Objective:This study aimed to explore the lived experiences of the disease journey and patients'care needs with idiopathic pulmonary fibrosis(IPF).Methods:Face-to-face semi-structured interviews were conducted wit...Objective:This study aimed to explore the lived experiences of the disease journey and patients'care needs with idiopathic pulmonary fibrosis(IPF).Methods:Face-to-face semi-structured interviews were conducted with a purposive sampling of IPF patients admitted to the department of respiratory medicine in a tertiary hospital in Beijing.Interview data were analyzed using the thematic analysis method.In the end,16 patients were interviewed.Results:Four themes emerged from the qualitative data included the long and confusing journey to reach a diagnosis,living with the disease,understanding the disease and treatment and desire for continuity of care.A series of subthemes were also identified,including uncertainty of diagnosis,delaying the process,living with physical symptoms,living with emotional distress,loss of independence,uncertainty with the prognosis,questioning the cause of the disease,concerning the side effects of treatments,lacking continuity of care,and wanting a better quality ofhealthcare in community hospitals.Conclusions:Based on the findings,there is an urgent need to improve the care delivery to this vulnerable population in China.To meet their health needs,it is of paramount importance to develop effective education programs for health professionals and IPF patients and improve care models of healthcare systems,especially in remote areas,to enhance care continuity in the communities.展开更多
Demand for electricity in Saudi Arabia is growing at a significant annual rate of nearly 8%. It is expected that, by 2030, the demand will increase to about 120 GW per year, approximately three times the 2010 load. Sa...Demand for electricity in Saudi Arabia is growing at a significant annual rate of nearly 8%. It is expected that, by 2030, the demand will increase to about 120 GW per year, approximately three times the 2010 load. Satisfying this demand will require a significant investment in the power grid at an estimated cost, over the next 10 years, ofSAR (Saudi Arabia Riyal) 500 billion. Existing power plants rely on oil and natural gas, it is anticipated that meeting the demand in 2030 will consume 3 million barrels ofoil each day, which significantly impacting the economy by reducing the country's income from oil exports, which is a hot button for Saudi decision makers. This paper reviews the responses of various countries in meeting their loads, and therefore, draws recommendations for some resources that should, and should not, be considered best-candidate options for Saudi Arabia economically, technically and environmentally. The discussion primarily examines renewable and nuclear resources.展开更多
基金The study was supported by grants from Beijing Excellent Talents Training Programme(2018000021469G220)Beijing Hospitals Authority Youth Programme(QML20200309),Beijing,China.
文摘Objective:This study aimed to explore the lived experiences of the disease journey and patients'care needs with idiopathic pulmonary fibrosis(IPF).Methods:Face-to-face semi-structured interviews were conducted with a purposive sampling of IPF patients admitted to the department of respiratory medicine in a tertiary hospital in Beijing.Interview data were analyzed using the thematic analysis method.In the end,16 patients were interviewed.Results:Four themes emerged from the qualitative data included the long and confusing journey to reach a diagnosis,living with the disease,understanding the disease and treatment and desire for continuity of care.A series of subthemes were also identified,including uncertainty of diagnosis,delaying the process,living with physical symptoms,living with emotional distress,loss of independence,uncertainty with the prognosis,questioning the cause of the disease,concerning the side effects of treatments,lacking continuity of care,and wanting a better quality ofhealthcare in community hospitals.Conclusions:Based on the findings,there is an urgent need to improve the care delivery to this vulnerable population in China.To meet their health needs,it is of paramount importance to develop effective education programs for health professionals and IPF patients and improve care models of healthcare systems,especially in remote areas,to enhance care continuity in the communities.
文摘Demand for electricity in Saudi Arabia is growing at a significant annual rate of nearly 8%. It is expected that, by 2030, the demand will increase to about 120 GW per year, approximately three times the 2010 load. Satisfying this demand will require a significant investment in the power grid at an estimated cost, over the next 10 years, ofSAR (Saudi Arabia Riyal) 500 billion. Existing power plants rely on oil and natural gas, it is anticipated that meeting the demand in 2030 will consume 3 million barrels ofoil each day, which significantly impacting the economy by reducing the country's income from oil exports, which is a hot button for Saudi decision makers. This paper reviews the responses of various countries in meeting their loads, and therefore, draws recommendations for some resources that should, and should not, be considered best-candidate options for Saudi Arabia economically, technically and environmentally. The discussion primarily examines renewable and nuclear resources.