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Practical Progress of SBAR Communication Model-Related teaching in Clinical teaching

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Journal of Clinical and Nursing Research 2023年第1期7卷 7-14页

作者： Xu Liu Meili Ma Chenfei Qu Chunlin Liu Yan Yin Qingdao Huangdao District People’s hospital Qingdao 266000Shandong ProvinceChina Qingdao Binhai University Medical College Qingdao 266000Shandong ProvinceChina

This paper elaborates the core and essence of situation,background,assessment,recommendation(SBAR)communication model,clarify the application status of SBAR communication model in the clinical teaching of nursing students,and describe its effectiveness and limitations,so as to provide reference for improving clinical nursing teaching ability.

关键词： SBAR communication model Clinical teaching Nursing education Progress

早期将抗生素由静脉转为口服治疗严重社区获得性肺炎:多中心随机试验

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英国医学杂志中文版 2007年第2期10卷 78-81页

作者： Jan Jelrik Oosterheert Marc J M Bonten Margriet M E Schneider Erik Buskens Jan-Willem J Lammers Willem M N Hustinx Mark H H Kramer Jan M Prins Peter H Th J Slee Karin Kaasjager Andy I M Hoepelman 王伟巍（译）童朝辉（校） Department of Internal Medicine and Infectious Diseases University Medical CentrePO Box 855003508 GA UtrechtNetherlands Julius Centre for Health Sciences and Primary Care University Medical Centre Department of Pulmonology University Medical Centre Department of Internal Medicine Diakonessenhuis Utrecht Department of Internal Medicine Meander Medical Centre Amersfoort Netherlands Department of Internal Medicine Division of Infectious Diseases Tropical Medicine and Aids Academic Medical CentreAmsterdamNetherlands Department of Internal Medicine St Antonius Hospital Nieuwegein Netherlands Department of Internal Medicine Rijintate Hospital Amhem Netherlands 不详

目的比较早期由静脉转换成口服抗生素与常规静脉使用7天抗生素治疗严重社区获得性肺炎(CAP)的疗效。设计多中心随机对照试验。地点荷兰5家教学医院和2所大学的医学中心。参加者非 ICU 住院的严重 CAP 患者302例,其中265例满足研究要求... 详细信息

目的比较早期由静脉转换成口服抗生素与常规静脉使用7天抗生素治疗严重社区获得性肺炎(CAP)的疗效。设计多中心随机对照试验。地点荷兰5家教学医院和2所大学的医学中心。参加者非 ICU 住院的严重 CAP 患者302例,其中265例满足研究要求。干预静脉抗生素治疗3天,病情稳定后换成口服抗生素,或静脉使用抗生素治疗7天。主要评价结果临床治愈和住院天数。结果 302例患者被随机分组(平均年龄69.5岁,标准差14.0),肺炎严重度评分平均112.7(26.0)。37例患者因为提前3天退出而未纳入分析,对其余265例患者进行分析研究。第28天的死亡率在干预组是4%,对照组是6%(平均差2%,95%可信区间-3%～8%)。临床治愈率在干预组是83%,对照组是85%(2%;-7%～10%)。与对照组相比,干预组患者静脉治疗时间为3.4天[3.6(1.5)比7.0(2.0)天;2.8～3.9],患者住院天数减少1.9天[9.6(5.0)比11.5(4.9)天;0.6～3.2]。结论早期将抗生素由静脉应用转换成口服治疗严重 CAP 是安全的,并且可以减少住院时间2天。试验注册号临床试验 NCT00273676。

关键词：社区获得性肺炎多中心随机试验抗生素治疗口服治疗静脉早期多中心随机对照试验口服抗生素

Focusing on the assets in our challenges:family medicine residency programme in Chiang Rai,Thailand

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Family Medicine and Community Health 2020年第4期8卷 67-69页

作者： Daranee Intralawan Hikari C Morikawa Masahiro J Morikawa Ruangnipon Porruan Family Medicine Chiangrai Prachanukroh HospitalChiang RaiThailand STEP Global CharlottesvilleVirginiaUSA Family Medicine University of Virginia School of MedicineCharlottesvilleVirginiaUSA

BACKGROUND For more than 20 years,family medicine(FM)in Thailand is still looking for its place in our primary care healthcare system as an estab-lished ***,primary care in Thailand was provided by the new graduates from the medical *** were assigned to district hospitals as general practitioners(GPs)and were required to serve a 3-year period in various parts of the *** have a primary medical qualification but have not undertaken a specialty in *** had to undergo‘on-the job’training while functioning as the first-contact medical care providers in their *** the inception of FM residency,GPs could apply for formal medical subspecialty training(similar to the US residency programmes)and could return to teaching hospitals only after the completion of 3 years.

关键词： district Focus return

Journal of Intensive Medicine:A leading forum for breakthroughs and progress in critical care medicine

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Journal of Intensive Medicine 2021年第1期1卷 1-1页

作者： Dechang Chen Department of Critical Care Medicine Ruijin HospitalShanghai Jiao Tong University School of MedicineNo 197Rui Jin 2nd roadShanghai 200025China

Dear Readers,Critical care medicine is a discipline that was established in the early 1980s in *** 40 years later,its importance is widely recognized and it has been developed as a second-tier discipline with its own systems of clinical practice,teaching,and *** care medicine has seen rapid progress in the last decade and has played an important role in emerging public health events,and is expected to further evolve in the post-pandemic era.

关键词： Medical journal Publication Critical care medicine

Visual analysis of the research hotspots of Neuman systems model in recent 20 years

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Food Therapy and Health Care 2020年第4期2卷 161-169页

作者： Hui-Min Zhang Wen-Jiao Li Hong-Mei Ma Yan Li Graduate College Tianjin University of Traditional Chinese MedicineTianjinChina Tianjin People's hospital TianjinChina Tianjin University of Traditional Chinese Medicine TianjinChina

Background:This paper uses information visualization software to sort out the relevant research of Neuman systems model at home and abroad in the past 20 years,and discusses the research hotspots and development trend in the field of Neuman systems model,so as to provide scientific and reliable reference for the future work and ***:By using CiteSpace V software,this paper analyzes the literatures about the Neuman systems model collected in the core web of science database and CNKI database from 2001 to 2020,and analyzes the time distribution,research power distribution,research hotspots,research frontier and development trend of the Neuman systems model at home and abroad in the past 20 ***:The development trend of research in this field in foreign countries is relatively *** core strength of research is mainly in the United States,and the research hotspots are health,quality of life,caregivers,spirituality,etc;the research in this field in China is gradually on the rise,and there is no obvious research force,and the research hotspots are mainly quality of life,complications,anxiety,stressors,perioperative period,hypertension,***:It has been proved that the model has a certain guiding effect on the development of nursing discipline in *** China,there is still room for development in the research of this *** is suggested that Chinese scholars can learn from foreign leading research forces to carry out in-depth research and expand its application scope.

关键词： Neuman systems model Research hotspots At home and abroad Visual analysis

Efficacy and safety of endoscopic prophylactic treatment with undiluted cyanoacrylate for gastric varices

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World Journal of Gastrointestinal Endoscopy 2014年第6期6卷 254-259页

作者： Matheus Cavalcante Franco Gustavo Flores Gomes Frank Shigeo Nakao Gustavo Andrade de Paulo Angelo Paulo Ferrari Jr Ermelindo Della Libera Jr Digestive Endoscopy Unit Division of GastroenterologyFederal University of Sao Paulo Endoscopy Division Fleury Medicina e Saúde Endoscopy Division Hospital Israelita Albert Einstein

AIM:To evaluate the efficacy and safety of undiluted N-butyl-2 cyanoacrylate plus methacryloxysulfolane(NBCM)as a prophylactic treatment for gastric varices(GV)***:This prospective study was conducted at a single tertiary-care teaching hospital between October 2009 and March *** with portal hypertension(PH)and GV,with no active gastrointestinal bleeding,were enrolled in primary prophylactic treatment with NBCM injection without lipiodol *** diagnosis of GV was based on endoscopy and confirmed with endosonography(EUS); the same procedure was used after treatment to confirm eradication of *** puncturing the GV with a regular injection needle,1 mL of undiluted NBCM was injected intranasally into *** injection was repeated as necessary to achieve eradication or until a maximum total volume of 3 mL of NBCM had been *** were followed clinically and evaluated with endoscopy at 3,6 and 12 *** follow-ups were performed *** main outcome measures were efficacy(GV eradication),safety(adverse events related to cyanoacrylate injection),recurrence,bleeding from GV and mortality related to GV ***:A total of 20 patients(15 male)with PH and GV were enrolled in the study and treated with undiluted NBCM *** 2(10%)patients had no esophageal varices(EV); 18(90%)patients were treated with endoscopic band ligation to eradicate EV before inclusion in the *** patients were followed clinically and endoscopically for a median of 31 mo(range:6-40 mo).Eradication of GV was observed in all patients(13 patients were treated with 1 session and 7 patients with 2 sessions),with a maximum injected volume of 2 mL *** patient had GV recurrence,confirmed by EUS,at 6-mo follow-up,and another had late recurrence with GV bleeding after 35 mo of follow-up; overall,GV recurrence was observed in 2 patients(10%),after 6 and 35 mo of follow-up,and GV bleeding rate was 5%(1 patient).Mild epigastric pain was r

关键词： Gastric varices Primary prevention Endoscopy Gastrointestinal Cyanoacrylates Gastrointestinal hemorrhage

Risk Factors for Birth Asphyxia in Togo: A Case-Control Study

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Open Journal of Pediatrics 2021年第4期11卷 816-831页

作者： Foli Agbeko Ayoko Améyo Kétévi Mawouto Fiawoo Bouwereou Bi-Labna Tata Kokouvi Evenyo Abalo Elom Ounoo Takassi Baguilane Douaguibe Djatougbé Ayaovi Elie Akolly Homba Daké Batalia Rollin Arnaud Djomaleu Rachel Bayahou Kérékou Manani Hemou Mazama Pakoudjare Magnoulelen Nzonou Essèboè Koffitsè Sewu Sollim Talboussouma Bayaki Saka Deladem Komi Azoumah Edem Koffi Djadou Kokou Nadiedjoa Douti Adama Dodji Gbadoe Yawo Dzayissé Atakouma Paediatric Department University of Lomé Lomé Togo Paediatric Ward CHU Campus Lomé Togo Gynécology-Obstétric Ward CHU Sylvanus Olympio Gynecology-Obstetric Department University of Lomé Lomé Togo Paediatric Ward CHU Sylvanus Olympio Lomé Togo Paediatric Ward Bè Hospital Lomé Togo African Center of Research in Epidemiology and in Public Health Lomé Togo Paediatric Ward CHU Kara Kara Togo Dermatology Ward CHU Sylvanus Olympio Université of Lomé Lomé Togo Paediatric Department University of Kara Kara Togo

Background: Birth Asphyxia (BA) is one of the leading causes of neonatal death in developing countries. In Togo, 30.55% of neonatal deaths were related to BA and caused by several risk factors. The purpose of this piece of work is to analyse the antepartum, intrapartum, and foetal risk factors of BA. Methods: This is a case control study, conducted from 1st December 2019 to 28th February 2020 in obstetrics wards and at neonatal intensive care of paediatric ward at the Sylvanus Olympio university teaching hospital (CHU-SO) in Lomé, Togo. Neonates diagnosed with BA (Apgar score th minute) were considered as “cases” (N = 200) while neonates born either with normal vaginal delivery or by cesarean section having no abnormality were considered as “control” (N = 200). Results: The prevalence rate of BA was 9.13%. Age (p = 0.0391), gravidity (p = 0.0040), type of facility for prenatal follow-up (p 0.0001), use of Long-lasting impregnated mosquito nets (LLIN) (p 0.0001), notion of maternal fever (p 0.0001) and chronic pathology (p 0.0001) were related to occurrence of BA. Significant antepartum risk factors observed were age <

关键词： Birth Asphyxia Neonate Risk Factor Togo

Phase angle and non-alcoholic fatty liver disease before and after bariatric surgery

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World Journal of Hepatology 2020年第11期12卷 1004-1019页

作者： Joise Teixeira Claudio Augusto Marroni Paula Rosales Zubiaurre Ana Henz Lais Faina Lilian KethelynPinheiro Claudio Cora Mottin Sabrina Alves Fernandes Department of Postgraduate Program in Medicine:Hepatology Universidade Federal de Ciências da Saúde de Porto AlegrePorto Alegre 90050170RSBrazil Department of Gastroenterology and Hepatology Universidade Federal de Ciências da Saúde de Porto Alegre(UFCSPA)Porto Alegre 91760470RSBrazil Department of Center of Morbid Obesity Pontificia Universidade Catolica do Rio Grande do Sul(PUCRS)Porto Alegre 90610000RSBrazil Department of Nutrition Centro Universitario Metodista(IPA)Porto Alegre 90420060RSBrazil Department of Vascular Surgery Hospital Federal dos Servidores do Estado do Rio de JaneiroRio de Janeiro 20221161RJBrazil Department of Obesity and Metabolic Syndrome Center Pontificia Universidade Catolica do Rio Grande do Sul(PUCRS)Porto Alegre 90619-900RSBrazil

BACKGROUND Obesity is a global health problem that is continuing to increase in the young *** Brazil,the frequency of obesity in 2018 was 19.8%.Several comorbidities are directly associated with obesity,such as non-alcoholic fatty liver disease(NAFLD),which is considered the most common liver disorder in Western countries and affects up to 46%of *** surgery is effective in treating obesity and can improve NAFLD;however,the effect of bariatric surgery on body composition,phase angle(PA),and improving NAFLD needs to be further *** To analyze the PA in the postoperative period of bariatric surgery and to correlate it with changes in body composition and liver *** This study is a retrospective cohort study of the analysis of the medical records of patients undergoing bariatric surgery in a reference center of a teaching hospital in Porto Alegre over a 2-year *** older than 18 years whose record contained all information relevant to the study were *** data analyzed were body composition and PA through electrical bioimpedance and NAFLD through liver biopsy in the pre-and postoperative *** level of significance adopted for the statistical analyses was 5%.RESULTS We evaluated 379 patients with preoperative *** PA,169 patients were analyzed,and 33 patients had liver biopsy pre-and postoperatively with NAFLD *** total,79.4%were female,with a mean age of 39.1±10.6 *** average body mass index(BMI)was 45.9±7.5 kg/m².The PA showed a mean of 5.8±0.62°in the preoperative period and a significant reduction in the postoperative period.A postoperative reduction in body composition data(skeletal muscle mass,fat percentage,fat mass,body cell mass,BMI and visceral fat area)was shown as *** liver disease,all patients presented a reduction in the degrees and stages of liver disease in the postoperative period,and some had no degree of liver disease at *** PA decreased af

关键词： Obesity Body composition Bariatric surgery Phase angle Non-alcoholic fatty liver disease Liver disease

A Validated Model for the Imaging Diagnosis of Cystic Lung Disease

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Open Journal of Radiology 2023年第1期13卷 42-57页

作者： Wallace T. Miller Karen C. Patterson Shweta Sood James E. Schmitt Arshad A. Wani Robert Borden Maya Galperin-Aisenberg Mary K. Porteus Michelle L. Hershman Michael Hewitt Jennifer Levy Victor D. Babatunde Tetiana Glushko Timothy J. Niesen Sergey Leshchinskiy Karine Sahakyan Keyur Desai Jennifer A. Gillman Sandeep Reddy Michael Shriver Nathaniel B. Linna Abass M. Noor Aysenur Buz Matthew E. Biron Scott Simpson Department of Radiology University of Botswana Gaborone Botswana Department of Medicine Perelman School of Medicine University of Pennsylvania Philadelphia USA Brighton and Sussex Medical School Brighton England Department of Radiology Perelman School of Medicine University of Pennsylvania Philadelphia USA Department of Radiologic Sciences Drexel University College of Medicine Philadelphia USA Department of Radiology Mercy Catholic Medical Center Philadelphia USA Department of Diagnostic Imaging School of Alpert Medical Brown University Providence USA Department of Radiology Goztepe Research and Training Hospital Istanbul Medeniyet University Istanbul Türkiye

Rationale and Objectives: Cystic lung disease may be accurately diagnosed by imaging interpretation of specialist radiologists, without other information. We hypothesized that with minimal training non-specialists could perform similarly to specialist physicians in the diagnosis of cystic lung disease. Methods: 72 cystic lung disease cases and 25 cystic lung disease mimics were obtained from three sources: 1) a prospective acquired diffuse lung disease registry, 2) a retrospective search of medical records and 3) teaching files. Cases were anonymized, randomized and interpreted by 7 diffuse lung disease specialists and 15 non-specialist radiologists and pulmonologists. Clinical information other than age and sex was not provided. Prior to interpretation, non-specialists viewed a short PDF training document explaining cystic lung disease interpretation. Results: Correct first choice diagnosis of 85%-88% may be achieved by high-performing specialist readers and 71%-80% by non-specialists and lower-performing specialists, with mean accuracies in the diagnosis of LAM (91%, p Conclusion: With specific but limited training, non-specialist physicians can diagnose cystic lung diseases from CT appearance alone with similar accuracy to specialists, correctly identifying approximately 75% of cases.

关键词： Lymphangioleiomyomatosis Histiocytosis Langerhans-Cell Idiopathic Interstitial Pneumonias Birt-Hogg-Dube Syndrome Lung Diseases Interstitial Diagnoses Differential