目的探讨神经外科重症昏迷患者人工气道管理方案的临床应用效果。方法制订神经外科昏迷患者人工气道管理方案,包括综合评估、系统实施、量表督查和落实改进4个方面。收集我院神经重症监护单元收治的283例格拉斯哥昏迷评分(Glasgow Coma ...目的探讨神经外科重症昏迷患者人工气道管理方案的临床应用效果。方法制订神经外科昏迷患者人工气道管理方案,包括综合评估、系统实施、量表督查和落实改进4个方面。收集我院神经重症监护单元收治的283例格拉斯哥昏迷评分(Glasgow Coma Scale,GCS)<6分且建立气管切开人工气道的神经重症昏迷患者的临床资料。其中2013年—2015年的161例患者为对照组,采取常规气道管理模式;2016年—2018年的122例患者为试验组,实施神经外科昏迷患者人工气道管理方案,分别收集两组干预前和干预1周后痰液性状、声门下吸引物性状、肺部感染发生率、ICU住院时间和平均住院日的资料。结果试验组痰液和声门下吸引物显著减少,性状较对照组明显改善(P<0.001);试验组肺部感染发生率为32.8%,较对照组显著下降(P<0.01);试验组ICU住院时间和平均住院日均显著降低(P<0.01和P<0.001)。人工气道工作小组气道综合管理措施执行效果量化评分为(94.6±1.8)分。结论落实神经外科昏迷患者人工气道管理方案,能够改善患者的痰液性状,降低肺部感染发生率,缩短住院日,改善患者预后。展开更多
Bird songs are considered a sexually selected trait that can reflect the individual health of males as well as the vitality of potential mates and their competitors.Vocalization features should,therefore,be related to...Bird songs are considered a sexually selected trait that can reflect the individual health of males as well as the vitality of potential mates and their competitors.Vocalization features should,therefore,be related to parasite load and body condition.Here,we performed a thorough acoustic analysis of the display calls of 9-month-old sub-adults and 18-month-old adults of pasture-raised red junglefowls Gallus gallus.We investigated whether the calls of pasture-raised red junglefowls can indicate body size and body condition,in addition to the influence of parasitic infection intensity on the expression of sexual traits.We found that frequency-related syllable parameters were significantly positively correlated with wing length in adults,whereas body weight was independent of both the frequency and temporal parameters of calls.In addition,we correlated parasitic load with the expression of sexually selected traits and discovered a positive association between the intensity of parasite infection and wing length in sub-adults,independent of vocal parameters.Overall,the results suggest that the vocalization of red junglefowls may convey reliable body size information,which will facilitate further studies of different vocal parameters in the transmission of bird vocalizations.展开更多
文摘目的探讨神经外科重症昏迷患者人工气道管理方案的临床应用效果。方法制订神经外科昏迷患者人工气道管理方案,包括综合评估、系统实施、量表督查和落实改进4个方面。收集我院神经重症监护单元收治的283例格拉斯哥昏迷评分(Glasgow Coma Scale,GCS)<6分且建立气管切开人工气道的神经重症昏迷患者的临床资料。其中2013年—2015年的161例患者为对照组,采取常规气道管理模式;2016年—2018年的122例患者为试验组,实施神经外科昏迷患者人工气道管理方案,分别收集两组干预前和干预1周后痰液性状、声门下吸引物性状、肺部感染发生率、ICU住院时间和平均住院日的资料。结果试验组痰液和声门下吸引物显著减少,性状较对照组明显改善(P<0.001);试验组肺部感染发生率为32.8%,较对照组显著下降(P<0.01);试验组ICU住院时间和平均住院日均显著降低(P<0.01和P<0.001)。人工气道工作小组气道综合管理措施执行效果量化评分为(94.6±1.8)分。结论落实神经外科昏迷患者人工气道管理方案,能够改善患者的痰液性状,降低肺部感染发生率,缩短住院日,改善患者预后。
基金supported by the National Natural Science Foundation of China(62125404,62004193,61922077,12274456,92163206,51991342,and 11874347)the Strategic Priority Research Program of Chinese Academy of Sciences(XDB43000000)+3 种基金the Guangdong Major Project of Basic and Applied Basic Research(2021B0301030002)the National Key R&D Program of China(2021YFA1400502 and 2022YFA1405600)supported by the Youth Innovation Promotion Association of Chinese Academy of Sciences(Y2021042)the Nanofabrication Laboratory in the National Centre for Nanoscience and Technology for the electron beam lithography。
基金This work was supported by the National Natural Science Foundation of China(Nos.32170516 and 31872243 to YZ and 31800320 to XR)and by the Innovation Platform for Academicians of Hainan Province,China.
文摘Bird songs are considered a sexually selected trait that can reflect the individual health of males as well as the vitality of potential mates and their competitors.Vocalization features should,therefore,be related to parasite load and body condition.Here,we performed a thorough acoustic analysis of the display calls of 9-month-old sub-adults and 18-month-old adults of pasture-raised red junglefowls Gallus gallus.We investigated whether the calls of pasture-raised red junglefowls can indicate body size and body condition,in addition to the influence of parasitic infection intensity on the expression of sexual traits.We found that frequency-related syllable parameters were significantly positively correlated with wing length in adults,whereas body weight was independent of both the frequency and temporal parameters of calls.In addition,we correlated parasitic load with the expression of sexually selected traits and discovered a positive association between the intensity of parasite infection and wing length in sub-adults,independent of vocal parameters.Overall,the results suggest that the vocalization of red junglefowls may convey reliable body size information,which will facilitate further studies of different vocal parameters in the transmission of bird vocalizations.
