Chronic heart failure （CHF）, a clinical syndrome resulting from the consequences of various cardiovascular diseases （CVDs）, is increasingly becoming a global cause of morbidity and mortality. We had earlier demons...Chronic heart failure （CHF）, a clinical syndrome resulting from the consequences of various cardiovascular diseases （CVDs）, is increasingly becoming a global cause of morbidity and mortality. We had earlier demonstrated that a 4-day forest bathing trip can provide an adjunctive therapeutic influence on patients with CHF. To further investigate the duration of the impact and the optimal frequency of forest bathing trips in patients with CHF, we recruited those subjects who had experienced the first forest bathing trip again after 4 weeks and randomly categorized them into two groups, namely, the urban control group （city） and the forest bathing group （forest）. After a second 4-day forest bathing trip, we observed a steady decline in the brain natriuretic peptide levels, a biomarker of heart failure, and an attenuated inflammatory response as well as oxidative stress. Thus, this exploratory study demonstrated the additive benefits of twice forest bathing trips in elderly patients with CHF, which could further pave the way for analyzing the effects of such interventions in CVDs.展开更多
Objective Evidence on potential cardiovascular benefits of personal-level intervention among the elderly exposed to high levels of particulate matter(PM)remains limited.We aimed to assess improvements in surrogate mar...Objective Evidence on potential cardiovascular benefits of personal-level intervention among the elderly exposed to high levels of particulate matter(PM)remains limited.We aimed to assess improvements in surrogate markers of cardiovascular injury in vulnerable populations at risks by using indoor air filtration units.Methods We conducted a randomized crossover trial for 2 separate 2-week air filtration interventions in 20 households of patients with stable chronic obstructive pulmonary disease and their partners in the winter of 2013,with concurrent measurements of indoor PM.The changes in biomarkers indicative of cardiac injury,atherosclerosis progression and systemic inflammation following intervention were evaluated using linear mixed-effect models.Results In the analysis,average levels of indoor PM with aerodynamic diameters<2.5µm(PM2.5)decreased significantly by 59.2%(from 59.6 to 24.3µg/m3,P<0.001)during the active air filtration.The reduction was accompanied by improvements in levels of high-sensitivity cardiac troponin I by−84.6%(95%confidence interval[CI]:−90.7 to−78.6),growth differentiation factor-15 by−48.1%(95%CI:−31.2 to−25.6),osteoprotegerin by−65.4%(95%CI:−56.5 to−18.7),interleukin-4 by−46.6%(95%CI:−62.3 to−31.0)and myeloperoxidase by−60.3%(95%CI:−83.7 to−3.0),respectively.Conclusion Indoor air filtration intervention may provide potential cardiovascular benefits in vulnerable populations at risks.展开更多
This study aimed to produce a prototype system for non-contact vital sign monitoring of the elderly using microwave radar with the intention of reducing the burdens on monitored individuals and nursing caregivers. In ...This study aimed to produce a prototype system for non-contact vital sign monitoring of the elderly using microwave radar with the intention of reducing the burdens on monitored individuals and nursing caregivers. In addition, we tested the ability of the proposed prototype system to measure the respiratory and heart rates of the elderly in a nursing home and discussed the systems effectiveness and problems by examining results of real-time monitoring. The prototype system consisted of two 24-GHz microwave radar antennas and an analysis system. The antennas were positioned below a mattress to monitor motion on the body surface for measuring cardiac and respiratory rates from the dorsal side of the subjects (23.3 ± 1.2 years) who would be lying on the mattress. The heart rates determined by the prototype system correlated significantly with those measured by electrocardiography (r = 0.92). Similarly, the respiratory rates determined by the prototype correlated with those obtained from respiration curves (r = 0.94). Next, we investigated the effectiveness of the prototype system with 7 elderly patients (93.3 ± 10.56 years) at a nursing home. The proposed system appears to be a promising tool for monitoring the vital signs of the elderly in a way that alleviates the need to attach electrodes overnight to confirm patient safety.展开更多
A buttress on the need for welfare program in Nigeria and the important obligation to consider the Economics’and CIA’s contextual position for the dependency ratios,both total and elderly dependency ratio alongside ...A buttress on the need for welfare program in Nigeria and the important obligation to consider the Economics’and CIA’s contextual position for the dependency ratios,both total and elderly dependency ratio alongside the consideration of the age structure and demography statistics of Nigeria relatively to other economies,particularly as an elixir for the declining older population in Nigeria and the aged male contraction in the nation.Although,older female population is higher in every country as obtainable globally,the Nigerian case is that of drastic contraction in both aged male and older population generally.Therefore,the submission is that the government has to consider the total dependency ratio to the elderly dependency ratio,which is all-encompassing in order to cater for the declining older population and to appropriate the requisite welfare cum benefits programs in the nation.展开更多
目的评价激励化管理对护理人员工作质量的影响。方法回顾性分析2021年1—12月山东大学附属儿童医院儿科实施常规管理的13名护理人员作为对照组,2022年1—12月山东大学附属儿童医院儿科实施激励化管理的12名护理人员作为观察组。比较不...目的评价激励化管理对护理人员工作质量的影响。方法回顾性分析2021年1—12月山东大学附属儿童医院儿科实施常规管理的13名护理人员作为对照组,2022年1—12月山东大学附属儿童医院儿科实施激励化管理的12名护理人员作为观察组。比较不同管理模式对2组护理人员工作质量的影响。结果观察组个人成就感评分为(39.87±4.12)分,高于对照组的(33.37±3.90)分;观察组情感耗竭、去人格化评分分别为(23.34±3.86)分、(9.12±1.34)分,低于对照组的(30.96±5.17)分、(14.40±1.32)分,差异有统计学意义(P<0.05)。观察组工作投入量表(utrecht work engagement scale,UWES)评分高于对照组,差异有统计学意义(P<0.05)。观察组职业获益感评分高于对照组,差异有统计学意义(P<0.05)。观察组护理水平评分高于对照组,差异有统计学意义(P<0.05)。观察组核心胜任力评分高于对照组,差异有统计学意义(P<0.05)。结论激励化管理对护理人员工作质量提高具有积极影响,可减轻护理人员职业倦怠感,提升工作投入状况、职业获益感及护理水平。展开更多
基金supported by funds from the National Natural Science Foundation of China[31670701&81771520]the Science Technology Department of Zhejiang Province[2014C33130&2016C34002]+1 种基金the Natural Science Foundation of Zhejiang Province[Y15H050018&LY17C070004]the Health Bureau of Zhejiang Province[2015DTA001&2016KYB005]
文摘Chronic heart failure （CHF）, a clinical syndrome resulting from the consequences of various cardiovascular diseases （CVDs）, is increasingly becoming a global cause of morbidity and mortality. We had earlier demonstrated that a 4-day forest bathing trip can provide an adjunctive therapeutic influence on patients with CHF. To further investigate the duration of the impact and the optimal frequency of forest bathing trips in patients with CHF, we recruited those subjects who had experienced the first forest bathing trip again after 4 weeks and randomly categorized them into two groups, namely, the urban control group （city） and the forest bathing group （forest）. After a second 4-day forest bathing trip, we observed a steady decline in the brain natriuretic peptide levels, a biomarker of heart failure, and an attenuated inflammatory response as well as oxidative stress. Thus, this exploratory study demonstrated the additive benefits of twice forest bathing trips in elderly patients with CHF, which could further pave the way for analyzing the effects of such interventions in CVDs.
基金This work was supported by Beijing Natural Science Foundation(7222246)Royal Dutch Philips Electronics Ltd.(Grant NL18-2100478471).
文摘Objective Evidence on potential cardiovascular benefits of personal-level intervention among the elderly exposed to high levels of particulate matter(PM)remains limited.We aimed to assess improvements in surrogate markers of cardiovascular injury in vulnerable populations at risks by using indoor air filtration units.Methods We conducted a randomized crossover trial for 2 separate 2-week air filtration interventions in 20 households of patients with stable chronic obstructive pulmonary disease and their partners in the winter of 2013,with concurrent measurements of indoor PM.The changes in biomarkers indicative of cardiac injury,atherosclerosis progression and systemic inflammation following intervention were evaluated using linear mixed-effect models.Results In the analysis,average levels of indoor PM with aerodynamic diameters<2.5µm(PM2.5)decreased significantly by 59.2%(from 59.6 to 24.3µg/m3,P<0.001)during the active air filtration.The reduction was accompanied by improvements in levels of high-sensitivity cardiac troponin I by−84.6%(95%confidence interval[CI]:−90.7 to−78.6),growth differentiation factor-15 by−48.1%(95%CI:−31.2 to−25.6),osteoprotegerin by−65.4%(95%CI:−56.5 to−18.7),interleukin-4 by−46.6%(95%CI:−62.3 to−31.0)and myeloperoxidase by−60.3%(95%CI:−83.7 to−3.0),respectively.Conclusion Indoor air filtration intervention may provide potential cardiovascular benefits in vulnerable populations at risks.
文摘This study aimed to produce a prototype system for non-contact vital sign monitoring of the elderly using microwave radar with the intention of reducing the burdens on monitored individuals and nursing caregivers. In addition, we tested the ability of the proposed prototype system to measure the respiratory and heart rates of the elderly in a nursing home and discussed the systems effectiveness and problems by examining results of real-time monitoring. The prototype system consisted of two 24-GHz microwave radar antennas and an analysis system. The antennas were positioned below a mattress to monitor motion on the body surface for measuring cardiac and respiratory rates from the dorsal side of the subjects (23.3 ± 1.2 years) who would be lying on the mattress. The heart rates determined by the prototype system correlated significantly with those measured by electrocardiography (r = 0.92). Similarly, the respiratory rates determined by the prototype correlated with those obtained from respiration curves (r = 0.94). Next, we investigated the effectiveness of the prototype system with 7 elderly patients (93.3 ± 10.56 years) at a nursing home. The proposed system appears to be a promising tool for monitoring the vital signs of the elderly in a way that alleviates the need to attach electrodes overnight to confirm patient safety.
文摘A buttress on the need for welfare program in Nigeria and the important obligation to consider the Economics’and CIA’s contextual position for the dependency ratios,both total and elderly dependency ratio alongside the consideration of the age structure and demography statistics of Nigeria relatively to other economies,particularly as an elixir for the declining older population in Nigeria and the aged male contraction in the nation.Although,older female population is higher in every country as obtainable globally,the Nigerian case is that of drastic contraction in both aged male and older population generally.Therefore,the submission is that the government has to consider the total dependency ratio to the elderly dependency ratio,which is all-encompassing in order to cater for the declining older population and to appropriate the requisite welfare cum benefits programs in the nation.
文摘目的评价激励化管理对护理人员工作质量的影响。方法回顾性分析2021年1—12月山东大学附属儿童医院儿科实施常规管理的13名护理人员作为对照组,2022年1—12月山东大学附属儿童医院儿科实施激励化管理的12名护理人员作为观察组。比较不同管理模式对2组护理人员工作质量的影响。结果观察组个人成就感评分为(39.87±4.12)分,高于对照组的(33.37±3.90)分;观察组情感耗竭、去人格化评分分别为(23.34±3.86)分、(9.12±1.34)分,低于对照组的(30.96±5.17)分、(14.40±1.32)分,差异有统计学意义(P<0.05)。观察组工作投入量表(utrecht work engagement scale,UWES)评分高于对照组,差异有统计学意义(P<0.05)。观察组职业获益感评分高于对照组,差异有统计学意义(P<0.05)。观察组护理水平评分高于对照组,差异有统计学意义(P<0.05)。观察组核心胜任力评分高于对照组,差异有统计学意义(P<0.05)。结论激励化管理对护理人员工作质量提高具有积极影响,可减轻护理人员职业倦怠感,提升工作投入状况、职业获益感及护理水平。
