临床压疮管理简易方法探究

To guarantee the fulfilling of nursing for pressure sores patients efficiently and normatively, we established "The quality evaluation standard of pressure score management", in which the content were comprehensive and the standard were definite.It is widely applied for clinical supervision, unified examination method, to guide clinical work, narrow the difference of evaluation, popularize the knowledge of pressure scores, improve the ability of would disposal, reported compliance rates of high risk of pressure scores increased as well as the rate of cure and nursing care of patients with pressure scores. Nursing care of patients with pressure sore was from passive to active, measures are effectively implemented, the management level of the skin was improved so that it turns out to be a simple and effective method. 为保证压疮护理各项措施的有效、规范落实，制定了《压疮管理质量评价标准》，其涵盖内容全面，工作标准明确。并依此进行临床督导，统一检查方法，指引临床工作，缩小评估差异，普及压疮知识，提高了创面处置能力，高危压疮上报符合率及压疮治愈好转率提高，压疮护理由被动变主动，措施得到有效落实，提高了皮肤管理水平，方法简单有效

Clinical Efficacy of Infantile Massage in the Treatment of Infant Functional Constipation: A Meta-Analysis

Background: Functional constipation in children is a common disease that causes a psychological burden on infants and young children across the world. It will greatly affect infant quality of life in early childhood and even affect their psychological and physical health. At present, infant functional constipation is treated with western drugs alone, but this can produce drug dependency. In recent years, Traditional Chinese Medicine (TCM) infant massage has been used as a complementary and alternative therapy, and its effectiveness and safety have been proven, attracting the attention of numerous researchers.Objective: Our study aimed to compare the influence of infant massage intervention on defecation frequency and consistency, determine the effectiveness, and safety of infant massage in the treatment of infant functional constipation, and obtain high-quality clinical evidence.Methods: Based on the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) Statement, inclusion, and exclusion criteria were formulated. Randomized controlled trials (RCTs) on TCM infant massage for the treatment of infant functional constipation were found following a search of four mainstream medical databases. RCTs found to meet the study's requirement were included; data information was then extracted, and the quality was assessed using the Cochrane bias risk assessment tool. Through RevMan software, a meta-analysis was carried out for overall effective rate, stool form, defecation frequency, defecation difficulty, and constipation symptom scoring index. The relative risk (RR) and 95% confidence interval (95% CI) were calculated, heterogeneity was tested and its source was found, and publication bias was assessed through the Egger's and Begg's tests and by means of funnel plots.Results: A total of 23 RCTs and 2,005 patients were included. The results of the meta-analysis showed that compared to drug therapy alone, TCM infant massage had a superior effect on the treatment of infant functional constipation. This difference was statistically significant (p < 0.05) and evaluated according to the overall effective rate (RR = 1.25; 95% CI = 1.17, 1.33), defecation frequency [mean difference (MD) = −0.72; 95% CI = −0.80, −0.65], and constipation symptom score (MD = −0.81; 95% CI = −1.20, −0.43), showing that TCM infant massage is indeed superior to drug therapy alone in the treatment of infant functional constipation. TCM infant massage was found to be equivalent to drug therapy alone in terms of the stool form score [−0.30 (−0.38, −0.22)] and the defecation difficulty score [−0.73 (−0.81, −0.65)], since the difference was not statistically significant (p > 0.05). The source of heterogeneity might be related to the state of patient, manipulation of the massages, efficacy of drugs in the control group, and difference in judgment criteria for efficacy. The Egger's test and Begg's test showed that publication bias did not occur in our study.Conclusion: TCM infant massage can increase defecation frequency and reduce the symptoms of constipation in children suffering from functional constipation; in addition, the clinical trial showed beneficial effects. Since some of the RCTs featured a very small sample size, the reliability and validity of our study's conclusion may have been affected as well; therefore, the explanation should be treated with some caution. In the future, a large number of higher-quality RCTs are still needed to confirm the results of our study

Linear differential equations with entire coefficients of [p,q]-order in the complex plane

AbstractIn this paper, we firstly investigate the complex high order linear differential equations in which the coefficients are entire functions of [p,q]-order and obtain some results which improve and generalize some previous results in Cao (2009) [3], Chen and Yang (2000) [4], Heittokangas et al. (2006) [12], Kinnunen (1998) [17], Tu and Yi (2008) [20]

Prediction short-term photovoltaic power using improved chicken swarm optimizer - Extreme learning machine model

Photovoltaic power generation is greatly affected by weather conditions while the photovoltaic power has a certain negative impact on the power grid. The power sector takes certain measures to abandon photovoltaic power generation, thus limiting the development of clean energy power generation. This study is to propose an accurate short-term photovoltaic power prediction method. A new short-term photovoltaic power output prediction model is proposed Based on extreme learning machine and intelligent optimizer. Firstly, the input of the model is determined by correlation coefficient method. Then the chicken swarm optimizer is improved to strengthen the convergence. Secondly, the improved chicken swarm optimizer is used to optimize the weights and the extreme learning machine thresholds to improve the prediction effect. Finally, the improved chicken swarm optimizer extreme learning machine model is used to predict the photovoltaic power under different weather conditions. The testing results show that the average mean absolute percentage error and root mean square error of improved chicken swarm optimizer - extreme learning machine model are 5.54% and 3.08%. The proposed method is of great significance for the economic dispatch of power systems and the development of clean energy

A Novel Rough Set Model in Generalized Single Valued Neutrosophic Approximation Spaces and Its Application

In this paper, we extend the rough set model on two different universes in intuitionistic fuzzy approximation spaces to a single-valued neutrosophic environment

The Effects of Aspirin With Combined Compound Danshen Dropping Pills on Hemorheology and Blood Lipids in Middle-Aged and Elderly Patients With CHD: A Systematic Review and Meta-Analysis

Background: Coronary heart disease (CHD) is one of the most common diseases in clinical cardiovascular practice, mainly afflicting the middle-aged and elderly. It will greatly affect elderly quality of life, and even affect their psychological and physical health. At present, CHD is treated with western drugs alone, but this can produce drug dependency. In recent years, Traditional Chinese Medicine (TCM) combine western drugs has been used as a complementary and alternative therapy, and its effectiveness and safety have been proven, attracting the attention of numerous researchers.Objective: Our study aimed to compare the efficacy of Aspirin with Combined Compound Danshen Dropping Pills had a superior effect on the treatment of Hemorheology and Blood Lipids in Middle-aged and Elderly Patients with CHD. Determine the effectiveness and safety of Aspirin with Combined Compound Danshen Dropping Pills in the treatment of CHD, and obtain high quality clinical evidence.Methods: Based on the PRISMA Statement, inclusion and exclusion criteria were formulated. Randomized controlled trials (RCTs) on the Effects of Aspirin with Combined Compound Danshen Dropping Pills on Hemorheology and Blood Lipids in Middle-aged and Elderly Patients with CHD were found following a search of 4 mainstream medical databases. RCTs found to meet the study's requirement were included; data information was then extracted, and the quality assessed using the Cochrane bias risk assessment tool. Through RevMan software, Meta analysis was carried out for overall TC, TG, HDL-C, LDL-C hematocrit, high shear viscosity, low shear viscosity, plasma viscosity, PAGM, and TXB2 effective rate. The relative risk (RR) and 95% confidence interval (95% CI) were calculated; heterogeneity was tested and its source found; publication bias was assessed through the Egger and Begg tests, and by means of funnel plots.Result: 22 RCTs were found, involving 1,987 cases. The results of the Meta analysis showed that, compared to drug therapy alone, Aspirin with Combined Compound Danshen Dropping Pills had a superior effect on the treatment of Hemorheology and Blood Lipids in Middle-aged and Elderly Patients with CHD. The meta analysis results show the effects on TC [MD = −0.91, 95% CI (−1.09, −0.73)], on TG [MD = −0.94, 95% CI (−1.22, −0.66)], on HDL-C [MD = 0.40, 95% CI (0.27, 0.53)], on LDL-C [MD = −0.99, 95% CI (−1.24, −0.74)], on hematocrit [MD = −2.69, 95% CI (−3.73, −1.65)], on high shear blood viscosity [MD = −1.11, 95% CI (−2.18, −0.05)], on low shear viscosity [MD = −0.79, 95% CI (−0.89, −0.68)], on plasma viscosity [MD = −0.26, 95% CI (−0.52, 0.01)], on PAMG [MD = −10.75, 95% CI (−16.84, −4.67)], and on TXB2 [MD = −11.84, 95% CI (−14.75, −8.92)]. The source of heterogeneity might be related to the state of patient, efficacy of drugs in the control group and difference in judgment criteria for efficacy. The Egger test and Begg test showed that publication bias did not occur in our study.Conclusions: The combination of compound dropping pill DSP with aspirin has some therapeutic effect on blood lipids and hemorheology in patients with CHD, ince some of the RCTs featured a very small sample size, the reliability and validity of our study's conclusion may have been affected as well; therefore, the explanation should be treated with some caution. In the future, a large number of higher-quality RCTs are still needed to confirm the results of our study

Design of near allpass strictly stable minimal phase real valued rational IIR filters

In this brief, a near-allpass strictly stable minimal-phase real-valued rational infinite-impulse response filter is designed so that the maximum absolute phase error is minimized subject to a specification on the maximum absolute allpass error. This problem is actually a minimax nonsmooth optimization problem subject to both linear and quadratic functional inequality constraints. To solve this problem, the nonsmooth cost function is first approximated by a smooth function, and then our previous proposed method is employed for solving the problem. Computer numerical simulation result shows that the designed filter satisfies all functional inequality constraints and achieves a small maximum absolute phase error