检索结果-南通市图书馆

A Concept Analysis of Decision-Making by Families in Critical Life Situations

Open Journal of Nursing 2019年第11期9卷 1123-1137页

作者： chiyoko kimura Ruriko Kidachi Department of Nursing Science Doctoral Course Graduate School of Health Sciences Hirosaki University Hirosaki Japan Department of Nursing Science Graduate School of Health Sciences Hirosaki University Hirosaki Japan

Background: In 2017, the elderly made up 27.3% of Japan’s population, accounting for 57.2% of all ambulance trips. When an elderly person is in a critical life situation, it is difficult to ascertain their decisions about treatment choices, and for family members who become surrogate decision-makers, this is a grave responsibility. Aim: This study aimed to shed light on the constructs that support decision-making by family members and medical staff in critical situations, and to investigate decision-making by families of the elderly in critical situations. Method: We selected 29 papers published in Japan and elsewhere that focused on families involved in treatment decisions in critical life situations and analyzed them using Rodgers’ concept analysis approach. Results: From 475 codes, we extracted six attributes, four antecedents, and four consequences. The unusual setting of the “critical care unit”, lack of time, and unstable psychological state are all considered by family members making treatment decisions, along with the patient’s prognosis, their relationship with the patient, conjecture about the patient’s wishes, and taking other family member’s views into account. Medical staff supports the family throughout the process, through provision of treatment, preparing family members to face reality, empathizing with the difficulty of decision-making, building relationships with family members, monitoring the decision-making process, and being attentive to family members’ feelings until the end. Conclusion: Our results indicate the importance of advance confirmation of patients’ wishes, and the role played by cultural context and family relations in decision-making by family members of the elderly.

关键词： Decision-Making Life Crisis Treatment Choices Families Medical Staff

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Characteristics of Decision-Making by Family Members When Older Adults Are Hospitalized in Emergency Cases with Life-Threatening Conditions

引用

Open Journal of Nursing 2022年第12期12卷 854-873页

作者： chiyoko kimura Ruriko Kidachi Tetsuko Takaoka Motoya Yamada Yosuke Kamata Department of Nursing Faculty of Nursing Aomori Chuo Gakuin University Aomori Japan Department of Nursing Faculty of Human Sciences Hokkaido Bunkyo University Eniwa Japan Department of Nursing Graduate School of Health Sciences Hirosaki University Hirosaki Japan Department of Nursing Faculty of Health and Welfare Hirosaki Iryo Fukushi University Hirosaki Japan

Aim: This study aims to elucidate decision-making characteristics based on interviews with family members with experience in having to select treatments for older adult patients who have been hospitalized following emergency transport to the hospital. Design: Semi-structured interviews were conducted with 10 individuals with experience in surrogate decision-making for an older adult family member. Methods: The recorded interview data were transcribed verbatim, divided into minimum semantic units, and coded. Next, categories and subcategories were abstracted. A comparison was made with the conceptual constructs of a previous study that examined decision-making by families in a life-threatening crisis. Results: Four categories were extracted from 489 antecedents, 370 attributes, and 388 consequences. One new category was abstracted for each of: 1) antecedents: observing abnormalities and responding, while being worried about death;2) attributes: deliberating on the patient prognosis, the relationship with the patient, and what they believe the patient would want;and 3) consequences: continuing support during convalescence. It is desirable to provide support based on the characteristics of families of older adults, including considering the psychological burden on the families who make surrogate decisions, and also the burden of subsequent caregiving because it is not and in the present environment has not been common for patients to express their wishes beforehand.

关键词： Older Adults Surrogate Decision-Making Life Crisis Emergency Transport

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Identification of Questionnaire Improvements to Assess Familial Support in Malignant Brain Tumor Patient

引用

Open Journal of Nursing 2021年第12期11卷 1031-1041页

作者： Yosuke Kamata Ruriko Kidachi Tetsuko Takaoka Motoya Yamada chiyoko kimura Department of Nursing Faculty of Health Sciences Hirosaki Iryo Fukushi University Hirosaki Japan Department of Nursing Hirosaki University Graduate School of Health Sciences Hirosaki Japan Department of Nursing Faculty of Human Sciences Hokkaido Bunkyo University Eniwa Japan Department of Nursing Aomori Chuo Gakuin University Aomori Japan

BACKGROUND: To support decision-making for patients with malignant brain tumors, it is necessary to understand family needs during the hospitalization period. The assessment sheets and checklists generally used in the ward focus on the patient’s condition with only a few items related to family information. Many checklists are not tailored to the patient’s disease and therefore do not address changes in condition and neurological symptoms. Thus, based on previous research, this study aimed to extract items that clinical nurses consider necessary for the family members of patients with malignant brain tumors by filling out a self-administered assessment. METHODS: For the 92 self-made questions, the Delphi method was performed three times for the panelists;consensus was reached on the necessity of a family self-administered information gathering item. The patients’ families answered questions using a 1 - 5 rating scale to assess support required, with 5 being necessary and 1 being unnecessary. In the analysis of the 3rd survey, the consensus rate was calculated as follows: out of 5 options for each question, scores of 5 and 4 were combined and judged to be necessary. The average value was calculated as 87.3% and this value was used as the criterion for agreement. RESULTS: In the final round, answers from 45 panelists were obtained, and consensus was obtained for 47 questions. The 47 questions were extracted using the Delphi method based on reasonable condition settings and yielded reliable results. CONCLUSION: The data collected in this study can contribute to support programs aimed at helping families of patients with malignant brain tumors.

关键词： Malignant Brain Tumor Delphi Method Family Support Identification of Questions

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Text Mining Analysis of Efficiency of the Continuously Implemented Gathering Type Action Plan for Male Elderly People Obtained

引用

Open Journal of Nursing 2022年第1期12卷 25-41页

作者： Motoya Yamada Ruriko Kidachi Tetsuko Takaoka Yosuke Kamata chiyoko kimura Mayumi Shimizu Kazutaka Kikuchi Department of Nursing Science Doctoral Program Graduate School of Health Sciences Hirosaki University Hirosaki Japan Department of Nursing Graduate School of Health Sciences Hirosaki University Hirosaki Japan Department of Nursing Faculty of Human Sciences Hokkaido Bunkyo University Eniwa Japan Department of Nursing Faculty of Health Sciences Hirosaki Iryo Fukushi University Hirosaki Japan Department of Nursing Faculty of Nursing Aomori Chuo Gakuin University Aomori Japan Institute of Radiation Emergency Medicine Hirosaki University Hirosaki Japan

Aim: To clarify transformation of the participants’ consciousness for rebuilding the community and its factors from the discussion contents by actions for male elderly people in Town A in Fukushima prefecture. Design: This study was an action research. Method: The author verbalized discussion contents of the action conducted in 2018-2019 and analyzed them for each year by the text mining method. Results: The word appearance frequency was high in the order of “Person” and “Town A” in both years. One large word network was formed in 2018 and its topic was about what the participants feel in their life in Town A. Two large word networks were formed in 2019 and their topic was about the community participation including difficulty in motivating others such as how people who do not participate can feel like joining it.

关键词： Action Research Male Elderly People Community Reconstitution Text Mining Method Nuclear Power Plant Accident

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Different characteristics of 40 kinds of free amino acids and 5-amino levulinic acid between wines and sakes(Japanese rice wines)

引用

Journal of Future Foods 2024年第4期4卷 361-368页

作者： Tohru kimura Laboratory of Animal Science Joint Faculty of Veterinary MedicineYamaguchi UniversityYamaguchi 753-8515Japan

Based on a systemic analysis for the globa1 burden of disease study from 1990 to 2016,the Global Burden of Diseases(GBD)2016 Alcohol Collaborators reported that alcohol use was a 1eading nisk factor for globa1 disease burden and caused substantial health ***,alcoholic dnink(wines and sakes)contains abundant nutrients,particularly fermentable amino acids denived from grapes and *** acid nutrition and metabolism is strongly associated with health and preventiom against various *** purpose of this study was to elucidate 40 kinds of free amino acid(FAA)profles in wines and *** addition,the present study also provided the contents of 5-aminolevulinic acid(5-AI A)involved in the vital functionality of *** were detected and analyzed by use of an automatic amino acid *** amino acid,branched chain amino acid and Fischer ratio were calculated for each ***1 FAAs showed significant differences between wines and *** abundantly contained almost all FAAs whereas wines had just a lttle content in some *** were rich in arginine,glycine,alanine,valine,glutamic acid and leucine,while wines were remarkably nich in proline(Pro).Wines showed increased FAA levels in 6 kinds of variables(4-hydroxyproline,3-methy1 histidine,B-alanine,a-aminobutyric acid,Pro and a.-aminoadipic acid).In functionally characteristic FAAs,both wines and sakes were considerably abundant in y aminobutynic acid and 5-AI A The total amount of aromatic amino acid and branched chain amino acid were markedly higher in sakes than in *** results revealed that there were the apparent different characteristics in FAA profiles between wines and *** difference resulted from fermentation process in wines(single fermentation)and sakes(paralle1 double fermentation).Forty kinds of FAA profiles are more usefu1 in investigating characteristics of the taste of wines and *** future,detailed FAA analysis has the potential to fi

关键词： Fermentation 5-Amino levulinic acid Free anino acids γ-Aminobutyric acid Sake Wine

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

NiCoZn/C@melamine sponge-derived carbon composites with highperformance electromagnetic wave absorption

引用

International Journal of Minerals,Metallurgy and Materials 2024年第10期31卷 2274-2286页

作者： Xiubo Xie Heshan Wang Hideo kimura Cui Ni Wei Du Guanglei Wu School of Environmental and Material Engineering Yantai UniversityYantai 264005China Shandong Key Laboratory of Eco-Environmental Science for the Yellow River Delta Shandong University of AeronauticsBinzhou 256603China Institute of Materials for Energy and Environment State Key Laboratory of Bio-fibers and Eco-textilesCollege of Materials Science and EngineeringQingdao UniversityQingdao 266071China

NiMZn/C@melamine sponge-derived carbon(MSDC)composites(M=Co,Fe,and Mn)were prepared by a vacuum pump-ing solution method followed by carbonization.A large number of carbon nanotubes(CNTs)homogeneously attached to the surfaces of the three-dimensional cross-linked of the sponge-derived carbon in the NiCoZn/C@MSDC composite,and CNTs were detected in the NiFeZn/C@MSDC and NiMnZn/C@MSDC ***_(3)ZnC_(0.7),Ni_(3)Fe,and MnO in-situ formed in the NiFeZn/C@MSDC and NiMnZn/C@MSDC *** CNTs in the NiCoZn/C@MSDC composite efficiently modulated its complex ***,the composite exhibited the best performance among the composites,with the minimum reflection loss(RL_(min))of-33.1 dB at 18 GHz and thickness of 1.4 *** bandwidth for RL of≤-10 dB was up to 5.04 GHz at the thickness of 1.7 mm and loading of 25wt%.The op-timized impedance matching,enhanced interfacial and dipole polarization,remarkable conduction loss,and multiple reflections and scat-tering of the incident microwaves improved the microwave absorption *** effects of Co,Ni,and Fe on the phase and mor-phology provided an alternative way for developing highly efficient and broadband microwave absorbers.

关键词： microwave absorption carbon nanotube element substitution melamine sponge-derived carbon

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

用于旋翼飞机开发研究的多分野解析框架

引用

Transactions of Nanjing University of Aeronautics and Astronautics 2024年第1期41卷 43-52页

作者： TANABE Yasutada SUGAWARA Hideaki kimura Keita 日本宇宙航空研究开发机构航空技术部日本东京181-0015

介绍了日本宇宙航空研究开发机构研发的用于旋翼飞机的多分野解析框架。Heli Design是在各种旋翼飞机初期概念设计时使用的软件;rFlight可以提供在各种飞行条件下的平衡解析和线性化飞行模型;rBET/RMT是基于叶片要素理论的低保真度空力... 详细信息

介绍了日本宇宙航空研究开发机构研发的用于旋翼飞机的多分野解析框架。Heli Design是在各种旋翼飞机初期概念设计时使用的软件;rFlight可以提供在各种飞行条件下的平衡解析和线性化飞行模型;rBET/RMT是基于叶片要素理论的低保真度空力解析软件,和rMode提供的结构模型结合,可以推测旋转翼的弹性变形和各种飞行条件下的空力负载;rFlow3D是基于CFD计算的高保真度数值模拟软件;rGrid系列自动网格构造工具为其提供简单的网格生成;基于rFlow3D的计算结果,r Noise可以预测在任何观测点的噪声。这些软件已经广泛地被应用在各种新型旋翼飞机的开发研究中,其计算精度也已被各种实验结果所应证。

关键词：旋翼飞机多分野解析高保真模拟设计工具

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Synthesis of High Purity Lithium Sulfide for Sulfide Solid Electrolyte Applications through Hydrogen Reduction of Lithium Sulfate

引用

陶瓷学报 2024年第4期45卷 689-695页

作者： Arafumi kimura Research and Development Department Chemicoat Co.Ltd.1-14 OkayamadaiTogane-cityChiba 283-0826Japan

This paper is aimed to present a clean,inexpensive and sustainable method to synthesize high purity lithium sulfide(Li_(2)S)powder through hydrogen reduction of lithium sulfate(Li_(2)SO_(4)).A three-step reduction process has been successfully developed to synthesize well-crystallized and single-phase Li_(2)S powder by investigating the melting,sintering and reduction behavior of the mixtures of Li_(2)SO_(4)-Li_(2)*** purity alumina was found to be the most suitable crucible material for producing high purity Li_(2)S,because it was not attacked by the Li_(2)SO_(4)-Li_(2)S melt during heating,as compared with other materials,such as carbon,mullite,quartz,boron nitride and stainless *** use of synthesized LizS resulted in higher purity and substantially higher room temperature ionic conductivity(2.77 mS·cm^(-1))for the argyrodite sulfide electrolyte Li_(6)PS_(5)Cl than commercial Li_(2)S(1.12 mS·cm^(-1)).This novel method offers a great opportunity to produce battery grade Li_(2)S for sulfide solid electrolyte applications.

关键词： lithium sulfide lithium sulfate hydrogen reduction sulfide solid electrolyte all-solid-state lithium-ion battery

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Combined laparoscopic and thoracoscopic repair of adult right-sided Bochdalek hernia with massive liver prolapse: A case report

引用

World Journal of Clinical Cases 2024年第14期12卷 2420-2425页

作者： Shinya Mikami Sae kimura Yoshitsugu Tsukamoto Masaki Hiwatari Yasuhito Hisatsune Asako Fukuoka Tsunehisa Matsushita Takeharu Enomoto Takehito Otsubo Department of Gastrointestinal and General Surgery St.Marianna University School of MedicineKanagawa 216-8511Japan

BACKGROUND A Bochdalek hernia(BH)is a congenital diaphragmatic hernia that often develops in the neonatal *** typically occurs on the left side of the diaphragm.A right-sided BH in an adult is *** SUMMARY A 45-year-old man was referred to our hospital because of an abnormal shadow seen on chest radiography during a medical check-up.A chest radiograph showed elevation of the right *** tomography showed prolapse of multiple intraabdominal organs into the right thoracic cavity,corresponding to a right-sided *** herniated contents included the stomach,transverse colon,and left lobe of the *** left lobe of the liver was enlarged,particularly the medial *** surgery was ***,the left lobe of the liver was completely trapped in the thoracic ***,thoracoscopic manipulation had to be performed to return the liver to the abdominal *** hernia was repaired with interrupted nonabsorbable sutures and reinforced with *** Combined laparoscopic and thoracoscopic surgery was successfully performed for right-sided BH with massive liver prolapse and abnormal liver morphology.

关键词： Bochdalek hernia Right-sided Adult Laparoscopic and thoracoscopic repair Liver prolapse Abnormal liver morphology Case report

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Enhancing clinical proficiency through laparoscopic training using Japanese origami

引用

Laparoscopic, Endoscopic and Robotic Surgery 2024年第3期7卷 102-106页

作者： Shunsuke Furukawa Masatsugu Hiraki Naoya kimura Ryota Sakurai Ryo Kohata Naohiko Kohya Masashi Sakai Akashi Ikubo Ryuichiro Samejima Department of Surgery Japanese Red Cross Society Karatsu Red Cross HospitalSaga847-8588Japan Department of Surgery Saga University Faculty of MedicineSaga849-8501Japan

Objective This study aimed to investigate the clinical efficacy of laparoscopic training using origami,a traditional Japanese papercraft,using laparoscopic forceps to create origami *** In this retrospective study,4 surgeons were randomly divided into 2 groups:The training group,consisting of surgeons 1 and 2,and the non-training group,consisting of surgeons 3 and *** the course of a one-year study period,the training group regularly underwent laparoscopic surgery training with a dry box,wherein they folded a total of 1000 origami cranes using laparoscopic *** non-training group periodically underwent common laparoscopic surgery training of techniques such as suturing and *** surgeon regularly performed the transabdominal preperitoneal approach for inguinal *** training was conducted concurrently with the *** procedure time(peritoneum detachment,mesh placement,and closure of the peritoneum),total operation time(time from peritoneum detachment to closure of the peritoneum),and surgical outcomes were *** The training group showed greater improvement in the total operation time and more stable performance than the non-training ***,the time taken for peritoneum detachment was significantly shorter in the training *** Laparoscopic training using origami has the potential to enhance laparoscopic surgical skills and improve surgical outcomes.

关键词： Laparoscopic surgery Training Dry box Origami

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：