The purpose of the present study is to evaluate the internal consistency and construct validity of a self-report checklist measuring clinical mental health recovery across six key domains:family and relationships,occu...The purpose of the present study is to evaluate the internal consistency and construct validity of a self-report checklist measuring clinical mental health recovery across six key domains:family and relationships,occupation and school,physical health,mental health,spirituality,and social support systems.The Mental Health Recovery Checklist(MHRC)was developed at The Dorm,an intensive outpatient mental health treatment program for young adults in New York,NY,and Washington DC that services individuals between the ages of 18 and 35 years old.The present study is cross-sectional,as data were pulled from clients’records who were discharged between January 2018 and May 2023.Pearson Correlations and Cronbach’s alpha were used to determine scale reliability.To establish validity,an Exploratory Factor Analysis(EFA)was conducted to assess a single-factor model using Principal Axis Factoring.Cronbach’s alpha was high(α=0.88),indicating good reliability.In the EFA,all items loaded strongly on a single factor.The unidimensional structure revealed in the EFA highlights the interconnected nature of various life domains as they pertain to mental health recovery in young adults.Future research is warranted to explore whether there are additional dimensions of mental health recovery that have not been assessed in the present scale.展开更多
This review aims to fill the voids and to update the checklist of sandfly fauna along with its spatial distribution in India.Resource databases i.e.either online or offline were searched to deduce the information to s...This review aims to fill the voids and to update the checklist of sandfly fauna along with its spatial distribution in India.Resource databases i.e.either online or offline were searched to deduce the information to systematize the Indian sandfly fauna.Articles/data retrieved were screened and analysed to further update the available latest checklist.The species name and authorship were given in accord with the International Code for Zoological Nomenclature.We compiled an updated checklist of reported Indian sandfly species along with their state-wise distribution till 2022 as per published literature.Kerala has maximum number of species reports when compared to other endemic states and states with pockets of transmission.Phlebotomus argentipes is the most widely distributed,recorded so far,followed by other Sergentomiya and Phlebotomus species in India.In this review,we have also described the vector and non-vector species of sandfly prevalent in different parts of the country.Phlebotoiella eoindianensis,an amber fossil sandfly species recorded from Gujarat might be older than other records of Indian sandfly fauna.So far 69 species(4 genera and 15 subgenera/groups)of Phlebotomine sandflies have been recorded in India.Proper knowledge of species diversity and its distribution is a prerequisite for planning a systematic vector control strategy and disease management.展开更多
BACKGROUND:Shared decision-making(SDM)has broad application in emergencies.Most published studies have focused on SDM for a certain disease or expert opinions on future research gaps without revealing the full picture...BACKGROUND:Shared decision-making(SDM)has broad application in emergencies.Most published studies have focused on SDM for a certain disease or expert opinions on future research gaps without revealing the full picture or detailed guidance for clinical practice.This study is to investigate the optimal application of SDM to guide life-sustaining treatment(LST)in emergencies.METHODS:This study was a prospective two-round Delphi consensus-seeking survey among multiple stakeholders at the China Consortium of Elite Teaching Hospitals for Residency Education.Participants were identified based on their expertise in medicine,law,administration,medical education,or patient advocacy.All individual items and questions in the questionnaire were scored using a 5-point Likert scale,with responses ranging from"very unimportant"(a score of 1)to"extremely important"(a score of 5).The percentages of the responses that had scores of 4-5on the 5-point Likert scale were calculated.A Kendall’s W coefficient was calculated to evaluate the consensus of experts.RESULTS:A two-level framework consisting of 4 domains and 22 items as well as a ready-touse checklist for the informed consent process for LST was established.An acceptable Kendall’s W coefficient was achieved.CONCLUSION:A consensus-based framework supporting SDM during LST in an emergency department can inform the implementation of guidelines for clinical interventions,research studies,medical education,and policy initiatives.展开更多
Effective interpretation of electrocardiograms (ECGs) is a critical skill for healthcare professionals, especially in emergency settings. This study assessed the diagnostic abilities of 200 final-year medical students...Effective interpretation of electrocardiograms (ECGs) is a critical skill for healthcare professionals, especially in emergency settings. This study assessed the diagnostic abilities of 200 final-year medical students and young doctors in ECG interpretation. Subsequently, based on the study findings, a practical checklist was developed, and a comprehensive book entitled “Critical ECG in Emergencies” was authored by the researchers. The checklist provides cognitive aids and serves as a systematic guide to enhance ECG interpretation in urgent situations. The study revealed a need for improved confidence in interpreting critical ECGs among the participants. The checklist offers promise for reducing diagnostic errors and improving patient outcomes. Further research is required to evaluate its impact on daily practice and patient care, while the book provides valuable resources for healthcare professionals in emergency medicine.展开更多
Bird fauna checklists are important tools in ecology, biology, and conservation planning for scientists, stakeholders, and decision-makers. Despite its small area, the Gaza Strip (365 km<sup>2</sup>) has a...Bird fauna checklists are important tools in ecology, biology, and conservation planning for scientists, stakeholders, and decision-makers. Despite its small area, the Gaza Strip (365 km<sup>2</sup>) has a relatively large variety of resident and migratory bird fauna. Therefore, the current study aimed to provide an updated checklist of all bird fauna living in or inhabiting the Gaza Strip. Direct field observations using binoculars, continuous visits to zoos, pet stores and biology museums, discussion with bird hunters, follow-up of news and social networking sites, review of scientific publications and photography were the main tools to satisfy the purpose of the study. At least 250 bird species collected from different sources occur in the Gaza Strip and are included in the checklist. This list will not be static, but is inevitably subject to additions and changes in the face of times. The current 250 bird species of the Gaza Strip represent 45.4% of the 551 species of birds living in Palestine. The bird species were found to belong to 21 orders and 61 families. The Passeriformes (passerines) represented the largest order with 96 species of birds (38.4%), followed by the Charadriiformes 54 (21.6%), the Accipitriformes 18 (7.2%), Anseriformes 17 (6.8%) and Pelecaniformes 14 (5.6%), while the other orders represented the remaining percentage (20.4%). With regard to families, the Scolopacidae represented the largest family with 22 species of birds (8.8%), followed by the Anatidae and Accipitridae 17 for each (6.8%), the Muscicapidae 16 (6.4%) and Chariidridae and Fringillidae 11 for each (4.4%), while the other families represented the remaining percentage (62.4%). According to the IUCN regional threat categories, 226 species (90.4%) were Least Concern (LC), 12 (4.8%) were Near Threatened (NT), 6 (2.4%) were Vulnerable (VU), 4 (1.6%) were Endangered (EN) and 2 (0.8%) were Critically Endangered (CR). In conclusion, the study recommends a sustainable control of bird hunting and trafficking in addition to building prestigious centers and museums for studying and documenting birds in the Gaza Strip.展开更多
This paper addressed the current state of police officers’ capabilities, skills, and their readiness to deal with the developments of cybercrime. This study discussed definition of cybercrime, cybercrime categories a...This paper addressed the current state of police officers’ capabilities, skills, and their readiness to deal with the developments of cybercrime. This study discussed definition of cybercrime, cybercrime categories as well as comparison between traditional criminal techniques and cybercrime. As the abilities and skills required for detectives to investigate cybercrime have been discussed. Additionally, literature review and related work, was addressed challenges role of the police in combating cybercrime and facing cybercrime policing. We proposed the main tool in the study which is “Checklist of essential skills for a cybercrime investigator”. Thus, to gain the ability to Identify technical and practical requirements in terms of skills, programs, and equipment to achieve effective and professional results in fight cybercrimes.展开更多
Complete checklist records are essential to understand regional bird diversity.We update the checklist of the bird species of Jiangxi,China based on numerous reported documents.The updated checklist of the bird specie...Complete checklist records are essential to understand regional bird diversity.We update the checklist of the bird species of Jiangxi,China based on numerous reported documents.The updated checklist of the bird species of Jiangxi shows that there are 536 bird species in Jiangxi,which belong to 21 orders,74 families,246 genera.And 48.7% of them are Passeriformes species and 12.3% are Charadriiformes species.Fifty species are classified as threatened.Fourteen of these species are grade I nationally protected wild animals,and 72 species are grade II nationally protected wild animals.In addition,fauna analyses indicate that the Palearctic realm（47.7%） is dominant.As for distribution type,the Oriental type is dominant.Considering the fauna of resident birds,the Oriental realm is dominant.Additionally,the distribution of several species was revised in the checklist.展开更多
The skipper genus Pelopidas contains 11 species worldwide. 7 species are recorded in China. Pelopidas grisemarginata from Ningqiang County,Shaanxi Province,China is described and illustrated as a new species.
A checklist of Tessaratomidae from China, including 2 subfamilies, 12 genera, and 36 species, is presented. This compilation contains the complete geographical distribution for each species in China. Pycanum ponderosu...A checklist of Tessaratomidae from China, including 2 subfamilies, 12 genera, and 36 species, is presented. This compilation contains the complete geographical distribution for each species in China. Pycanum ponderosum Stal, 1854 and Dalcantha inermipes Stal, 1863 are newly recorded from China.展开更多
A provisional species checklist of the Oriental subfamily Orthogoninae is provided. Orthogonius dupuisi Tian et Deuve, 2006 （from Indonesia） is treated as a junior homonym of O. dupuisi Basilewsky, 1948 （from Rhode...A provisional species checklist of the Oriental subfamily Orthogoninae is provided. Orthogonius dupuisi Tian et Deuve, 2006 （from Indonesia） is treated as a junior homonym of O. dupuisi Basilewsky, 1948 （from Rhodesia）, and therefore O. dupuisianus n. nom. is proposed. Actenocus punctatus Tian et Deuve, 2006 is confirmed as a good species, rather than a junior synonym of Orthogonius crassicrus Chaudoir, 1871 proposed by Kirschenhofer （2010）.展开更多
The main characteristics of potential smart cities in the future, smart citizens, smart energy, smart buildings, smart mobility, smart technology, smart healthcare, smart infrastructure, smart governance and education...The main characteristics of potential smart cities in the future, smart citizens, smart energy, smart buildings, smart mobility, smart technology, smart healthcare, smart infrastructure, smart governance and education, and finally smart security are the aspects of smart cities. In the smart city, smart accessible infrastructure creates an inclusive environment for people with disabilities, in which they can integrate into the community and enjoy their civil, cultural, political, social and economic rights and entitlements. The aim of this study is to integrate disabled people into society so that they can actively participate in society and lead to a normal life. An integrated approach is needed to ensure that people with disabilities are not left alone. A combination of mainstreaming and targeted action is required for all interventions. People with disabilities have the same basic needs as everyone else: health protection and treatment, basic services, housing and income. Targeted intervention measures need to complement disability mainstreaming by addressing specific needs identified by general responses, including such interventions need not add materially to the overall cost, especially if the requirements of the maximum number of users are considered in the initial planning. This paper recommends how we can use an appropriate design checklist as a guide for our initial architectural concept and smart city planning to facilities reasonably accessible for people with disabilities in private and public buildings, making our cities smarter and more inclusive and helping to improve the quality of life for all people, especially people with disabilities.展开更多
Background: The incidence of in-hospital adverse events is about 10%, with a majority of these related to surgery, and nearly half considered preventable events. In attempts to improve patient safety, the World Health...Background: The incidence of in-hospital adverse events is about 10%, with a majority of these related to surgery, and nearly half considered preventable events. In attempts to improve patient safety, the World Health Organization (WHO) developed a checklist to be used at critical perioperative moments. This meta-analysis examines the impact of the WHO surgical safety checklist (SSC) on various patient outcomes. Methods: A comprehensive search of all published studies assessing the use of the WHO SSC in patients undergoing surgery was conducted. Studies using the WHO SSC in any surgical setting, with pre-implementation and post-implementation outcome data were included. The incidence of patient outcomes (total complications, surgical site infections, unplanned return to the operating room (OR) within 30 days, and overall mortality) and adherence to safety measures were analyzed. Results: 10 studies involving 51,125 patients (27,490 prior to implementation and 23,635 after implementation of the WHO SSC) were analyzed. The implementation of the WHO SSC significantly reduced the risk of total complications by 37.9%, surgical site infections by 45.5%, unplanned return to OR by 32.1%, and mortality by 15.3%. Increased adherence to safety measures including airway evaluation, use of pulse oximetry, prophylactic antibiotics when necessary, confirmation of patient name and surgical site, and sponge count was also observed. Conclusions: The use of the WHO SSC is associated with a significant reduction in post-operative complication rates and mortality. The WHO SSC is a valuable tool that should be universally implemented in all surgical centers and utilized in all surgical patients.展开更多
This review describes the history of taxonomic research on scorpions and provides an updated checklist and key of the scorpions currently known in China. This checklist is based on a thorough review of the extant lite...This review describes the history of taxonomic research on scorpions and provides an updated checklist and key of the scorpions currently known in China. This checklist is based on a thorough review of the extant literatures on scorpion species whose presence has been confirmed in China through field expeditions and examination of scorpion collections, excepting a few members that have no clear distribution or are currently in doubt. Totally, the scorpion fauna of China consists of 53 species and subspecies belonging to 12 genera crossing five families, with 33 species(62.3%) and one genus being recorded as endemic. Additionally, identification key and the distribution of scorpions from China are provided.展开更多
Processes to ensure world-wide best-practice for critical care delivery is likely to minimize preventable death, disability and costly complications for any healthcare system's sickest patients, but no large-scale...Processes to ensure world-wide best-practice for critical care delivery is likely to minimize preventable death, disability and costly complications for any healthcare system's sickest patients, but no large-scale efforts have so far been undertaken towards these goals. The advances in medical informatics and human factors engineering have provided possibility for novel and user-friendly clinical decision support tools that can be applied in a complex and busy hospital setting. To facilitate timely and accurate best-practice delivery in critically ill patients international group of intensive care unit(ICU) physicians and researchers developed a simple decision support tool: Checklist for Early Recognition and Treatment of Acute Illness(CERTAIN). The tool has been refined and tested in high fidelity simulated clinical environment and has been shown to improve performance of clinical providers faced with simulated emergencies. The aim of this international educational intervention is to implement CERTAIN into clinical practice in hospital settings with variable resources(included those in low income countries) and evaluate the impact of the tool on the care processes and patient outcomes. To accomplish our aims, CERTAIN will be uniformly available on either mobile or fixed computing devices(as well as a backup paper version) and applied in a standardized manner in the ICUs of diverse hospitals. To ensure the effectiveness of the proposed intervention, access to CERTAIN is coupled with structured training of bedside ICU providers.展开更多
文摘The purpose of the present study is to evaluate the internal consistency and construct validity of a self-report checklist measuring clinical mental health recovery across six key domains:family and relationships,occupation and school,physical health,mental health,spirituality,and social support systems.The Mental Health Recovery Checklist(MHRC)was developed at The Dorm,an intensive outpatient mental health treatment program for young adults in New York,NY,and Washington DC that services individuals between the ages of 18 and 35 years old.The present study is cross-sectional,as data were pulled from clients’records who were discharged between January 2018 and May 2023.Pearson Correlations and Cronbach’s alpha were used to determine scale reliability.To establish validity,an Exploratory Factor Analysis(EFA)was conducted to assess a single-factor model using Principal Axis Factoring.Cronbach’s alpha was high(α=0.88),indicating good reliability.In the EFA,all items loaded strongly on a single factor.The unidimensional structure revealed in the EFA highlights the interconnected nature of various life domains as they pertain to mental health recovery in young adults.Future research is warranted to explore whether there are additional dimensions of mental health recovery that have not been assessed in the present scale.
基金supported by the Indian Council of Medical Research,New Delhi[Grant No.6/9-7(331)/2020/ECD-II].
文摘This review aims to fill the voids and to update the checklist of sandfly fauna along with its spatial distribution in India.Resource databases i.e.either online or offline were searched to deduce the information to systematize the Indian sandfly fauna.Articles/data retrieved were screened and analysed to further update the available latest checklist.The species name and authorship were given in accord with the International Code for Zoological Nomenclature.We compiled an updated checklist of reported Indian sandfly species along with their state-wise distribution till 2022 as per published literature.Kerala has maximum number of species reports when compared to other endemic states and states with pockets of transmission.Phlebotomus argentipes is the most widely distributed,recorded so far,followed by other Sergentomiya and Phlebotomus species in India.In this review,we have also described the vector and non-vector species of sandfly prevalent in different parts of the country.Phlebotoiella eoindianensis,an amber fossil sandfly species recorded from Gujarat might be older than other records of Indian sandfly fauna.So far 69 species(4 genera and 15 subgenera/groups)of Phlebotomine sandflies have been recorded in India.Proper knowledge of species diversity and its distribution is a prerequisite for planning a systematic vector control strategy and disease management.
基金supported by the China Medical BoardOpen Competition Program(20-378)Peking University Third Hospital Fund for Returned Scholars(BYSYLXHG2020004)+1 种基金JX was supported by the Peking Union Medical College Fund for Informatization of Postgraduate Courses(2021YXX001)YLZ was supported by the Sichuan University Graduate Education Reform Project(GSSCU2021046)。
文摘BACKGROUND:Shared decision-making(SDM)has broad application in emergencies.Most published studies have focused on SDM for a certain disease or expert opinions on future research gaps without revealing the full picture or detailed guidance for clinical practice.This study is to investigate the optimal application of SDM to guide life-sustaining treatment(LST)in emergencies.METHODS:This study was a prospective two-round Delphi consensus-seeking survey among multiple stakeholders at the China Consortium of Elite Teaching Hospitals for Residency Education.Participants were identified based on their expertise in medicine,law,administration,medical education,or patient advocacy.All individual items and questions in the questionnaire were scored using a 5-point Likert scale,with responses ranging from"very unimportant"(a score of 1)to"extremely important"(a score of 5).The percentages of the responses that had scores of 4-5on the 5-point Likert scale were calculated.A Kendall’s W coefficient was calculated to evaluate the consensus of experts.RESULTS:A two-level framework consisting of 4 domains and 22 items as well as a ready-touse checklist for the informed consent process for LST was established.An acceptable Kendall’s W coefficient was achieved.CONCLUSION:A consensus-based framework supporting SDM during LST in an emergency department can inform the implementation of guidelines for clinical interventions,research studies,medical education,and policy initiatives.
文摘Effective interpretation of electrocardiograms (ECGs) is a critical skill for healthcare professionals, especially in emergency settings. This study assessed the diagnostic abilities of 200 final-year medical students and young doctors in ECG interpretation. Subsequently, based on the study findings, a practical checklist was developed, and a comprehensive book entitled “Critical ECG in Emergencies” was authored by the researchers. The checklist provides cognitive aids and serves as a systematic guide to enhance ECG interpretation in urgent situations. The study revealed a need for improved confidence in interpreting critical ECGs among the participants. The checklist offers promise for reducing diagnostic errors and improving patient outcomes. Further research is required to evaluate its impact on daily practice and patient care, while the book provides valuable resources for healthcare professionals in emergency medicine.
文摘Bird fauna checklists are important tools in ecology, biology, and conservation planning for scientists, stakeholders, and decision-makers. Despite its small area, the Gaza Strip (365 km<sup>2</sup>) has a relatively large variety of resident and migratory bird fauna. Therefore, the current study aimed to provide an updated checklist of all bird fauna living in or inhabiting the Gaza Strip. Direct field observations using binoculars, continuous visits to zoos, pet stores and biology museums, discussion with bird hunters, follow-up of news and social networking sites, review of scientific publications and photography were the main tools to satisfy the purpose of the study. At least 250 bird species collected from different sources occur in the Gaza Strip and are included in the checklist. This list will not be static, but is inevitably subject to additions and changes in the face of times. The current 250 bird species of the Gaza Strip represent 45.4% of the 551 species of birds living in Palestine. The bird species were found to belong to 21 orders and 61 families. The Passeriformes (passerines) represented the largest order with 96 species of birds (38.4%), followed by the Charadriiformes 54 (21.6%), the Accipitriformes 18 (7.2%), Anseriformes 17 (6.8%) and Pelecaniformes 14 (5.6%), while the other orders represented the remaining percentage (20.4%). With regard to families, the Scolopacidae represented the largest family with 22 species of birds (8.8%), followed by the Anatidae and Accipitridae 17 for each (6.8%), the Muscicapidae 16 (6.4%) and Chariidridae and Fringillidae 11 for each (4.4%), while the other families represented the remaining percentage (62.4%). According to the IUCN regional threat categories, 226 species (90.4%) were Least Concern (LC), 12 (4.8%) were Near Threatened (NT), 6 (2.4%) were Vulnerable (VU), 4 (1.6%) were Endangered (EN) and 2 (0.8%) were Critically Endangered (CR). In conclusion, the study recommends a sustainable control of bird hunting and trafficking in addition to building prestigious centers and museums for studying and documenting birds in the Gaza Strip.
文摘This paper addressed the current state of police officers’ capabilities, skills, and their readiness to deal with the developments of cybercrime. This study discussed definition of cybercrime, cybercrime categories as well as comparison between traditional criminal techniques and cybercrime. As the abilities and skills required for detectives to investigate cybercrime have been discussed. Additionally, literature review and related work, was addressed challenges role of the police in combating cybercrime and facing cybercrime policing. We proposed the main tool in the study which is “Checklist of essential skills for a cybercrime investigator”. Thus, to gain the ability to Identify technical and practical requirements in terms of skills, programs, and equipment to achieve effective and professional results in fight cybercrimes.
文摘Complete checklist records are essential to understand regional bird diversity.We update the checklist of the bird species of Jiangxi,China based on numerous reported documents.The updated checklist of the bird species of Jiangxi shows that there are 536 bird species in Jiangxi,which belong to 21 orders,74 families,246 genera.And 48.7% of them are Passeriformes species and 12.3% are Charadriiformes species.Fifty species are classified as threatened.Fourteen of these species are grade I nationally protected wild animals,and 72 species are grade II nationally protected wild animals.In addition,fauna analyses indicate that the Palearctic realm（47.7%） is dominant.As for distribution type,the Oriental type is dominant.Considering the fauna of resident birds,the Oriental realm is dominant.Additionally,the distribution of several species was revised in the checklist.
基金supported by the National Natural Science Foundation of China (30499341)
文摘The skipper genus Pelopidas contains 11 species worldwide. 7 species are recorded in China. Pelopidas grisemarginata from Ningqiang County,Shaanxi Province,China is described and illustrated as a new species.
基金supported by the National Natural Science Foundation (30870328,J0930005)
文摘A checklist of Tessaratomidae from China, including 2 subfamilies, 12 genera, and 36 species, is presented. This compilation contains the complete geographical distribution for each species in China. Pycanum ponderosum Stal, 1854 and Dalcantha inermipes Stal, 1863 are newly recorded from China.
基金sponsored by Museum National D’histoire Naturelle,Paris and the National Natural Science Foundation of China (30670249)
文摘A provisional species checklist of the Oriental subfamily Orthogoninae is provided. Orthogonius dupuisi Tian et Deuve, 2006 （from Indonesia） is treated as a junior homonym of O. dupuisi Basilewsky, 1948 （from Rhodesia）, and therefore O. dupuisianus n. nom. is proposed. Actenocus punctatus Tian et Deuve, 2006 is confirmed as a good species, rather than a junior synonym of Orthogonius crassicrus Chaudoir, 1871 proposed by Kirschenhofer （2010）.
文摘The main characteristics of potential smart cities in the future, smart citizens, smart energy, smart buildings, smart mobility, smart technology, smart healthcare, smart infrastructure, smart governance and education, and finally smart security are the aspects of smart cities. In the smart city, smart accessible infrastructure creates an inclusive environment for people with disabilities, in which they can integrate into the community and enjoy their civil, cultural, political, social and economic rights and entitlements. The aim of this study is to integrate disabled people into society so that they can actively participate in society and lead to a normal life. An integrated approach is needed to ensure that people with disabilities are not left alone. A combination of mainstreaming and targeted action is required for all interventions. People with disabilities have the same basic needs as everyone else: health protection and treatment, basic services, housing and income. Targeted intervention measures need to complement disability mainstreaming by addressing specific needs identified by general responses, including such interventions need not add materially to the overall cost, especially if the requirements of the maximum number of users are considered in the initial planning. This paper recommends how we can use an appropriate design checklist as a guide for our initial architectural concept and smart city planning to facilities reasonably accessible for people with disabilities in private and public buildings, making our cities smarter and more inclusive and helping to improve the quality of life for all people, especially people with disabilities.
文摘Background: The incidence of in-hospital adverse events is about 10%, with a majority of these related to surgery, and nearly half considered preventable events. In attempts to improve patient safety, the World Health Organization (WHO) developed a checklist to be used at critical perioperative moments. This meta-analysis examines the impact of the WHO surgical safety checklist (SSC) on various patient outcomes. Methods: A comprehensive search of all published studies assessing the use of the WHO SSC in patients undergoing surgery was conducted. Studies using the WHO SSC in any surgical setting, with pre-implementation and post-implementation outcome data were included. The incidence of patient outcomes (total complications, surgical site infections, unplanned return to the operating room (OR) within 30 days, and overall mortality) and adherence to safety measures were analyzed. Results: 10 studies involving 51,125 patients (27,490 prior to implementation and 23,635 after implementation of the WHO SSC) were analyzed. The implementation of the WHO SSC significantly reduced the risk of total complications by 37.9%, surgical site infections by 45.5%, unplanned return to OR by 32.1%, and mortality by 15.3%. Increased adherence to safety measures including airway evaluation, use of pulse oximetry, prophylactic antibiotics when necessary, confirmation of patient name and surgical site, and sponge count was also observed. Conclusions: The use of the WHO SSC is associated with a significant reduction in post-operative complication rates and mortality. The WHO SSC is a valuable tool that should be universally implemented in all surgical centers and utilized in all surgical patients.
基金supported by grants from the National Natural Sciences Foundation of China(31071942)the Basic Project of Ministry of Science and Technology of China(2007FY210800)the 973 program(2010CB529800)
文摘This review describes the history of taxonomic research on scorpions and provides an updated checklist and key of the scorpions currently known in China. This checklist is based on a thorough review of the extant literatures on scorpion species whose presence has been confirmed in China through field expeditions and examination of scorpion collections, excepting a few members that have no clear distribution or are currently in doubt. Totally, the scorpion fauna of China consists of 53 species and subspecies belonging to 12 genera crossing five families, with 33 species(62.3%) and one genus being recorded as endemic. Additionally, identification key and the distribution of scorpions from China are provided.
文摘Processes to ensure world-wide best-practice for critical care delivery is likely to minimize preventable death, disability and costly complications for any healthcare system's sickest patients, but no large-scale efforts have so far been undertaken towards these goals. The advances in medical informatics and human factors engineering have provided possibility for novel and user-friendly clinical decision support tools that can be applied in a complex and busy hospital setting. To facilitate timely and accurate best-practice delivery in critically ill patients international group of intensive care unit(ICU) physicians and researchers developed a simple decision support tool: Checklist for Early Recognition and Treatment of Acute Illness(CERTAIN). The tool has been refined and tested in high fidelity simulated clinical environment and has been shown to improve performance of clinical providers faced with simulated emergencies. The aim of this international educational intervention is to implement CERTAIN into clinical practice in hospital settings with variable resources(included those in low income countries) and evaluate the impact of the tool on the care processes and patient outcomes. To accomplish our aims, CERTAIN will be uniformly available on either mobile or fixed computing devices(as well as a backup paper version) and applied in a standardized manner in the ICUs of diverse hospitals. To ensure the effectiveness of the proposed intervention, access to CERTAIN is coupled with structured training of bedside ICU providers.
