期刊文献+
共找到87,646篇文章
< 1 2 250 >
每页显示 20 50 100
Using self-determination theory to identify organizational interventions to support coal mineworkers’ dust-reducing practices 被引量:1
1
作者 Emily J.Haas 《International Journal of Mining Science and Technology》 EI CSCD 2019年第3期371-378,共8页
Advancing the application of safety and health(S&H)technologies is likely to remain a value in the mining industry.However,any information that technologies generate must be translated from the organization to the... Advancing the application of safety and health(S&H)technologies is likely to remain a value in the mining industry.However,any information that technologies generate must be translated from the organization to the workforce in a targeted way to result in sustainable change.Using a case study approach with continuous personal dust monitors(CPDMs),this paper argues for an organizational focus on technology integration.Although CPDMs provide mineworkers with near real-time feedback about their respirable coal dust exposure,they do not ensure that workers or the organization will continuously use the information to learn about and reduce exposure sources.This study used self-determination theory(SDT)to help three mines manage and communicate about information learned from the CPDM technology.Specifically,35 mineworkers participated in two mixed-method data collection efforts to discuss why they do or do not use CPDMs to engage in dust-reducing practices.Subsequently,the data was analyzed to better understand how organizations can improve the integration of technology through their management systems.Results indicate that using the CPDM to reduce sources of dust exposure is consistent with mineworkers’self-values to protect their health and not necessarily because of compliance to a manager or mine. 展开更多
关键词 Autonomous ORGANIZATION Continuous personal DUST monitor Respirable coal mine DUST Safety and health management system self-determination theory
下载PDF
Understanding Lecturers' Well-being From the Aspects of Self-determination Theory 被引量:1
2
作者 MA Wen-ying LIU Xi 《Journal of Literature and Art Studies》 2016年第2期203-208,共6页
There are five changes in higher education across the world in the 21st century. The five changes include changes in the university students, changes in the professoriate, changes in academic administration, intematio... There are five changes in higher education across the world in the 21st century. The five changes include changes in the university students, changes in the professoriate, changes in academic administration, intemationalisation, and assessment of academic work. These changes are evident in higher education in China. The pressure of the changes -on lecturers will have effects on the wellbeing of lecturers. The study discusses the wellbeing under the Self-determination Theory. This theory views wellbeing as a state of happiness. This theory also proposes that people's intrinsic goals like personal growth, meaningful relationships, and community contributions can enhance the satisfaction of three basic needs--need for autonomy, need for competence, and need for relatedness. In this way, lecturers can experience a sense of wellbeing. The findings of the study are significant for leaders in higher education who need to implement policies that foster effective work environments. 展开更多
关键词 LECTURERS wellbeing self-determination Theory introduction
下载PDF
基于AGREEⅡ和RIGHT对医患沟通指南的质量评价研究
3
作者 黄玮 方美琳 +2 位作者 王存泽 黄莎莎 王凌 《中国医药指南》 2024年第6期50-52,56,共4页
目的对医患沟通的临床实践指南进行方法学和报告质量评价,以期确定高质量指南,提供临床参考。方法通过检索MEDLINE(PubMed)、Web of Science、中国知网(CNKI)、万方数据知识服务平台、维普(VIP),补充医脉通、用药助手、丁香园网站的相... 目的对医患沟通的临床实践指南进行方法学和报告质量评价,以期确定高质量指南,提供临床参考。方法通过检索MEDLINE(PubMed)、Web of Science、中国知网(CNKI)、万方数据知识服务平台、维普(VIP),补充医脉通、用药助手、丁香园网站的相关临床实践指南(CPG),使用AGREEⅡ和RIGHT工具进行指南质量评价,采用组内相关系数(ICC)用于评估评审者对每个项目理解的一致性。结果共纳入2份临床实践指南,每个领域的评审人员的总体一致性是可以接受的。AGREEⅡ评价结果显示,2篇指南推荐级别均为B级,CPG所有7个领域的平均报告率为50.64%,其中领域1最高(88.89%),领域3最低(30.95%)。RIGHT评价结果显示,指南平均报告率为29.22%。结论医患沟通相关指南质量与数量仍有待提高,指南制订者应严格按照AGREEⅡ和RIGHT的要求规范撰写,以期提出高水平、高标准的循证指南,来指导医护人员的临床实践。 展开更多
关键词 AGREEⅡ right 医患沟通 质量评价
下载PDF
Motivational Practices in Foreign Language Teaching:From the Perspective of Self-Determination Theory
4
作者 Mengxuan WEI Yaping CHEN 《Chinese Journal of Applied Linguistics》 2022年第3期401-415,485,共16页
This quantitative-oriented study investigates junior middle school EFL teachers’beliefs about motivational practices in the language teaching process.Grounded in self-determination theory,the study examined teachers... This quantitative-oriented study investigates junior middle school EFL teachers’beliefs about motivational practices in the language teaching process.Grounded in self-determination theory,the study examined teachers’beliefs in three basic psychological needs(relatedness,competence and autonomy)and the effect of their teaching experience on these beliefs.Data were obtained from 84 Chinese junior middle school English teachers through a questionnaire.Results suggested that teachers recognized motivational practices for relatedness and competence satisfaction while showing relatively low recognition of a few motivating practices for autonomy satisfaction.Teaching experience was found to have no influence on teachers’conception of needs-related motivational practices.Findings reveal that traditional activities like collective lesson preparations may have a negative influence on teachers’beliefs about motivational practices.They also present the necessity for adjustments on educational regulations,and for modern professional training to help teachers understand students’basic psychological needs,and to encourage new ideas to bolster students’intrinsic motivation for language learning. 展开更多
关键词 relatedness COMPETENCE AUTONOMY intrinsic motivation language teaching motivational practices self-determination theory
下载PDF
Decision-making competency, self-determination, and health lifestyle in nursing students
5
作者 BongSuk Lee Ji-Su Kim 《Open Journal of Nursing》 2013年第2期221-226,共6页
Introduction: This study identifies and analyzes the levels of relations between decision-making competency, self-determination, and health lifestyle in nursing students. Methods: This study was designed as a descript... Introduction: This study identifies and analyzes the levels of relations between decision-making competency, self-determination, and health lifestyle in nursing students. Methods: This study was designed as a descriptive research to identify the relations of nursing students’ decision-making competency, self-determination, and health lifestyle. The subjects were 187 nursing students. Data were collected using a structured questionnaire and were analyzed by the IBM SPSS Statistics 19 program. Results: Decision-making competency of nursing students was 3.38 ± 0.41 points, and self-determination was 3.07 ± 0.38 points. Stress and physical exercise were the general and health-related lifestyle factors that contributed to the differences in decision-making competency. There were no differences in self-determination according to these factors. Conclusion: The results of the study showed that the levels of decision-making competency and self-determination in nursing students were moderate. Further studies are recommended for the development of these core abilities in nursing students. 展开更多
关键词 UNDERGRADUATE NURSING Students Decision Making self-determination LIFESTYLE
下载PDF
Autonomous Motivation in Language Learning Contexts: A Self-Determination Theory Perspective
6
作者 Hossein Rahmanpanah 《Sino-US English Teaching》 2012年第2期899-912,共14页
Deci and Ryan's (1985a) self-determination theory is on this basis that the promotion of rrtore effective learning is achieved when the learner is intrinsically motivated in an autonomy-supportive climate. In educa... Deci and Ryan's (1985a) self-determination theory is on this basis that the promotion of rrtore effective learning is achieved when the learner is intrinsically motivated in an autonomy-supportive climate. In educational settings, the concept of autonomy support, as described in self-determination theory (Deci & Ryan, 1985a), means that the teacher takes the learners' perspective, acknowledges their feelings, and provides them with relevant information and opportunities for choice, while reducing the use of pressure. Therefore, self-determination theory suggests a unique view for understating how autonomy supportive climate can promote intrinsic/autonomous motivation through supporting the basic psychological needs for autonomy, competence, and relatedness. This study first presents an overview of Deci and Ryan's (1985a) self-determination theory and its application to the study of L2 (second language) intrinsic/autonomous motivation. Then, based on the tenets of self-determination theory, this study posits that the more the learners' needs for autonomy, competence, and relatedness are satisfied in the classroom, the more they indicate intrinsic reasons for learning the language. The results o f this review support the fact that intrinsic/extrinsic paradigm, as described in self-determination theory is useful for enhancing L2 learners' autonomous motivation. Finally, 1:his study suggests that self-determination theory has strong implications in L2 learning as the more internalized the reason for L2 learning, the more self-determined and intrinsically/autonomously motiwtted the learners will be 展开更多
关键词 AUTONOMY EXTRINSIC INTRINSIC self-determination theory
下载PDF
Factors of Self-Determination to Return after the Long-Term Evacuation Caused by a Nuclear Power Plant Accident
7
作者 Motoya Yamada Ruruko Kidachi Mayumi Shimizu 《Open Journal of Nursing》 2020年第2期117-130,共14页
Aim of the Study: This study aimed to clarify the factors that were relevant to an individual’s self-determination to return amidst anxiety after a long-term evacuation due to the Fukushima Daiichi Nuclear Power Plan... Aim of the Study: This study aimed to clarify the factors that were relevant to an individual’s self-determination to return amidst anxiety after a long-term evacuation due to the Fukushima Daiichi Nuclear Power Plant accident. Method: Semi-structured interviews on whether to return were conducted with nine participants aged 60 - 80 years (eight males and one female) residing in areas where evacuation orders were canceled. The data obtained were analyzed qualitatively and inductively. Result: All participants were returning to their homes. Factors relevant to self-determination to return were represented by five categories: a desire to return 1) emerging from life-experience as a long-term evacuee, 2) retained after obtaining information about the original place of residence, 3) acquired from a long-term life as a refugee, 4) retained with the acceptance of the potential risks of returning, and finally 5) people’s apprehension over talking about the importance of the future of the younger generation. Discussion: These categories were based on the participants’ desire to return and they continued to maintain these thoughts by gathering information and preparing for their return after the long-term evacuation caused by the nuclear accident. It was suggested that the risk perception and the norm in that age group could be among the factors that promoted the choice in maintaining the desire to return. 展开更多
关键词 LONG-TERM EVACUATION EVACUATION Instructions Canceled self-determination to RETURN Nuclear DISASTER
下载PDF
The Effects of Working Experience Practicum to Strengthen Students’Self-determination Behaviors in Practicum Subject of Business and Computer Education Major,Faculty of Education,Kasetsart University
8
作者 Methinee Wongwanich Rumpagaporn 《Management Studies》 2018年第4期293-299,共7页
The research purpose was to study the effects of working experience practicum to strengthen students’self-determination behaviours.Research population were 23 students in 3rd year in Business and Computer in Vocation... The research purpose was to study the effects of working experience practicum to strengthen students’self-determination behaviours.Research population were 23 students in 3rd year in Business and Computer in Vocational Education Department,Faculty of Education,Kasetsart University who registered to study in Practicum Subject in 2016 academic year.Three research instruments were conducted,including,(1)Practicum Manual,(2)Interview Form,and(3)Focus Group Discussion Sheet.Research instruments were verified by four experts who were in four academic areas,including(1)humanity,(2)psychology,(3)business,and(4)human resource by using content validity method.Interview session was divided by 10 groups of companies in which students did their work for 10 weeks.Focus group was administered to discuss with 23 students and share about working problems and solutions.Qualitative data were analyzed by content analysis method,including data analysing,ordering and grouping,and data linking of working practicum.The research results were shown that students learned to understand benefits and limitations of self-determination behaviors and awareness in the essentials of self-determination in four aspects,including(1)attention and responsibility in working achievements,(2)working diligent and tolerance,(3)self-determination with learning motivation,and(4)self-development.The guidelines to encourage students’self-determination behaviors suggested that students should apply Buddha’s teaching(four-step secret of successful working achievements)to achieve their work and adjust students’real life behaviors.Furthermore,researcher presented the best practice guidelines to promote students’self-determination behaviors,including(1)students should think positively to spend time on hardworking and tolerance,(2)students should develop their work through PDCA(Plan,Do,Check,Action)techniques to adjust their work to do better,(3)students should be promoted with skills of 21st century that are necessary to raise students’self-development through teaching and learning in and out of classroom. 展开更多
关键词 working EXPERIENCE PRACTICUM self-determination PRACTICUM SUBJECT
下载PDF
Passion and Self-Determination: Exploring Social Networking Site Addiction Using a Dualistic Framework
9
作者 Srikant Manchiraju Amrut Sadachar 《Social Networking》 2018年第3期126-136,共11页
The purpose of the present study is to explore the role of behavioral/psychological constructs of passion and self-determination in the context of social networking site (SNS) addiction. The present study explored SNS... The purpose of the present study is to explore the role of behavioral/psychological constructs of passion and self-determination in the context of social networking site (SNS) addiction. The present study explored SNS addiction by employing a dualistic framework, which is an amalgam of the dualistic model of passion ([13]) and the self-determination theory (SDT;[14]). Data were collected through an online survey administered by a market research company based in the USA (N = 312). The survey consisted of items related to key constructs related to the research framework proposed (e.g., harmonious and obsessive passion). All the items included in the survey were 7-point Likerttype questions. Additionally, data related to demographics and Internet usage were collected. Structural equation modeling (SEM) was employed to explore the relationships between passion typologies, self-determination, and SNS addiction. Structural Equation Modeling showed that harmonious passion was positively related to autonomy and relatedness, but was negatively related to competence. Obsessive passion was negatively related to autonomy, competence, and relatedness. Competence and relatedness were negatively related to SNS addiction. Obsessive passion positively influenced SNS addiction, whereas, contrary to the expectation, harmonious passion also positively influenced SNS addiction. Obsessive passion towards SNS predicted SNS addiction via three basic psychological needs, namely, autonomy, competence, and relatedness. The present study draws upon concepts of positive psychology to understand SNS addiction. The proposed theoretical framework explained 86% of the variance in terminal construct, which is SNS addiction. 展开更多
关键词 BEHAVIORAL Addictions SNS ADDICTION PASSION self-determination Basic PSYCHOLOGICAL Needs
下载PDF
A New View on Teaching Motivation Self-determination Theory
10
作者 MA Wen-ying LIU Xi 《Sino-US English Teaching》 2016年第1期33-39,共7页
Self-determination Theory categorises motivation into three broad types: amotivation, extrinsic motivation, and intrinsic motivation according to the level of self-determination. This theory argues that people's mot... Self-determination Theory categorises motivation into three broad types: amotivation, extrinsic motivation, and intrinsic motivation according to the level of self-determination. This theory argues that people's motivation is a developmental process across time and place. Furthermore, it emphasizes that three basic psychological needs--a need for competence, a need for autonomy, and a need for relatedness--are the nutriments of motivation. Thus, as this theory not only concerns the type of motivation, but also the circumstances that promote and maintain motivation, it offers insight to the nature of lecturers' motivation. It is claimed to be one of the most influential theories in contemporary motivation psychology 展开更多
关键词 new view teaching motivation self-determination theory
下载PDF
Students' Unethical Academic Behaviors: A Self-Determination Theory Approach
11
作者 Jung-in (Stephanie) Bae Jun Mo Kwon Shane C. Blum 《Journal of Tourism and Hospitality Management》 2015年第2期60-72,共13页
Building on the Self-Determination Theory (SDT), the study examines the influence of intrinsic motivation, extrinsic motivation, and in-class deterrents on prior cheating, neutralization, and likelihood of cheating ... Building on the Self-Determination Theory (SDT), the study examines the influence of intrinsic motivation, extrinsic motivation, and in-class deterrents on prior cheating, neutralization, and likelihood of cheating in the future. In addition, the model has been tested based on gender differences. To test the hypotheses, the data were collected from 324 undergraduate hospitality and tourism students. The proposed model was tested using structural equation modeling. Results of hypotheses testing showed that both extrinsic motivation and intrinsic motivation had negative relationships with prior cheating, which is consistent with previous research. In addition, neutralization showed a positive relationship with likelihood of cheating and prior cheating was positively related to likelihood of cheating. These findings can help hospitality and tourism instructors and administrators develop various strategies to prevent students' unethical behaviors. A discussion of implications is included along with limitations and recommendations for future research. 展开更多
关键词 CHEATING unethical behaviors MOTIVATION hospitality and tourism self-determination Theory (SDT)
下载PDF
Self-determination, Self-efficacy and Self-regulation in School: A Longitudinal Intervention Study With Primary School Pllnile
12
作者 Daniela Martinek Ulrike Kipman 《Sociology Study》 2016年第2期124-133,共10页
The study documents an intervention programme based on the Self-determination Theory of Deci and Ryan (2000) with school beginners in an Austrian primary school with the aim to improve perceived self-determination a... The study documents an intervention programme based on the Self-determination Theory of Deci and Ryan (2000) with school beginners in an Austrian primary school with the aim to improve perceived self-determination and academic self-regulation of school beginners. For two years, teachers were guided by a team of educational scientists to design challenging autonomous learning settings and to foster self-determined academic regulation. Before and after the intervention, about 100 pupils were questioned concerning their well-being in school, perceived autonomy support, their academic self-regulation, and school-related self-efficacy. Teachers' autonomy support decreased during the first year but remained stable from then on. Pupils' intrinsic regulation, as well as their introjected and external regulation and their self-efficacy, decreased throughout the intervention but identified regulation remained stable. The results indicate that perceived self-determination, self-determined academic regulation, and self-efficacy contribute to school-related well-being and offer interesting recommendations for improving the climate in schools for pupils and teachers. 展开更多
关键词 self-determined learning academic self-regulation SELF-EFFICACY early education
下载PDF
The Connection Between Medical Self-determination and the System of Adult Guardianship——The Institutional Construction of Medical Proxy
13
作者 李敏 SU Yilong 《The Journal of Human Rights》 2023年第3期576-598,共23页
China has established the basic rules of informed consent in the medical field through Articles 1219 and 1220 of the tort liability part of the Civil Code of China to address the legality of medical conduct.Since pati... China has established the basic rules of informed consent in the medical field through Articles 1219 and 1220 of the tort liability part of the Civil Code of China to address the legality of medical conduct.Since patients’capacity to consent is the prerequisite,when the patient is a fully competent person,it is sufficient to give consent based on valid notification by the doctor.However,for those who are unable to give valid consent,especially adult patients with impaired capacity,resolving the legality of the doctor’s medical conduct remains an issue when it infringes on the patient’s body and health.To solve this issue,someone must give consent in place of the patient when the adult is unable to give valid consent.However,the personal and exclusive nature of the right to medical consent,which is informed consent,makes it impossible to simply delegate it to a guardian or other person to exercise it on behalf of the patient.In this paper,we borrow the concept of“medical proxy”proposed by Japanese scholar Teruaki Tayama,and for the first time,we discuss the construction of medical proxy from the perspective of adult guardianship by connecting the two systems from the standpoint of interpretive theory. 展开更多
关键词 medical proxy medical self-determination adult guardianship capacity to consent
下载PDF
Use Self-Determination Theory to Explain the Difference Between Learning English in China and in England
14
作者 张雨涵 《海外英语》 2020年第20期279-280,共2页
Nowadays,to improve English learning capability,an increasing number of Chinese students choose to study abroad.As a member of International students,I have a puzzle about why I am less motivated to learn English in C... Nowadays,to improve English learning capability,an increasing number of Chinese students choose to study abroad.As a member of International students,I have a puzzle about why I am less motivated to learn English in China than in England,which is the same as the puzzle of a large proportion of international students.Furthermore,self-determination theory(SDT)focuses on students’learning motivation,therefore SDT helps investigate the international students’puzzle which related to language learning motivation. 展开更多
关键词 MOTIVATION self-determination theory language learning
下载PDF
Addressing Japan’s disposal of nuclear-contaminated water from the perspective of international human rights law
15
作者 Yen-Chiang Chang Xiaonan Zhao 《Chinese Journal of Population,Resources and Environment》 2024年第1期1-9,共9页
The discharge of nuclear-contaminated water containing radionuclides into the ocean by Japan will lead to its integration into the entire ecosystem through processes of circulation and biomagnification,eventually ente... The discharge of nuclear-contaminated water containing radionuclides into the ocean by Japan will lead to its integration into the entire ecosystem through processes of circulation and biomagnification,eventually entering the human body via the food chain.This poses a substantial risk of irreversible damage to both the ecosystem and human health,a situation that will worsen with the ongoing discharge of such water.The respect and protection of human rights represent an international consensus,and safeguarding fundamental human rights is a substantial obligation that states must undertake in accordance with both international and domestic law.Since the Fukushima nuclear disaster,Japan has continuously violated its international legal obligations to protect human rights in several areas,including the resettlement of disaster victims,the reduction of nuclear radiation levels,and the handling of contaminated water.Such actions have compromised and will continue to compromise the basic human rights of not only its citizens but also those of people worldwide,including environmental rights,the right to life,development rights,and food rights.In the aftermath of the Fukushima meltdown,the public and workers involved in handling nuclear contaminants have been continually exposed to high radiation levels,endangering their rights to life,development,and health.Japan’s inadequate efforts in victim resettlement and environmental restoration have jeopardized the environmental and food rights of its citizens to live healthily and access food in an environment unaffected by nuclear radiation.The release of nuclear-contaminated water poses a risk of Japan’s nuclear pollution to the people of neighboring countries and the global population at large.The principle of human rights underpins the theory of a community with a shared future for humanity,and human rights are a crucial area of China’s active participation in United Nations affairs and global governance.By voicing concerns over Japan’s potential human rights violations globally,China demonstrates its role as a responsible major country.In response to Japan’s breach of legal obligations and human rights violations,China can adopt a reasoned and beneficial approach,including calling on the international community to hold Japan criminally accountable for crimes against humanity under the Rome Statute and advancing scholarly discussions on ecocide and crimes against the marine environment.Furthermore,China should persist in seeking advisory opinions from the International Court of Justice and strive for substantive accountability,utilizing the mechanisms of international human rights organizations to make its voice heard. 展开更多
关键词 Fukushima nuclearcontaminated water Crimes against humanity Remedy for violations of human rights right to environment right to life
下载PDF
双碳目标下减压渣油高值利用的RIGHT技术研发
16
作者 杨清河 牛传峰 +10 位作者 贾燕子 胡大为 孙淑玲 任亮 刘自宾 王翠红 沈明欢 戴立顺 王振 浦宁 王威 《石油炼制与化工》 CAS CSCD 北大核心 2024年第8期7-17,共11页
炼油低碳转型发展的关键是高含碳重组分的高效高值利用。通过溶剂脱沥青技术把质量较差的常规焦化原料(即减压渣油)分为脱油沥青(DOA)和脱沥青油(DAO),然后利用相似相溶原理,把两种低价值的以芳烃结构为主的DOA和催化裂化轻循环油(LCO)... 炼油低碳转型发展的关键是高含碳重组分的高效高值利用。通过溶剂脱沥青技术把质量较差的常规焦化原料(即减压渣油)分为脱油沥青(DOA)和脱沥青油(DAO),然后利用相似相溶原理,把两种低价值的以芳烃结构为主的DOA和催化裂化轻循环油(LCO)混合进行加氢(组分炼油),同时DAO单独加氢,形成了中石化石油化工科学研究院有限公司一体化加氢RIGHT(RIPP InteGrated HydroTreating)技术。加氢后DOA进焦化装置可以生产低金属(V、Ni质量分数均小于150μg/g)或低金属低硫(硫质量分数不大于3.0%)的石油焦,为高端炭材料提供高质量前躯体。与常规焦化相比,RIGHT技术可把低档次的高金属和高硫含量的石油焦产率降低约70%。加氢后的LCO满足LTAG进料要求,可以生产轻芳烃(BTX)和高辛烷值汽油调合组分;DAO在比常规渣油加氢质量空速高1倍的情况下进行加氢,加氢后DAO的氢质量分数为12.25%~12.32%,残炭小于2.0%,金属(Ni+V)质量分数小于0.1μg/g,是优质催化裂化/催化裂解原料,可以多产低碳烯烃和高辛烷值汽油调合组分并大幅度降低过程剂耗。基于DOA和LCO混合油中高金属含量特点,研发了脱金属和容金属能力更强的RRC系列资源再造催化剂,运转后催化剂金属V和Ni沉积量高,是获取高价值V和Ni,尤其是V的宝贵资源。DAO加氢装置运转周期可以提高至4年,从根本上解决渣油加氢装置运转周期短的问题,同时后部渣油加氢脱硫催化剂可以再生,能够提高催化剂资源利用率。RIGHT技术能把减压渣油通过组分炼油技术更多地用于生产高价值低硫低金属含量石油焦和化工料,从而实现炼油领域高碳含量组分的低碳化和高值化利用。 展开更多
关键词 减压渣油 溶剂脱沥青 加氢 脱沥青油 right 石油焦 低碳烯烃 轻芳烃
下载PDF
Laparoscopic right radical hemicolectomy: Central vascular ligation and complete mesocolon excision vs D3 lymphadenectomy - How I do it?
17
作者 Kaushal Yadav 《World Journal of Gastrointestinal Surgery》 SCIE 2024年第6期1521-1526,共6页
In colon cancer surgery,ensuring the complete removal of the primary tumor and draining lymph nodes is crucial.Lymphatic drainage in the colon follows the vascular supply,typically progressing from pericolic to paraao... In colon cancer surgery,ensuring the complete removal of the primary tumor and draining lymph nodes is crucial.Lymphatic drainage in the colon follows the vascular supply,typically progressing from pericolic to paraaortic lymph nodes.While NCCN guidelines recommend the removal of 10-12 lymph nodes for ade-quate oncological resection,achieving complete oncological resection involves more than just meeting these numerical targets.Various techniques have been developed and studied over time to attain optimal oncological outcomes.A key technique central to this goal is identifying the ileocolic vessels at their origin from the superior mesenteric vessels.Complete excision of the visceral and parietal mesocolon ensures the intact removal of the specimen,while D3 lymphade-nectomy targets all draining regional lymph nodes.Although these principles emphasize different aspects,they ultimately converge to achieve the same goal of complete oncological resection.This article aims to simplify the surgical steps that align with the principle of central vascular ligation and mesocolon mobilization while ensuring adequate D3 dissection. 展开更多
关键词 Carcinoma caecum Carcinoma ascending colon right hemicolectomy Extended right hemicolectomy Central vascular ligation Complete mesocolon excision D3 lymphadenectomy Laparoscopic right hemicolectomy Minimally invasive hemico-lectomy
下载PDF
Fate of Right Coronary Artery Occlusion after a Surgically Repaired Aorto- Ventricular Tunnel in a Neonate
18
作者 Sherif Negm Loic Mace +4 位作者 Fedoua El Louali Beatrice Desnous Philipe Aldebert Virginie Fouilloux Marien Lenoir 《Congenital Heart Disease》 SCIE 2024年第3期267-273,共7页
The aorto-ventricular tunnel is a rare congenital cardiac anomaly.We present a case of aorto-ventricular tunnel diagnosed via fetal echocardiography.Emergency surgery was performed on the 2nd day of life to close the ... The aorto-ventricular tunnel is a rare congenital cardiac anomaly.We present a case of aorto-ventricular tunnel diagnosed via fetal echocardiography.Emergency surgery was performed on the 2nd day of life to close the tun-nel,located just in front of the right coronary ostium,due to the patient’s unstable health condition.The post-operative period revealed complete occlusion of the right coronary artery.Due to the patient’s stability,we opted not to reintervene on the right coronary artery.The patient fully recovered without the need for further coronary intervention.In cases of patients with an aorto-ventricular tunnel(AVT)and associated coronary lesions,it is crucial to exercise caution when intervening in the coronary arteries. 展开更多
关键词 Aorto-ventricular tunnel AORTA right coronary artery
下载PDF
Pragmatist View of Human Rights:Theoretical Explanations of China’s Human Rights Practice
19
作者 YU Xiqiao GUO Dong 《The Journal of Human Rights》 2024年第3期614-636,共23页
The pragmatist view of human rights represents a the-oretical condensation of the Chinese practice in human rights devel-opment.In view of the problem of circular idling between rights and claims caused by the traditi... The pragmatist view of human rights represents a the-oretical condensation of the Chinese practice in human rights devel-opment.In view of the problem of circular idling between rights and claims caused by the traditional view of human rights of focusing on contents and not valuing implementation,social segmentation caused by empty talks on interests and claims while ignoring social develop-ment,and the phenomenon of the issue of human rights completely becoming empty and useless political rhetoric,the pragmatic view of human rights,based on the fact that there is a gap between the claims and realization of human rights,emphasizes that instead of blindly ex-panding the types of rights in term of text,it is better to base on prac-tice and promote the maximum realization of existing rights through development.The pragmatist view of human rights attaches impor-tance to relevant economic,social and cultural basis to promote the realization of human rights,rather than only focusing on the claims themselves;it pays greater attention to enhancing the realization of rights,rather than the distribution of rights under the total limit;it ad-vocates more for cooperativism in the realization of rights,rather than confrontation.The pragmatic concept of human rights takes Marxism as its theoretical basis and the gene of practice and the dimension of development as its theoretical characteristics,and promotes the devel-opment of human rights through the realization of rights. 展开更多
关键词 pragmatist view of human rights rights and claims realization of rights cooperativism development
下载PDF
Venopulmonary ECMO Improved Hypoxemia and Supported the Right Ventricle in a Patient with Decompensated Eisenmenger Syndrome
20
作者 Daniel Manzur-Sandoval Gian Manuel Jiménez-Rodríguez +5 位作者 Edgar García-Cruz Ramón Espinosa-Soto Erika Yamali Ramirez-Marcano Yessenia Máyory Téllez-López José Luis Elizalde-Silva Gustavo Rojas-Velasco 《World Journal of Cardiovascular Surgery》 2024年第1期7-19,共13页
Mechanical circulatory and/or respiratory assistance with extracorporeal membrane oxygenation (ECMO) has become a standard of care for patients with circulatory (venoarterial) and/or respiratory (venovenous) failure r... Mechanical circulatory and/or respiratory assistance with extracorporeal membrane oxygenation (ECMO) has become a standard of care for patients with circulatory (venoarterial) and/or respiratory (venovenous) failure refractory to standard therapies. Adult patients with congenital heart disease are an increasingly recognized and growing population and include various groups, such as undiagnosed cases in childhood and palliated and/or corrected cases, which require subsequent care because of residual lesions, cardiac arrest/insufficiency, and arrhythmias, among other conditions. In addition, these patients are prone to developing pathologies that are typical of adulthood with a generally increased risk of morbidity and mortality because of their low reserves and organic damage associated with the underlying heart disease, which makes them candidates for ECMO. These patients represent an additional challenge in this therapy because malformations and the presence of a shunt can generally affect the usual cannulation methods and hemodynamic and oximetry monitoring. Thus, the configuration decision must be made on a case-by-case basis. Here, we present a cannulation method, venopulmonary artery ECMO, which provides hemodynamic and respiratory support, and may be ideal for patients with shunts and/or right ventricular dysfunction. To our knowledge, this is the first report of this configuration in patients with congenital heart diseases. 展开更多
关键词 Eisenmenger Syndrome Venopulmonary Artery ECMO Refractory Hypoxemia right Ventricular Dysfunction
下载PDF
上一页 1 2 250 下一页 到第
使用帮助 返回顶部