Mental health problems and potential psychological crises affect the healthy growth and learning performance of college students.Effective and suitable prevention of psychological crises among college students is a co...Mental health problems and potential psychological crises affect the healthy growth and learning performance of college students.Effective and suitable prevention of psychological crises among college students is a continuous challenge university managers face.To explore a method of preventing psychological crises among college students,we measured 38661 students by using SCL-90(symptom check list-90)and screened out 5790 students with positive results.Then,we measured 33188 students by using PHQ-9(patient health questionnaire-9)and screened out 603 students with suicidal ideation or behavior;we interviewed 392 students by using GAQ(growth adversity questionnaire).The number of students who had positive results at both phases is 155.As a result,we obtained a data set(N=76)by integrating the students who tested positive on the PHQ-9(i.e.total score≥20)with those who completed the PHQ-9 and GAQ.In addition,we obtained a data set(N=50)by excluding the cases in which the GAQ score is 0.With regard to QCA(qualitative comparative analysis)results,the data set(N=76)exhibits 5 constellations of solutions with a coverage rate greater than 0.7,and the first eight indicators of the PHQ-9 constitute the explanatory variables in the combined solutions.About the data set(N=50),the combined solutions are extremely complicated and the explanatory variables encompass indicators from both the PHQ-9 and GAQ.All these mean that the multi-scale could more comprehensively reflect mental health states of college students,thus enhance the accuracy and effectiveness of the corresponding hierarchical intervention,and finally provide support for preventing psychological crises in universities.展开更多
To investigate the effect of saturation on the storage-dissipation properties and failure characteristics of red sandstone,as well as the energy mechanism of rockburst prevention by water,a series of uniaxial compress...To investigate the effect of saturation on the storage-dissipation properties and failure characteristics of red sandstone,as well as the energy mechanism of rockburst prevention by water,a series of uniaxial compression and uniaxial loading–unloading tests were conducted under five saturation levels.The effect of saturation on the mechanical properties and elastic energy density was analyzed,and a method for obtaining peak energy density was proposed.The effect of saturation on the energy evolution was examined,and the energy mechanism of water in preventing rockburst was revealed.The results indicate that an increase in saturation of red sandstone decreases the input energy density,elastic energy density,dissipated energy density,peak strength and peak strain;the compaction phase of the stress–strain curve becomes shorter;the failure mode transitions from X-conjugate oblique shear to single oblique shear;the variation in the debris ejection trajectory is as follows:radiation→X-ray→oblique upward parabola→horizontal parabola→oblique downward parabola;the degree of failure intensity and fragmentation is decreased gradually.Elastic energy density is interconnected with both saturation and stress but independent of the loading path.Saturation exhibits a dual effect on the energy storage property,i.e.,increasing saturation increases the energy storage efficiency and reduces the energy storage capacity.The ratio of peak elastic energy density to peak input energy density remains constant irrespective of saturation levels.Water prevents rockburst by decreasing the energy storage capacity of surrounding rock,alleviating the stress of surrounding rock to reduce energy storage,and elevating the energy release threshold of high-energy surrounding rock.The findings of this study contribute to understanding the effect of water on rock failure from an energy perspective,as well as provide theoretical guidance for rockburst prevention by water in deep tunnels.展开更多
BACKGROUND Hepatic encephalopathy(HE)is a primary complication following transjugular intrahepatic portosystemic shunt(TIPS),but the utility of pharmacological prophylaxis for HE is unclear.AIM To assess the HE incide...BACKGROUND Hepatic encephalopathy(HE)is a primary complication following transjugular intrahepatic portosystemic shunt(TIPS),but the utility of pharmacological prophylaxis for HE is unclear.AIM To assess the HE incidence post-TIPS across various groups and the prophylactic efficacies of various medications.METHODS A thorough literature search was performed in PubMed,Web of Science,EMBASE,and the Cochrane Library databases from their inception to November 24,2024,to collect data regarding HE incidence.The main outcome was HE incidence post-TIPS.A meta-analysis using a random effects model was performed to obtain odds ratios(ORs)and 95%confidence intervals.Statistical analyses were conducted using Stata and RevMan software.RESULTS This meta-analysis included nine studies with 1140 patients;647 received pharmacological agents including lactulose,rifaximin,albumin,and l-ornithin-l-aspartate,and 493 did not(controls).(1)In the single-group meta-analysis,the control group had higher short-and long-term HE rates than the drug intervention group.Among patients with and without prior HE,the non-intervention group's HE rates were also higher;(2)Pharmacological prevention post-TIPS significantly reduced HE incidence[OR=0.59(0.45,0.77),P=0.0001].Compared with the no prophylaxis,rifaximin reduced the risk of HE after TIPS[OR=0.52(0.29,0.95),P=0.03],but lactulose did not;(3)In patients without prior HE,pharmacological prevention significantly reduced post-TIPS HE incidence[OR=0.62(0.41,0.95),P=0.03];and(4)Network meta-analysis showed no significant differences among five prevention strategies.CONCLUSION The HE incidence after TIPS was relatively high,and the use of drugs after TIPS may reduce the HE incidence.However,research,especially large-scale randomized controlled trials,is still lacking.展开更多
Rehabilitation for patients with chronic physical conditions,such as stroke,spinal cord injury,and fibromyalgia,is predominantly focused on physical recovery,often neglecting the affective and social dimensions crucia...Rehabilitation for patients with chronic physical conditions,such as stroke,spinal cord injury,and fibromyalgia,is predominantly focused on physical recovery,often neglecting the affective and social dimensions crucial for comprehensive health outcomes.This oversight contributes to a significant mental health burden,with up to40%of rehabilitating patients experiencing depression or anxiety.This perspective article reviews evidence from social and affective neuroscience to highlight the urgent need to integrate well-being as a central component of rehabilitation.We propose a holistic rehabilitation model that includes psychological,affective,and social interventions alongside physical therapies.This model draws on existing studies demonstrating that emotional resilience and social support are key predictors of successful rehabilitation outcomes.Patients with strong social and affective well-being are more likely to adhere to treatment protocols and achieve better physical recovery.Conversely,neglecting these dimensions can exacerbate mental health conditions,leading to what we identify as a"second wave"of health crises—mental health conditions triggered by chronic physical ailments.By adopting this holistic approach,healthcare systems can improve immediate rehabilitation outcomes,prevent the long-term escalation of mental health issues,and reduce the overall burden on global mental health services,ultimately enhancing the quality of life for patients worldwide.展开更多
Objective:To evaluate the practical application effect of nursing risk management in preventing falls among inpatients,and to provide a reference for optimizing clinical safety management strategies for inpatients.Met...Objective:To evaluate the practical application effect of nursing risk management in preventing falls among inpatients,and to provide a reference for optimizing clinical safety management strategies for inpatients.Methods:A total of 428 inpatients in our hospital from January 2021 to December 2023 were selected as the research objects.They were divided into a control group(218 cases)and a study group(210 cases)according to the nursing management method.The control group received routine fall prevention nursing,while the study group implemented systematic nursing risk management.The fall rate and post-fall injury rate during hospitalization were compared between the two groups.Results:The fall rate of the study group was significantly lower than that of the control group,and the difference was statistically significant(p<0.05).Conclusion:Nursing risk management can effectively reduce the fall rate and post-fall injury rate of inpatients through systematic risk identification,targeted intervention and continuous quality improvement.It also improves patients’awareness of fall prevention and nursing satisfaction,and promotes the improvement of nurses’risk management ability,which has important clinical promotion value.展开更多
Objectives:Inpatient falls are a major patient safety issue in acute care hospitals.Multifactorial inhospital fall prevention programs have shown reductions in falls and related risks.One common element of successful ...Objectives:Inpatient falls are a major patient safety issue in acute care hospitals.Multifactorial inhospital fall prevention programs have shown reductions in falls and related risks.One common element of successful programs is active patient involvement.This study objective was to explore patients’and nurses’experiences with a structured intervention to foster patient involvement.Methods:This study was conducted between September 2020 and April 2021 in a university hospital neurological ward.The studied intervention consisted of a falls information leaflet,and a structured nurse-patient conversation about fall risk-reduction activities.Nurses were trained to deliver the intervention and supported throughout the study.Nurses’and patients’experiences regarding personal involvement,satisfaction,and confidence were surveyed and analyzed quantitatively and qualitatively.Results:Fifty-six patients recruited by ward nurses received the intervention.After receiving the intervention,patients reported high levels of satisfaction with the in-hospital fall prevention conversation.Twenty-one nurses indicated that they would use the leaflet and communication aid.Twenty-one nurses commented on intervention facilitators and barriers.More specific facilitators included their shared perception that“handing out the leaflet to patients was not problematic”and that the leaflet was seen as“applicable in many patient situations.”Their comments indicated two particularly prominent barriers to conducting the intervention in clinical practice:1)“finding the time for the implementation in the daily clinical routine and workload”and 2)“environmental factors like a noisy and busy atmosphere on the ward.”Conclusions:This study provides insights into a patient involvement intervention featuring a structured nurse-patient discussion about fall risks.The accompanying information leaflet and communication guide require adaptations to facilitate sustainable implementation into the hospital’s fall prevention program,but proved useful.展开更多
The evolution of coronary intervention techniques and equipment has led to more sophisticated procedures for the treatment of highly complex lesions.However,as a result,the risk of complications has increased,which ar...The evolution of coronary intervention techniques and equipment has led to more sophisticated procedures for the treatment of highly complex lesions.However,as a result,the risk of complications has increased,which are mostly iatrogenic and often include equipment failure.Stent dislodgement warrants vigilance for the early diagnosis and a stepwise management approach is required to either expand or retrieve the lost stent.In the era of bioresorbable scaffolds that are not radiopaque,increased caution is required.Intravascular imaging may assist in detecting the lost scaffold in cases of no visibility fluoroscopically.Adequate lesion preparation is the key to minimizing the possibility of equipment loss;however,in the case that it occurs,commercially available and improvised devices and techniques may be applied.展开更多
Contrast-induced acute kidney injury(CI-AKI)is a major concern in clinical practice,particularly among high-risk patients with preexisting renal and cardiovascular conditions.Although periprocedural hydration has long...Contrast-induced acute kidney injury(CI-AKI)is a major concern in clinical practice,particularly among high-risk patients with preexisting renal and cardiovascular conditions.Although periprocedural hydration has long been the primary approach for CI-AKI prevention,recent advancements have led to the development of novel approaches such as RenalGuard and contrast removal systems.This editorial explores these emerging approaches and highlights their potential for enhancing CI-AKI prevention.By incorporating the latest evidence into clinical practice,health-care professionals can more effectively maintain renal function and improve outcomes for patients undergoing contrast-enhanced procedures.展开更多
With its significant morbidity and mortality,anastomotic leaking is a serious concern in the field of colorectal surgical treatments.A number of strategies and actions have been introduced in the last few years with t...With its significant morbidity and mortality,anastomotic leaking is a serious concern in the field of colorectal surgical treatments.A number of strategies and actions have been introduced in the last few years with the goal of reducing the incidence of this surgical complication and the clinical consequences that follow.Based on the most recent academic research,this article aims to provide a comprehensive assessment of the current approaches for the prevention and management of anastomotic leakage in the context of colorectal cancer surgeries.In addition to encouraging more study and innovation in this crucial field,the aim is to provide useful insights and references for clinical practices in the prevention and treatment of anastomotic leakage.展开更多
Potential’s fluctuation of rust preventing oil film during its degradation was studied using wirebeam electrode. Being non-destructive and simple, potential measurement is a very repetitive method. Otherelectrochemic...Potential’s fluctuation of rust preventing oil film during its degradation was studied using wirebeam electrode. Being non-destructive and simple, potential measurement is a very repetitive method. Otherelectrochemical testing method, e. g., polarization resistance, can breakdown the integrity of oil coating byDC current; EIS is time consuming. As a special electrochemical sensor, wire beam electrode contains 101wires of mild steel wires, and it is helpful to improve the reproducibility of electrochemical test evidently.Using this electrode, the electrochemical parameters and their distribution which was related to under filmcorrosion process are measured directly so as to describe potential’s fluctuation of rust preventing oil film. Itis pointed out that there is potential’s fluctuation on rust preventing oil film during its degradation, and thischaracteristic has direct effect on the self-repairing ability of rust preventing oil film. However, for the uncoated metal electrode and base oil film, there is no such behavior. It is also pointed out that inhibitors in theoil film have direct effect on its self-repairing ability.展开更多
Three different methods were applied to study the alkali content of gelpores in cement. In the closed system, the concentration of K＋, Na＋ and OH - have not reduced with the increase of age. In the open system, the ...Three different methods were applied to study the alkali content of gelpores in cement. In the closed system, the concentration of K＋, Na＋ and OH - have not reduced with the increase of age. In the open system, the diffusion and transferring of K＋ and Na＋ towards free space leads to the de-crease of total alkali content. In the micro-analysis system, the contents of K＋ and Na＋ in the first hy- drated layer of ground granulated blastfurnace slag （GBFS） are very low, while the contents of calcium and magnesium are relatively high. This phenomenon shows that the mechanism of GBFS preventing alkali aggregate reaction （AAR） is： when GBFS is dissolved by alkali medium, SiO2 and Al2O3 are dissolved into the cement matrix, then around GBFS particles form reaction rings rich in Ca2＋ and Mg^2＋, and the C-S-H gel of positive charges formed in the area repulses K＋ and Na＋, which are forced to transfer to the mortar＇s matrix, pore or mortar sample surface. The transferred K ^＋ and Na^＋ form alkali gel products with other dissolved ions, then become evenly distributed in the mortar sample and react with Ca（OH）2 in pore solutions to form （Na,K）x-2z·zCa·（SiO2）y·（OH）x gel products; and thus changes the AAR gel products＇ structure. The gel products will not expand, and so they can delay expansion destruction.展开更多
Insulin resistance is an important feature of type 2 diabetes and obesity. The underlying mechanisms of insulin resistance are still unclear. Mitochondrial dysfunction,
Based on the meteorological data in Fushun,Qingyuan and Xinbing from 1961 to 2008,the status quo of major agro-climatic resources in Fushun were analyzed.The abundant rainfall,sufficient sunshine and rich thermal reso...Based on the meteorological data in Fushun,Qingyuan and Xinbing from 1961 to 2008,the status quo of major agro-climatic resources in Fushun were analyzed.The abundant rainfall,sufficient sunshine and rich thermal resources were suitable for the development of modern agricultural production.The specific measures of effective use of climate resources were put forward according to geographical location and climatic characteristics of Fushun.The advantages of agro-climate resources were exerted for large edible fungi industry;effective accumulated temperature was applied for adjustment of plantation structure;three-dimensional agriculture in the mountainous area was developed vigorously.The main types of meteorological disasters constraining agricultural development in Fushun and their hazards were summarized,including droughts,floods,hail,etc.In addition,some scientific preventing measures of meteorological disaster were proposed.展开更多
This study concerns the heat transfer processes during ice accretion on wires. The steady state heat balance equation assumed to describe the thermodynamics at the surface of a current heated wire subjected to icing i...This study concerns the heat transfer processes during ice accretion on wires. The steady state heat balance equation assumed to describe the thermodynamics at the surface of a current heated wire subjected to icing is obtained by analyzing and computing each terms of heat flux. The surface temperature of wire is derived from the heat balance equation, which gives out a proposed estimation of the current intensity to prevent the wire icing展开更多
Objective:Surgical procedures manifest immense risks to patients.One of the adverse events that healthcare professionals see as a threat to the patient’s health is the development of complications known as surgical s...Objective:Surgical procedures manifest immense risks to patients.One of the adverse events that healthcare professionals see as a threat to the patient’s health is the development of complications known as surgical site infection(SSI).Although several effor ts are being under taken to determine the proper means to reduce such complications,there is still a high incidence of SSI worldwide.Surgery requires knowledge in infection control and high precision in maintaining a clean surgical site.This study tested the effectiveness of an operating room(OR)bundle of care in preventing SSI in patients undergoing elective exploratory laparotomy cholecystectomy surgery.Methods:A quasi-experimental pretest and posttest design was utilized to determine its effectiveness.The study was composed of 60 par ticipants divided into two groups:30 subjects were selected to receive the OR bundle of care,while the other 30 subjects received the usual care.The groupings were determined through a systematic random sampling technique.The OR bundle of care had three interventions,namely:(1)maintaining perioperative normothermia,(2)no pre-operative surgical site hair removal,and(3)changing gloves before abdominal wall closure.These patients were evaluated using the standard instrument,Bates–Jensen Wound Assessment Tool(BWAT)in the post-intervention phases of the wound healing process,which are as follows:hemostasis,inflammatory,and proliferative phases.To describe the difference in the patients’wound status after implementation of the OR bundle of care in each post-intervention phase,Friedman’s test was used.To describe the difference in the patients’wound status in both groups after implementation of the OR bundle of care,the Mann–Whitney U test was used.Results:The patient’s wound status was lower,indicating a more healing process.Differences between the wound status of the control and the experimental group were observed on the third postoperative day.This indicates that the experimental group’s wound status healed much faster and more effectively than the control group based on the BWAT scoring severity scoring.A significant difference in the patient’s wound status from the hemostasis phase compared with the proliferative phase was observed.Conclusions:The OR bundle of care has been shown to be effective in preventing SSI in patients who had undergone exploratory laparotomy cholecystectomy surgery in the selected hospital,if there is uniform and consistent implementation of the said intervention.展开更多
Objective: To evaluate the efficacy of Genni-anchun (GNC) in preventing primary osteoporosis. Methods: Fifty female SD rats of 10 - 12 months old were randomly divided into five groups. Except those in the sham operat...Objective: To evaluate the efficacy of Genni-anchun (GNC) in preventing primary osteoporosis. Methods: Fifty female SD rats of 10 - 12 months old were randomly divided into five groups. Except those in the sham operation group, animals were ovariectomized bilaterally. The gastric perfusion was started immediately after operation, with normal saline to the sham operation group and model group; GNC to high dose (2 ml) and low dos (1 ml) GNC groups and Nilestriol to the NE group, every day for 3 months. Animals were sacrificed at the end of experiment, their vertebra and展开更多
Antiruisi (AR)prescription (安替瑞丝方) is a compound in Chinese drug-therapy, which was used to treat 35 patients with coronary heart disease after stenting by the authors, and a satisfactory effect had been proved i...Antiruisi (AR)prescription (安替瑞丝方) is a compound in Chinese drug-therapy, which was used to treat 35 patients with coronary heart disease after stenting by the authors, and a satisfactory effect had been proved in preventing restenosis. It is reported as follows.展开更多
On May 11, 2011, 13 mem- bers of the Council of Europe signed a legally binding international in-strument, the Council of Europe Convention on Preventing and Combating Violence Against Women and Domestic Violence, as ...On May 11, 2011, 13 mem- bers of the Council of Europe signed a legally binding international in-strument, the Council of Europe Convention on Preventing and Combating Violence Against Women and Domestic Violence, as part of a program to protect and aid women. The Convention aims to increase aware- ness and understanding among the general public of the different mani- festations of all forms of violence and their consequences on children,展开更多
MicroRNA pathway is down-regulated in aged dopaminergic neurons： Parkinson＇s disease （PD） is the most frequent motor neuro- degenerative disorder and is morphologically mainly associated with progressive dopaminer...MicroRNA pathway is down-regulated in aged dopaminergic neurons： Parkinson＇s disease （PD） is the most frequent motor neuro- degenerative disorder and is morphologically mainly associated with progressive dopaminergic neuronal loss in the ventral midbrain.展开更多
Atrial fibrillation (AF) is a kind of common arrhythmia, which, besides affecting cardiac function, has another serious outcome, that is, it is easy to form atrial thrombosis and induce thrombus/embolus, especially ce...Atrial fibrillation (AF) is a kind of common arrhythmia, which, besides affecting cardiac function, has another serious outcome, that is, it is easy to form atrial thrombosis and induce thrombus/embolus, especially cerebral embolus. The incidence of left atrial thrombosis ( LAT) could reach 25% - 30%(1) , the incidence of embol-展开更多
文摘Mental health problems and potential psychological crises affect the healthy growth and learning performance of college students.Effective and suitable prevention of psychological crises among college students is a continuous challenge university managers face.To explore a method of preventing psychological crises among college students,we measured 38661 students by using SCL-90(symptom check list-90)and screened out 5790 students with positive results.Then,we measured 33188 students by using PHQ-9(patient health questionnaire-9)and screened out 603 students with suicidal ideation or behavior;we interviewed 392 students by using GAQ(growth adversity questionnaire).The number of students who had positive results at both phases is 155.As a result,we obtained a data set(N=76)by integrating the students who tested positive on the PHQ-9(i.e.total score≥20)with those who completed the PHQ-9 and GAQ.In addition,we obtained a data set(N=50)by excluding the cases in which the GAQ score is 0.With regard to QCA(qualitative comparative analysis)results,the data set(N=76)exhibits 5 constellations of solutions with a coverage rate greater than 0.7,and the first eight indicators of the PHQ-9 constitute the explanatory variables in the combined solutions.About the data set(N=50),the combined solutions are extremely complicated and the explanatory variables encompass indicators from both the PHQ-9 and GAQ.All these mean that the multi-scale could more comprehensively reflect mental health states of college students,thus enhance the accuracy and effectiveness of the corresponding hierarchical intervention,and finally provide support for preventing psychological crises in universities.
基金supported by the National Natural Science Foundation of China(52104133,52304227)the Natural Science Foundation of Hunan Province(2021JJ40465,2023JJ40548)the Opening Foundation of the State Key Laboratory of Mining Response and Disaster Prevention and Control in Deep Coal Mines(SKLMRDPC20KF03).
文摘To investigate the effect of saturation on the storage-dissipation properties and failure characteristics of red sandstone,as well as the energy mechanism of rockburst prevention by water,a series of uniaxial compression and uniaxial loading–unloading tests were conducted under five saturation levels.The effect of saturation on the mechanical properties and elastic energy density was analyzed,and a method for obtaining peak energy density was proposed.The effect of saturation on the energy evolution was examined,and the energy mechanism of water in preventing rockburst was revealed.The results indicate that an increase in saturation of red sandstone decreases the input energy density,elastic energy density,dissipated energy density,peak strength and peak strain;the compaction phase of the stress–strain curve becomes shorter;the failure mode transitions from X-conjugate oblique shear to single oblique shear;the variation in the debris ejection trajectory is as follows:radiation→X-ray→oblique upward parabola→horizontal parabola→oblique downward parabola;the degree of failure intensity and fragmentation is decreased gradually.Elastic energy density is interconnected with both saturation and stress but independent of the loading path.Saturation exhibits a dual effect on the energy storage property,i.e.,increasing saturation increases the energy storage efficiency and reduces the energy storage capacity.The ratio of peak elastic energy density to peak input energy density remains constant irrespective of saturation levels.Water prevents rockburst by decreasing the energy storage capacity of surrounding rock,alleviating the stress of surrounding rock to reduce energy storage,and elevating the energy release threshold of high-energy surrounding rock.The findings of this study contribute to understanding the effect of water on rock failure from an energy perspective,as well as provide theoretical guidance for rockburst prevention by water in deep tunnels.
文摘BACKGROUND Hepatic encephalopathy(HE)is a primary complication following transjugular intrahepatic portosystemic shunt(TIPS),but the utility of pharmacological prophylaxis for HE is unclear.AIM To assess the HE incidence post-TIPS across various groups and the prophylactic efficacies of various medications.METHODS A thorough literature search was performed in PubMed,Web of Science,EMBASE,and the Cochrane Library databases from their inception to November 24,2024,to collect data regarding HE incidence.The main outcome was HE incidence post-TIPS.A meta-analysis using a random effects model was performed to obtain odds ratios(ORs)and 95%confidence intervals.Statistical analyses were conducted using Stata and RevMan software.RESULTS This meta-analysis included nine studies with 1140 patients;647 received pharmacological agents including lactulose,rifaximin,albumin,and l-ornithin-l-aspartate,and 493 did not(controls).(1)In the single-group meta-analysis,the control group had higher short-and long-term HE rates than the drug intervention group.Among patients with and without prior HE,the non-intervention group's HE rates were also higher;(2)Pharmacological prevention post-TIPS significantly reduced HE incidence[OR=0.59(0.45,0.77),P=0.0001].Compared with the no prophylaxis,rifaximin reduced the risk of HE after TIPS[OR=0.52(0.29,0.95),P=0.03],but lactulose did not;(3)In patients without prior HE,pharmacological prevention significantly reduced post-TIPS HE incidence[OR=0.62(0.41,0.95),P=0.03];and(4)Network meta-analysis showed no significant differences among five prevention strategies.CONCLUSION The HE incidence after TIPS was relatively high,and the use of drugs after TIPS may reduce the HE incidence.However,research,especially large-scale randomized controlled trials,is still lacking.
文摘Rehabilitation for patients with chronic physical conditions,such as stroke,spinal cord injury,and fibromyalgia,is predominantly focused on physical recovery,often neglecting the affective and social dimensions crucial for comprehensive health outcomes.This oversight contributes to a significant mental health burden,with up to40%of rehabilitating patients experiencing depression or anxiety.This perspective article reviews evidence from social and affective neuroscience to highlight the urgent need to integrate well-being as a central component of rehabilitation.We propose a holistic rehabilitation model that includes psychological,affective,and social interventions alongside physical therapies.This model draws on existing studies demonstrating that emotional resilience and social support are key predictors of successful rehabilitation outcomes.Patients with strong social and affective well-being are more likely to adhere to treatment protocols and achieve better physical recovery.Conversely,neglecting these dimensions can exacerbate mental health conditions,leading to what we identify as a"second wave"of health crises—mental health conditions triggered by chronic physical ailments.By adopting this holistic approach,healthcare systems can improve immediate rehabilitation outcomes,prevent the long-term escalation of mental health issues,and reduce the overall burden on global mental health services,ultimately enhancing the quality of life for patients worldwide.
文摘Objective:To evaluate the practical application effect of nursing risk management in preventing falls among inpatients,and to provide a reference for optimizing clinical safety management strategies for inpatients.Methods:A total of 428 inpatients in our hospital from January 2021 to December 2023 were selected as the research objects.They were divided into a control group(218 cases)and a study group(210 cases)according to the nursing management method.The control group received routine fall prevention nursing,while the study group implemented systematic nursing risk management.The fall rate and post-fall injury rate during hospitalization were compared between the two groups.Results:The fall rate of the study group was significantly lower than that of the control group,and the difference was statistically significant(p<0.05).Conclusion:Nursing risk management can effectively reduce the fall rate and post-fall injury rate of inpatients through systematic risk identification,targeted intervention and continuous quality improvement.It also improves patients’awareness of fall prevention and nursing satisfaction,and promotes the improvement of nurses’risk management ability,which has important clinical promotion value.
文摘Objectives:Inpatient falls are a major patient safety issue in acute care hospitals.Multifactorial inhospital fall prevention programs have shown reductions in falls and related risks.One common element of successful programs is active patient involvement.This study objective was to explore patients’and nurses’experiences with a structured intervention to foster patient involvement.Methods:This study was conducted between September 2020 and April 2021 in a university hospital neurological ward.The studied intervention consisted of a falls information leaflet,and a structured nurse-patient conversation about fall risk-reduction activities.Nurses were trained to deliver the intervention and supported throughout the study.Nurses’and patients’experiences regarding personal involvement,satisfaction,and confidence were surveyed and analyzed quantitatively and qualitatively.Results:Fifty-six patients recruited by ward nurses received the intervention.After receiving the intervention,patients reported high levels of satisfaction with the in-hospital fall prevention conversation.Twenty-one nurses indicated that they would use the leaflet and communication aid.Twenty-one nurses commented on intervention facilitators and barriers.More specific facilitators included their shared perception that“handing out the leaflet to patients was not problematic”and that the leaflet was seen as“applicable in many patient situations.”Their comments indicated two particularly prominent barriers to conducting the intervention in clinical practice:1)“finding the time for the implementation in the daily clinical routine and workload”and 2)“environmental factors like a noisy and busy atmosphere on the ward.”Conclusions:This study provides insights into a patient involvement intervention featuring a structured nurse-patient discussion about fall risks.The accompanying information leaflet and communication guide require adaptations to facilitate sustainable implementation into the hospital’s fall prevention program,but proved useful.
文摘The evolution of coronary intervention techniques and equipment has led to more sophisticated procedures for the treatment of highly complex lesions.However,as a result,the risk of complications has increased,which are mostly iatrogenic and often include equipment failure.Stent dislodgement warrants vigilance for the early diagnosis and a stepwise management approach is required to either expand or retrieve the lost stent.In the era of bioresorbable scaffolds that are not radiopaque,increased caution is required.Intravascular imaging may assist in detecting the lost scaffold in cases of no visibility fluoroscopically.Adequate lesion preparation is the key to minimizing the possibility of equipment loss;however,in the case that it occurs,commercially available and improvised devices and techniques may be applied.
文摘Contrast-induced acute kidney injury(CI-AKI)is a major concern in clinical practice,particularly among high-risk patients with preexisting renal and cardiovascular conditions.Although periprocedural hydration has long been the primary approach for CI-AKI prevention,recent advancements have led to the development of novel approaches such as RenalGuard and contrast removal systems.This editorial explores these emerging approaches and highlights their potential for enhancing CI-AKI prevention.By incorporating the latest evidence into clinical practice,health-care professionals can more effectively maintain renal function and improve outcomes for patients undergoing contrast-enhanced procedures.
基金supported by grants from the Graduate Research-Innovation Project in Jiangsu province(No.SJCX22_1816)the Graduate Research and Practice Innovation Plan of Graduate Education Innovation Project in Jiangsu Province(No.SJCX211644)+2 种基金Social Development Project of Key R&D Plan of Jiangsu Provincial Department of Science and Technology(No.BE2022773)Hospital Project of Subei People’s Hospital(No.YYGL202228)the Social Development-Health Care Project of Yangzhou,Jiangsu Province(No.YZ2021075).
文摘With its significant morbidity and mortality,anastomotic leaking is a serious concern in the field of colorectal surgical treatments.A number of strategies and actions have been introduced in the last few years with the goal of reducing the incidence of this surgical complication and the clinical consequences that follow.Based on the most recent academic research,this article aims to provide a comprehensive assessment of the current approaches for the prevention and management of anastomotic leakage in the context of colorectal cancer surgeries.In addition to encouraging more study and innovation in this crucial field,the aim is to provide useful insights and references for clinical practices in the prevention and treatment of anastomotic leakage.
文摘Potential’s fluctuation of rust preventing oil film during its degradation was studied using wirebeam electrode. Being non-destructive and simple, potential measurement is a very repetitive method. Otherelectrochemical testing method, e. g., polarization resistance, can breakdown the integrity of oil coating byDC current; EIS is time consuming. As a special electrochemical sensor, wire beam electrode contains 101wires of mild steel wires, and it is helpful to improve the reproducibility of electrochemical test evidently.Using this electrode, the electrochemical parameters and their distribution which was related to under filmcorrosion process are measured directly so as to describe potential’s fluctuation of rust preventing oil film. Itis pointed out that there is potential’s fluctuation on rust preventing oil film during its degradation, and thischaracteristic has direct effect on the self-repairing ability of rust preventing oil film. However, for the uncoated metal electrode and base oil film, there is no such behavior. It is also pointed out that inhibitors in theoil film have direct effect on its self-repairing ability.
基金Funded by the German Academic Exchange Service (DAAD) for the Project A/09/00743the Science and Technology Project of Wuhan City(No.200860423208)
文摘Three different methods were applied to study the alkali content of gelpores in cement. In the closed system, the concentration of K＋, Na＋ and OH - have not reduced with the increase of age. In the open system, the diffusion and transferring of K＋ and Na＋ towards free space leads to the de-crease of total alkali content. In the micro-analysis system, the contents of K＋ and Na＋ in the first hy- drated layer of ground granulated blastfurnace slag （GBFS） are very low, while the contents of calcium and magnesium are relatively high. This phenomenon shows that the mechanism of GBFS preventing alkali aggregate reaction （AAR） is： when GBFS is dissolved by alkali medium, SiO2 and Al2O3 are dissolved into the cement matrix, then around GBFS particles form reaction rings rich in Ca2＋ and Mg^2＋, and the C-S-H gel of positive charges formed in the area repulses K＋ and Na＋, which are forced to transfer to the mortar＇s matrix, pore or mortar sample surface. The transferred K ^＋ and Na^＋ form alkali gel products with other dissolved ions, then become evenly distributed in the mortar sample and react with Ca（OH）2 in pore solutions to form （Na,K）x-2z·zCa·（SiO2）y·（OH）x gel products; and thus changes the AAR gel products＇ structure. The gel products will not expand, and so they can delay expansion destruction.
文摘Insulin resistance is an important feature of type 2 diabetes and obesity. The underlying mechanisms of insulin resistance are still unclear. Mitochondrial dysfunction,
基金Supported by Fushun Government Substance Subject (20071209)
文摘Based on the meteorological data in Fushun,Qingyuan and Xinbing from 1961 to 2008,the status quo of major agro-climatic resources in Fushun were analyzed.The abundant rainfall,sufficient sunshine and rich thermal resources were suitable for the development of modern agricultural production.The specific measures of effective use of climate resources were put forward according to geographical location and climatic characteristics of Fushun.The advantages of agro-climate resources were exerted for large edible fungi industry;effective accumulated temperature was applied for adjustment of plantation structure;three-dimensional agriculture in the mountainous area was developed vigorously.The main types of meteorological disasters constraining agricultural development in Fushun and their hazards were summarized,including droughts,floods,hail,etc.In addition,some scientific preventing measures of meteorological disaster were proposed.
文摘This study concerns the heat transfer processes during ice accretion on wires. The steady state heat balance equation assumed to describe the thermodynamics at the surface of a current heated wire subjected to icing is obtained by analyzing and computing each terms of heat flux. The surface temperature of wire is derived from the heat balance equation, which gives out a proposed estimation of the current intensity to prevent the wire icing
文摘Objective:Surgical procedures manifest immense risks to patients.One of the adverse events that healthcare professionals see as a threat to the patient’s health is the development of complications known as surgical site infection(SSI).Although several effor ts are being under taken to determine the proper means to reduce such complications,there is still a high incidence of SSI worldwide.Surgery requires knowledge in infection control and high precision in maintaining a clean surgical site.This study tested the effectiveness of an operating room(OR)bundle of care in preventing SSI in patients undergoing elective exploratory laparotomy cholecystectomy surgery.Methods:A quasi-experimental pretest and posttest design was utilized to determine its effectiveness.The study was composed of 60 par ticipants divided into two groups:30 subjects were selected to receive the OR bundle of care,while the other 30 subjects received the usual care.The groupings were determined through a systematic random sampling technique.The OR bundle of care had three interventions,namely:(1)maintaining perioperative normothermia,(2)no pre-operative surgical site hair removal,and(3)changing gloves before abdominal wall closure.These patients were evaluated using the standard instrument,Bates–Jensen Wound Assessment Tool(BWAT)in the post-intervention phases of the wound healing process,which are as follows:hemostasis,inflammatory,and proliferative phases.To describe the difference in the patients’wound status after implementation of the OR bundle of care in each post-intervention phase,Friedman’s test was used.To describe the difference in the patients’wound status in both groups after implementation of the OR bundle of care,the Mann–Whitney U test was used.Results:The patient’s wound status was lower,indicating a more healing process.Differences between the wound status of the control and the experimental group were observed on the third postoperative day.This indicates that the experimental group’s wound status healed much faster and more effectively than the control group based on the BWAT scoring severity scoring.A significant difference in the patient’s wound status from the hemostasis phase compared with the proliferative phase was observed.Conclusions:The OR bundle of care has been shown to be effective in preventing SSI in patients who had undergone exploratory laparotomy cholecystectomy surgery in the selected hospital,if there is uniform and consistent implementation of the said intervention.
文摘Objective: To evaluate the efficacy of Genni-anchun (GNC) in preventing primary osteoporosis. Methods: Fifty female SD rats of 10 - 12 months old were randomly divided into five groups. Except those in the sham operation group, animals were ovariectomized bilaterally. The gastric perfusion was started immediately after operation, with normal saline to the sham operation group and model group; GNC to high dose (2 ml) and low dos (1 ml) GNC groups and Nilestriol to the NE group, every day for 3 months. Animals were sacrificed at the end of experiment, their vertebra and
文摘Antiruisi (AR)prescription (安替瑞丝方) is a compound in Chinese drug-therapy, which was used to treat 35 patients with coronary heart disease after stenting by the authors, and a satisfactory effect had been proved in preventing restenosis. It is reported as follows.
文摘On May 11, 2011, 13 mem- bers of the Council of Europe signed a legally binding international in-strument, the Council of Europe Convention on Preventing and Combating Violence Against Women and Domestic Violence, as part of a program to protect and aid women. The Convention aims to increase aware- ness and understanding among the general public of the different mani- festations of all forms of violence and their consequences on children,
基金supported by Shanghai Jiao Tong University non-Chinese principal investigators support program AF0800056Sheng Yushou Joint Grant to IAVthe Academy of Finland grants 293392 and 287843,and TEKES 3i Regeneration grant to AD
文摘MicroRNA pathway is down-regulated in aged dopaminergic neurons： Parkinson＇s disease （PD） is the most frequent motor neuro- degenerative disorder and is morphologically mainly associated with progressive dopaminergic neuronal loss in the ventral midbrain.
基金This project is supported by Guangdong Provincial Ad-ministration of TCM(No.99592)
文摘Atrial fibrillation (AF) is a kind of common arrhythmia, which, besides affecting cardiac function, has another serious outcome, that is, it is easy to form atrial thrombosis and induce thrombus/embolus, especially cerebral embolus. The incidence of left atrial thrombosis ( LAT) could reach 25% - 30%(1) , the incidence of embol-
