Background: It is said that after ICU discharge, 40% of patients suffer from acute stress symptoms, such as anxiety and depression, caused by “distorted memories” (memory loss and delusions) due to various treatment...Background: It is said that after ICU discharge, 40% of patients suffer from acute stress symptoms, such as anxiety and depression, caused by “distorted memories” (memory loss and delusions) due to various treatments in the ICU. This study focused on the quantitative and qualitative effects of ICU diaries on distorted memories that patients encountered during their time in the ICU. Aim: To assess improving distorted memories by providing information during ICU admission to patients to relieve the acute stress symptoms after ICU discharge. Design and Methods: This nonrandomized controlled trial included patients aged ≥20 years who had received treatment for ≥3 days in the ICU. Using ICU memory tool, the Hospital Anxiety and Depression Scale (HADS) and the Acute Stress Disorder Scale (ASDS) approximately 1 week after ICU discharge, then HADS and ASDS prior to hospital discharge, the change in mean values were compared between two groups (control and intervention) using a Wilcoxon signed-rank test. The intervention group was surveyed prior to hospital discharge using semi-structured interviews, and descriptions were analyzed by the content analysis method of Krippendorff. Results: Twenty-three participants were included in the control group, and 17 in the intervention group. When comparing subjects with distorted memories between the groups, we found reduced values for HADS anxiety (7.1 ± 3.8 to 5.7 ± 2.7, p = 0.011), HADS depression (8.6 ± 5.0 to 7.2 ± 4.3, p = 0.003), and ASDS (46.9 ± 13.8 to 43.8 ± 11.4, p = 0.012) in the intervention group. Based on the narrations, patients wanted to investigate facts in the ICU diary while having someone help them to remember these events. Conclusion: Improving distorted memories during ICU admissions may relieve acute stress symptoms. In addition, these patients needed someone to investigate facts from the ICU admission.展开更多
In past decades,high-entropy(HE)materials,containing five or more elements with approximately equal atomic ratio,are extensively investigated due to their desirable properties in a series of applications.Recently,HE t...In past decades,high-entropy(HE)materials,containing five or more elements with approximately equal atomic ratio,are extensively investigated due to their desirable properties in a series of applications.Recently,HE two-dimensional(2D)materials have become promising materials,which not only endow the advantages from their bulk form but also exhibit unusual properties due to their 2D features.So far,the HE 2D transition metal carbides(MXenes),dichalcogenides(TMDs),hydrotalcites(LDHs),and oxides have been successfully synthesized and performed well in different electrochemical reactions,which is originated from the synergistic effect of multicomponents and atomic thin characteristics.Here,the challenges on processing,characterization,and property predictions of HE 2D materials are emphasized.Finally,viable strategies,advanced processing,fundamental understanding,in-depth characterization of new HE 2D materials are proposed.展开更多
文摘Background: It is said that after ICU discharge, 40% of patients suffer from acute stress symptoms, such as anxiety and depression, caused by “distorted memories” (memory loss and delusions) due to various treatments in the ICU. This study focused on the quantitative and qualitative effects of ICU diaries on distorted memories that patients encountered during their time in the ICU. Aim: To assess improving distorted memories by providing information during ICU admission to patients to relieve the acute stress symptoms after ICU discharge. Design and Methods: This nonrandomized controlled trial included patients aged ≥20 years who had received treatment for ≥3 days in the ICU. Using ICU memory tool, the Hospital Anxiety and Depression Scale (HADS) and the Acute Stress Disorder Scale (ASDS) approximately 1 week after ICU discharge, then HADS and ASDS prior to hospital discharge, the change in mean values were compared between two groups (control and intervention) using a Wilcoxon signed-rank test. The intervention group was surveyed prior to hospital discharge using semi-structured interviews, and descriptions were analyzed by the content analysis method of Krippendorff. Results: Twenty-three participants were included in the control group, and 17 in the intervention group. When comparing subjects with distorted memories between the groups, we found reduced values for HADS anxiety (7.1 ± 3.8 to 5.7 ± 2.7, p = 0.011), HADS depression (8.6 ± 5.0 to 7.2 ± 4.3, p = 0.003), and ASDS (46.9 ± 13.8 to 43.8 ± 11.4, p = 0.012) in the intervention group. Based on the narrations, patients wanted to investigate facts in the ICU diary while having someone help them to remember these events. Conclusion: Improving distorted memories during ICU admissions may relieve acute stress symptoms. In addition, these patients needed someone to investigate facts from the ICU admission.
基金National Natural Science Foundation of China,Grant/Award Numbers:52125207,52072014,52102203Beijing Natural Science Foundation,Grant/Award Number:JQ20011+1 种基金China Postdoctoral Science Foundation,Grant/Award Numbers:2021M700008,2021M700316,2020TQ0022National Postdoctoral Program for Innovative Talents,Grant/Award Numbers:BX20200027,BX20200037。
文摘In past decades,high-entropy(HE)materials,containing five or more elements with approximately equal atomic ratio,are extensively investigated due to their desirable properties in a series of applications.Recently,HE two-dimensional(2D)materials have become promising materials,which not only endow the advantages from their bulk form but also exhibit unusual properties due to their 2D features.So far,the HE 2D transition metal carbides(MXenes),dichalcogenides(TMDs),hydrotalcites(LDHs),and oxides have been successfully synthesized and performed well in different electrochemical reactions,which is originated from the synergistic effect of multicomponents and atomic thin characteristics.Here,the challenges on processing,characterization,and property predictions of HE 2D materials are emphasized.Finally,viable strategies,advanced processing,fundamental understanding,in-depth characterization of new HE 2D materials are proposed.
