目的:探讨围生期创伤知情护理领域的研究热点与趋势。方法:计算机检索Web of Science核心合集中的科学引文索引(SCI)和社会科学引文索引(SSCI)数据库2008年1月1日—2023年10月25日发表有关围生期创伤知情护理相关文献,通过bibliometrix...目的:探讨围生期创伤知情护理领域的研究热点与趋势。方法:计算机检索Web of Science核心合集中的科学引文索引(SCI)和社会科学引文索引(SSCI)数据库2008年1月1日—2023年10月25日发表有关围生期创伤知情护理相关文献,通过bibliometrix对文献年度发文量、国家和机构、高被引期刊、论文及作者进行统计分析,使用Cite Space 6.2.R4软件对关键词进行共现分析。结果:共纳入278篇文献,年度发文量呈上升趋势,美国是发文量最多的国家,Aparicio E M是该领域最具影响力的作者,高频关键词包括亲密关系暴力、创伤后应激障碍、童年逆境、分娩等,共包含14个关键词聚类和9个关键词突现,演化路径由女性创伤史的识别到围生期的分娩体验。结论:围生期创伤知情护理集中于创伤史的识别与方案构建,随着研究深入,其热点将为围生期护理人员对于创伤知情护理的看法及干预实践。展开更多
BACKGROUND Duodenal web is a rare congenital malformation,exceedingly uncommon in adults,and often misdiagnosed due to the subtle imaging features.CASE SUMMARY By analyzing the clinical diagnosis process and various i...BACKGROUND Duodenal web is a rare congenital malformation,exceedingly uncommon in adults,and often misdiagnosed due to the subtle imaging features.CASE SUMMARY By analyzing the clinical diagnosis process and various imaging findings of a patient from our institution,this case report emphasizes the necessity of upper gastrointestinal series in diagnosing duodenal webs,outlines its typical radiographic features,and provides a literature review on the etiology,clinical presentation,and management of this condition.CONCLUSION This case report emphasizes the necessity of upper gastrointestinal series in diagnosing duodenal webs.展开更多
Inspired by nature's self-similar designs,novel honeycomb-spiderweb based self-similar hybrid cellular structures are proposed here for efficient energy absorption in impact applications.The energy absorption is e...Inspired by nature's self-similar designs,novel honeycomb-spiderweb based self-similar hybrid cellular structures are proposed here for efficient energy absorption in impact applications.The energy absorption is enhanced by optimizing the geometry and topology for a given mass.The proposed hybrid cellular structure is arrived after a thorough analysis of topologically enhanced self-similar structures.The optimized cell designs are rigorously tested considering dynamic loads involving crush and high-velocity bullet impact.Furthermore,the influence of thickness,radial connectivity,and order of patterning at the unit cell level are also investigated.The maximum crushing efficiency attained is found to be more than 95%,which is significantly higher than most existing traditional designs.Later on,the first and second-order hierarchical self-similar unit cell designs developed during crush analysis are used to prepare the cores for sandwich structures.Impact tests are performed on the developed sandwich structures using the standard 9-mm parabellum.The influence of multistaging on impact resistance is also investigated by maintaining a constant total thickness and mass of the sandwich structure.Moreover,in order to avoid layer-wise weak zones and hence,attain a uniform out-of-plane impact strength,off-setting the designs in each stage is proposed.The sandwich structures with first and second-order self-similar hybrid cores are observed to withstand impact velocities as high as 170 m/s and 270 m/s,respectively.展开更多
文摘目的:探讨围生期创伤知情护理领域的研究热点与趋势。方法:计算机检索Web of Science核心合集中的科学引文索引(SCI)和社会科学引文索引(SSCI)数据库2008年1月1日—2023年10月25日发表有关围生期创伤知情护理相关文献,通过bibliometrix对文献年度发文量、国家和机构、高被引期刊、论文及作者进行统计分析,使用Cite Space 6.2.R4软件对关键词进行共现分析。结果:共纳入278篇文献,年度发文量呈上升趋势,美国是发文量最多的国家,Aparicio E M是该领域最具影响力的作者,高频关键词包括亲密关系暴力、创伤后应激障碍、童年逆境、分娩等,共包含14个关键词聚类和9个关键词突现,演化路径由女性创伤史的识别到围生期的分娩体验。结论:围生期创伤知情护理集中于创伤史的识别与方案构建,随着研究深入,其热点将为围生期护理人员对于创伤知情护理的看法及干预实践。
文摘BACKGROUND Duodenal web is a rare congenital malformation,exceedingly uncommon in adults,and often misdiagnosed due to the subtle imaging features.CASE SUMMARY By analyzing the clinical diagnosis process and various imaging findings of a patient from our institution,this case report emphasizes the necessity of upper gastrointestinal series in diagnosing duodenal webs,outlines its typical radiographic features,and provides a literature review on the etiology,clinical presentation,and management of this condition.CONCLUSION This case report emphasizes the necessity of upper gastrointestinal series in diagnosing duodenal webs.
基金the Science and Engineering Research Board(SERB),Department of Science and Technology,India,for funding this research through grant number SRG/2019/001581。
文摘Inspired by nature's self-similar designs,novel honeycomb-spiderweb based self-similar hybrid cellular structures are proposed here for efficient energy absorption in impact applications.The energy absorption is enhanced by optimizing the geometry and topology for a given mass.The proposed hybrid cellular structure is arrived after a thorough analysis of topologically enhanced self-similar structures.The optimized cell designs are rigorously tested considering dynamic loads involving crush and high-velocity bullet impact.Furthermore,the influence of thickness,radial connectivity,and order of patterning at the unit cell level are also investigated.The maximum crushing efficiency attained is found to be more than 95%,which is significantly higher than most existing traditional designs.Later on,the first and second-order hierarchical self-similar unit cell designs developed during crush analysis are used to prepare the cores for sandwich structures.Impact tests are performed on the developed sandwich structures using the standard 9-mm parabellum.The influence of multistaging on impact resistance is also investigated by maintaining a constant total thickness and mass of the sandwich structure.Moreover,in order to avoid layer-wise weak zones and hence,attain a uniform out-of-plane impact strength,off-setting the designs in each stage is proposed.The sandwich structures with first and second-order self-similar hybrid cores are observed to withstand impact velocities as high as 170 m/s and 270 m/s,respectively.