Subjects: Medicine, Pharmacy >> Preventive Medicine and Hygienics submitted time 2024-05-27 Cooperative journals: 《中国全科医学》
Abstract： Background Hypertension is a common chronic disease that seriously endangers the health of the population. The primary-care doctors are the main force in the management of hypertension. However，the doctor-induced therapeutic of inertia greatly affects the achievement of primary-care hypertension control. Objective The aim of this study is to investigate the current status of therapeutic inertia among primary healthcare providers in the diagnosis and treatment process of hypertension，and analyze the causes of therapeutic inertia，providing a reference basis for improving hypertension control rates in China. Methods A simple random sampling method was used to distribute questionnaires to primary healthcare providers in 32 primary healthcare institutions in Tianjin from July to August 2023. The therapeutic inertia in the diagnosis and treatment process of hypertension was evaluated from three dimensions: knowledge mastery of hypertension diagnosis and treatment，“soft reasons”and “overestimation of treatment efficacy” as well as “medical insurance policies.” Binary logistic regression analysis was employed to explore the influencing factors of therapeutic inertia.Results A total of 407 questionnaires were distributed in this study，and 386 valid questionnaires were collected，yielding an effective response rate of 97.96%. (1) The average score for primary healthcare providers' knowledge of hypertension diagnosis and treatment was 6 (0.5)，with a scoring rate of 61.19% (5.50/9.00). The total score for therapeutic inertia in hypertension management was 48 (7.0)，with a scoring rate of 56.55% (45.24/80.00). (2) The scores for the “soft reasons” dimension，“overestimation of treatment efficacy” dimension，and “medical insurance policies” dimension were 26 (4.8)，10 (2.0)，and 6 (2.5) respectively，with scoring rates of 51.97% (25.89/50.00)，65.42% (9.81/15.00)，and 44.64% (6.96/15.00) respectively. When comparing the average scores of the three dimensions of therapeutic inertia，the “medical insurance policies” dimension had the lowest score compared to the other two groups (P<0.05). Multivariate analysis showed that male gender，rural areas，lower mastery of hypertension diagnosis and treatment knowledge，and a weekly patient volume of less than 10 hypertensive individuals were associated with a higher tendency towards therapeutic inertia among primary healthcare providers (P<0.05). Conclusion therapeutic inertia is prevalent among primary healthcare providers in the diagnosis and treatment process of hypertension. Low levels of hypertension treatment cognition，overestimation of treatment efficacy，and “soft reasons” are the primary factors contributing to therapeutic inertia among primary healthcare providers. It is recommended to strengthen education on therapeutic inertia in hypertension，conduct diversified training on diagnostic and management knowledge，and promote clinical informatization and artificial intelligence decision-making systems to effectively improve the therapeutic inertia of primary healthcare providers in hypertension management.
Subjects: Medicine, Pharmacy >> Preventive Medicine and Hygienics submitted time 2024-01-16 Cooperative journals: 《中国全科医学》
Abstract： Chronic coronary disease（CCD） refers to chronic heart or vascular disease caused by insufficient blood flow into or out of the heart. The incidence and mortality rates of CCD are high，resulting in significant personal，economic，and societal burdens. In July 2023，the American Heart Association（AHA）and the American College of Cardiology（ACC），along with other academic organizations，jointly released the "2023 AHA/ACC/ACCP/ASPC/NLA/PCNA Guideline for the Management of Patients with Chronic Coronary Disease". This guideline provides a on the evidence-based and patient-centered approach to comprehensive management of patients with chronic coronary disease. It covers the epidemiology of CCD，patient assessment，diagnosis，risk stratification，treatment，management of special populations，patient follow-up，and related considerations. The guideline emphasizes the importance of a healthy diet，regular physical exercise，and tobacco avoidance for cardiovascular health. It also updates the recommendations for the use of sodium-glucose cotransporter-2 inhibitors（SGLT2i）and glucagon-like peptide-1 receptor agonists（GLP-1RA）and provides the latest evidence-based recommendations for clinical practice. This article provides a key interpretation of the management strategies outlined in the guideline，aiming to provide a basis for the development and update of relevant guidelines in China. The goal is to standardize and improve the specialized diagnosis and care for patients with chronic coronary disease，with the ultimate aim of providing evidence-based guidance for clinical practice and improving the prognosis of patients with chronic coronary disease.
Subjects: Digital Publishing >> New Media submitted time 2023-10-08 Cooperative journals: 《中国传媒科技》
Abstract：在当前时期,互联网呈现出快速的发展态势,这就为新媒体的出现奠定了坚实的基础。新媒体对传统媒体产生的冲击是非常大的,受众大量流失,盈利水平也急剧降低,若想自身保持稳定发展,传统媒体必须要针对业务领域进行大力拓展,寻找到新的盈利模式,同时要对内容变现展开深入的探析。本文即对传统媒体内容变现展开深入探析,在此基础上寻找可行的创新路径、对策建议。
Subjects: Nursing >> Nursing submitted time 2023-06-12
Abstract： Cancer patients frequently experience pain as a result of their cancer treatment. opioid-induced constipation (OIC) is a highly prevalent side effect in cancer pain sufferers that hurts their quality of life and enhances their risk of developing cardiovascular and cerebrovascular disorders. The effective prevention and treatment of OIC have vital clinical implications. This study summarized advances in the Traditional Chinese Medicine (TCM) etiology of cancer pain OIC and recent developments in external TCM treatment, and anticipations to assist as a reference for optimizing TCM interventions, as well as the cancerous pathogenesis provided by OIC, conduct a scientific investigation of pain.
Peer Review Status:
Awaiting Review
Subjects: Psychology >> Developmental Psychology submitted time 2023-03-28 Cooperative journals: 《心理科学进展》
Abstract： Acute aerobic exercise is a bout of aerobic exercise lasting from 10 to 60 minutes. Acute aerobic exercise can temporarily change cognitive performance, such as sensory sensitivity, memory, executive function. The effects of acute aerobic exercise on cognitive performance are varying, which are moderated by participant physical fitness level, exercise intensity and type of exercise. Arousal theory, Reticular- activating hypofrontality model, catecholamines hypothesis, BDNF hypothesis and strength model of self-control have been proposed to account for the effect of acute aerobic exercise on cognitive performance. Future studies are suggested to investigate the mechanism of how acute aerobic exercise effects cognitive performance, explore the interfering effects of different forms of acute aerobic exercise, such as mind-body exercises, group sports, and thus providing more evidence for the long-term ‘exercise prescriptions’.
Subjects: Biology >> Ecology submitted time 2018-05-18 Cooperative journals: 《生态学报》
Abstract：植物根呼吸是土壤呼吸的主要组成，研究根呼吸对生态系统碳收支及碳平衡有重要意义。采用13C脉冲标记技术，在3种供水条件下，对比不同根离体时间（标记后0，6，24，48，216，360 h）的白羊草离体根呼吸速率和根呼吸释放的δ13C同位素比值变化，分析根参数与离体根呼吸相关性。结果表明：1）不同离体时间的离体根呼吸速率变化趋势一致，3种供水条件下无显著差异，均在0-20 min急剧下降，下降范围为32%-39%。2）测定离体根呼吸释放的δ13C在不同离体时间的变化，为实时监测转移到白羊草根系的13CO2在根部释放的过程提供了新思路；不同离体时间，3种供水条件下根呼吸释放的δ13C在2 h内均值大小呈：供水充分 > 轻度胁迫 > 重度胁迫。随离体时间（0-360 h）推移根呼吸释放的δ13C均值先增大后减小，在216 h达到峰值31.46‰；3）离体根呼吸速率和根呼吸释放的δ13C受根系根面积、比根面积、N含量、C/N及根组织δ13C的影响显著。4）轻度水分胁迫可促使根系生长（C固定）和根呼吸（C代谢）同时增加。
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