Background End-of-life care is not usually a priority in cardiology departments. We sought to evaluate the changes in end-of-life care after the introduction of a do-not-resuscitate （DNR） order protocol. Methods ＆ ...Background End-of-life care is not usually a priority in cardiology departments. We sought to evaluate the changes in end-of-life care after the introduction of a do-not-resuscitate （DNR） order protocol. Methods ＆ Results Retrospective analysis of all deaths in a cardiology department in two periods, before and after the introduction of the protocol. Comparison of demographic characteristics, use of DNR orders, and end-of-life care issues between both periods, according to the presence in the second period of the new DNR sheet （Group A）, a conven- tional DNR order （Group B） or the absence of any DNR order （Group C）. The number of deaths was similar in both periods （n = 198 vs. n = 197）. The rate of patients dying with a DNR order increased significantly （57.1% vs. 68.5%; P = 0.02）. Only 4% of patients in both periods were aware of the decision taken about cardiopulmonary resuscitation. Patients in Group A received the DNR order one day earlier, and 24.5% received it within the first 24 h of admission （vs. 2.6% in the first period; P 〈 0.001）. All patients in Group A with an implantable cardioverter defibrillator （ICD） had shock therapies deactivated （vs. 25.0% in the first period; P = 0.02）. Conclusions The introduction of a DNR order protocol may improve end-of-life care in cardiac patients by increasing the use and shortening the time of registration of DNR orders. It may also contribute to increase ICD deactivation in patients with these orders in place. However, the introduction of the sheet in late stages of the disease failed to improve patient participation.展开更多
[Objective] The aim was to estimate the developmental characteristics of Huanghai No.1 and the first generation of wild population in Fenneropenaeus chinensis for providing a reference for the development, feeding man...[Objective] The aim was to estimate the developmental characteristics of Huanghai No.1 and the first generation of wild population in Fenneropenaeus chinensis for providing a reference for the development, feeding management and breeding. [Method] Four growth models were used to fit the growth patterns of 15 morphological traits. The squared multiple correlation coefficient (R2 ) of the Cubic growth model was higher than the other three models, so it was selected to investigate the growth pattern and age in month at inflexion. [Result] Ages in month at inflexion of body weight in Huanghai No.1 and the G1 population were 2.87 (body weight at inflexion was 14.98 g) and 4.05 (body weight at inflexion was 26.26 g), respectively. In addition, Ages in month at inflexion of morphological characters in Huanghai No.1 were from 0.51 to 3.07. CL had the most rapid growth rate, followed by AW, CH, AH, CW, BL, FL, AL5, AL3, AL4, TL, AL2, AL1, and AL6. Ages in month at inflexion in the G 1 population were from 2.38 to 3.08, except that of AL2, and the order of achieving the most rapid growth rate was AL2, AL1, AL3, AL4, CH, AL5, CW, FL, AH, AW, TL, CL, BL, and AL6, that delayed one month than that of Huanghai No.1 except AL2 and AL1. [Conclusion] The development of Huanghai No.1 cultivar was advanced for about one month compared to that of the G1 population.展开更多
文摘Background End-of-life care is not usually a priority in cardiology departments. We sought to evaluate the changes in end-of-life care after the introduction of a do-not-resuscitate （DNR） order protocol. Methods ＆ Results Retrospective analysis of all deaths in a cardiology department in two periods, before and after the introduction of the protocol. Comparison of demographic characteristics, use of DNR orders, and end-of-life care issues between both periods, according to the presence in the second period of the new DNR sheet （Group A）, a conven- tional DNR order （Group B） or the absence of any DNR order （Group C）. The number of deaths was similar in both periods （n = 198 vs. n = 197）. The rate of patients dying with a DNR order increased significantly （57.1% vs. 68.5%; P = 0.02）. Only 4% of patients in both periods were aware of the decision taken about cardiopulmonary resuscitation. Patients in Group A received the DNR order one day earlier, and 24.5% received it within the first 24 h of admission （vs. 2.6% in the first period; P 〈 0.001）. All patients in Group A with an implantable cardioverter defibrillator （ICD） had shock therapies deactivated （vs. 25.0% in the first period; P = 0.02）. Conclusions The introduction of a DNR order protocol may improve end-of-life care in cardiac patients by increasing the use and shortening the time of registration of DNR orders. It may also contribute to increase ICD deactivation in patients with these orders in place. However, the introduction of the sheet in late stages of the disease failed to improve patient participation.
基金Supported by grants from China Agriculture Research System(CARS-47)the National Natural Science Foundation of China(3117240130901101)
文摘[Objective] The aim was to estimate the developmental characteristics of Huanghai No.1 and the first generation of wild population in Fenneropenaeus chinensis for providing a reference for the development, feeding management and breeding. [Method] Four growth models were used to fit the growth patterns of 15 morphological traits. The squared multiple correlation coefficient (R2 ) of the Cubic growth model was higher than the other three models, so it was selected to investigate the growth pattern and age in month at inflexion. [Result] Ages in month at inflexion of body weight in Huanghai No.1 and the G1 population were 2.87 (body weight at inflexion was 14.98 g) and 4.05 (body weight at inflexion was 26.26 g), respectively. In addition, Ages in month at inflexion of morphological characters in Huanghai No.1 were from 0.51 to 3.07. CL had the most rapid growth rate, followed by AW, CH, AH, CW, BL, FL, AL5, AL3, AL4, TL, AL2, AL1, and AL6. Ages in month at inflexion in the G 1 population were from 2.38 to 3.08, except that of AL2, and the order of achieving the most rapid growth rate was AL2, AL1, AL3, AL4, CH, AL5, CW, FL, AH, AW, TL, CL, BL, and AL6, that delayed one month than that of Huanghai No.1 except AL2 and AL1. [Conclusion] The development of Huanghai No.1 cultivar was advanced for about one month compared to that of the G1 population.
