BACKGROUND Although critically ill pediatric patients can benefit from the use of sedation,it can cause side effects and even iatrogenic complications.Since pediatric patients cannot adequately express the intensity o...BACKGROUND Although critically ill pediatric patients can benefit from the use of sedation,it can cause side effects and even iatrogenic complications.Since pediatric patients cannot adequately express the intensity or location of the pain,discriminating the cause of their irritability and agitation can be more complicated than in adults.Thus,sedation therapy for children requires more careful attention.AIM To evaluate the association of the internal parental care protocol and the reduction in pediatric intensive care unit(PICU)postoperatively.METHODS This retrospective cohort study was carried out in the PICU of the tertiary medical center in Kazakhstan.The internal parental care protocol was developed and implemented by critical care team.During the pandemic,restrictions were also placed on parental presence in the PICU.We compare two groups:During restriction and after return to normal.The level of agitation was evaluated using the Richmond Agitation-Sedation Scale.Univariate and multivariate logistic regression analyses were performed to examine associations of parental care with sedation therapy.RESULTS A total of 289 patients were included in the study.Of them,167 patients were hospitalized during and 122 after the restrictions of parental care.In multivariate analysis,parental care was associated with lower odds of prescribing diazepam(odds ratio=0.11,95%confidence interval:0.05-0.25),controlling for age,sex,cerebral palsy,and type of surgery.CONCLUSION The results of this study show that parental care was associated only with decreased odds of prescribing sedative drugs,while no differences were observed for analgesics.展开更多
1 Introduction Sound event detection(SED)aims to identify and locate specific sound event categories and their corresponding timestamps within continuous audio streams.To overcome the limitations posed by the scarcity...1 Introduction Sound event detection(SED)aims to identify and locate specific sound event categories and their corresponding timestamps within continuous audio streams.To overcome the limitations posed by the scarcity of strongly labeled training data,researchers have increasingly turned to semi-supervised learning(SSL)[1],which leverages unlabeled data to augment training and improve detection performance.Among many SSL methods[2-4].展开更多
OBJECTIVE: To present a bibliometric analysis of global scientific publications on the nondrug and nonsedative hypnotic treatment of insomnia with regard to influential institutions, publications, countries, research ...OBJECTIVE: To present a bibliometric analysis of global scientific publications on the nondrug and nonsedative hypnotic treatment of insomnia with regard to influential institutions, publications, countries, research hotspots,trends, and frontiers. METHODS: A literature review was conducted by searching the Web of Science Core Collection(Wo SCC) and China National Knowledge Infrastructure(CNKI) databases to identify all publications related to the nondrug and nonsedative hypnotic treatment of insomnia from 2000 to 2021. Eligible publications were reviewed, including annual publication increments, citation analyses, international collaborations, and keyword analyses. The data were analysed using Cite Space(vers5.8.R3, 6.1.R2 and 6.1.6, College of Computing and Informatics, Philadelphia, PA, USA) and virtualized by knowledge maps. RESULTS:In total, 9832 publications were included in this analysis. The results from the WoSCC showed that the United States of America(Count = 2268, 40.33%), Stanford University(Count = 141, 2.51%), and the United States Department of Health and Human Services were the leading country, institute, and funding agency regarding the number of publications, respectively. “Cognitive-behavioural therapy” was the most popular research topic generated from the cocited reference. The most frequently co-occurring keywords were insomnia, cognitive behavioural therapy, disorder, depression, quality of life, Meta-analysis, older adult, sleep, prevalence and efficacy, while keywords including clinical practice guideline, guideline, and Tai Chi remained popular after 2021. Circadian rhythm was the strongest research frontier for 2000-2021. In China, Chengdu University of Traditional Chinese Medicine(Count = 69, 4.79%) was the most productive institute in this field. The most frequently co-occurring keywords from Chinese literature were sleep disorder, sleep quality, acupuncture and moxibustion, Parkinson's disease, transcranial magnetic stimulation, health education, music therapy, chronic insomnia, quality of life, and nonmotor symptoms. Traditional Chinese medicine was the strongest research frontier for 2019-2021. CONCLUSION: This bibliometric study provides an exhaustive mapping encompassing pertinent institute, publications, influential articles, researchers and topics of the global trend of nondrug and nonsedative hypnotic treatment for insomnia. The results show that the research trend has shifted from primary studies on the efficacy and safety of nondrug and nonsedative hypnotic treatment for insomnia to comorbidity studies. Clinical practice guidelines will potentially become the research frontier for this field post-2021. The findings are important for researchers, clinicians, journal editors, and policymakers working in the field of nondrug and nonsedative hypnotic treatment for insomnia to understand the strengths and potentials in the current studies and guide future clinical practice, research, and science policy.展开更多
将食用植物油中的脂肪酸转化为相应的脂肪酸甲酯,并采用立体结构参数Steric and Electronic Descriptors(SEDs)表征其分子结构,然后运用多元线性回归(MLR)方法,建立了预测食用植物油中脂肪酸(甲酯)的定量结构-色谱保留相关(QSRR)模型,...将食用植物油中的脂肪酸转化为相应的脂肪酸甲酯,并采用立体结构参数Steric and Electronic Descriptors(SEDs)表征其分子结构,然后运用多元线性回归(MLR)方法,建立了预测食用植物油中脂肪酸(甲酯)的定量结构-色谱保留相关(QSRR)模型,同时采用内部及外部双重验证的方法对所建模型的稳定性能和预测能力进行了分析和验证。建模计算值、留一法(LOO)交互检验(CV)预测值和外部样本预测值的相关系数R、R LOO、Q2ext分别为0.9990、0.9970、0.9860。结果表明,SEDs参数能较好地表征食用植物油中的脂肪酸甲酯分子的结构信息,所建立的QSRR模型具有良好的稳定性和预测能力,为间接分析鉴定食用植物油中脂肪酸提供了一种方便有效的新途径。展开更多
文摘BACKGROUND Although critically ill pediatric patients can benefit from the use of sedation,it can cause side effects and even iatrogenic complications.Since pediatric patients cannot adequately express the intensity or location of the pain,discriminating the cause of their irritability and agitation can be more complicated than in adults.Thus,sedation therapy for children requires more careful attention.AIM To evaluate the association of the internal parental care protocol and the reduction in pediatric intensive care unit(PICU)postoperatively.METHODS This retrospective cohort study was carried out in the PICU of the tertiary medical center in Kazakhstan.The internal parental care protocol was developed and implemented by critical care team.During the pandemic,restrictions were also placed on parental presence in the PICU.We compare two groups:During restriction and after return to normal.The level of agitation was evaluated using the Richmond Agitation-Sedation Scale.Univariate and multivariate logistic regression analyses were performed to examine associations of parental care with sedation therapy.RESULTS A total of 289 patients were included in the study.Of them,167 patients were hospitalized during and 122 after the restrictions of parental care.In multivariate analysis,parental care was associated with lower odds of prescribing diazepam(odds ratio=0.11,95%confidence interval:0.05-0.25),controlling for age,sex,cerebral palsy,and type of surgery.CONCLUSION The results of this study show that parental care was associated only with decreased odds of prescribing sedative drugs,while no differences were observed for analgesics.
基金supported by the Zhejiang Provincial Key R&D Program(Nos.2024C01108,2023C01030,2023C01034)the Hangzhou Key R&D Program(Nos.2023SZD0046,2024SZD1A03)the Ningbo Key R&D Program(No.2024Z114).
文摘1 Introduction Sound event detection(SED)aims to identify and locate specific sound event categories and their corresponding timestamps within continuous audio streams.To overcome the limitations posed by the scarcity of strongly labeled training data,researchers have increasingly turned to semi-supervised learning(SSL)[1],which leverages unlabeled data to augment training and improve detection performance.Among many SSL methods[2-4].
基金National Natural Science Foundation of China:Research on Acupoint Sensitization (No. 81590950)Clinical Research on the Phenomena and Patterns of Acupoint Sensitization (No. 81590951)the Key R&D Program of Science and Technology Department of Sichuan Province:Research on the Molecular Mechanism of Specific Acupoint Sensitization in Coronary Heart Disease Angina Pectoris Model Rats Based on Exosome Regulation (No. 20ZDYF1199)。
文摘OBJECTIVE: To present a bibliometric analysis of global scientific publications on the nondrug and nonsedative hypnotic treatment of insomnia with regard to influential institutions, publications, countries, research hotspots,trends, and frontiers. METHODS: A literature review was conducted by searching the Web of Science Core Collection(Wo SCC) and China National Knowledge Infrastructure(CNKI) databases to identify all publications related to the nondrug and nonsedative hypnotic treatment of insomnia from 2000 to 2021. Eligible publications were reviewed, including annual publication increments, citation analyses, international collaborations, and keyword analyses. The data were analysed using Cite Space(vers5.8.R3, 6.1.R2 and 6.1.6, College of Computing and Informatics, Philadelphia, PA, USA) and virtualized by knowledge maps. RESULTS:In total, 9832 publications were included in this analysis. The results from the WoSCC showed that the United States of America(Count = 2268, 40.33%), Stanford University(Count = 141, 2.51%), and the United States Department of Health and Human Services were the leading country, institute, and funding agency regarding the number of publications, respectively. “Cognitive-behavioural therapy” was the most popular research topic generated from the cocited reference. The most frequently co-occurring keywords were insomnia, cognitive behavioural therapy, disorder, depression, quality of life, Meta-analysis, older adult, sleep, prevalence and efficacy, while keywords including clinical practice guideline, guideline, and Tai Chi remained popular after 2021. Circadian rhythm was the strongest research frontier for 2000-2021. In China, Chengdu University of Traditional Chinese Medicine(Count = 69, 4.79%) was the most productive institute in this field. The most frequently co-occurring keywords from Chinese literature were sleep disorder, sleep quality, acupuncture and moxibustion, Parkinson's disease, transcranial magnetic stimulation, health education, music therapy, chronic insomnia, quality of life, and nonmotor symptoms. Traditional Chinese medicine was the strongest research frontier for 2019-2021. CONCLUSION: This bibliometric study provides an exhaustive mapping encompassing pertinent institute, publications, influential articles, researchers and topics of the global trend of nondrug and nonsedative hypnotic treatment for insomnia. The results show that the research trend has shifted from primary studies on the efficacy and safety of nondrug and nonsedative hypnotic treatment for insomnia to comorbidity studies. Clinical practice guidelines will potentially become the research frontier for this field post-2021. The findings are important for researchers, clinicians, journal editors, and policymakers working in the field of nondrug and nonsedative hypnotic treatment for insomnia to understand the strengths and potentials in the current studies and guide future clinical practice, research, and science policy.
文摘将食用植物油中的脂肪酸转化为相应的脂肪酸甲酯,并采用立体结构参数Steric and Electronic Descriptors(SEDs)表征其分子结构,然后运用多元线性回归(MLR)方法,建立了预测食用植物油中脂肪酸(甲酯)的定量结构-色谱保留相关(QSRR)模型,同时采用内部及外部双重验证的方法对所建模型的稳定性能和预测能力进行了分析和验证。建模计算值、留一法(LOO)交互检验(CV)预测值和外部样本预测值的相关系数R、R LOO、Q2ext分别为0.9990、0.9970、0.9860。结果表明,SEDs参数能较好地表征食用植物油中的脂肪酸甲酯分子的结构信息,所建立的QSRR模型具有良好的稳定性和预测能力,为间接分析鉴定食用植物油中脂肪酸提供了一种方便有效的新途径。
