices while underrepresenting marginalized groups,especially rural women and women with disabilities,portraying harmful cultural practices like FGM and child marriage as community challenges rather than universal human rights violation.Conversely,social media emerged as a transformative space for survivor-led advocacy.Hence the study calls for inclusive,ethical,and survivor-centered media reporting as well as strategic integration of digital and mainstream media to promote justice and policy reform in GBV reporting.展开更多
Objective Post-operative cognitive dysfunction(POCD)and post-operative delirium(POD)are two common post-operative cerebral complications.The current meta-analysis was to systematically review the effects of penehyclid...Objective Post-operative cognitive dysfunction(POCD)and post-operative delirium(POD)are two common post-operative cerebral complications.The current meta-analysis was to systematically review the effects of penehyclidine hydrochloride(PHC)on POCD and POD in surgical patients.Methods Electronic databases were searched to identify all randomized controlled trials comparing PHC with atropine/scopolamine/placebo on POCD and POD in surgical patients.Primary outcomes of interest included the incidences of POCD and POD;the secondary outcomes of interest included peri-operative minimental state examination(MMSE)scores.Two authors independently extracted peri-operative data,including patients'baseline characteristics,surgical variables,and outcome data.For dichotomous data(POCD and POD occurrence),treatment effects were calculated as odds ratio(OR)and 95%confidential interval(Cl).Each outcome was tested for heterogeneity,and randomized-effects or fixed-effects model was used in the presence or absence of significant heterogeneity.For continuous variables(MMSE scores),treatment effects were calculated as weighted mean difference(WMD)and 95%CI.Statistical significance was defined as P<0.05.Results Our search yielded 33 studies including 4017 patients.Meta-analysis showed that,the incidence of POCD in PHC group was comparable to that in saline group(OR=0.97;95%Ck 0.S8-1.64;P=0.92),scopolamine group(OR=0.78;95%CI:0.48-1.27;P=0.32)and atropine group(0R=1.20;95%Ch 0.86-1.67;P=0.29).The incidence of POD in PHC group was comparable to that in saline group(OR=1.53;95%CI:0.81-2.90;P=0.19)and scopolamine group(OR=0.53;95%CI:0.06-4.56;P=0.56),but higher than that in atropine group(OR=4.49;95%CI:1.34-15.01;P=0.01).Conclusions PHC premedication was not associated with increased incidences of POCD or POD as compared to either scopolamine or placebo.展开更多
Objective： To investigate the relationship between post-operative cognitive dysfunction（POCD） and regional cerebral oxygen saturation（rSO2） and β-amyloid protein（Aβ） in patients undergoing laparoscopic pancre...Objective： To investigate the relationship between post-operative cognitive dysfunction（POCD） and regional cerebral oxygen saturation（rSO2） and β-amyloid protein（Aβ） in patients undergoing laparoscopic pancreaticoduodenectomy. Methods： Fifty patients undergoing elective laparoscopic pancreaticoduodenectomy received five groups of neuropsychological tests 1 d pre-operatively and 7 d post-operatively, with continuous monitoring of rSO2 intra-operatively. Before anesthesia induction（t0）, at the beginning of laparoscopy（t1）, and at the time of pneumoperitoneum 120 min（t2）, pneumoperitoneum 240 min（t3）, pneumoperitoneum 480 min（t4）, the end of pneumoperitoneum（t5）, and 24 h after surgery, jugular venous blood was drawn respectively for the measurement of Aβ by enzyme-linked immunosorbent assay（ELISA）. Results： Twenty-one cases of the fifty patients suffered from POCD after operation. We found that the maximum percentage drop in rSO2（rSO2, %max） was significantly higher in the POCD group than in the non-POCD group. The rSO2, %max value of over 10.2% might be a potential predictor of neurocognitive injury for those patients. In the POCD group, the plasma Aβ levels after 24 h were significantly higher than those of pre-operative values（P〈0.01）. After 24 h, levels of plasma Aβ in the POCD group were significantly higher than those in the non-POCD group（P〈0.01）. Conclusions： The development of POCD in patients undergoing laparoscopic pancreaticoduodenectomy is associated with alterations of rSO2 and Aβ. Monitoring of rSO2 might be useful in the prediction of POCD, and Aβ might be used as a sensitive biochemical marker to predict the occurrence of POCD.展开更多
文摘BACKGROUND Post-operative infection is a common and serious complication following drugeluting trans arterial chemo embolization(D-TACE)in patients with hepatocellular carcinoma(HCC),potentially compromising treatment efficacy and increasing morbidity.AIM To investigate the risk factors associated with post-operative infection in HCC patients undergoing D-TACE,and to provide evidence for clinical prevention and targeted intervention strategies.METHODS Clinical data of 77 primary HCC patients who underwent D-TACE in our hospital from January 2022 to December 2023 were retrospectively analyzed.Patient demographics,laboratory test results,tumor characteristics,and surgery-related parameters were collected.Univariate and multivariate logistic regression analyses were performed to identify risk factors for post-operative infection.RESULTS Post-operative infection occurred in 20 cases(25.97%)among the 77 patients.Univariate analysis showed that age≥65 years,Child-Pugh grade B,tumor diameter≥5 cm,operation time≥120 minutes,preoperative albumin<35 g/L,and comorbid diabetes were significantly associated with post-operative infection(P<0.05).Multivariate logistic regression analysis identified Child-Pugh grade B(OR=2.851,95%CI:1.426-5.698),operation time≥120 minutes(OR=2.367,95%CI:1.238-4.523),and preoperative albumin<35 g/L(OR=2.156,95%CI:1.147-4.052)as independent risk factors for post-operative infection.CONCLUSION Liver function status,operation time,and preoperative albumin level are significant factors affecting post-operative infection in HCC patients undergoing D-TACE.For high-risk patients,enhanced perioperative management,appropriate timing of surgery,and active improvement of nutritional status should be implemented to reduce the risk of post-operative infection.
文摘BACKGROUND Improvements in the standard of living have led to increased attention to perianal disease.Although surgical treatments are effective,the outcomes of postoperative recovery(POR)are influenced by various factors,including individual differences among patients,the characteristics of the disease itself,and the psychological state of the patient.Understanding these factors can help healthcare providers develop more personalized and effective post-operative care plans for patients with perianal disease.AIM To investigate the effect of illness perception(IP)and negative emotions on POR outcomes in patients with perianal disease.METHODS A total of 146 patients with perianal disease admitted to the First People's Hospital of Changde City from March to December 2023 were recruited.We employed a general information questionnaire,the Brief Illness Perception Questionnaire(B-IPQ),and the Hospital Anxiety and Depression Scale(HADS).We used the 15-item Quality of Recovery Score(QoR-15)to measure patients’recovery effects.Finally,we conducted Pearson’s correlation analysis to examine the relationship between pre-operative IP and anxiety and depression levels with POR quality.RESULTS Fifty-three(36.3%)had poor knowledge of their disease.Thirty(20.5%)were suspected of having anxiety and 99(67.8%)exhibited symptoms.Forty(27.4%)were suspected of having depression and 102(69.9%)displayed symptoms.The B-IPQ,HADS-A,HADS-D,and QoR-15 scores were 46.82±9.97,12.99±3.60,12.58±3.36,and 96.77±9.85,respectively.There was a negative correlation between pre-operative IP,anxiety,and depression with POR quality.The influence of age and disease course on post-operative rehabilitation effect are both negative.The impact of B-IPQ,HADS-A,and HADS-D on POR was negative.Collectively,these variables accounted for 72.6%of the variance in POR.CONCLUSION The quality of POR in patients with perianal disease is medium and is related to age,disease course,IP,anxiety,and depression.
文摘BACKGROUND Tourniquets are commonly used in elective extremity orthopaedic surgery to reduce blood loss,improve visualization in the surgical field,and to potentially reduce surgical time.There is a lack of consensus in existing guidelines regarding the optimal tourniquet pressure,placement site,and duration of use.There is a paucity of data on the relationship between the site of a tourniquet and postoperative pain in foot and ankle surgery.AIM To explore the relationship between tourniquet site and intensity of post-operative pain scores in patients undergoing elective foot and ankle surgery.METHODS Retrospective analysis of prospectively collected data on 201 patients who underwent foot and ankle surgery in a single institution was undertaken.Intraoperative tourniquet duration,tourniquet pressure and site,and postoperative pain scores using Visual Analogue Score were collected in immediate recovery,at six hours and at 24 h post-op.Scatter plots were used to analyse the data and to assess for the statistical correlation between tourniquet pressure,duration,site,and pain scores using Pearson correlation coefficient.RESULTS All patients who underwent foot and ankle surgery had tourniquet pressure of 250 mmHg for ankle tourniquet and 300 mmHg for thigh.There was no correlation between the site of the tourniquet and pain scores in recovery,at six hours and after 24 h.There was a weak correlation between tourniquet time and Visual Analogue Score immediately post-op(r=0.14,P=0.04)but not at six or 24 h post-operatively.CONCLUSION This study shows that there was no statistically significant correlation between tourniquet pressure,site and postop pain in patients undergoing foot and ankle surgery.The choice of using a tourniquet is based on the surgeon's preference,with the goal of minimizing the duration of its application at the operative site.
文摘Background:Post-operative atrial fibrillation(POAF)frequently occurs after cardiac surgery.Although adult congenital heart disease(ACHD)patients have higher rates of arrhythmia than the general population,there is scant literature on POAF in ACHD patients.Objectives:Identify key risk factors associated with post-operative atrial fibrillation and evaluate the short-and mid-term significance of developing POAF.Methods:A retrospective cohort study was conducted of ACHD patients from 2013–2021 at the University of Colorado Hospital and Children’s Hospital of Colorado.The institutional Society of Thoracic Surgeons(STS)surgical registry was used to identify patients≥18-year-old with congenital heart disease who underwent cardiac surgery during the study period.Results:A total of 168 patients(48%female)were included.The median age was 36 years(IQR 28–48).Onehundred and fifty patients(90%)had moderate ACHD anatomical complexity,and 10 patients(6%)had severe ACHD anatomical complexity based on initial ACHD diagnosis.POAF occurred in 40(24%)patients.Older age,history of supraventricular tachycardia,intra-operative arrhythmia,and post-operative hypokalemia independently predicted POAF.POAF was associated with an increased length of stay(8 vs.5 days,p<0.001)and recurrence of atrial fibrillation(46%vs.21%,OR 3.35,p=0.002)but did not predict mortality,stroke,or bleeding event.Conclusion:Atrial fibrillation is a common complication after cardiac surgery in the ACHD population.Older age,history of supraventricular tachycardia,intra-operative arrhythmia,and post-operative hypokalemia independently predicted POAF.Further investigation is needed to understand the long-term impacts of POAF.
文摘本文旨在探讨色彩在“One Day Cake”包装设计中的应用研究。通过对色彩心理学、视觉传达理论以及市场调研的综合分析,本文揭示了色彩如何影响消费者的情感体验、购买决策以及品牌形象的塑造。研究发现,合理运用色彩不仅能提升产品的吸引力,还能增强品牌的认知度和忠诚度。本文通过问卷调查、翻阅资料和案例分析,提供了实证支持,并提出了具体的色彩应用策略。研究结果表明,色彩在“One Day Cake”的包装设计中发挥了重要的辅助功能,对品牌传播具有显著的价值。
基金supported by the National Natural Science Foundation of China(No.42177081)the National Key R&D Program of China(No.2023YFC3706103)+1 种基金Beijing Municipal Natural Science Foundation(No.8222075)the Youth Cross Team Scientific Research Project of the Chinese Academy of Sciences(No.JCTD-2021–10).
文摘Temperature is a key meteorological factor that affects tropospheric ozone(O_(3)),with both humid-heat(sauna days)and dry-heat(roast days)conditions leading to O_(3) exceedances.However,the mechanisms influencing O_(3) formation and degradation under these two weather conditions remain unclear.Therefore,experiments were conducted in Beijing from 2019 to 2021 to observe O_(3),its precursors,and related meteorological elements.A total of 18 days with O_(3) exceedances were selected,including 10 sauna days and 8 roast days.The results of this study revealed that on roast days,the sensible heat flux was 143.5 W/m^(2) greater and the wind speed gradient was 0.018 s^(-1) greater than those on sauna days,indicating more intense thermal and dynamic turbulence.The strong turbulence enhanced the vertical cycle of nitrogen dioxide(NO_(2))and O_(3),resulting in a 58.2μg/(m^(2)·h)increase in NO_(2) upward transport rate and a 1034.4μg/(m^(2)·h)increase in O_(3) downward transport rate on roast days than sauna days.Subsequently,a box model analysis was used to examine O_(3) formation under the two types of weather conditions,revealing that the NO_(2)-O_(3) vertical cycling speed dominated the O_(3) sensitivity.The O_(3) sensitivity was synergistically controlled by nitrogen oxides(NO_(x))and volatile organic compounds on sauna days,while it tended to be NO_(x)-limited on roast days.The aim of this study was to provide a scientific theoretical basis for the control of O_(3) under different types of high temperature weather conditions.
文摘The World Standards Day(WSD),the big day of global standardizers,is celebrated annually on October 14.Themed“Shared vision for a better world:Spotlight on SDG 17—Partnership for the goals”,this year’s WSD places greater emphasis on joint efforts and cooperation for SDGs.
基金supported by the Nursing Innovation and Development Research Project of the Lingnan Nightingale Nursing Research Institute and Nursing Association,Guangdong Province(GDHLYJYB202403,GDHLYJYM202417)Research Project on Party Building Theory and Practice at Zhongshan Ophthalmic Center in 2024,Research Project on Standardized Management of Day Medical Services by the Institute of Hospital Management,National Health Commission(DSQ20251016)Medical Science and Technology Foundation of Guangdong Province(A2021088).
文摘Objective:The day surgery mode has significantly reduced preoperative waiting time for patients.However,this mode also led to brief and sometimes abrupt interactions between patients with vision loss and nursing staff during the preoperative visits.Additionally,patients may experience negative emotions.The aim of this study was to describe the preoperative experiences and identify related stressful factors among patients waiting vitreo-retinal day surgery.Methods:This study was guided by an interpretive approach.Semi-structured,face-to-face,in-depth interviews were conducted with patients from August 2021 to October 2024.Inductive content analysis and research software were used to analyze the data.Results:Twenty-seven patients agreed to participate the interviews.Their ages ranged from 19 to 70 years old.The waiting time before hospitalization varied from 7 to 90 days.Three main categories emerged from patients’complaints:day surgery procedures,concerns about eye conditions and supports.Conclusions:The findings underscore the importance of preoperative care services.It is suggested that providing accurate preoperative information and effective support can significantly enhance the quality of preoperative care service.
文摘I had a three-day holiday for May Day and I went to Qingdao. It was sunny and hot. I had great fun playing in the water. In the afternoon, I went shopping. But there were too many peoplein the market. I didn't really enjoy it.The next day, it was rainy, so I went to a museum. I found a little girl crying in the corner.
文摘Objective:Pediatric patients undergoing day surgery often experience significant anxiety,which can negatively impact both the child and their parents.Addressing this anxiety is crucial to ensure a smooth surgical experience and recovery.This mini review aims to evaluate the impact of preoperative anxiety in children,identify contributing factors,and explore effective strategies to manage this anxiety during day surgery.Methods:A literature review was conducted,focusing on studies that assess anxiety levels in pediatric patients before day surgery and the interventions designed to alleviate this anxiety.The review included both psychological and procedural strategies.Results:Preoperative anxiety in children can be influenced by a variety of factors,including age,previous medical experiences,parental anxiety,and the hospital environment.Untreated anxiety may lead to increased postoperative pain,behavioral changes,and extended recovery times.Several strategies,including psychological preparation,family centered approaches,and the involvement of child life specialists,have been shown to effectively reduce anxiety.Conclusions:Managing anxiety in pediatric day surgery is vital to improving both surgical outcomes and the overall experience for children and their families.Healthcare professionals can play a key role in reducing anxiety through targeted interventions and supportive care.
文摘针对中国高职院校服装专业群国际化教学面临的挑战,推出了一种创新的教学形式——“One Day Project”。教学特点是中外学生跨专业、跨文化合作;教学形式是将服装设计、服装工艺、时尚传媒、时装管理、人物形象、时尚表演等相关专业的师生聚合,同一天共同完成项目目标。这一教学形式不仅提升了学生的国际化视野和创新能力,还提高了教学质量和水平,为培养具备国际竞争力的服装专业人才,为我国职业教育现代化和国际化发展提供了有益探索。
文摘Focusing on“Shared vision for a better world:Spotlight on SDG 17—Partnership for the goals”,the themed event of World Standards Day 2025 was held on October 14 in Beijing.Presided over by Xiao Han,Director-General of Standards Innovative Department of SAMR,the event was attended by Deng Zhiyong,Vice Minister of SAMR and Administrator of SAC,and addressed by Sergio Mujica,ISO Secretary-General,and Jo Cops,IEC President,via videos.
文摘On March 5,the 2025 Cultural Exchange Activity for the Spouses of Diplomats in China themed“A Women’s Gathering.Stitching a Beautiful World”was held at EVE Castle in Beijing.This event was co-organized by the Spouses of Diplomats’Club and the Mexican Embassy in China.The wives of Ambassadors from many countries around the world have gathered in Beijing to celebrate International Women’s Day.
文摘This paper presents the findings of a two-week monitoring project on Gender Based Violence(GBV)in Tanzanian and explores how the media outlets frame the marginalized voices,institutional narratives,and intersectional inclusivity.Drawing qualitative approach and analysis of media coverage of GBV during the 202416 Days of Activism campaign remarkably November 25 to December 10,2024,it reveals the extent that media platforms amplify or marginalize survivor voices.Through two weeks of media monitoring across print,broadcast,and social media including sources notably Mwananchi,TBC1,Cloud FM,and advocacy-driven digital platforms and campaigns through#EndGBVNow and#16DaysOfActivism the study explores recurring themes,language use,tone,and inclusivity.Guided by critical gender theories including Judith Butler’s gender performativity and Gave Tuchman’s symbolic annihilation,the analysis reveals media’s dual role in either perpetuating or challenging patriarchal narratives.Findings indicate that traditional media often foreground prevailing institutional voices while underrepresenting marginalized groups,especially rural women and women with disabilities,portraying harmful cultural practices like FGM and child marriage as community challenges rather than universal human rights violation.Conversely,social media emerged as a transformative space for survivor-led advocacy.Hence the study calls for inclusive,ethical,and survivor-centered media reporting as well as strategic integration of digital and mainstream media to promote justice and policy reform in GBV reporting.
文摘Objective Post-operative cognitive dysfunction(POCD)and post-operative delirium(POD)are two common post-operative cerebral complications.The current meta-analysis was to systematically review the effects of penehyclidine hydrochloride(PHC)on POCD and POD in surgical patients.Methods Electronic databases were searched to identify all randomized controlled trials comparing PHC with atropine/scopolamine/placebo on POCD and POD in surgical patients.Primary outcomes of interest included the incidences of POCD and POD;the secondary outcomes of interest included peri-operative minimental state examination(MMSE)scores.Two authors independently extracted peri-operative data,including patients'baseline characteristics,surgical variables,and outcome data.For dichotomous data(POCD and POD occurrence),treatment effects were calculated as odds ratio(OR)and 95%confidential interval(Cl).Each outcome was tested for heterogeneity,and randomized-effects or fixed-effects model was used in the presence or absence of significant heterogeneity.For continuous variables(MMSE scores),treatment effects were calculated as weighted mean difference(WMD)and 95%CI.Statistical significance was defined as P<0.05.Results Our search yielded 33 studies including 4017 patients.Meta-analysis showed that,the incidence of POCD in PHC group was comparable to that in saline group(OR=0.97;95%Ck 0.S8-1.64;P=0.92),scopolamine group(OR=0.78;95%CI:0.48-1.27;P=0.32)and atropine group(0R=1.20;95%Ch 0.86-1.67;P=0.29).The incidence of POD in PHC group was comparable to that in saline group(OR=1.53;95%CI:0.81-2.90;P=0.19)and scopolamine group(OR=0.53;95%CI:0.06-4.56;P=0.56),but higher than that in atropine group(OR=4.49;95%CI:1.34-15.01;P=0.01).Conclusions PHC premedication was not associated with increased incidences of POCD or POD as compared to either scopolamine or placebo.
基金Project supported by the Shandong Science and Technology Development Project(No.2011YD18070),China
文摘Objective： To investigate the relationship between post-operative cognitive dysfunction（POCD） and regional cerebral oxygen saturation（rSO2） and β-amyloid protein（Aβ） in patients undergoing laparoscopic pancreaticoduodenectomy. Methods： Fifty patients undergoing elective laparoscopic pancreaticoduodenectomy received five groups of neuropsychological tests 1 d pre-operatively and 7 d post-operatively, with continuous monitoring of rSO2 intra-operatively. Before anesthesia induction（t0）, at the beginning of laparoscopy（t1）, and at the time of pneumoperitoneum 120 min（t2）, pneumoperitoneum 240 min（t3）, pneumoperitoneum 480 min（t4）, the end of pneumoperitoneum（t5）, and 24 h after surgery, jugular venous blood was drawn respectively for the measurement of Aβ by enzyme-linked immunosorbent assay（ELISA）. Results： Twenty-one cases of the fifty patients suffered from POCD after operation. We found that the maximum percentage drop in rSO2（rSO2, %max） was significantly higher in the POCD group than in the non-POCD group. The rSO2, %max value of over 10.2% might be a potential predictor of neurocognitive injury for those patients. In the POCD group, the plasma Aβ levels after 24 h were significantly higher than those of pre-operative values（P〈0.01）. After 24 h, levels of plasma Aβ in the POCD group were significantly higher than those in the non-POCD group（P〈0.01）. Conclusions： The development of POCD in patients undergoing laparoscopic pancreaticoduodenectomy is associated with alterations of rSO2 and Aβ. Monitoring of rSO2 might be useful in the prediction of POCD, and Aβ might be used as a sensitive biochemical marker to predict the occurrence of POCD.
