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Objective To form a maternal and infant nursing teaching plan based on" high-level, innovative and challenging" and improve overall teaching quality of obstetrics and gynecology nursing. Methods Taking the curriculum of Puerperium Management as an example, guided by the core competence of midwives and " high-level, innovative and challenging", the research group analyzed the nursing teaching documents and collected postpartum maternal-infants nursing-related literature, guidelines and evidence-based recommendations issued by authoritative organizations at home and abroad. After two rounds discussion, a teaching design was established. Results The teaching content of puerperium management is divided into 2 modules. The first teaching content is postpartum women's care, including the physical and mental changes of puerperium women and related nursing management. The length of time in teaching a theoretical class is 2 hours, and learning objectives are nursing in different periods of postpartum, the identification and assessment of abnormal problems and the multiple attributes of confinement nursing. The second teaching content is breastfeeding, including breastfeeding preparation and consultation, early promotion of breastfeeding strategies, nursing of common breastfeeding problems. The length of time in teaching a practice class is 4 hours, and learning objectives focus on breastfeeding problem assessment and resolution, non-violent communication skills and evidence-based thinking training. The learning process includes self-directed learning, case discussions, and flipped classrooms. The evaluation methods include knowledge assessment, oral presentation, breastfeeding simulation consultation and guidance, and review assignments. Conclusion Fully excavate non-high-risk maternal and infant nursing teaching advanced, high-level and challenging degree, highlight thinking and ability training, which has reference significance for obstetrics and gynecology nursing teaching. (目的 形成基于“两性一度”的母婴护理特色教学方案, 为提升妇产科护理课程整体教学质量提供基础。方法 组建课题研究小组, 以“产褥期管理”为例, 以助产士核心胜任力为指引, 以“两性一度”为指引, 在分析解读行业文件和教材内容的基础上, 收集国内外产后母婴护理相关文献, 权威机构发布的指南及循证建议, 经课题组两轮讨论, 形成教学设计方案。结果 产褥期管理教学内容分2个模块: 一为产后妇女护理, 包括产褥期妇女身心变化及产褥期妇女护理, 理论课2个学时, 学习目标突出产后不同时段护理重点、异常问题识别与评估及月子护理多重属性; 二为母乳喂养, 包括母乳喂养准备与咨询, 早期促进母乳喂养策略、常见母乳喂养问题护理, 实验课4个学时, 学习目标注重母乳喂养问题评估与解决、非暴力沟通技巧及循证思维培养。学习过程与方式包括自主学习、案例讨论、翻转课堂, 评价方式包括知识测评、口头汇报、母乳喂养模拟咨询与指导、综述作业等。结论 充分挖掘母婴护理教学的先进性、高阶性和挑战度, 突出思维和能力培养, 对妇产科护理教学有借鉴意义。)

Zn0.5Ni0.5-xCoxFe2-yLayO4 ferrites (with x=0, 0.02 and y=0, 0.02) were prepared by an industrial method using the standard ceramic technique and sintered at 1,250°C in air. X-ray diffraction (XRD) was used to obtain the phase formation of the NiZn ferrites. The microstructure of ferrites was investigated by scanning electron microscopy (SEM). The XRD reveals that lattice parameter (a) is decreased and a secondary phase (LaFeO3) is formed in the La–Co co-substituted NiZn ferrite sample, meanwhile, the grain size (D) of this sample decreased obviously by observing SEM photographs. Vibrating sample magnetometry (VSM), B-H analyzer, impedance analyzer and electrometer were carried out in order to characterize some properties of the ferrites. This investigation indicates that, La–Co co-substituted NiZn ferrite sample has higher power loss (Pcv) than other samples at low frequency with an increase in coercive field (Hc) and magnetocrystalline anisotropy (K1), a decrease in initial permeability (μi) and saturation magnetization (Ms). However, at high frequency, the power loss of La–Co co-substituted sample is low, which is attributed to high resistivity (ρ), small grain size (D), less number of Fe2+ ions and low porosity (P).

Larval zebrafish possess a number of molecular and genetic advantages for rigorous biological analyses of learning and memory. These advantages have motivated the search for novel forms of memory in these animals that can be exploited for understanding the cellular and molecular bases of vertebrate memory formation and consolidation. Here, we report a new form of behavioral sensitization in zebrafish larvae that is elicited by an aversive chemical stimulus [allyl isothiocyanate (AITC)] and that persists for ≥30 min. This form of sensitization is expressed as enhanced locomotion and thigmotaxis, as well as elevated heart rate. To characterize the neural basis of this nonassociative memory, we used transgenic zebrafish expressing the fluorescent calcium indicator GCaMP6 (Chen et al., 2013); because of the transparency of larval zebrafish, we could optically monitor neural activity in the brain of intact transgenic zebrafish before and after the induction of sensitization. We found a distinct brain area, previously linked to locomotion, that exhibited persistently enhanced neural activity following washout of AITC; this enhanced neural activity correlated with the behavioral sensitization. These results establish a novel form of memory in larval zebrafish and begin to unravel the neural basis of this memory.

Mycoplasma pneumoniae pneumonia (MPP) is the predominant community-acquired pneumonia (CAP) in children aged 5 years or older. In recent decades, the annual increase in drug resistance rates of macrolide antibiotics, particularly azithromycin (AZ), has led to complex clinical treatment strategies and substantial healthcare costs associated with MPP. Chinese medicine injections (CMIs), recognized as an effective supplementary therapy, are acknowledged by clinicians in China. It is necessary to explore the efficacy of azithromycin in combination with CMIs. Methods: Randomized controlled trials (RCTs) evaluating azithromycin in combination with seven types of CMIs for MPP in children were identified based on inclusion criteria and assessed using the revised Cochrane risk of bias tool (RoB 2.0). R 4.3.1 and STATA 15.0 were employed to generate ranking probabilities and perform network meta-analysis. Competing interventions were ranked using the surface under the cumulative ranking (SUCRA) probabilities. Results: A comprehensive analysis was performed on 155 RCTs involving 15,014 patients and 8 therapeutic strategies within this Bayesian network meta-analysis (BNMA). The results indicated that AZ combined with seven types of CMIs was more effective than azithromycin alone in overall outcomes. Notably, azithromycin combined with Chuanhuning injection (AZ + CHN) achieved the highest ranking in improving the clinical effectiveness rate (SUCRA, 80.89%); regarding secondary outcome measures, azithromycin combined with Yanhuning injection (AZ + YHN) had the highest probability of improving four different outcomes: disappearance time of cough (SUCRA, 80.01%), disappearance time of pulmonary rale (SUCRA, 87.77%), disappearance time of fever (SUCRA, 95.70%), and disappearance time of pulmonary shadows in X -ray (SUCRA, 97.34%); furthermore, azithromycin combined with Qingkailing injection (AZ + QKL) was more likely to reduce average hospitalization time (SUCRA, 94.60%). Conclusion: This study highlights the potential benefits of seven types of Chinese medicine injections as adjunctive therapy for Mycoplasma pneumoniae pneumonia in children. However, further support and validation of these findings are needed through high-quality randomized controlled trials with larger sample sizes and double-blind designs. Systematic Review Registration: https://www.crd.york.ac.uk/PROSPERO/#recordDetails/. [ABSTRACT FROM AUTHOR]

The vigorous development of wearable and implantable electronics provides a series of new solutions for human health monitoring and disease diagnosis and treatment. Considering the particularity of the operating environment, this also puts forward higher requirements for energy storage devices (ESDs). Supercapacitors stand out from many ESDs due to their unique advantages, such as high power density, long life, and ease of fabrication. For different application requirements, supercapacitors are developing toward flexibility, multifunction, and integration. This review highlights the recent progress in developing supercapacitor‐integrated systems. Smart supercapacitors with unique properties, their applications, and integrations with various sensors and/or energy‐harvesting devices are discussed and summarized thoroughly. Furthermore, the all‐in‐one device enabled by compatible materials and ingenious structure design is also described. From practical perspectives, the key challenges facing the development of supercapacitor‐integrated systems are presented, and the suggestions for future research directions are given. [ABSTRACT FROM AUTHOR]

BACKGROUND: The Chinese population ranks among the highest globally in terms of stroke prevalence. In the clinical diagnostic process, radiologists utilize computed tomography angiography (CTA) images for diagnosis, enabling a precise assessment of collateral circulation in the brains of stroke patients. Recent studies frequently combine imaging and machine learning methods to develop computer-aided diagnostic algorithms. However, in studies concerning collateral circulation assessment, the extracted imaging features are primarily composed of manually designed statistical features, which exhibit significant limitations in their representational capacity. Accurately assessing collateral circulation using image features in brain CTA images still presents challenges. METHODS: To tackle this issue, considering the scarcity of publicly accessible medical datasets, we combined clinical data with imaging data to establish a dataset named RadiomicsClinicCTA. Moreover, we devised two collateral circulation assessment models to exploit the synergistic potential of patients' clinical information and imaging data for a more accurate assessment of collateral circulation: data-level fusion and feature-level fusion. To remove redundant features from the dataset, we employed Levene's test and T-test methods for feature pre-screening. Subsequently, we performed feature dimensionality reduction using the LASSO and random forest algorithms and trained classification models with various machine learning algorithms on the data-level fusion dataset after feature engineering. RESULTS: Experimental results on the RadiomicsClinicCTA dataset demonstrate that the optimized data-level fusion model achieves an accuracy and AUC value exceeding 86%. Subsequently, we trained and assessed the performance of the feature-level fusion classification model. The results indicate the feature-level fusion classification model outperforms the optimized data-level fusion model. Comparative experiments show that the fused dataset better differentiates between good and bad side branch features relative to the pure radiomics dataset. CONCLUSIONS: Our study underscores the efficacy of integrating clinical and imaging data through fusion models, significantly enhancing the accuracy of collateral circulation assessment in stroke patients. [ABSTRACT FROM AUTHOR]

Seedling is a crucial stage in the growth and development of plants, and the expansion and persistence of plant populations can be achieved through seed regeneration. Sheep grazing, fertilization, light, soil moisture, vegetation diversity and biomass, and litter all have potential impacts on species regeneration. We measured vegetation diversity, annual net primary productivity (ANPP), litter, ground photosynthetically active radiation (PAR), and soil moisture of alpine meadows under sheep grazing and nitrogen addition treatments, and studied their effects on the dicotyledonous seedling abundance and diversity using linear regression models (LMs) and structural equation models (SEMs). We found that sheep grazing reduced ANPP, increased vegetation diversity and PAR, and decreased soil moisture. Fertilization increased ANPP and litter, decreased vegetation diversity and PAR, but had no effect on soil moisture. Sheep grazing and fertilization both reduced the abundance of dicotyledonous seedlings, and simultaneously fertilization can reduce the diversity of dicotyledonous seedlings, while sheep grazing had no effect on the diversity of dicotyledonous seedlings. LMs showed that vegetation diversity, ANPP, and litter, rather than light and soil moisture, affected dicotyledonous seedling abundance and diversity. SEMs revealed that sheep grazing and fertilization indirectly influenced seedling regeneration through vegetation diversity rather than ANPP and litter. Our research will increase our understanding of the dicotyledonous plant regeneration process in alpine grasslands and facilitate the development of strategies for management and protection of alpine grassland. [ABSTRACT FROM AUTHOR]

Objective: To investigate the antioxidant activity of fermented tartaty buckwheat extract of Pleurotus eryngii in vitro as well as its protective effect on alcohol-induced liver and gastric mucosa injury in vivo. Methods: The study involved determining the contents of functional components in fermented tartary buckwheat extract and observing its antioxidant capacity. Mice models of chronic alcoholic liver and gastric mucosa injury were established using Lieber-DeCarli liquid feed. The protective effects of fermented tartary buckwheat extract at low and high doses (1.5 g/kg B.W., 3.0 g/kg B.W.) were investigated for both liver and gastric mucosa injury. Results: The extract of fermented buckwheat with Pleurotus eryngii contained more antioxidant components, the contents of polyphenols, flavonoids and triterpenes were 11.40±0.32 mg GAE/g DW, 17.19±0.30 mg RE/g DW and 7.59±0.24 mg/g, respectively. The contents of rutin and quercetin were as follows: 13.55±0.05 and 0.665±0.01 mg/g. The iron reducing antioxidant capacity and DPPH and ABTS+ free radical scavenging efficiency of Tartary buckwheat extract were 16.66±0.65, 33.49±1.26 and 15.68±1.17 µmol Trolox/g DW, respectively. Compared with the model group, both high-dose and low-dose groups significantly reduced malondialdehyde (P<0.05), aspartate aminotransferase (P<0.01), alanine aminotransferase (P<0.01), lactate dehydrogenase (P<0.05), and interleukin-1β (P<0.05) levels and significantly increased levels of superoxide dismutase (P<0.01) and glutathione peroxidase (P<0.01), downregulated protein expression levels of reactive oxygen species (P<0.01), rat sarcoma (P<0.01), rapidly accelerated fibrosarcoma (P<0.01), extracellular signal-regulated kinases (P<0.05), and mitogen activated protein kinase kinase (P<0.05). Conclusion: Fermented tartaty buckwheat extract of Pleurotus eryngii has good antioxidant activity, and has obvious protective effect on chronic alcoholic liver and gastric mucosa injury in mice. [ABSTRACT FROM AUTHOR]

Based on the decorrelation calculation of diffusion ultrasound in time-frequency domain, this paper discusses the repeatability and potential significance of Disturbance Sensitive Zone (DSZ) in time-frequency domain. The experimental study of Barely Visible Impact Damage (BVID) on Carbon Fiber Reinforced Polymer (CFRP) is carried out. The decorrelation coefficients of time, frequency, and time-frequency domains and DSZ are calculated and compared. It has been observed that the sensitivity of the scattered wave disturbance caused by impact damage is non-uniformly distributed in both the time and frequency domains. This is evident from the non-uniform distribution of the decorrelation coefficient in time-domain and frequency-domain decorrelation calculations. Further, the decorrelation calculation in the time-frequency domain can show the distribution of the sensitivity of the scattered wave disturbance in the time domain and frequency domain. The decorrelation coefficients in time, frequency, and time-frequency domains increase monotonically with the number of impacts. In addition, in the time-frequency domain decorrelation calculation results, stable and repetitive DSZ are observed, which means that the specific frequency component of the scattered wave is extremely sensitive to the damage evolution of the impact region at a specific time. Finally, the DSZ obtained from the first 15 impacts is used to improve the decorrelation calculation in the 16-th to 20-th impact. The results show that the increment rate of the improved decorrelation coefficient is 10.22%. This study reveals that the diffusion ultrasonic decorrelation calculation improved by DSZ makes it feasible to evaluate early-stage damage caused by BVID. [ABSTRACT FROM AUTHOR]

Background: Inflammatory bowel disease (IBD) and allergic diseases possess similar genetic backgrounds and pathogenesis. Observational studies have shown a correlation, but the exact direction of cause and effect remains unclear. The aim of this Mendelian randomization (MR) study is to assess bidirectional causality between inflammatory bowel disease and allergic diseases. Method: We comprehensively analyzed the causal relationship between inflammatory bowel disease (IBD), Crohn's disease (CD), ulcerative colitis (UC) and allergic disease (asthma, Hay fever, and eczema) as a whole, allergic conjunctivitis (AC), atopic dermatitis (AD), allergic asthma (AAS), and allergic rhinitis (AR) by performing a bidirectional Mendelian randomization study using summary‐level data from genome‐wide association studies. The analysis results mainly came from the random‐effects model of inverse variance weighted (IVW‐RE). In addition, multivariate Mendelian randomization (MVMR) analysis was conducted to adjust the effect of body mass index (BMI) on the instrumental variables. Results: The IVW‐RE method revealed that IBD genetically increased the risk of allergic disease as a whole (OR = 1.03, 95% CI = 1.01–1.04, fdr.p =.015), AC (OR = 1.04, 95% CI = 1.01–1.06, fdr.p =.011), and AD (OR = 1.06, 95% CI = 1.02–1.09, fdr.p =.004). Subgroup analysis further confirmed that CD increased the risk of allergic disease as a whole (OR = 1.02, 95% CI = 1.00–1.03, fdr.p =.031), AC (OR = 1.03, 95% CI = 1.01–1.05, fdr.p =.012), AD (OR = 1.06, 95% CI = 1.02–1.09, fdr.p = 2E−05), AAS (OR = 1.05, 95% CI = 1.02–1.08, fdr.p =.002) and AR (OR = 1.03, 95% CI = 1.00–1.07, fdr.p =.025), UC increased the risk of AAS (OR = 1.02, 95% CI = 0.98–1.07, fdr.p =.038). MVMR results showed that after taking BMI as secondary exposure, the causal effects of IBD on AC, IBD on AD, CD on allergic disease as a whole, CD on AC, CD on AD, CD on AAS, and CD on AR were still statistically significant. No significant association was observed in the reverse MR analysis. Conclusion: This Mendelian randomized study demonstrated that IBD is a risk factor for allergic diseases, which is largely attributed to its subtype CD increasing the risk of AC, AD, ASS, and AR. Further investigations are needed to explore the causal relationship between allergic diseases and IBD. [ABSTRACT FROM AUTHOR]