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Objective To analyze the consistency between computer tomography angiography(CTA)and digital subtraction angiography(DSA)in evaluating the global limb anatomic staging system(GLASS)stage of patients with chronic limb-threatening ischemia(CLTI).Methods The clinical data of patients with CLTI,who were admitted to the First Affiliated Hospital of Xi'an Jiaotong University of China to receive treatment between January 2017 and December 2020,were retrospectively analyzed.Taking the DSA assessment as the gold standard,the consistency of CTA and DSA in evaluating the GLASS stage of patients with CLTI was analyzed.Results In the assessment of GLASS stage of CLTI,CTA showed strong agreement with DSA.The weighted Kappa coefficient of CTA and DSA for the staging of femoropopliteal segment was 0.798(95％CI=0.722-0.873,P＜0.01),and the weighted Kappa coefficient of CTA and DSA for the staging of infrapopliteal artery segment was 0.785(95％ CI=0.725-0.845,P＜0.0l).For the overall staging of GLASS,the weighted Kappa coefficient of CTA and DSA was 0.832(95％ CI=0.752-0.91 1,P＜0.01).All the above results indicated that a very strong consistency existed between CTA and DSA in evaluating the GLASS stage of patients with CLTI.Conclusion CTA examination of lower limb can accurately evaluate GLASS score and stage of CLTI patient's target lesions,which is helpful in diagnosing lower extremity arteriosclerosis occlusion disease as well as in assessing the technical difficulty degree of its revascularization operation.(J Intervent Radiol,2024,33:300-303)
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OBJECTIVE: To investigate the relationship among resilience,job burnout and subject well-being( SWB) in prison staffs. METHODS: A cluster random sampling method was used to select 226 prison staffs in a city of Shandong Province as the study subjects. Chinese Adults Resilience Scale,Maslach Burnout Inventory-General Survey and General Well-Being Segment Scale were used for investigating resilience,job burnout and SWB in these subjects. RESULTS: The total score of job burnout was negatively correlated with total SWB score( P < 0. 01). The total score of resilience was positively correlated with total score of SWB( P < 0. 05). Psychological resilience,job burnout and demographic factors could explain 51. 6% of the variation of SWB. Psychological resilience plays a moderating role between job burnout and SWB( indirect effect values were-6. 27,-5. 03 and-3. 79 in the low-,medium-and high-resilience groups,respectively). CONCLUSION: Psychological resilience is helpful to reduce the occurrence of job burnout,and has a positive impact on SWB. Resilience plays a moderating role between job burnout and SWB.
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The empirical study was carried out over 276 from medical students with EOM-EIS-2 and General Well-Being Schedule as instruments.The data collected were analyzed statistieally by SPSS17.0.Results suggest that:there are no phenomenal grade differences in relation to self-identity,ideology and interpersonal relationship;the gender differences exist in relation to self-identity,ideology and interpersonal relationship;there ale no significant grade and gender differences in subjective well-being;there are correlations between some sorts of self-identity and subjective well-being.
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A total of 203 hypertensive patients with established health files received standard disease management for 1 year. We found that the patients who underwent grade 2 or 3 management showed statistically significant difference in exercise, salt and oil restriction, body mass index (BMI), waist to hip ratio, blood pressure, and blood-lipid from baseline (all P < 0.05). Hypertension awareness, behavior improvement, and disease control had statistically significant difference from baseline in all the patients (P < 0.05 or P < 0.001). After one year's intervention, the patient number in each grade was largely changed. Our study suggests that hierarchical hypertension management might be practical and effective in communities.