人文社科期刊国际化研究综述

【目的】 人文社科期刊国际化是全球人文思想传播和文化交流的重要方式,随着中国特色哲学社会科学“三大体系”工作的推进,人文社科期刊国际化成为新文科建设理念下一个紧迫的研究课题。【方法】 以CNKI、WoS、Google Scholar为文献来源,结合计量方法获取相关文献,通过文献阅读法,构建“抽象化—具体化—标准化”的研究思路。【结果】 对人文社科期刊国际化的基础研究、特征标准、评价指标“三方内容”进行综述,分析人文社科期刊国际化研究存在的“四个挑战”:发展进程缓慢、意识形态差异、评价体系构建难题、期刊自身制约。【结论】 对未来人文社科期刊研究提出了加强基础研究、解决国际本土之争、深化区域合作、推动数据驱动、创新评价方法的“五大展望”。     

对208名护士职业幸福感的干预效果

护理人员是医院人力资源中重要的部分,具有专业性强、工作压力大、风险大的特点,他们在医疗服务中起着极其重要的作用。关注护士幸福感,认识和改善这一人群的生活质量,是医院管理者必须重视的一个方面。因此,需要在进行大量的探索性     

Usefulness of a Three‐Dimensional‐Printed Model in the Treatment of Irreducible Atlantoaxial Dislocation with Transoral Atlantoaxial Reduction Plate

ObjectiveTo evaluate the usefulness of a 3D‐printed model for transoral atlantoaxial reduction plate (TARP) surgery in the treatment of irreducible atlantoaxial dislocation (IAAD).MethodsA retrospective review was conducted of 23 patients (13 men, 10 women; mean age 58.17 ± 5.27 years) with IAAD who underwent TARP from January 2015 to July 2017. Patients were divided into a 3D group (12 patients) and a non‐3D group (11 patients). A preoperative simulation process was undertaken for the patients in the 3D group, with preselection of the TARP system using a 3D‐printed 1:1 scale model, while only imaging data was used for the non‐3D group. Complications, clinical outcomes (Japanese Orthopaedic Association [JOA] and visual analogue score [VAS]), and image measurements (atlas–dens interval [ADI], cervicomedullary angle [CMA], and clivus‐canal angle [CCA]) were noted preoperatively and at the last follow up.ResultsA total of 23 patients with a follow‐up time of 16.26 ± 4.27 months were included in the present study. The surgery duration, intraoperative blood loss, and fluoroscopy times in the 3D group were found to be shorter than those in non‐3D group, with statistical significance. The surgery duration was 3.29 ± 0.45 h in the 3D group and 4.68 ± 0.90 h in the non‐3D group, and the estimated intraoperative blood loss was 131.67 ± 43.03 mL in the 3D group and 185.45 ± 42.28 mL in the non‐3D group. No patients received blood transfusions. The intraoperative fluoroscopy times were 5.67 ± 0.89 in the 3D group and 7.91 ± 1.45 in the non‐3D group. Preoperatively and at last follow up, JOA and VAS scores and ADI, CCA, and CMA were improved significantly within the two groups. However, no statistical difference was observed between the two groups. However, surgical site infection occurred in 1 patient in the 3D group, who underwent an emergency revision operation of the removal of TARP device and posterior occipitocervical fixation; the patient recovered 2 weeks after the surgery. In 2 patients in the traditional group, a mistake occurred in the placement of screws, with no neurological symptoms related to the misplacement.ConclusionPreoperative surgical simulation using a 3D‐printed real‐size model is an intuitive and effective aid for TARP surgery for treating IAAD. The 3D‐printed biomodel precisely replicated patient‐specific anatomy for use in complicated craniovertebral junction surgery. The information was more useful than that available with 3D reconstructed images.     

加速康复外科理念在老年股骨颈骨折股骨头置换术围手术期的应用策略及临床效果

目的 探讨加速康复外科(enhanced recovery after surgery,ERAS)理念在老年股骨颈骨折围手术期应用策略及临床疗效.方法 选取2020年3月至2020年8月期间安徽理工大学第一附属医院40例老年股骨颈骨折接受股骨头置换术治疗的患者资料,其中20例在围手术期应用ERAS模式管理(ERAS组),20例应用常规传统围手术期管理(常规组),对比分析两组患者住院时间、术后短期严重并发症及术前、术后3个月和6个月的VAS评分、Harris评分.结果 ERAS组的住院时间短于常规组,差异均有统计学意义(P<0.05),ERAS组术前、术后3个月和6个月的VAS评分低于常规组、Har-ris评分高于常规组,差异均有统计学意义(P<0.05).两组术后均无发生感染、褥疮、下肢深静脉血栓等术后短期严重并发症,仅常规组出现1例术后心律不齐.结论 ERAS理念应用于老年股骨颈骨折围手术期,可明显缩短患者的住院时间,减轻术前术后疼痛并提升髋关节功能,有利于患者术后康复,值得临床应用.     

Efficacy and tolerability of lamotrigine in Juvenile Myoclonic Epilepsy in adults: A prospective,unblinded randomized controlled trial

PurposeControlled randomized studies recommending the clinical use of lamotrigine in adult populations with the diagnosis of Juvenile Myoclonic Epilepsy are still lacking. To compare the efficacy and tolerability of lamotrigine versus valproate in adult patients with JME.MethodsThis was a prospective, randomized, controlled, pragmatic, long-term and open-label treatment trial. Patients were randomized to use valproate or lamotrigine. The primary end points of the study were: (1) time from randomization to treatment failure (withdrawal); (2) time from randomization to seizures remission. Secondary ending points were: (1) frequency of clinically important adverse events and (2) change in the QOLIE-31 after randomization. The definition of seizure remission was based on disappearance of all seizure types and EEG discharges.ResultsWe found that the time to withdraw treatment after randomization was not significantly different in lamotrigine and valproate groups. Long-term seizures freedom was equal in the both groups of the trial; only 8 (19.1%) patients randomized to lamotrigine and 6 (19.4%) randomized to valproate were not seizure free after 4 months of treatment. Between 17.03% (lamotrigine) and 35.3% (valproate) of patients reported adverse reactions at some point in the intention-to treat study (p = 0.07). All subscales of the QOLIE-31 questionnaire, except that related to side effects of medication, improved more than 5 points with respect to baseline period in both groupsConclusionLamotrigine is effective in adult patients with Juvenile Myoclonic Epilepsy and better tolerated than valproate, although the incidence of idiosyncratic reactions could be a cause of concern.     

The Tension and Puncture Properties of HDPE Geomembrane under the Corrosion of Leachate

To investigate the gradual failure of high-density polyethylene (HDPE) geomembrane as a result of long-term corrosion, four dynamic corrosion tests were conducted at different temperatures and durations. By combining tension and puncture tests, we systematically studied the variation law of tension and puncture properties of the HDPE geomembrane under different corrosion conditions. Results showed that tension and puncture failure of the HDPE geomembrane was progressive, and tensile strength in the longitudinal grain direction was evidently better than that in the transverse direction. Punctures appeared shortly after puncture force reached the puncture strength. The tensile strength of geomembrane was in inversely proportional to the corrosion time, and the impact of corrosion was more obvious in the longitudinal direction than transverse direction. As corrosion time increased, puncture strength decreased and corresponding deformation increased. As with corrosion time, the increase of corrosion temperature induced the decrease of geomembrane tensile strength. Tensile and puncture strength were extremely sensitive to temperature. Overall, residual strength had a negative correlation with corrosion time or temperature. Elongation variation increased initially and then decreased with the increase in temperature. However, it did not show significant law with corrosion time. The reduction in puncture strength and the increase in puncture deformation had positive correlations with corrosion time or temperature. The geomembrane softened under corrosion condition. The conclusion may be applicable to the proper designing of the HDPE geomembrane in landfill barrier system.