医养结合型养老院糖尿病人的护理与健康教育研究

我国目前老年人群的特点有:老龄人口数量多、老龄化速度过快、空巢老人数量多、患病率高以及社会相关的养老保障措施不够完善等.基于这样的社会大环境之下,我国对于老年人群的养老保障措施以及护理康复服务越来越重视,医养结合的模式也应时而生并且还在进行着不断的发展与完善.由于老龄人群日益显著的问题,养老服务机构的转型以及各种资源的...     

The Influence of Varying Precompaction and Main Compaction Profile Parameters on the Mechanical Strength of Compacts

The purpose of this work was to investigate how altering the method of force application could be beneficial to tablet production in order to increase tablet strength and eliminate or minimize the incidence of capping and lamination. An integrated compaction research system (i.e., compaction simulator) was used throughout this study. Compaction profiles containing a single compaction event and a double (pre- and main) compaction event were created. The ratio and magnitude of the pre- and main compaction pressures were varied and the time interval between the pre- and main compaction events was altered to determine the effects on the crushing strengths and capping tendency of the final compacts. In all cases, for a given pressure, the double compaction event produced stronger tablets than the single compaction event. When the ratio and magnitude of the pre- and main compaction pressures were varied, the results differed depending on the material undergoing compaction. Dicalcium phosphate/microcrystalline cellulose and pregelatinized starch tablets had no significant difference in crushing strength values regardless of whether the precompaction pressure was less than or greater than the main compaction pressure. However, both direct compression (DC) acetaminophen and DC ibuprofen were found to have increased crushing strengths and decreased capping/lamination when the precompaction pressure was less than the main compaction pressure. When the time interval between the pre- and main compaction events was varied from 30 to 500 msec, no significant difference in the crushing strength or capping/lamination tendency was observed. It was concluded that the effect of altering the ratio and magnitude of the pre- and main compaction pressures varied from one material to another, suggesting that the profiles should be tailored individually for the specific material undergoing compaction.     

Potential health risks to adults and children in the UK from exposure to dietary lead in gamebirds shot with lead ammunition

We estimate potential risks to human health in the UK from dietary exposure to lead from wild gamebirds killed by shooting. The main source of exposure to lead in Europe is now dietary. We used data on lead concentrations in UK gamebirds, from which gunshot had been removed following cooking to simulate human exposure to lead. We used UK food consumption and lead concentration data to evaluate the number of gamebird meals consumed weekly that would be expected, based upon published studies, to result in changes, over and above those resulting from exposure to lead in the base diet, in intelligence quotient (IQ), Systolic Blood Pressure and chronic kidney disease (CKD) considered in a recent opinion of the European Food Safety Authority (EFSA) to be significant at a population level and also in SAT test scores and in rates of spontaneous abortion. We found the consumption of <1 meal of game a week may be associated with a one point reduction in IQ in children and 1.2–6.5 gamebird meals per week may be associated with the other effects. These results should help to inform the development of appropriate responses to the risks from ingesting lead from ammunition in game in the UK and European Union (EU).     

PURIFICATION OF MS2 BACTERIOPHAGE FROM COMPLEX GROWTH MEDIA AND RESULTING ANALYSIS BY THE INTEGRATED VIRUS DETECTION SYSTEM (IVDS)

Purification and concentration of viruses from the background material is required whatever subsequent analysis methods are used. For the analysis of viruses it is essential and detection methods depend on this solution. This report demonstrates a methodology for theremoval of growth media from a virus preparation. A sample of MS2 was purified using a new ultrafiltration (UF) technique with hollow fibers. A typical MS2 virus sample with a nominal stated concentration of 1.4 × 10 12 plaque-forming units (pfu)/mL in the original growth media was used to demonstrate this method. After UF, the growth media was removed and thevirus counted using theintegrated virus detection system (IVDS)instrument. This report further describes the use of this ultrafiltration procedure to remove other impurities, such as cesium chloride and albumin, from solutions containing a purified solution of MS2 bacteriophage. These solutions were also analyzed using the IVDS instrument.     

Challenges in Consolidated Reporting of Hematopoietic Neoplasms

This article focuses on the challenges of generating comprehensive diagnostic reports in hematopathology. In particular, two main challenges that diagnosticians face are (1) interpreting and understanding the rapid advances in molecular and genetic pathology, which have gained increasing importance in classifications of hematopoietic neoplasms, and (2) managing the logistics of reporting ancillary studies and incorporating them effectively into a final synthesized report. This article summarizes many important genetic findings in hematopoietic neoplasms, which are required for accurate diagnoses, and discusses practical issues to generating accurate and complete hematopathology reports.     

中西医结合康复干预在脑卒中后偏瘫患者功能恢复中的作用

目的探讨中西医结合康复干预在脑卒中后偏瘫患者功能恢复中的作用。方法选择2015年7月~2017年4月脑卒中后偏瘫患者76例,随机分为中西医组和西医组。两组患者予控制血糖、血压和颅压、脑神经营养和增加脑血供等治疗。西医组予以西医康复干预治疗,中西医组在西医组基础上予以中医康复干预,两组均干预8周。观察两组干预前后神经、肢体运动及日常生活能力变化,并比较其生活质量。结果干预8周后,两组CSS评分较前明显下降、FMA评分和BI评分较前明显上升(P0.05或P0.01),且中西医组干预后变化幅度与西医组比较更显著(P0.05);同时两组躯体、心理、社会和物质等各项评分较前上升(P0.05或P0.01),且中西医组干预后上升幅度与西医组比较更显著(P0.05)。结论中西医结合康复干预在脑卒中后偏瘫患者功能恢复中的效果明显优于单纯的西医康复干预,能加快神经和肢体运动功能恢复,提高其日常生活自理能力,促进其早日康复,提高其生活质量。     

Developing standards for an integrated approach to workplace facilitation for interprofessional teams in health and social care contexts: a Delphi study

Integration of health and social care forms part of health and social care policy in many countries worldwide in response to changing health and social care needs. The World Health Organization’s appeal for systems to manage the global epidemiologic transition advocates for provision of care that crosses boundaries between primary, community, hospital, and social care. However, the focus on structural and process changes has not yielded the full benefit of expected advances in care delivery. Facilitating practice in the workplace is a widely recognised cornerstone for developments in the delivery of health and social care as collaborative and inclusive relationships enable frontline staff to develop effective workplace cultures that influence whether transformational change is achieved and maintained. Workplace facilitation embraces a number of different purposes which may not independently lead to better quality of care or improved patient outcomes. Holistic workplace facilitation of learning, development, and improvement supports the integration remit across health and social care systems and avoids duplication of effort and waste of valuable resources. To date, no standards to guide the quality and effectiveness of integrated facilitation have been published. This study aimed to identify key elements constitute standards for an integrated approach to facilitating work-based learning, development, improvement, inquiry, knowledge translation, and innovation in health and social care contexts using a three rounds Delphi survey of facilitation experts from 10 countries. Consensus about priority elements was determined in the final round, following an iteration process that involved modifications to validate content. The findings helped to identify key qualities and skills facilitators need to support interprofessional teams to flourish and optimise performance. Further research could evaluate the impact of skilled integrated facilitation on health and social care outcomes and the well-being of frontline interprofessional teams.