目的:描述国内外居家安宁疗护服务的研究现况,为我国居家安宁疗护服务的发展提供借鉴。方法:采用概括性评价的方法,检索PubMed、Web of Science、CINAHL、Scopus、OVID和中国生物医学文献数据库(Sino-Med)、中国知网(CNKI)、万方数据知...目的:描述国内外居家安宁疗护服务的研究现况,为我国居家安宁疗护服务的发展提供借鉴。方法:采用概括性评价的方法,检索PubMed、Web of Science、CINAHL、Scopus、OVID和中国生物医学文献数据库(Sino-Med)、中国知网(CNKI)、万方数据知识服务平台和维普中文期刊服务平台,检索时间为2009年1月1日—2019年7月1日。纳入以居家安宁疗护为主题的文献,采用Donabedian的评价框架对服务的结构、过程和结果进行描述总结。结果:纳入的92篇文献共介绍了58个国外的居家安宁服务项目和25个国内的居家安宁服务项目。国内的服务对象多为肿瘤病人,而国外的服务对象更为多元化。服务团队成员均以医生、护士为主,但国内其他学科背景的成员有待增加。服务形式均以家庭访视结合电话随访为主,但国外服务频次高于国内。护士的服务频次高于医生。安宁疗护知识宣教及死亡教育是国内服务的特色。国内文献多关注病人方面的结果指标,而国外文献更关注医疗资源相关的结果指标。结论:国内居家安宁服务可酌情扩大收治范围,完善多学科服务团队,充分发挥护士的重要作用,增加服务频次,在服务评价中可增加医疗服务体系相关的指标。展开更多
Faults in rotating machine are difficult to detect and identify,especially when the system is complex and nonlinear.In order to solve this problem,a novel performance monitoring and fault diagnosis method based on ker...Faults in rotating machine are difficult to detect and identify,especially when the system is complex and nonlinear.In order to solve this problem,a novel performance monitoring and fault diagnosis method based on kernel generalized discriminant analysis(kernel GDA,KGDA)was proposed.Through KGDA,the data were mapped from the original space to the high-dimensional feature space.Then the statistic distance between normal data and test data was constructed to detect whether a fault was occurring.If a fault had occurred,similar analysis was used to identify the type of faults.The effectiveness of the proposed method was evaluated by simulation results of vibration signal fault dataset in the rotating machinery,which was scalable to different rotating machinery.展开更多
文摘目的:描述国内外居家安宁疗护服务的研究现况,为我国居家安宁疗护服务的发展提供借鉴。方法:采用概括性评价的方法,检索PubMed、Web of Science、CINAHL、Scopus、OVID和中国生物医学文献数据库(Sino-Med)、中国知网(CNKI)、万方数据知识服务平台和维普中文期刊服务平台,检索时间为2009年1月1日—2019年7月1日。纳入以居家安宁疗护为主题的文献,采用Donabedian的评价框架对服务的结构、过程和结果进行描述总结。结果:纳入的92篇文献共介绍了58个国外的居家安宁服务项目和25个国内的居家安宁服务项目。国内的服务对象多为肿瘤病人,而国外的服务对象更为多元化。服务团队成员均以医生、护士为主,但国内其他学科背景的成员有待增加。服务形式均以家庭访视结合电话随访为主,但国外服务频次高于国内。护士的服务频次高于医生。安宁疗护知识宣教及死亡教育是国内服务的特色。国内文献多关注病人方面的结果指标,而国外文献更关注医疗资源相关的结果指标。结论:国内居家安宁服务可酌情扩大收治范围,完善多学科服务团队,充分发挥护士的重要作用,增加服务频次,在服务评价中可增加医疗服务体系相关的指标。
基金National Natural Science Foundation of China(No.60504033)
文摘Faults in rotating machine are difficult to detect and identify,especially when the system is complex and nonlinear.In order to solve this problem,a novel performance monitoring and fault diagnosis method based on kernel generalized discriminant analysis(kernel GDA,KGDA)was proposed.Through KGDA,the data were mapped from the original space to the high-dimensional feature space.Then the statistic distance between normal data and test data was constructed to detect whether a fault was occurring.If a fault had occurred,similar analysis was used to identify the type of faults.The effectiveness of the proposed method was evaluated by simulation results of vibration signal fault dataset in the rotating machinery,which was scalable to different rotating machinery.
