目的:探究规范化H2H(Hospital To Home)营养管理模式在鼾症患儿加速康复中的应用效果。方法:便利选取云南省某三级综合医院儿科住院手术的92例鼾症患儿为研究对象,随机将其分为对照组和研究组,各46例。对照组予以常规营养管理模式,研究...目的:探究规范化H2H(Hospital To Home)营养管理模式在鼾症患儿加速康复中的应用效果。方法:便利选取云南省某三级综合医院儿科住院手术的92例鼾症患儿为研究对象,随机将其分为对照组和研究组,各46例。对照组予以常规营养管理模式,研究组予以规范化H2H营养管理模式,对比两组患儿的营养状况及护理满意度。结果:研究组较对照组的营养状况好,护理满意度评分高(P<0.05)。结论:在鼾症患儿手术治疗后的加速康复护理中,运用规范化H2H营养管理模式,可使患儿获得个体化、针对性的营养护理指导,使得患儿的体格发育和营养状况得到较大的改善,有利于患儿的身心健康,同时可获得较好的护理满意度,值得进一步推广应用。展开更多
目的探究医院到家庭(hospital to home,H2H)管理模式对先天性心脏病合并重症肺炎患儿营养风险的影响,为今后科学指导营养干预工作提供科学依据。方法本研究选取2019年3月—2021年7月中山市博爱医院儿科收治的先天性心脏病合并重症肺炎患...目的探究医院到家庭(hospital to home,H2H)管理模式对先天性心脏病合并重症肺炎患儿营养风险的影响,为今后科学指导营养干预工作提供科学依据。方法本研究选取2019年3月—2021年7月中山市博爱医院儿科收治的先天性心脏病合并重症肺炎患儿80例。按随机数字表法分为观察组与对照组,每组各40例。对照组给予常规干预操作,观察组在对照组的基础上给予H2H营养管理模式干预。分析两组患儿入院24 h内,与管理6个月后的血清营养指标变化情况、营养风险评分及家属满意度情况。结果观察组患儿管理后6个月的血清白蛋白(albumin,ALB)、血清前白蛋白(prealbumin,PA)、血红蛋白(hemoglobin,HGB)、儿科营养不良评估评分(screening tool for the assessment of malnutrition in pediatrics,STAMP)、临床服务满意度指标高于对照组,差异有统计学意义(P<0.05);两组患者管理后6个月的ALB、PA、HGB指标高于本组入院后24 h内,差异有统计学意义(P<0.05)。结论对先天性心脏病合并重症肺炎住院患儿给予H2H管理模式,能够改善患儿营养状态,降低患儿营养风险,提升临床服务满意度,值得临床推广。展开更多
Vehicular ad hoc networks （VANETs） that use the IEEE 802.11p communication standard face a number of challenges, not least when it comes to safety messages on the VANET control channel （CCH） where short delay time...Vehicular ad hoc networks （VANETs） that use the IEEE 802.11p communication standard face a number of challenges, not least when it comes to safety messages on the VANET control channel （CCH） where short delay times and reliable delivery are of pri- mary importance. In this paper we propose a vehicular machine-to-machine （VM2M） overlay network that uses Long Term Evolu- tion （LTE） physical random access channel （PRACH） to emulate VANET CCH. The overlay network uses dedicated preambles to separate vehicular traffic from regular LTE traffic and a cartier sense multiple access with collision avoidance （CSMA-CA） layer similar to the one used in IEEE 802.15.4 to avoid the four step handshake and the overhead it incurs. The performance of the pro- posed overlay is evaluated under a wide range of PRACH parameters which conform to the scenarios with high vehicle velocities and large distances between roadside units （RSUs） that may be encountered in rural areas and on highways.展开更多
目的通过跟踪随访观察研究H2H健康教育模式对脑梗死康复期患者二级预防的作用。方法根据ACC(American College of Cardiology)提出的H2H(Hospital to Home)健康教育模式,对62例脑梗死患者在规范用药及改变不良生活方式等方面进行健康教...目的通过跟踪随访观察研究H2H健康教育模式对脑梗死康复期患者二级预防的作用。方法根据ACC(American College of Cardiology)提出的H2H(Hospital to Home)健康教育模式,对62例脑梗死患者在规范用药及改变不良生活方式等方面进行健康教育跟踪随访一年。配比分为健康教育组和对照组,每组各31例。结果 H2H健康教育模式提高了医院、家庭及社会对脑梗死患者健康教育的重视程度,改善了脑梗死患者的心理状态及身体健康,(1)规范了脑梗死患者二级预防用药,健康教育组患者规范用药率(67.7%)较对照组(29%)明显提高(P=0.002);(2)改善了不良的生活方式,健康教育组患者生活评分(18.26±3.48)高于对照组患者(16.10±3.53)(P=0.018)。(3)减少了患者可能的危险因素,降低了脑梗死发生率,健康教育组患者脑梗死复发率(0)较对照组(22.6%)明显减少(P=0.011)。结论 H2H健康教育模式对脑梗死患者二级预防起着重要的积极作用。展开更多
克罗恩病(Crohn’s disease,CD)是一种病因尚不明确的胃肠道慢性炎性肉芽肿性疾病[1],可累及消化道任一部位[2]。因疾病本身所致摄入减少,肠道吸收功能障碍,炎症导致消耗增加以及药物与营养素之间的相互作用等原因,CD患者发生营养不良...克罗恩病(Crohn’s disease,CD)是一种病因尚不明确的胃肠道慢性炎性肉芽肿性疾病[1],可累及消化道任一部位[2]。因疾病本身所致摄入减少,肠道吸收功能障碍,炎症导致消耗增加以及药物与营养素之间的相互作用等原因,CD患者发生营养不良的现象十分普遍[3]。临床研究发现,超过80%的CD患者均存在营养不良或营养风险[4]。除能纠正营养不良和降低营养风险外,肠内营养支持还能够诱导和维持CD缓解[5‑7],故营养支持逐渐成为CD的主要治疗手段之一。由于CD是一个慢性迁延性疾病,需长期进行家庭营养支持,但受到我国医疗模式的影响,患者回家后医疗服务中断,家庭营养支持由于缺乏专业的评估和指导往往不够规范。有鉴于此,国内有学者提出了H2H营养管理模式,即“Hospital to Home”,将患者的营养治疗从医院扩展至院外,进行延续性家庭营养管理[8]。本文就本院1例实施H2H营养管理的CD患者的资料作一总结。展开更多
To analyze and reduce the impact of Machine-to-Machine (M2M) Devices (MDs) on the traditional Human-to-Human (H2H) users for the blending scenario, where both M2M and H2H services coexist in the current Universal Mobi...To analyze and reduce the impact of Machine-to-Machine (M2M) Devices (MDs) on the traditional Human-to-Human (H2H) users for the blending scenario, where both M2M and H2H services coexist in the current Universal Mobile Telecommunication System (UMTS) and perform the Random Access (RA) procedure simultaneously, a comprehensive RA analysis model of RA is proposed in this paper. Further, a power ramping strategy based on the logarithm for M2M is proposed. The efficiency of both the existing and proposed scheme is assessed through a simulation across several metrics, including average target power, throughput, blocking probability, and delay statistics. Numerical results show that the proposed algorithm can ensure a minimal impact on H2H communication while maintaining the throughput of the M2M communication. Meanwhile, because of its low energy consumption, this algorithm has a significant guide value for real-world applications.展开更多
The fast progress of stimuli-responsive theranostic nanomedicine can achieve the specific and highperformance diagnosis and therapy of various diseases.Especially,H2O2-responsive theranostic nanomedicine is recently e...The fast progress of stimuli-responsive theranostic nanomedicine can achieve the specific and highperformance diagnosis and therapy of various diseases.Especially,H2O2-responsive theranostic nanomedicine is recently emerging as a new stimuli-responsive modality showing the great potential for the theranostic of diseases with overexpressed H2O2 because H2O2 is associated with several kinds of human diseases as the most stable and abundant reactive oxygen species.This review summarizes and discusses the very-recent developments of H2O2-responsive theranostic nanoplatforms for versatile biomedical applications,including diagnostic imaging,attenuating tumor hypoxia,enhancing the therapeutic efficiency of photodynamic therapy/radiation therapy/chemotherapy and theranostic of inflammation/diabetic.The facing challenges and future developments of H2O2-responisve theranostics are also briefly discussed to further promote the clinical translation of this new responsive theranostic modality.It is highly believed that H2O2-responsive theranostic nanomedicine will be extensively developed a new specific and efficient theranostic modality to benefit the personalized biomedicine in the near future.展开更多
文摘目的:探究规范化H2H(Hospital To Home)营养管理模式在鼾症患儿加速康复中的应用效果。方法:便利选取云南省某三级综合医院儿科住院手术的92例鼾症患儿为研究对象,随机将其分为对照组和研究组,各46例。对照组予以常规营养管理模式,研究组予以规范化H2H营养管理模式,对比两组患儿的营养状况及护理满意度。结果:研究组较对照组的营养状况好,护理满意度评分高(P<0.05)。结论:在鼾症患儿手术治疗后的加速康复护理中,运用规范化H2H营养管理模式,可使患儿获得个体化、针对性的营养护理指导,使得患儿的体格发育和营养状况得到较大的改善,有利于患儿的身心健康,同时可获得较好的护理满意度,值得进一步推广应用。
文摘目的探讨H2H营养管理模式在稳定期炎症性肠病(inflammatory bowel diseases,IBD)患者中的应用效果。方法将2022年5月-8月武汉市中心医院消化内科收治的52例稳定期IBD患者设为对照组,将2022年9月-12月收治的52例稳定期IBD患者设为观察组,对照组采取常规营养管理模式,观察组采用H2H营养管理模式,比较2组上臂围、体质指数(body mass index,BMI)、血红蛋白及白蛋白浓度。结果干预6个月后,观察组上臂围值、BMI、血红蛋白及白蛋白浓度均高于对照组(t=-3.135,P=0.002;t=-2.448,P=0.016;t=-2.973,P=0.004;t=-3.299,P=0.001)。结论H2H营养管理模式可有效改善稳定期IBD患者的营养指标,值得临床推广应用。
文摘目的探究医院到家庭(hospital to home,H2H)管理模式对先天性心脏病合并重症肺炎患儿营养风险的影响,为今后科学指导营养干预工作提供科学依据。方法本研究选取2019年3月—2021年7月中山市博爱医院儿科收治的先天性心脏病合并重症肺炎患儿80例。按随机数字表法分为观察组与对照组,每组各40例。对照组给予常规干预操作,观察组在对照组的基础上给予H2H营养管理模式干预。分析两组患儿入院24 h内,与管理6个月后的血清营养指标变化情况、营养风险评分及家属满意度情况。结果观察组患儿管理后6个月的血清白蛋白(albumin,ALB)、血清前白蛋白(prealbumin,PA)、血红蛋白(hemoglobin,HGB)、儿科营养不良评估评分(screening tool for the assessment of malnutrition in pediatrics,STAMP)、临床服务满意度指标高于对照组,差异有统计学意义(P<0.05);两组患者管理后6个月的ALB、PA、HGB指标高于本组入院后24 h内,差异有统计学意义(P<0.05)。结论对先天性心脏病合并重症肺炎住院患儿给予H2H管理模式,能够改善患儿营养状态,降低患儿营养风险,提升临床服务满意度,值得临床推广。
文摘Vehicular ad hoc networks （VANETs） that use the IEEE 802.11p communication standard face a number of challenges, not least when it comes to safety messages on the VANET control channel （CCH） where short delay times and reliable delivery are of pri- mary importance. In this paper we propose a vehicular machine-to-machine （VM2M） overlay network that uses Long Term Evolu- tion （LTE） physical random access channel （PRACH） to emulate VANET CCH. The overlay network uses dedicated preambles to separate vehicular traffic from regular LTE traffic and a cartier sense multiple access with collision avoidance （CSMA-CA） layer similar to the one used in IEEE 802.15.4 to avoid the four step handshake and the overhead it incurs. The performance of the pro- posed overlay is evaluated under a wide range of PRACH parameters which conform to the scenarios with high vehicle velocities and large distances between roadside units （RSUs） that may be encountered in rural areas and on highways.
文摘目的通过跟踪随访观察研究H2H健康教育模式对脑梗死康复期患者二级预防的作用。方法根据ACC(American College of Cardiology)提出的H2H(Hospital to Home)健康教育模式,对62例脑梗死患者在规范用药及改变不良生活方式等方面进行健康教育跟踪随访一年。配比分为健康教育组和对照组,每组各31例。结果 H2H健康教育模式提高了医院、家庭及社会对脑梗死患者健康教育的重视程度,改善了脑梗死患者的心理状态及身体健康,(1)规范了脑梗死患者二级预防用药,健康教育组患者规范用药率(67.7%)较对照组(29%)明显提高(P=0.002);(2)改善了不良的生活方式,健康教育组患者生活评分(18.26±3.48)高于对照组患者(16.10±3.53)(P=0.018)。(3)减少了患者可能的危险因素,降低了脑梗死发生率,健康教育组患者脑梗死复发率(0)较对照组(22.6%)明显减少(P=0.011)。结论 H2H健康教育模式对脑梗死患者二级预防起着重要的积极作用。
文摘克罗恩病(Crohn’s disease,CD)是一种病因尚不明确的胃肠道慢性炎性肉芽肿性疾病[1],可累及消化道任一部位[2]。因疾病本身所致摄入减少,肠道吸收功能障碍,炎症导致消耗增加以及药物与营养素之间的相互作用等原因,CD患者发生营养不良的现象十分普遍[3]。临床研究发现,超过80%的CD患者均存在营养不良或营养风险[4]。除能纠正营养不良和降低营养风险外,肠内营养支持还能够诱导和维持CD缓解[5‑7],故营养支持逐渐成为CD的主要治疗手段之一。由于CD是一个慢性迁延性疾病,需长期进行家庭营养支持,但受到我国医疗模式的影响,患者回家后医疗服务中断,家庭营养支持由于缺乏专业的评估和指导往往不够规范。有鉴于此,国内有学者提出了H2H营养管理模式,即“Hospital to Home”,将患者的营养治疗从医院扩展至院外,进行延续性家庭营养管理[8]。本文就本院1例实施H2H营养管理的CD患者的资料作一总结。
基金supported in part by the National Natural Science Foundation of Chinaunder Grants No.60971125, No.61121001Major National S&T Project under Grant No. 2012ZX03005010 the project under Grant No.201105
文摘To analyze and reduce the impact of Machine-to-Machine (M2M) Devices (MDs) on the traditional Human-to-Human (H2H) users for the blending scenario, where both M2M and H2H services coexist in the current Universal Mobile Telecommunication System (UMTS) and perform the Random Access (RA) procedure simultaneously, a comprehensive RA analysis model of RA is proposed in this paper. Further, a power ramping strategy based on the logarithm for M2M is proposed. The efficiency of both the existing and proposed scheme is assessed through a simulation across several metrics, including average target power, throughput, blocking probability, and delay statistics. Numerical results show that the proposed algorithm can ensure a minimal impact on H2H communication while maintaining the throughput of the M2M communication. Meanwhile, because of its low energy consumption, this algorithm has a significant guide value for real-world applications.
基金the financial support from the National Key Research and Development Program of China(No.2016YFA0203700)National Natural Science Foundation of China(No.51672303)+3 种基金Shanghai Excellent Academic Leaders Program(No.14XD1403800)Young Elite Scientist Sponsorship Program by CAST(No.2015QNRC001)Youth Innovation Promotion Association of the Chinese Academy of Sciences(No.2013169)Development Fund for Shanghai Talents(2015)
文摘The fast progress of stimuli-responsive theranostic nanomedicine can achieve the specific and highperformance diagnosis and therapy of various diseases.Especially,H2O2-responsive theranostic nanomedicine is recently emerging as a new stimuli-responsive modality showing the great potential for the theranostic of diseases with overexpressed H2O2 because H2O2 is associated with several kinds of human diseases as the most stable and abundant reactive oxygen species.This review summarizes and discusses the very-recent developments of H2O2-responsive theranostic nanoplatforms for versatile biomedical applications,including diagnostic imaging,attenuating tumor hypoxia,enhancing the therapeutic efficiency of photodynamic therapy/radiation therapy/chemotherapy and theranostic of inflammation/diabetic.The facing challenges and future developments of H2O2-responisve theranostics are also briefly discussed to further promote the clinical translation of this new responsive theranostic modality.It is highly believed that H2O2-responsive theranostic nanomedicine will be extensively developed a new specific and efficient theranostic modality to benefit the personalized biomedicine in the near future.
