目的探索团体情志护理对腹膜透析患者的干预效果。方法选取2014年11月—2015年8月收治于上海中医药大学附属龙华医院肾病科的腹膜透析患者120例,随机分为观察组和对照组各60例。两组均进行常规门诊随访,观察组在此基础上进行每月1次的...目的探索团体情志护理对腹膜透析患者的干预效果。方法选取2014年11月—2015年8月收治于上海中医药大学附属龙华医院肾病科的腹膜透析患者120例,随机分为观察组和对照组各60例。两组均进行常规门诊随访,观察组在此基础上进行每月1次的团体情志护理干预,共4次。采用简体中文版创伤后成长评定量表(posttraumatic growth inventory,PTGI)和世界卫生组织生存质量测定量表简表(World Health Organization quality of life-brief,WHOQOL-BREF)中文版分别于干预前后对两组患者进行测评。结果干预后,观察组患者PTGI得分及生活质量各维度得分均高于对照组,差异有统计学意义(P<0.05)。结论团体情志护理干预能有效提高腹膜透析患者创伤后成长水平并提升其生活质量。展开更多
Based on genetic algorithm and neural network algorithm,the finite element analyses on the temperature fields and stress fields of multi-track laser cladding were carried out by using the ANSYS software.The results sh...Based on genetic algorithm and neural network algorithm,the finite element analyses on the temperature fields and stress fields of multi-track laser cladding were carried out by using the ANSYS software.The results show that,in the multi-track cladding process,the temperature field ellipse leans to the cladding formed,and the front cladding has preheating function on the following cladding.During cladding,the longitudinal stress is the largest,the lateral stress is the second,and the thickness direction stress is the smallest.The center of the cladding is in the tensile stress condition.The longitudinal tensile stress is higher than the lateral or thickness direction stress by several times,and the tensile stress achieves the maximum at the area of joint between the cladding and substrate.Therefore,it is inferred that transversal crack is the most main crack form in multi-track laser cladding.Moreover,the joint between cladding and substrate is the crack sensitive area,and this is consistent with the actual experiments.展开更多
痴呆合并精神行为症状(behavioral and psychological symptoms of dementia,BPSD)包括精神运动性兴奋、心境障碍(焦虑、抑郁和淡漠)和精神症状(妄想和幻觉)等,是阿尔茨海默病(Alzheimer’s disease,AD)患者的主要并发症,伴随着90%的AD...痴呆合并精神行为症状(behavioral and psychological symptoms of dementia,BPSD)包括精神运动性兴奋、心境障碍(焦虑、抑郁和淡漠)和精神症状(妄想和幻觉)等,是阿尔茨海默病(Alzheimer’s disease,AD)患者的主要并发症,伴随着90%的AD患者。随着病程进展和认知功能下降,BPSD症状的严重程度加深,成为AD患者住院的首位原因。然而,AD患者并发BPSD的机制还不清楚,也缺乏有效的治疗。最近的研究推测,5-羟色胺(5-hydroxytryptamine,5-HT)系统可能参与BPSD的发生和发展。现对5-HT系统在BPSD发病和症状恶化过程中的作用进行综述,重点探讨了5-HT受体乙酰化修饰在其中的可能作用以及去乙酰化酶抑制剂的治疗潜力,以期深入理解AD患者并发BPSD的机制。展开更多
文摘目的探索团体情志护理对腹膜透析患者的干预效果。方法选取2014年11月—2015年8月收治于上海中医药大学附属龙华医院肾病科的腹膜透析患者120例,随机分为观察组和对照组各60例。两组均进行常规门诊随访,观察组在此基础上进行每月1次的团体情志护理干预,共4次。采用简体中文版创伤后成长评定量表(posttraumatic growth inventory,PTGI)和世界卫生组织生存质量测定量表简表(World Health Organization quality of life-brief,WHOQOL-BREF)中文版分别于干预前后对两组患者进行测评。结果干预后,观察组患者PTGI得分及生活质量各维度得分均高于对照组,差异有统计学意义(P<0.05)。结论团体情志护理干预能有效提高腹膜透析患者创伤后成长水平并提升其生活质量。
基金Project(HIT(WH)200711)supported by the Study Fund of Harbin Institute of Technology at Weihai,China。
文摘Based on genetic algorithm and neural network algorithm,the finite element analyses on the temperature fields and stress fields of multi-track laser cladding were carried out by using the ANSYS software.The results show that,in the multi-track cladding process,the temperature field ellipse leans to the cladding formed,and the front cladding has preheating function on the following cladding.During cladding,the longitudinal stress is the largest,the lateral stress is the second,and the thickness direction stress is the smallest.The center of the cladding is in the tensile stress condition.The longitudinal tensile stress is higher than the lateral or thickness direction stress by several times,and the tensile stress achieves the maximum at the area of joint between the cladding and substrate.Therefore,it is inferred that transversal crack is the most main crack form in multi-track laser cladding.Moreover,the joint between cladding and substrate is the crack sensitive area,and this is consistent with the actual experiments.
文摘痴呆合并精神行为症状(behavioral and psychological symptoms of dementia,BPSD)包括精神运动性兴奋、心境障碍(焦虑、抑郁和淡漠)和精神症状(妄想和幻觉)等,是阿尔茨海默病(Alzheimer’s disease,AD)患者的主要并发症,伴随着90%的AD患者。随着病程进展和认知功能下降,BPSD症状的严重程度加深,成为AD患者住院的首位原因。然而,AD患者并发BPSD的机制还不清楚,也缺乏有效的治疗。最近的研究推测,5-羟色胺(5-hydroxytryptamine,5-HT)系统可能参与BPSD的发生和发展。现对5-HT系统在BPSD发病和症状恶化过程中的作用进行综述,重点探讨了5-HT受体乙酰化修饰在其中的可能作用以及去乙酰化酶抑制剂的治疗潜力,以期深入理解AD患者并发BPSD的机制。