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Copyright of Journal of Chengdu University (Social Science) is the property of Journal of Chengdu University (Social Science Edition) Editorial Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Pooling, unpooling/specialization, and discretionary task completion are typical operational strategies in queueing systems that arise in healthcare, call centers, and online sales. These strategies may have advantages and disadvantages in different operational environments. This paper uses the M/M/1 and M/M/2 queues to study the impact of pooling, specialization, and discretionary task completion on the average queue length. Closed-form solutions for the average M/M/2 queue length are derived. Computational examples illustrate how the average queue length changes with the strength of pooling, specialization, and discretionary task completion. Finally, several conjectures are made in the paper. [ABSTRACT FROM AUTHOR]

OBJECTIVE: To probe into the incidence and clinical characteristics of adverse drug reactions (ADR) induced by polymyxin B (PMB), so as to provide reference for rational medication in clinic. METHODS: CNKI, Wanfang Data, VIP, CBM, PubMed, Web of Science, Scopus, the Cochrane Library and Embase databases were retrieved to identify case reports or case series related to ADR induced by clinical injection of PMB. The retrieval time was from the establishment of the database to Oct. 31st, 2023. The literature were assessed by using the quality assessment tool provided by the Joanna Briggs Institute (JBI) Centre for Evidence-Based Health Care. Various methods including percentage calculations, summary tables, and other analytical techniques were employed to quantify the results and conduct descriptive analysis. RESULTS: A total of 37 articles of ADR induced by PMB were enrolled, including 51 patients, with 35 males (68. 63%) and 16 females (31. 37%), ranging in age from 14 to 86 years. ADR induced by PMB included skin pigmentation / allergy (n = 28), neurotoxicity (n = 18), renal impairment (n = 5), and rhabdomyolysis (n = 1). The occurrence time of ADR ranged from 5 minutes to 30 d after the initiation of drug administration. ADR occurred immediately after the first drug administration in 12 cases (23. 53%), while symptoms were improved or recovered in 32 cases (62. 75%) after drug discontinuation or symptomatic treatment. CONCLUSIONS: Clinical awareness and monitoring of ADR induced by PMB need to be strengthened, with timely diagnosis and treatment to ensure the safety of clinical medication. [ABSTRACT FROM AUTHOR]

Objective To investigate the prevalence of comorbidities of hypertension, diabetes, and dyslipidemia among the elderly population in Hainan Province and analyze the influencing factors, providing basis for formulating and optimizing the strategies for managing these comorbidities among the elderly in Hainan Province, Methods The health management service records of the elderly population from January to December 2022 in the Basic Public Health Service Information System of Hainan Province were collected. The prevalence of comorbidities of hypertension, diabetes, and dyslipidemia among the elderly was analyzed using chi-square test, and binary logistic regression was used to explore the influencing factors. Results A total of 383 607 elderly individuals were included in the study. The prevalence rates of hypertension, diabetes, and dyslipidemia were 50.95%, 22.84%, and 3835%, respectively. The overall comorbidity rate of these three conditions was 6.65%. The binary logistic regression analysis showed that being female (Oi-=L105), older age groups (compared with 65 to 69 years, 70 to 74 years: OR=1A 14; 75-79 years: OR=1.367; -80 years: 0-=1.410), widowhood (02-=1.079), smoking cessation (07-=1.269), low exercise frequency (compared with no exercise, occasional exercise: OR=1A25; frequent exercise: Oi-=1370), preference for meatbased diet (Oi-=1.157), salt preference (OR=1292), sugar preference (OR =1.903), central obesity (OR=1.506), overweight BMI (OR=1.339), and obesity (0-=1.598) were all risk factors for comorbidities of hypertension, diabetes, and dyslipidemia (P<£k05). Conclusion The prevalence of comorbidities of hypertension, diabetes, and dyslipidemia among the elderly population in Hainan Province is relatively high. Relevant departments should take comprehensive measures to strengthen the management of these comorbidities and promote healthy aging, contributing to the construction of a "Healthy Hainan". [ABSTRACT FROM AUTHOR]

Copyright of Chinese Medical Equipment Journal is the property of Chinese Medical Equipment Journal Editorial Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Food & Fermentation Industries is the property of Food & Fermentation Industries and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Clinical Nursing in Practice is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Clinical Nursing in Practice is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Article 86, Paragraph 7 of the Medical Care Act stipulates that "To publicize by any other improper means." constitute medical advertising; the Ministry of Health and Welfare 42 Angle Health Law Review had also issued interpretations stating that claims of "exaggerated medical efficacy" and "inability to actively prove as true" both fall under "improper means." However, how do the courts actually determine this? What steps can clinics take to ensure their medical advertising does not fall into the categories of "exaggerated medical efficacy" and "inability to actively prove as true" and consequently face penalties? This article will discuss the case of the "Slimming Pen" based on the Administrative Judgment No. 37 of the Taoyuan District Court in Taiwan for the year 111. [ABSTRACT FROM AUTHOR]

Copyright of Food & Machinery is the property of Food & Machinery Editorial Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

BACKGROUND: The use of telemedicine technologies in the provision of medical care is becoming a widespread phenomenon. The law is designed to regulate emerging social relations in order to prevent negative manifestations and organize their harmonious development. In the field of medicine, it is important to establish legal norms aimed at protecting and safeguarding the rights and legitimate interests of the patient, since fundamental natural human rights — the right to health care and life — are affected. The provision of a wide margin of discretion to those engaged in medical-legal relations may result in a significant violation of the constitutional right of a citizen to health. One of the principal applications of telemedicine technologies is remote consultation with the patient. AIM: The aim of the study was to review the current legal framework regulating remote patient consultations, identify problematic issues, and propose solutions to address these issues. MATERIALS AND METHODS: The materials of the present study are the Federal Law dated November 21, 2011 № 323-FZ “On the Fundamentals of Health Protection of Citizens in the Russian Federation”, Order of the Ministry of Health of the Russian Federation dated November 30, 2017 № 965n, Order of the Ministry of Health of the Russian Federation dated September 14, 2020 N 972n. The research methods are formal-legal, comparative-legal, as well as general scientific methods of cognition. RESULTS: The general legal regulation permits remote consultation with the patient in the absence of a face-to-face preliminary visit to the attending physician (Art. 36.2 of the Federal Law dated November 21, 2011 No. 323-FZ “On the Fundamentals of Health Protection of Citizens in the Russian Federation”). Nevertheless, the physician is constrained in his authority to prescribe treatment, modify previously prescribed therapy, or issue an electronic prescription. The result of such a consultation is a medical report. Should the physician determine that a face-to-face appointment is necessary, the patient may be advised to undergo preliminary examinations (clauses 47 and 48 of the Procedure for the Organization and Provision of Medical Care with the Use of Telemedicine Technologies, approved by Order of the Ministry of Health of the Russian Federation No. 965n dated November 30, 2017). Consequently, there are issues pertaining to the determination of the potential content of the medical report (clause 9 of the aforementioned Order). This affects the scope of liability, as the consulting physician is liable within the limits of the issued medical opinion. Furthermore, these provisions conflict with the requirements to indicate in the medical report reasonable conclusions about the presence (absence) of diseases, the presence of medical indications or medical contraindications for the use of methods of medical examination and (or) treatment, to determine the effectiveness and validity of therapeutic and diagnostic measures (paragraphs “b” and “c” of the Procedure for Issuing Certificates and Medical Reports by Medical Organizations, approved by Order of the Ministry of Health of the Russian Federation No. 972n dated September 14, 2020). CONCLUSIONS: The development of telemedicine necessitates the implementation of appropriate regulatory frameworks, as well as the resolution of existing gaps and conflicts. These include the absence of specific requirements pertaining to the content of a medical report issued within the context of remote consultation, as well as the definition of its legal significance. Concurrently, the Procedure for Issuing Certificates and Medical Opinions by Medical Organizations stipulates that a medical opinion may be provided upon the patient’s request. In contrast, the Procedure for Organizing and Providing Medical Care Using Telemedicine Technologies specifies that it is issued following a remote consultation. Furthermore, the correlation between a medical report and a consultation sheet remains undefined.

Background: Critically ill neonates receive care in the neonatal intensive care unit (NICU). Unfortunately, some neonates pass away in the NICU. Providing comprehensive neonatal palliative care and hospice services is crucial in supporting parents through the loss of their offspring. In our NICU, we identified that only 74.5% of nurses are able to properly recognize the need for palliative care and only 55% are able to implement the necessary procedures. Purpose: A project was designed and implemented to enhance the ability of nursing staff to recognize the need for and properly implement palliative care to improve the quality of this care in the NICU. Resolutions: We organized an on-the-job education and training program within our NICU with the goals of heightening awareness among nursing staff. In addition, a specialist palliative care operation flow chart, process preparation checklist, and palliative-care-related tools were created to facilitate the care process. Results: After program implementation, among nursing staff in our NICU, the palliative care recognition accuracy rate rose to 100% (from 74.5%) and the implementation rate rose to 94.8% (from 55%). The quality of provided neonatal palliative care and hospice services was significantly improved. Conclusion: The developed program was shown to significantly improve nursing staff recognition and implementation of neonatal palliative care in our NICU. This experience provides a reference for improving palliative care quality and for helping families effectively manage end-of-life challenges. [ABSTRACT FROM AUTHOR]

The most direct challenge to the healthcare system in Taiwan associated with population aging is the chronic and growing shortfall in medical and nursing practitioners. The integration of artificial intelligence, Internet of Things, and advanced 5G communication technologies is making healthcare more streamlined and intuitive to improve healthcare service efficiency, encourage cross-disciplinary cooperation to improve patient health management, and introduce and mainstream innovative service models such as telecare. To this end, the wearable smart cardiac care system 'Vipasyana', jointly developed by the interdisciplinary research team of the Departments of Electrical Engineering and Computer Science at National Yang Ming Chiao Tung University, not only has an innovative fully functional wireless wearable electrocardiograph but also uses machine learning-based detection/prediction methods to detect and monitor for emergencies such as myocardial infarction, ventricular tachycardia/ventricular fibrillation, and heart failure. To handle the real-time streaming sensing data generated during clinical trials, a big data real-time streaming framework based on Apache Storm and microservices has also been integrated. In addition, a mobile phone app and virtual reality 3D ward round system providing a user-friendly management and monitoring tool for medical staffs were developed and integrated into the system. The 'Vipasyana' system is capable of providing precision medical services to individual patients. [ABSTRACT FROM AUTHOR]

The post-operative intensive care experience of a school-aged child who received living-donor bilateral lobar lung transplantation due to acute respiratory distress syndrome and interstitial pulmonary fibrosis is discussed in this paper. The patient received lungs donated by her parents in a "livingdonor bilateral lobar lung transplantation" due to severe lung function impairment. The patient felt anxious due to her long-term hospitalization for preoperative evaluation, various invasive treatments, and postoperative rehabilitation. During the care period from October 25th, 2022, to December 29th, 2022, the author collected data via direct care, interviews, medical record reviews, and interactions with the patient and her family. An assessment of the patient's physical, mental, and social integrity was made, and the collected data were organized and analyzed to identify health issues such as lack of activity endurance, imbalanced nutrition below bodily requirements, and anxiety. After the lung transplantation operation, the interdisciplinary team worked collaboratively to develop a care plan to improve cardiopulmonary endurance and enhance the quality of care for the patient through early care and rehabilitation via proactive care. This care plan included encouraging the patient and her parents to express their fears and feelings and using flashcards to teach them about dietary management and the proper performance of lung rehabilitation. These measures encouraged the parents to engage in care, properly prepare for discharge care, and receive care education. As this is the first case of livingdonor lobar lung transplantation in Taiwan, this valuable nursing experience is expected to provide future care teams with a reference on the related nursing process and care experience for similar cases. [ABSTRACT FROM AUTHOR]

In light of the rapid advancements in artificial intelligence (AI), the future of the nursing profession is expected to be closely intertwined with AI applications. In response to this challenge, nursing educators must cultivate AI literacy in students to ensure their ability to communicate and collaborate effectively with their interdisciplinary peers. Nursing educators should comprehend the essence of AI literacy, integrate AI literacy into their curriculum designs, and regularly assess the effectiveness of AI literacy cultivation efforts among their students to ensure nursing graduates are able to effectively fulfill their roles in nursing and healthcare. The purpose of this paper is to explain the essence of AI literacy, approaches for cultivating AI literacy in students, and methods for assessing AI literacy with the aim of educating nursing students to become competent nurses for tomorrow. [ABSTRACT FROM AUTHOR]

Lycium barharum L. is a food and drug homologous substance, rich in polysaccharides, betaine, anthocyanins, carotenoids and other active ingredients, and has good application value in health care functions such as improving immunity, relieving visual fatigue, and antioxidant, so it has been favored by researchers and consumers at home and abroad. At present, the application frequency of Lycium barharum L. in health food in China is relatively high, but there is a lack of systematic sorting and analysis. Based on this, this paper analyzes the application status, compliance and use basis, and influencing factors of the main functional components of Lycium barharum L. in China's health food, and discusses the main health functions and mechanisms of Lycium barharum L. in detail, in order to provide a certain reference and basis for the research, development and application of Lycium barharum L. in China's health food. [ABSTRACT FROM AUTHOR]

(1) Background--New quality productive forces is an important driving force for economic and social development. New quality productive forces can help to promote the supply of diversified products and services in the development of forest health care industry and the deep integration of forest health care industry and other related industries to form an industrial chain. In the face of challenges such as the balance between environmental protection and sustainable utilization of resources, the improvement of health care service quality, and the improvement of relevant policies and industry standards, the introduction of new quality productive forces provides new opportunities for the development of forest health care industry. (2) Methods--Four factors of scientific and technological innovation, talents cultivation, management innovation and green productivity were selected as the independent variables to build a model of forest health care industry growth optimization. By constructing Lagrangian function to introduce constraint conditions, this paper used Lagrange multiplier method to balance the objective functions and constraint conditions, obtain the optimal solution of each variable, and maximize the growth rate G of forest health care industry. In the process of solving the model, the influence of four scenarios on industrial growth rate and key driving factors was investigated by numerical method to reveal the decisive influence of policy choice on industrial potential. Time was dynamically introduced into the mathematical model of forest health care industry growth, and a dynamic system model was constructed. Python numerical method was used to simulate the system and analyse its sensitivity, so as to explore the impact of changes of the key parameters in the model on industrial growth rate and green productivity. (3) Results--First, scientific and technological innovation, management innovation and green productivity are the core elements of new quality productive forces, which play a decisive role in the high-quality development of forest health care industry. Second, scientific and technological innovation plays a key role in improving service efficiency, optimizing customer experience and developing new health care products. Third, some measures of management innovation can effectively improve the operational efficiency and market adaptability of the organization, thus enhancing the overall competitiveness of the industry. Fourth, green productivity plays a core role in the development of forest health care industry. The use of environmentally friendly materials, energy-saving technologies and the design of eco-friendly recreational activities contribute to the sustainable development of the forest health care industry. (4) Conclusions and Discussions--Based on the above research conclusions, four paths are proposed to enable the high-quality development of forest health care industry with new quality productive forces; First, improve the service quality and operational efficiency of forest health care and promote the transformation and upgrading of the industry through the application of cutting-edge technologies, intelligent management, research and development of new products and other scientific and technological innovation means. Second, promote the deep integration of forest health care industry with tourism, pharmaceutical industry, sports industry, elderly care industry and other industries. Third, introduce modern management concepts, innovate talents cultivation modes, optimize resources allocation and operation modes, and standardize management system. Fourth, give full play to the leading role of green productivity by strengthening environmental protection concepts and technologies and supporting industrial green development. [ABSTRACT FROM AUTHOR]

Education paradigm is a relatively stable action structure of education and training and its practical effect. The construction of a modern acupuncture and moxibustion education paradigm is a complicated historical process, which not only follows the internal logic of the academic development of acupuncture and moxibustion, but is also influenced by the development of modern education paradigm and medical and health services. With the establishment of modern acupuncture and moxibustion discipline, marked by Science of Acupuncture and Moxibustion written by the Teaching and Research Group of Acupuncture and Moxibustion Discipline of Jiangsu University of Traditional Chinese Medicine in 1957, the education and training model of acupuncture and moxibustion specialized talents in modern traditional Chinese medicine higher education is gradually formed, and solidified into college professional education model in the 1980s. Deconstructing the problems existing in the contemporary education paradigm of acupuncture and moxibustion mainly include the contradictions and problems between connotation and structure, formation and development, discipline and specialty, and level type and function. The transformation of the modern acupuncture and moxibustion education paradigm can be promoted by studying industry demands, revising training objective, defining discipline connotation, adjusting teaching content, learning from advanced concepts, and changing teaching modes. [ABSTRACT FROM AUTHOR]

Background & Problem: Urinary tract infection (UTI), one of the most common types of healthcare-associated infections, is associated with increased hospital stay durations and healthcare costs. Our unit is located in the internal medicine ward of a medical center. In 2020, infection control data revealed a rise in the UTI rate to 2.03‰, which was higher than the hospital-wide average of 1.52‰. This prompted the initiation of this improvement project. Purpose: The aim of this study was to develop effective solutions to address UTI-related issues, improve the knowledge and skills of nurses and caregivers involved in UTI care, reduce indwelling catheter duration and environmental sources of infection, and, ultimately, decrease the incidence of UTIs in our ward. Resolutions: Through problem analysis, nurses and caregivers were found to lack sufficient UTI-care-related knowledge and skills, leading to an increase in infection cases. A UTI assessment and standardized workflow were developed. Self-learning materials were provided, and regular assessments were conducted. Urine bag labels and bilingual perineal hygiene videos were designed. In addition, an antimicrobial bed scale was developed to reduce the potential sources of infection. Results: Six months after project implementation, a significant improvement was found in the accuracy of UTI care among nurses and caregivers. The average indwelling catheter duration decreased to 4.7 days and the UTI rate dropped to 1.48‰, successfully achieving the project goals. Conclusion: The authors recommend incorporating UTI-prevention knowledge and skills into pre-employment training and promoting the use of antimicrobial bed scales to significantly reduce the incidence of UTIs. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Chongqing University of Posts & Telecommunications (Natural Science Edition) is the property of Chongqing University of Posts & Telecommunications and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

To standardize the research and clinical application of low intensity pulsed ultrasound (LIPUS) in the rehabilitation treatment of erectile dysfunction ( ED), the Genitourinary Medical Association of China International Exchange and Promotive Association for Medical and Health Care (GUA-CPAM), the Reproductive and Sexual Medicine Specialized Committee of the Tianjin Society of Integrative Medicine, the Beijing Zhongkejingfu International Academy of Andrology, and the Editorial Board of the Chinese Journal of Andrology organized domestic experts in urology and andrology to compile the "Chinese Expert Consensus on LIPUS for Standardized Treatment of Erectile Dysfunction" by reviewing relevant literatures and evidence-based medical evidence obtained in clinical practice. This consensus covers the physical and biological effects of microenergy LIPUS mechanical force, the mechanism of the treatment of ED, clinical indications and contraindications, therapeutic methods, safety and efficacy assessment, as well as the prospect of LIPUS in the treatment of other organ diseases, etc., which will undoubtedly provide a diagnostic and therapeutic guideline for LIPUS in the treatment of ED, and promotes the application of the new technology of microenergetic medicine in the field of regenerative rehabilitation treatment and benefit the patients. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Clinical Nursing in Practice is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Integrated Chinese and western medicine is a unique medical system in China, which has a strategic position in our country's medical and health care system and is a driving force in the future development of medical science. After nearly 70 years of development, the discipline of integrated Chinese and western medicine has formed a clinical system, a scientific research system, and a talent training system, but there are also shortcomings. In terms of scientific research and disciplinary development, there are relatively few funding projects and corresponding research result in this discipline, and a complete disciplinary system has not been formed. In terms of clinical service, the service scopes urgently need to be expanded, diagnosis and treatment protocols in this discipline need to be increased, and service models need to be improved. In terms of talent cultivation, there is still a serious shortage. One method to solve these problems is crossing innovation between traditional Chinese and western medicine. Clinical evidence is essential for the development of integrated traditional Chinese and western medicine and for improving the accessibility of medical services. Interdisciplinary talent is the foundation for future development. We should strengthen the top-level design of interdisciplinary research between Chinese and western medicine to promote theoretical innovation, obtain high-level clinical evidence to improve the efficacy and expand the scope of clinical services in integrated traditional Chinese and western medicine, and cultivate talent in various subdisciplines of integrated Chinese and western medicine through system and mechanism reform. [ABSTRACT FROM AUTHOR]

This article discusses the obligations of physicians under the Physicians Act and the Medical Care Act. First, the emergency treatment obligations of physicians are applicable only when they are performing their business, and not when they are not in practice. As for the emergency medical care behavior of the physicians in the nonpracticing state, it should be qualified by applying the provisions of the Emergency Medical Services Act. In addition, the physicians in the performance of business, if the breach of emergency obligations, it has created the risk of the law does not allow, in accordance with the current scholars' insights, will constitutes a negligence crime. [ABSTRACT FROM AUTHOR]

Pursuant to TCC Judgement No. 17 in 2023, the part of Paragraph 84 that forbidding physicians making advertisement for themselves of the Medical Care Act, in virtue of which non-medical care institutions shall not make advertisements for medical care, was declared unconstitutional and immediately invalid. The situation in Germany, where the physician was forbidden from advertising, but have been allowed to do so since 2002, was similar to Taiwan. It would be in this essay to introduce two important legal norms apropos the advertisement of physicians: Professional Regulations of the State Medical Associations and Medicinal Products Act. [ABSTRACT FROM AUTHOR]

Objective To understand the preference and willingness to pay for health services of traditional Chinese medicine (TCM) in patients with chronic diseases. Methods Based on the discrete choice experiment, a questionnaire survey was conducted among patients with chronic diseases, and a mixed Logit model was constructed to analyze the preference results. Results The expenses, institutions, methods and effects of diagnosis and treatment had significant influence on the choice of health services of TCM in patients with chronic diseases. Patients were willing to pay extra 870.88 yuan for transferring from grass-roots health institutions to traditional Chinese medicine hospitals, extra 476.25 yuan from external treatment to internal and external treatment, and extra 5 946.54 yuan from poor to better diagnosis and treatment Conclusion Patients with chronic diseases generally pay attention to the effect and cost of diagnosis and treatment, and prefer to choose the combination of internal and external treatment with the characteristics of TCM. The health service level of TCM in grass-roots health institutions should be further improved to promote tlie health management of patients with chronic diseases. [ABSTRACT FROM AUTHOR]

Objective To analyze the temporal and spatial differences and influencing factors of urban health resource allocation eficiency in China, to provide scientific reference for optimizing urban health resource allocation. Methods Based on the panel data of 35 large and medium-sized cities in China from 2012 to 2021，the super-efficiency SBM model was used to measure the efficiency of urban health resource allocation in China. On this basis, the temporal and spatial differences were analyzed by kernel density estimation and Degum Gini coefficient, and the influence of internal and external factors on health resource allocation efficiency was tested by Tobit model. Results From 2012 to 2021, the average allocation efficiency of urban health resources in China was 0.866, and there were notable regional differences. The difference of hypervariable density (40.7%) was the main source of regional differences. Government health expenditure 侈二一0.071，P<0.01), and the number of beds per thousand people 俗=-0.029, P<0»05) were the influencing factors of urban health resource allocation efficiency in China. There was significant regional heterogeneity in per capita GDP, urbanization rate, government health expenditure, the number of health technicians per thousand people, the number of beds per thousand medical institutions, and the ratio of doctors and nurses. Conclusion It is suggested to optimize the allocation of urban health resources, narrow the regional differences between the eastern, central and western regions, promote the economic initiative of the allocation of health resources, and strengthen the guarantee of government investment. [ABSTRACT FROM AUTHOR]

BACKGROUND: Micro-robots have the characteristics of small size, flexibility, and strong targeting, and can complete complex tasks in a single or clustered manner in a narrow environment. With the continuous optimization of materials, preparation processes, and driving approaches, they have shown increasingly important application value in the field of biomedicine. OBJECTIVE: To analyze the application of field-driven micro-robots in medical field and to look forward to their application prospect. METHODS: Using "microrobots, nanorobots, drivers, biomedical, medical" as Chinese keywords and "microrobots, micro-robots, nanorobots, micromachine, microswimmer, medical" as English keywords, WanFang Data and PubMed databases were searched, respectively. The search time range was from January 2010 to January 2024, and a small number of long-term articles were included. Through reading the titles and preliminarily screening the abstracts, the repetitive studies, low-quality journals, and irrelevant literature were excluded. After reading the entire text, 66 papers were finally included for review. RESULTS AND CONCLUSION: Field-driven medical micro-robots mainly include magnetic, optical, thermal, ultrasonic, and multi-mixed factor-driven robots. Field-driven robots have been used in intestinal diagnosis, drug targeting therapy, and stem cell therapy. Medical micro-robots are currently only used in a small number of clinical applications, but most of which are still in the theoretical and experimental stages. Medical micro-robots will face many challenges in future, such as large-scale preparation, precise control of micro-robots, recycling or degradation in vivo, whether the materials used will cause adverse reactions to the human body, and the related minimally invasive medical procedures. [ABSTRACT FROM AUTHOR]

Objective To analyze; the impact of contractexl family doctor on residents' acquisition sense; of me;die*al and health se;rvie;e;s, anel provide; recommendations, based on the; background of county - level medical alliance;. Methods Two regions with good anel poor economic dc;vcdopmc;nt were; sc;lectc;d by purposive; sampling, twe; county - level medical alliances were; se;le;e;te;ei from each region respectively, anel then one; leael hospital anel twe) community health service; ccntcrs/tenvnship hospitals we;re; selex;te;el from each county - le;ve;l medical alliance; respectively. Using the; self - elesigneel questionnaire; te) measure; residents' acquisition sense; e)f mexlical anel health services. The; me;thod of propensity score; matching (PSM) was used to analyze; the; acquisition se;nse; of mexlical and health services differences between contrae;te;el and non - contractexl residents. The; multivariate; linear regression me;thod was used to analyze; the; impact of e;ontrae;te;d family doctor on residents' acquisition sense; of medical and he;alth services. Results 465 residents' safety acquisition sense was the; highest average; score; (4. 20 ±0. 52), and low - price; acquisition se;nse; wets the; lowest average; score; (3. 55 ± 0. 99). Contractexl residents had a higher acquisition sense; of total score, convenience; score, c;ffe;ct score, and safety score; than non - contractexl residents, arc; 0. 18, 0. 20, 0. 22, and 0. 16 points respectively (P<0. 05). Contracted family doctor could significantly increase; residents' safety (/3 =0. 128, 95% Cl; 0. 085 - 0. 521, P = 0. 007) and total acquisition sense (/? = 0. 110, 95% Cl; 0. 315 - 4. 159, P = 0. 023). In addition, residents' age;, education, monthly income;, type; of medical insurance; and physicians' trust could also affect the;ir acquisition sense. Conclusion Residents highly approve; of the; health supervision and reminder services from medical staff, and low - price; acquisition sense; nexxl further improving; contracting with family doctor has positively improved residents' sense of safety and overall acquisition. [ABSTRACT FROM AUTHOR]

Copyright of Practical Oncology Journal is the property of Journal of Practical Oncology Editorial Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Machine Tool & Hydraulics is the property of Guangzhou Mechanical Engineering Research Institute (GMERI) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Purpose The study aims were, firstly, to develop an online-based yoga program for pregnant women with low back pain and pelvic pain and to evaluate the feasibility of the prototype. Secondly, it was to determine changes in the outcomes of the yoga program in terms of location and degree of low back and pelvic pain, degree of daily life disability, and depressive symptoms. Methods This was a feasibility study to examine practicality, acceptability, and continuity of the program, and to clarify changes in outcomes using a before/ after descriptive design. Pregnant women with low back or pelvic pain and no pregnancy problems or complications were included in the study. The yoga program was 8 weeks in duration and consisted of daily yoga practice, pain log entries, and yoga sessions. The feasibility of the program was evaluated using data from survey forms and opinions at yoga sessions regarding practicality (safety and burden), acceptability, and continuity. In addition, changes in the location and degree of back and pelvic pain, degree of daily life disability, and depression were measured before, during, and at the end of the yoga program, and changes at the three time points were compared. St. Luke's International University research ethics review approval was obtained (21-AC094). Results There were five participants enrolled then, one participant dropped-out. Safety: There were no unusual abdominal tensions, mood discomfort, or falls during the program. Burden was generally described as "light," but individual records varied. Acceptability was generally high for the materials, and continuity was high for the daily yoga practice while using the materials, with four participants able to complete the program. All five participants were aware of back pain before starting the program and two at the end of the program at time 3. Pelvic pain was perceived by three of the four participants before the start and by one at the end of the study. Pain severity decreased from a mean of 40 (SD 16.7) before starting, 32 (SD 29.5) during participation, and 32 (SD 29.5) at end; Oswestry Disability Index-mean decreased from 22% before start, 20% during participation, and 14% at end; Edinburgh Postnatal Depression Scale-mean decreased from 6 points before starting, 3 points during participation, and 4 points at end. Conclusion This yoga program is feasible and may reduce low back and pelvic pain. Future improvements are needed to expand the number of participants to reconsider the timing of program initiation, and to increase the number of target facilities and participants. [ABSTRACT FROM AUTHOR]

Cognitive behavioral therapy for insomnia (CBT - I) boasts convincing evidence from randomized controlled clinical trials, yet its practical application encounters substantial barriers. This paper analyzes the key techniques and challenges of CBT-I, proposing the following workflow improvements to enhance its clinical application and benefit more insomnia patients. [ABSTRACT FROM AUTHOR]

This article applied a family strengths-oriented therapeutic conversations approach to explore the advanced practice nursing experience of a female adolescent with Leigh Syndrome and her family. During the nursing care period from September 20 to November 19, 2022, the author collected data through direct care, observation, interview, telecare, home visits, and medical record reviews and confirmed the nursing problems to be the inadequate coping capability of the family. The author leveraged her advanced nurse practitioner role and used family strength-oriented therapeutic conversations to enable the parents of the patient to reflect on their experiences with this disease and to improve their quality of life and satisfaction with healthcare services. Three modes of care, including accessibility, coordination, and comprehensiveness, were offered to the female adolescent patient and her family to achieve the goal of family-centered, community-based, and medical-system-centered care. It is suggested that before making healthcare decisions, patients and their families should be given the opportunity to participate in the healthcare process and reach consensus on healthcare decisions based on existing evidence and their values and preferences. The medical decisions made by patients and their families after carefully considering their current situation and needs should be supported and assisted. [ABSTRACT FROM AUTHOR]

With changes in life style and dietary structure, the global prevalence of nonalcoholic fatty liver disease (NAFLD) is increasing year by year, posing a serious burden on health care systems. While clinicians’understanding of the pathophysiological mechanisms of NAFLD continues to improve, effective treatments are still being explored, and life style interventions remain the first⁃ line therapy for NAFLD as recommended by numerous guidelines and physicians. Sleep is a complex, highly regulated process that is critical to human health. There is a growing consensus that sleep disorders are closely associated with chronic liver disease, especially NAFLD. However, it is not clear how sleep disorders affect NAFLD. Therefore, the purpose of this paper is to review the relationship between sleep disorders and NAFLD and to enable NAFLD patients to make life style changes, which will benefit NAFLD patients. [ABSTRACT FROM AUTHOR]

Evidence-based practice is a problem-solving approach to healthcare delivery that reflects the best current scientific evidence. When healthcare providers face unexpected changes in a patient's condition or uncontrollable situations during care delivery, they may have less confidence or feel fearful / anxious about the care process and result. As people, healthcare providers may hold beliefs regarding the effect of external, supernatural forces on events, which may lead to superstitious beliefs and behaviors. Also, superstitious beliefs may be adopted by healthcare providers as a mechanism to cope with stress, anxiety, and uncertainty in situations where standard medical practices offer no ready solution. Although superstitious beliefs may help ease anxiety and feelings of failure in healthcare providers, this issue and the effects of these beliefs on medical staff behavior have not been adequately studied. The concept analysis strategy of Walker and Avant (2019) was applied in this study to define this concept and to examine (1) healthcare providers' loss of environment control and domination of irrationality in decision making, (2) the lack of objective evidence to explain cause-and-effect relationships in health-related situations, and (3) how unverified true or false claims become a compliance criterion among healthcare providers. Typical, borderline, and contrary cases were used to explain the concept of superstition in medical staff. The antecedents and possible consequences of healthcare providers holding superstitious beliefs were identified and the empirically addressed measurement tools were evaluated. This analysis may be used to improve the understanding of healthcare workers regarding superstitious beliefs. The results are expected to benefit clinical practice, facilitate further research, and enhance healthcare quality. [ABSTRACT FROM AUTHOR]

Child-friendly healthcare relates to the development and application by professionals of integrated methods specifically for children in any healthcare activity context. Music therapy is one of these methods. Three roles (noise masker, emotional adjustment, and cognitive learning) and two functions (activity participation and non-verbal expression and decision making) of child-friendly-healthcare-related music therapy are presented in this article. Also, suggestions and insights regarding how to optimize the effectiveness of music therapy in the context of pediatric healthcare are provided. [ABSTRACT FROM AUTHOR]

Emergency nurses, especially when caring for pediatric patients, typically establish relationships with their patients under hectic and busy conditions. Thus, these nurses often rely on semi-coaxing / slightly stressful methods to quickly prepare patients to undergo necessary medical procedures. However these approaches cause tense relationships. To establish friendly bridges with pediatric patients, emergency nurses should adopt sincere and caring approaches. An approach based on Swanson's caring theory for applying child-friendly healthcare in the emergency department is proposed in this article. It is important to establish a friendly bridge with pediatric patients with emergency treatment needs and their families in a sincere and caring manner; to understand the needs of these children and their families when seeking medical treatment; to be present, listen, and respond to these patients and provide decision-making power when appropriate; and to provide professional care and method knowledge to empower families to care for their children. Accomplishing this may be expected to improve trust in both children with emergency medical needs and their families and thus decrease their anxiety, negative emotions, and stress. We hope that reflecting on the relationship between nurses and patients may further promote the practice of friendly healthcare in pediatric emergency departments. [ABSTRACT FROM AUTHOR]

Copyright of Angle Health Law Review is the property of Angle Publishing Co., Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Entity linking studies are mainly focused on the fields of medical care, biology and news, but less on the field of civil aviation. Therefore, this paper carried out a research on entity linking task in civil aviation domain, and found that there were many entity variants and less ambiguity in entity linking. To solve these problems, this paper proposed an entity linking framework based on semantic inference and a negative sampling strategy for enhancing the robustness of the framework. This paper conducted comparative experiments on the civil aviation field dataset. Experimental results show that the performance of the proposed framework is better than the existing benchmark frameworks, and the effectiveness of the negative sampling strategy is verified through ablation experiments. With the negative sampling strategy, the Acc@ top1 of the proposed framework is as high as 0. 875. [ABSTRACT FROM AUTHOR]

Copyright of Food Research & Development is the property of Food Research & Development Editorial Department and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Angle Health Law Review is the property of Angle Publishing Co., Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Precision medicine refers to implement “tailored” health care and clinical decision-making based on the patient’s intrinsic biological information and clinical signs. Major breakthroughs have been made not only in targeted therapy of gastric cancer and in the analysis and identification of biological markers, but also in the development of minimally invasive and precise surgery. Traditional Chinese medicine is a system that is characterized by a high degree of “individualized medicine”, where attention is paid to the influence of various factors such as constitution, environment, and lifestyle on individual differences. “Inflammation cancer transformation” of chronic gastritis is a complex process that encompasses the digestology and oncology, involving a dynamic evolution that spans multiple pathological stages. Guided by the ideology of “preventive treatment”, Chinese medicine pays special attention to the precise prevention and treatment across the whole process and all factors involved in “inflammation cancer transformation” of chronic gastritis. The ultimate aim is to provide (i) targeted and precise management for different pathological stages, different syndrome characteristics, and different population characteristics; and (ii) active intervention based on “principle, methodology, formula, medication” at each pathological stage, so as to block disease progression and reduce the incidence of gastric cancer. This paper discusses the advantages of traditional Chinese medicine in precision medicine, from the perspective of accuracy in theory, prevention, differentiation, and treatment, in order to provide a reference for delaying, blocking, or even reversing the process of “inflammatory cancer transformation” of chronic gastritis. [ABSTRACT FROM AUTHOR]

Copyright of Angle Health Law Review is the property of Angle Publishing Co., Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Angle Health Law Review is the property of Angle Publishing Co., Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of South China University of Technology (Natural Science Edition) is the property of South China University of Technology and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

If there is an error or abnormality in the pathological tissue examination process, it may affect the safety of the patient and the quality and timely delivery of subsequent medical care. An abnormal incident of pathological tissue specimen missed delivery did occurred in this hospital in December 2018. The current situation analysis has established the following problems: there is no pathological tissue examination submission form placement specification; no pathological tissue specimen submission monitoring process; no specific collaborative inspection personnel; and a failure to check the Medical records leaflet. These issues triggered the motivation for improvement. Solutions include: setting up a specific location to place the pathological tissue inspection submission form; the secretary will confirm the leaflet every day, the nurse practitioner and attending physicians will collect pathological tissues together then check and complete the pathological tissue inspection submission form; scheduling of specific nurses to check the medical records leaflet and import into the Barcode pathology examination system; schedule Barcode pathology examination system education and training courses, and promotes to all units. After improvement resulting from the project, tracking from February 1, 2019 to April 30, 2020, showed issues had reduced to 0, thus reaching the project goal. It is hoped that through the comprehensive barcoded pathological tissue specimen delivery process, the rate of missed specimens will be eliminated, and the patient's right to receive immediate medical treatment and diagnosis will be maintained. [ABSTRACT FROM AUTHOR]