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991.
Yeoungjee Cho Allison Tong Jonathan C. Craig Reem A. Mustafa Arlene Chapman Ronald D. Perrone Curie Ahn Kevin Fowler Vicente Torres Ron T. Gansevoort Albert C.M. Ong Helen Coolican Juliana Tze-Wah Kao Tess Harris Talia Gutman Jenny I. Shen Andrea K. Viecelli David W. Johnson Zachary Baron 《American journal of kidney diseases》2021,77(2):255-263
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儿童肝移植围手术期管理专家共识 总被引:1,自引:0,他引:1
肝移植是治疗儿童各种急慢性终末期肝病和遗传代谢性疾病的有效手段,已在全国多家移植中心开展,并取得满意效果。然而,各移植中心的发展不均衡,缺乏行业内统一的共识及标准。为减少术后并发症、加快患儿术后康复、改善患儿短期及长期生活质量,中国研究型医院学会加速康复外科专业委员会组织多个学科的专家,总结国内外儿童肝移植的研究进展,依据循证医学原则深入论证并制定了本共识。本共识从围手术期肝移植患儿的术前评估和准备、术中管理、术后管理三个方面提出了推荐意见,以期为正在开展或准备开展儿童肝移植的中心提供参考。 相似文献
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皮温、皮电、脉相是机体状况的综合敏感反映,本课题研究的是皮温、皮阻、脉相对针刺的响应,进而发展成为诊断2治疗系统。该系统由三大部分组成;(1)检测系统;(2)分析系统;(3)治疗输出系统。本的专家系统知识在知识表示上采用模糊产生式 ,在推理方法上采用加权模糊逻辑模型,在推理策略上提出了混合推理模式,在数字信号自理方面采用汇编语言与0混合编程,有效地降低了系统运行费用,实现了诊断、治疗一体化。 相似文献
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《Value in health》2020,23(8):1012-1019
ObjectivePatient-centered care (PCC) could reduce gender inequities in quality of care. Little is known about how to implement patient-centered care for women (PCCW). We aimed to generate consensus recommendations for achieving PCCW.MethodsWe used a 2-round Delphi technique. Panelists included 21 women of varied age, ethnicity, education, and urban/rural residence; and 21 health professionals with PCC or women’s health expertise. Panelists rated recommendations, derived from prior research and organized by a 6-domain PCC framework, on a 7-point Likert scale in an online survey. We used summary statistics to report response frequencies and defined consensus as when ≥85% panelists chose 5 to 7.ResultsThe response rate was 100%. In round 1, women and professionals retained 46 (97.9%) and 42 (89.4%) of 47 initial recommendations, respectively. The round 2 survey included 6 recommendations for women and 5 recommendations for professionals (did not achieve consensus in round 1 or were newly suggested). In round 2, women retained 2 of 6 recommendations and professionals retained 3 of 5 recommendations. Overall, 49 recommendations were generated. Both groups agreed on 44 (94.0%) recommendations (13 retained by 100% of both women and clinicians): fostering patient-physician relationship (n = 11), exchanging information (n = 10), responding to emotions (n = 4), managing uncertainty (n = 5), making decisions (n = 8), and enabling patient self-management (n = 6).ConclusionThe recommendations represent the range of PCC domains, are based on evidence from primary research, and reflect high concordance between women and professional panelists. They can inform the development of policies, guidelines, programs, and performance measures that foster PCCW. 相似文献
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《Value in health》2020,23(12):1630-1638
ObjectivesTo describe the extent and nature of changes in participants’ responses after exposure to group feedback and discussion in modified-Delphi panels and to identify factors affecting those changes.MethodsWe analyzed data from 2 online modified-Delphi panels, each consisting of 2 rating rounds and an online discussion round. We included responses from 55 participants who answered 38 questions in both rating rounds. Because not all participants answered each question twice, our sample consisted of 1846 cases (response changes). We used mixed-effect logistic and multinomial logistic regression to identify factors predicting response changes and their direction relative to group median—our consensus measure.ResultsParticipants changed, on average, 49% of their responses. A response was changed in 47% of the 1846 cases: 28% of responses were changed toward consensus and 19% away from it. Although some measures of subjective participation experiences had a marginally significant impact on the propensity and direction of response changes, several objective measures of discussion engagement were statistically significant predictors of both the presence and direction of response changes.ConclusionOur results illustrate the nature of response changes and highlight the importance of exposing participants to alternative perspectives and encouraging them to explain their perspectives. 相似文献
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在医患纠纷人民调解工作中,上海市实行了专家咨询指导工作,并建立了900余名专家库、建立了专家咨询工作标准,规定了专家咨询的工作程序,形成了一整套的专家咨询制度.在专家咨询形式上作出了有益的探索和思考. 相似文献