Objective:To evaluate the effect of sex factors on rewarming in patients with mild hypothermia undergoing lithotripsy for urolithiasis.Methods:In this prospective study, 100 American Society of Anesthesiologists Physical Status classification Ⅰ or Ⅱ patients, aged 18-60 yr, with a body mass index of 18-30 kg/m 2, scheduled for elective lithotripsy for urolithiasis, were divided into 2 groups ( n=50 each) based on sex: male group (group M) and female group (group F). The rewarming measures were as follows: the room was preheated, maintaining a constant temperature of 22-24 ℃, all the patients were covered with medical heating blanket under their bodies, and the inflatable heating apparatus was placed on the surface quilt, and the air supply was placed near the lower limbs of the patients. The parameters were set as follows: temperature 40 ℃, strong wind. If the patients complained of heat, the temperature parameter settings were changed, and the quilt was removed when necessary. If the patients complained of cold, blood transfusion and infusion heating instrument were added, medical heating blanket was turned on, or an anther quilt was used. Body temperature and the number of patients with successful rewarming were recorded on admission to post-anesthesia care unit (T 0) and at 10, 30, 45 and 60 min after rewarming (T 1-4), and at 1, 3 and 5 h after returning to the ward (T 5-7). The comfort scores were assessed while measuring body temperature at T 0 and T 4, and the occurrence of shivering, hypertension, hypotension and arrhythmias was observed. Results:Compared with group F, the body temperature was significantly increased at T 3 and T 4, the success rate of rewarming and incidence of shivering were increased at T 3 ( P<0.05), and no significant change was found in the incidence of hypertension, hypotension and arrhythmias in group M ( P<0.05). Conclusions:Sex factors affect rewarming outcomes in patients with mild hypothermia undergoing lithotripsy for urolithiasis. Females exhibit a slower rewarming rate and less shivering than males.

Objective To review the application scope of risk communication based on eHealth technology in the primary prevention of cardiovascular diseases,so as to provide references for future research and application.Methods A systematic search was conducted in PubMed,Cochrane Library,Embase,Web of Science,CINAHL,PsycINFO,CNKI,Wanfang database,and SinoMed.The search time limit was from the establishment of databases to March 1,2024.The included literature was summarized and analyzed.Results A total of 24 articles were included.The forms of eHealth technology applied in risk communication for primary prevention of cardiovascular include online websites,computerized decision support systems,electronic health records,mobile applications,email,telephone,and text messages.The functions include risk assessment,risk notification,personalized advice,risk tracking and reminders.The outcome indicators include risk perception,physiological indicators,lifestyle and behavior,psychological indicators,feasibility evaluation,decision correlation,doctor-patient communication,intention,risk score,and physician drug prescription.Conclusion The use of eHealth technology in risk communication of cardiovascular diseases has potential value in improving patients'risk perception and promoting healthy behaviors.It is necessary to continuously improve the functions of eHealth technology and enhance its precision and intelligence,so as to better meet the needs of medical staff and patients and promote the efficient implementation of primary prevention of cardiovascular diseases.

Objective:To evaluate the effect of sex factors on rewarming in patients with mild hypothermia undergoing lithotripsy for urolithiasis.Methods:In this prospective study, 100 American Society of Anesthesiologists Physical Status classification Ⅰ or Ⅱ patients, aged 18-60 yr, with a body mass index of 18-30 kg/m 2, scheduled for elective lithotripsy for urolithiasis, were divided into 2 groups ( n=50 each) based on sex: male group (group M) and female group (group F). The rewarming measures were as follows: the room was preheated, maintaining a constant temperature of 22-24 ℃, all the patients were covered with medical heating blanket under their bodies, and the inflatable heating apparatus was placed on the surface quilt, and the air supply was placed near the lower limbs of the patients. The parameters were set as follows: temperature 40 ℃, strong wind. If the patients complained of heat, the temperature parameter settings were changed, and the quilt was removed when necessary. If the patients complained of cold, blood transfusion and infusion heating instrument were added, medical heating blanket was turned on, or an anther quilt was used. Body temperature and the number of patients with successful rewarming were recorded on admission to post-anesthesia care unit (T 0) and at 10, 30, 45 and 60 min after rewarming (T 1-4), and at 1, 3 and 5 h after returning to the ward (T 5-7). The comfort scores were assessed while measuring body temperature at T 0 and T 4, and the occurrence of shivering, hypertension, hypotension and arrhythmias was observed. Results:Compared with group F, the body temperature was significantly increased at T 3 and T 4, the success rate of rewarming and incidence of shivering were increased at T 3 ( P<0.05), and no significant change was found in the incidence of hypertension, hypotension and arrhythmias in group M ( P<0.05). Conclusions:Sex factors affect rewarming outcomes in patients with mild hypothermia undergoing lithotripsy for urolithiasis. Females exhibit a slower rewarming rate and less shivering than males.

Objective To review the application scope of risk communication based on eHealth technology in the primary prevention of cardiovascular diseases,so as to provide references for future research and application.Methods A systematic search was conducted in PubMed,Cochrane Library,Embase,Web of Science,CINAHL,PsycINFO,CNKI,Wanfang database,and SinoMed.The search time limit was from the establishment of databases to March 1,2024.The included literature was summarized and analyzed.Results A total of 24 articles were included.The forms of eHealth technology applied in risk communication for primary prevention of cardiovascular include online websites,computerized decision support systems,electronic health records,mobile applications,email,telephone,and text messages.The functions include risk assessment,risk notification,personalized advice,risk tracking and reminders.The outcome indicators include risk perception,physiological indicators,lifestyle and behavior,psychological indicators,feasibility evaluation,decision correlation,doctor-patient communication,intention,risk score,and physician drug prescription.Conclusion The use of eHealth technology in risk communication of cardiovascular diseases has potential value in improving patients'risk perception and promoting healthy behaviors.It is necessary to continuously improve the functions of eHealth technology and enhance its precision and intelligence,so as to better meet the needs of medical staff and patients and promote the efficient implementation of primary prevention of cardiovascular diseases.

Objective To explore the effect of action research based on group learning in hospice care module for nursing students. Methods 82 students were divided into cooperative learning group (40) and conventional teaching group (42). The cognition and attitude of good death questionnaire was used to evaluate teaching effect before and after teaching of hospice care. After teaching, self-feedback and self-feedback questionnaire were made to evaluate the effect of cooperative learning group. SPSS 17 was used to make comparison of data between groups and within groups, and t test, chi square test or Fisher exact probability 2 were also used . Results There were no difference between two groups of nurses before teaching. The students' cognitive level and attitude in cooperative learning group increased significantly, especially their cognitive level of physiological needs (t=5.398, P=0.001), cognition and attitude of death education in intervention group was higher than control group (t=2.992, P=0.004; t=3.661, P=0.001). Although 95% of the nursing students of the cooperative learning group thought group cooperative studying could improve their interests and cultivated their comprehensive abilities, only 50% could accept this kind of studying methods . Conclusions Action research based on group cooperative studying can improve students' cognitive level and attitude of good death, and it is also good for cultivating their ability of au-tonomous learning, innovation, cooperation, and meanwhile, educational action research is a good way to improve both teaching effect and research ability of teacher staffs, but in practice, students' acceptance of group learning needs to be improved.