目的探讨多学科合作工作模式对糖尿病足患者疾病转归的应用效果。方法选取2016年1月—2017年12月在广东省肇庆市高要区人民医院住院的糖尿病足wagner分级2~4级患者80例,采用随机抽签法分为对照组40例、实验组40例。对照组采用常规的医...目的探讨多学科合作工作模式对糖尿病足患者疾病转归的应用效果。方法选取2016年1月—2017年12月在广东省肇庆市高要区人民医院住院的糖尿病足wagner分级2~4级患者80例,采用随机抽签法分为对照组40例、实验组40例。对照组采用常规的医护共同管床工作模式:医生负责制定患者的诊疗方案,护士负责治疗与护理措施的落实,开展病区常规的医护共同查房。实验组采用多学科医护团队合作工作模式:建立由糖尿病专科医师、骨科医师、伤口专科护士、糖尿病专科护士和营养师组成的工作团队,建立微信工作平台;多学科成员共同会诊、查房、讨论、拟定患者的诊疗护理方案。评价2组患者出院前的血糖控制达标率、糖尿病足伤口的转归,数据采用SPSS 17.0软件进行统计学处理。结果实验组FPG、2 h PG控制达标率为77.5%高于对照组的62.5%,两组比较有统计学意义(χ2=7.54,P<0.05);出院时两组患者足部伤口均有好转,糖尿病足wagner分级下降,实验组糖尿病足wagner分级1级患者有14例(35.0%)、对照组8例(20.0%),虽然糖尿病足wagner分级两组中每级的比较无统计学意义P>0.05,但实验组的效果满意。结论采用多学科合作工作模式有利于促进糖尿病足患者伤口的好转健康教育的效果和患者的满意度。展开更多
Positive associations between alpine cushion plants and other species have been extensively studied.However,almost all studies have focused on the associations between macrofauna.Studies that have investigated positiv...Positive associations between alpine cushion plants and other species have been extensively studied.However,almost all studies have focused on the associations between macrofauna.Studies that have investigated positive associations between alpine cushion plants and rhizospheric microbes have been limited to the vegetation growing season.Here,we asked whether the positive effects that alpine cushion plants confer on rhizospheric microbe communities vary with seasons.We assessed seasonal variations in the bacterial diversity and composition in rhizosphere of two alpine cushion plants and surrounding bare ground by employing a high throughput sequencing method targeting the V3 region of bacterial 16 S rRNA genes.Soil properties of the rhizosphere and the bare ground were also examined.We found that cushion rhizospheres harbored significantly more C,N,S,ammonia nitrogen,and soil moisture than the bare ground.Soil properties in cushion rhizospheres were not notably different,except for soil pH.Bacterial diversities within the same microhabitats did not vary significantly with seasons.We concluded that alpine cushion plants had positive effects on the rhizospheric bacterial communities,even though the strength of the effect varied in different cushion species.Cushion species and the soil sulfur content were probably the major factors driving the spatial distribution and structure of soil bacterial communities in the alpine communities dominated by cushion plants.展开更多
Plants are important components of any rangeland.However,the importance of desert rangeland plant diversity has often been underestimated.It has been argued that desert rangelands of Tunisia in good ecological conditi...Plants are important components of any rangeland.However,the importance of desert rangeland plant diversity has often been underestimated.It has been argued that desert rangelands of Tunisia in good ecological condition provide more services than those in poor ecological condition.This is because rangelands in good condition support a more diverse mixture of vegetation with many benefits,such as forage for livestock and medicinal plants.Nearly one-quarter of Tunisia,covering about 5.5 million hectares,are rangelands,of which 87% are located in the arid and desert areas(45% and 42%,respectively).Here,we provide a brief review of the floristic richness of desert rangelands of Tunisia.Approximately 135 species are specific to desert rangelands.The predominant families are Asteraceae,Poaceae,Brassicaceae,Chenopodiaceae,and Fabaceae.These represent approximately 50% of Tunisian desert flora.展开更多
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
文摘目的探讨多学科合作工作模式对糖尿病足患者疾病转归的应用效果。方法选取2016年1月—2017年12月在广东省肇庆市高要区人民医院住院的糖尿病足wagner分级2~4级患者80例,采用随机抽签法分为对照组40例、实验组40例。对照组采用常规的医护共同管床工作模式:医生负责制定患者的诊疗方案,护士负责治疗与护理措施的落实,开展病区常规的医护共同查房。实验组采用多学科医护团队合作工作模式:建立由糖尿病专科医师、骨科医师、伤口专科护士、糖尿病专科护士和营养师组成的工作团队,建立微信工作平台;多学科成员共同会诊、查房、讨论、拟定患者的诊疗护理方案。评价2组患者出院前的血糖控制达标率、糖尿病足伤口的转归,数据采用SPSS 17.0软件进行统计学处理。结果实验组FPG、2 h PG控制达标率为77.5%高于对照组的62.5%,两组比较有统计学意义(χ2=7.54,P<0.05);出院时两组患者足部伤口均有好转,糖尿病足wagner分级下降,实验组糖尿病足wagner分级1级患者有14例(35.0%)、对照组8例(20.0%),虽然糖尿病足wagner分级两组中每级的比较无统计学意义P>0.05,但实验组的效果满意。结论采用多学科合作工作模式有利于促进糖尿病足患者伤口的好转健康教育的效果和患者的满意度。
基金supported by the National Key Research and Development Program of China(Grant No.2017YFC0505200,to Hang Sun)the Major Program of National Natural Science Foundation of China(Grant No.31590823,to Hang Sun)+2 种基金the Strategic Priority Research Program of Chinese Academy of Sciences(Grant No.XDA20050203,to Hang Sun)the Strategic Priority Research Program of the Chinese Academy of Sciences(Grant No.XDB15020302,to Jianqiang Su)the Yunnan Applied Basic Research Project(Grant No.2018FA015,to Yang Yang)
文摘Positive associations between alpine cushion plants and other species have been extensively studied.However,almost all studies have focused on the associations between macrofauna.Studies that have investigated positive associations between alpine cushion plants and rhizospheric microbes have been limited to the vegetation growing season.Here,we asked whether the positive effects that alpine cushion plants confer on rhizospheric microbe communities vary with seasons.We assessed seasonal variations in the bacterial diversity and composition in rhizosphere of two alpine cushion plants and surrounding bare ground by employing a high throughput sequencing method targeting the V3 region of bacterial 16 S rRNA genes.Soil properties of the rhizosphere and the bare ground were also examined.We found that cushion rhizospheres harbored significantly more C,N,S,ammonia nitrogen,and soil moisture than the bare ground.Soil properties in cushion rhizospheres were not notably different,except for soil pH.Bacterial diversities within the same microhabitats did not vary significantly with seasons.We concluded that alpine cushion plants had positive effects on the rhizospheric bacterial communities,even though the strength of the effect varied in different cushion species.Cushion species and the soil sulfur content were probably the major factors driving the spatial distribution and structure of soil bacterial communities in the alpine communities dominated by cushion plants.
基金supported by the International Center for Agricultural Research in the Dry Areas(ICARDA)the Arid Regions Institute(IRA e Medenine,Tunisia)and the CGIAR Research Program on Livestock(CRP Livestock)
文摘Plants are important components of any rangeland.However,the importance of desert rangeland plant diversity has often been underestimated.It has been argued that desert rangelands of Tunisia in good ecological condition provide more services than those in poor ecological condition.This is because rangelands in good condition support a more diverse mixture of vegetation with many benefits,such as forage for livestock and medicinal plants.Nearly one-quarter of Tunisia,covering about 5.5 million hectares,are rangelands,of which 87% are located in the arid and desert areas(45% and 42%,respectively).Here,we provide a brief review of the floristic richness of desert rangelands of Tunisia.Approximately 135 species are specific to desert rangelands.The predominant families are Asteraceae,Poaceae,Brassicaceae,Chenopodiaceae,and Fabaceae.These represent approximately 50% of Tunisian desert flora.
文摘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.
