Objective To evaluate the methodological quality and measurement attribute quality of the evaluation tool for pediatric palliative care quality assessment tools,and to provide references for medical staff to select the best assessment tools.Methods The PubMed,Embase,Cochrane Library,Web of Science,CINAHL,Scopus,China National Knowledge Infrastructure(CNKI),Wanfang Database,VIP Database,Chinese Biomedical Literature Database,GIN,NGC,NICE,NRAO,medlive,WHO,AAHPM,WHPCA,APHN were searched from inception to March 28,2024.Data were screened and extracted independently by 2 researchers.The consensus-based standards for the selection of health measurement instruments(COSMIN)checklist and quality criteria were employed to evaluate the methodological quality and psychometric properties of the included pediatric palliative care quality assessment tools.Finally,recommendations were formulated based on these evaluations.Results A total of 13 articles were included,involving 9 pediatric palliative care quality assessment tools.Among them,the PICU-QODD,PaPEQu and QCPCI demonstrated good content validity and internal consistency,and are recommended as Grade A.The remaining assessment tools are recommended as Grade B or C.Conclusion The PICU-QODD,PaPEQu and QCPCI are recommended for use,but further validation of their psychometric properties is still needed.

The nuclear magnetic resonance (NMR) thermal control subsystem described in this paper is a newly developed platform-based thermal management solution. It presents critical challenges in system architecture design and core component selection. Therefore, it is necessary to carry out sufficient reliability design and verification work in the design and development stage to ensure its high quality and high reliability. Firstly, based on the statistical and analytical calculation of the client installation data of the benchmark product, the reliability metric of the new research subsystem is determined, and its usage and environmental profile are defined. Secondly, for the reliability metric to be verified, the test based on reliability growth and reliability demonstration is planned and implemented. A customized test platform is built, relevant reliability test parameters are designed, and a long-term test monitoring and recording mechanism is established to ensure the high-quality implementation of reliability tests. Finally, a detailed analysis is carried out on the design defects and failure modes exposed during the reliability test, and corresponding control measures are proposed to achieve the engineering goal of improving product robustness throughout its life cycle.
Equipment Design ; Magnetic Resonance Spectroscopy/instrumentation* ; Reproducibility of Results

Objective To investigate the correlation between CT imaging features and histopathology invasive behaviors in isoat-tenuating and rim-enhancing pancreatic cancer.Methods A retrospective analysis was conducted on the CT imaging,clinical,and pathological data from 34 patients with atypical pancreatic cancer imaging appearances.All patients underwent surgical resection for diagnostic confirmation.Based on contrast attenuation,all cases were divided into isoattenuating group(13 cases)and rim-enhancing group(21 cases).The CT imaging and pathological characteristics of the two groups of lesions were analyzed.Results Significant differences were observed between the isoattenuating group and the rim-enhancing group in terms of lesion location,CT size,presence of necrosis or cystic changes,and common bile duct amputation/dilation.Pathological parameters,including pathological size,patho-logical grade,and T stage,also showed significant variation between the two groups(P＜0.05).No significant differences were found between the two groups in terms of gender,age,main pancreatic duct amputation/dilation,pancreatic parenchymal atrophy,vascular invasion,fat infiltration,nerve invasion,N stage,metastasis,and CA199 value(P＞0.05).Conclusion Isoattenuating pancreatic cancer and rim-enhancing pancreatic cancer,which display distinct contrast attenuation patterns,may exhibit different clinical and pathological characteristics,with potential implications for diagnostic and therapeutic strategies.

Objective To evaluate the methodological quality and measurement attribute quality of the evaluation tool for pediatric palliative care quality assessment tools,and to provide references for medical staff to select the best assessment tools.Methods The PubMed,Embase,Cochrane Library,Web of Science,CINAHL,Scopus,China National Knowledge Infrastructure(CNKI),Wanfang Database,VIP Database,Chinese Biomedical Literature Database,GIN,NGC,NICE,NRAO,medlive,WHO,AAHPM,WHPCA,APHN were searched from inception to March 28,2024.Data were screened and extracted independently by 2 researchers.The consensus-based standards for the selection of health measurement instruments(COSMIN)checklist and quality criteria were employed to evaluate the methodological quality and psychometric properties of the included pediatric palliative care quality assessment tools.Finally,recommendations were formulated based on these evaluations.Results A total of 13 articles were included,involving 9 pediatric palliative care quality assessment tools.Among them,the PICU-QODD,PaPEQu and QCPCI demonstrated good content validity and internal consistency,and are recommended as Grade A.The remaining assessment tools are recommended as Grade B or C.Conclusion The PICU-QODD,PaPEQu and QCPCI are recommended for use,but further validation of their psychometric properties is still needed.

Objective To investigate the correlation between CT imaging features and histopathology invasive behaviors in isoat-tenuating and rim-enhancing pancreatic cancer.Methods A retrospective analysis was conducted on the CT imaging,clinical,and pathological data from 34 patients with atypical pancreatic cancer imaging appearances.All patients underwent surgical resection for diagnostic confirmation.Based on contrast attenuation,all cases were divided into isoattenuating group(13 cases)and rim-enhancing group(21 cases).The CT imaging and pathological characteristics of the two groups of lesions were analyzed.Results Significant differences were observed between the isoattenuating group and the rim-enhancing group in terms of lesion location,CT size,presence of necrosis or cystic changes,and common bile duct amputation/dilation.Pathological parameters,including pathological size,patho-logical grade,and T stage,also showed significant variation between the two groups(P＜0.05).No significant differences were found between the two groups in terms of gender,age,main pancreatic duct amputation/dilation,pancreatic parenchymal atrophy,vascular invasion,fat infiltration,nerve invasion,N stage,metastasis,and CA199 value(P＞0.05).Conclusion Isoattenuating pancreatic cancer and rim-enhancing pancreatic cancer,which display distinct contrast attenuation patterns,may exhibit different clinical and pathological characteristics,with potential implications for diagnostic and therapeutic strategies.

Rosacea is a chronic facial inflammatory skin disease. It has been proved that heredity, immunity, neurovascular disorders, microorganisms, skin barrier damage and ultraviolet rays are closely related to the occurrence of rosacea. However, the exact pathogenesis of rosacea has not been fully elucidated. This review summarizes recent advances in the pathogenesis of rosacea in the past 5 years.

The monitoring unit used in the nuclear magnetic resonance system,as an important unit of the system,faces a high thermal risk during its entire life cycle.This paper ensures the high efficiency and reliability of the thermal design of the product module from the two dimensions of structural design and device derating design.In order to reduce the risk of thermal design of electronic modules and comprehensively verify the effectiveness of thermal design of electronic modules,the design verification is carried out by combining simulation and experiment.In the simulation process,by establishing a thermal simulation model at the circuit board level,the crustal temperature of the core device is numerically calculated,and the index is compared with the thermal design index value and the test value,on the one hand,to verify the correctness of the simulation model.On the other hand,the validity of thermal design is verified.In the testing process,a thermal test platform for product modules is built,and the thermal characteristics test values of the core components of the module under extreme electrical conditions are obtained,and the corresponding conversion methods are used to predict the thermal performance and thermal design margin of the product at different altitudes.The results show that the electronic module can meet the thermal design requirements in terms of structural design and derating design of core components,and can ensure that the product module can work safely and reliably during the entire life cycle of the NMR system.

Objective:To investigate the mediating effect of spiritual health between emotional intelligence and humanistic care ability of nursing undergraduates, and to provide reference for cultivating humanistic care ability of nursing undergraduates.Methods:From May to July, 2023, the nursing undergraduates from Hunan University of Traditional Chinese Medicine, Hunan Normal University, Xi'an Medical College were selected as the research objects by convenient sampling method, and they were investigated by general information questionnaire, spiritual health scale, emotional intelligence scale and humanistic care ability scale.Using AMOS 29.0 to construct a structural equation model, this paper explored the mediating effect of spiritual health between emotional intelligence and humanistic care ability of nursing undergraduates.Results:Finally, 1 126 valid questionnaires were collected. Among 1 126 nursing undergraduates, there were 229 males and 897 females. The total scores of spiritual health, emotional intelligence and humanistic care ability of nursing undergraduates were (90.60 ± 11.02), (126.01 ± 11.90), (174.27 ± 15.16) points, respectively. The humanistic care ability of nursing undergraduates was positively correlated with spiritual health and emotional intelligence ( r=0.441, 0.417; both P<0.01), emotional intelligence and spiritual health were positively correlated ( r=0.397, P<0.01). Spiritual health had some mediating effects between emotional intelligence and humanistic care ability, and the amount of mediating effects was 32.24%. Conclusions:The humanistic care ability of nursing undergraduates is at a medium level, and emotional intelligence can influence humanistic care ability through spiritual health. Therefore, it is suggested that nursing educators should add courses and practical activities related to spiritual health in the training plan of nursing students to promote their emotional intelligence and humanistic care ability.

Objective:To conduct visual analysis of neonatal hospice care based on Web of Science database and explore the research hotspots and frontiers, so as to provide reference for the development of neonatal hospice care in China.Methods:The literatures related to neonatal hospice care included in the core collection of Web of Science from 1991 to 2023 were retrieved and screened. CiteSpace 6.1.R6 was used for visual analysis from the aspects of author, country/region, institution, journal co-citation frequency, keyword knowledge map and so on.Results:A total of 1 452 articles were included, and the number of articles was on the rise. The United States, the United Kingdom and Canada occupied the core position of neonatal hospice care related research. Research hotspots included hospice care for different stages and types of diseases, key links in neonatal intensive care unit hospice care, innovation in neonatal hospice care service models, the needs and psychological support strategies of family members and medical staff. The forefront of research focused on the role and challenges of healthcare professionals in hospice care, disease diagnosis and ethical dilemmas related to decision-making.Conclusions:China can learn from international research hotspots and frontiers to explore the applicability of different hospice service models, enrich research types, strengthen guidance at the level of laws and policies, improve education and training systems and build a neonatal hospice service system that conforms to national conditions and culture in China.

Neonatal hypoglycemia is one of the most common metabolic conditions in newborns.A considerable proportion of newborns are evaluated to be at risk of hypoglycemia，and transitional hypoglycemia is common in healthy newborns.A correlation between severe and prolonged hypoglycemia and neonatal hypoglycemic brain damage（HBD）in newborns has been proven.Factors such as hypoglycemia，glucose reperfusion，and blood glucose fluctuations are all involved in the damage process of HBD to a certain extent.This article reviews the relevant definitions of neonatal hypoglycemia，the characteristics of neonatal blood glucose metabolism，the related mechanisms of HBD，and possible treatment strategies to improve its prognosis.