目的总结儿童烧伤创面操作性疼痛非药物管理的最佳证据。方法采用文献计量学方法。系统检索UpToDate、BMJ Best Practice、Cochrane Library、PubMed、Embase、Web of Science、CINAHL、Registered Nurses′Association of Ontario、Sco...目的总结儿童烧伤创面操作性疼痛非药物管理的最佳证据。方法采用文献计量学方法。系统检索UpToDate、BMJ Best Practice、Cochrane Library、PubMed、Embase、Web of Science、CINAHL、Registered Nurses′Association of Ontario、Scottish Intercollegiate Guidelines Network、New Zealand Guidelines Group、Joanna Briggs Institute Evidence-Based Practice Database、American Burn Association、中国知网、万方数据库、维普数据库、中国生物医学文献服务系统、医脉通、梅斯医学等数据库公开发表的关于儿童烧伤创面操作性疼痛非药物管理的所有证据,包括指南、临床决策、证据总结、推荐实践、专家共识、系统评价,检索时限为建库至2023年8月。筛选文献并评价文献质量,从中提取证据并进行评价,总结最佳证据。结果纳入文献15篇,包括指南3篇、临床决策3篇、证据总结3篇、系统评价6篇,从疼痛多维度评估与识别,非药物管理原则、方法及注意事项,社会干预,健康教育,建立多学科团队,换药操作技术方面总结出31条最佳证据。结论从8个方面总结出31条有关儿童烧伤创面操作性疼痛非药物管理的最佳证据,可为临床烧伤患儿创面换药实践提供决策依据。展开更多
Rational carbonate electrolyte chemistry is critical for the development of high-voltage lithium metal batteries(LMBs).However,the implementation of traditional carbonate electrolyte is greatly hindered by the generat...Rational carbonate electrolyte chemistry is critical for the development of high-voltage lithium metal batteries(LMBs).However,the implementation of traditional carbonate electrolyte is greatly hindered by the generation of an unstable electrode interphase and corrosive by-product(HF).Herein,we propose a triple-function eutectic solvent additive of N-methylacetamide(NmAc)with LiNO_(3) to enhance the stability and compatibility of carbonate electrolyte.Firstly,the addition of NmAc significantly improves the solubility of LiNO_(3) in carbonate electrolyte by forming an eutectic pair,which regulates the Li~+solvation structure and leads to dense and homogenous Li plating.Secondly,the hydrolysis of acidic PF_5 is effectively alleviated due to the strong complexation of NmAc with PF_5,thus reducing the generation of corrosive HF.In addition,the optimized cathode electrolyte interphase layer decreases the structural degradation and transition metal dissolution.Consequently,Li||LiNi_(0.6)Co_(0.2)Mn_(0.2)O_(2)(NCM622)cells with the designed electrolyte deliver superior long-term cycle reversibility and excellent rate capability.This study unveils the rationale for incorporating eutectic solvent additives within carbonate electrolytes,which significantly contribute to the advancement of their practical application for high-voltage LMBs.展开更多
文摘目的总结儿童烧伤创面操作性疼痛非药物管理的最佳证据。方法采用文献计量学方法。系统检索UpToDate、BMJ Best Practice、Cochrane Library、PubMed、Embase、Web of Science、CINAHL、Registered Nurses′Association of Ontario、Scottish Intercollegiate Guidelines Network、New Zealand Guidelines Group、Joanna Briggs Institute Evidence-Based Practice Database、American Burn Association、中国知网、万方数据库、维普数据库、中国生物医学文献服务系统、医脉通、梅斯医学等数据库公开发表的关于儿童烧伤创面操作性疼痛非药物管理的所有证据,包括指南、临床决策、证据总结、推荐实践、专家共识、系统评价,检索时限为建库至2023年8月。筛选文献并评价文献质量,从中提取证据并进行评价,总结最佳证据。结果纳入文献15篇,包括指南3篇、临床决策3篇、证据总结3篇、系统评价6篇,从疼痛多维度评估与识别,非药物管理原则、方法及注意事项,社会干预,健康教育,建立多学科团队,换药操作技术方面总结出31条最佳证据。结论从8个方面总结出31条有关儿童烧伤创面操作性疼痛非药物管理的最佳证据,可为临床烧伤患儿创面换药实践提供决策依据。
基金supported by the National Natural Science Foundation of China(22379166)Natural Science Foundation for Distinguished Young Scholars of Hunan Province(2022JJ10089)+1 种基金Central South University Innovation-Driven Research Program(2023CXQD034)supported in part by the High-Performance Computing Center of Central South University。
文摘Rational carbonate electrolyte chemistry is critical for the development of high-voltage lithium metal batteries(LMBs).However,the implementation of traditional carbonate electrolyte is greatly hindered by the generation of an unstable electrode interphase and corrosive by-product(HF).Herein,we propose a triple-function eutectic solvent additive of N-methylacetamide(NmAc)with LiNO_(3) to enhance the stability and compatibility of carbonate electrolyte.Firstly,the addition of NmAc significantly improves the solubility of LiNO_(3) in carbonate electrolyte by forming an eutectic pair,which regulates the Li~+solvation structure and leads to dense and homogenous Li plating.Secondly,the hydrolysis of acidic PF_5 is effectively alleviated due to the strong complexation of NmAc with PF_5,thus reducing the generation of corrosive HF.In addition,the optimized cathode electrolyte interphase layer decreases the structural degradation and transition metal dissolution.Consequently,Li||LiNi_(0.6)Co_(0.2)Mn_(0.2)O_(2)(NCM622)cells with the designed electrolyte deliver superior long-term cycle reversibility and excellent rate capability.This study unveils the rationale for incorporating eutectic solvent additives within carbonate electrolytes,which significantly contribute to the advancement of their practical application for high-voltage LMBs.
