应用移动管理平台提高危急值管理水平

基于移动管理平台,对传统危急值管理进行改进,使手机移动端具备危急值管理功能,实现在手机移动端查看、提醒和监控危急值。平台应用后,临床科室在5 min内、10 min内、20 min内、30 min内危急值平均处置效率分别为31.43%、58.32%、70.05%、80.76%。运用移动管理平台,可提高对危急值处置和监管的及时性,提升危急值闭环管理能力,进一步保障患者安全。     

Coping With Stress Through Texting: An Experimental Study

PurposeTexting is used by many adolescents and has the potential to improve well-being, as youth can reach out for support immediately after experiencing a stressful situation. Many studies have examined whether texting is associated with well-being, but few have used experimental designs, preventing causal claims.MethodsIn this experimental study, 130 adolescents (M_age = 12.41) participated with a same-gender friend whom they texted regularly. Both adolescents completed a task that elicited stress and then engaged in one of the following randomly assigned activities: texting their friend, watching a video on a cellphone (passive-phone condition), or sitting quietly (no activity condition). Participants reported their mood and stress levels after the stress task and again after the activity. Heart rate variability was measured throughout.ResultsParticipants who texted their friend reported higher moods (b = ?.80, standard error [SE] = .24, p < .001, η_p² = .09) and lower stress at the end of the study than those in the no activity condition (b = .51, SE = .25, p = .046, η_p² = .04) and higher moods than adolescents in the passive-phone condition (b = ?.74, SE = .25, p = .004, η_p² = .08). No differences were noted between the passive-phone and no activity conditions. There were no differences in heart rate variability between the three conditions. The effects of texting on mood, self-reported stress, and heart rate variability did not differ by gender.ConclusionsBoth boys and girls may benefit from texting a friend after experiencing a stressful event.     

电磁辐射对小鼠神经系统超微结构影向的分析

目的探讨移动电话的电磁辐射对生物体的影响.方法用大众常用移动电话作为辐射源,工作频率为900MHz,功率密度为1190μW/cm2,在一定范围对小鼠辐射2h/d,30d后把小鼠断颈处死,取出大脑皮层、海马和小脑进行电镜观察分析.结果电镜所见,处理组与对照组小鼠的神经系统的细胞超微结构未见明显异常.结论一定时间内,移动电话的电磁辐射,对小鼠神经系统的细胞超微结构并没有明显影响.     

Digital health technologies for osteopaths and allied healthcare service providers: A scoping review

BackgroundDigital health technologies are poised to revolutionise the healthcare industry by improving accessibility to services and patient outcomes. The novel coronavirus disease-19 (COVID-19) pandemic has presented unprecedented challenges for the delivery of allied healthcare and has catalysed rapid adoption of telehealth. As such, allied healthcare consumers and providers stand to benefit from the capabilities of the digital health movement, ultimately justifying a scoping review of current and emerging technologies.ObjectiveTo provide decision makers with up-to-date information on the allied health applications of new and emerging digital health technologies; their evidence of efficacy, scope of use, and limitations.MethodsA scoping review of the literature was conducted, guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. To synthesise original research, MEDLINE, CINAHL, and EMBASE databases were searched from 2010 to June 2020 and reference lists were examined for randomised control trials analysing the efficacy of these technologies in allied health applications.ResultsA total of 14 articles were included with a focus on common musculoskeletal conditions managed by allied health service providers. Studies were selected for data extraction after abstract and full-text screening by three independent reviewers. The results of this review indicate that telehealth technology effectively monitors and progresses patient care, while mobile health applications provide remote support and enable data collection.ConclusionEmerging trends suggest that digital technologies serve as promising adjuncts to allied healthcare. Further research is warranted regarding the safety and efficacy of digital health technologies in this context.     

Mobile caecum as a content in recurrent incisional hernia an incidental finding: A rare case report

IntroductionRecurrence in ventral hernia after laparoscopic repair is less as compared to conventional approach. Mobile caecum as a content of ventral hernia is a very rare entity. Standard treatment for mobile cecum is caecopexy using lateral peritoneal flap.Case reportA 40-year-old obese female, homemaker by occupation with a history of incisional hernia 2 year back and treated with intraperitoneal on lay mesh repair presented with swelling in the left lower abdomen for past 6 months. Radiological investigations revealed defect in left lower anterior abdominal wall with protruding bowel loops. Urgent exploratory Laparotomy revealed mobile segment of ileocecal junction in the hernial sac cavity. Caecopexy for the mobile caecum was done.DiscussionMobile caecum is due to embryological failure of fusion of right colonic mesentery with lateral peritoneal wall. Pre-operative diagnosis of mobile caecum is difficult to establish unless it presents as caecal volvulus Caecopexy using the lateral peritoneal flap is the standard of care.ConclusionMobile caecum can surprise the attending surgeon as a content of ventral hernia. Caecopexy using lateral peritoneal flap is the treatment of choice in all with a mobile caecum.     

基于大学生群体的三种手机成瘾量表信效度及应用的比较研究

目的 比较三种手机成瘾量表在大学生手机成瘾测量中的一致性。方法 选取合肥市3所本科高校的1004名大学生,采用手机成瘾指数量表（MPAI）、智能手机依赖量表（SAS）、智能手机依赖量表简版（SAS-SV）同时进行手机成瘾倾向的测量,采用匹兹堡睡眠质量指数量表（PSQI）进行睡眠质量的测量,对122位学生在首次测评两周后进行重测。用Pearson相关系数描述三个量表得分之间的相关性;用符合率和Kappa系数衡量手机成瘾判定结果的一致性;用t检验、方差分析、logistic回归进行手机成瘾与大学生基本特征、相关因素的关联分析。结果 MPAI与SAS、MPAI与SAS-SV、SAS与SAS-SV得分之间的Pearson相关系数分别为0.72、0.74、0.95（P＜0.010）。MPAI与SAS-SV判定手机成瘾结果的符合率为64.6％,Kappa值为0.32（P＜0.001）。t检验显示,性别、专业属性与量表得分之间,三个量表结果一致;方差分析显示年级与量表得分之间,SAS与MPAI、SAS-SV的结果不一致。Logistic回归分析显示,性别、年级、专业属性与手机成瘾之间,MPAI、SAS-SV结果一致;睡眠与手机成瘾之间,MPAI、SAS-SV结果不一致。结论 三种量表的信效度均较好;量表得分的相关性较高,但MPAI和SAS-SV判定手机成瘾的一致性较差;在手机成瘾相关因素分析上,量表间存在不一致的现象。     

长沙市初中生网络成瘾的心理社会因素调查

目的:调查长沙市初中生网络成瘾的发生率,探讨家庭和学校环境、应付方式对中学生网络成瘾的影响。方法:对长沙市的552名初中生进行问卷调查,应用Young网络成瘾诊断量表、家庭关怀度量表、学校满意度量表、应付方式问卷、焦虑、抑郁自评量表进行评估。结果:①580名初中生中,网络成瘾者38人(男生30人,女生8人),网络成瘾的发生率为6.55%。②网络成瘾与未成瘾学生在对学校和家庭满意度、应付方式方面有显著性差异(P<0.05)。③网络成瘾学生的焦虑、抑郁总分均显著高于未成瘾学生(P<0.05)。结论:感觉不到家庭的关怀、对学校生活不满意,焦虑、抑郁严重,遇到应激事件时采用消极的应对方式的初中生容易发生网络成瘾。     

Pharmacological options for management of opioid dependence

Methadone is currently the only opioid available for the pharmacotherapy of opioid dependence. Cross-tolerance between methadone and other opioids constitutes the pharmacological basis for substitution and attenuating the effects of illicit opioid use. However, these principles limit the utility of methadone. Potential alternative opioids include long-acting partial agonists such as buprenorphine and pure antagonists such as naltrexone. Buprenorphine is an alternative to methadone with intermediate intrinsic efficacy. It has a large margin of safety, yet displays some agonist actions similar to methadone. It has greater potential than methadone to safely and effectively block the actions of illicit opioids. Naltrexone is a safe, convenient opioid-antagonist for use following detoxification from opioid agonists. Its main use is to block the actions of other opioids, thereby attenuating or eliminating illicit use during treatment. However, it is poorly accepted by many clients, limiting its application to a sub-group who are highly motivated to detoxify. The distinct pharmacological properties of these opioids can overcome some of the drawbacks of methadone, but other limitations may emerge. Non-opioid adjuncts such as alpha2-adrenoceptor agonists can also have a role during detoxification. These drugs might be of use for specific groups of opioid users, providing therapists with the flexibility to tailor pharmacotherapy to the individual needs of clients.