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持续质量改进对规范糖尿病联络护士胰岛素笔注射的效果

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国际医药卫生导报 2024年第4期30卷 687-690页

作者：卢亚聪李艳红毛艳玲泉州市妇幼保健院·儿童医院内分泌科泉州362000 泉州市第一医院内分泌科泉州362000

目的探讨持续质量改进在规范糖尿病联络护士胰岛素笔注射中的应用效果。方法自身前后对照研究。泉州市妇幼保健院·儿童医院糖尿病专科小组于2022年6月成立胰岛素笔注射持续改进小组,小组成员包括副主任护师1名、主管护师9名。对2022年... 详细信息

目的探讨持续质量改进在规范糖尿病联络护士胰岛素笔注射中的应用效果。方法自身前后对照研究。泉州市妇幼保健院·儿童医院糖尿病专科小组于2022年6月成立胰岛素笔注射持续改进小组,小组成员包括副主任护师1名、主管护师9名。对2022年6月至2022年12月期间36名糖尿病联络护士[年龄(35.17±4.07)岁,工作年限(12.61±5.41)年]的胰岛素笔注射达标率进行持续改进。比较改进前及改进后糖尿病联络护士的理论知识、操作得分、合格率及胰岛素笔注射的达标率。统计学方法采用配对t检验和χ^(2)检验。结果改进后,糖尿病联络护士的理论知识合格率高于改进前[100.00%(36/36)比77.78%(28/36)],操作合格率高于改进前[100.00%(36/36)比61.11%(22/36)],差异均有统计学意义(χ^(2)=9.00、17.38,均P<0.05);改进后,糖尿病联络护士的胰岛素笔注射达标率高于改进前[100.00%(36/36)比55.56%(20/36)],差异有统计学意义(χ^(2)=20.57,P<0.05)。结论持续质量改进可以提高糖尿病联络护士胰岛素笔注射理论知识、操作的合格率及胰岛素笔注射达标率。

关键词：糖尿病胰岛素注射持续改进糖尿病联络护士

专科化游戏对学龄期1型糖尿病患儿负性情绪及自我效能的影响

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国际医药卫生导报 2024年第9期30卷 1579-1584页

作者：谢丽月郑智慧杨银锦叶秀玉卢亚聪晋江市妇幼保健院儿科晋江362200 福建中医药大学护理学院福州351000 晋江市医院儿科晋江362200 泉州市儿童医院内分泌科泉州362000

目的分析专科化游戏对学龄期1型糖尿病患儿负性情绪及自我效能的影响。方法选取2021年3月至2022年6月于晋江市医院儿科、晋江市妇幼保健院内分泌门诊随访的66例学龄期1型糖尿病患儿进行前瞻性研究,采用随机数字表法将患儿分为对照组与... 详细信息

目的分析专科化游戏对学龄期1型糖尿病患儿负性情绪及自我效能的影响。方法选取2021年3月至2022年6月于晋江市医院儿科、晋江市妇幼保健院内分泌门诊随访的66例学龄期1型糖尿病患儿进行前瞻性研究,采用随机数字表法将患儿分为对照组与干预组,各33例。干预期间,对照组失访2例,完成31例,其中男14例,女17例,年龄(9.74±1.90)岁;干预组失访3例,完成30例,其中男17例,女13例,年龄(9.60±1.71)岁。对照组实施门诊随访与常规健康教育,干预组在对照组基础上增加专科化游戏干预,均每2周1次,共6次,为期12周。比较两组患儿干预前后的糖尿病知识、社交焦虑、抑郁及自我效能情况。统计学方法采用χ^(2)检验、t检验及秩和检验。结果干预后,干预组患儿的糖尿病知识得分高于对照组[(17.83±2.23)分比(14.23±3.19)分],差异有统计学意义(t=5.103,P<0.001);干预组患儿社交焦虑及抑郁情绪评分均低于对照组[7.00(5.00,10.00)分比9.00(7.00,11.00)分、9.00(7.00,12.25)分比13.00(10.00,15.00)分],差异有统计学意义(Z=2.884,P=0.004;Z=2.560,P=0.010);干预组患儿的自我效能得分高于对照组[(100.80±21.96)分比(86.77±24.24)分],差异有统计学意义(t=2.37,P=0.021)。结论专科化游戏能提高1型糖尿病患儿的认识水平,降低社交焦虑及抑郁情绪,提升自我效能感。

关键词： 1型糖尿病专科化游戏学龄期负性情绪自我效能

Design and test results of a low-noise readout integrated circuit for high-energy particle detectors

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Nuclear Science and Techniques 2010年第1期21卷 44-48页

作者： ZHANG Mingming CHEN Zhongjian ZHANG yacong lu Wengao JI Lijiu Key Laboratory of Microelectronic Devices and Circuits Institute of Microelectronics Peking University Beijing 100871 China

A low-noise readout integrated circuit for high-energy particle detector is presented.The noise of charge sensitive amplifier was suppressed by using single-side amplifier and resistors as source degeneration.Continuous-time semi-Gaussian filter is chosen to avoid switch noise.The peaking time of pulse shaper and the gain can be programmed to satisfy multi-application.The readout integrated circuit has been designed and fabricated using a 0.35 μm double-poly triple-metal CMOS technology.Test results show the functions of the readout integrated circuit are correct.The equivalent noise charge with no detector connected is 500–700 e in the typical mode,the gain is tunable within 13–130 mV/fC and the peaking time varies from 0.7 to 1.6 μs,in which the average gain is about 20.5 mV/fC,and the linearity reaches 99.2%.

关键词：读出集成电路高能粒子探测器低噪声设计测试 CMOS工艺峰值时间单端放大器

Influence of stealth aircraft dynamic RCS peak on radar detection probability

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Chinese Journal of Aeronautics 2023年第3期36卷 137-145页

作者： Xiaoqiang lu Jun HUANG yacong WU Lei SONG School of Aeronautic Science and Engineering Beihang UniversityBeijing 100191China

For modern stealth aircraft,it is important to analyze the influence of Radar Cross Section(RCS)peak exposure on penetration for guiding stealth design and penetration trajectory planning,which needs to reflect the RCS statistical uncertainty and the RCS difference with the change of incident angle.Based on the RCS characteristics of typical stealth aircraft,this paper established a simplified RCS dynamic fluctuation statistical model with the parameters log mean and log standard deviation.According to the detection probability algorithm in radar signal processing field,this paper built the algorithm of radar detection probability based on the RCS dynamic fluctuation statistical model.The analysis of examples concluded that the key to successful penetration is to shorten the RCS peak exposure time,which can be reduced by decreasing the RCS peak width or increasing velocity.Based on the conclusion,this paper proposed the method of turning maneuvering to reduce RCS peak exposure time dramatically.

关键词： Maneuver Penetration RCS RCS fluctuation statistical model RCS peak exposure time RCS peak width Stealth Trajectory planning

基于信息技术的延续护理对儿童及青少年1型糖尿病患者治疗效果影响的Meta分析

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中华现代护理杂志 2022年第6期28卷 745-751页

作者：卢亚聪毛艳玲刘辉文潘丽婷陈碧贞福建中医药大学护理学院福州350100 泉州市儿童医院内分泌科泉州362000 泉州市第一医院内分泌科泉州362000 福建中医药大学附属第二人民医院医院感染管理处福州350001

目的系统评价基于信息技术的延续护理对儿童及青少年1型糖尿病(T1DM)患者治疗效果的影响,为其院外延续护理提供可靠的科学依据。方法计算机检索PubMed、Web of Science、中国知网等数据库中关于儿童及青少年T1DM患者采取信息技术延续护... 详细信息

目的系统评价基于信息技术的延续护理对儿童及青少年1型糖尿病(T1DM)患者治疗效果的影响,为其院外延续护理提供可靠的科学依据。方法计算机检索PubMed、Web of Science、中国知网等数据库中关于儿童及青少年T1DM患者采取信息技术延续护理干预的随机对照试验,检索时间为建库至2021年7月31日。根据纳入与排除标准筛选文献、提取资料。文献质量采用Cochrane进行偏倚风险评价,应用RevMan 5.4软件进行Meta分析,并对干预方式及持续时间进行亚组分析。结果最终纳入12篇文献,文献质量中等,共纳入1353例患者。Meta分析结果显示,信息技术延续护理组和传统护理组糖化血红蛋白值和急性并发症发生率比较差异均有统计学意义(P<0.05)。亚组分析显示,不同干预方式(应用App、互联网平台)、干预持续时间对儿童及青少年T1DM患者的院外治疗效果差异均有统计学意义(P<0.05)。结论采用基于信息技术的延续护理能够改善儿童及青少年T1DM患者院外糖化血红蛋白值,降低急性并发症的发生率。不同干预方式(应用App、互联网平台)以及干预时间对儿童及青少年T1DM患者的院外治疗效果均有改善作用,建议在儿童及青少年T1DM患者的院外治疗中推广信息技术延续护理。

关键词：糖尿病,1型儿童青少年 Meta分析信息技术延续护理治疗效果

并发症模拟体验在学龄期1型糖尿病患儿中的应用

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中华现代护理杂志 2023年第25期29卷 3441-3445页

作者：卢亚聪李艳红毛艳玲刘辉文陈碧贞泉州市儿童医院内分泌科泉州362000 泉州市第一医院内分泌科泉州362000 福建中医药大学护理学院福州350100 福建中医药大学附属第二人民医院医院感染管理处福州350001

目的探讨并发症模拟体验对学龄期1型糖尿病患儿的应用效果。方法采用便利抽样法,选取2021年3—12月于泉州市儿童医院内分泌科门诊随访的80例学龄期1型糖尿病患儿,采用随机数字法分为对照组与观察组,每组各40例。对照组接受常规治疗+传... 详细信息

目的探讨并发症模拟体验对学龄期1型糖尿病患儿的应用效果。方法采用便利抽样法,选取2021年3—12月于泉州市儿童医院内分泌科门诊随访的80例学龄期1型糖尿病患儿,采用随机数字法分为对照组与观察组,每组各40例。对照组接受常规治疗+传统健康教育,观察组在对照组的基础上实施并发症模拟体验干预。采用糖尿病自我管理量表、密西根糖尿病知识测量问卷评估两组患儿干预前后的自我管理能力与糖尿病知识。结果观察组纳入37例患儿,对照组纳入38例。干预后观察组患儿的糖尿病自我管理量表得分、密西根糖尿病知识测量问卷得分均高于对照组,差异有统计学意义(P<0.05)。结论并发症模拟体验能提高学龄期1型糖尿病患儿的自我管理能力与糖尿病知识,值得临床推广应用。

关键词：糖尿病,1型并发症模拟体验学龄期患儿自我管理

Cohort profile: design and methods of the Chinese colorectal, breast, lung, liver, and stomach cancer screening trial(C-BLAST)

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Cancer Biology & Medicine 2023年第10期20卷 713-720页

作者： Yubei Huang Zhangyan Lyu Yu Zhang Xiaomin Liu yacong Zhang Ya Liu Chao Sheng Hongyuan Duan Zeyu Fani Chenyang Li Xiao Lin Zhuowei Feng lu Zheng Zhaoxiang Ye Hong lu Ying Zhu Dejun Zhou Xi Wei Li Ren Bin Meng Fangfang Song Fengju Song Kexin Chen Department of Cancer Epidemiology and Biostatistics Key Laboratory of Molecular Cancer Epidemiology(Tianjin)Key Laboratory of Cancer Prevention and TherapyTianjin's Clinical Research Center for CancerTianjin 300060China Department of Radiology Key Laboratory of Cancer Prevention and TherapyTianjin's Clinical Research Center for CancerTianjin 300060China Department of Breast Imaging Diagnosis Key Laboratory of Cancer Prevention and TherapyTianjin's Clinical Research Center for CancerTianjin 300060China Department of Endoscopy Key Laboratory of Cancer Prevention and TherapyTianjin's Clinical Research Center for CancerTianjin 300060China Department of Ultrasound Imaging Diagnosis Key Laboratory of Cancer Prevention and TherapyTianjin's Clinical Research Center for CancerTianjin 300060China Department of Clinical Laboratory Key Laboratory of Cancer Prevention and TherapyTianjin's Clinical Research Center for CancerTianjin 300060China Department of Pathology Tianjin Medical University Cancer Institute&HospitalNational Clinical Research Center for CancerKey Laboratory of Cancer Prevention and TherapyTianjin's Clinical Research Center for CancerTianjin 300060China

Given the rapid changes in social structure(urbanization),economic structure(industrialization),and demographic structure(population aging)in China,cancer has become a major public health problem1.Extensive evidence has indicated that screening can decrease cancer mortality,particularly among high-risk groups,and several representative national and regional cancer screening programs have been launched in China to cope with the increasing burden of cancer.

关键词： stomach cancer mortality

Designing of a micromachined gyroscope system with a closed-loop DC biased interface ASIC

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Science China(Information Sciences) 2014年第10期57卷 200-212页

作者： TAO TingTing lu WenGao FANG Ran ZHANG yacong CHEN ZhongJian YAN GuiZhen National Key Laboratory of Micro/Nano Fabrication Technology Institute of MicroelectronicsPeking University

In this paper, a micromachined gyroscope system composed of a vibratory gyroscope with its interface ASIC is presented. The system adopts a DC sensing method to detect the capacitive motion, which is insensitive to the mismatch of the gyroscope capacitors and can eliminate high frequency signals from the chip. Therefore it offers a commendable noise performance with simplified topology. Low noise design can be achieved by a continuous-time charge sensitive amplifier with the input-referred noise voltage of 9.833 nV/rtHz at10 kHz. A novel high voltage(HV) buffer is adopted in the drive mode to strengthen its drive signal, so that the common-mode voltage of it is made at 5 V that is compatible with the gyroscope. The HV buffer utilizes two sets of power supply to achieve both good noise performance and HV output. The ASIC chip is fabricated in the 0.35 μm 2P4 M BCD HV process, and is 2.5×2.0 mm2 in dimension. The test results prove that the system achieves a stable closed-loop oscillation in the drive mode. Furthermore, the in-phase demodulation result of the gyroscope system achieves a nonlinearity of 0.14% within the sense range of 0?–500?/s.

关键词： capacitance detection high voltage buffer MEMS gyroscope closed-loop oscillation ASIC

A versatile 16-channel front-end integrated circuit for semiconductor radiation detectors

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Nuclear Science and Techniques 2010年第2期21卷 118-122页

作者： ZHANG yacong CHEN Zhongjian lu Wengao AN Huiyao JIN Ye JI Lijiu Key Laboratory of Microelectronie Devices and Circuits Institute of Microelectronics Peking University 100871 China Institute of Electronics Peking University 100871 China

A CMOS front-end integrated circuit consisting of 16 identical analog channels is proposed for semiconductor radiation detectors. Each of the 16 channels has a low noise charge sensitive amplifier, a pulse shaper, a peak detect and hold circuit and a discriminator, while analog voltage and channel address are routed off the chip. It can accommodate both electron and hole collection with selectable gain and peaking time. Sequential and sparse readout, combining with self-trigger and external trigger, makes four readout modes. The circuit is implemented in a 0.35 μm DP4M (double-poly-quad-metal) CMOS technology with an area of 2.5×1.54 mm2 and power dissipation of 60 mW. A single channel chip is tested with Verigy 93000. The gain is adjustable from 13 to 130 mV·fC–1 while the peaking time varies between 0.7 and 1.6 μs. The linearity is more than 99% and the equivalent noise charge is about 600e.

关键词：辐射探测器集成电路 16通道半导体前端电荷灵敏放大器 CMOS技术模拟通道