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Using quality improvement methods to increase use of pain prevention strategies for childhood vaccination

World Journal of Clinical Pediatrics 2017年第1期6卷 81-88页

作者： Jennifer Verrill Schurman Amanda D Deacy Rebecca J Johnson Jolynn Parker Kristi Williams Dustin Wallace Mark Connelly lynn anson Kevin Mroczka Division of Developmental and Behavioral Sciences Children's Mercy Primary Care Clinic Children’s Mercy Division of General Academic Pediatrics Children’s Mercy Comprehensive Pain Management Children’s Mercy Department of Pediatrics Children’s Mercy

AIM To increase evidence-based pain prevention strategy use during routine vaccinations in a pediatric primary care clinic using quality improvement *** Specific intervention strategies(i.e.,comfort positioning,nonnutritive sucking and sucrose analgesia,distraction) were identified,selected and introduced in three waves,using a Plan-Do-Study-Act ***-wide change was measured from baseline to post-intervention by:(1) percent of vaccination visits during which an evidence-based pain prevention strategy was reported as being used; and(2) caregiver satisfaction ratings following the ***,self-reported staff and caregiver attitudes and beliefs about pain prevention were measured at baseline and 1-year post-intervention to assess for possible long-term cultural *** Significant improvements were noted *** of at least one pain prevention strategy was documented at 99% of patient visits and 94% of caregivers were satisfied or very satisfied with the pain prevention care ***/caregivers reported greater satisfaction with the specific pain prevention strategy used [t(143) = 2.50,P ≤ 0.05],as well as greater agreement that the pain prevention strategies used helped their children's pain [t(180) = 2.17,P ≤ 0.05] and that they would be willing to use the same strategy again in the future [t(179) = 3.26,P ≤ 0.001] as compared to *** and caregivers also demonstrated a shift in attitudes from baseline to 1-year ***,staff reported greater agreement that the pain felt from vaccinations can result in harmful effects [2.47 vs 3.10; t(70) =-2.11,P ≤ 0.05],less agreement that pain from vaccinations is "just part of the process" [3.94 vs 3.23; t(70) = 2.61,P ≤ 0.05],and less agreement that parents expect their children to experience pain during vaccinations [4.81 vs 4.38; t(69) = 2.24,P ≤ 0.05].Parents/caregivers reported more favorable attitudes about pain prevention st

关键词： Pediatrics Quality improvement Distraction Pain management Immunization Vaccination Sucrose analgesia Pain prevention Non-nutritive sucking Comfort positioning Primary care

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女孩请昂首向前

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初中生 2024年第21期 28-29页

作者：安森·塞亚布拉不详

当她很小的时候,她常常假装,卧室是一座城堡,她是这片土地上最美丽的女孩。随着年龄增长,一切都变了。没有时间去幻想,神奇魔法渐渐消失,直到她眼中的光芒完全消散。只因所有的梦想都无果而终。公主,王冠犹在,请昂首向前。

关键词：假装魔法城堡

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Potential distributional shifts in North America of allelopathic invasive plant species under climate change models

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Plant Diversity 2022年第1期44卷 11-19页

作者： anson Wang Anthony E.Melton Douglas ESoltis Pamela SSoltis Department of Biology University of FloridaGainesvilleFL32611USA Florida Museum of Natural History University of FloridaGainesvilleFL32611USA Genetics Institute University of FloridaGainesvilleFL32610USA Biodiversity Institute University of FloridaGainesvilleFL32611USA

Predictive studies play a crucial role in the study of biological invasions of terrestrial plants under possible climate change *** species are recognized for their ability to modify soil microbial communities and influence ecosystem ***,we focused on six species of allelopathic flowering plants-Ailanthus altissima,Casuarina equisetifolia,Centaurea stoebe ***,Dioscorea bulbifera,Lantana camara,and Schinus terebinthifolia-Xhat are invasive in North America and examined their potential to spread further during projected climate *** used Species Distribution Models(SDMs)to predict future suitable areas for these species in North America under several proposed future climate *** and Maxent were used to develop SDMs,estimate current distributions,and predict future areas of suitable climate for each *** with the greatest predicted suitable climate in the future include the northeastern and the coastal northwestern regions of North *** size estimations demonstrate the possibility of extreme range loss for these invasives in the southeastern United States,while new areas may become suitable in the northeastern United States and southeastern *** findings show an overall northward shift of suitable climate during the next few decades,given projected changes in temperature and *** results can be utilized to analyze potential shifts in the distribution of these invasive species and may aid in the development of conservation and management plans to target and control dissemination in areas at higher risk for potential future invasion by these allelopathic species.

关键词： Allelopathy Invasive species Species distribution models Ecological niche models Invasion impacts Multi-species assessment

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Harnessing natural killer cells to develop next-generation cellular immunotherapy

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Chronic Diseases and Translational Medicine 2022年第4期8卷 245-255页

作者： Siyao Liu Kaycee Nguyen Dongyong Park Nelson Wong anson Wang Yubin Zhou Center for Translational Cancer Research Institute of Biosciences and TechnologyTexasA&M UniversityHoustonTexasUSA Department of Translational Medical Sciences School of MedicineTexas A&M UniversityHoustonTexasUSA

Cellular immunotherapy harnesses the body’’s own immune system to fight cancer by using engineered T cells,macrophages,or natural killer(NK)*** to chimeric antigen receptor T(CAR-T)cells that are commonly used to treat hematological malignancies,CAR-NK cells have shown remarkable therapeutic effectiveness while exhibiting enhanced safety,reduced risk of graft-versus-host disease,fewer side effects,and amplified antitumor *** trials have unveiled the high potential of adoptive CAR-NK cell therapy to curtail or even eliminate both hematological malignancies and solid tumors in animal *** brought forth herein the design principle of CAR-NK cells,highlighted the latest progress in the preclinical testing and clinical trials of CAR-NK cells,briefly delved into discussed major roadblocks in CAR-NK therapy,and discussed potential solutions to surmount these *** the accelerated progress in both basic and translational studies on immune cell engineering,CAR-NK cell therapy promises to become a serious contender and important addition to the next-generation cell-based immunotherapy.

关键词： cancer CAR-NK immunotherapy chimeric antigen receptor(CAR) natural killer(NK)cells

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A comparative study of seismic provisions between International Building Code 2003 and Uniform Building Code 1997

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Earthquake Engineering and Engineering Vibration 2006年第1期5卷 49-60页

作者： Wenshen Pong Zu-Hsu Lee anson Lee School of Engineering San Francisco State University San Francisco CA 94132 USA Department of Management and Information Systems Montclair State University Montclair NJ 07043 USA

This study focuses on the comparison of the Uniform Building Code （UBC） 1997 and International Building Code （IBC） 2003 in relation to the seismic design and analysis of special steel moment resisting frame buildings （SMRF）. This paper formulates a numerical study of a steel SMRF building, studied in four different situations, namely： as an office building in San Francisco; as an office building in Sacramento; as an essential facility in San Francisco, and as an essential facility in Sacramento. The analytical results of the model buildings are then compared and analyzed taking note of any significant differences. This case study explores variations in the results obtained using the two codes, particularly the design base shear and drift ratios as they relate to different locations and occupancy use. This study also proves that IBC 2003 is more stringent for the redundancy factor under design category E for the SMRF building, and drift limits for essential facilities.

关键词： Uniform Building Code 1997 International Building Code 2003 building periods special moment resisting frame redundancy factor

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A Scientometric Analysis and Critical Review of Internet Gaming Disorder Behaviours

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International Journal of Mental Health Promotion 2022年第6期24卷 795-810页

作者： Shirley Qi-Yu Sun anson Chiu-Yan Tang Qing Wang Loretta Yuet-Foon Chung Regina Lai-Tong Lee School of Nursing Lanzhou UniversityLanzhouChina School of Nursing Tung Wah CollegeHong KongChina The Nethersole School of Nursing The Chinese University of Hong KongHong KongChina School of Nursing and Midwifery College of HealthMedicine and WellbeingUniversity of NewcastleCallaghanAustralia

There are increasing concerns about internet gaming disorder (IGD). No review of existing studies has systematicallyanalyzed and visualized the trends of IGD and those early identification of symptoms related to IGD *** critical review focuses on the emerging trends for early identification of symptoms related to IGDbehaviors in papers published in Web of Science Core Collection from 2009 to 2021 by scientometric analysisand critical review. Scientometric data analysis technique includes co-occurrence analysis, cluster analysis andburst analysis of authors, countries, keywords and co-citation to visualize those contributing and associated factorsto develop IGD behaviors and their relationships to mental-emotional symptoms. About 81.8% of the paperswere published in the following countries: United States, United Kingdom, Australia, China and South Korea. Thetop co-occurrence keywords were ‘children’, ‘depression’, ‘anxiety’ and ‘attention deficit hyperactivity disorder(ADHD)’, ‘scale’, identifying the population, characteristics and commonly used assessment tools that are susceptibleto certain symptoms relating to IGD of which influencing factors facilitate the understanding of the associationof sociodemographic characteristics. The main emerging topics were identified in this critical review afterconducted the scientometric analysis. The results identified five topics: game impulse, motivation, evaluationscale, mediating effects and diagnostic criteria. This study provides an overview of the research trends on theidentity and development of the IGD field of study.

关键词： Internet gaming disorder bibliometric analysis CiteSpace scientometrics trends

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An exploration of the relationship between recruitment communication and foraging in stingless bees

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Current Zoology 2021年第5期67卷 551-560页

作者： Robbie I’anson PRICE Francisca SEGERS Amelia BERGER Fabio S.NASCIMENTO Christoph GRUTER Department of Ecology and Evolution University of LausanneLausanne 1015Switzerland Swiss Centre for Affective Sciences University of GenevaGene`ve 1201Switzerland Department for Applied Bioinformatics Institute of Cell Biology and NeuroscienceGoethe UniversityFrankfurt 60438Germany Departamento de Biologia Faculdade de FilosofiaCiencias e Letras de Ribeirao PretoUniversidade de Sao PauloRibeirao PretoSao Paulo CEP 14040-901Brazil School of Biological Sciences University of Bristol24 Tyndall AvenueBristol BS81TQUK

Social information is widely used in the animal kingdom and can be highly *** social insects,foragers can use social information to find food,avoid danger,or choose a new nest *** others allows individuals to obtain information without having to sample the *** foragers communicate information they will often only advertise high-quality food sources,thereby filtering out less adaptive *** bees,a large pantropical group of highly eusocial bees,face intense inter-and intra-specific competition for limited resources,yet display disparate foraging *** the same environment there are species that communicate the location of food resources to nest-mates and species that do *** current understanding of why some species communicate foraging sites while others do not is *** freely foraging colonies of several co-existing stingless bee species in Brazil,we investigated if recruitment to specific food locations is linked to 1)the sugar content of forage,2)the duration of foraging trips,and 3)the variation in activity of a colony from 1 day to another and the variation in activity in a species over a *** found that,contrary to our expectations,species with recruitment communication did not return with higher quality forage than species that do not recruit ***,foragers from recruiting species did not have shorter foraging trip durations than those from weakly recruiting *** the intense inter-and intraspecific competition for resources in these environments,it may be that recruiting species favor food resources that can be monopolized by the colony rather than food sources that offer high-quality rewards.

关键词： communication foraging social information stingless bee

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The Impact of COVID-19 on the Mental-Emotional Wellbeing of Primary Healthcare Professionals: A Descriptive Correlational Study

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International Journal of Mental Health Promotion 2023年第3期25卷 327-342页

作者： Regina Lai-Tong Lee anson Chiu-Yan Tang Ho-Yu Cheng Connie Yuen-Yu Chong Wilson Wai-San Tam Wai-Tong Chien Sally Wai-Chi Chan The Nethersole School of Nursing Faculty of MedicineThe Chinese University of Hong KongHong Kong518172China School of Nursing and Midwifery College of HealthMedicine and WellbeingUniversity of NewcastleCallaghanNew South Wales2325Australia School of Nursing Tung Wah CollegeHong Kong200051China Alice Lee Centre for Nursing Studies National University of Singapore079903Singapore Tung Wah College Hong Kong200051China

The present study aimed to examine work environment related factors and frontline primary healthcare profes-sionals’mental-emotional wellbeing during the COVID-19 pandemic in school communities of Hong Kong.A total of 61(20%)school health nurses(frontline primary healthcare professionals)participated in a cross-sec-tional online survey from March to June *** of mental-emotional health were measured using the Mental Health Continuum-Short Form(14-item scale with three subscales related to emotional,social and psychological wellbeing);the Perceived Stress Scale(10-item scale with two subscales related to perceived help-lessness and lack of self-efficacy);and the Coping Orientation to Problems Experienced Inventory(Brief COPE),a 28-item inventory with two subscales related to adaptive and maladaptive *** half(42.6%)of par-ticipants experienced mental health *** employed in government subsidized schools had signifi-cantly lower scores in mental health wellbeing than those who worked in private *** relating to increased mental health problems included lack of emotional support,inadequate training relating to infection prevention and control measures,disengagement and self-blame.A variety of factors inﬂuencing school health nurses’social,emotional and psychological wellbeing in their work environment during the COVID-19 pandemic were also *** mental-emotional wellbeing of school nurses may relate to their subjective feeling of lone-liness as participants were the sole frontline primary healthcare professional working in the school community during the COVID-19 *** provide relevant evidence for management teams to build a cul-ture of psychological and social support into workplace policies and *** staff development and adequate social support are important to promote the mental-emotional wellbeing of primary healthcare pro-fessionals in school communities as they play a significant

关键词： Primary healthcare professionals school nurses impact of COVID-19 pandemic stress coping mental health emotional wellbeing

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HOT TREND INFORMATION

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音乐世界 2009年第11期 152-153页

作者： anson

Swatch2009艺术家系列Swatch与艺术——未来世界的游乐场Swatch 2009艺术家系列，为Swatch品牌故事与艺术之间开启全新篇章。Swatch以其独有的乐趣和极富创造性的艺术风格，激励着艺术界充满灵感和独具个性的今日红人和明日之星们。

关键词：艺术风格品牌创造性明星

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The potential for liquid biopsies in the precision medical treatment of breast cancer

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Cancer Biology & Medicine 2016年第1期13卷 19-40页

作者： Victoria A.Forte Dany K.Barrak Mostafa Elhodaky Lily Tung anson Snow Julie E.Lang Department of Medicine Division of Medical Oncology University of Southern California (USC) Los Angeles CA 90033USA USC Norris Comprehensive Cancer Center Los Angeles CA 90033 USA Department of Surgery Division of BreastEndocrine and Soft Tissue Surgery USC Los Angeles CA 90033 USA Department of Stem Cell and Regenerative Medicine USC Los Angeles CA 90033 USA

Currently the clinical management of breast cancer relies on relatively few prognostic/predictive clinical markers(estrogen receptor, progesterone receptor, HER2), based on primary tumor biology. Circulating biomarkers, such as circulating tumor DNA(ctDNA) or circulating tumor cells(CTCs) may enhance our treatment options by focusing on the very cells that are the direct precursors of distant metastatic disease, and probably inherently different than the primary tumor's biology. To shift the current clinical paradigm, assessing tumor biology in real time by molecularly profiling CTCs or ctDNA may serve to discover therapeutic targets, detect minimal residual disease and predict response to treatment. This review serves to elucidate the detection,characterization, and clinical application of CTCs and ctDNA with the goal of precision treatment of breast cancer.

关键词：乳腺癌肿瘤生物学 ctDNA 治疗方案活检液体医疗临床管理

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