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Accuracy of Invisalign Progress Assessment with Clear Aligners: A Retrospective Study 用透明矫正器评估隐形矫正进展的准确性:一项回顾性研究
Pub Date : 2022-10-02 DOI: 10.33140/jnh.07.04.12
Bo Li, Yimeng Xu, R. Shi, Yimin Hu, Siying Liu, Ze-Xu Gu
Objective: The objective of this study was to detective the accuracy of model superimposition and automatic analysis for upper and lower dentition width in Invisalign Progress Assessment during the process of clear aligners. Methods 19 cases were included in this study. Pre-treatment dental cast(T0) and post-treatment dental cast after staged treatment(T1) were available for three-dimensional model superimposition. Subsequently, movements of maxillary teeth in horizontal plane (cross section) after staged treatment, width of upper and lower dentition were measured by three-dimensional model superimposition in real world and Invisalign Progress Assessment separately. Consequently, the data collected from these two methods was compared. Results In Invisalign Progress Assessment, movements of maxillary teeth in horizontal plane after staged treatment was 2.31(1.59,3.22 ) (median (upper quartile, lower quartile)) millimeter (mm), while in three-dimensional model superimposition, the result was 1.79(1.21,3.03)mm. The difference between two groups is significant(P<0.05). Intercanine width upper, intermolar width upper, intercanine width lower, and intermolar width lower were 36.55±2.76mm, 56.98±2.62mm, 28.16±1.85mm, 53.21±2.72mm separately in Invisalign Progress Assessment and were 36.48±2.78mm, 56.89±2.58mm, 28.05±1.85mm, 53.16±2.64mm separately in three-dimensional model analysis, which were no significant difference among these groups (P>0.05). Conclusions The data from Invisalign Progress Assessment was not in parallel with what achieved from model superimposition with palate as reference completely. The accuracy of model superimposition in Invisalign Progress Assessment needs further investigation, whereas the accuracy of model analysis in Invisalign Progress Assessment was accurate. Thereby, results from Invisalign Progress Assessment should be interpreted with caution by the orthodontist in clinic.
目的:本研究的目的是检测在清牙矫正器过程中,Invisalign进度评估中模型叠加和上下牙列宽度自动分析的准确性。方法选取19例患者作为研究对象。预处理牙模(T0)和分期处理后牙模(T1)可用于三维模型叠加。随后,分别采用现实世界三维模型叠加法和Invisalign进展评估法测量分期治疗后上颌牙在水平面上(横截面)的运动、上、下牙列的宽度。因此,比较了这两种方法收集的数据。结果在Invisalign Progress Assessment中,分期治疗后上颌牙在水平面上的移动量为2.31(1.59,3.22)mm(中位数(上四分位数,下四分位数)),而在三维模型叠加中,上颌牙在水平面上的移动量为1.79(1.21,3.03)mm。两组间差异有统计学意义(P<0.05)。在Invisalign进展评估中,上齿宽、上齿宽、下齿宽、下齿宽分别为36.55±2.76mm、56.98±2.62mm、28.16±1.85mm、53.21±2.72mm;在三维模型分析中,上齿宽、上齿宽、下齿宽分别为36.48±2.78mm、56.89±2.58mm、28.05±1.85mm、53.16±2.64mm,各组差异无统计学意义(P>0.05)。结论Invisalign进展评估结果与以上颚为参照的模型叠加结果不完全一致。Invisalign进度评估中模型叠加的准确性有待进一步研究,而Invisalign进度评估中模型分析的准确性是准确的。因此,临床上正畸医师应谨慎解释隐形矫正进展评估的结果。
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引用次数: 0
How Do Cells Determine What Size to Grow Before Divison 细胞在分裂前如何决定生长的大小
Pub Date : 2022-10-02 DOI: 10.33140/jnh.07.04.06
Zygote contains a dna as a architecture and form cells of ectoderm ,mesoderm and endoderm DNA contains a gene and act as a architecture for cell It act as a digital clock for the cell division 1 DNA base pair supplies energy to the cell for division as when the cell divides before cytoplasmic division chromosome divides and during chromosome division a huge amount of energy is released 2 this energy is supplied for division of organelle and accurate amount of energy is released by DNA for cell to divide it is during S phase 3 During meiotic when chromosome pair up then energy is released .
受精卵包含dna外胚层的细胞结构和形式,中胚层和内胚层dna包含细胞的基因和作为架构作为一个数字时钟的细胞分裂1 dna碱基对供应能量的细胞分裂时胞质分裂前的细胞分裂时染色体分裂和染色体分裂期间巨大的能量释放2提供能量的细胞器分工和准确的能量释放dna的细胞分裂是在S期3在减数分裂期间,当染色体配对时能量被释放。
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引用次数: 0
Personalized Therapy based on Several Parameters of Comprehensive Tumour Profiling: a Challenge in NEBC 基于综合肿瘤分析的几个参数的个性化治疗:NEBC的一个挑战
Pub Date : 2022-10-02 DOI: 10.33140/jnh.07.04.13
Primary neuroendocrine breast cancer (NEBC) is a rare entity accounting for <0.1% of all breast carcinomas and <1% of all neuroendocrine tumours. In most cases, treatment strategies in NEBC are empirical in absence of prospective trial data on NEBC cohorts. Herein, we present two case reports diagnosed with anaplastic large and small cell NEBC. After initial therapies analogue to those of breast cancer (BC) or neuroendocrine cancers (NEC) had failed, comprehensive tumour profiling was applied, leading to individualized treatment options for both patients. Due to targetable mutations and important co-alterations, the PIK3-mTOR pathway was highlighted from different aspects in both patients. The epicrisis of the two patients exemplifies how to manage the challenge of rare and difficult to treat cancers and how new diagnostic tools contribute to medical management.
原发性神经内分泌乳腺癌(NEBC)是一种罕见的肿瘤,占所有乳腺癌的0.1%以下,占所有神经内分泌肿瘤的1%以下。在大多数情况下,NEBC的治疗策略是经验性的,缺乏对NEBC队列的前瞻性试验数据。在此,我们提出两个病例报告诊断为间变性大细胞和小细胞NEBC。在类似于乳腺癌(BC)或神经内分泌癌(NEC)的初始治疗失败后,应用全面的肿瘤分析,为两名患者提供个性化的治疗方案。由于可靶向突变和重要的共改变,两例患者的PIK3-mTOR通路从不同的方面得到了突出。这两名患者的危机说明了如何应对罕见和难以治疗的癌症的挑战,以及新的诊断工具如何有助于医疗管理。
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引用次数: 0
Quality Improvement: Achieving Zero HAIs for over 365 Days 质量改进:365天以上达到零不良影响
Pub Date : 2022-09-27 DOI: 10.33140/jnh.07.03.09
Harry Walk
In a 76-bed acute care hospital offering inpatient and outpatient services, a 31-bed emergency department, diagnostic imaging and cardiac catheterization, we have established a commitment of zero harm through executive leadership support, strategic initiatives, and continuous quality improvement. An opportunity was identified in 2021 to reduce the amount of Hospital Acquired Infections (HAI). In 2021 the hospital had 11 HAIs.
在一家拥有76张床位、提供住院和门诊服务、31张床位的急诊科、诊断成像和心导管插入术的急症护理医院,我们通过行政领导的支持、战略举措和持续的质量改进,确立了零伤害的承诺。2021年确定了减少医院获得性感染数量的机会。到2021年,该医院有11个高级别保健项目。
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引用次数: 0
The Effect of Behavior Change Communication via the Health Development Army on Pregnant Women's Nutrition and Health Practices in Ambo District, Ethiopia: A Cluster Randomized Controlled Community Trial 通过健康发展部队的行为改变交流对埃塞俄比亚安博地区孕妇营养和健康实践的影响:一项群体随机对照社区试验
Pub Date : 2022-09-27 DOI: 10.33140/jnh.07.04.01
Gebremichael Ma
Background A woman's nutritional and physical health at conception and during her pregnancy is crucial factors in defining both her own and her unborn child's health and well-being at this crucial time in her life. Therefore, the objective of the study was to investigate the effect of Behavior Change and Communication (BCC) through the women development Army on optimal nutrition and health practices of pregnant women. Methods In the Ambo district, 770 pregnant women participated in a two-arm parallel cluster randomized controlled community trial with baseline and end-line measures (385 in control and 385 in intervention groups). Endpoint data from 372 intervention and 372 control groups were gathered, respectively. In the intervention group, health development armies delivered the BCC's main message. The intervention began in July 2018, and end point data were collected from pregnant women (n = 744) in October, 2018. The control group received the typical care provided by the healthcare system during an ANC visit. Descriptive statistics, chi-square test, bivariable and lastly multivariable binary logistic regressions analysis was used to control confounders. Statistical analyses were conducted on intention-to-treat (ITT) basis and p value <0.05 was used to declare statistical significance. Result The overall optimal nutrition and health practice were higher in the intervention group than in the control group (62.6% vs. 39.0%, P<0.001). Pregnant women who received intervention had two times higher odds of optimal nutrition and health practices compared to pregnant women who were in the control group (AOR = 2.051, 95%CI: 1.318-3.192). In a multivariable binary logistic regression analysis (p<0.05), being in the intervention group, educational status, estimated time to reach the health institution, and knowledge about nutrition and health were found to be significantly associated with optimal nutrition and health practices. Conclusions Behavior change communication (BCC) through the women's development army is effective in improving optimal nutrition and health practices of pregnant women. Therefore, to improve the optimal nutrition and health practices of pregnant women, BCC through the health development army is recommended.
背景妇女在受孕和怀孕期间的营养和身体健康是决定她自己和未出生的孩子在她生命中这一关键时期的健康和福祉的关键因素。因此,本研究的目的是探讨通过妇女发展军队的行为改变和沟通(BCC)对孕妇最佳营养和健康实践的影响。方法在安博地区,770名孕妇参加了一项平行组随机对照社区试验,包括基线和终点测量(对照组385名,干预组385名)。分别收集了372个干预组和372个对照组的终点数据。在干预组,卫生发展部队传递了BCC的主要信息。干预于2018年7月开始,并于2018年10月收集孕妇(n = 744)的终点数据。对照组在ANC访问期间接受医疗保健系统提供的典型护理。采用描述性统计、卡方检验、双变量和多变量二元logistic回归分析控制混杂因素。以意向治疗(intention-to-treat, ITT)为基础进行统计学分析,以p <0.05为差异有统计学意义。结果干预组的总体最佳营养和健康习惯高于对照组(62.6%比39.0%,P<0.001)。接受干预的孕妇获得最佳营养和健康习惯的几率是对照组孕妇的两倍(AOR = 2.051, 95%CI: 1.318-3.192)。多变量logistic回归分析(p<0.05)发现,干预组、教育状况、预计到达卫生机构的时间、营养和健康知识与最佳营养和健康行为显著相关。结论通过妇女发展部队的行为改变沟通(BCC)可以有效地改善孕妇的最佳营养和健康习惯。因此,为了提高孕妇的最佳营养和健康习惯,建议通过健康发展军进行BCC。
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引用次数: 0
The Role of the Evidence-Based Practice Project in Building Transformational Leadership Skills in Nursing 循证实践项目在培养护理变革型领导技能中的作用
Pub Date : 2022-07-07 DOI: 10.33140/jnh.07.03.01
Evidence-based practice in nursing assures patient safety and improved patient outcomes as they transition their role in nursing, master’s-prepared nurses are expected utilize evidence to integrate theory and improve clinical practice, as well as continue to advance knowledge [1]. Within the graduate nursing curriculum, a final evidence-based practice project (EBPP) can provide students with the opportunity to gain experience and develop the needed leadership skill set to promote the evidence that leads to best practice within multiple settings. The knowledge and experiences gained also support the emergence of transformational leadership. The following article will examine the EBPP specifics at one academic institution, and its correlation with transformational leadership.
护理中的循证实践确保了患者的安全和改善了患者的预后,因为他们在护理中角色的转变,硕士预科护士被期望利用证据来整合理论和改进临床实践,并继续推进知识储备。在研究生护理课程中,最后的循证实践项目(EBPP)可以为学生提供获得经验和发展所需领导技能的机会,以促进在多种环境下导致最佳实践的循证。获得的知识和经验也支持变革型领导的出现。下面的文章将研究EBPP在一个学术机构的具体情况,以及它与变革型领导的关系。
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引用次数: 0
Epidemiology of Hydatidosis in Ethiopia 埃塞俄比亚包虫病流行病学研究
Pub Date : 2022-07-07 DOI: 10.33140/jnh.07.03.03
Hydatidosis is a neglected cyclozoonotic disease affecting both humans and livestock populatio. The objective of the paper was to review the hydatidosis disease. The overall prevalence of the hydatidosi was reported in the country: 4.9%, 6.8%, 8.02%, 9.7%, 11.3%,11.78%, 16.79%, 17.4%, 27.64%, 35.15% and 49.5% respectively. The most common source of infection: contamination of water and feed by dogs feces. The main Reservoir, risk factors for distribution of the disease are forage, water, and host, pathogenic risk factors respectively. All domestic animal are the people at risk for thedisease. The major clinical forms of hydatidosis are rup-ture of cysts, particularly into serosal cavities, may cause acute and sometimes fatal anaphylactic reaction. Effective control and prevention measures should be introduced to minimize the risk of public health hazard and economic losses can be controlled through preventive mea¬sures that break the life cycle between the definitive and inter¬mediate hosts. They must be improving hygienic management for animals and health educations for peoples about the disease for reduceinfection.
包虫病是一种被忽视的影响人类和牲畜种群的环人畜共患病。本文的目的是综述包虫病。全国包虫病总检出率分别为4.9%、6.8%、8.02%、9.7%、11.3%、11.78%、16.79%、17.4%、27.64%、35.15%和49.5%。最常见的感染源:狗的粪便污染了水和饲料。病害分布的主要危险因素为饲料、水源和宿主,危险因素分别为致病因素。所有家畜都是易患此病的人群。包虫病的主要临床形式是囊肿破裂,特别是进入浆膜腔,可引起急性,有时是致命的过敏反应。应采取有效的控制和预防措施,尽量减少危害公共健康的风险,并可通过打破最终宿主和中间宿主之间的生命周期的预防措施来控制经济损失。他们必须改善动物的卫生管理和对人们的健康教育,以减少感染。
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引用次数: 2
Creating Evidence Driven Practices to Enhance Human Care Services for Unhoused and Low-Income Pet Owners 创造证据驱动的做法,以加强对无家可归和低收入宠物主人的人类护理服务
Pub Date : 2022-07-07 DOI: 10.33140/jnh.07.03.06
Audrey L. Covner, Brianna Sherman
Background: Seattle Veterinary Outreach, a nonprofit organization providing free and sliding-scale veterinary services to those experiencing homelessness and low-income residents of the Seattle Washington Puget Sound area, began operations in 2019. A key premise of the organization is that offering veterinary services creates a trusting relationship with pet owners that fosters guiding human clients toward obtaining services for their own health and well-being [1]. Pet owners face significant barriers to obtaining care for themselves due to the lack of pet-friendly housing, shelter, and medical care clinics [2]. Methods: To support this vision, SVO partners with human care service providers to co-locate, allowing for pet-friendly access to needed services. Up until now, the decision about partners has been made based on immediate needs, circumstances, and availability. The purpose of this study was to develop a data-driven process that would assist in identifying the type of human care services needed, create a ranking system to assist in securing these services and identify partners that can co-locate with SVO mobile clinics to address human care needs. Relying on data collected by SVO staff and volunteers and incorporating attributes of potential partners into the discussion, a data-driven process for partner outreach was created. Results: A new process was created that is currently in use and will be incorporated into staff responsibilities. Conclusion: The new process offers an opportunity to ensure that the needs of pet owners are being best served.
背景:西雅图兽医外展是一家非营利组织,为西雅图华盛顿普吉特海湾地区的无家可归者和低收入居民提供免费和滑动规模的兽医服务,于2019年开始运营。该组织的一个关键前提是,提供兽医服务可以与宠物主人建立信任关系,从而促进引导人类客户为自己的健康和福祉获得服务[1]。由于缺乏宠物友好型住房、庇护所和医疗诊所,宠物主人在获得照顾方面面临重大障碍[2]。方法:为了支持这一愿景,SVO与人类护理服务提供商合作,共同定位,允许宠物友好地获得所需的服务。到目前为止,关于合作伙伴的决定是根据当前的需求、环境和可用性做出的。本研究的目的是开发一个数据驱动的过程,以帮助确定所需的人类护理服务类型,创建一个排名系统,以帮助确保这些服务,并确定可以与SVO移动诊所共同定位的合作伙伴,以满足人类护理需求。根据SVO工作人员和志愿者收集的数据,并将潜在合作伙伴的属性纳入讨论,创建了一个数据驱动的合作伙伴外展流程。结果:创建了一个目前正在使用的新流程,并将纳入员工职责。结论:新流程提供了一个机会,以确保宠物主人的需求得到最好的服务。
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引用次数: 2
Gerontological Nursing is a Dynamic Procedure 老年护理是一个动态的过程
Pub Date : 2022-07-07 DOI: 10.33140/jnh.07.03.02
Old age is an old age characterized by physiological changes and a specific social role. Gerontology is a scientific discipline that studies age as a chronological age with specifics in the social role of the individual. Gerontological nursing is a dynamic process between the elderly and the nurse conducted by nurses at all levels of health care. Nursing care is divided into care in hospital institutions, care in one’s own home and care in permanent residence institutions. Nursing care for the elderly is mostly provided at the primary level of health care
老年是以生理变化和特定社会角色为特征的老年阶段。老年学是一门科学学科,研究年龄作为一个实足年龄与具体的社会角色的个人。老年护理是由各级卫生保健机构的护士进行的老年人与护士之间的动态过程。护理分为在医院机构的护理、在自己家里的护理和在永久居住机构的护理。对老年人的护理主要由初级保健机构提供
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引用次数: 0
Novel Anti-Cancer Therapies and Cardiac Outcomes :Systematic Reviews 新型抗癌疗法与心脏预后:系统综述
Pub Date : 2022-07-07 DOI: 10.33140/jnh.07.03.07
Background Noval oncological therapies as chemotherapeutic drugs, immunotherapeutic, olecular target therapy and radiotherapies have improve cancer survivorship by potentially life-saving. These noval anti-neoplastic therapies have a significant adverse outcomes, particularly cardiotoxicity which prevent patients from complete receiving cancer treatment and so increase morbidity and mortality rate. Cardiovascular disease is the leading cause of noncancer deaths. Cardiovascular disease and cancer consider as the first and second most common cause of the burden of disease and death. Nowadays they are highly recognized and its drawback prevention remains challenging in cancer survivorship . Development of cadiovascular affection is associated with multiple modifiable risk factors including obesity, hypertension , diabetes, alcohol consumption, smoking, age, chronic kidney disease. Pre-assessment of those patients most likely to be given the cardioprotective therapy to improve cardiac outcomes in patients with preexisting heart disease . Objective to thorough the light on the importance of assessment of cardiac status before beginning in anti-cancer therapies to avoid cardiotoxicity . Methods a systematic literature review depends on collecting data from an evidence-based studies.Searches were made of forty electronic databases: the Cochrane Oral Health Group’s Trials Register, The Cochrane Central Register of Controlled Trials (CENTRAL), EMBASE, PsycINFO, Scopus and Web of science, MEDLINE(PubMed). Results Systematic reviews have demonstrated correlation between anti cancer therapies and cardiovascular diseases (cardiotoxicity) especially with patients have a pre-existing risk factors . Conclusions Close collaboration among oncologists, hematologist , cardiologists, and primary care physicians to work together in a multidisciplinary setting for effective management of patients.
新的肿瘤治疗方法,如化疗药物、免疫治疗、分子靶向治疗和放射治疗,通过潜在的挽救生命来提高癌症的生存率。这些新的抗肿瘤疗法有明显的不良后果,特别是心脏毒性,使患者无法完全接受癌症治疗,从而增加发病率和死亡率。心血管疾病是非癌症死亡的主要原因。心血管疾病和癌症被认为是造成疾病负担和死亡的第一和第二大常见原因。如今,它们得到了高度的认可,但其缺点在癌症幸存者的预防中仍然具有挑战性。心血管疾病的发生与多种可改变的危险因素有关,包括肥胖、高血压、糖尿病、饮酒、吸烟、年龄、慢性肾脏疾病。预先评估那些最有可能给予心脏保护治疗以改善已有心脏病患者心脏预后的患者。目的探讨在抗癌治疗开始前评估心脏状态对避免心脏毒性的重要性。方法系统的文献综述依赖于收集基于证据的研究数据。检索了40个电子数据库:Cochrane口腔健康组试验注册,Cochrane中央对照试验注册(Central), EMBASE, PsycINFO, Scopus和Web of science, MEDLINE(PubMed)。结果系统评价表明,抗癌治疗与心血管疾病(心脏毒性)之间存在相关性,特别是与患者已有危险因素有关。结论肿瘤学家、血液学家、心脏病学家和初级保健医生之间的密切合作,在多学科环境中共同工作,有效地管理患者。
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引用次数: 0
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Journal of Nursing &amp; Healthcare
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