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Comparing trans-oral endoscopic thyroidectomy vestibular approach and trans-areolar approaches regarding postoperative infections and swallowing difficulty
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作者 Hyder Mirghani 《World Journal of Clinical Cases》 2026年第1期21-27,共7页
BACKGROUND Due to the increasing rate of thyroid nodules diagnosis,and the desire to avoid the unsightly cervical scar,remote thyroidectomies were invented and are increasingly performed.Transoral endoscopic thyroidec... BACKGROUND Due to the increasing rate of thyroid nodules diagnosis,and the desire to avoid the unsightly cervical scar,remote thyroidectomies were invented and are increasingly performed.Transoral endoscopic thyroidectomy vestibular approach and trans-areolar approaches(TAA)are the two most commonly used remote approaches.No previous meta-analysis has compared postoperative infections and swallowing difficulties among the two procedures.AIM To compared the same among patients undergoing lobectomy for unilateral thyroid carcinoma/benign thyroid nodule.METHODS We searched PubMed MEDLINE,Google Scholar,and Cochrane Library from the date of the first published article up to August 2025.The term used were transoral thyroidectomy vestibular approach,trans areolar thyroidectomy,scarless thyroidectomy,remote thyroidectomy,infections,postoperative,inflammation,dysphagia,and swallowing difficulties.We identified 130 studies,of them,30 full texts were screened and only six studies were included in the final meta-analysis.RESULTS Postoperative infections were not different between the two approaches,odd ratio=1.33,95%confidence interval:0.50-3.53,theχ2 was 1.92 and the P-value for overall effect of 0.57.Similarly,transient swallowing difficulty was not different between the two forms of surgery,with odd ratio=0.91,95%confidence interval:0.35-2.40;theχ2 was 1.32,and the P-value for overall effect of 0.85.CONCLUSION No significant statistical differences were evident between trans-oral endoscopic Mirghani H.Infections and swallowing difficulty in scarless thyroidectomy WJCC https://www.wjgnet.com 2 January 6,2026 Volume 14 Issue 1 thyroidectomy vestibular approach and trans-areolar approach regarding postoperative infection and transient swallowing difficulties.Further longer randomized trials are needed. 展开更多
关键词 Trans-oral endoscopic thyroidectomy vestibular approach Trans-areolar approaches Postoperative Infections swallowing difficulty
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Collaborative Approaches to Poverty Reduction:Experts and o"cials from China and abroad exchange views on cooperation and sustainable development at seminar
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作者 LU JIAJUN 《ChinAfrica》 2026年第2期34-35,共2页
The 17 Sustainable Development Goals(SDGs)for 2030,adopted by all United Nations member states in 2015,are facing a range of challenges.Factors such as climate change,regional conflicts and economic recession are havi... The 17 Sustainable Development Goals(SDGs)for 2030,adopted by all United Nations member states in 2015,are facing a range of challenges.Factors such as climate change,regional conflicts and economic recession are having a significant impact,particularly on global poverty governance.As a platform for dialogue,exchange and technical cooperation,the 2025 International Seminar on Global Poverty Reduction Partnerships was held in Beijing on 10 December 2025. 展开更多
关键词 climate changeregional conflicts collaborative approaches China global poverty reduction OFFICIALS sustainable development goals sdgs economic recession experts
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Ensemble Deep Learning Approaches in Health Care:A Review 被引量:1
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作者 Aziz Alotaibi 《Computers, Materials & Continua》 2025年第3期3741-3771,共31页
Deep learning algorithms have been rapidly incorporated into many different applications due to the increase in computational power and the availability of massive amounts of data.Recently,both deep learning and ensem... Deep learning algorithms have been rapidly incorporated into many different applications due to the increase in computational power and the availability of massive amounts of data.Recently,both deep learning and ensemble learning have been used to recognize underlying structures and patterns from high-level features to make predictions/decisions.With the growth in popularity of deep learning and ensemble learning algorithms,they have received significant attention from both scientists and the industrial community due to their superior ability to learn features from big data.Ensemble deep learning has exhibited significant performance in enhancing learning generalization through the use of multiple deep learning algorithms.Although ensemble deep learning has large quantities of training parameters,which results in time and space overheads,it performs much better than traditional ensemble learning.Ensemble deep learning has been successfully used in several areas,such as bioinformatics,finance,and health care.In this paper,we review and investigate recent ensemble deep learning algorithms and techniques in health care domains,medical imaging,health care data analytics,genomics,diagnosis,disease prevention,and drug discovery.We cover several widely used deep learning algorithms along with their architectures,including deep neural networks(DNNs),convolutional neural networks(CNNs),recurrent neural networks(RNNs),and generative adversarial networks(GANs).Common healthcare tasks,such as medical imaging,electronic health records,and genomics,are also demonstrated.Furthermore,in this review,the challenges inherent in reducing the burden on the healthcare system are discussed and explored.Finally,future directions and opportunities for enhancing healthcare model performance are discussed. 展开更多
关键词 Deep learning ensemble learning deep ensemble learning deep learning approaches for health care health care
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Induced pluripotent stem cell-related approaches to generate dopaminergic neurons for Parkinson's disease
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作者 Ling-Xiao Yi Hui Ren Woon +3 位作者 Genevieve Saw Li Zeng Eng King Tan Zhi Dong Zhou 《Neural Regeneration Research》 SCIE CAS 2025年第11期3193-3206,共14页
The progressive loss of dopaminergic neurons in affected patient brains is one of the pathological features of Parkinson's disease,the second most common human neurodegenerative disease.Although the detailed patho... The progressive loss of dopaminergic neurons in affected patient brains is one of the pathological features of Parkinson's disease,the second most common human neurodegenerative disease.Although the detailed pathogenesis accounting for dopaminergic neuron degeneration in Parkinson's disease is still unclear,the advancement of stem cell approaches has shown promise for Parkinson's disease research and therapy.The induced pluripotent stem cells have been commonly used to generate dopaminergic neurons,which has provided valuable insights to improve our understanding of Parkinson's disease pathogenesis and contributed to anti-Parkinson's disease therapies.The current review discusses the practical approaches and potential applications of induced pluripotent stem cell techniques for generating and differentiating dopaminergic neurons from induced pluripotent stem cells.The benefits of induced pluripotent stem cell-based research are highlighted.Various dopaminergic neuron differentiation protocols from induced pluripotent stem cells are compared.The emerging three-dimension-based brain organoid models compared with conventional two-dimensional cell culture are evaluated.Finally,limitations,challenges,and future directions of induced pluripotent stem cell–based approaches are analyzed and proposed,which will be significant to the future application of induced pluripotent stem cell-related techniques for Parkinson's disease. 展开更多
关键词 dopaminergic neurons induced pluripotent stem cells Parkinson's disease stem cell approaches
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Enhancing perianal disease management with integrated physical and psychological approaches
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作者 Uchenna E Okpete Haewon Byeon 《World Journal of Clinical Cases》 SCIE 2025年第2期59-63,共5页
This article provides a comprehensive analysis of the study by Hou et al,focusing on the complex interplay between psychological and physical factors in the postoperative recovery(POR)of patients with perianal disease... This article provides a comprehensive analysis of the study by Hou et al,focusing on the complex interplay between psychological and physical factors in the postoperative recovery(POR)of patients with perianal diseases.The study sheds light on how illness perception,anxiety,and depression significantly influence recovery outcomes.Hou et al developed a predictive model that demonstrated high accuracy in identifying patients at risk of poor recovery.The article explores the critical role of pre-operative psychological assessment,highlighting the need for mental health support and personalized recovery plans in enhancing POR quality.A multidisciplinary approach,integrating mental health professionals with surgeons,anesthesiologists,and other specialists,is emphasized to ensure comprehensive care for patients.The study’s findings serve as a call to integrate psychological care into surgical practice to optimize outcomes for patients with perianal diseases. 展开更多
关键词 Perianal disease Post-operative recovery ANXIETY DEPRESSION Pain management Emotional well-being Multidisciplinary approach
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Two Causal-Modeling Approaches to Indicative Conditionals
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作者 ChingHui Su 《逻辑学研究》 2025年第6期43-61,共19页
Recently there have been two causal modelling approaches to indicative conditionals,i.e.extrapolationist(Deng&Lee,2021)and filterist(Liang&Wang,2022),although they all take an interventionist position on subju... Recently there have been two causal modelling approaches to indicative conditionals,i.e.extrapolationist(Deng&Lee,2021)and filterist(Liang&Wang,2022),although they all take an interventionist position on subjunctive conditionals.Motivated by the so-called OK pairs,they try to provide a convincing explanation of the intuition underlying the OK pairs.As far as we know,what they have done is to provide not only an explanation of the OK pairs,but also a way of distinguishing between indicative and subjunctive conditionals.Although we agree with their success in explaining the OK pairs within a causal modelling framework,we argue that their ways of distinguishing between indicative and subjunctive conditionals fail.Instead,we argue that their approaches can be used to distinguish between two readings of conditionals,the epistemic reading and the ontic reading.which can be applied to both indicative and subjunctive conditionals.We conclude by arguing that these two readings are related to two approaches to asking and answering causal questions:the“auses-of-effects"approach and the"effects-of-causes"approach. 展开更多
关键词 subjunctive conditionals extrapolationist causal modelling approaches epistemic reading causal modeling filterist indicative subjunctive con ok pairs
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Exploration of Innovative Approaches in Applying Information Technology to Vocal Music Teaching in University
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作者 Jingping Yi Yali Zhang 《Journal of Contemporary Educational Research》 2025年第8期198-204,共7页
With the rapid development of information technology and the advancement of educational modernization,the teaching mode of vocal music in colleges and universities is undergoing a new transformation,which complies wit... With the rapid development of information technology and the advancement of educational modernization,the teaching mode of vocal music in colleges and universities is undergoing a new transformation,which complies with the trend of digital age and brings new challenges.This paper explores the specific implementation path of artificial intelligence technology,virtual reality technology,big data technology and intelligent interaction technology in vocal music teaching in colleges and universities,aiming to inject new vitality into the traditional teaching mode and improve teaching quality and efficiency. 展开更多
关键词 Information technology Teaching reform Colleges and universities Vocal music teaching Innovative approaches
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Simultaneous bilateral robotic-assisted partial nephrectomy using a dual stepwise transperitoneal and retroperitoneal approaches:A case report
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作者 Francesco Dinale Annalisa Patera +6 位作者 Tommaso Bocchialini Giulia Di Marco Giulio Guarino Michele Slawitz Francesco Ziglioli Davide Campobasso Umberto Vittorio Maestroni 《Laparoscopic, Endoscopic and Robotic Surgery》 2025年第2期102-105,共4页
Approximately 5%of patients with renal cancer present with synchronous bilateral renal masses(SBRM).1,2 Bilateral renal tumors associated with hereditary syndromes often exhibit more aggressive biological behaviors co... Approximately 5%of patients with renal cancer present with synchronous bilateral renal masses(SBRM).1,2 Bilateral renal tumors associated with hereditary syndromes often exhibit more aggressive biological behaviors compared to sporadic SBRM cases.3,4 Notably,the prognosis for sporadic cases,in terms of cancerspecific and distant metastasis-free survival,is comparable to that of unilateral renal masses. 展开更多
关键词 retroperitoneal approach synchronous bilateral renal masses sbrm bilateral renal tumors simultaneous bilateral robotic assisted partial nephrectomy unilateral renal masses renal cancer transperitoneal approach aggressive biological behaviors
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Oral submucous fibrosis:pathogenesis and therapeutic approaches
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作者 Jianfei Tang Junjie Liu +6 位作者 Zekun Zhou Xinyan Cui Hua Tu Jia Jia Baike Chen Xiaohan Dai Ousheng Liu 《International Journal of Oral Science》 2025年第2期191-205,共15页
Oral submucous fibrosis(OSF),characterized by excessive deposition of extracellular matrix(ECM)that causes oral mucosal tissue sclerosis,and even cancer transformation,is a chronic,progressive fibrosis disease.However... Oral submucous fibrosis(OSF),characterized by excessive deposition of extracellular matrix(ECM)that causes oral mucosal tissue sclerosis,and even cancer transformation,is a chronic,progressive fibrosis disease.However,despite some advancements in recent years,no targeted antifibrotic strategies for OSF have been approved;likely because the complicated mechanisms that initiate and drive fibrosis remain to be determined.In this review,we briefly introduce the epidemiology and etiology of OSF.Then,we highlight how cell-intrinsic changes in significant structural cells can drive fibrotic response by regulating biological behaviors,secretion function,and activation of ECM-producing myofibroblasts.In addition,we also discuss the role of innate and adaptive immune cells and how they contribute to the pathogenesis of OSF.Finally,we summarize strategies to interrupt key mechanisms that cause OSF,including modulation of the ECM,inhibition of inflammation,improvement of vascular disturbance.This review will provide potential routes for developing novel anti-OSF therapeutics. 展开更多
关键词 oral submucous fibrosis PATHOGENESIS targeted antifibrotic strategies oral submucous fibrosis osf characterized extracellular matrix ecm oral mucosal tissue FIBROSIS therapeutic approaches
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From Leaf to Cloud Fuding is bringing new life to centuries-old tea cultivation with digital approaches
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作者 Gao Yuan 《China Report ASEAN》 2025年第10期35-37,共3页
In May 2025,the Fuding White Tea Culture System in southeast China’s Fujian Province was officially recognized by the UN Food and Agriculture Organization(FAO)as a Globally Important Agricultural Heritage System(GIAH... In May 2025,the Fuding White Tea Culture System in southeast China’s Fujian Province was officially recognized by the UN Food and Agriculture Organization(FAO)as a Globally Important Agricultural Heritage System(GIAHS).It mainly includes national-level superior varieties-Fuding Dabai Tea,Fuding Dahao Tea,and Fuding Cai Tea(group variety)which retains tradition and uses tea seeds for sexual reproduction-providing abundant germplasm resources for cultivating new tea varieties. 展开更多
关键词 tea seeds germplasm resources globally important agricultural heritage system sexual reproduction globally important agricultural heritage system giahs digital approaches tea cultivation Fuding White Tea
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Practical Approaches for Pre-Service English Teachers’Cultivation From the Perspective of New Quality Productive Forces
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作者 WU Shujing 《Sino-US English Teaching》 2025年第7期222-229,共8页
The theory of new quality productive forces provides a foundational framework for cultivating pre-service English teachers.There is a high degree of consistency between the development of new quality productive forces... The theory of new quality productive forces provides a foundational framework for cultivating pre-service English teachers.There is a high degree of consistency between the development of new quality productive forces and the cultivation of pre-service English teachers.The development of new quality productive forces has put forward new requirements for the cultivation of pre-service English teachers,while the cultivation of pre-service English teachers will also promote the development of new quality productive forces and provide talent support for it.Currently,the cultivation of pre-service English teachers faces numerous challenges,which requires strengthening top-level program design,reconstructing the curriculum system,expanding cultivation fields for pre-service English teachers,improving the digital literacy of pre-service English teachers,deepening international exchanges and cooperation,and building an evidence-based evaluation system as a guarantee to achieve new breakthroughs in the cultivation of pre-service English teachers and promote the development of new quality productive forces. 展开更多
关键词 new quality productive forces pre-service English teachers CULTIVATION practical approaches
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Psychological impact of minimally invasive approaches in the management of pelvic fractures with lumbosacral plexus injury
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作者 Osvaldo Mazza Giuseppe Marano Marianna Mazza 《World Journal of Psychiatry》 2025年第8期424-428,共5页
Pelvic fractures are rare but severe injuries that severely affect patients’quality of life.Treatment of these fractures often involves invasive approaches with high risk of injuries to nervous structures,particularl... Pelvic fractures are rare but severe injuries that severely affect patients’quality of life.Treatment of these fractures often involves invasive approaches with high risk of injuries to nervous structures,particularly lumbosacral plexus.The introduction of minimally invasive surgical approaches,such as the lateral rectus approach,not only contributes to preserving lumbar plexus integrity in operated patients but also positively impacts their psychological well-being.Patients treated by surgical reduction of pelvic fractures with lumbosacral plexus injury often experience states of anxiety and depression.The lateral rectus approach is associated with lower levels of anxiety and depression compared to more invasive surgical techniques used for similar fractures. 展开更多
关键词 Pelvic fractures ANXIETY DEPRESSION Lumbosacral plexus Minimally invasive approach
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Untargeted metabolomics as a tool to assess the impact of dietary approaches on pig gut health:a review
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作者 Li-Hsuan Chen Nuria Canibe +1 位作者 Mihai Victor Curtasu Mette Skou Hedemann 《Journal of Animal Science and Biotechnology》 2025年第6期2539-2562,共24页
Metabolomics utilizes advanced analytical profiling techniques to comprehensively measure small molecules in cells,tissues,and biological fluids.Nutritional metabolomics studies in pigs have reported changes in hundre... Metabolomics utilizes advanced analytical profiling techniques to comprehensively measure small molecules in cells,tissues,and biological fluids.Nutritional metabolomics studies in pigs have reported changes in hundreds of metabolites across various sample types,including plasma,serum,urine,digesta,and feces,following dietary interventions.These findings can help identify biomarkers of gastrointestinal functionality and beyond,as well as investigate mechanistic interactions between diet,host,microbiome,and metabolites.This review aims to summarize the current literature on nutritional metabolomics in pigs and its use to investigate how different dietary approaches impact the gut health of pigs.Here,we critically assessed and categorized the impact of the main macronutrients-carbohydrates,proteins,and fats—along with feed additives such as amino acids,bile acids,and probiotics,as well as feeding strategies like creep feeding,milk replacer introduction,and time-restricted feeding,on the pig metabolome.Additionally,we discuss the potential modes of action of the key affected metabolites on pig gut health. 展开更多
关键词 Dietary approach Gut health PIGLETS Untargeted metabolomics
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AI-Driven Approaches to Utilization of Multi-Omics Data for Personalized Diagnosis and Treatment of Cancer:A Comprehensive Review
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作者 Somayah Albaradei 《Computer Modeling in Engineering & Sciences》 2025年第12期2937-2970,共34页
Cancer deaths and new cases worldwide are projected to rise by 47%by 2040,with transitioning countries experiencing an even higher increase of up to 95%.Tumor severity is profoundly influenced by the timing,accuracy,a... Cancer deaths and new cases worldwide are projected to rise by 47%by 2040,with transitioning countries experiencing an even higher increase of up to 95%.Tumor severity is profoundly influenced by the timing,accuracy,and stage of diagnosis,which directly impacts clinical decision-making.Various biological entities,including genes,proteins,mRNAs,miRNAs,and metabolites,contribute to cancer development.The emergence of multi-omics technologies has transformed cancer research by revealing molecular alterations across multiple biological layers.This integrative approach supports the notion that cancer is fundamentally driven by such alterations,enabling the discovery ofmolecular signatures for precision oncology.This reviewexplores the role of AI-drivenmulti-omics analyses in cancer medicine,emphasizing their potential to identify novel biomarkers and therapeutic targets,enhance understanding of Tumor biology,and address integration challenges in clinical workflows.Network biology analyzes identified ERBB2,KRAS,and TP53 as top hub genes in lung cancer based on Maximal Clique Centrality(MCC)scores.In contrast,TP53,ERBB2,ESR1,MYC,and BRCA1 emerged as central regulators in breast cancer,linked to cell proliferation,hormonal signaling,and genomic stability.The review also discusses how specific Artificial Intelligence(AI)algorithms can streamline the integration of heterogeneous datasets,facilitate the interpretation of the tumor microenvironment,and support data-driven clinical strategies. 展开更多
关键词 Artificial intelligence(AI) machine learning algorithms multi-omics approaches protein-protein interactions(PPIs)networking
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Mixed Quantum-Classical Approaches to Electron Transmission through Chiral Molecules
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作者 Jiayue Han Yu Wang Wenjie Dou 《Chinese Journal of Chemical Physics》 2025年第6期833-844,I0238,共13页
The chiral-induced spin selectivity(CISS)effect has attracted widespread interest due to its potential applications in spintronics.However,the influence of electron-vibration coupling on spin polarization has no unifi... The chiral-induced spin selectivity(CISS)effect has attracted widespread interest due to its potential applications in spintronics.However,the influence of electron-vibration coupling on spin polarization has no unified theoretical description.In this work,we revisit the widely used model proposed by 100%Jonas Fransson[Phys.Rev.B 102,235416(2020)]with two mixed quantum-classical approaches,namely mean-field(MF)dynamics and surface hopping(SH).Our results show that,in the absence of electron-vibration coupling,the transient spin polarization vanishes for short molecular chains or without spin-orbit coupling(SOC).For longer chains and stronger SOC,the polarization exhibits coherent oscillations reaching up to.When electron-vibration coupling is included,pronounced spin polarization emerges only at early femtosecond timescales,whose magnitude increases with SOC strength and chain length but decreases as the electron-vibration coupling grows.On picosecond timescales,the polarization decays and fluctuates narrowly around zero,yielding a negligible long-time average.These findings indicate that electron-vibration coupling generally suppresses spin polarization,in contrast to predictions in previous studies.We suggest that alternative or extended theoretical frameworks are required to elucidate the key role of electron-vibration coupling in the CISS effect. 展开更多
关键词 Chiral-induced spin selectivity Nonadiabatic dynamics Mixed quantum-classical approaches
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Innovative approaches to managing chronic multimorbidity:A multidisciplinary perspective
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作者 Haewon Byeon 《World Journal of Clinical Cases》 2025年第19期99-106,共8页
The rising prevalence of chronic multimorbidity poses substantial challenges to healthcare systems,necessitating the development of innovative management strategies to optimize patient care and system efficiency.The s... The rising prevalence of chronic multimorbidity poses substantial challenges to healthcare systems,necessitating the development of innovative management strategies to optimize patient care and system efficiency.The study by Fontalba-Navas et al investigates the implementation of a novel high complexity unit(HCU)specifically designed to improve the management of patients with chronic complex conditions.By adopting a multidisciplinary approach,the HCU aims to provide comprehensive,patient-centered care that enhances health outcomes and alleviates the strain on traditional hospital services.Utilizing a longitudinal analysis of data from the Basic Minimum Data Set,this study compares hospitalization metrics among the HCU,Internal Medicine,and other departments within a regional hospital throughout 2022.The findings reveal that the HCU's integrated care model significantly reduces readmission rates and boosts patient satisfaction compared to conventional care practices.The study highlights the HCU's potential as a replicable model for managing chronic multimorbidity,emphasizing its effectiveness in minimizing unnecessary hospitalizations and enhancing the overall quality of patient care.This innovative approach not only addresses the complexities associated with chronic multimorbid conditions but also offers a sustainable framework for healthcare systems confronting similar challenges. 展开更多
关键词 Chronic multimorbidity High complexity unit Multidisciplinary approach Patient-centered care Integrated care model Hospitalization metrics
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基于供需格局的京津冀地区农业类型分区及高品质基地布局 被引量:1
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作者 杨华 徐勇 +1 位作者 周侃 樊杰 《资源科学》 北大核心 2026年第1期100-117,共18页
【目的】优化农业生产格局和健全农产品供需体系是践行大食物观,推进农业高质量发展的重要举措。【方法】以京津冀地区为研究对象,按照“供需格局解析—农业类型分区—高品质农业基地布局”的层次分析框架,解析2015—2022年粮食、蔬菜... 【目的】优化农业生产格局和健全农产品供需体系是践行大食物观,推进农业高质量发展的重要举措。【方法】以京津冀地区为研究对象,按照“供需格局解析—农业类型分区—高品质农业基地布局”的层次分析框架,解析2015—2022年粮食、蔬菜、水果、肉类、蛋类、奶类和水产品7类重要农产品供需的时空格局特征,使用多元聚类分析方法划分农业类型区,进而提出高品质农业基地一体化布局方案。【结果】①2015—2022年,京津冀地区农产品供需格局呈现“总体盈余、局部短缺”特征,粮食、蔬菜和奶类处于高度盈余状态,肉类和蛋类从高度盈余向盈余状态演变,水果和水产品从盈余向基本平衡状态转移,北京市和天津市的农产品自给能力总体不足;②京津冀地区农业类型可划分为2个一级区和9个二级区,不同分区农业发展的潜力、限制与主导优势农产品具有差异性;③高品质农业基地布局方案由粮食、蔬菜、水果、肉类、蛋类、奶类和水产品7类高品质农产品生产基地构成,主要分布在太行山-燕山山前平原地区和京津冀交界地区,并针对性提出不同类型基地建设的重点任务。【结论】京津冀地区面临农产品供需失衡和空间错配的双重风险,统筹考虑多种农产品生产空间和一体化布局高品质农业基地是保障区域食物安全的重要途径。研究结果对中国其他城市群地区现代都市农业协同布局具有引导和启示意义。 展开更多
关键词 大食物观 城市群 农业类型区 高品质农业基地 京津冀地区
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两种入路行全髋关节置换术的疗效比较
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作者 苏晓恩 林宇宁 +4 位作者 冯文杰 邓海棠 何杏贤 邹凯 邵庆丰 《临床骨科杂志》 2026年第1期43-46,共4页
目的比较比基尼入路(Bikini入路)和直接前方入路(DAA入路)行全髋关节置换术(THA)治疗的效果。方法将58例患者按照入路不同分为DAA组(采用DAA入路行THA治疗,28例)和Bikini组(采用Bikini入路行THA治疗,30例)。比较两组围手术期指标、术后... 目的比较比基尼入路(Bikini入路)和直接前方入路(DAA入路)行全髋关节置换术(THA)治疗的效果。方法将58例患者按照入路不同分为DAA组(采用DAA入路行THA治疗,28例)和Bikini组(采用Bikini入路行THA治疗,30例)。比较两组围手术期指标、术后并发症发生情况、疼痛VAS评分、6 min步行距离、髋臼前倾角、外展角、髋臼覆盖率,采用Harris评分评价髋关节功能。结果患者均获得3个月随访。术中出血量、手术时间、切口长度、住院时间、住院费用Bikini组均少(短)于DAA组(P<0.05)。术后3个月疼痛VAS评分、6 min步行距离、Harris评分Bikini组均优于DAA组(P<0.05)。术后3个月髋臼前倾角、外展角、髋臼覆盖率两组比较差异均无统计学意义(P>0.05)。术后并发症发生率Bikini组低于DAA组(P<0.05)。结论与DAA入路相比,Bikini入路行THA治疗具有切口小、损伤少、疼痛减轻、并发症发生率低、髋关节功能恢复效果佳等优势,疗效满意。 展开更多
关键词 全髋关节置换术 比基尼入路 直接前方入路
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老年OVCF患者PKP术中单侧、双侧入路的疗效差异比较
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作者 崔金雷 朱俊 +1 位作者 高军胜 王培 《创伤外科杂志》 2026年第2期105-111,共7页
目的比较老年骨质疏松性椎体压缩性骨折(OVCF)患者经皮椎体后凸成形术(PKP)术中单侧、双侧入路的疗效。方法回顾性分析2022年10月—2024年9月郑州人民医院收治的行PKP的OVCF患者148例,男性56例,女性92例;年龄60~88岁,平均72.1岁。根据... 目的比较老年骨质疏松性椎体压缩性骨折(OVCF)患者经皮椎体后凸成形术(PKP)术中单侧、双侧入路的疗效。方法回顾性分析2022年10月—2024年9月郑州人民医院收治的行PKP的OVCF患者148例,男性56例,女性92例;年龄60~88岁,平均72.1岁。根据手术入路不同分为单侧入路组(74例)和双侧入路组(74例)。分析围术期指标、疼痛程度、腰椎功能以及术后不良事件,如渗漏、再骨折,以及术前和术后的影像学特征。结果两组患者在一般资料、损伤病程及骨密度方面具有可比性(P均>0.05);但单侧入路组的手术时间[(35.2±10.3)min]、术中出血量[(9.6±3.5)mL、骨水泥用量[3(3,4)mL]及X线照射次数[(11.6±5.7)次]均显著少于双侧入路组[(56.6±11.3)min、(16.2±6.2)mL、5(4,6)mL及(20.7±7.3)次]。重复测量方差分析显示,时间因素对影像学参数有统计学显著影响(P<0.05),但组间效应及交互效应无显著影响(P>0.05)。广义估计方程模型分析显示,时间点对疼痛强度有统计学显著影响(P<0.05),而组间效应及交互效应无显著差异(P>0.05)。Oswestry功能障碍指数呈现相似变化趋势。术前及术后影像学特征分析显示,T12椎体压缩性骨折患者术前X线片可见局部密度增高、椎体高度明显降低,压缩程度约为椎体高度的1/3;术后随访X线片显示椎体高度恢复。T7椎体压缩性骨折患者术前X线片可见典型楔形畸形,术后随访X线片显示椎体生理曲度恢复、楔形畸形改善。单侧入路组发生不良事件10例(13.5%),双侧入路组发生不良事件14例(18.9%),两组比较差异无统计学意义(95%CI:-0.174~0.066,P>0.05)。结论单侧和双侧入路方式均可有效改善OVCF,单侧入路在改善围术期相关指标中具有优势,应根据患者的个体性差异情况合理选择手术入路方式,以达到最佳治疗效果。 展开更多
关键词 骨质疏松性椎体压缩性骨折 经皮椎体后凸成形术 单侧入路 双侧入路
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前外侧联合后内侧入路内固定治疗三踝骨折
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作者 刘伟 孙欢 +1 位作者 刘勇 张文彬 《临床骨科杂志》 2026年第1期117-120,共4页
目的探讨前外侧联合后内侧入路内固定治疗三踝骨折的疗效。方法将56例三踝骨折患者根据手术入路不同分为观察组(采用前外侧联合后内侧入路内固定治疗,33例)和对照组(采用后外侧联合内侧入路内固定治疗,23例)。比较两组术中出血量、手术... 目的探讨前外侧联合后内侧入路内固定治疗三踝骨折的疗效。方法将56例三踝骨折患者根据手术入路不同分为观察组(采用前外侧联合后内侧入路内固定治疗,33例)和对照组(采用后外侧联合内侧入路内固定治疗,23例)。比较两组术中出血量、手术时间、术后首次下床活动时间、住院时间、骨折愈合时间、并发症发生情况,采用AOFAS踝-后足评分评价踝关节功能。结果患者均获得随访,时间12~14个月。术中出血量、手术时间、术后首次下床活动时间观察组均少(短)于对照组(P<0.05);住院时间、骨折愈合时间两组比较差异均无统计学意义(P>0.05)。术后并发症发生率观察组低于对照组(P<0.05)。术后12个月AOFAS踝-后足评分及其评价的优良率观察组均高于对照组(P<0.05)。结论前外侧联合后内侧入路内固定治疗三踝骨折,具有手术视野良好、术中操作方便、软组织损伤程度轻、手术时间短、术后并发症少、踝关节功能恢复佳等优点。 展开更多
关键词 三踝骨折 手术入路 前外侧联合后内侧
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