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多学科联合保护性管理策略与高侧卧位通气改善重症肺炎机械通气患者预后的临床研究
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作者 刘茳 徐伟华 +3 位作者 刘杨 许翠娟 刘静 李红 《河北医药》 CAS 2024年第7期1045-1048,共4页
目的研究多学科联合保护性管理策略与高侧卧位通气改善重症肺炎机械通气患者预后的临床效果。方法将廊坊市人民医院重症医学科2021年5月至2023年7月收治的82例重症肺炎机械通气患者按随机数字表法分为对照组和研究组,每组41例。对照组... 目的研究多学科联合保护性管理策略与高侧卧位通气改善重症肺炎机械通气患者预后的临床效果。方法将廊坊市人民医院重症医学科2021年5月至2023年7月收治的82例重症肺炎机械通气患者按随机数字表法分为对照组和研究组,每组41例。对照组采用常规机械通气,研究组采用多学科联合保护性管理策略联合高侧卧位通气,比较2组患者的氧合指数、血气分析指标、机械通气时间及住院时间、肺功能指标及心理状况。结果干预前2组患者氧合指数、血气分析指标、肺功能指标及心理状况比较,差异无统计学意义(P>0.05);干预后研究组患者氧合指数、血氧分压(PaO_(2))、最大呼气峰流速(PEF)、最大呼气中期流量(MMF)及FEV1/FVC(第1秒用力呼气容积/用力肺活量)高于对照组,差异有统计学意义(P<0.05);干预后研究组患者动脉血二氧化碳分压(PaCO_(2))、SAS、SDS评分低于对照组,差异有统计学意义(P<0.05);干预后研究组患者机械通气时间、住院时间短于对照组,差异有统计学意义(P<0.05)。结论多学科联合保护性管理策略联合高侧卧位通气能够有效改善重症肺炎患者的氧合指数、血气分析指标及心理状况,同时提高患者的肺功能,缩短患者的机械通气时间及住院时间,综合改善患者预后,值得临床推广。 展开更多
关键词 重症肺炎 机械通气 多学科联合保护性管理策略 高侧卧位通气
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历史街区保护规划探析
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作者 彭俞华 《科技资讯》 2007年第12期198-199,共2页
本文通过对历史街区保护基本内涵和规划中存在问题的阐述,从5个方面提出历史街区的保护措施,强调街区传统文化生活保护的重要性及体现历史街区内涵和价值。
关键词 历史街区 多学科保护 传统生活方式 生活形态 文化
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Integrated Futures for Europe’s Mountain Regions: Reconciling Biodiversity Conservation and Human Livelihoods 被引量:4
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作者 Jonathan Mitchley Martin F.Price Joseph Tzanopoulos 《Journal of Mountain Science》 SCIE CSCD 2006年第4期276-286,共11页
Europe's mountains cover nearly half of the continent's area and are home to one fifth of the European population. Mountain areas are hotspots of biodiversity and agriculture has played a multifunctional role in def... Europe's mountains cover nearly half of the continent's area and are home to one fifth of the European population. Mountain areas are hotspots of biodiversity and agriculture has played a multifunctional role in defining and sustaining mountain biodiversity. Ongoing trends of agricultural decline are having negative impacts on mountain biodiversity. This paper presents results from an interdisciplinary European research project, BioScene, which investigated the relationship between agriculture and biodiversity in six mountain study areas across Europe to provide recommendations for reconciling biodiversity conservation with social and economic activities through an integrated rural development strategy. BioScene used scenario analysis and stakeholder participation as tools for structuring the analysis of alternative mountain futures. Three main BioScene scenarios were evaluated: Business as Usual (BAIT), Agricultural Liberalisation (Lib), Managed Change for Biodiversity (MCB). BioScene brought together ecologists, economists, sociologists and rural geogra- phers, to carry out interdisciplinary analysis of the scenarios: identifying key drivers of change, assessing the biodiversity consequences and evaluating costeffectiveness. BioScene used a sustainability assessment to integrate the research outputs across natural and social science disciplines to assess the broader sustainability of the scenarios in terms of biodiversity, natural resources, rural development, social development, economic development and institutional capacity. The sustainability assessment showed that the MCB scenario was potentially the most sustainable of the three BioScene scenarios. Through the reconciliation of potentially conflicting objectives, such as conservation, economic development and human livelihoods, and with a strong participatory planning approach, the MCB scenario could represent an alternative approach to BaU for sustainable rural development in Europe's mountains. BioScene confirms the necessity for natural and social scientists to work together to seek solutions to environmental problems. Interdisciplinary research can assist with the definition of integrated strategies with the potential to reconcile the ecological, social and economic parameters that determine a sustainable future for European mountain areas. 展开更多
关键词 AGRICULTURE interdisciplinary research scenarios stakeholder participation sustainability assessment
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Multidisciplinary Approach to Breast Cancer:A New Outlook on Nursing Care
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作者 Ilana Kadmon Frida Barak 《Clinical oncology and cancer researeh》 CAS CSCD 2009年第3期157-161,共5页
The treatment and general care for womendiagnosed with breast cancer has made a tremendous change andadvance in the last decades. Better methods for early detectionand screening of the disease, higher compliance of wo... The treatment and general care for womendiagnosed with breast cancer has made a tremendous change andadvance in the last decades. Better methods for early detectionand screening of the disease, higher compliance of women to gofor screening, an open social and political discourse of women andthe health care team and others, are just a few that both enabledand are a result of this change. Nurses have been highly involvedin these changes, which resulted in the specialization of nursingin the field of breast cancer. This article will focus on the mainfour points that influence the nursing specialist care, that is, thetailoring of treatment and the ability to offer women treatmentwhich is more specific to their own cancer; the importance of themultidisciplinary team as providing a State of the Art care; theinvolvement of women in the decision-making regarding theirtreatment and the specific developing role of the specialist breastcare nurse. 展开更多
关键词 breast cancer nursing DECISION-MAKING comprehensive/multi-disciplinary breast cancer center tailored treatment.
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