目的对成年癌症患者决策辅助工具应用体验进行系统整合,为开发我国本土化决策辅助工具、实现共享决策提供循证指导。方法计算机检索PubMed、Cochrane Library、CINAHL、Embase、Web of Science、ProQuest、中国知网、万方数据库、维普...目的对成年癌症患者决策辅助工具应用体验进行系统整合,为开发我国本土化决策辅助工具、实现共享决策提供循证指导。方法计算机检索PubMed、Cochrane Library、CINAHL、Embase、Web of Science、ProQuest、中国知网、万方数据库、维普网、中国生物医学文献数据库中关于癌症患者决策辅助工具应用体验的质性研究,检索时限为建库至2023年7月。采用JBI循证卫生保健中心质性研究质量评价标准(2020)进行文献质量评价,以Meta整合方法对文献研究结果进行整合。结果纳入17篇文献,提炼出50个研究结果,归纳出7个类别,最终形成3个整合结果:患者对决策辅助工具总体满意度较高、增强患者决策参与体验、阻碍因素。结论决策辅助工具可以帮助癌症患者了解治疗方案并积极参与决策,满足患者的决策需求,缓解决策冲突,从而改善患者的临床结局。展开更多
The adductor muscle scar（AMS） is the fixation point of adductor muscle to the shell. It is an important organicinorganic interface and stress distribution area. Despite recent advances, our understanding of the stru...The adductor muscle scar（AMS） is the fixation point of adductor muscle to the shell. It is an important organicinorganic interface and stress distribution area. Despite recent advances, our understanding of the structure and composition of the AMS remain limited. Here, we report study on the AMS of three bivalves： Mytilus coruscus,Chlamys farreri and Ruditapes philippinarum. Results showed that there were significant differences among their AMS structures. Both M. coruscus and C. farreri were found to have a columnar layer above the nacreous platelet shell structure at the AMS and this layer was more organized in M. coruscus. There was no distinguishable twolayer structure in R. philippinarum. Atomic force microscopy（AFM） and Fourier transform infrared spectroscopy（FT-IR） results showed that the AMS was much smoother than the nacreous inner shell in all the three species and the AMS had minor different compositions from the nacreous shell layer. SDS-PAGE（sodium dodecyl-sulfate polyacrylamide gel electophoresis） study of the proteins isolated from the interface indicated that there was a 70 k Da protein which seemed to be specifically located to the highly organized columnar AMS structure in Mytilus coruscus. Further analysis of this protein showed it contained high level of Asx（Asp＋Asn）, Glx（Glu＋Gln） and Gly.The special structure and composition of the AMS might play important roles in the stability, adhesion and function at this stress distribution site.展开更多
An increase in public environmental awareness and pressures from the government’s determination to deal with environmental problems force manufacturers to implement green manufacturing(GM).However,since managers and ...An increase in public environmental awareness and pressures from the government’s determination to deal with environmental problems force manufacturers to implement green manufacturing(GM).However,since managers and stakeholders lack understanding of GM and its complexity,the manufacturing enterprise,especially the small and medium ones,are constantly facing the problems of how to make a reasonable decision for an environmental problem,and the adopted approaches have no clear payoffs.The customized design,flexible production,and diversified services in customized production make the problems more challenging.In order to solve this problem,this paper proposes a framework for the implementation of GM in customized products manufacturing enterprises(CPME).A three-layer framework,i.e.,the goal layer,the product life-cycle layer and the supporting layer,is designed to provide a methodology to help implement GM.In this model,the GM practice processes are divided into four stages from the life-cycle perspective,i.e.design,production,use,and disposal.The preliminary practice of GM in an electrical product manufacturing company is carried out,and the implementation effect shows that the system framework is helpful to make a comprehensive understanding of GM and to improve the operability of GM practices.The integrated product model is an effective way to integrate the life cycle data.展开更多
目的对系统性红斑狼疮患者疾病体验进行系统整合,为制订以系统性红斑狼疮患者心理体验为导向的健康管理方案提供循证依据。方法计算机检索PubMed、Cochrane Library、CINAHL、Embase、Web of Science、ProQuest、中国知网、万方数据库...目的对系统性红斑狼疮患者疾病体验进行系统整合,为制订以系统性红斑狼疮患者心理体验为导向的健康管理方案提供循证依据。方法计算机检索PubMed、Cochrane Library、CINAHL、Embase、Web of Science、ProQuest、中国知网、万方数据库、维普网、中国生物医学文献数据库中关于系统性红斑狼疮患者心理体验的质性研究,检索时限为自建库至2023年7月。采用澳大利亚乔安娜布里格斯研究所循证卫生保健中心质性研究质量评价标准(2020)进行文献质量评价,以Meta整合方法对文献研究结果进行整合。结果共纳入13篇文献,提炼出48个研究结果,归纳出8个类别,最终形成"负性心理体验""疾病需求增加""主动调节策略"3个整合结果。结论医护人员应重视系统性红斑狼疮患者在患病过程中的身心感受,在临床实践中针对性地给予患者科学、有效的干预策略,缓解其负性情绪,改善患者生活质量。展开更多
文摘目的对成年癌症患者决策辅助工具应用体验进行系统整合,为开发我国本土化决策辅助工具、实现共享决策提供循证指导。方法计算机检索PubMed、Cochrane Library、CINAHL、Embase、Web of Science、ProQuest、中国知网、万方数据库、维普网、中国生物医学文献数据库中关于癌症患者决策辅助工具应用体验的质性研究,检索时限为建库至2023年7月。采用JBI循证卫生保健中心质性研究质量评价标准(2020)进行文献质量评价,以Meta整合方法对文献研究结果进行整合。结果纳入17篇文献,提炼出50个研究结果,归纳出7个类别,最终形成3个整合结果:患者对决策辅助工具总体满意度较高、增强患者决策参与体验、阻碍因素。结论决策辅助工具可以帮助癌症患者了解治疗方案并积极参与决策,满足患者的决策需求,缓解决策冲突,从而改善患者的临床结局。
基金The Basic Scientific Fund for National Public Research Institutes of China under contract No.2011T10the National Natural Science Foundation of China-Shandong Joint Grant U1406402-5+2 种基金Qingdao Talents Program under contract No.13-CX-20the National Natural Science Foundation of China under contract Nos 31100567,41176061,41521064,41306074 and 31160098the Taishan Scholar Program
文摘The adductor muscle scar（AMS） is the fixation point of adductor muscle to the shell. It is an important organicinorganic interface and stress distribution area. Despite recent advances, our understanding of the structure and composition of the AMS remain limited. Here, we report study on the AMS of three bivalves： Mytilus coruscus,Chlamys farreri and Ruditapes philippinarum. Results showed that there were significant differences among their AMS structures. Both M. coruscus and C. farreri were found to have a columnar layer above the nacreous platelet shell structure at the AMS and this layer was more organized in M. coruscus. There was no distinguishable twolayer structure in R. philippinarum. Atomic force microscopy（AFM） and Fourier transform infrared spectroscopy（FT-IR） results showed that the AMS was much smoother than the nacreous inner shell in all the three species and the AMS had minor different compositions from the nacreous shell layer. SDS-PAGE（sodium dodecyl-sulfate polyacrylamide gel electophoresis） study of the proteins isolated from the interface indicated that there was a 70 k Da protein which seemed to be specifically located to the highly organized columnar AMS structure in Mytilus coruscus. Further analysis of this protein showed it contained high level of Asx（Asp＋Asn）, Glx（Glu＋Gln） and Gly.The special structure and composition of the AMS might play important roles in the stability, adhesion and function at this stress distribution site.
基金supported by the National Key R&D Program of China(No.2018YFB2002102)。
文摘An increase in public environmental awareness and pressures from the government’s determination to deal with environmental problems force manufacturers to implement green manufacturing(GM).However,since managers and stakeholders lack understanding of GM and its complexity,the manufacturing enterprise,especially the small and medium ones,are constantly facing the problems of how to make a reasonable decision for an environmental problem,and the adopted approaches have no clear payoffs.The customized design,flexible production,and diversified services in customized production make the problems more challenging.In order to solve this problem,this paper proposes a framework for the implementation of GM in customized products manufacturing enterprises(CPME).A three-layer framework,i.e.,the goal layer,the product life-cycle layer and the supporting layer,is designed to provide a methodology to help implement GM.In this model,the GM practice processes are divided into four stages from the life-cycle perspective,i.e.design,production,use,and disposal.The preliminary practice of GM in an electrical product manufacturing company is carried out,and the implementation effect shows that the system framework is helpful to make a comprehensive understanding of GM and to improve the operability of GM practices.The integrated product model is an effective way to integrate the life cycle data.
文摘目的对系统性红斑狼疮患者疾病体验进行系统整合,为制订以系统性红斑狼疮患者心理体验为导向的健康管理方案提供循证依据。方法计算机检索PubMed、Cochrane Library、CINAHL、Embase、Web of Science、ProQuest、中国知网、万方数据库、维普网、中国生物医学文献数据库中关于系统性红斑狼疮患者心理体验的质性研究,检索时限为自建库至2023年7月。采用澳大利亚乔安娜布里格斯研究所循证卫生保健中心质性研究质量评价标准(2020)进行文献质量评价,以Meta整合方法对文献研究结果进行整合。结果共纳入13篇文献,提炼出48个研究结果,归纳出8个类别,最终形成"负性心理体验""疾病需求增加""主动调节策略"3个整合结果。结论医护人员应重视系统性红斑狼疮患者在患病过程中的身心感受,在临床实践中针对性地给予患者科学、有效的干预策略,缓解其负性情绪,改善患者生活质量。
