目的系统评价终末期艾滋病患者的安宁疗护需求。方法计算机检索中国知网、万方数据库、中国生物医学文献数据库、PubMed、Cochrane Library、PsychINFO、Web of Science、Embase等数据库,筛选有关终末期艾滋病患者安宁疗护需求的质性研...目的系统评价终末期艾滋病患者的安宁疗护需求。方法计算机检索中国知网、万方数据库、中国生物医学文献数据库、PubMed、Cochrane Library、PsychINFO、Web of Science、Embase等数据库,筛选有关终末期艾滋病患者安宁疗护需求的质性研究,检索时限为建库至2023年11月20日。采用澳大利亚乔安娜布里格斯研究所循证卫生保健中心制订的质性研究质量评价标准(2016版)进行文献质量评价,采用Meta整合方法对结果进行整合分析。结果共纳人14篇文献。提炼出69个研究结果,归纳为6个类别,综合得到5个整合结果:①个性化支持照护需求;②心理疏导与尊严维护需求;③社会援助需求;④精神寄托需求;③信息与决策需求。结论终末期艾滋病患者存在多维度的安宁疗护照护需求。医院及社区工作人员应重视终末期艾滋病患者的安宁疗护照护需求,为患者提供有效照护。展开更多
The bacterial diversity and abundance in the snow of East Rongbuk glacier, Mt. Everest were examined through 16S rRNA gene clone library and flow cytometry approaches. In total, 35 16S rRNA gene sequences were obtaine...The bacterial diversity and abundance in the snow of East Rongbuk glacier, Mt. Everest were examined through 16S rRNA gene clone library and flow cytometry approaches. In total, 35 16S rRNA gene sequences were obtained, which belong to α, β, γ-Proteobacteria, Actinobacteria, Firmicutes, CFB, Cyanobacteria, Eukaryotic chloroplast, and TM7 candidate phylum respectively. γ-Proteobacteria was the dominant bacterial group in this region, while the genera Acinetobacter and Leclercia were domi- nant on the genus level. The community structure varied seasonally. The bacterial abundance in sum- mer snow was higher than that in winter. Moreover, the snow bacterial community structures in both seasons were diverse, with not only common species but season-specific species. The common species most likely originated from the Tibet Plateau. Bacteria in summer snow are affiliated with marine environ- ment, whereas bacteria in winter snow are closely related to more diverse environments and show the feature of resistance to cold. Seasonal variations of abundance and bacterial diversity were most proba- bly due to the seasonal characteristics of climate and atmospheric circulation in Mt. Everest.展开更多
文摘目的系统评价终末期艾滋病患者的安宁疗护需求。方法计算机检索中国知网、万方数据库、中国生物医学文献数据库、PubMed、Cochrane Library、PsychINFO、Web of Science、Embase等数据库,筛选有关终末期艾滋病患者安宁疗护需求的质性研究,检索时限为建库至2023年11月20日。采用澳大利亚乔安娜布里格斯研究所循证卫生保健中心制订的质性研究质量评价标准(2016版)进行文献质量评价,采用Meta整合方法对结果进行整合分析。结果共纳人14篇文献。提炼出69个研究结果,归纳为6个类别,综合得到5个整合结果:①个性化支持照护需求;②心理疏导与尊严维护需求;③社会援助需求;④精神寄托需求;③信息与决策需求。结论终末期艾滋病患者存在多维度的安宁疗护照护需求。医院及社区工作人员应重视终末期艾滋病患者的安宁疗护照护需求,为患者提供有效照护。
基金This work was supported by the Ministry of Science and Technology of the People's Republic of China(Grant No.2005CB422004)the National Natural Science Foundation of China(Grant Nos.40121101&40401054)the Innovation Program of the Chinese Academy of Sciences(Grant No.KZCX3-SW-339).
文摘The bacterial diversity and abundance in the snow of East Rongbuk glacier, Mt. Everest were examined through 16S rRNA gene clone library and flow cytometry approaches. In total, 35 16S rRNA gene sequences were obtained, which belong to α, β, γ-Proteobacteria, Actinobacteria, Firmicutes, CFB, Cyanobacteria, Eukaryotic chloroplast, and TM7 candidate phylum respectively. γ-Proteobacteria was the dominant bacterial group in this region, while the genera Acinetobacter and Leclercia were domi- nant on the genus level. The community structure varied seasonally. The bacterial abundance in sum- mer snow was higher than that in winter. Moreover, the snow bacterial community structures in both seasons were diverse, with not only common species but season-specific species. The common species most likely originated from the Tibet Plateau. Bacteria in summer snow are affiliated with marine environ- ment, whereas bacteria in winter snow are closely related to more diverse environments and show the feature of resistance to cold. Seasonal variations of abundance and bacterial diversity were most proba- bly due to the seasonal characteristics of climate and atmospheric circulation in Mt. Everest.
