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Risk factors associated with 90-day recurrent stroke in patients on dual antiplatelet therapy for minor stroke or high-risk TIA:a subgroup analysis of the CHANCE trial 被引量:7
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作者 Runqi wangqin Xianwei Wang +6 位作者 Yilong Wang Ying Xian Xingquan Zhao Liping Liu Hao Li Xia Meng Yongjun Wang 《Stroke & Vascular Neurology》 SCIE 2017年第4期176-183,共8页
Objective Many patients receiving dual antiplatelet therapy still had recurrent strokes.We aimed to identify factors associated with recurrent stroke at 90 days in patients receiving dual antiplatelet therapy in Clopi... Objective Many patients receiving dual antiplatelet therapy still had recurrent strokes.We aimed to identify factors associated with recurrent stroke at 90 days in patients receiving dual antiplatelet therapy in Clopidogrel in High-risk patients with Acute Non-disabling Cerebrovascular Events trial.Methods Patients with transient ischaemic attack or minor stroke receiving clopidogrel and aspirin in the trial were analysed in the study.The primary outcome was recurrent stroke within 90 days after the index event.Cox proportional hazard model with backward selection was used to identify factors associated with stroke.results Among 2584 patients,212(8.2%)had a recurrent stroke,216(8.4%)had a composite of stroke,myocardial infarction,or vascular death and 204(7.9%)had ischaemic stroke within 90 days.Multivariate analysis identified the following factors associated with stroke:history of hypertension with poor blood pressure control(HR,1.92;95%CI 1.22 to 3.03),the high baseline National Institute of Health Stroke Scale(NIHSS)score of 2 and 3(2.12(1.07 to 4.21)and 4.11(2.05 to 8.22),respectively),time from onset to randomisation of<12 hours(1.47(1.12 to 1.94)),the lipid-lowering therapy(0.61(0.47 to 0.83)),the open-label aspirin dose at day 1 of≥300 mg(1.98(1.45 to 2.69)).Intracranial arterial stenosis(ICAS)was significantly associated with stroke in the sensitivity analysis(2.17(1.16 to 4.04)).conclusions The high baseline NIHSS score,hypertension with poor blood pressure control,ICAS,time from onset to randomisation of less than 12 hours and no lipid-lowering therapy were associated with stroke,suggesting that patients with identified predictors still remain to be at high risk of recurrent stroke although being under the dual antiplatelet therapy. 展开更多
关键词 PATIENTS Acute analysis
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LDL-C levels,lipid-lowering treatment and recurrent stroke in minor ischaemic stroke or TIA 被引量:7
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作者 Yuesong Pan Runqi wangqin +7 位作者 Hao Li Aoming Jin Jiejie Li Jinxi Lin Xia Meng Ying Xian Daniel T Laskowitz Yongjun Wang 《Stroke & Vascular Neurology》 SCIE CSCD 2022年第4期276-284,共9页
Background and purpose Dyslipidaemia is a major risk factor for ischaemic stroke and transient ischaemic attack(TIA).This study aimed to investigate the association between baseline low-density lipoprotein cholesterol... Background and purpose Dyslipidaemia is a major risk factor for ischaemic stroke and transient ischaemic attack(TIA).This study aimed to investigate the association between baseline low-density lipoprotein cholesterol(LDL-C)level,lipid-lowering treatment and short-term risk of new stroke in patients with a minor ischaemic stroke or TIA.Methods We derived data from the Clopidogrel in High-risk patients with Acute Non-disabling Cerebrovascular Events trial.Patients with a minor stroke or TIA were categorised by LDL-C level at baseline(<2.6 or≥2.6 mmol/L(100 mg/dL))and with or without lipid-lowering treatment after symptom onset.The primary outcome was a new ischaemic stroke at 3 months.The association of baseline LDL-C level,lowering treatment and outcomes were assessed.Results Among 3027 patients,2154(71.2%)patients had an initial LDL-C≥2.6 mmol/L,of which 1267(41.9%)received lipid-lowering treatment.Elevated LDL-C level was associated with a higher risk of new ischaemic stroke at 3 months in patients without lipid-lowering treatment(adj.HR=1.35,95%CI:1.19 to 1.53),but not in those with lipid-lowering treatment(adj.HR=0.99,95%CI:0.82 to 1.19)(p for interaction=0.007).Patients with LDL-C≥2.6 mmol/L had a numerically higher risk of ischaemic stroke(11.8%vs 8.0%,adj.HR=1.37,95%CI:0.96 to 1.96)in those without lipid-lowering treatment.For patients with LDL-C≥2.6 mmol/L,lipid-lowering treatment was associated with reduced risk of ischaemic stroke at 3 months(7.9%vs 11.8%;adj.HR=0.54,95%CI:0.39 to 0.75).Conclusions Elevated untreated baseline LDL-C level was associated with an increased short-term risk of ischaemic stroke among patients presenting with minor ischaemic stroke or TIA.There was potential benefit of lipid-lowering treatment in minor stroke or TIA patients with LDL-C≥2.6 mmol/L.Trial registration number NCT00979589. 展开更多
关键词 ISCHAEMIC TREATMENT Acute
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疫情防控背景下护理专业课程思政建设路径探索 被引量:5
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作者 陶凤燕 王琴 季诚 《科教文汇》 2021年第7期114-116,共3页
新冠肺炎疫情暴发后,奔赴湖北一线的抗疫护士们用生命诠释着护理职业精神。在抗击疫情的关键时期,传承抗疫精神,需要深入认识到护理课程思政建设的重要性,探索护理课程思政建设路径,通过顶层设计,健全护理课程思政的组织机制,协同育人,... 新冠肺炎疫情暴发后,奔赴湖北一线的抗疫护士们用生命诠释着护理职业精神。在抗击疫情的关键时期,传承抗疫精神,需要深入认识到护理课程思政建设的重要性,探索护理课程思政建设路径,通过顶层设计,健全护理课程思政的组织机制,协同育人,构建护理课程思政的育人圈层,分门别类地挖掘护理专业课程中的思政元素,因生施教,有序开展疫情防控期间的线上教学,坚持思创融合,创新疫情防控期间的实践育人体系,培养有温度的护理人才。 展开更多
关键词 疫情防控 护理 课程思政
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Insights into the efficient charge separation over Nb_(2)O_(5)/2D-C_(3)N_(4) heterostructure for exceptional visible-light driven H_(2) evolution 被引量:4
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作者 Jia Yan Ting Wang +6 位作者 Siyao Qiu Zhilong Song wangqin Zhu Xianhu Liu Jiabiao Lian Chenghua Sun Huaming Li 《Journal of Energy Chemistry》 SCIE EI CAS CSCD 2022年第2期548-555,共8页
Two-dimensional carbon nitride(2 D-C_(3) N_(4))nanosheets are promising materials in photocatalytic water splitting,but still suffer from easy agglomeration and fast photogene rated electron-hole pairs recombination.T... Two-dimensional carbon nitride(2 D-C_(3) N_(4))nanosheets are promising materials in photocatalytic water splitting,but still suffer from easy agglomeration and fast photogene rated electron-hole pairs recombination.To tackle this issue,herein,a hierarchical Nb_(2) O_(5)/2 D-C_(3) N_(4) heterostructure is precisely constructed and the built-in electric field between Nb_(2)O_(5) and 2 D-C_(3) N_(4) can provide the driving force to separate/transfer the charge carriers efficiently.Moreover,the strongly Lewis acidic Nb_(2)O_(5) can adsorb TEOA molecules on its surface at locally high concentrations to facilitate the oxidation reaction kinetics under irradiation,resulting in efficient photogene rated electrons-holes separation and exceptional photocatalytic hydrogen evolution.As expected,the champion Nb_(2)O_(5)/2 D-C_(3)N_(4) heterostructure achieves an exceptional H2 evolution rate of 31.6 mmol g^(-1) h^(-1),which is 213.6 times and 4.3 times higher than that of pristine Nb_(2)O_(5) and2 D-C_(3)N_(4),respectively.Moreover,the champion heterostructure possesses a high apparent quantum efficiency(AQE)of 45.08%atλ=405 nm and superior cycling stability.Furthermore,a possible photocatalytic mechanism of the energy band alignment at the hetero-interface is proposed based on the systematical characterizations accompanied by density functional theory(DFT)calculations.This work paves the way for the precise construction of a high-quality heterostructured photocatalyst with efficient charge separation to boost hydrogen production. 展开更多
关键词 Interfacial engineering Nb_(2)O_(5)/2D-C_(3)N_(4)heterostructure Energy band alignment Hydrogen production Density functional theory
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Application of a Combination of Two Teaching Methods in Pediatric Teaching
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作者 wangqin Lu 《Journal of Contemporary Educational Research》 2024年第4期182-186,共5页
Pediatrics is one of the clinical professional courses that is highly practical.The traditional single teaching method is inconducive to stimulating students’interest in learning,resulting in a poor classroom teachin... Pediatrics is one of the clinical professional courses that is highly practical.The traditional single teaching method is inconducive to stimulating students’interest in learning,resulting in a poor classroom teaching effect.To change the traditional single teaching model and promote and improve the development of pediatric teaching,according to the level of pediatric teaching,colleges can consider combining two teaching methods to carry out pediatric teaching.The main research in this paper is the combination of PBL(problem-based learning)teaching and CBS(case-based study)teaching.An overview of the two teaching methods is first given,and then the application significance of the combination of the two teaching methods is analyzed.Lastly,it explores the specific implementation of hybrid teaching methods in pediatric teaching. 展开更多
关键词 HYBRID Pediatric teaching PBL teaching CBS teaching
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IDEAL STRUCTURE OF UNIFORM ROE ALGEBRAS OVER SIMPLE CORES 被引量:3
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作者 CHENXIAOMAN wangqin 《Chinese Annals of Mathematics,Series B》 SCIE CSCD 2004年第2期225-232,共8页
This paper characterizes ideal structure of the uniform Roe algebra B*(X) over simple cores X. A necessary and sufficient condition for a principal ideal of B*(X) to be spatial is given and an example of non-spatial i... This paper characterizes ideal structure of the uniform Roe algebra B*(X) over simple cores X. A necessary and sufficient condition for a principal ideal of B*(X) to be spatial is given and an example of non-spatial ideal of B*(X) is constructed. By establishing an one-one correspondence between the ideals of B* (X) and the ω-filters on X, the maximal ideals of B*(X) are completely described by the corona of the Stone-Cech compactification of X. 展开更多
关键词 Uniform Roe algebra Simple core Ideal ULTRAFILTER Stone-Cech com-pactification
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一种改良的西瓜靠接育苗技术 被引量:2
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作者 焦荻 柳唐镜 +7 位作者 商纪鹏 高素燕 张海英 郝建全 王钦 何伟 黄亚杰 焦定量 《中国瓜菜》 CAS 北大核心 2023年第10期161-163,共3页
介绍了一种改良的西瓜靠接育苗技术,接穗与砧木分别用128孔穴盘育苗,嫁接后放入50孔穴盘中进行育苗管理。该方法避免了接穗与砧木大小苗不匹配的情况,接穗不用断根且不需要饱和湿度环境管理。相比于其他嫁接方法,具有嫁接操作简单、对... 介绍了一种改良的西瓜靠接育苗技术,接穗与砧木分别用128孔穴盘育苗,嫁接后放入50孔穴盘中进行育苗管理。该方法避免了接穗与砧木大小苗不匹配的情况,接穗不用断根且不需要饱和湿度环境管理。相比于其他嫁接方法,具有嫁接操作简单、对育苗设施要求不高、嫁接苗易管理、成活率高等优点。这种改良的西瓜靠接育苗技术可应用于西瓜育种和生产中。 展开更多
关键词 西瓜 靠接 育苗
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槲皮素金属配合物合成及药理作用研究现状 被引量:2
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作者 王勤 周刚 申键 《北方药学》 2020年第12期192-196,共5页
根据近几年的文献,介绍槲皮素金属配合物的合成、表征和生物活性的研究进展,槲皮素可与主族、副族、稀土元素形成配合物,且配合物具有抗肿瘤、抗氧化和抗菌等生物活性。本文对槲皮素金属配合物未来发展提供借鉴和指导,并对其未来研究进... 根据近几年的文献,介绍槲皮素金属配合物的合成、表征和生物活性的研究进展,槲皮素可与主族、副族、稀土元素形成配合物,且配合物具有抗肿瘤、抗氧化和抗菌等生物活性。本文对槲皮素金属配合物未来发展提供借鉴和指导,并对其未来研究进行展望。 展开更多
关键词 槲皮素 金属配合物 药理作用。
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Temporal trends and rural-urban disparities in cerebrovascular risk factors,in-hospital management and outcomes in ischaemic strokes in China from 2005 to 2015:a nationwide serial cross-sectional survey
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作者 Chun-Juan Wang Hong-Qiu Gu +23 位作者 Xin-Miao Zhang Yong Jiang Hao Li Janet Prvu Bettger Xia Meng Ke-Hui Dong Run-Qi wangqin Xin Yang Meng Wang Chelsea Liu Li-Ping Liu Bei-Sha Tang Guo-Zhong Li Yu-Ming Xu Zhi-Yi He Yi Yang Winnie Yip Gregg C Fonarow Lee H Schwamm Ying Xian Xing-Quan Zhao Yi-Long Wang Yongjun Wang Zixiao Li 《Stroke & Vascular Neurology》 SCIE CSCD 2023年第1期34-50,共17页
Background Stroke is the leading cause of mortality in China,with limited evidence of in-hospital burden obtained from nationwide surveys.We aimed to monitor and track the temporal trends and rural-urban disparities i... Background Stroke is the leading cause of mortality in China,with limited evidence of in-hospital burden obtained from nationwide surveys.We aimed to monitor and track the temporal trends and rural-urban disparities in cerebrovascular risk factors,management and outcomes from 2005 to 2015.Methods We used a two-stage random sampling survey to create a nationally representative sample of patients admitted for ischaemic stroke in 2005,2010 and 2015.We sampled participating hospitals with an economic-geographical region-stratified random-sampling approach first and then obtained patients with a systematic sampling approach.We weighed our survey data to estimate the national-level results and assess changes from 2005 to 2015.Results We analysed 28277 ischaemic stroke admissions from 189 participating hospitals.From 2005 to 2015,the estimated national hospital admission rate for ischaemic stroke per 100000 people increased(from 75.9 to 402.7,Ptrend<0.001),and the prevalence of risk factors,including hypertension,diabetes,dyslipidaemia and current smoking,increased.The composite score of diagnostic tests for stroke aetiology assessment(from 0.22 to 0.36,Ptrend<0.001)and secondary prevention treatments(from 0.46 to 0.70,Ptrend<0.001)were improved.A temporal decrease was found in discharge against medical advice(DAMA)(from 15.2%(95%CI 13.7%to 16.7%)to 8.6%(8.1%to 9.0%);adjusted Ptrend=0.046),and decreases in in-hospital mortality(0.7%in 2015 vs 1.8%in 2005;adjusted OR(aOR)0.52;95%CI 0.32 to 0.85)and the composite outcome of in-hospital mortality or DAMA(8.4%in 2015 vs 13.9%in 2005;aOR 0.65;95%CI 0.47 to 0.89)were observed.Disparities between rural and urban hospitals narrowed;however,disparities persisted in in-hospital management(brain MRI:rural-urban difference from−14.4%to−11.2%;cerebrovascular assessment:from−20.3%to−16.7%;clopidogrel:from−2.1%to−10.3%;anticoagulant for atrial fibrillation:from−10.9%to−8.2%)and in-hospital outcomes(DAMA:from 2.7%to 5.0%;composite outcome of in-hospital mortality or DAM 展开更多
关键词 admitted NATIONWIDE survey
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Pollen Morphology of Artemisia L. and Its Systematic Significance 被引量:1
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作者 JIANGLin wangqin +1 位作者 YELiu-zhong LINYou-run 《Wuhan University Journal of Natural Sciences》 EI CAS 2005年第2期448-454,共7页
The pollen of 57 species representing 7 sections ofArtemisia was examined by light microscope and scanning microscope for the purpose to elucidate the systematic relationships of the genus. The examination indicates t... The pollen of 57 species representing 7 sections ofArtemisia was examined by light microscope and scanning microscope for the purpose to elucidate the systematic relationships of the genus. The examination indicates that the pollen grains present high concordance which is characterized by the globular or the approximate shape, 3-lobed circular from polar view while granular or ellipse sphere from tropical plate with tricolporate structure. The exine of pollen has an obvious double structure of inner and outer layers (including the tectum and columnar layers) where the outer is thicker than the inner and the sculpture of exine degenerates into small spinules easily distinguishable from other genera of the Compositae. Based on exine sculpture. the pollen grains ofArtemisia can be divided into two types: Myriantha type and Mongolica type, which possesses 4 subtypes according to the distribution forms of spinule: (1) Sacrorum subtype, (2) Oligocarpa subtype, (3) Lavandulaefolia subtype, (4) Anomale subtype. 展开更多
关键词 Artenisia COMPOSITAE pollen morphology systematic significance
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淄博市出厂水中消毒副产物的健康风险评价 被引量:1
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作者 王敏 邢燕 +1 位作者 王勤 尚萌琳 《现代食品》 2018年第19期99-102,共4页
目的:研究淄博市出厂水中5种消毒副产物的暴露水平,并评价其对人体的健康风险。方法:采集淄博市17个出厂水水样,采用顶空-气相色谱法对水样中5种消毒副产物进行测定,并通过健康风险模型对饮用水途径引起的健康风险做初步评价。结果:淄博... 目的:研究淄博市出厂水中5种消毒副产物的暴露水平,并评价其对人体的健康风险。方法:采集淄博市17个出厂水水样,采用顶空-气相色谱法对水样中5种消毒副产物进行测定,并通过健康风险模型对饮用水途径引起的健康风险做初步评价。结果:淄博市17个出厂水的水样中,三氯甲烷、四氯化碳、一溴二氯甲烷、二溴一氯甲烷、三溴甲烷均有检出,其致癌个人年风险值在1.05×10-6~1.34×10-5。结论:淄博市17个出厂水中5种消毒副产物对人体的健康产生的潜在致癌个人年风险和非致癌健康风险均在美国环境保护署(USEPA)可以接受的范围之内,但仍需加强对饮用水中消毒副产物的长期监测。 展开更多
关键词 出厂水 消毒副产物 健康风险评价
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Synergistic coupling of amorphous carbon and graphitic domains toward high-rate and long-life K^(+) storage
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作者 Hehe Zhang wangqin Li +8 位作者 Jianhai Pan Zhefei Sun Bensheng Xiao Weibin Ye Chengzhi Ke Haowen Gao Yong Cheng Qiaobao Zhang Ming-Sheng Wang 《Journal of Energy Chemistry》 SCIE EI CAS CSCD 2022年第10期533-541,I0013,共10页
Amorphous carbon materials hold great potential for practical use in potassium-ion batteries(PIBs)due to their abundant resources,low cost and high structural stability.However,given the challenge of sluggish potassia... Amorphous carbon materials hold great potential for practical use in potassium-ion batteries(PIBs)due to their abundant resources,low cost and high structural stability.However,given the challenge of sluggish potassiation kinetics,the rate performance of amorphous carbon is severely hindered.Herein,amorphous carbon compounded with graphitic domains(HG-CNTs)was proposed as an advanced anode for PIBs.As directly verified by in situ transmission electron microscopy(TEM),the graphitic domains guarantee fast K-ions transport in the carbon composite at a high current density,while the amorphous carbon shells ensure the structural integrity during potassiation,thus boosting its fast and durable K^(+)storage.As a PlB anode,the HG-CNTs electrode exhibits not only a super-stable long-term cyclability(191.6 mAh g^(-1)at 1 A g^(-1)with almost no capacity decay over 3000 cycles),but also an outstanding rate performance(184.5 mAh g^(-1)at 2 A g^(-1)).Ex situ Raman and TEM results further suggest that the highly reversible structure of HG-CNTs is responsible for its superior electrochemical stability.This work provides helpful insights into the development of carbonaceous electrodes with both high rate capability and long cycle life for PIBs. 展开更多
关键词 Potassium-ion batteries Amorphous carbon Graphitic domains Synergistic effect In situ TEM
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Extension of Huron-Vidal-type Mixing Rule to Three-parameter Harmens-Knapp Cubic Equation of State
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作者 HANXiao-hong wangqin CHENGuang-ming CUIXiao-long 《Chemical Research in Chinese Universities》 SCIE CAS CSCD 2005年第2期209-212,共4页
In this paper was extended the HV-type mixing rules to Harmens-Knapp cubic equation state(HK CEOS). The new HV-type mixing rule with HK CEOS was tested for Vapor-liquid equilibrium(VLE) of different polar and nonpolar... In this paper was extended the HV-type mixing rules to Harmens-Knapp cubic equation state(HK CEOS). The new HV-type mixing rule with HK CEOS was tested for Vapor-liquid equilibrium(VLE) of different polar and nonpolar systems. The tested results are in good agreement with existing experimental data within a wide range of temperatures and pressures. In comparison with the VDW mixing rule, the new mixing rule gives much better predictions for the VLE of nonpolar and polar systems. 展开更多
关键词 Equation of state Activity coefficient Vapor-liquid equilibrium Mixing rule
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ROBOT PROGRAMMING BY DEMONSTRATION FOR TASK IN CONTACT STATE
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作者 wangqin QianJun WangChunxiang YangRuqing 《Chinese Journal of Mechanical Engineering》 SCIE EI CAS CSCD 2004年第3期336-339,共4页
Robot programming by demonstration (PBD) system for task in which objectrequires contact with environment is built based on the controlling skill model. The skill isdescribed in three aspects: contact state classifier... Robot programming by demonstration (PBD) system for task in which objectrequires contact with environment is built based on the controlling skill model. The skill isdescribed in three aspects: contact state classifier, acquirement of contact states sequence andcontrolling transition between states. The classifier is developed with the support vector machineby using force sense. Sequence of states is obtained from the force signal of demonstration by theevent trigger. The velocity command of transition is achieved by linearization method. The PBDsystem is successfully built with robot controller with open architecture. 展开更多
关键词 ROBOT Programming by demonstration Contact state Support vector machine
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基于IPA法的传统型景区游客满意度评价——以琅琊山景区为例 被引量:76
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作者 王钦安 彭建 孙根年 《地域研究与开发》 CSSCI CSCD 北大核心 2017年第4期110-115,共6页
游客满意度评价对景区规划、建设和管理很重要。结合文献分析与德尔菲法,构建了传统型景区游客满意度评价指标体系,并以琅琊山景区为例采用IPA模型进行案例分析。结果表明:琅琊山景区7个要素测度层——资源特色、景区环境、景区产品、... 游客满意度评价对景区规划、建设和管理很重要。结合文献分析与德尔菲法,构建了传统型景区游客满意度评价指标体系,并以琅琊山景区为例采用IPA模型进行案例分析。结果表明:琅琊山景区7个要素测度层——资源特色、景区环境、景区产品、景区交通、景区服务、景区设施、景区价格及30项因子测度指标感知均值都为满意度<重要性,游后感知实绩(满意度)全低于游前期望(重要性);IPA矩阵分析30项因子分布为:优势区域6项、修补区域4项、机会区域15项、维持区域5项,游后满意度(实绩)与游前重要性(期望)感知评价"双高项"占20.0%,"双低项"占50.0%。总体上游客期望值较高而满意度不高,各评价因子的满意度评价差异较大,景区需提升产品与服务。 展开更多
关键词 传统型景区 游客满意度 IPA法 琅琊山景区
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团体心理辅导对新护士入职初期心理压力影响的研究 被引量:19
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作者 邵赛丹 张王琴 +1 位作者 邱晓娟 李恩慈 《中国药物与临床》 CAS 2018年第3期335-337,共3页
目的探讨团体心理辅导对改善新护士入职初期心理压力的影响。方法将60名入职初期的新护士随机分为对照组和研究组,每组30名。对照组采取人文理论辅导,研究组予以团体心理辅导,比较2组辅导前后症状自评量表(SCL-90)、焦虑自评量表(SAS)... 目的探讨团体心理辅导对改善新护士入职初期心理压力的影响。方法将60名入职初期的新护士随机分为对照组和研究组,每组30名。对照组采取人文理论辅导,研究组予以团体心理辅导,比较2组辅导前后症状自评量表(SCL-90)、焦虑自评量表(SAS)及抑郁自评量表(SDS)的评分情况。结果 2组护士辅导前SCL-90、SAS及SDS各项因子差异无统计学意义(P>0.05);与辅导前相比较,研究组护士SCL-90的躯体化、人际关系、强迫症状、焦虑、抑郁以及总分均明显下降,并显著低于对照组(P<0.05);辅导后研究组SAS和SDS评分均显著低于对照组(P<0.05)。结论团体心理辅导能够减轻新护士入职初期的焦虑、抑郁情绪,缓解工作所带来的压力,提高心理健康水平。 展开更多
关键词 团体心理辅导 护士 心理健康状况 焦虑 抑郁
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耐甲氧西林金黄色葡萄球菌呼吸机相关性肺炎预防策略的最佳证据总结 被引量:18
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作者 单君 吉云兰 +5 位作者 雷晓玲 许惠芬 王林华 吴娟 李静逸 沈王琴 《中华护理杂志》 CSCD 北大核心 2019年第2期230-234,共5页
目的检索和分析预防耐甲氧西林金黄色葡萄球菌(methicillin-resistant Staphylococcus aureus,MRSA)呼吸机相关性肺炎的证据,并对最佳证据进行总结。方法通过计算机检索PubMed、Embase、Cochrane循证医学数据库、BMJ-Clinical Evidence... 目的检索和分析预防耐甲氧西林金黄色葡萄球菌(methicillin-resistant Staphylococcus aureus,MRSA)呼吸机相关性肺炎的证据,并对最佳证据进行总结。方法通过计算机检索PubMed、Embase、Cochrane循证医学数据库、BMJ-Clinical Evidence、BMJ-Best Practice、uptodate、JBI循证卫生保健国际合作中心图书馆、加拿大安大略护理学会网站、美国国立指南库、英国国家临床优化研究所、中国知网、维普、万方数据库、中国生物医学数据库等,包括所有指南、证据总结、最佳实践信息册、专家共识、系统评价及原始研究。检索时段为建库至2018年6月。由3名研究者对文献质量进行评价,对符合质量标准的文献进行证据提取。结果最终纳入文献9篇,其中1篇中文文献,8篇英文文献;实验研究1篇,队列研究1篇,系统评价5篇,专家共识1篇,指南1篇。总结的最佳证据如下:15 ml 2%氯己定进行口腔冲洗,2次/d,直至患者出院;每日氯己定擦浴;患者入住ICU时及24 h内采集鼻和咽拭子进行MRSA主动筛查;对于鼻腔有MRSA定植的患者,采用莫匹罗星软膏鼻内涂抹;手卫生依从性高及有规范的感染控制措施的医疗机构,可考虑终止保护性隔离;医院环境与医疗设备的清洁和消毒。结论建议临床医护人员对ICU患者进行MRSA的主动筛查,对早期定植患者进行去定植处理,机械通气早期进行氯己定口腔冲洗,保持环境清洁,预防MRSA呼吸机相关性肺炎的发生。 展开更多
关键词 肺炎 呼吸机相关 耐甲氧西林金黄色葡萄球菌 预防 循证护理
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PAD课堂在中医外科教学中的应用 被引量:13
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作者 赵虹 王安妮 +3 位作者 马丽俐 杨琰 余王琴 葛琼翔 《中医教育》 2018年第3期47-50,共4页
目的通过开展PAD课堂教学模式,合理分配师生角色,提升中医外科学教学效果。方法采用对照的方法,分别对两个班级实施传统教学和PAD课堂教学模式,通过分析教学效果调查问卷、两个班级课程成绩来比较两种教学模式效果的差异性。结果问卷调... 目的通过开展PAD课堂教学模式,合理分配师生角色,提升中医外科学教学效果。方法采用对照的方法,分别对两个班级实施传统教学和PAD课堂教学模式,通过分析教学效果调查问卷、两个班级课程成绩来比较两种教学模式效果的差异性。结果问卷调查显示PAD课堂教学模式的总体教学效果要优于传统教学模式,PAD课堂教学的班级成绩与传统教学班级比较,无统计学意义。结论 PAD课堂可以明显提升中医外科学教学效果,值得推广运用。 展开更多
关键词 PAD课堂 中医外科学 教学改革
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焦点式心理护理联合针对性护理在重症胰腺炎护理中的价值 被引量:11
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作者 施王琴 李倩 杜余芬 《中外医学研究》 2020年第4期86-88,共3页
目的:探讨焦点式心理护理联合针对性护理在重症胰腺炎护理中的应用价值。方法:将2017年4月-2018年5月笔者所在医院收治的116例重症胰腺炎患者作为研究对象,按照随机法分为对照组(58例,传统方式护理)、观察组(58例,焦点式心理护理联合针... 目的:探讨焦点式心理护理联合针对性护理在重症胰腺炎护理中的应用价值。方法:将2017年4月-2018年5月笔者所在医院收治的116例重症胰腺炎患者作为研究对象,按照随机法分为对照组(58例,传统方式护理)、观察组(58例,焦点式心理护理联合针对性护理),对比两组护理满意度、临床指标及生活质量。结果:观察组腹胀、肠鸣音、腹痛消退时间及住院时间均短于对照组,差异均有统计学意义(P<0.05)。观察组生理功能、心理功能、社会功能及物质生活评分均高于对照组,差异仅有统计学意义(P<0.05)。观察组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论:通过对重症胰腺炎患者实施焦点式心理护理联合针对性护理,能够改善其各项临床症状,提高其生活质量及护理满意度,临床应用价值及临床推广极高。 展开更多
关键词 焦点式心理护理 针对性护理 重症胰腺炎 临床效果
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血液透析护士对患者服药依从性认知和行为的现状调查 被引量:11
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作者 张淑 王建宁 +4 位作者 周松 江丽玲 李立群 董婷婷 叶汪沁 《中国护理管理》 CSCD 北大核心 2020年第1期130-135,共6页
目的:调查血液透析护士对维持性血液透析患者服药依从性的认知和行为现状。方法:采用一般资料调查表和血液透析护士对患者服药依从性的认知和行为调查问卷,调查10所三级甲等综合性医院233名血液透析护士。结果:血液透析护士对患者服药... 目的:调查血液透析护士对维持性血液透析患者服药依从性的认知和行为现状。方法:采用一般资料调查表和血液透析护士对患者服药依从性的认知和行为调查问卷,调查10所三级甲等综合性医院233名血液透析护士。结果:血液透析护士对患者服药依从性认知尚可,行为较差;仅有52.8%的血液透析护士询问每位患者的服药情况;单因素分析结果显示,不同职称血液透析护士对服药不依从的发生及易出现服药不依从患者的认知得分差异有统计学意义(P<0.05);不同年龄血液透析护士对提高服药依从性的障碍认知得分差异有统计学意义(P<0.05);工作年限不同的血液透析护士及是否为血液净化专科护士对提高服药依从性的信心认知得分差异有统计学意义(P<0.05)。结论:血液透析护士对患者服药依从性的认知和行为仍存在不足,管理者需要对血液透析护士开展提高患者服药依从性相关内容的培训,提高护理人员对患者服药依从性的重视,探索便于临床应用的服药依从性评估工具。 展开更多
关键词 服药依从性 血液透析 护士 认知 行为
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