modularity

模块化
  • 文章类型: Journal Article
    微生物通过其丰富的物种多样性和重要的生态系统功能支配着陆地生态系统,如生物地球化学循环和菌根共生。真菌和其他生物形成不同的关联网络。然而,属于不同王国的物种在多王国社区网络中的作用在很大程度上仍然难以捉摸。鉴于综合微生物组倡议,我们使用SPIEC-EASI方法从高海拔林地土壤中推断了多个王国的生物关联。植物之间的生物相互作用,线虫,真菌,细菌,和古细菌在社区和网络层面进行了调查。与单一王国网络相比,多王国网络及其关联使王国内和跨王国边缘数分别增加了1012和10772,以及平均连通性和负边缘比例为15.2%和0.8%,分别。真菌参与增加了网络稳定性(即,对节点损耗的抵抗力)和连通性,但是降低了模块性,与单一王国的植物网络相比,线虫,细菌,和古细菌。在整个多王国网络中,真菌结节的特征是程度和介数明显高于细菌。真菌更经常扮演连接器的角色,链接不同的模块。始终如一,矩阵的结构方程模型和多元回归证实了真菌在群落层面的“桥梁”作用,连接植物和其他土壤生物群。总的来说,我们的发现表明,真菌可以稳定多王国网络的自组织过程。这些发现有助于在自然生态系统中启动和开展多王国社区研究,以揭示复杂的地上和地下联系。
    Microbes dominate terrestrial ecosystems via their great species diversity and vital ecosystem functions, such as biogeochemical cycling and mycorrhizal symbiosis. Fungi and other organisms form diverse association networks. However, the roles of species belonging to different kingdoms in multi-kingdom community networks have remained largely elusive. In light of the integrative microbiome initiative, we inferred multiple-kingdom biotic associations from high elevation timberline soils using the SPIEC-EASI method. Biotic interactions among plants, nematodes, fungi, bacteria, and archaea were surveyed at the community and network levels. Compared to single-kingdom networks, multi-kingdom networks and their associations increased the within-kingdom and cross-kingdom edge numbers by 1012 and 10,772, respectively, as well as mean connectivity and negative edge proportion by 15.2 and 0.8%, respectively. Fungal involvement increased network stability (i.e., resistance to node loss) and connectivity, but reduced modularity, when compared with those in the single-kingdom networks of plants, nematodes, bacteria, and archaea. In the entire multi-kingdom network, fungal nodes were characterized by significantly higher degree and betweenness than bacteria. Fungi more often played the role of connector, linking different modules. Consistently, structural equation modeling and multiple regression on matrices corroborated the \"bridge\" role of fungi at the community level, linking plants and other soil biota. Overall, our findings suggest that fungi can stabilize the self-organization process of multi-kingdom networks. The findings facilitate the initiation and carrying out of multi-kingdom community studies in natural ecosystems to reveal the complex above- and belowground linkages.
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  • 文章类型: Journal Article
    背景:对结直肠癌(CRC)发展和进展的潜在机制的理解尚未完全阐明。本研究旨在采用网络理论方法分析来自CRC的单细胞转录组数据,以更好地表征其进展和边远性。
    方法:我们利用了最近发表的单细胞RNA测序数据(GEO-GSE178341),并通过分期和侧面(右侧和左侧结肠)分析了细胞X基因数据。使用加权基因共表达网络分析(WGCNA),我们确定了早期(pT1)和晚期(pT234)之间网络拓扑的不同保存水平(弱或强)的基因模块,在左右冒号之间。使用Spearman等级相关(ρ)来评估基因连通性的相似性或差异性。
    结果:均衡不同阶段的细胞计数,我们在早期阶段检测到13个模块,其中两个在后期未保存。两个未保留的模块在早期和晚期之间显示出不同的基因连接模式,以ρ值低为特征。一个模块主要处理骨髓细胞,主要富含细胞因子-细胞因子受体相互作用的基因可能刺激骨髓细胞参与血管生成。第二个模块,代表上皮细胞的一个子集,主要富含碳水化合物的消化吸收,通过碳水化合物的分解影响肠道微环境。在左与左的比较右冒号,在右结肠中确定的12个模块中有两个在左结肠中未保留。一个人捕获了一小部分上皮细胞,并富集了癌症中的转录失调,可能影响上皮细胞和肿瘤微环境之间的通讯。另一种主要包含B细胞,在维持人类胃肠道健康中起关键作用,并富集了B细胞受体信号通路。
    结论:我们确定了在早期和晚期之间具有特定于细胞类型的拓扑和功能差异的模块,在左右冒号之间。这项研究增强了对不同细胞类型在不同阶段和侧面所起作用的理解,为未来关注CRC诊断和治疗的研究提供有价值的见解。
    BACKGROUND: An understanding of mechanisms underlying colorectal cancer (CRC) development and progression is yet to be fully elucidated. This study aims to employ network theoretic approaches to analyse single cell transcriptomic data from CRC to better characterize its progression and sided-ness.
    METHODS: We utilized a recently published single-cell RNA sequencing data (GEO-GSE178341) and parsed the cell X gene data by stage and side (right and left colon). Using Weighted Gene Co-expression Network Analysis (WGCNA), we identified gene modules with varying preservation levels (weak or strong) of network topology between early (pT1) and late stages (pT234), and between right and left colons. Spearman\'s rank correlation (ρ) was used to assess the similarity or dissimilarity in gene connectivity.
    RESULTS: Equalizing cell counts across different stages, we detected 13 modules for the early stage, two of which were non-preserved in late stages. Both non-preserved modules displayed distinct gene connectivity patterns between the early and late stages, characterized by low ρ values. One module predominately dealt with myeloid cells, with genes mostly enriched for cytokine-cytokine receptor interaction potentiallystimulating myeloid cells to participate in angiogenesis. The second module, representing a subset of epithelial cells, was mainly enriched for carbohydrate digestion and absorption, influencing the gut microenvironment through the breakdown of carbohydrates. In the comparison of left vs. right colons, two of 12 modules identified in the right colon were non-preserved in the left colon. One captured a small fraction of epithelial cells and was enriched for transcriptional misregulation in cancer, potentially impacting communication between epithelial cells and the tumor microenvironment. The other predominantly contained B cells with a crucial role in maintaining human gastrointestinal health and was enriched for B-cell receptor signalling pathway.
    CONCLUSIONS: We identified modules with topological and functional differences specific to cell types between the early and late stages, and between the right and left colons. This study enhances the understanding of roles played by different cell types at different stages and sides, providing valuable insights for future studies focused on the diagnosis and treatment of CRC.
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  • 文章类型: Journal Article
    捕食是一个重要的生态过程,可以显着影响生态系统服务的维护。在北极环境中,由于气候变化,捕食的相对生态重要性被认为正在增加,部分原因是随着温度的升高生产率的提高。因此,了解北极生态系统中捕食者与猎物的相互作用对于这些北部地区的可持续管理至关重要。网络理论为量化生态相互作用的结构提供了一个框架。在这项研究中,我们使用对北极地区的哺乳动物和鸟类捕食者的饮食观察,包括埃尔斯米尔岛和格陵兰岛北部的孤立半岛,构建二分营养网络。我们量化了复杂性,专业化,和嵌套以及这些网络的模块化结构,还确定这些属性是否在半岛之间发生变化。哺乳动物的猎物是所有捕食者的主要饮食项目,但是半岛之间的饮食成分存在空间差异。捕食者-猎物网络不太复杂,有更专业的互动,并且比随机期望更嵌套,更模块化。然而,网络只显示了中等水平的模块化。捕食者物种与猎物的专门相互作用少于猎物与捕食者的相互作用。半岛之间的所有网络属性都不同,这凸显了生态系统通常对环境特征表现出复杂的反应。我们建议,获得有关捕食者-猎物相互作用特征的空间变化的知识可以增强我们管理暴露于环境扰动的生态系统的能力,特别是在受快速环境变化影响的高北极环境中。
    Predation is an important ecological process that can significantly impact the maintenance of ecosystem services. In arctic environments, the relative ecological importance of predation is thought to be increasing due to climate change, partly because of increased productivity with rising temperatures. Therefore, understanding predator-prey interactions in arctic ecosystems is vital for the sustainable management of these northern regions. Network theory provides a framework for quantifying the structures of ecological interactions. In this study, we use dietary observations on mammalian and avian predators in a high arctic region, including isolated peninsulas on Ellesmere Island and north Greenland, to construct bipartite trophic networks. We quantify the complexity, specialization, and nested as well as modular structures of these networks and also determine if these properties varied among the peninsulas. Mammal prey remains were the dominant diet item for all predators, but there was spatial variation in diet composition among peninsulas. The predator-prey networks were less complex, had more specialized interactions, and were more nested and more modular than random expectations. However, the networks displayed only moderate levels of modularity. Predator species had less specialized interactions with prey than prey had with predators. All network properties differed among the peninsulas, which highlights that ecosystems often show complex responses to environmental characteristics. We suggest that gaining knowledge about spatial variation in the characteristics of predator-prey interactions can enhance our ability to manage ecosystems exposed to environmental perturbations, particularly in high arctic environments subject to rapid environmental change.
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  • 文章类型: Journal Article
    更多的体育锻炼和更好的睡眠与老年人认知能力下降和痴呆的风险降低有关。但人们对它们与脑功能和神经病理学的综合联系知之甚少。这项研究调查了活动记法估计的身体活动总量(TVPA)与睡眠模式之间潜在的独立和交互式横截面关系[即,总睡眠时间(TST),睡眠效率(SE)]使用静息状态功能磁共振成像(rs-fMRI)测量的大规模网络连接和淀粉样蛋白β的正电子发射断层扫描(PET)测量。参与者是来自BIOCARD研究的135名非痴呆的老年人(116名认知正常,19名轻度认知障碍;平均年龄=70.0岁)。使用多元线性回归分析,我们评估了TVPA,TST,和SE在默认模式下连接,显著性,和顶叶控制网络,随着网络模块化,网络隔离的度量。较高的TVPA和SE与较高的网络模块性独立相关,尽管SE与模块化的正相关仅存在于淀粉样蛋白阴性个体中。此外,较高的TVPA与默认模式网络中更大的连接性相关联,而更高的SE与显著性网络内更大的连通性有关。相比之下,较长的TST与较低的网络模块性有关,特别是在淀粉样蛋白阳性个体中,表明更长的睡眠时间和更大的网络混乱之间的关系。身体活动和睡眠测量与淀粉样蛋白阳性无关。这些数据表明,更高的身体活动水平和更有效的睡眠可能会促进更隔离和潜在的弹性功能网络,并增加特定大规模网络内的功能连通性,睡眠和功能网络连接之间的关系可能取决于淀粉样蛋白状态。
    Greater physical activity and better sleep are associated with reduced risk of cognitive decline and dementia among older adults, but little is known about their combined associations with measures of brain function and neuropathology. This study investigated potential independent and interactive cross-sectional relationships between actigraphy-estimated total volume of physical activity (TVPA) and sleep patterns [i.e., total sleep time (TST), sleep efficiency (SE)] with resting-state functional magnetic resonance imaging (rs-fMRI) measures of large scale network connectivity and positron emission tomography (PET) measures of amyloid-β. Participants were 135 non-demented older adults from the BIOCARD study (116 cognitively normal and 19 with mild cognitive impairment; mean age = 70.0 years). Using multiple linear regression analyses, we assessed the association between TVPA, TST, and SE with connectivity within the default-mode, salience, and fronto-parietal control networks, and with network modularity, a measure of network segregation. Higher TVPA and SE were independently associated with greater network modularity, although the positive relationship of SE with modularity was only present in amyloid-negative individuals. Additionally, higher TVPA was associated with greater connectivity within the default-mode network, while greater SE was related to greater connectivity within the salience network. In contrast, longer TST was associated with lower network modularity, particularly among amyloid-positive individuals, suggesting a relationship between longer sleep duration and greater network disorganization. Physical activity and sleep measures were not associated with amyloid positivity. These data suggest that greater physical activity levels and more efficient sleep may promote more segregated and potentially resilient functional networks and increase functional connectivity within specific large-scale networks and that the relationship between sleep and functional networks connectivity may depend on amyloid status.
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  • 文章类型: Journal Article
    保留颈部的无骨水泥短杆代表了高功能需求患者全髋关节置换术的有效治疗选择,但是关于在上一代短茎中使用模块化的研究很少。该研究的目的是评估特定植入物设计的中期生存率,该植入物设计结合了部分颈短髋茎和颈部模块化;评估功能状态是第二个终点。
    对75名年龄在35至80岁的患者进行了回顾性单中心队列研究。至少6年随访。排除患有神经系统/风湿性疾病和先前进行过髋关节手术的患者。所有患者均接受了全髋关节置换术,并使用了短的模块化保留颈部的无骨水泥髋关节干。临床结果,并发症,修订,和西安大略省和麦克马斯特大学骨关节炎指数,哈里斯髋关节得分,并评估了简短的12项健康调查(SF-12)问卷。将结果与从文献中提取的健康人群数据进行比较,按年龄分层。
    Kaplan-Meier分析显示,植入物的10年生存率为96.7%,加上1.3%的修订率。结果显示,与健康人群相比,Harris髋关节评分和身体SF-12显着降低,而心理SF-12更高。在基于颈部模块化比较组时,没有出现统计学上的显着差异。
    对于功能需求升高的患者,短的模块化颈部保留非骨水泥髋关节干成为合理的选择,确保良好的临床结果,同时保持骨完整性。在短茎中使用模块化颈部在中期没有显示任何机械问题。
    UNASSIGNED: The neck-preserving cementless short stem represents a valid therapeutic option for total hip replacement in high-functional-demand patients, but few studies are available about the use of modularity in the last-generation short stem. The aim of the study was to evaluate the mid-term survival of a specific implant design that combines partial collum short hip stem with neck modularity; assessing the functional status was the second endpoint.
    UNASSIGNED: A retrospective single-center cohort study was conducted on 75 patients aged 35 to 80 years, with a minimum 6-year follow-up. Patients with neurological/rheumatic pathologies and previous hip surgeries were excluded. All the patients underwent total hip replacement with a short modular neck-preserving cementless hip stem. Clinical outcomes, complications, revisions, and the Western Ontario and McMaster Universities Osteoarthritis Index, Harris hip score, and Short Form 12-Item Health Survey (SF-12) questionnaires were evaluated. The results were compared with healthy population\'s data extracted from the literature, stratified by age.
    UNASSIGNED: The Kaplan-Meier analysis revealed a 10-year implant survival rate of 96.7%, coupled with a revision rate of 1.3%. Results showed a Harris hip score and physical SF-12 significantly lower and a mental SF-12 higher when compared to healthy population. No statistically significant differences emerged when comparing groups based on neck modularity.
    UNASSIGNED: The short modular neck-preserving cementless hip stem emerged as a reasonable choice for patients with elevated functional demands, ensuring good clinical outcomes while preserving bone integrity. The use of a modular neck in short stems didn\'t show any mechanical problems in the mid-term.
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  • 文章类型: Journal Article
    大脑模型对大脑的基本结构成分及其相互组织提出了观点,通常相对于脑轴的特定概念。模型可以基于成人脑结构或发育形态发生方面。大脑模型通常具有功能含义,取决于哪些功能属性来自假定的组织。这篇文章考察了大脑模型的现状,强调柱状或其他纵向模型与横向分区神经模型之间的对比。在每种情况下,对主要功能含义和明显问题进行了探讨和评论。特别注意现代基于分子的“假体模型”,它假定一组20个横向前突作为发育单位,用于构建前脑和后脑内许多不同神经元群体的所有大脑部分和特定类型,加上一些额外的脊髓单位。这些异谱发育单位(连续重复,但具有独特的分子分布)赋予该模型显着的功能特性,主要基于其多重性和模块化。许多重要的大脑功能可以分解为由来自不同神经细胞的神经元元素组合集引起的子功能。每个神经瘤可以参与多种功能。与神经连接(轴突导航和突触发生)和功能的精确顺序创建有关的大多数方面都是由于神经前后和背腹侧位置信息的影响。近年来,对神经功能方面的研究显着增加。
    Brain models present a viewpoint on the fundamental structural components of the brain and their mutual organization, generally relative to a particular concept of the brain axis. A model may be based on adult brain structure or on developmental morphogenetic aspects. Brain models usually have functional implications, depending on which functional properties derive from the postulated organization. This essay examines the present scenario about brain models, emphasizing the contrast between columnar or other longitudinal models and transverse subdivisional neuromeric models. In each case, the main functional implications and apparent problems are explored and commented. Particular attention is given to the modern molecularly based \'prosomeric model\', which postulates a set of 20 transverse prosomeres as the developmental units that serve to construct all the cerebral parts and the particular typology of many different neuronal populations within the forebrain and the hindbrain, plus a number of additional spinal cord units. These metameric developmental units (serially repeated, but with unique molecular profiles) confer to this model remarkable functional properties based mainly on its multiplicity and modularity. Many important brain functions can be decomposed into subfunctions attended to by combined sets of neuronal elements derived from different neuromeres. Each neuromere may participate in multiple functions. Most aspects related to creation of precise order in neural connections (axonal navigation and synaptogenesis) and function is due to the influence of neuromeric anteroposterior and dorsoventral positional information. Research on neuromeric functionality aspects is increasing significantly in recent times.
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  • 文章类型: Journal Article
    在年轻的时候,越来越多的髋关节置换会使患者多年来植入物失败的风险增加。如果失败,翻修特异性茎旨在克服骨丢失。这些装置的模块化是外科医生的重要资源,因为它们允许新的植入物更好地适应患者的解剖结构。本系统评价的目的是提供有关长期随访(>8年)髋关节模块化翻修股骨干的结果的数据。
    本系统评价和荟萃分析遵循PRISMA(系统评价和荟萃分析的首选报告项目)声明指南进行。对PubMed和GoogleScholar数据库进行了系统和独立的搜索,根据纳入和排除标准。两名审阅者独立执行数据提取。如果有分歧,资深作者被寻求解决分歧。根据美国国家卫生与护理卓越研究所(NICE)指南(八项清单)和纽卡斯尔-渥太华量表(NOS)评估了所涉及研究的质量。评估主要和次要结果。使用MicrosoftExcel和STATA软件对该荟萃分析进行统计分析。
    主要结果是长期随访时模块化修订茎的重新修订率。范围从1.4%到45.6%:随机效应汇总估计为5.5%[95%置信区间(CI):4%到7%],I2为12.3%(P=0.332)。平均Harris髋关节评分(HHS)为83[min:79;max:87.6;标准偏差(SD):3.55]。次要评估结果是:沉降>5毫米,假体周围感染或骨折(术中和术后)和脱位的发生率。NICE工具的平均值为5.5(SD:1.13)和NOS工具的7.3(SD:0.79)。长期随访生存率>90%(min:60%;max:97%)。
    模块化股骨翻修茎已显示出良好的长期可靠性和有效性。这项荟萃分析表明,随访8年后的重新修订率很低,90%的植入物没有失败。
    UNASSIGNED: Increasingly hip replacements at young age exposes the patient to an increased risk of failure of the implant over the years. In case of failure, revision specific stems were designed to overcome bone loss. Modularity of these devices is an important resource for the surgeon as they allow the new implant to be better adapted to the patient\'s anatomy. The purpose of this systematic review is to provide data about the outcome at long-term follow-up (>8 years) of hip modular revision femoral stems.
    UNASSIGNED: This systematic review and meta-analysis were conducted following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement guidelines. PubMed and Google Scholar databases were systematically and independently searched, according to the inclusion and exclusion criteria. Two reviewers performed the data extraction independently. In case of disagreement, the senior authors were sought to resolve the divergences. Quality of the involved studies was evaluated with National Institute for Health and Care Excellence (NICE) guidelines (eight-item list) and the Newcastle-Ottawa scale (NOS). Primary and secondary outcomes were evaluated. The statistical analysis of this meta-analysis was performed by using Excel Microsoft and the software STATA.
    UNASSIGNED: The primary outcome was the re-revision rate of modular revision stems at long-term follow-up. It ranged from 1.4% to 45.6%: random effect pooled estimate was 5.5% [95% confidence interval (CI): 4% to 7%], with a I2 of 12.3% (P=0.332). Mean Harris Hip Score (HHS) was 83 [min: 79; max: 87.6; standard deviation (SD): 3.55]. Secondary evaluated outcomes were: subsidence >5 mm, rate of periprosthetic infection or fractures (intra- and post-operative) and dislocations. The mean value for the NICE tool was 5.5 (SD: 1.13) and 7.3 (SD: 0.79) for the NOS tool. The survival rate was >90% at long-term follow-up (min: 60%; max: 97%).
    UNASSIGNED: The modular femoral revision stems have demonstrated good long-term reliability and efficacy. This meta-analysis demonstrates that the re-revision rate after 8 years of follow-up is low and 90% of the implants did not fail.
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  • 文章类型: Journal Article
    授粉对生态系统功能至关重要,尤其是在像巴西塞拉多这样的生物多样性丰富的地区。我们的研究在该生物群落中建立了传粉者-植物相互作用的综合元网络。我们量化了不同传粉者群体的重要性,确定基石物种。我们研究了采样工作中的潜在偏差以及异质Cerrado植物地貌中相互作用的空间行为。我们的调查发现了293种植物和386种游客物种之间的1499种相互作用,合法授粉占相互作用的42.4%。网络表现出模块化,由蜜蜂和昆虫驱动,脊椎动物桥接昼夜和夜间模块。当一个普遍的模式出现时,由于栖息地的多样性,模块内存在高度专业化。蜜蜂,特别是Apismellifera(异国情调)和Trigonaspinipes(本地),作为网络集线器发挥了核心作用。蜂鸟和蝙蝠,从事专业交互,显示模块内部和模块之间的强连接性。有趣的是,在元网络中,无脊椎动物-脊椎动物模块比预期的更普遍。然而,偏见很明显,主要在特定的生物地理区域内,景观分散,其他生物群落入侵。植物种类和特有率的变化影响了传粉媒介的发生和Cerrado网络拓扑。我们的研究提供了有关Cerrado内传粉者与植物相互作用的宝贵见解,包括无脊椎动物和脊椎动物。建模的网络代表了理解授粉网络结构复杂性的重要一步,在异质生境中整合来自不同授粉系统的部分网络。然而,生物地理偏见可能会限制对整个Cerrado网络功能的全面理解。
    Pollination is vital for ecosystem functioning, especially in biodiversity-rich regions like the Brazilian Cerrado. Our research establishes a comprehensive meta network of pollinator-plant interactions within this biome. We quantified the importance of different pollinator groups, identifying keystone species. We examined potential biases in sampling effort and the spatial behavior of interactions within the heterogeneous Cerrado plant physiognomies. Our investigation uncovered 1499 interactions among 293 plant species and 386 visitor species, with legitimate pollination accounting for 42.4% of the interactions. The network exhibited modularity, driven by bees and insects, with vertebrates bridging diurnal and nocturnal modules. While a generalized pattern emerged, high specialization existed within modules due to habitat diversity. Bees, particularly Apis mellifera (exotic) and Trigona spinipes (native), played central roles as network hubs. Hummingbirds and bats, engaged in specialized interactions showing strong connectivity within and between modules. Interestingly, invertebrate-vertebrate modules were more prevalent than expected in the meta network. However, a bias was evident, primarily within specific biogeographical districts with fragmented landscapes and intrusion from other biomes. Variations in plant species and endemism rates influenced pollinator occurrence and the Cerrado network topology. Our study offers valuable insights into pollinator-plant interactions within the Cerrado, encompassing both invertebrates and vertebrates. The modeled network represents a significant step in understanding the structural complexity of pollination networks, integrating partial networks from diverse pollination systems within heterogeneous habitats. Nevertheless, a biogeographical bias could limit a comprehensive understanding of network functionality across the Cerrado.
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  • 文章类型: Journal Article
    神经性厌食症儿童的护理由医院的门诊护理小组提供,但是这些团队的组织方式因医院而异,并阻碍了护理的连续性。这项研究的目的是通过使用模块化的观点来探索荷兰神经性厌食症儿童护理的组织和连续性。我们进行了定性,探索性案例研究,并为神经性厌食症儿童提供医疗服务,由门诊护理团队提供,作为我们的案例。我们对来自六家医院的门诊护理团队的医疗保健专业人员进行了九次采访。采用专题分析法对数据进行分析。模块化观点提供了对门诊护理团队的工作实践和工作方法的见解。我们能够识别模块(即与各种专业人员的单独咨询),和组成部分(即这些协商的要素)。此外,确定了通信机制(接口),以促进医疗保健专业人员之间的信息流和协调。我们的模块化观点揭示了门诊护理提供方面的差距和重叠,因此提供了处理不必要重复和盲点的机会。结论:模块化视角可应用于探讨神经性厌食症患儿门诊护理提供的组织方式。我们特别强调医疗保健供应方面的差距和重叠,这反过来又提出了关于如何支持护理连续性的三个基本部分的建议:信息连续性,关系连续性,和管理连续性。为患有神经性厌食症的儿童提供护理需要来自不同组织的卫生保健专业人员网络,因此,护理的组织和提供面临挑战。新功能:•模块化护理提供阐明了门诊护理提供的复杂性和组织,并支持了神经性厌食症儿童及其父母/护理人员所经历的护理连续性的三个维度。
    Care provision for children with anorexia nervosa is provided by outpatient care teams in hospitals, but the way these teams are organized differs per hospital and hampers the continuity of care. The aim of this study is to explore the organization and continuity of care for children with anorexia nervosa in the Netherlands by using a modular perspective.We conducted a qualitative, exploratory case study and took the healthcare provision for children with anorexia nervosa, provided by outpatient care teams, as our case. We conducted nine interviews with healthcare professionals involved in outpatient care teams from six hospitals. A thematic analysis was used to analyze the data.The modular perspective offered insights into the work practices and working methods of outpatient care teams. We were able to identify modules (i.e. the separate consultations with the various professionals), and components (i.e. elements of these consultations). In addition, communication mechanisms (interfaces) were identified to facilitate information flow and coordination among healthcare professionals. Our modular perspective revealed gaps and overlap in outpatient care provision, consequently providing opportunities to deal with unnecessary duplications and blind spots.   Conclusion: A modular perspective can be applied to explore the organization of outpatient care provision for children with anorexia nervosa. We specifically highlight gaps and overlap in healthcare provision, which in turn leads to recommendations on how to support the three essential parts of continuity of care: informational continuity, relational continuity, and management continuity. What is Known: • Care provision for children with anorexia nervosa requires a network of health care professionals from different organizations, as a result the organization and provision of care faces challenges. What is New: • Modular care provision sheds light on the complexity and organization of outpatient care provision and supports the three dimensions of continuity of care as experienced by children with anorexia nervosa and their parents/caregivers.
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  • 文章类型: Journal Article
    至少从20世纪初开始,法律学者已经认识到,个人法律行为者之间的权利和其他法律关系,形成一个庞大而复杂的社会网络。然而,没有法律学者使用网络理论的数学机制来形式化这些关系。这里,我们提出了第一个这样的方法,通过建模一个基本的,利用网络理论建立不动产关系的静态集。然后,我们应用我们的玩具模型来衡量模块化水平-本质上,这些不动产关系和相关行为者的群体之间的社区结构。这样做,我们表明,即使对于一组非常基本的关系和行为者来说,法律可以采用模块化结构来管理复杂性。财产,侵权行为,合同,知识产权,和法律的其他领域可以说类似地降低了信息成本,通过将各方之间的交互世界切成可管理的半自主模块,可以量化的方式。我们还认为,我们对法学问题的网络科学方法可以适应量化法律制度的许多其他重要方面。本文是主题问题“法律和治理的复杂性科学方法”的一部分。
    From at least the early twentieth century, legal scholars have recognized that rights and other legal relations inhere between individual legal actors, forming a vast and complex social network. Yet, no legal scholar has used the mathematical machinery of network theory to formalize these relationships. Here, we propose the first such approach by modelling a rudimentary, static set of real property relations using network theory. Then, we apply our toy model to measure the level of modularity-essentially, the community structure-among aggregations of these real property relations and associated actors. In so doing, we show that even for a very basic set of relations and actors, law may employ modular structures to manage complexity. Property, torts, contracts, intellectual property, and other areas of the law arguably reduce information costs in similar, quantifiable ways by chopping up the world of interactions between parties into manageable modules that are semi-autonomous. We also posit that our network science approach to jurisprudential issues can be adapted to quantify many other important aspects of legal systems. This article is part of the theme issue \'A complexity science approach to law and governance\'.
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