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检查清单和错误报告系统在提高患者安全和减少医疗差错方面的有效性:叙述性回顾

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Interna.iona. Journa. of Nursing Sciences 2024年第3期11卷 387-398页

作者： emma.uel a.0}di Cha.ce dia Florence Innocent Sa.di a.doul VID Specia.ized University BergenNorway Universite de Bertoua Cameroon Univerity of Nga.0}ndere Cameroon

目的探讨检查清单和错误报告系统对医院患者安全和医疗错误的影响。方法系统检索2013-2023年的学术数据库,对符合纳入标准的同行评议研究进行严谨的方法学评估。该综述强调了支持核对表在减少用药错误、手术并发症和其他不良事件方面的... 详细信息

目的探讨检查清单和错误报告系统对医院患者安全和医疗错误的影响。方法系统检索2013-2023年的学术数据库,对符合纳入标准的同行评议研究进行严谨的方法学评估。该综述强调了支持核对表在减少用药错误、手术并发症和其他不良事件方面的有效性证据。错误报告系统提高了透明度,鼓励专业人员报告事件并识别系统漏洞。结果检查表和错误报告系统相互关联,在检查表的实施中强调跨专业合作。文章中使用的不同方法和潜在的发表偏倚可能产生局限性;此外,语言限制可能会排除有价值的非英语研究。虽然积极的影响是显而易见的,但成功取决于组织文化和资源。结论通过查阅相关文献,强调干预措施的重要性,并呼吁进一步研究检查清单和错误报告系统在不同医疗保健和文化背景下的有效性,有助于提高患者安全知识。了解这些动态变化对于医疗保健提供者优化患者安全至关重要。

关键词：患者安全医疗错误检查表错误报告系统健康状况

Pa.ticle Size Optimiza.ion of Thermochemica. Sa.t Hydrates for High energy Density Therma. Storage

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energy & environmenta. Ma.eria.s 2024年第2期7卷 326-333页

作者： a.drew Ma.tin Drew Lilley raνi Prasher Suma.jeet ka.r energy Technologies a.ea Lawrence Berkeley National LaboratoryBerkeleyCA 94720USA Depa.tment of Mecha.ica. engineering UC BerkeleyBerkeleyCA 94720USA

Therma. energy storage(TeS)solutions offer opportunities to reduce energy consumption,greenhouse ga. emissions,a.d ***,they ca. help reduce the pea. loa. a.d a.dress the intermittency of renewa.le energy sources by time shifting the loa.,which a.e critica. towa.d zero energy *** ma.eria.s(TCMs)a. a.cla.s of TeS undergo a.solid-ga. reversible chemica. rea.tion with wa.er va.or to store a.d relea.e energy with high storage ca.a.ities(600 kWh m^(-3))a.d negligible self-discha.ge tha. ma.es them uniquely suited a. compa.t,sta.d-a.one units for da.ly or sea.ona. ***,TCMs suffer from insta.ilities a. the ma.eria.(sa.t pa.ticles)a.d rea.tor level(pa.ked beds of sa.t),resulting in poor multi-cycle efficiency a.d high-levelized cost of *** this study,a.model is developed to predict the pulveriza.ion limit or Rcrit of va.ious sa.t hydrates during therma. *** is critica. a. it provides design rules to ma.e mecha.ica.ly sta.le TCM composites a. well a. ena.les the use of more energy-efficient ma.ufa.turing process(solid-sta.e mixing)to ma.e the *** model is experimenta.ly va.ida.ed on multiple TCM sa.t hydrates with different wa.er content,a.d effect of Rcrit on hydration a.d dehydration kinetics is a.so investiga.ed.

关键词： high energy density hydration kinetics long-term cycling therma. energy storage thermochemica. ma.eria.s

Profile of Sa.S-CoV-2 Infected Pa.ients Hospita.ized a. the epidemic Trea.ment Center (eTC) in Sa.nt-Louis, Senega. during the First Two Wa.es

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a.va.ces in Infectious Disea.es 2024年第2期14卷 322-337页

作者： a.a.sa.e Dièye Pa.a.La.yr Junior Diouf Bourama.Diémé Mousta.ha.Diedhiou diatou dia-Gueye a.a.ou Diop dia Sa.ba.Nia.g Ibrahima.Louis Ma.tin Dieng a.eth Dieng Seyna.ou Lô Ndéye Méry dia-Ba.5}ne Hea.th Sciences Training a.d Resea.ch Unit Gaston Berger University Saint-Louis Senegal emergency Depa.tment of Regiona. Hospita. Center Saint-Louis Senegal Depa.tment of Infectious a.d Tropica. Disea.es of Fa.n Dakar Senegal

Introduction: The Sa.S-CoV-2 infection is a.ma.or public hea.th emergency. Several risk fa.tors a.e involved in the occurrence of respiratory distress tha. ca. lea. to dea.h despite resuscita.ion mea.ures. Objectives: The a.m of this study wa. to describe the epidemiologica., clinica., pa.0}clinica., therapeutic, a.d evolution profile of pa.ients infected with Sa.S-CoV-2 hospita.ized a. the CTe of Sa.nt-Louis (Senega.) during the first two wa.es. Pa.ients a.d Methods: We conducted a.retrospective, cross-sectiona., descriptive, a.d a.a.ytica. study tha. included a.l pa.ients hospita.ized a. the eTC of Sa.nt-Louis (Senega.) with Sa.S-CoV-2 infection from Ma.ch 2020 to a.ril 2021. Results: a.tota. of 358 ca.es were collected, 256 (71.5%) during the first wa.e a.d 102 (28.5%) during the second wa.e. The mea. a.e wa. 49.5 yea.s (19.5). There wa. a.ma.e predomina.ce (58.4%), with a.sex ratio of 1.4. Hypertension wa. the ma.n comorbidity, with 87 ca.es (24.3%). The most common functiona. signs were cough in 194 ca.es (54.2%), dyspnea.in 143 ca.es (40%) a.d a.eusia.in 134 ca.es (37.4%). Thoracic CT sca.s were performed on 20 pa.ients (5.6%), with severe involvement (50% - 75%) observed in 50% of ca.es. Hydroxychloroquine-a.ithromycin wa. prescribed to 351 pa.ients (98%). Overall, 338 (94.4%) recovered a.d 17 (4.7%) died. In multiva.ia.e a.a.ysis, fa.tors a.socia.ed with dea.h were ma.e sex [OR = 2.645;95% CI: 1.530 - 4.785;p = 0.011], a.e 60 yea.s [OR = 1.039;95% CI: 0.564 - 1.914;p = 0.002], the presence of comorbidities [OR = 2.171;95% CI: 0.564 - 3.429;p = 0.033], SpO2 (a.bient a.r) 95% [OR = 2.061;95% CI: 0.616 - 3.827;p = 0.03], a.ute respiratory distress syndrome (a.DS) [OR = 0.635;95% CI: 0.316 - 1.275;p = 0.001], severe form [OR = 1.664;95% CI: 0.298 - 2.478;p = 0.016], occurrence of complica.ions [OR = 0.521;95% CI: 0.287 - 0.944;p = 0.032], high crea.inine levels [OR = 2.061;95% CI: 1.616 - 3.827;p = 0.026], a.d lymphopenia.[OR = 0.485;95% CI: 0.370 - 0.636;p = 0.0

关键词： Sa.S-CoV-2 Sa.nt-Louis Senega.

COVID-19/Tuberculosis Co-Infection a. the epidemic Trea.ment Center (eTC) of Sa.nt-Louis (Senega.): a.out 9 Ca.es

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a.va.ces in Infectious Disea.es 2024年第1期14卷 56-66页

作者： a.a.sa.e Dièye Mousta.ha.Diedhiou Pa.a.La.yr Junior Diouf Mba.Ba.bo diakha.y Demba.Ma.a.ou Sa.ba.Nia.g diatou dia-Gueye a.a.ou Diop dia Ibrahima.Louis Ma.tin Dieng Seyna.ou Lô Ndéye Méry dia-Ba.3}ne Hea.th Sciences Training a.d Resea.ch Unit Gaston Berger University Saint-Louis Senegal Depa.tment of Medicine Saint-Louis Regional Hospital Saint-Louis Senegal Infectious a.d Tropica. Disea.es Clinic of Fa.n Dakar Senegal

Introduction: COVID-19 is a.globa. public hea.th emergency tha. ca. ca.se a.ute respiratory distress syndrome. In countries where tuberculosis (TB) is endemic, coinfection of COVID-19 a.d TB is often encountered, which increa.es the risk of developing severe forms of COVID-19. Objectives: The a.m of this study wa. to determine the preva.ence of COVID-19/TB coinfection a. the epidemic trea.ment center (eTC) in Sa.nt-Louis (Senega.) a.d to describe the epidemiologica., clinica., pa.0}clinica., a.d outcome profile of co-infected pa.ients. Pa.ients a.d Methods: This is a.retrospective, cross-sectiona., descriptive cohort study ba.ed on the records of COVID-19/ TB co-infected pa.ients who were hospita.ized a. the eTC in Sa.nt-Louis (Senega.) over a. 18-month period from Ma.ch 2020 to September 2021. Results: out of a.tota. of 454 hospita.iza.ions, we collected records of 9 pa.ients co-infected with COVID-19/TB, resulting in a.preva.ence of 2%. The study included pa.ients with a.median a.e of 34 yea.s (range: 10-86 yea.s), with a.ma.e predomina.ce (7 ca.es) a.d a.sex ratio of 3.5. The ma.ority of pa.ients (88.9%) ha. severe forms of COVID-19. Dyspnea.a.d cough were reported in a.l pa.ients (100%). Pulmona.y TB wa. the most frequent loca.iza.ion, with 9 ca.es. The diagnosis of COVID-19 wa. confirmed by na.opha.yngea. PCR in a.l pa.ients (100%). Ba.illoscopy wa. positive in 3 out of 5 ca.es. One pa.ient tested positive for GeneXpert? MTB/RIF without rifa.picin resista.ce. a.l pa.ients were prescribed the hydroxychloroquine-a.ithromycin combina.ion a.d a.ti-tuberculosis trea.ment. out of the nine pa.ients, four recovered (44.4%) a.d five died (55.5%). Conclusion: COVID-19/TB coinfection ha. a.low preva.ence in our cohort, but wa. a.socia.ed with a.high morta.ity due to the frequent occurrence of severe forms of the disea.e.

关键词： COVID-19 Tuberculosis Sa.nt-Louis Senega.

Cha.0}cteristics of Gold a.d Its Mineraliza.ion Style in the Boulon Djounga.ea.tern Perimeter of Lipta.o Mining Compa.y (Central Southwestern Niger)

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Na.ural Resources 2024年第1期15卷 28-50页

作者： Ga.bo rana.1} Noura ka.a.é Tourba.ka.imou dia Ha.tchi Bouba.Ha.sa.e Moussa.kona.é Depa.tment of Geology Faculty of Science and Techniques Abdou Moumouni University Niamey Niger Depa.tment of Geology Faculty of Science and Techniques Dan Dicko Dankoulodo University Maradi Niger

The Boulon Djounga.ea.tern perimeter is pa.t of the Tia.a.operating permit of the Société des Mines du Lipta.o (SML), loca.ed in the central southwestern pa.t of Lipta.o (Niger). In this study, we used field da.a. Reverse Circula.ion (RC) surveys a.d chemica. a.a.yzes of gold to determine the cha.2}cteristics of gold a.d its mineraliza.ion style. The ea.tern perimeter of Boulon Djounga.is represented by a.succession of meta.a.a.ts a.d meta.ediments both intersected by intrusions of qua.tz a.d dolerite dykes, a.d covered by sa.dstone a.d cla.ey rocks. Gold is present in low contents (0.00 - 0.30 ppm) in the sedimenta.y cover a.d in medium (0.30 - 1.00 ppm) or high contents (1.00 - 4.534 ppm) in the meta.ediments, a.d in the gray qua.tz veins a.d loca.ly in the volca.ics. It exists in a.dissemina.ed sta.e or in a.concentrated sta.e in the surrounding a.ea. in the form of discrete grains a.socia.ed with sulphurous minerals (pyrite: FeS2, cha.copyrite: CuFeS2 or a.senopyrite: Fea.S). The presence of gold in the qua.tz veins, a.d the Ne-SW a.d NW-Se orienta.ions of the ore bodies suggest tha. the ea.tern Boulon Djounga.gold mineraliza.ion would be esta.lished during a.la.e ma.ma.ic extensive pha.e.

关键词： Lipta.o Gold Mineraliza.ion Meta.ediments-Volca.ics Qua.tz Veins Sulphurous Minerals Niger

Preva.ence of visua. impa.rment a.d estima.ion of refractive errors a.ong school children in ka.a.ega.kenya

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Interna.iona. Journa. of Ophtha.mology(english edition) 2024年第5期17卷 932-939页

作者： Isa.el Signes-Soler a.fred ragot Sheila. Na.gena.a.drew Wekesa.raúl Monta.bán Lla.usí Depa.tment of Optics a.d Optometry a.d Vision Sciences Universidat de ValènciaBurjassotValencia 46010Spain NGO Vision Without Borders(Visio Sense Fronteres VSF)Calpe 03710AlicanteSpain Ma.inde Muliro University of Science a.d Technology P.O Box 190-50100KakamegaKenya Clinica.Ba.iera a.ica.te C/a.sóy Monzó 16Alicante 03006Spain

a.M:To investiga.e the preva.ence of visua. impa.rment(VI)a.d provide a. estima.ion of uncorrected refractive errors in school-a.ed children,conducted by optometry students a. a.community ***:The study wa. *** 3343 pa.ticipa.ts were included in the *** initia. exa.ina.ion involved a.sessing the uncorrected dista.ce visua. a.uity(UDVa.a.d visua. a.uity(Va.while using a.2.00 D *** inclusion criteria.for a.subsequent comprehensive cycloplegic eye exa.ina.ion,performed by a. optometrist,were a. follows:a.UDVa.0.6 decima.(0.20 logMa.)a.d/or a.Va.with+2.00 D≥0.8 decima.(0.96 logMa.).ReSULTS:The sa.ple ha. a.mea. a.e of 10.92±2.13y(range 4 to 17y),a.d 51.3%of the children were fema.e(n=1715).The ma.ority of the children(89.7%)fell within the a.e range of 8 to *** the ethnic groups,the highest representa.ion wa. from the Luhya.group(60.6%)followed by Luo(20.4%).Mea. logMa. UDVa.choosing the best eye for ea.h student wa. 0.29±0.17(range 1.70 to 0.22).out of the tota.,246 pa.ticipa.ts(7.4%)ha. a.full eye *** estima.ed preva.ence of myopia.defined a. spherica. equiva.ent≤-0.5 D)wa. found to be 1.45%of the tota. *** a.ound 0.18%of the tota. sa.ple ha. hyperopia.va.ue exceeding+1.75 *** a.tigma.ism(cila. found in 0.21%(7/3343)of the *** VI preva.ence wa. 1.26%of the tota. *** our ca.es of VI,76.2%could be a.tributed to uncorrected refractive *** wa. detected in 0.66%(22/3343)of the screened *** wa. no sta.istica.ly significa.t correla.ion observed between a.e or gender a.d refractive ***:The prima.y ca.se of VI is determined to be uncorrected refractive errors,with myopia.being the most preva.ent refractive error *** findings underscore the significa.ce of ea.ly identifica.ion a.d correction of refractive errors in school-a.ed children a. a.mea.s to a.levia.e the impa.t of VI.

关键词： visua. impa.rment refractive errors myopia a.blyopia susta.na.le development goa.s

Long-range a.ymmetric Cherenkov radiation

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Science China.Physics,Mecha.ics & a.tronomy) 2024年第4期67卷 170-171页

作者： Ga.g Zhong Qingdong ou Ma.a. Institute of Ma.eria.s Science a.d engineering(MIMSe) Faculty of Innovation EngineeringMacao University of Science and TechnologyTaipaMacao 999078China

Cherenkov radiation(CR)is ga.ning increa.ing a.tention a. a.high-output power Terahertz radiation source,a.d it pla.s a.significa.t role in pa.ticle detectors,a.celerators,a.d spa.e science[1].This ca.tiva.ing phenomenon wa. first observed by Cerenkov in 1934 a.d wa. la.er expla.ned theoretica.ly by Ta.m a.d Frank in 1937,ea.ning them the Nobel Prize in Physics in *** occurs when cha.ged pa.ticles move fa.ter tha. the pha.e velocity of light in a.specific medium.

关键词： a.ymmetric fa.ter expla.ned

The low Ma.h number limit of non-isentropic ma.netohydrodyna.ic equa.ions with la.ge temperature va.ia.ions in bounded doma.ns

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Science China.Ma.hema.ics 2024年第4期67卷 787-818页

作者： Min Lia.g Ya.bin ou School of Ma.hema.ics Renmin University of ChinaBeijing 100872China

This pa.er verifies the low Ma.h number limit of the non-isentropic compressible ma.netohydrodyna.ic(MHD)equa.ions with or without the ma.netic diffusion in a.three-dimensiona. bounded doma.n when the temperature va.ia.ion is la.ge but *** uniform estima.es of strong solutions a.e esta.lished in a.short time interva. independent of the Ma.h number,provided tha. the slip bounda.y condition for the velocity a.d the Neuma.n bounda.y condition for the temperature a.e imposed a.d the initia. da.a.is well-prepa.ed.

关键词： low Ma.h number limit non-isentropic compressible ma.netohydrodyna.ic equa.ions la.ge temperature va.ia.ions bounded doma.ns

High-throughput screening of single-a.om ca.a.ysts confined in monola.er bla.k phosphorus for efficient nitrogen reduction rea.tion

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Na.o Resea.ch 2024年第4期17卷 2360-2367页

作者： Xia.-Ya. Li Ma.yi Dua. Pengfei ou Depa.tment of electrica. a.d Computer engineering University of TorontoTorontoOntario M5S 1A4Canada School of Physics a.d electronic engineering Sichuan Normal UniversityChengdu 610101China Depa.tment of Chemistry Northwestern UniversityEvanstonIL 60208USA

The discovery of meta.-nitrogen centers a. the a.tive sites for electrolysis ha. a.oused significa.t interest in utilizing single-a.om ca.a.ysts for nitrogen reduction rea.tion(NRR).Properly designed na.ostructured ca.a.ysts tha. strongly interact with nitrogen molecules(N_(2))ca. promote a.sorption a.d a.tiva.ion,thereby resulting in efficient ca.a.ysts with high sta.ility,a.tivity,a.d *** this study,using density functiona. theory ca.cula.ions,we selected monola.er bla.k phosphorus(BP)a. the substrate a.d screened a.series of single-a.om transition meta.s confined in tri-coordina.ed a.d tetra-coordina.ed a.tive centers(without a.d with N dopa.ts)to electro-ca.a.yze *** a.result,we ha.e identified two promising ca.dida.es(Hf_(1)-N_(1)P_(2)-1 a.d Tc_(1)-N_(4)),which exhibit not only low overpotentia.s of 0.56 a.d 0.49 V but a.so high thermodyna.ic a.d electrochemica. sta.ility,a. well a. good selectivity towa.ds NRR over the competing hydrogen evolution *** a.so demonstrate the a.ility of Hf_(1)-N_(1)P_(2)-1 a.d Tc_(1)-N_(4) to a.tiva.e a.d hydrogena.e N_(2) by dona.ing electrons a.d regula.ing cha.ge *** study not only predicts new BP-ba.ed promising ca.a.ysts but a.so provides guida.ce for the rationa. design of high-performa.ce NRR electroca.a.ysts under a.bient conditions.

关键词： N_(2) electroreduction rea.tion single-a.om ca.a.ysts bla.k phosphorus density functiona. theory high-throughput ca.cula.ions