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相关概念视频

Pulse rhythm01:30

Pulse rhythm

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Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
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Dopamine receptor antagonists, also known as antipsychotic agents, are critical in managing chemotherapy-induced vomiting. These antiemetic agents block dopamine receptors in the chemoreceptor trigger zone (CTZ), inhibiting signal transmission to the vomiting center. Antipsychotic agents encompass phenothiazines (PTZ), butyrophenones, benzamides, and thienobenzodiazepines (Zyprexa), which are utilized for their antiemetic and sedative properties.
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5-HT3 receptor antagonists, such as dolasetron, granisetron (Kytril), ondansetron (Zofran), and palonosetron (Axoli), are crucial in managing chemotherapy-induced nausea and vomiting (CINV) and postoperative nausea. These drugs selectively block 5-HT3 receptors in the visceral vagal and spinal afferent nerves, chemoreceptor trigger zone, and the vomiting center. They have a rapid onset of action and can be given as a single dose before chemotherapy. Ondansetron and granisetron, in particular,...
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Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
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化学疗法患者报告症状监测系统的成本效益组件

Kathi Mooney1, Minkyoung Yoo2, Elizabeth S Sloss1

  • 1University of Utah College of Nursing, Salt Lake City.

JAMA network open
|November 10, 2025
PubMed
概括

完整的症状护理在家 (SCH) 干预,一个电子患者报告结果 (ePRO) 系统,被证明是最具成本效益的管理癌症症状负担. 综合的ePRO系统提高了护理质量,降低了成本.

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科学领域:

  • 在瘤学瘤学.
  • 卫生经济学 卫生经济学
  • 数字健康数字健康

背景情况:

  • 电子患者报告结果 (ePRO) 系统有助于管理癌症症状负担.
  • 很少有研究评估了单个ePRO组件的成本效益.

研究的目的:

  • 确定成人癌症患者在家症状护理 (SCH) ePRO系统中最具成本效益的组件.
  • 评估自动化自我管理指导和执业护士 (NP) 后续的组合.

主要方法:

  • 经济评估使用5组随机临床试验的数据.
  • 使用了马尔科夫模拟模型和增量成本效益比率 (ICER).
  • 费用包括症状负担,住院,急诊和系统开发/操作.

主要成果:

  • 完整的SCH干预表明了最高的成本效益.
  • 对于完整的SCH与仅NP的随访,ICER是4957美元.
  • 完整的SCH在各种支付意愿值中具有成本效益的可能性最高.

结论:

  • 整体的SCH干预,整合所有组件,是最具成本效益的策略.
  • 综合性ePRO系统通过减少症状负担来改善患者的生活质量.
  • 以价值为导向的医疗保健支持使用综合的ePRO系统来管理癌症症状.