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1.
Medicine (Baltimore) ; 103(7): e37077, 2024 Feb 16.
Article in English | MEDLINE | ID: mdl-38363926

ABSTRACT

To examine the factors that contribute to patient delays among individuals with chronic kidney disease (CKD) and offer insights to help develop specific risk management strategies. Conducted as a cross-sectional study between September 2021 and April 2022, this study used a convenient sampling technique to select 245 individuals diagnosed with CKD from a Grade 3 Class A hospital located in Shanxi Province. These individuals were chosen as the subjects of the study. The research participants underwent an investigation using several assessment tools, including socio-demographic information questionnaire, medical behavior, the social support rating scale, the simplified coping style questionnaire, and the General Self-efficacy Scale. The study revealed that 35.4% of individuals with CKD experienced patient delay (the interval between the initial onset and the time of seeking medical attention being longer than or equal to 3 months). Through a multifactorial logistic regression analysis, it was determined that various factors independently influenced patient delay in patients with CKD. These factors included the level of knowledge about CKD, educational level, frequency of attending physical examinations, severity of initial symptoms, social support, self-efficacy, positive coping, and negative coping. Numerous factors contribute to the Patient Delay. To effectively enhance awareness and coping abilities regarding CKD in high-risk groups, it is essential to implement focused and continuous interventions throughout the medical seeking process.


Subject(s)
Renal Insufficiency, Chronic , Humans , Cross-Sectional Studies , Renal Insufficiency, Chronic/therapy , Self Efficacy
2.
Medicine (Baltimore) ; 102(48): e36428, 2023 Dec 01.
Article in English | MEDLINE | ID: mdl-38050199

ABSTRACT

This study aimed to investigate the reasons for patient delay in chronic kidney disease (CKD) and provide a scientific basis for implementing effective interventions. With the adoption of the phenomenological method in qualitative research, semi-structured, face-to-face interviews were conducted with 14 cases, and the Colaizzi seven-step analysis method was used to analyze the interview data and refine the themes. A total of 4 themes were obtained, namely, a cognitive explanation of illness, negative psychological emotions, socioeconomic levels, and limited medical resources. The current status of patient delay in chronic kidney disease is serious, and there are various reasons for it. Health management departments and healthcare providers at all levels should pay attention to this situation and provide targeted supportive interventions and health education to help patients establish the correct awareness of medical consultation and effectively improve their quality of survival.


Subject(s)
Renal Insufficiency, Chronic , Humans , Renal Insufficiency, Chronic/therapy , Renal Insufficiency, Chronic/psychology , Qualitative Research , Health Personnel , Health Education
3.
Ann Med Surg (Lond) ; 85(11): 5538-5549, 2023 Nov.
Article in English | MEDLINE | ID: mdl-37915709

ABSTRACT

Background: Bacterial biofilms, which can protect bacteria from host immune response and drug attack, are an important factor in the difficult healing of chronic wound infection, which has become a major problem in medical development. This paper aimed to analyze literature related to bacterial biofilm wound treatment published between 2012 and 2022 using bibliometric and visual analysis. Methods: Publications related to bacterial biofilm wound treatment from 2012 to 2022 were selected from the Web of Science Core Collection. Microsoft Excel 2021, bibliometrics, CiteSpace6.1, and VOSviewer1.6.18 were used to extract and analyze data. Results: A total of 940 articles were published between 2012 and 2022, with the United States being the leading country (with 302 papers, 32.13%) and the University of Copenhagen in Denmark being the leading institution (with 26 published articles) in the field. Steven L Percival, a British academic, published the most articles (14). In the field of bacterial biofilm wound treatment, keywords suggested that the research gradually transitioned from lower limb venous ulcer, negative pressure-assisted healing to chronic wound, in-vitro bacterial biological model research, and then to the development of more microscopic and more advanced technologies such as antibacterial activity and nanomaterials. "Nanoparticles", "inhibition/antibacterial", "delivery", "gold nanoparticles", "hydrogel", "wound healing", etc., may become new research hotspots in this field. Conclusion: There is a lack of specific and effective treatment methods for diagnosing and treating bacterial biofilms in wounds. Through the development of multidisciplinary cooperation, early diagnosis and treatment of bacterial biofilms in wounds can be achieved. These data may provide a useful reference for scholars studying more effective bacterial biofilm wound treatment.

4.
J Biophotonics ; 16(9): e202300108, 2023 09.
Article in English | MEDLINE | ID: mdl-37260409

ABSTRACT

We proposed a novel method to separate static and dynamic speckles based on spatial frequency domain filtering. First, the raw speckle image sequence is processed frame by frame through 2D Fourier transform, low-pass and high-pass filtering in the spatial frequency domain, and inverse Fourier transform. Then, we can obtain low- and high-frequency image sequences in the spatial domain. Second, we averaged both sequences in the time domain. After the above processing, we obtain the mean intensities of the dynamic and static speckle components in the spatial domain. Finally, we calculated the time-averaged modulation depth to map the 2-D blood flow distribution. Both phantom and vivo experiments demonstrated that the proposed method could effectively suppress the background non-uniformity and has the advantage of high computational efficiency. It also can effectively improve image contrast, contrast-to-noise ratio, and imaging dynamic range.


Subject(s)
Algorithms , Laser Speckle Contrast Imaging , Diagnostic Imaging , Phantoms, Imaging , Hemodynamics
5.
Contrast Media Mol Imaging ; 2022: 2071893, 2022.
Article in English | MEDLINE | ID: mdl-35854764

ABSTRACT

Chronic kidney disease (CKD) is one of the serious diseases that lead to a series of metabolic disorders, and its process is irreversible. In order to explore the intervention effect of the new nursing team intervention program in patients with CKD, 100 patients with CKD from May 2020 to May 2021 were randomly selected in this paper and divided into the traditional group and the combined group. The comparison of clinical nursing shows that the new nursing team management model improves the compliance, self-management efficiency, and quality of life of patients with CKD, which is worth recommending in nursing practice.


Subject(s)
Quality of Life , Renal Insufficiency, Chronic , Humans , Renal Insufficiency, Chronic/therapy , Self Efficacy
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