Results 31 to 40 of about 16,036 (117)
中国正处于人口老龄化社会,高龄者经历手术的几率及风险更高,并发症更多。本综述从围术期评估和管理两个方面,揭示和分析了麻醉学降低患者死亡率的核心技术。围术期评估中,麻醉医生通过识别高危手术患者,处理高危因素,为手术安全、顺利进行奠定基础。围术期管理中,麻醉医生综合应用包括麻醉药物、阻滞疼痛、呼吸循环管理、脏器保护等老年患者麻醉核心技术,针对老年患者的特异性情况采用个体化方案,使患者达到最佳预后。同时,本综述呼吁关注并推动老年患者麻醉学科临床核心技术的发展。
黄文起
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Reframing wildlife disease management problems with decision analysis
Abstract Contemporary wildlife disease management is complex because managers need to respond to a wide range of stakeholders, multiple uncertainties, and difficult trade‐offs that characterize the interconnected challenges of today. Despite general acknowledgment of these complexities, managing wildlife disease tends to be framed as a scientific ...
Margaret C. McEachran +16 more
wiley +1 more source
Multiple‐stressor effects on leaf litter decomposition in freshwater ecosystems: A meta‐analysis
Read the free Plain Language Summary for this article on the Journal blog. Abstract Recent years have witnessed a surge in research on the effects of multiple stressors in freshwater ecosystems. While studies have increased, the synthesis of their findings into a broader understanding of ecosystem‐level effects remains an ongoing endeavour. Leaf litter
Graciela Medina Madariaga +6 more
wiley +1 more source
This article summarizes the nursing care of a child with Alagille syndrome who developed graft-versus-host disease after undergoing allogeneic liver transplantation.
WANG Man (王曼) +2 more
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Three major steps toward the conservation of freshwater and riparian biodiversity
Abstract Freshwater ecosystems and their bordering wetlands and riparian zones are vital for human society and biological diversity. Yet, they are among the most degraded ecosystems, where sharp declines in biodiversity are driven by human activities, such as hydropower development, agriculture, forestry, and fisheries.
Jacqueline H. T. Hoppenreijs +12 more
wiley +1 more source
Progress developing the concept of other effective area‐based conservation measures
Abstract In 2010, the introduction of other effective area‐based conservation measures (OECMs) into international policy caused a paradigm shift in area‐based conservation, which included consideration of areas outside formal protected areas and places where biodiversity conservation may not be a management objective for the site.
Carly N. Cook
wiley +1 more source
卒中相关性肺炎(stroke-associated pneumonia,SAP)是卒中后较常见的并发症,也是患者死亡的重要危险因素。临床上,SAP常合并偏瘫及吞咽、言语、认知等多维度功能障碍,患者康复预后较差,日常生活质量受到严重影响。本文报道1例左侧大脑中动脉区脑梗死合并SAP患者的早期综合康复管理过程,涵盖呼吸康复训练、肢体功能训练、吞咽与言语训练,以及作业与物理治疗等。本文通过总结该患者的临床资料,并结合相关文献报道,探讨SAP合并多维度功能障碍患者的早期综合康复方案 ...
张健华, 江山, 王家玺, 葛丽君, 崔婷捷ZHANG Jianhua, JIANG Shan, WANG Jiaxi, GE Lijun, CUI Tingjie
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针对10kV配电线路带电作业存在作业环境复杂等安全风险,采用层次分析法和模糊综合评价法对东莞某镇同塔多回配电线路带电作业的安全风险进行了评估,建立了包括作业环境、人员素质、作业机具与防护、安全作业综合管理、现场管理等配电作业安全评价指标体系,在配电线路带电作业安全评价指标体系的基础上,进行了相应的定量分析,分析了配电线路带电作业的危险因素,确定了该镇配电线路带电作业的安全等级。根据配电线路带电作业安全评价计算结果,该镇同塔多回配电线路带电作业处于较好的状态 ...
欧相林 +5 more
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脑心血管疾病具有动脉粥样硬化、炎症反应等共同的核心病理生理机制,常表现为脑心血管疾病共病,显著增加患者残疾率与死亡率,是全球重大公共卫生挑战。传统以器官为中心的分科诊疗模式存在风险评估碎片化、治疗协同不足、忽视脑心血管疾病交互影响等不足,难以满足临床需求。脑心同治理念整合了中医整体观与现代神经心脏病学,以脑-心轴为核心机制,强调通过多学科协作,对脑心血管疾病进行整体防治。近年来,国内外已通过建立联合诊疗中心、跨学科工作组,并借助立法形式提供保障,在临床实践中取得一定成效。然而 ...
伍嘉睿,曹黎明WU Jiarui, CAO Liming
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野生动物疾病与人类的健康息息相关。麋鹿(Elaphurus davidianus)是我国特有湿地物种,国家一级保护野生动物,世界自然保护联盟(IUCN)物种红色名录将其濒危等级定为野外灭绝(EW)。世界各地现存的麋鹿均为19世纪末保存在英国乌邦寺的18只麋鹿的后代,麋鹿经历了多次遗传瓶颈,遗传多样性较低,其疾病类型具有自身特性;虽然目前麋鹿种群逐渐扩大,但疾病仍是影响麋鹿种群健康和稳定扩大的重要因素。结合日常饲养管理,从细菌、病毒、寄生虫和普通疾病四大类型方面,综述了国内外麋鹿常见的疾病 ...
程志斌 1 #郭青云 1 #钟震宇 1 单云芳 1 孟玉萍 1 张玉稳 2 王丽斌 1 白加德 1
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