storage

存储
  • 文章类型: Journal Article
    背景:样品处理策略的选择是代谢组学工作流程中的关键步骤。固相微萃取(SPME)是一种样品处理方法,具有在组织样品的非靶向代谢组学中使用的巨大潜力。然而,它的使用不像其他涉及组织收集步骤的标准协议那样广泛,代谢猝灭,均质化,和通过溶剂提取代谢物。由于SPME允许我们在组织样本中的一个动作中执行所有这些步骤,除了其他优点,有必要知道这种方法产生的代谢组和脂质组的覆盖率和性能是否与经典方法相似或相当.
    结果:将SPME和固液萃取(Homo-SLE)样品处理方法应用于健康小鼠肾脏组织,其次是全面的代谢组学和脂质组学分析。此外,已经测试了组织的冷冻和储存是否会导致肾脏代谢组和脂质组的改变,因此,对新鲜和冷冻组织样本进行了分析。脂质组学分析显示,在人SLE组中,仅存在不同结构的膜和细胞内脂质。相反,两组均检测到所有带注释的代谢物.值得注意的是,样品的冷冻主要导致大多数脂质种类的水平降低和氨基酸等代谢物的增加,嘌呤,和嘧啶。这些改变主要通过SPME方法以统计学上显著的方式检测。最后,两种方法的样本在所有分析中都显示出正相关。
    结论:这些结果表明,在SPME处理中,只要在平衡前动力学状态下进行非详尽提取的基本原理,在组织局部区域提取,考虑到纤维涂层的化学性质和组织的非均匀化,是一种很好的方法,用于肾组织代谢组学;因为这种方法提供了一个易于使用的,高效,和较少侵入性的方法,简化了不同的样品处理步骤。
    BACKGROUND: The selection of the sample treatment strategy is a crucial step in the metabolomics workflow. Solid phase microextraction (SPME) is a sample processing methodology with great potential for use in untargeted metabolomics of tissue samples. However, its utilization is not as widespread as other standard protocols involving steps of tissue collection, metabolism quenching, homogenization, and extraction of metabolites by solvents. Since SPME allows us to perform all these steps in one action in tissue samples, in addition to other advantages, it is necessary to know whether this methodology produces similar or comparable metabolome and lipidome coverage and performance to classical methods.
    RESULTS: SPME and homogenization with solid-liquid extraction (Homo-SLE) sample treatment methods were applied to healthy murine kidney tissue, followed by comprehensive metabolomics and lipidomics analyses. In addition, it has been tested whether freezing and storage of the tissue causes alterations in the renal metabolome and lipidome, so the analyses were performed on fresh and frozen tissue samples Lipidomics analysis revealed the exclusive presence of different structural membrane and intracellular lipids in the Homo-SLE group. Conversely, all annotated metabolites were detected in both groups. Notably, the freezing of the sample mainly causes a decrease in the levels of most lipid species and an increase in metabolites such as amino acids, purines, and pyrimidines. These alterations are principally detected in a statistically significant way by SPME methodology. Finally, the samples of both methodologies show a positive correlation in all the analyses.
    CONCLUSIONS: These results demonstrate that in SPME processing, as long as the fundamentals of non-exhaustive extraction in a pre-equilibrium kinetic regime, extraction in a tissue localized area, the chemistry of the fiber coating and non-homogenization of the tissue are taken into account, is an excellent method to use in kidney tissue metabolomics; since this methodology presents an easy-to-use, efficient, and less invasive approach that simplifies the different sample processing steps.
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  • 文章类型: Journal Article
    莲花根茎是一种重要的水生蔬菜,但莲花表皮变黑严重影响其外观和品质,这使得莲子产品无法销售。在这项研究中,研究了多酚和铁对LRE颜色的影响,探讨了LRE发黑的可能机理。结果表明,泥浆处理(MT)组中可测量的总酚含量显着降低,与瘀伤治疗组相比,总铁含量显着增加(p<0.05)。高效液相色谱结果表明,LRE中主要的多酚为多巴,gallocatechin,和儿茶素,以及少量的儿茶酚,表儿茶素,原花青素B2和原花青素C1。此外,色差和紫外吸收光谱结果表明,多巴呈明显的黑色或棕灰色(525nm),gallocatechin(504.5nm),和儿茶素(550和504.5nm)与FeCl2。LRE的模拟系统处理进一步证实,多巴和铁在挫伤LRE中的色度效应与MT组相似,而1%(w/w)抗坏血酸,2%(w/w)EDTA-2Na,或3%(w/w)柠檬酸可以单独阻止变黑。这表明LRE中的多巴和泥浆中的FeCl2可能主要通过非共价相互作用结合成[2(DOPA-2H+)+Fe3+]。这导致在中性条件下擦伤的LRE变黑。这些结果可以指导莲子的贮藏,促进莲子产业的发展。
    Lotus rhizome is an important aquatic vegetable, but the blackening of lotus rhizome epidermis (LRE) seriously affects its appearance and quality, which makes lotus rhizome products unmarketable. In this study, the effects of polyphenols and iron on the LRE color were studied to explore the possible mechanism of LRE blackening. Results indicated that the measurable total phenols contents in the mud treatment (MT) group were significantly reduced, and the total iron contents were significantly increased compared with the bruised treatment group (p < 0.05). The high-performance liquid chromatography results showed that the main polyphenols in LRE were dopa, gallocatechin, and catechin, as well as a small amount of catechol, epicatechin, proanthocyanidin B2, and proanthocyanidin C1. Moreover, the results of color difference and ultraviolet adsorption spectroscopy showed that there were obviously black or brown-gray of dopa (525 nm), gallocatechin (504.5 nm), and catechin (550 and 504.5 nm) with FeCl2. The simulated system treatment of LRE further confirmed that the chromaticity effect of dopa and iron in bruised LRE was similar to that of the MT group, whereas 1% (w/w) ascorbic acid, 2% (w/w) EDTA-2Na, or 3% (w/w) citric acid could solely prohibit the blackening. This suggested that the dopa in LRE and FeCl2 in mud may mainly combine into [2(DOPA-2H+)+Fe3+]- through non-covalent interaction, which leads to the blackening of bruised LRE under neutral conditions. These results can guide the storage of lotus rhizomes and improve the development of the lotus rhizome industry.
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  • 文章类型: Journal Article
    目标:不安全的阿片类药物相关做法可能导致滥用,分流,和意外用药过量。在这项研究中,我们旨在描述有关存储的模式和信念,处置,中国癌症患者在家中使用阿片类药物,尚不清楚。
    方法:于2022年10月至2023年6月在湖北省进行了多中心横断面调查。我们收集了仓库的信息,处置,以及在肿瘤科癌症疼痛住院患者中使用阿片类药物。Logistic回归用于评估与阿片类药物的不安全处置和使用相关的因素。
    结果:调查包括221名患者,中位年龄为62岁。只有3.2%的人把阿片类药物锁在钥匙下,49.8%的人不知道适当的处置方法。近五分之一(19.5%)的人报告收到了阿片类药物安全储存(14.0%)和/或处置(10.0%)的信息。共有44.3%的人报告共享使用不安全(1.8%),亏损(4.1%),或服用阿片类药物的剂量高于处方(42.5%)。未获得阿片类药物安全处置信息的患者(OR=4.57,P=.0423),有饮酒史(OR=1.91,P=.0399),使用吗啡以外的阿片类药物(OR=2.31,P=.0461)的不安全处置方法的可能性更高。具有副学士学位/学士学位或以上学位的人不太可能不安全地处置(OR=0.36,P=.0261)和使用(OR=0.31,P=.0127)阿片类药物。
    结论:相当比例的中国癌症患者在储存过程中表现出不安全的做法,处置,和使用阿片类药物。该研究强调迫切需要实施常规教育计划和药物“收回”举措,以改善与阿片类药物相关的做法。
    OBJECTIVE: Unsafe opioid-related practices can lead to abuse, diversion, and accidental overdoses. In this study, we aimed to describe the patterns and beliefs regarding the storage, disposal, and use of opioids among Chinese patients with cancer in their home settings, which remain unclear.
    METHODS: A multicenter cross-sectional survey was conducted in Hubei Province from October 2022 to June 2023. We collected information on the storage, disposal, and use of opioids among cancer pain inpatients in the oncology department. Logistic regression was used to estimate the factors associated with unsafe disposal and use of opioids.
    RESULTS: The survey included 221 patients with a median age of 62 years. Only 3.2% stored their opioids under lock and key, and 49.8% were unaware of proper disposal methods. Nearly one-fifth (19.5%) reported having received information on the safe storage (14.0%) and/or disposal (10.0%) of opioids. A total of 44.3% reported unsafe use by sharing (1.8%), losing (4.1%), or taking opioids at a higher dose than prescribed (42.5%). Patients who did not receive information on the safe disposal of opioids (OR = 4.57, P = .0423), had a history of alcohol use (OR = 1.91, P = .0399), and used opioids other than morphine (OR = 2.31, P = .0461) had higher odds of unsafe disposal practices. Individuals with an associate degree/bachelor\'s degree or above were less likely to dispose of (OR = 0.36, P = .0261) and use (OR = 0.31, P = .0127) opioids unsafely.
    CONCLUSIONS: A significant proportion of Chinese patients with cancer exhibit unsafe practices in the storage, disposal, and use of opioids. The study highlights an urgent need for implementing routine education programs and drug \"take-back\" initiatives to improve opioid-related practices.
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  • 文章类型: Journal Article
    不同储存方式的影响(环境温度(A),在4°C(R)下冷藏,在-18°C(F)下冷冻),关于阿尔及利亚香料(辣椒粉)的植物化学,被评估。使用响应面方法(RSM)结合Box-Behnken设计(BBD),在超声辅助提取(UAE)的最佳条件下获得了优化的提取物。对该提取物的总酚含量(TPC)进行了评估,总黄酮含量(TFC)及其抗氧化和抑菌活性。在最佳条件下(辐照时间为5分钟,40%的振幅,乙醇浓度为80%,固液比为50%),TPC为12.23±1.01mg没食子酸当量/克干燥粉末(mgGAE/gDP),与实验测定非常接近。TPC在A处保存得更好,而TFC和抗氧化活性在F处保存得更好,和抗菌活性取决于储存方法和测试的菌株。
    The effect of different storage methods (ambient temperature (A), refrigeration at 4 °C (R) and freezing at - 18 °C (F)), on the phytochemistry of an Algerian spice (paprika powder), was assessed. The optimized extract was obtained under the optimum conditions of ultrasound-assisted extraction (UAE) using response surface methodology (RSM) coupled with a Box-Behnken Design (BBD). This extract was evaluated for its total phenolics content (TPC), total flavonoids content (TFC) and its antioxidant and antibacterial activities. Under the optimum conditions (5 min for the irradiation time, 40% for the amplitude, 80% for ethanol concentration and 50% for solid-liquid ratio) the TPC was 12.23 ± 1.01 mg Gallic Acid Equivalent/gram of Dried Powder (mg GAE/g DP) which is very close with experimental assay. The TPC are better preserved at A whereas TFC and the antioxidant activity at F, and the antibacterial activity depend on the storage methods and the strains tested.
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  • 文章类型: Journal Article
    采后管理在决定水稻最终使用品质方面起着关键作用;因此,有必要采取一种切实可行的方法来抑制质量恶化。在这项研究中,采后管理-干燥延迟时间(DDT)和干燥后水分含量(DM)的影响,和储存温度(ST)和干燥稻米的时期(SP)-关于物理化学,质量,对大米的感官特性进行了综合分析。发芽率,种子活力,脂肪酸度,随着滴滴涕的增加,感官质量趋于显着恶化,DM,ST,SP。发芽率与感官质量之间的相关性最高(r=0.8289)。表明发芽率可以可靠地预测感官质量。分析了发芽率和整体感官质量的退化:感官质量表现出比发芽率更渐进的变化。最后,使用回归方程模型预测了采后条件对整体感官质量的影响。滴滴涕,DM,和ST表现出不同的变化模式,可用于预测储存过程中的感官质量。发芽率已成功地用作影响水稻适口性预测模型的影响因素。这项研究的结果有助于通过防止采后贮藏过程中的老化来保持鲜稻的适口性。
    Postharvest management plays a key role in determining the end-use quality of rice; therefore, a practical approach to inhibit quality deterioration is necessary. In this study, the effects of postharvest management-drying delay time (DDT) and moisture content after drying (DM) immediately after harvesting, and storage temperatures (ST) and periods (SP) of dried paddy rice-on the physicochemical, quality, and sensory properties of rice were comprehensively analyzed. Germination rate, seed viability, fat acidity, and sensory quality tended to significantly deteriorate with increasing DDT, DM, ST, and SP. The highest correlation (r = 0.8289) was observed between germination rate and sensory quality, indicating that germination rate can reliably predict sensory quality. Degradation of germination rate and overall sensory quality were analyzed: sensory quality exhibited a more gradual change than germination rate. Lastly, the effects of the postharvest conditions on overall sensory quality were predicted using a regression equation model. DDT, DM, and ST exhibited different patterns of change, which can be used to predict the sensory quality during storage. Germination rate was successfully applied as an influencing factor for the development of a rice-palatability prediction model. The results of this study are useful for maintaining fresh-rice palatability by preventing aging during postharvest storage.
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  • 文章类型: Journal Article
    开发营养丰富、品质优良的新鲜蛋糕产品已成为食品工业的热点。在这项研究中,全板栗粉作为优质膳食来源,成功替代了板栗雪纺蛋糕生产中的蛋糕粉,替代率达到40-55%,并通过对其营养特性和贮藏特性的研究,进一步评价了其应用前景。结果表明,取代率分别为45%和50%的板栗雪纺蛋糕能显著增加其抗性成分,清除活性和三价铁还原抗氧化能力,令人惊讶地将预测的血糖指数降低至54.05-57.28,并且还降低了人类肠道微生物群的乙酸盐/丙酸盐比率和Firmicutes/拟杆菌值。相对而言,具有45%替代率的栗子雪纺蛋糕具有更高的应用潜力,因为它在第7天具有更高的自由水保留率,并且在整个储存时间内具有更高的回弹性。总的来说,本研究可为现代营养蛋糕产业的发展提供有价值的信息。
    Developing fresh cake product with rich nutrition and high quality has become a hot spot in food industry. In this study, whole chestnut flour as a high-quality dietary source was successfully substituted for cake flour in the production of chestnut chiffon cake with 40-55% substitution rate, and its application prospects were further evaluated through studying nutritional and storage properties. The results showed that chestnut chiffon cake with 45% and 50% substitution rate could significantly increase the resistant component, scavenging activity and ferric reducing antioxidant power, surprisingly decrease predicted glycemic index to 54.05-57.28, and reduce the acetate/propionate ratio and Firmicutes/Bacteroidetes value for human gut microbiota as well. Comparatively, chestnut chiffon cake with 45% substitution rate had more application potential due to its higher free water retention at day 7 and higher resilience throughout the storage time. Overall, this study could provide valuable information for the development of modern nutritional cake industry.
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  • 文章类型: Journal Article
    常规临床实践中最常用的分析物的稳定性一直是深入研究的主题,结果各不相同,甚至相互矛盾。丙氨酸转氨酶(ALT)就是这种情况。本研究的目的是根据不同变量确定血清ALT的稳定性。
    在八个实验室中进行了一项多中心研究,使用已知ALT初始催化浓度在四个不同范围内的血清样品,即:<50U/L(<0.83μkat/L),50-200U/L(0.83-3.33μkat/L),200-400U/L(3.33-6.67μkat/L)和>400U/L(>6.67μkat/L)。使用四个实验模型和四个实验室分析平台将样品在两种不同的温度下储存七天。通过线性回归计算各自的稳定性方程。使用多变量模型来评估不同变量的影响。
    ALT的催化浓度随时间逐渐降低。温度(室温下-4%/天与-1%/天的冷藏)和分析平台产生了重大影响,建筑师(雅培)表现出最大的不稳定性。ALT的初始催化浓度仅对稳定性有轻微影响,而实验模型完全没有影响.
    当冷藏时,血清ALT的恒定降低降低。几乎没有研究的变量被发现对ALT稳定性有显著影响。这个观察,增加了相当大的个体间变异性,对稳定性方程的定义进行了更大的研究。
    UNASSIGNED: The stability of the analytes most commonly used in routine clinical practice has been the subject of intensive research, with varying and even conflicting results. Such is the case of alanine aminotransferase (ALT). The purpose of this study was to determine the stability of serum ALT according to different variables.
    UNASSIGNED: A multicentric study was conducted in eight laboratories using serum samples with known initial catalytic concentrations of ALT within four different ranges, namely: <50 U/L (<0.83 μkat/L), 50-200 U/L (0.83-3.33 μkat/L), 200-400 U/L (3.33-6.67 μkat/L) and >400 U/L (>6.67 μkat/L). Samples were stored for seven days at two different temperatures using four experimental models and four laboratory analytical platforms. The respective stability equations were calculated by linear regression. A multivariate model was used to assess the influence of different variables.
    UNASSIGNED: Catalytic concentrations of ALT decreased gradually over time. Temperature (-4%/day at room temperature vs. -1%/day under refrigeration) and the analytical platform had a significant impact, with Architect (Abbott) showing the greatest instability. Initial catalytic concentrations of ALT only had a slight impact on stability, whereas the experimental model had no impact at all.
    UNASSIGNED: The constant decrease in serum ALT is reduced when refrigerated. Scarcely studied variables were found to have a significant impact on ALT stability. This observation, added to a considerable inter-individual variability, makes larger studies necessary for the definition of stability equations.
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  • 文章类型: Journal Article
    彩色Viscumcoloratum(Kom.)Nakai是一种著名的药用植物。然而,V.coloratum的最佳收获时间未知。很少进行研究来分析储存过程中的化合物变化并改善收获后的质量控制。本研究旨在综合评价不同生长期色花的品质,并确定代谢物的动态变化。采用超高效液相色谱-串联质谱法对6个生长期收获的花色弧菌中29种化合物进行定量,并探索了相关的生物合成途径。根据其合成途径分析了不同类型化合物的积累。采用灰色关联分析对不同月份的色花质量进行评价。通过高温高湿加速试验分析储存过程中的化合物变化。结果表明,3月份色花质量最高,接下来是11月,并在7月达到最低。储存期间,生物合成途径的下游步骤中的化合物首先被降解以产生上游化合物和一些低分子量有机酸,导致某些化合物的含量增加,然后减少,并导致不同化合物在降解时间过程中存在很大差距。由于速度快、降解程度大,五个化合物暂时被指定为质量控制的“预警成分”。该报告为更好地理解色花中代谢产物的生物合成和降解提供了参考,为色花的合理应用和更好地控制色花在贮藏期间的质量奠定了理论基础。
    Viscum coloratum (Kom.) Nakai is a well-known medicinal plant. However, the optimal harvest time for V. coloratum is unknown. Few studies were performed to analyze compound variation during storage and to improve post-harvest quality control. Our study aimed to comprehensively evaluate the quality of V. coloratum in different growth stages, and determine the dynamic variation of metabolites. Ultra-performance liquid chromatography tandem mass spectrometry was used to quantify 29 compounds in V. coloratum harvested in six growth periods, and the associated biosynthetic pathways were explored. The accumulation of different types of compounds were analyzed based on their synthesis pathways. Grey relational analysis was used to evaluate the quality of V. coloratum across different months. The compound variation during storage was analyzed by a high-temperature high-humidity accelerated test. The results showed that the quality of V. coloratum was the hightest in March, followed by November, and became the lowest in July. During storage, compounds in downstream steps of the biosynthesis pathway were first degraded to produce the upstream compounds and some low-molecular-weight organic acids, leading to an increase followed by a decrease in the content of some compounds, and resulted in a large gap during the degradation time course among different compounds. Due to the rapid rate and large degree of degradation, five compounds were tentatively designated as \"early warning components\" for quality control. This report provides reference for better understanding the biosynthesis and degradation of metabolites in V. coloratum and lays a theoretical foundation for rational application of V. coloratum and better quality control of V. coloratum during storage.
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  • 文章类型: Journal Article
    背景:智能手机的使用急剧增加,并行,移动应用市场,包括健康应用,出现了。有针对性的移动应用程序广告的商业模式允许收集个人和潜在的敏感信息,通常没有用户知识。老年人构成了快速增长的人口,可能容易受到通过这些应用程序访问数据的人的利用。
    目标:这项研究调查了声称对老年人有用的应用程序,其目标是(1)对每个应用程序的功能进行分类,(2)识别隐私政策是否存在并且可以访问,(3)评估可以支持老年人价值主张的证据。
    方法:使用Google搜索引擎并键入“针对老年人的应用程序”进行了环境扫描。这项搜索返回的前25个网站包含了这项研究的主要数据。数据按目的的描述性特征进行组织(例如,健康,金融,和效用),存在电子可访问的隐私政策,价格,和支持每个推荐的移动应用程序的证据。
    结果:共有133个移动应用程序被确定并推广为适合老年人的最佳应用程序。在这133个移动应用程序中,83%(n=110)包含隐私政策。与其他分类的应用程序相比,“医疗”类别中指定的应用程序包含的隐私政策较少。
    结论:结果表明,大多数针对老年人的移动应用程序都包含隐私政策。需要研究以确定这些隐私政策是否可读,简洁,并纳入可访问的数据使用和共享实践,以减轻潜在风险,特别是在收集潜在敏感的健康信息时。
    BACKGROUND: Smartphone use has increased dramatically and, in parallel, a market for mobile apps, including health apps, has emerged. The business model of targeted mobile app advertisements allows for the collection of personal and potentially sensitive information, often without user knowledge. Older adults comprise a rapidly growing demographic that is potentially vulnerable to exploitation by those accessing data collected via these apps.
    OBJECTIVE: This research examined apps that claimed to be useful to older adults with a goal of (1) classifying the functionality of each app, (2) identifying whether a privacy policy existed and was accessible, and (3) evaluating evidence that could support claims of value to older adults.
    METHODS: An environmental scan was conducted using the Google search engine and typing \"apps for older adults.\" The first 25 sites that this search returned comprised the primary data for this study. Data were organized by descriptive features of purpose (eg, health, finance, and utility), the existence of an electronically accessible privacy policy, price, and evidence supporting each recommended mobile app.
    RESULTS: A total of 133 mobile apps were identified and promoted as being the best \"apps for older adults.\" Of these 133 mobile apps, 83% (n=110) included a privacy policy. Fewer apps designated in the \"medical\" category included a privacy policy than those classified otherwise.
    CONCLUSIONS: The results suggest that most mobile apps targeting older adults include a privacy policy. Research is needed to determine whether these privacy policies are readable, succinct, and incorporate accessible data use and sharing practices to mitigate potential risks, particularly when collecting potentially sensitive health information.
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  • 文章类型: Journal Article
    背景:在美国,患有阿尔茨海默病和相关痴呆症(ADRD)的个体中的枪支安全是一个未被讨论和研究不足的问题,特别是考虑到居住在ADRD社区的成年人人口不断增长。开发了“痴呆症安全”(SiD)基于网络的决策辅助工具,以支持护理人员解决枪支问题;SiD的功效尚不清楚。
    目标:通过SiD决策辅助,家庭安全(S@H)研究旨在支持护理人员做出符合其目标和价值观的家庭安全决策,以及ADRD和枪支出入者的枪支出入行为。
    方法:S@H研究是一项由2臂组成的随机对照试验,旨在测试SiD决策辅助对社区居住的ADRD成年人的照顾者的影响。S@H旨在招募500名ADRD护理人员(年龄≥18岁,流利的英语或西班牙语,以及在美国)通过在线或社交媒体广告以及相关组织。参与者按自己的步调随机查看SiD或对照网站;所有参与者在基线时完成基于网络的问卷,2周,2个月,和6个月。主要结果是立即为决策做准备;次要结果包括纵向决策结果和自我报告的枪支准入修改。将通过审查护理人员参与的差异来评估每种招聘方法(在线/社交媒体和通过相关组织)的相对覆盖范围和有效性,保留率,和相对成本。
    结果:研究招募于2022年5月开始。截至2022年12月,共有117名参与者报名参加。
    结论:S@H研究是第一个针对ADRD护理人员的枪支安全决策辅助的随机试验。这项研究的结果将告知如何最好地支持护理人员进行枪支安全决策。Further,结果可以指导招募护理人员和传播资源的方法。
    背景:ClinicalTrials.govNCT05173922;https://clinicaltrials.gov/ct2/show/NCT05173922。
    未经批准:DERR1-10.2196/43702。
    BACKGROUND: Firearm safety among individuals with Alzheimer disease and related dementias (ADRD) is an underdiscussed and underresearched concern in the United States, especially given the growing population of community-dwelling adults with ADRD. The \"Safety in Dementia\" (SiD) web-based decision aid was developed to support caregivers in addressing firearm access; the efficacy of SiD is unknown.
    OBJECTIVE: Through the SiD decision aid, the Safe at Home (S@H) study aims to support caregivers in making decisions about home safety that align with their goals and values, and behaviors regarding firearm access for persons with ADRD and firearm access.
    METHODS: The S@H study is a 2-armed randomized controlled trial to test the effect of the SiD decision aid on caregivers of community-dwelling adults with ADRD who have firearm access. S@H aims to recruit 500 ADRD caregivers (age ≥18 years, fluent in English or Spanish, and in the United States) through online or social media advertisements and through relevant organizations. Participants are randomized to view SiD or a control website at their own pace; all participants complete web-based questionnaires at baseline, 2 weeks, 2 months, and 6 months. The primary outcome is immediate preparation for decision-making; secondary outcomes include longitudinal decision outcomes and self-reported modifications to firearm access. The relative reach and effectiveness of each recruitment method (online/social media and through relevant organizations) will be assessed by examining differences in caregiver participation, retention rates, and relative cost.
    RESULTS: The study enrollment began in May 2022. As of December 2022, a total of 117 participants had enrolled.
    CONCLUSIONS: The S@H study is the first randomized trial of a firearm safety decision aid for ADRD caregivers. The results from this study will inform how best to support caregivers in decision-making regarding firearm safety. Further, results may guide approaches for recruiting caregivers and for dissemination of resources.
    BACKGROUND: ClinicalTrials.gov NCT05173922; https://clinicaltrials.gov/ct2/show/NCT05173922.
    UNASSIGNED: DERR1-10.2196/43702.
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