Objective:To investigate the clinical effect of perioperative intensive nursing on patients who underwent severed finger reimplantation and its influence on sleep quality.Methods:62 patients who underwent severed fing...Objective:To investigate the clinical effect of perioperative intensive nursing on patients who underwent severed finger reimplantation and its influence on sleep quality.Methods:62 patients who underwent severed finger reimplantation between January 2023 and December 2023 were included.They were divided into two groups:the observation group(n=31)and the control group(n=31).The control group received basic nursing interventions,while the observation group received intensive nursing care.The comparison parameters included visual analog pain score(VAS),incidence of vascular crises,length of hospitalization,Pittsburgh Sleep Quality Index(PSQI),Hamilton Depression Score(HAM-D),Hamilton Anxiety Score(HAM-A),and patient satisfaction.Results:Postoperative VAS score,incidence of vascular crisis,hospitalization time,PSQI score,and HAM-A and HAM-D scores of the observation group were lower than those of the control group(P<0.05).Meanwhile,the patient satisfaction of the observation group was higher than that of the control group(P<0.05).Conclusion:Perioperative intensive nursing care for patients undergoing severed finger reimplantation demonstrates significant benefits.It reduces postoperative pain,lowers the incidence of vascular crises,shortens hospitalization durations,enhances sleep quality,alleviates negative emotions,and improves nursing satisfaction.These findings underscore the importance and applicability of such care practices.展开更多
Aim: This study evaluates the impact of Enhanced Recovery After Surgery (ERAS) nursing on postoperative complications and quality of life in patients undergoing robot-assisted minimally invasive esophagectomy (RAMIE)....Aim: This study evaluates the impact of Enhanced Recovery After Surgery (ERAS) nursing on postoperative complications and quality of life in patients undergoing robot-assisted minimally invasive esophagectomy (RAMIE). Methods: A total of 150 patients who underwent RAMIE from January 2020 to January 2022 at our hospital were randomly assigned to either the observation group or the control group, with 75 patients in each. The control group received standard perioperative management and nursing care, while the observation group was treated with ERAS nursing strategies. Interventions continued until discharge, and outcomes such as postoperative complications, quality of life, and nutritional status were compared between the groups. Results: The observation group exhibited a significantly lower incidence of postoperative adverse reactions compared to the control group (P ionally, all dimension scores of the Short-Form 36 Health Survey (SF-36), including the total score, were higher in the observation group (P < 0.05). Furthermore, the Nutritional Risk Screening (NRS) scores for impaired nutritional status and disease severity, along with the total NRS score, were significantly lower in the observation group compared to the control group (P Conclusion: Implementing ERAS nursing in the perioperative care of patients undergoing RAMIE is associated with reduced postoperative complications and enhanced postoperative quality of life and nutritional status. .展开更多
[Objective]The paper was to study the effects of xylooligosaccharide(XOS)and probiotics(PRO)and their interaction on the production performance,egg quality and intestinal short-chain fatty acids of laying hens in late...[Objective]The paper was to study the effects of xylooligosaccharide(XOS)and probiotics(PRO)and their interaction on the production performance,egg quality and intestinal short-chain fatty acids of laying hens in late laying period.[Method]A total of 36074-week-old Romain brown laying hens were randomly divided into four groups,six replicates each group and 15 chickens each replicate.The trial lasted 63 d.The laying hens in control group(CON)were fed with basal diet,and those in experimental groups were fed with the basal diets adding with 150 mg/kg XOS(XOS group),100 mg/kg probiotics(PRO group),150 mg/kg XOS+100 mg/kg probiotics(XOS-PRO group).[Result]Compared with the control group,the laying rate,daily egg production,yolk ratio,colonic acetic acid and caecal propionic acid in XOS group increased significantly(P<0.05),and the feed gain ratio decreased remarkably(P<0.05).PRO had no significant effect on the production performance and egg quality of laying hens in late laying period(P>0.05),but significantly increased colonic acetic acid(P<0.05).XOS and PRO had no interaction effect on the production performance,egg quality and intestinal short-chain fatty acids of laying hens in late laying period(P<0.05).[Conclusion]Adding XOS to the diet of laying hens in late laying period could increase the content of short-chain fatty acids in the hindgut of laying hens,and effectively improve the production performance and egg quality of laying hens in late laying period.Adding PRO to the diet did not significantly improve the production performance and egg quality of laying hens,and there was no interaction effect between XOS and PRO.展开更多
On the basis of the analysis on the disadvantages of the original goal-setting about rock drivage, this paper defined the "life cycle quality". With project management theory and the Cobb-Douglas function, "quality...On the basis of the analysis on the disadvantages of the original goal-setting about rock drivage, this paper defined the "life cycle quality". With project management theory and the Cobb-Douglas function, "quality-cost and quality-price curve model" and the "total cost-period prediction model" were built. Then the goal-setting method of the balance among quality, cost and period of rock drivage was constructed by finding "life cycle cost" through "life cycle quality" using "quality-cost and quality-price curve model" and ensuring period through "life cycle cost" using "total cost-period prediction model" (hereinafter referred to as the "three goals balance method"). "Value contribution" which is the value of the contribution to a mine because of rock drivage, was found in the process of constructing the "quality-cost and quality-price curve model". An industrial test was done in coal mine A with the research results, staff footage efficiency improved by 24.24%, the period shortened by 14.3%, the "life cycle cost" dropped by 2.09%, the "life cycle quality price" improved by 3.29%, and value contribution increased by 25.3%. The result shows that the new goal method setting on the basis of coal mine profit maximization can ensure construc- tion period. At the same time, it can realize cost and quality objectives and the optimization and balance of relationship among them; rewarding excavation teams by "value contribution" can combine organizational goal with personal goal, it significantly raise the employee's work efficiency.展开更多
Background:Dementia is a group of nervous system diseases characterized by progressive cognitive decline,leading to a loss of self-care ability and a decline in well-being.This places a significant burden on the globa...Background:Dementia is a group of nervous system diseases characterized by progressive cognitive decline,leading to a loss of self-care ability and a decline in well-being.This places a significant burden on the global healthcare system,with Chinese patients accounting for approximately one-quarter of the world’s dementia cases.Therefore,it is crucial to identify factors that impact the quality of life(QOL)among elderly Chinese individuals with dementia.Method:To achieve this,we conducted a comprehensive search of several databases,including PubMed,Embase,Web of Science,the Cochrane Library,China National Knowledge Infrastructure,Wanfang Data,China VIP Database and China Biomedical Literature Database.We reviewed cross-sectional studies from the inception of these databases until March 27,2022.QOL outcomes were assessed using standardized scales in the studies included in this review.Results:The search yielded a total of 1,235 relevant articles,from which we finally included 21 cross-sectional studies and one longitudinal study after rigorous quality assessment.Among these,10 studies were classified as high quality,while 12 were classified as fair quality.Through our analysis,we identified 28 patient-rated QOL factors and 14 caregiver-rated QOL factors.These factors were categorized into three groups:patient,disease-related and caregiver.Factors commonly found to influence patient-rated QOL included age,education,marital status,depression,self-care ability,dementia severity,cognitive function,behavioral and psychological symptoms of dementia and caregiver burden.Similarly,factors commonly influencing caregiver-rated QOL included economic status,depression,self-care ability,dementia severity,cognitive function,behavioral and psychological symptoms of dementia and caregiving time.Conclusion:This review clarifies the factors that influence the QOL of Chinese individuals with dementia.When implementing interventions,it is crucial to consider the differences between patient-rated QOL and caregiver-proxy-rated QOL,as well as their respective influencing factors.展开更多
针对2013年1月23日辽宁灯塔M_(S)5.1地震,利用引潮力附加构造应力(Additional Tectonic Stress Caused By Tidal Force,ATSCTF)计算模型,计算得到震中位置(41.5°N,123.2°E)在地震前5周以及震后3周(2012年12月16日—2013年2月1...针对2013年1月23日辽宁灯塔M_(S)5.1地震,利用引潮力附加构造应力(Additional Tectonic Stress Caused By Tidal Force,ATSCTF)计算模型,计算得到震中位置(41.5°N,123.2°E)在地震前5周以及震后3周(2012年12月16日—2013年2月15日)的ATSCTF变化。地震发生时,ATSCTF垂直方向分量处于高相位点附近,显示引潮力对本次正断层走滑型地震具有诱发作用。以ATSCTF变化周期的各低相位点时间(2012年12月19日、2013年1月4日、2013年1月18日、2013年2月2日)数据分别为背景,各周期期后数据分别与背景逐日相减,计算研究区(36°N~46°N,118°E~128°E)范围内,National Oceanic and Atmospheric Administration(NOAA)卫星射出长波辐射数据(Outgoing Long Wave Radiation,OLR)在各ATSCTF周期时段分布及其变化。结果显示,无震的ATSCTF变化的A、B、D周期,震中附近OLR无变化;发震的ATSCTF变化的C周期,在空间上,该地区震前OLR仅震中及其南侧区域发生了显著连续升高变化过程,在时间上经历了初始微异常→异常加强→高峰→衰减→发震→平静的演化过程,与岩石应力加载—破裂经历:初始微动破裂→扩张破裂→应力闭锁→地震爆发→平静的力学演化过程中各阶段红外辐射特征一致;显示引潮力对处于临界状态的活动断层具有诱发作用,而OLR是地震构造应力应变过程辐射表征。展开更多
Objective To introduce the accession procedure and evaluation of PIC/S,and help relevant departments in China to understand the requirements of PIC/S in detail,and to promote the process of China’s entry into PIC/S.M...Objective To introduce the accession procedure and evaluation of PIC/S,and help relevant departments in China to understand the requirements of PIC/S in detail,and to promote the process of China’s entry into PIC/S.Methods The procedures and steps of joining PIC/S,the evaluation process of PIC/S,and the experience of several countries in joining PIC/S were introduced and analyzed,which could help the relevant personnel in China understand the specific contents.Results and Conclusion According to the requirements of PIC/S,it is necessary to establish a unified GMP quality management system.展开更多
BACKGROUND The incidence of cholecystolithiasis is on the rise.Use of information,motivation,and behavioral skills can play a positive role in promoting changes in individual health behaviors.However,reports on the ef...BACKGROUND The incidence of cholecystolithiasis is on the rise.Use of information,motivation,and behavioral skills can play a positive role in promoting changes in individual health behaviors.However,reports on the effects of information-motivationbehavioral(IMB)skills model based high-quality nursing as a perioperative nursing intervention for patients with gallstones are nonexistent.AIM To explore the application of IMB skills model based high-quality nursing in patients with gallstones.METHODS Two hundred and sixteen patients with cholecystolithiasis treated at our hospital from January 2022 to January 2023 were enrolled and divided into a control,highquality,and combined nursing groups,with 72 patients in each group.The control,high-quality,and combination groups received conventional,high-quality,and IMB skills model based perioperative nursing services,respectively.Differences in clinical indicators,stress levels,degree of pain,emotional state,and quality of life were observed,and complications and nursing satisfaction among the three groups were evaluated.RESULTS After nursing,the time to recovery of gastrointestinal function in the high-quality and combined nursing groups was significantly shorter than that of the control group,with the recovery of gastrointestinal function being the fastest in the combined nursing group(P<0.05).After nursing intervention,cortisol and norepinephrine levels in the high-quality and combined nursing groups were closer to normal than those of the control group 24 h after surgery,with the combined nursing group having the closest to normal levels(P<0.05).After 3 and 7 d of intervention,the patients’pain significantly improved,which was more prominent in the highquality and combination groups.Meanwhile,the pain score in the combination group was significantly lower than those of the control and high-quality nursing groups(P<0.05).After nursing intervention,the emotional states of all patients improved,and the scores of patients in the combination group were significantly lower than those of the control and high-quality nursing groups.The quality of life of patients in the high-quality and combined nursing groups significantly improved after nursing intervention compared to that of the control group,with the combined nursing group having the highest quality of life score.After intervention,the incidence of complications in the high-quality and combination groups was significantly lower than that of the control group(P<0.05),but the difference between the combination and high-quality nursing groups was not significant.Nursing satisfaction of patients in the high-quality and combination groups was significantly higher than that of the control group,with the nursing satisfaction being the highest in the combination group(P<0.05).CONCLUSION IMB skills model based nursing can improve surgical stress levels,degrees of pain,emotional state,quality of life,and nursing satisfaction of patients with gallstones and reduce the incidence of complications.展开更多
Xuzishu 8 is a new cultivated sweetpotato with high anthocyanidin content.The growth period affects its tuber traits and quality.In this study,the changes in sweetpotato shape,number of tubers per plant,rate of big an...Xuzishu 8 is a new cultivated sweetpotato with high anthocyanidin content.The growth period affects its tuber traits and quality.In this study,the changes in sweetpotato shape,number of tubers per plant,rate of big and medium tubers,yield,anthocyanin content and starch content of Xuzishu 8 were investigated under 12 growth periods from 78 to 188 d.The results showed that various traits of Xuzishu 8 were significantly different between different growth periods.The rate of large and medium tubers,the fresh sweetpotato yield,the starch content and the anthocyanin yield increased gradually with the extension of the growth period.The length/width ratio of sweetpotato tubers,the rate of small tubers and the contents of reducing sugar and soluble sugar decreased with the prolongation of the growth period.The correlation analysis showed that the fresh sweetpotato yield was in significant or extremely significant positive correlation with the number of tubers per plant,rate of big and medium tubers,dry matter content,dry yield and starch content.The 148-day growth period treatment exhibited the highest number of tubers per plant,the highest fresh sweetpotato yield and anthocyanin yield reaching 3 927 and 4.25 kg/667 m^2,respectively,as well as the rate of large and medium tubers up to 90%.Therefore,the tubers had good marketability and eating quality.展开更多
Rice grain yield and quality declines are due to unsuitable temperatures from wide regions and various sowing dates.This study aimed to evaluate the effects of temperature on rice yield and quality at different phenol...Rice grain yield and quality declines are due to unsuitable temperatures from wide regions and various sowing dates.This study aimed to evaluate the effects of temperature on rice yield and quality at different phenological periods and obtain suitable temperatures for phenological periods in the Yangtze River Basin,China.This study conducted experiments on different sowing dates under different areas in the Yangtze River Basin to observe and compare the differences in rice growth,yield,and quality,controlling for regional varieties.The results showed significant differences in rice growth,yield,and quality among sowing dates and areas,which were related to the average daily temperature during the vegetative period(VT)and the first 20 days of the grain-filling period(GT20).In addition,there was a smaller variation in the average daily temperature in the reproductive period(RT)than in the two phenological periods.Therefore,according to the VT and GT20 thresholds of different yields and qualities,the experimental results were divided into four scenarios(Ⅰ,Ⅱ,Ⅲ,andⅣ)in this study.In Scenario I,high head rice production(rice grain yield multiplied by head rice rate)and rice quality could be obtained.The head rice production of ScenariosⅢandⅣwas lower than that of ScenarioⅠ,by 30.1 and 27.6%,respectively.In Scenario II,the head rice production increased insignificantly while the chalky grain rate and chalkiness were 50.6 and 56.3%higher than those of Scenario I.In conclusion,the Scenario I combination with VT ranges of 22.8-23.9℃and GT20 ranges of 24.2-27.0℃or the combination with VT ranges of 23.9-25.3℃and GT20 ranges of 24.2-24.9℃,which can be obtained by adjusting sowing date and selecting rice varieties with suitable growth periods,is recommended to achieve high levels of rice grain yield and quality in the Yangtze River Basin.展开更多
The differential equations of continuum mechanics are the basis of an uncountable variety of phenomena and technological processes in fluid-dynamics and related fields.These equations contain derivatives of the first ...The differential equations of continuum mechanics are the basis of an uncountable variety of phenomena and technological processes in fluid-dynamics and related fields.These equations contain derivatives of the first order with respect to time.The derivation of the equations of continuum mechanics uses the limit transitions of the tendency of the volume increment and the time increment to zero.Derivatives are used to derive the wave equation.The differential wave equation is second order in time.Therefore,increments of volume and increments of time in continuum mechanics should be considered as small but finite quantities for problems of wave formation.This is important for calculating the generation of sound waves and water hammer waves.Therefore,the Euler continuity equation with finite time increments is of interest.The finiteness of the time increment makes it possible to take into account the quadratic and cubic invariants of the strain rate tensor.This is a new branch in hydrodynamics.Quadratic and cubic invariants will be used in differential wave equations of the second and third order in time.展开更多
文摘Objective:To investigate the clinical effect of perioperative intensive nursing on patients who underwent severed finger reimplantation and its influence on sleep quality.Methods:62 patients who underwent severed finger reimplantation between January 2023 and December 2023 were included.They were divided into two groups:the observation group(n=31)and the control group(n=31).The control group received basic nursing interventions,while the observation group received intensive nursing care.The comparison parameters included visual analog pain score(VAS),incidence of vascular crises,length of hospitalization,Pittsburgh Sleep Quality Index(PSQI),Hamilton Depression Score(HAM-D),Hamilton Anxiety Score(HAM-A),and patient satisfaction.Results:Postoperative VAS score,incidence of vascular crisis,hospitalization time,PSQI score,and HAM-A and HAM-D scores of the observation group were lower than those of the control group(P<0.05).Meanwhile,the patient satisfaction of the observation group was higher than that of the control group(P<0.05).Conclusion:Perioperative intensive nursing care for patients undergoing severed finger reimplantation demonstrates significant benefits.It reduces postoperative pain,lowers the incidence of vascular crises,shortens hospitalization durations,enhances sleep quality,alleviates negative emotions,and improves nursing satisfaction.These findings underscore the importance and applicability of such care practices.
文摘Aim: This study evaluates the impact of Enhanced Recovery After Surgery (ERAS) nursing on postoperative complications and quality of life in patients undergoing robot-assisted minimally invasive esophagectomy (RAMIE). Methods: A total of 150 patients who underwent RAMIE from January 2020 to January 2022 at our hospital were randomly assigned to either the observation group or the control group, with 75 patients in each. The control group received standard perioperative management and nursing care, while the observation group was treated with ERAS nursing strategies. Interventions continued until discharge, and outcomes such as postoperative complications, quality of life, and nutritional status were compared between the groups. Results: The observation group exhibited a significantly lower incidence of postoperative adverse reactions compared to the control group (P ionally, all dimension scores of the Short-Form 36 Health Survey (SF-36), including the total score, were higher in the observation group (P < 0.05). Furthermore, the Nutritional Risk Screening (NRS) scores for impaired nutritional status and disease severity, along with the total NRS score, were significantly lower in the observation group compared to the control group (P Conclusion: Implementing ERAS nursing in the perioperative care of patients undergoing RAMIE is associated with reduced postoperative complications and enhanced postoperative quality of life and nutritional status. .
文摘[Objective]The paper was to study the effects of xylooligosaccharide(XOS)and probiotics(PRO)and their interaction on the production performance,egg quality and intestinal short-chain fatty acids of laying hens in late laying period.[Method]A total of 36074-week-old Romain brown laying hens were randomly divided into four groups,six replicates each group and 15 chickens each replicate.The trial lasted 63 d.The laying hens in control group(CON)were fed with basal diet,and those in experimental groups were fed with the basal diets adding with 150 mg/kg XOS(XOS group),100 mg/kg probiotics(PRO group),150 mg/kg XOS+100 mg/kg probiotics(XOS-PRO group).[Result]Compared with the control group,the laying rate,daily egg production,yolk ratio,colonic acetic acid and caecal propionic acid in XOS group increased significantly(P<0.05),and the feed gain ratio decreased remarkably(P<0.05).PRO had no significant effect on the production performance and egg quality of laying hens in late laying period(P>0.05),but significantly increased colonic acetic acid(P<0.05).XOS and PRO had no interaction effect on the production performance,egg quality and intestinal short-chain fatty acids of laying hens in late laying period(P<0.05).[Conclusion]Adding XOS to the diet of laying hens in late laying period could increase the content of short-chain fatty acids in the hindgut of laying hens,and effectively improve the production performance and egg quality of laying hens in late laying period.Adding PRO to the diet did not significantly improve the production performance and egg quality of laying hens,and there was no interaction effect between XOS and PRO.
文摘On the basis of the analysis on the disadvantages of the original goal-setting about rock drivage, this paper defined the "life cycle quality". With project management theory and the Cobb-Douglas function, "quality-cost and quality-price curve model" and the "total cost-period prediction model" were built. Then the goal-setting method of the balance among quality, cost and period of rock drivage was constructed by finding "life cycle cost" through "life cycle quality" using "quality-cost and quality-price curve model" and ensuring period through "life cycle cost" using "total cost-period prediction model" (hereinafter referred to as the "three goals balance method"). "Value contribution" which is the value of the contribution to a mine because of rock drivage, was found in the process of constructing the "quality-cost and quality-price curve model". An industrial test was done in coal mine A with the research results, staff footage efficiency improved by 24.24%, the period shortened by 14.3%, the "life cycle cost" dropped by 2.09%, the "life cycle quality price" improved by 3.29%, and value contribution increased by 25.3%. The result shows that the new goal method setting on the basis of coal mine profit maximization can ensure construc- tion period. At the same time, it can realize cost and quality objectives and the optimization and balance of relationship among them; rewarding excavation teams by "value contribution" can combine organizational goal with personal goal, it significantly raise the employee's work efficiency.
文摘Background:Dementia is a group of nervous system diseases characterized by progressive cognitive decline,leading to a loss of self-care ability and a decline in well-being.This places a significant burden on the global healthcare system,with Chinese patients accounting for approximately one-quarter of the world’s dementia cases.Therefore,it is crucial to identify factors that impact the quality of life(QOL)among elderly Chinese individuals with dementia.Method:To achieve this,we conducted a comprehensive search of several databases,including PubMed,Embase,Web of Science,the Cochrane Library,China National Knowledge Infrastructure,Wanfang Data,China VIP Database and China Biomedical Literature Database.We reviewed cross-sectional studies from the inception of these databases until March 27,2022.QOL outcomes were assessed using standardized scales in the studies included in this review.Results:The search yielded a total of 1,235 relevant articles,from which we finally included 21 cross-sectional studies and one longitudinal study after rigorous quality assessment.Among these,10 studies were classified as high quality,while 12 were classified as fair quality.Through our analysis,we identified 28 patient-rated QOL factors and 14 caregiver-rated QOL factors.These factors were categorized into three groups:patient,disease-related and caregiver.Factors commonly found to influence patient-rated QOL included age,education,marital status,depression,self-care ability,dementia severity,cognitive function,behavioral and psychological symptoms of dementia and caregiver burden.Similarly,factors commonly influencing caregiver-rated QOL included economic status,depression,self-care ability,dementia severity,cognitive function,behavioral and psychological symptoms of dementia and caregiving time.Conclusion:This review clarifies the factors that influence the QOL of Chinese individuals with dementia.When implementing interventions,it is crucial to consider the differences between patient-rated QOL and caregiver-proxy-rated QOL,as well as their respective influencing factors.
基金地震数值预测联合实验室开放基金项目(2020LNEF03)APSCO Earthquake Research Project PhaseⅡ:Integrating Satellite and Ground Observations for Earthquake Signatures and Precursors(WX0519502)。
文摘针对2013年1月23日辽宁灯塔M_(S)5.1地震,利用引潮力附加构造应力(Additional Tectonic Stress Caused By Tidal Force,ATSCTF)计算模型,计算得到震中位置(41.5°N,123.2°E)在地震前5周以及震后3周(2012年12月16日—2013年2月15日)的ATSCTF变化。地震发生时,ATSCTF垂直方向分量处于高相位点附近,显示引潮力对本次正断层走滑型地震具有诱发作用。以ATSCTF变化周期的各低相位点时间(2012年12月19日、2013年1月4日、2013年1月18日、2013年2月2日)数据分别为背景,各周期期后数据分别与背景逐日相减,计算研究区(36°N~46°N,118°E~128°E)范围内,National Oceanic and Atmospheric Administration(NOAA)卫星射出长波辐射数据(Outgoing Long Wave Radiation,OLR)在各ATSCTF周期时段分布及其变化。结果显示,无震的ATSCTF变化的A、B、D周期,震中附近OLR无变化;发震的ATSCTF变化的C周期,在空间上,该地区震前OLR仅震中及其南侧区域发生了显著连续升高变化过程,在时间上经历了初始微异常→异常加强→高峰→衰减→发震→平静的演化过程,与岩石应力加载—破裂经历:初始微动破裂→扩张破裂→应力闭锁→地震爆发→平静的力学演化过程中各阶段红外辐射特征一致;显示引潮力对处于临界状态的活动断层具有诱发作用,而OLR是地震构造应力应变过程辐射表征。
文摘Objective To introduce the accession procedure and evaluation of PIC/S,and help relevant departments in China to understand the requirements of PIC/S in detail,and to promote the process of China’s entry into PIC/S.Methods The procedures and steps of joining PIC/S,the evaluation process of PIC/S,and the experience of several countries in joining PIC/S were introduced and analyzed,which could help the relevant personnel in China understand the specific contents.Results and Conclusion According to the requirements of PIC/S,it is necessary to establish a unified GMP quality management system.
文摘BACKGROUND The incidence of cholecystolithiasis is on the rise.Use of information,motivation,and behavioral skills can play a positive role in promoting changes in individual health behaviors.However,reports on the effects of information-motivationbehavioral(IMB)skills model based high-quality nursing as a perioperative nursing intervention for patients with gallstones are nonexistent.AIM To explore the application of IMB skills model based high-quality nursing in patients with gallstones.METHODS Two hundred and sixteen patients with cholecystolithiasis treated at our hospital from January 2022 to January 2023 were enrolled and divided into a control,highquality,and combined nursing groups,with 72 patients in each group.The control,high-quality,and combination groups received conventional,high-quality,and IMB skills model based perioperative nursing services,respectively.Differences in clinical indicators,stress levels,degree of pain,emotional state,and quality of life were observed,and complications and nursing satisfaction among the three groups were evaluated.RESULTS After nursing,the time to recovery of gastrointestinal function in the high-quality and combined nursing groups was significantly shorter than that of the control group,with the recovery of gastrointestinal function being the fastest in the combined nursing group(P<0.05).After nursing intervention,cortisol and norepinephrine levels in the high-quality and combined nursing groups were closer to normal than those of the control group 24 h after surgery,with the combined nursing group having the closest to normal levels(P<0.05).After 3 and 7 d of intervention,the patients’pain significantly improved,which was more prominent in the highquality and combination groups.Meanwhile,the pain score in the combination group was significantly lower than those of the control and high-quality nursing groups(P<0.05).After nursing intervention,the emotional states of all patients improved,and the scores of patients in the combination group were significantly lower than those of the control and high-quality nursing groups.The quality of life of patients in the high-quality and combined nursing groups significantly improved after nursing intervention compared to that of the control group,with the combined nursing group having the highest quality of life score.After intervention,the incidence of complications in the high-quality and combination groups was significantly lower than that of the control group(P<0.05),but the difference between the combination and high-quality nursing groups was not significant.Nursing satisfaction of patients in the high-quality and combination groups was significantly higher than that of the control group,with the nursing satisfaction being the highest in the combination group(P<0.05).CONCLUSION IMB skills model based nursing can improve surgical stress levels,degrees of pain,emotional state,quality of life,and nursing satisfaction of patients with gallstones and reduce the incidence of complications.
基金Supported by Jiangsu Agricultural Science and Technology Independent Innovation Fund [CX(17)2023]Earmarked Fund for China Agriculture Research System(CARS-10)"333 Project"of Jiangsu Province(BRA2016265)
文摘Xuzishu 8 is a new cultivated sweetpotato with high anthocyanidin content.The growth period affects its tuber traits and quality.In this study,the changes in sweetpotato shape,number of tubers per plant,rate of big and medium tubers,yield,anthocyanin content and starch content of Xuzishu 8 were investigated under 12 growth periods from 78 to 188 d.The results showed that various traits of Xuzishu 8 were significantly different between different growth periods.The rate of large and medium tubers,the fresh sweetpotato yield,the starch content and the anthocyanin yield increased gradually with the extension of the growth period.The length/width ratio of sweetpotato tubers,the rate of small tubers and the contents of reducing sugar and soluble sugar decreased with the prolongation of the growth period.The correlation analysis showed that the fresh sweetpotato yield was in significant or extremely significant positive correlation with the number of tubers per plant,rate of big and medium tubers,dry matter content,dry yield and starch content.The 148-day growth period treatment exhibited the highest number of tubers per plant,the highest fresh sweetpotato yield and anthocyanin yield reaching 3 927 and 4.25 kg/667 m^2,respectively,as well as the rate of large and medium tubers up to 90%.Therefore,the tubers had good marketability and eating quality.
基金supported by the Science and Technology Plan Project of Hubei Province,China(2012BLB228)the National Key Research and Development Program of China(2017YFD0301402)+2 种基金the National Natural Science Foundation of China(31701359)the Fundamental Research Funds for the Central Universities,China(2662017JC007)the China Postdoctoral Science Foundation(2017M612477)。
文摘Rice grain yield and quality declines are due to unsuitable temperatures from wide regions and various sowing dates.This study aimed to evaluate the effects of temperature on rice yield and quality at different phenological periods and obtain suitable temperatures for phenological periods in the Yangtze River Basin,China.This study conducted experiments on different sowing dates under different areas in the Yangtze River Basin to observe and compare the differences in rice growth,yield,and quality,controlling for regional varieties.The results showed significant differences in rice growth,yield,and quality among sowing dates and areas,which were related to the average daily temperature during the vegetative period(VT)and the first 20 days of the grain-filling period(GT20).In addition,there was a smaller variation in the average daily temperature in the reproductive period(RT)than in the two phenological periods.Therefore,according to the VT and GT20 thresholds of different yields and qualities,the experimental results were divided into four scenarios(Ⅰ,Ⅱ,Ⅲ,andⅣ)in this study.In Scenario I,high head rice production(rice grain yield multiplied by head rice rate)and rice quality could be obtained.The head rice production of ScenariosⅢandⅣwas lower than that of ScenarioⅠ,by 30.1 and 27.6%,respectively.In Scenario II,the head rice production increased insignificantly while the chalky grain rate and chalkiness were 50.6 and 56.3%higher than those of Scenario I.In conclusion,the Scenario I combination with VT ranges of 22.8-23.9℃and GT20 ranges of 24.2-27.0℃or the combination with VT ranges of 23.9-25.3℃and GT20 ranges of 24.2-24.9℃,which can be obtained by adjusting sowing date and selecting rice varieties with suitable growth periods,is recommended to achieve high levels of rice grain yield and quality in the Yangtze River Basin.
文摘The differential equations of continuum mechanics are the basis of an uncountable variety of phenomena and technological processes in fluid-dynamics and related fields.These equations contain derivatives of the first order with respect to time.The derivation of the equations of continuum mechanics uses the limit transitions of the tendency of the volume increment and the time increment to zero.Derivatives are used to derive the wave equation.The differential wave equation is second order in time.Therefore,increments of volume and increments of time in continuum mechanics should be considered as small but finite quantities for problems of wave formation.This is important for calculating the generation of sound waves and water hammer waves.Therefore,the Euler continuity equation with finite time increments is of interest.The finiteness of the time increment makes it possible to take into account the quadratic and cubic invariants of the strain rate tensor.This is a new branch in hydrodynamics.Quadratic and cubic invariants will be used in differential wave equations of the second and third order in time.