Care

摘要： Introduction: Delay in recognizing newborn health problems and delay in accessing quality care contribute to a high number of newborn deaths. The objective of this work was to study the practice of essential newborn care. Patients and method: This was a descriptive study on critical care newborns at the referral health Center of the Commune 5 (CSRéf C5) Bamako from 1st April to 31 May 2018. The acquisition, processing and data analysis were done on SPSS software. Results: The average age of the patients was 24.8 years. They were out of school and knew about the importance of prenatal consultations (83.3%). The majority of health workers were Nurses and Obstetricians (59.3%). The effective care (100%) given to the newborns was anthropometric measurements of the newborn and identification of the newborn. Treatments such as stimulated drying, skin-to-skin contact, warming, and administration of vitamin K1 were each administered at over 90%. The fight against heat loss by the head (14.1%) and early latching (41.5%) were insufficiently administered. Cord care was not provided at the Hospital prior to discharge for contextual reasons. The administration of ocular antiseptics was not administered in the hospital. Conclusion: The administration of essential newborn care at the referral health Center of the Commune 5 in Bamako has shortcomings.

摘要： 本研究是国家卫健委基层司指导,盖茨基金会支持的试点项目。项目2017年启动,覆盖4个省13个县。所谓“基本卫生保健”(primary health care,PHC),过去翻译为“初级卫生保健”,将primary翻译成“基本”,是为了更准确地体现出“基本”这个核心。所谓“全面”,就是全方位对健康实施管理。

摘要： Optimum care for patients with a terminal illness is dependent on understanding their values,beliefs,and preferences on end-of-life issues and providing service that meets their preferences.As the only way to explore patients’living wills,advance care planning(ACP)is an important means to honor patient autonomy and respect their human rights and dignity.ACP has been recognized as a key indicator for quality palliative care and endorsed into national health systems by many high-income countries;however,it is little known in China's Mainland.China is now facing a growing aging and terminally ill population with many unmet needs for end-of-life care;therefore,it is imperative to implement ACP in China.In this review,we clarify the relevant concept and suitable population for ACP,describe the current situation of implementation in high-income countries,and provide better suggestions for the future development of ACP in the mainland of China.

摘要： Introduction: Tetanus portals of entry are numerous. Amongst these, the carerelated portals of entry are rarely reported. The aim of the study was to describe the epidemiological, clinical and outcome aspects and identify the factors associated with death from care-related tetanus. Patients and Methods: This is a retrospective study of descriptive and analytical purposes. Data were collected from the medical records of patients admitted to the Infectious and Tropical Diseases Department of the National University Hospital Center (CHNU) of Fann in Dakar for care-related tetanus during the period ranging from 1 January 2009 to 31 December 2016. Care-related tetanus was defined as any case of tetanus occurring after a surgical procedure, including circumcisions performed even outside a health facility. Results: In eight years, 50 cases of care-related tetanus were recorded. Care-related tetanus accounted for 6.7% of hospitalized tetanus cases. The mean age of patients was 21 ± 22 years, with a male predominance (sex ratio: 6.14). The procedure had been performed in most cases, either in a health facility in 22 patients (44%) or at home in 16 patients (32%), and occurred after circumcision. In 62% of cases the portal of entry was urological, followed by orthopedic surgery (14%) and visceral surgery (10%). The procedures performed were dominated by circumcision (31 cases), limb amputation (3 cases) and inguinal hernia repair (2 cases). Tetanus was immediately generalized on admission in all patients. Eighty-four percent (84%) of patients were admitted with Mollaret stage II. Cardiovascular (11 cases), infectious (10 cases) and respiratory (9 cases) complications were the most frequent. The hospital case fatality rate was 24%. Factors associated with death were female gender (p = 0.03), age between 15 - 60 years (p = 0.02), incubation time Conclusion: Care-related tetanus remains a concern in poor income countries, particularly in Senegal. The drop of these cases will require better immunization coverage of the population. It is also appropriate to raise the awareness of health care providers and surgeons and to promote capacity building for better prevention of cases through sero-immunization of patients at risk before the procedure and rigorous asepsis.

摘要： 发布日期:2022年6月28日召回级别:美国食品药品管理局(FDA)将本召回识别为I类召回,是最严重的召回类型。使用这些器械可能造成严重损伤或死亡。召回产品:2019年4月1日当天或之后制造的CARESCAPE R860/Engstrom Carestation/Engstrom PRO呼吸机备用电池和替换备用电池。产品用途:CARESCAPE R860呼吸机可为体重0.25 kg及以上的婴儿(新生儿)、儿童(儿科)和成人患者提供机械通气或呼吸支持。CARESCAPE R860呼吸机通过接地插座使用主交流电源进行操作,同时配有一个备用电池,用于在主交流电源不可用的情况下(如在患者运输过程中)保持呼吸机在一定时间内运行。当原始备用电池过期时,公司可提供备用电池更换件。

摘要： 8年前,设计师李决定辞职创立一个母婴品牌Babycare。当时,母婴赛道仍以线下为主,一二线城市用户热衷于海淘外国品牌。李阔觉得,行业还不完美,产品、定价、供应链都存在不合理之处。8年后的今天,Babycare的年销售额已高达几十亿,全球用户超过4500万,每年双十一的GMV保持平均150%的增速。Babycare的目标用户是中国中产群体,涉及全品类,从孕期开始到宝宝生长到6岁的所有用品,包括零辅食、童装等。

摘要： 隐患排查是安全生产的基础性工作,是发现安全隐患的基本手段和途径。隐患排查应基于一定的方法,在一定指导原则下科学合理地组织实施,以更加精准高效地发现安全隐患,有效预防和遏制安全事故。在长期隐患排查和安全执法实践基础上,笔者尝试提出一种全新的隐患排查方法,即“I CARE”安全生产隐患排查法(以下简称“I CAR£”排查法),以期对隐患排查工作提供理论指导和技术工具,更好地发挥预防安全事故的作用。

摘要： 目的 评估药品安全性个案报告(Case Report,CARE)的规范性,以提高个案报告的完整度和透明度,为药品不良反应的确证和因果推断提供足够的信息支持.方法 根据CARE清单要求,分析《中国药物警戒》期刊2010～2019年期间发表个案报告的情况.结果 《中国药物警戒》期刊在2010～2019年期间发表个案报告508篇,主要报告内容为药品安全性.按照CARE清单要求报告的14个条目,平均每篇文章报告了5.85个条目,其中随访和结果部分的报告较为全面,不良反应和意外事件的产生、处理及结果也均有详细描述,但对患者的情况描述仅限于现阶段的检测结果,病例局限性报告不充分.结论 建议根据CARE清单要求,个案报告应详细报告患者的既往史,体现诊断的思维过程,适当辅以患者自身观点或体验,从而使个案报告更准确、透明,利于判断药品不良反应带来的影响,推断药品与事件的因果关系.

摘要： 【世界核新闻网站2021年7月7日报道】根据阿根廷国家原子能委员会(CNEA)与阿根廷核电公司(NASA)2021年7月2日签署的合同,阿核电将作为原委会的承包商在3年内完成CAREM-25首堆建设。这座反应堆位于阿图查核电厂附近,2014年2月开工建设,但其建设多次陷入停滞。

摘要： 学界曾围绕关怀伦理与儒家伦理的关系展开激烈的讨论,其争论的焦点是儒家的"仁"与关怀伦理中的care是否在哲学基础上具有同一性.其实,关怀伦理学在其理论的发展过程中就有意识地期待超越女性主义的性别经验,成为一种更为普遍的道德体系.韩玉胜则将儒家伦理建构为基于行为主体道德情感的关怀伦理学,试图从人类普遍道德存在而不是以往女性主义的视角来理解关怀伦理,进而在关怀的框架内系统性地阐释了儒家的关怀伦理思想.在此建构的基础上,既为现代人所亟需的道德文化提供了可资借鉴的道德资源,又提供了中西方伦理对话中的一个合理切入点.

摘要： 本发明涉及一种重组羧酸酯酶D-1CarE5的制备方法及其在农药马拉硫磷降解中的应用。用大肠杆菌羧酸酯酶D-1CarE5工程菌，经α-乳糖诱导表达16h，产生大量的可溶性重组羧酸酯酶D-1CarE5蛋白，使用Ni

摘要： 本发明涉及一种羧酸酯酶D-1CarE5及其基因。其氨基酸序列如SEQIDNO.1所示。且本发明提供了上述羧酸酯酶的编码基因D-1CarE5，羧酸酯酶基因D-1CarE5的重组载体和羧酸酯酶基因D-1CarE5的重组菌株。本发明的羧酸酯酶具有以下性质：以α-乙酸萘酯为底物：最适温度40°C；最适pH7.38；终浓度1mM的金属离子Mn

摘要： 本发明公开了一种羧酸酯酶D-1CarE3细胞表面展示系统及全细胞催化剂其制备方法及应用，该表面展示体系构建方法为：利用来源丁香假单胞菌的人工合成截短冰核蛋白的NC端为锚定蛋白与靶蛋白羧酸酯酶D-1CarE3融合构建了原核表达载体pET28NCD3，并将其转化到大肠杆菌BL21中，构建了羧酸酯酶D-1CarE3的大肠杆菌细胞表面展示工程菌BL21/pET28NCD3。在T7强启动子作用下，经IPTG诱导表达，成功实现了羧酸酯酶D-1CarE3细胞表面活性的展示，并使用超低温冷冻干燥法制备全细胞催化剂D-1CarE3。全细胞催化剂D-1CarE3可应用于环境农残污染的处理。

摘要： 本发明涉及一种重组羧酸酯酶D-1CarE5的制备方法及其在农药马拉硫磷降解中的应用。用大肠杆菌羧酸酯酶D-1CarE5工程菌，经α-乳糖诱导表达16h，产生大量的可溶性重组羧酸酯酶D-1CarE5蛋白，使用Ni

摘要： 本发明涉及一种羧酸酯酶D-1CarE5及其基因。其氨基酸序列如SEQIDNO.1所示。且本发明提供了上述羧酸酯酶的编码基因