The Belt and Road Initiative has brought rich and diverse possibilities to global cooperation,recommending that countries strengthen multilateral cooperation,help each other,and jointly face and resolve various risks.
Background:Facelift procedures represent a critical area of aesthetic and reconstructive surgery that addresses the physical and psychological impacts of facial aging.Advancements in techniques and technologies over t...Background:Facelift procedures represent a critical area of aesthetic and reconstructive surgery that addresses the physical and psychological impacts of facial aging.Advancements in techniques and technologies over time have transformed the field,making it essential to assess the evolution of research trends.This study performed a bibliometric analysis of facelift research by examining the top 50 most cited publications to evaluate their contributions,thematic evolution,and collaborative networks.Methods:The Scopus database was used to identify relevant publications.A total of 50 documents were selected,comprising 47 articles and 3 reviews published across 16 academic sources.The inclusion criteria focused on publications with substantial relevance to facelift research;this ensured comprehensive coverage of the topic.Key performance indicators(for the authors)such as the number of papers,total citations,h-index,g-index,m-index,HG composite,and Q2 index were calculated.Citation analysis and collaborative network mapping were conducted to identify the leading contributors,including authors,universities,countries,and sources.Results:The findings indicated an annual growth rate of 1.34%,with an average document age of 29.4 years and an average citation count per document of 134.9.The analysis identified the top authors and their collaborative networks,along with key contributions from various universities,countries,and sources.The thematic evolution of facelift research was examined across these 50 papers;this revealed important trends and shifts within the field.Conclusion:This bibliometric analysis offers valuable insights into the development and influence of facelift research over a 52-year span.It highlights significant contributors and outlines thematic shifts,providing directions for future research and collaboration in this field.展开更多
Irrational drug use and prescription safety are pressing global concerns.The World Health Organization estimated that over half of all prescriptions worldwide contain errors,leading to substantial harm[1,2].In China,p...Irrational drug use and prescription safety are pressing global concerns.The World Health Organization estimated that over half of all prescriptions worldwide contain errors,leading to substantial harm[1,2].In China,prescription errors occur at a rate of 32%,and improper medication use is reported in over 70%of households[3,4].Vulnerable populations,including children(16.7%)and older adults(30.4%),are particularly affected[5].展开更多
Objectives: Changing the culture in nursing homes in South Korea comes with challenges,and the key issues of resident-centered care have been described.This study aims to describe health personnel's experience in ...Objectives: Changing the culture in nursing homes in South Korea comes with challenges,and the key issues of resident-centered care have been described.This study aims to describe health personnel's experience in providing resident-centered care in nursing homes.Methods: Qualitative data were collected through individual and focus group interviews consisting of registered nurses (n =4),certified nurse assistants (n =2),and long-term caregivers (n =12) working at nursing homes in South Korea.The participants (n-18) completed the interviews from May to June 2018,and all interviews were recorded,transcribed,and analyzed by employing the content analysis method.Results: Five main categories are conceptualized: (1) residents' participation in decision making,(2) the sharing of the history and story of residents,(3) the recognition of facility-or task-based attitudes,(4) the guarantee of private time and space for residents,and (5) the need for standardized guidelines.Conclusions: Results corroborate that health personnel regard resident-centered care as a desirable nursing paradigm.However,facility-or task-centered care is the most effective in hectic situations.A standardized protocol on the application of resident-centered care based on the facility-tailored specification is unavailable.Therefore,health personnel's perception and practice of resident-centered care can differ.Efficient nursing intervention programs should be developed after clarifying facility culture.展开更多
Background:The rise of artificial intelligence in healthcare,particularly the development of large language models like ChatGPT,has opened new avenues for innovation in medical fields,including plastic surgery.ChatGPT...Background:The rise of artificial intelligence in healthcare,particularly the development of large language models like ChatGPT,has opened new avenues for innovation in medical fields,including plastic surgery.ChatGPT offers potential applications in patient education,surgical planning,and decision-making support,making it an important research subject.However,there has been limited investigation into its impact on plastic surgery.The objective of this study was to investigate the progress of research on ChatGPT and plastic surgery,focusing on key contributors and emerging topics within the field.Methods:Five distinct search strategies were employed to analyze relevant publications from the Scopus database.Results:The analysis identified and presented the top authors,universities,countries,sponsors,and journals(within each search strategy).The co-authorship networks of authors,universities,and countries are graphically presented.The authors’performance was depicted by various indicators,such as total publications,citations,hindex,g-index,and m-index.A co-word analysis revealed the focus of the papers,which were presented in 15 groups.This multifaceted approach provides a detailed understanding of key themes in the field.Conclusion:This report offers a comprehensive overview of the current state of research at the intersection of ChatGPT and plastic surgery.展开更多
Background:Statins,a first-line therapeutic option for atherosclerotic cardiovascular disease(ASCVD),have prompted concerns regarding dysglycemia and diabetes,thus posing a dilemma in treating patients with prediabete...Background:Statins,a first-line therapeutic option for atherosclerotic cardiovascular disease(ASCVD),have prompted concerns regarding dysglycemia and diabetes,thus posing a dilemma in treating patients with prediabetes.Xuezhikang(XZK)decreases blood cholesterol levels without affecting glucose metabolism,and may serve as a potential substitute.Methods:The XTREME study is a prospective,randomized,open-label,multi-center trial evaluating whether XZK 1200 mg/d,compared with atorvastatin 20 mg/d,has favorable effects on HbA1c levels after 24 weeks of treatment in patients with dyslipidemia and prediabetes.After a 1-week run-in period for adherence assessment,the study will ran-domly assign(1:1)392 patients meeting the protocol inclusion criteria to one of two treatment groups:an experimental group(XZK 1200 mg/day)or a control group(atorvastatin 20 mg/day).All participants will be recruited from approxi-mately 20 Chinese medical centers.The last participant is planned to be recruited before December 2023.The primary endpoint will be change in HbA1c level from baseline to 24 weeks,or before anti-diabetic therapy initiation within 24 weeks.The key secondary outcomes will include other biomarkers reflecting blood glucose or lipid metabolism.Discussion:Delaying diabetes is desirable for individuals with prediabetes.The XTREME trial presents a unique oppor-tunity to demonstrate whether XZK might provide an alternative to statins for patients with dyslipidemia and prediabetes.展开更多
目的:了解2022年荆州市部分食品中重金属污染情况,为食品安全监督和食品安全标准修订提供依据。方法:采集荆州市芦蒿、藕、淡水鱼类、蘑菇类和米粉类等8类食品,共计119份样品,检测其中铅、镉、砷3种重金属含量,并采用食品安全指数(Index...目的:了解2022年荆州市部分食品中重金属污染情况,为食品安全监督和食品安全标准修订提供依据。方法:采集荆州市芦蒿、藕、淡水鱼类、蘑菇类和米粉类等8类食品,共计119份样品,检测其中铅、镉、砷3种重金属含量,并采用食品安全指数(Index of Food Safety,IFS)法进行膳食暴露风险评估。结果:铅、镉、砷的检出率分别为90.6%、56.9%和41.0%,其中检测到部分芦蒿中镉含量超标,超标率为60.0%。从安全指数评价结果来看,重金属的IFS和IFS均远小于1,暴露风险在可接受范围。结论:荆州市市售8类食品中3种金属总体污染水平较低,重金属风险均在可接受范围内,健康风险较小。但是芦蒿样本中存在镉含量超标现象,建议加强监测,以保障人们的健康安全。展开更多
目的 探讨经颅直流电刺激(transcranial direct current stimulation,tDCS)结合抗阻训练对大学生完成引体向上成绩的影响作用,并从神经肌肉活动控制角度探讨训练干预产生作用的潜在机制。方法 25名男性大学生志愿者随机分为tDCS结合抗...目的 探讨经颅直流电刺激(transcranial direct current stimulation,tDCS)结合抗阻训练对大学生完成引体向上成绩的影响作用,并从神经肌肉活动控制角度探讨训练干预产生作用的潜在机制。方法 25名男性大学生志愿者随机分为tDCS结合抗阻训练组(试验组)和单纯抗阻训练组(对照组),12名对照组受试者接受持续8周、每周3次、每次4组、每组12次动作重复的高位下拉力量训练干预,13名试验组受试者在对照组所采用的训练基础上,在每次训练前进行20 min的tDCS干预。在训练干预前后分别对受试者进行高位下拉静态自主最大收缩力(maximal voluntary contraction,MVC)、80%一次最大重复(one repetition maximum,1RM)负荷高位下拉最大重复次数和常规引体向上动作测试。在引体向上动作测试过程中记录上肢主要用力肌肉的表面肌电信号。结果 训练干预后,试验组和对照组引体向上完成次数分别提高了1.74倍和1.42倍,两组受试者MVC和80%1RM负荷高位下拉最大重复次数也都显著提升,但两组受试者上述指标差异皆无统计学意义。训练后两组受试者主动肌肱桡肌、三角肌后束、胸大肌的激活水平皆显著下降。此外,试验组受试者在训练后拮抗肌肱三头肌的共激活水平由0.50±0.22显著下降到0.37±0.09,而对照组在干预前后无显著变化。结论 持续8周的tDCS结合抗阻训练和单纯抗阻训练显著提升大学生引体向上成绩,可能与两种训练皆可以显著提升主动的肌肉收缩能力有关。tDCS结合抗阻训练可以更有效地降低引体向上动作过程中肱三头肌的共激活水平,提高肘关节肌肉的收缩效率。展开更多
Background:People with atrial fibrillation(AF)have elevated risk of developing cognitive impairment.At present,there is a dearth of randomized controlled trials investigating cognitive impairment management in patient...Background:People with atrial fibrillation(AF)have elevated risk of developing cognitive impairment.At present,there is a dearth of randomized controlled trials investigating cognitive impairment management in patients with AF.The Atrial Fibrillation Follow-up Investigation to Recover Memory and learning(AFFIRMING)study is aimed at evaluating the potential for computerized cognitive training to improve cognitive function in patients with AF.Methods:The study is a multi-center,double-blind,randomized controlled study using a 1:1 parallel design.A total of 200 patients with AF and mild cognitive decline without dementia are planned to be recruited.The intervention group will use the adaptive training software with changes in difficulty,whereas the positive control group will use basic training software with minimal or no variation in difficulty level.At the end of 12 weeks,the participants will be unblinded,and the positive control group will stop training.The intervention group will be rerandomized 1:1 to stop training or continue training.All participants will be followed up until 24 weeks.The primary endpoint is the propor-tion of the improvement of the global cognitive function at week 12 compared with baseline,using the Basic Cognitive Ability Test(BCAT).展开更多
文摘The Belt and Road Initiative has brought rich and diverse possibilities to global cooperation,recommending that countries strengthen multilateral cooperation,help each other,and jointly face and resolve various risks.
文摘Background:Facelift procedures represent a critical area of aesthetic and reconstructive surgery that addresses the physical and psychological impacts of facial aging.Advancements in techniques and technologies over time have transformed the field,making it essential to assess the evolution of research trends.This study performed a bibliometric analysis of facelift research by examining the top 50 most cited publications to evaluate their contributions,thematic evolution,and collaborative networks.Methods:The Scopus database was used to identify relevant publications.A total of 50 documents were selected,comprising 47 articles and 3 reviews published across 16 academic sources.The inclusion criteria focused on publications with substantial relevance to facelift research;this ensured comprehensive coverage of the topic.Key performance indicators(for the authors)such as the number of papers,total citations,h-index,g-index,m-index,HG composite,and Q2 index were calculated.Citation analysis and collaborative network mapping were conducted to identify the leading contributors,including authors,universities,countries,and sources.Results:The findings indicated an annual growth rate of 1.34%,with an average document age of 29.4 years and an average citation count per document of 134.9.The analysis identified the top authors and their collaborative networks,along with key contributions from various universities,countries,and sources.The thematic evolution of facelift research was examined across these 50 papers;this revealed important trends and shifts within the field.Conclusion:This bibliometric analysis offers valuable insights into the development and influence of facelift research over a 52-year span.It highlights significant contributors and outlines thematic shifts,providing directions for future research and collaboration in this field.
基金supported by the Ministry of Science and Technology of the People’s Republic of China under the“New Generation Artificial Intelligence”Major Project of Science and Technology Innovation 2030(2020AAA0105002).
文摘Irrational drug use and prescription safety are pressing global concerns.The World Health Organization estimated that over half of all prescriptions worldwide contain errors,leading to substantial harm[1,2].In China,prescription errors occur at a rate of 32%,and improper medication use is reported in over 70%of households[3,4].Vulnerable populations,including children(16.7%)and older adults(30.4%),are particularly affected[5].
基金This work was supported by the National Research Foundation of Korea grant funded by the Korean government (Ministry of Science and ICT.MSIT) (No.2018R1C1B6007828)
文摘Objectives: Changing the culture in nursing homes in South Korea comes with challenges,and the key issues of resident-centered care have been described.This study aims to describe health personnel's experience in providing resident-centered care in nursing homes.Methods: Qualitative data were collected through individual and focus group interviews consisting of registered nurses (n =4),certified nurse assistants (n =2),and long-term caregivers (n =12) working at nursing homes in South Korea.The participants (n-18) completed the interviews from May to June 2018,and all interviews were recorded,transcribed,and analyzed by employing the content analysis method.Results: Five main categories are conceptualized: (1) residents' participation in decision making,(2) the sharing of the history and story of residents,(3) the recognition of facility-or task-based attitudes,(4) the guarantee of private time and space for residents,and (5) the need for standardized guidelines.Conclusions: Results corroborate that health personnel regard resident-centered care as a desirable nursing paradigm.However,facility-or task-centered care is the most effective in hectic situations.A standardized protocol on the application of resident-centered care based on the facility-tailored specification is unavailable.Therefore,health personnel's perception and practice of resident-centered care can differ.Efficient nursing intervention programs should be developed after clarifying facility culture.
文摘Background:The rise of artificial intelligence in healthcare,particularly the development of large language models like ChatGPT,has opened new avenues for innovation in medical fields,including plastic surgery.ChatGPT offers potential applications in patient education,surgical planning,and decision-making support,making it an important research subject.However,there has been limited investigation into its impact on plastic surgery.The objective of this study was to investigate the progress of research on ChatGPT and plastic surgery,focusing on key contributors and emerging topics within the field.Methods:Five distinct search strategies were employed to analyze relevant publications from the Scopus database.Results:The analysis identified and presented the top authors,universities,countries,sponsors,and journals(within each search strategy).The co-authorship networks of authors,universities,and countries are graphically presented.The authors’performance was depicted by various indicators,such as total publications,citations,hindex,g-index,and m-index.A co-word analysis revealed the focus of the papers,which were presented in 15 groups.This multifaceted approach provides a detailed understanding of key themes in the field.Conclusion:This report offers a comprehensive overview of the current state of research at the intersection of ChatGPT and plastic surgery.
文摘Background:Statins,a first-line therapeutic option for atherosclerotic cardiovascular disease(ASCVD),have prompted concerns regarding dysglycemia and diabetes,thus posing a dilemma in treating patients with prediabetes.Xuezhikang(XZK)decreases blood cholesterol levels without affecting glucose metabolism,and may serve as a potential substitute.Methods:The XTREME study is a prospective,randomized,open-label,multi-center trial evaluating whether XZK 1200 mg/d,compared with atorvastatin 20 mg/d,has favorable effects on HbA1c levels after 24 weeks of treatment in patients with dyslipidemia and prediabetes.After a 1-week run-in period for adherence assessment,the study will ran-domly assign(1:1)392 patients meeting the protocol inclusion criteria to one of two treatment groups:an experimental group(XZK 1200 mg/day)or a control group(atorvastatin 20 mg/day).All participants will be recruited from approxi-mately 20 Chinese medical centers.The last participant is planned to be recruited before December 2023.The primary endpoint will be change in HbA1c level from baseline to 24 weeks,or before anti-diabetic therapy initiation within 24 weeks.The key secondary outcomes will include other biomarkers reflecting blood glucose or lipid metabolism.Discussion:Delaying diabetes is desirable for individuals with prediabetes.The XTREME trial presents a unique oppor-tunity to demonstrate whether XZK might provide an alternative to statins for patients with dyslipidemia and prediabetes.
文摘目的:了解2022年荆州市部分食品中重金属污染情况,为食品安全监督和食品安全标准修订提供依据。方法:采集荆州市芦蒿、藕、淡水鱼类、蘑菇类和米粉类等8类食品,共计119份样品,检测其中铅、镉、砷3种重金属含量,并采用食品安全指数(Index of Food Safety,IFS)法进行膳食暴露风险评估。结果:铅、镉、砷的检出率分别为90.6%、56.9%和41.0%,其中检测到部分芦蒿中镉含量超标,超标率为60.0%。从安全指数评价结果来看,重金属的IFS和IFS均远小于1,暴露风险在可接受范围。结论:荆州市市售8类食品中3种金属总体污染水平较低,重金属风险均在可接受范围内,健康风险较小。但是芦蒿样本中存在镉含量超标现象,建议加强监测,以保障人们的健康安全。
基金funded by Capital’s Funds for Health Improvement and Research,grant/award number 2022-2-2067The trial is supported by the Science and Technology Foundation of Beijing Anzhen Hospital,Capital Medical University,grant/award number:KCGY2022.
文摘Background:People with atrial fibrillation(AF)have elevated risk of developing cognitive impairment.At present,there is a dearth of randomized controlled trials investigating cognitive impairment management in patients with AF.The Atrial Fibrillation Follow-up Investigation to Recover Memory and learning(AFFIRMING)study is aimed at evaluating the potential for computerized cognitive training to improve cognitive function in patients with AF.Methods:The study is a multi-center,double-blind,randomized controlled study using a 1:1 parallel design.A total of 200 patients with AF and mild cognitive decline without dementia are planned to be recruited.The intervention group will use the adaptive training software with changes in difficulty,whereas the positive control group will use basic training software with minimal or no variation in difficulty level.At the end of 12 weeks,the participants will be unblinded,and the positive control group will stop training.The intervention group will be rerandomized 1:1 to stop training or continue training.All participants will be followed up until 24 weeks.The primary endpoint is the propor-tion of the improvement of the global cognitive function at week 12 compared with baseline,using the Basic Cognitive Ability Test(BCAT).