血液透析患者的中医药治疗及中医护理现状

This paper aims to present situation of traditional Chinese medicine therapy and nursing of hemodialysis patients, to review relevant literature on hemodialysis and to analyze and understand the hemodialysis patients with traditional Chinese medicine therapy and nursing. It is put forward that the future research should focus on specification of hemodialysis lateral comparative evaluation development, etc., in order to standardize and form evidence-based prevention intervention in hemodialysis patients with complications, better improve the quality of survival in hemodialysis patients.综述血液透析患者的中医药治疗及护理现状，通过有关血液透析的相关文献整理研究，分析了目前血液透析患者的中医药治疗干预及护理现状，提出了今后血液透析的中西医结合研究应着眼于技术规范、横向比较评价、继承创新等，以建立规范、形成标准，做到有据可循地防治血液透析患者的并发症，更好地提高血液透析患者的生存率与生存质量，促进患者回归社会

Age as a risk factor for acute mountain sickness upon rapid ascent to 3,700 m among young adult Chinese men.

BackgroundThe aim of this study was to explore the relationship between age and acute mountain sickness (AMS) when subjects are exposed suddenly to high altitude.MethodsA total of 856 young adult men were recruited. Before and after acute altitude exposure, the Athens Insomnia Scale score (AISS) was used to evaluate the subjective sleep quality of subjects. AMS was assessed using the Lake Louise scoring system. Heart rate (HR) and arterial oxygen saturation (SaO2) were measured.ResultsResults showed that, at 500 m, AISS and insomnia prevalence were higher in older individuals. After acute exposure to altitude, the HR, AISS, and insomnia prevalence increased sharply, and the increase in older individuals was more marked. The opposite trend was observed for SaO2. At 3,700 m, the prevalence of AMS increased with age, as did severe AMS, and AMS symptoms (except gastrointestinal symptoms). Multivariate logistic regression analysis showed that age was a risk factor for AMS (adjusted odds ratio [OR] 1.07, 95% confidence interval [CI] 1.01-1.13, P<0.05), as well as AISS (adjusted OR 1.39, 95% CI 1.28-1.51, P<0.001).ConclusionThe present study is the first to demonstrate that older age is an independent risk factor for AMS upon rapid ascent to high altitude among young adult Chinese men, and pre-existing poor subjective sleep quality may be a contributor to increased AMS prevalence in older subjects

Revisiting Parallel Context Windows: A Frustratingly Simple Alternative and Chain-of-Thought Deterioration

We identify two crucial limitations in the evaluation of recent parallel-integrated method Parallel Context Windows (PCW), which extends the maximum context lengths of language models, e.g., 2048 for LLaMA, by harnessing window-wise attention and positional embedding techniques. We first show that a simple yet strong baseline, weighted sum ensemble, is missing for the in-context few-shot classification. Moreover, on more challenging Chain-of-Thought (CoT) reasoning (e.g., HotpotQA), PCW would present unexpected deterioration regarding question miscomprehension and false inference. Based on our findings, we suggest that the existing PCW design may not guarantee sufficient improvement and practicality in handling lengthy documents in real-world applications. More community efforts on enabling language models' long context understanding ability should be paid