BACKGROUND Severe pneumonia is a common severe respiratory infection worldwide,and its treatment is challenging,especially for patients in the intensive care unit(ICU).AIM To explore the effect of communication and co...BACKGROUND Severe pneumonia is a common severe respiratory infection worldwide,and its treatment is challenging,especially for patients in the intensive care unit(ICU).AIM To explore the effect of communication and collaboration between nursing teams on the treatment outcomes of patients with severe pneumonia in ICU.METHODS We retrospectively analyzed 60 patients with severe pneumonia who were treated at the ICU of the hospital between January 1,2021 and December 31,2023.We compared and analyzed the respiratory mechanical indexes[airway resistance(Raw),mean airway pressure(mPaw),peak pressure(PIP)],blood gas analysis indexes(arterial oxygen saturation,arterial oxygen partial pressure,and oxygenation index),and serum inflammatory factor levels[C-reactive protein(CRP),procalcitonin(PCT),cortisol(COR),and high mobility group protein B1(HMGB1)]of all patients before and after treatment.RESULTS Before treatment,there was no significant difference in respiratory mechanics index and blood gas analysis index between 2 groups(P>0.05).However,after treatment,the respiratory mechanical indexes of patients in both groups were significantly improved,and the improvement of Raw,mPaw,plateau pressure,PIP and other indexes in the combined group after communication and collaboration with the nursing team was significantly better than that in the single care group(P<0.05).The serum CRP and PCT levels of patients were significantly decreased,and the difference was statistically significant compared with that of nursing group alone(P<0.05).The levels of serum COR and HMGB1 before and after treatment were also significantly decreased between the two groups.CONCLUSION The communication and collaboration of the nursing team have a significant positive impact on respiratory mechanics indicators,blood gas analysis indicators and serum inflammatory factor levels in the treatment of severe pneumonia patients in ICU.展开更多
The aim of this paper is to develop a Multi-Actor Geo-Collaborative Device to improve the processes of household waste collect (HWC) in urban areas. The proposed device will be tested in the Lamkansa district, in the ...The aim of this paper is to develop a Multi-Actor Geo-Collaborative Device to improve the processes of household waste collect (HWC) in urban areas. The proposed device will be tested in the Lamkansa district, in the southwestern part of Casablanca city, Morocco. The approach used is a systemic analysis of communication in order to act on a territory. We have been inspired by several methodological developments concerning multi-actor processes of land use planning. We focused our work on the involvement of the inhabitants in the process of household waste collect. The results show that the urban population can help and contribute to the development of complementary solutions to improve the urban environment and their living environment. Moreover, by integrating citizens in HWC processes, as well as decision communication, we can reduce household waste management costs and make it faster and more efficient, through a geo-collaborative, participatory and incentive logic. The approach described in this article is original, not only considering the technologies used to present and share the collected information, but also regarding the concept of integrating several actors in a collaborative/incentive mode. It arouses great interest by combining geomatics with communication and information sciences. It contributes to improve the participation of the inhabitants in the life of their urban environment in order to establish a reinforced dialogue on the future of their city and public health. Also, it involves the development and testing of new devices and tools for multi-actor collaboration.展开更多
文摘BACKGROUND Severe pneumonia is a common severe respiratory infection worldwide,and its treatment is challenging,especially for patients in the intensive care unit(ICU).AIM To explore the effect of communication and collaboration between nursing teams on the treatment outcomes of patients with severe pneumonia in ICU.METHODS We retrospectively analyzed 60 patients with severe pneumonia who were treated at the ICU of the hospital between January 1,2021 and December 31,2023.We compared and analyzed the respiratory mechanical indexes[airway resistance(Raw),mean airway pressure(mPaw),peak pressure(PIP)],blood gas analysis indexes(arterial oxygen saturation,arterial oxygen partial pressure,and oxygenation index),and serum inflammatory factor levels[C-reactive protein(CRP),procalcitonin(PCT),cortisol(COR),and high mobility group protein B1(HMGB1)]of all patients before and after treatment.RESULTS Before treatment,there was no significant difference in respiratory mechanics index and blood gas analysis index between 2 groups(P>0.05).However,after treatment,the respiratory mechanical indexes of patients in both groups were significantly improved,and the improvement of Raw,mPaw,plateau pressure,PIP and other indexes in the combined group after communication and collaboration with the nursing team was significantly better than that in the single care group(P<0.05).The serum CRP and PCT levels of patients were significantly decreased,and the difference was statistically significant compared with that of nursing group alone(P<0.05).The levels of serum COR and HMGB1 before and after treatment were also significantly decreased between the two groups.CONCLUSION The communication and collaboration of the nursing team have a significant positive impact on respiratory mechanics indicators,blood gas analysis indicators and serum inflammatory factor levels in the treatment of severe pneumonia patients in ICU.
文摘The aim of this paper is to develop a Multi-Actor Geo-Collaborative Device to improve the processes of household waste collect (HWC) in urban areas. The proposed device will be tested in the Lamkansa district, in the southwestern part of Casablanca city, Morocco. The approach used is a systemic analysis of communication in order to act on a territory. We have been inspired by several methodological developments concerning multi-actor processes of land use planning. We focused our work on the involvement of the inhabitants in the process of household waste collect. The results show that the urban population can help and contribute to the development of complementary solutions to improve the urban environment and their living environment. Moreover, by integrating citizens in HWC processes, as well as decision communication, we can reduce household waste management costs and make it faster and more efficient, through a geo-collaborative, participatory and incentive logic. The approach described in this article is original, not only considering the technologies used to present and share the collected information, but also regarding the concept of integrating several actors in a collaborative/incentive mode. It arouses great interest by combining geomatics with communication and information sciences. It contributes to improve the participation of the inhabitants in the life of their urban environment in order to establish a reinforced dialogue on the future of their city and public health. Also, it involves the development and testing of new devices and tools for multi-actor collaboration.
