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护理干预促进慢性呼吸困难患者自我管理的研究进展:整合性综述

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International Journal of Nursing Sciences 2024年第2期11卷 241-257,I0003页

作者： Helga Rafael Henriques Andreia Correia tatiana santos Jose Faria Diana Sousa Joana Portela Joana Teixeira Nursing School of Lisbon LisbonPortugal CIDNUR-Nursing Research Innovation and Development Centre of LisbonLisbonPortugal Unidade de Hemodi-alise de Torres Vedras-Nephrocare Torres VedrasPortugal Unidade de Cuidados Continuados na AMETIC Torres VedrasPortugal Unidade Local de Saúde Sao Jose Cardiology DepartmentLisbonPortugal Unidade Local de Saúde da Arrabida General Surgery DepartmentSetúbalPortugal

目的旨在通过系统综述,确定针对复杂慢性病患者增强自我管理的干预措施,以改善慢性呼吸困难,为护理人员促进该类人群的自我管理提供依据。方法2023年12月,系统检索Medline、Scopus、Web of Science、CINAHL、Cochrane图书馆和乔安娜布... 详细信息

目的旨在通过系统综述,确定针对复杂慢性病患者增强自我管理的干预措施,以改善慢性呼吸困难,为护理人员促进该类人群的自我管理提供依据。方法2023年12月,系统检索Medline、Scopus、Web of Science、CINAHL、Cochrane图书馆和乔安娜布里格斯研究所(Joanna Briggs Institute,JBI)循证实践数据库。对纳入研究进行数据提取和综合,研究人员采用Rayyan文献管理软件筛选标题及摘要,并依据JBI研究质量评估工具进行方法学质量评估。结果共纳入18项研究。这些研究探讨了针对慢性呼吸困难的各种干预措施,包括药物干预(氧气疗法和吸入疗法)和非药物方法(教育计划、呼吸练习、液体摄入管理、身体感知技术、同伴支持、情商培训和网络应用程序的使用)。这些干预措施减轻了患者情绪困扰,可以使患者在自我管理方面变得独立自主。结论促进复杂慢性病患者对慢性呼吸困难的自我管理需要采取综合方法,但目前研究中没有充分考虑到针对患者行为改变的干预措施,需要进一步开展相关研究完善干预措施。

关键词：慢性疾病呼吸困难护理病人自我管理

Therapeutic actions of terpenes in neurodegenerative disorders and their correlations with the regulation and remodeling of the extracellular matrix

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BIOCELL 2025年第1期49卷 109-125页

作者： RENATA DA SILVA CARNEIRO MATEUS HENRIQUE DE ALMEIDA DA COSTA JOSÉZILTON LIMA VERDE santos VALDILÉIA TEIXEIRA UCHÔA LUCIANO DA SILVA LOPES ANDERSON NOGUEIRA MENDES Laboratory of Science in Innovation and Technology-LACITEC Department of Biophysics and PhysiologyFederal University of PiauíTeresina64049Brazil Laboratory of Natural Products and Bioprospecting Natural Sciences CenterState University of PiauíTeresina64018Brazil Laboratory of Experimental Neurochemistry Research-LAPNEX Department of Biophysics and PhysiologyFederal University of PiauíTeresina64049Brazil

Neurodegenerative diseases are a major public health challenge,mainly affecting the elderly population and compromising their cognitive,sensory,and motor ***,available therapies focus on alleviating symptoms and slowing the progression of these conditions,but they do not yet offer a definitive *** this scenario,terpenes emerge as promising natural alternatives due to their neuroprotective *** compounds can reduce the formation of protein aggregates,neutralize free radicals,and inhibit pro-inflammatory enzymes,which are crucial factors in the development of neurodegenerative *** addition,terpenes also play an important role in the regulation and remodeling of the extracellular matrix,a key target for improving neuronal *** such as linalool,pinene,and eugenol,among others,have potential therapeutic effects by modulating inflammatory and oxidative stress processes,the main factors that contribute to the progression of these *** suggest that these compounds act on signaling pathways that regulate the extracellular matrix,improving neuronal integrity and,consequently,cognitive and motor *** work aims to review the potential of terpenes in the treatment of neurodegenerative disorders,with emphasis on their ability to regulate oxidative stress and inflammation,as well as to remodel the extracellular *** interaction between these mechanisms points to the promising use of terpenes as an innovative and natural therapeutic approach to combat these diseases.

关键词： Terpenes Neurodegenerative Disorders Extracellular matrix

Overcoming antibiotic-resistant Helicobacter pylori infection:Current challenges and emerging approaches

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World Journal of Gastroenterology 2025年第10期31卷 7-29页

作者： Gabriel Reis Rocha Fabian Fellipe Bueno Lemos Luis Guilherme de Oliveira Silva Marcel Silva Luz Gabriel Lima Correa santos Samuel Luca Rocha Pinheiro Mariana santos Calmon Fabrício Freire de Melo Instituto Multidisciplinar em Saúde Universidade Federal da BahiaVitória da Conquista 45029-094BahiaBrazil

Recent studies have shown a noticeable increase in global Helicobacter pylori(***)resistance,with clarithromycin resistance surpassing 15%in various ***,inadequate epidemiological monitoring,especially in developing countries,and the absence of uniform testing methods lead to discrepancies between regions and a possible underestimation of resistance *** complexity of treating *** is driven by its highly dynamic genome,which is prone to frequent mutations contributing to phenotypical *** usual course of action in empirical treatment involves using a combination of various drugs simultaneously,leading to significant resistance selection pressure and potential side *** emergence of *** strains resistant to multiple drugs is closely tied to failures in first-line treatment,highlighting the need to prevent further resistance by using optimal initial empirical therapy or regimens guided by antibiotic susceptibility testing,requiring a collection of mixed samples and multiple isolates for accurate *** emergence of new treatments like potassium-competitive acid blockers offers a hopeful approach to decrease antimicrobial usage while still ensuring effectiveness in comparison to traditional therapies with proton pump ***,the use of probiotics is under investigation to identify specific strains and formulations that may mitigate therapy-associated adverse effects.

关键词： Helicobacter pylori Antibiotic resistance Multidrug resistance Heteroresistance Empirical treatment Antimicrobial susceptibility testing

Web-Based Platform and Remote Sensing Technology for Monitoring Mangrove Ecosystem

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Open Journal of Ecology 2025年第1期15卷 1-10页

作者： Evelyn Anthony Rodriguez John Edgar Sualog Anthony Randy Anthony Quitain Wilma Cledera Delos santos Ernesto Jr. Benda Rodriguez College of Computer Studies Mindoro State University Victoria Philippines College of Arts and Sciences Mindoro State University Victoria Philippines

Remote sensing and web-based platforms have emerged as vital tools in the effective monitoring of mangrove ecosystems, which are crucial for coastal protection, biodiversity, and carbon sequestration. Utilizing satellite imagery and aerial data, remote sensing allows researchers to assess the health and extent of mangrove forests over large areas and time periods, providing insights into changes due to environmental stressors like climate change, urbanization, and deforestation. Coupled with web-based platforms, this technology facilitates real-time data sharing and collaborative research efforts among scientists, policymakers, and conservationists. Thus, there is a need to grow this research interest among experts working in this kind of ecosystem. The aim of this paper is to provide a comprehensive literature review on the effective role of remote sensing and web-based platform in monitoring mangrove ecosystem. The research paper utilized the thematic approach to extract specific information to use in the discussion which helped realize the efficiency of digital monitoring for the environment. Web-based platforms and remote sensing represent a powerful tool for environmental monitoring, particularly in the context of forest ecosystems. They facilitate the accessibility of vital data, promote collaboration among stakeholders, support evidence-based policymaking, and engage communities in conservation efforts. As experts confront the urgent challenges posed by climate change and environmental degradation, leveraging technology through web-based platforms is essential for fostering a sustainable future for the forests of the world.

关键词： Mangrove Ecosystems Monitoring Remote Sensing Web-Based Platform

Prehospital critical care drug-therapy and 30-day mortality in patients with acute respiratory disease

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World Journal of Emergency Medicine 2025年第1期16卷 43-50页

作者： Jesús Jurado-Palomo JoséLuis Martín-Conty Begoña Polonio-López Cristina Rivera Picón Raúl López-Izquierdo Carlos del Pozo Vegas Pedro Ángel de santos Castro Ancor Sanz-García Francisco Martín-Rodríguez Technological Innovation Applied to Health Research Group(ITAS) Faculty of Health SciencesCastilla-La Mancha UniversityTalavera de la Reina 45600Spain Nuestra Señora del Prado General Hospital Talavera de la Reina 45600Spain Emergency Department Rio Hortega University HospitalValladolid 47012Spain CIBER of Respiratory Diseases(CIBERES) Institute of Health Carlos ⅢMadrid 28029Spain Faculty of Medicine University of ValladolidValladolid 470003Spain Emergency Department University Clinical HospitalValladolid 47003Spain Prehospital Emergency Medical Services(SACYL) Valladolid 47007Spain

BACKGROUND: Prehospital medication is a reality, and the role of these therapies must be explored to assess their validity, especially for acute respiratory diseases, which are usually associated with increased morbidity. The aim of this study was to examine the association of prehospital medication use with mortality in patients with acute respiratory ***: A prospective, multicenter, emergency medical service(EMS) delivery cohort study was carried out in adults with unselected respiratory diseases managed by EMS who were transferred to the emergency department. From January 1, 2019, to October 31, 2023, six advanced life support units, thirty-eight basic life support units, and four hospitals in Spain participated in the study. Demographic data, vital signs, use of mechanical ventilation, prehospital respiratory diagnosis, and prehospital medication were collected. The primary outcome was 30-day in-hospital ***: A total of 961 patients were included, with a mortality rate of 17.5%(168 patients). Age, an increasing number of comorbidities, the use of invasive mechanical ventilation(IMV), the use of major analgesics, hypnotics, and bicarbonate were risk factors. In contrast, elevated systolic blood pressure and Glasgow Coma Scale scores were found to be protective factors against mortality. The predictive capacity of the model reached an area under the curve(AUC) of 0.857(95% confidence interval [95% CI] 0.827–0.888).CONCLUSION: Our data revealed that IMV, major analgesics, hypnotics and bicarbonate administration were associated with elevated mortality. Adding prehospital drug therapy information to demographic variables and vital signs could improve EMS decision-making, allowing a better characterization of patients at risk of clinical worsening.

关键词： Drug-therapy Medication Prehospital Mortality Emergency medical services

Prebiotics in non-dairy products:Technological and physiological functionality,challenges,and perspectives

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Food Bioscience 2022年第2期46卷 122-137页

作者： tatiana Colombo Pimentel Bianca Beatriz Torres de Assis Caique dos santos Rocha Vanessa Aparecida Marcolino Michele Rosset Marciane Magnani Federal Institute of Paran´a Campus Paranavaí87703-536ParanavaíPRBrazil State University of Maring´a Food Engineering Post-GraduationMaring´aPRBrazil Federal Institute of Paran´a Campus ColomboColomboPRBrazil Department of Food Engineering University of ParaíbaJo˜ao PessoaPBBrazil

Vegan consumers look for fresh,tasty,and nutritious products that use eco/animal-friendly *** are substrates selectively utilized by host microorganisms conferring a health *** study aimed to overview the potentially vegan products added with prebiotics,their health benefits,and the main technological and sensory *** main potentially vegan products added with prebiotics studied were based on water-soluble plant-based extracts(fermented beverages,frozen desserts,cheese analog),fruits(fruit juices,fruit jelly,and ready to eat fruits),and cereals(snack bars,granola bars,bread,and cookies).The main prebiotic compounds used were inulin,fructooligosaccharides,oligofructose,polydextrose,and *** effects of prebiotic on food products’,host health,and technological and sensory properties depended on the prebiotic type and dosage,food matrix,and subject *** positive health effects were related to skin health,gut microbiota improvement,hypocholesterolemic impact,reduction of the risk of metabolic diseases,and improvements in postprandial blood glucose and insulin *** could improve vegan products’technological and sensory properties,such as fermentation time,texture and rheological properties,storage length,sensory acceptance,and probiotic ***,they could increase the concentration and/or bioaccessibility of phenolic compounds and ***,it is of paramount importance the determination of prebiotic *** trends direct to new prebiotic compounds based on microalgae,fruit and cereal by-products,and *** review provides industries and researchers with important information about prebiotics and vegan products.

关键词： Inulin-type fructans Non-dairy products Veganism Prebiotic ingredients

Cooperative Hypermedia Editing with CoMEdiA

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Journal of Computer Science & Technology 1993年第3期8卷 257-269页

作者： Adelino santos Fraunhofer

CoMEdiA is a groupware tool which enables co-authors to cooperatively produce hypermedia docu- *** allows co-authors to communicate their ideas,drafts,guidelines,constraints and annota- tions to other *** uses a mix of communication patterns,media and document organization to enable co-authors to keep on exchanging information(remotely or face-to-face),improving passages and modifying notes until a final document is *** did not concentrate on the depth but on the breath of the *** efforts were on integrating and coordinating concepts from collaboration, multimedia and hyper organization rather than on making a specialized system in any of *** be- gan with the text medium and are now including bitmaps and raster *** sound and video will also be *** this paper we describe and sustain the available capacities.

关键词： Cooperative editing groupware hypermedia multi-user interfaces multimedia

Variations in Atmospheric Electromagnetism and Their Impacts on Mortality Rates in the Southern and Northeastern Regions of Brazil

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Atmospheric and Climate Sciences 2025年第1期15卷 248-274页

作者： Rose Ane Pereira de Freitas Julio Renato Quevedo Marques Reynerth Pereira da Costa Júlia Alves Menezes Isabela de Brito Ferreira Rhavena Barbosa dos santos Ulisses Eugenio Cavalcanti Confalonieri Department of Meteorology Federal University of Pelotas (UFPel) Pelotas Brazil National Observatory (ON) Ministry of Science Rio de Janeiro Brazil Laboratory of Analysis and Development of Indicators for Sustainability (LADIS) Division of Impacts Adaptation and Vulnerability (DIIAV) National Institute for Space Research (INPE) So Jos dos Campos Brazil Department of Parasitology Institute of Biological Sciences Federal University of Minas Gerais (UFMG) Belo Horizonte Brazil Department of Nursing and Medicine Federal University of Viosa (UFV) Viosa Brazil Department of Food Technology Federal Fluminense University (UFF) and Rene Rachou Institute Fiocruz Belo Horizonte Brazil

This study examines the relationship between geomagnetic indices and mortality rates from specific diseases in the Northeast (NE) and Southern (S) regions of Brazil from 1996 to 2020. Solar activity data, including the Ap and Sudden Ionospheric Disturbance (SID) indices, were sourced from the World Data Center, while mortality data were obtained from the Mortality Information System (SIM-DATASUS). Acute Myocardial Infarction (AMI) emerged as the leading cause of mortality, with average death rates of 60.4, 56.8, and 58.3 deaths per 100,000 inhabitants in Pernambuco (PE), Rio Grande do Sul (RS), and Paraná (PR), respectively. Temporal analysis revealed a consistent upward trend in AMI mortality across most states, except for Santa Catarina (SC). Seasonal patterns identified through Principal Component Analysis (PCA) demonstrated that geomagnetic and climatic indices influenced mortality differently across regions and seasons. The Ap geomagnetic index was strongly correlated with higher AMI mortality rates during summer, while the SID index showed greater relevance during winter. A dipole phenomenon was observed, with AMI deaths increasing alongside geomagnetic activity in the S region but showing an inverse relationship in the NE region. These findings highlight the significant influence of geomagnetic variations on public health, particularly cardiovascular mortality. The study underscores the need for further research into the biological mechanisms underlying these associations and recommends the development of early warning systems and targeted preventive measures to mitigate the potential health impacts of geomagnetic disturbances, especially for vulnerable populations.

关键词： Solar Activity Cardiovascular Mortality Geomagnetic Disturbances

Burden,stress and depression in caregivers of cirrhosis patients before and after liver transplantation

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World Journal of Transplantation 2025年第2期15卷 276-287页

作者： Adriano Virches Mariana B Claudino Maria C Miyazaki Eliane T Miyazaki Renato F Silva Rita C Silva Heitor B Farias Neide A Domingos Randolfo santos Jr Patricia S Fucuta Department of Psychology School of Medicine of São Josédo Rio Preto(FAMERP/Faculdade de Medicina de São Josédo Rio Preto)São Josédo Rio Preto 15090-000São PauloBrazil Department of Surgery and Study Group of Liver Tumors-GETF and Liver and Small Intestine Transplantation Unit School of Medicine of São Josédo Rio Preto and Base HospitalSão Josédo Rio Preto 15090-000São PauloBrazil Department of Gastroenterology and Liver and Small Intestine Transplantation Unit School of Medicine of São Josédo Rio Preto and Base HospitalSão Josédo Rio Preto 15090-000São PauloBrazil Stricto Sensu Graduate Program in Psychology Pontifical Catholic University of Minas GeraisBelo Horizonte 32604-115Minas GeraisBrazil Stricto Sensu Graduate Program in Psychology and Health School of Medicine of São Josédo Rio PretoSão Josédo Rio Preto 15090-000São PauloBrazil Department of Medicine Faceres Medical SchoolSão Josédo Rio Preto 15090-305São PauloBrazil

BACKGROUND Family caregivers of cirrhosis patients(CPs)often experience burden,stress,and *** whether these conditions improve following the patient undergoing liver transplantation(LT)is crucial,as it would elucidate the compre-hensive benefits of the procedure and demonstrate the positive impacts not only on the patients but also on their caregivers and *** To compare the levels of burden,stress and depression among family caregivers of cirrhotic and liver transplant *** This cross-sectional observational study evaluated caregivers of CPs and LT recipients at a quaternary Brazilian *** included identification cards,interview scripts,the caregiver burden scale Inventory,Lipp’s Stress Symptom Inventory,and the Beck Depression Inventory-Second *** analyses involved confirmatory factor analysis and calculation of McDonald’s omega and composite *** scores were compared with the Mann-Whitney U test,with effect size as the rank-biserial correlation coefficient(r).Statistical analysis was performed with R software(P<0.05).RESULTS Seventy-seven CP caregivers and 65 LT recipient caregivers were *** were female(CP:85.7%vs LT:84.6%)and the patients’spouses(76.6%vs 63.1%).The median age and caregiving duration were 55.4(23.3-76.3)vs 54.6(25.7-82.1)and 3.9(1-20)vs 8(1.5-24)years,respectively(P=0.001).LT caregivers were less likely to be at risk of overload(21.5%vs 49.4%),to be under stress(33.8%vs 36.4%)and to show symptoms of depression(15.4%vs 35.1%).Compared with LT caregivers,CP caregivers had greater median factor scores for burden(general tension,P=0.012;isolation,P=0.014;disappointment,P=0.004),depression(P=0.008),and stress(P=0.047),with small to moderate effect *** disappointment(r=0.240)and depression(r=0.225)dimensions had the largest effect *** Family caregivers of LT recipients are less likely to exhibit symptoms of burden,stress,and depression,su

关键词： Mental disorders Caregiver burden Psychological stress Depressive disorder Chronic disease Liver cirrhosis Transplant recipients Liver transplantation