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Hu H, Chen W, Ma W, Yu C, He Q, Tang J, Yu G. Optimizing hemostasis in HoLEP surgery: retrospective review of selective bipolar plasmakinetic technology guided by bladder irrigation fluid color. World J Urol 2024; 42:419. [PMID: 39023815 PMCID: PMC11258058 DOI: 10.1007/s00345-024-05130-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2023] [Accepted: 06/17/2024] [Indexed: 07/20/2024] Open
Abstract
OBJECT To evaluate the effectiveness of selective bipolar plasmakinetic technology based on bladder irrigation fluid color on hemostasis in HoLEP surgwery METHODS: A total of 209 patients who underwent HoLEP surgery from October 2021 to July 2023 were included and divided into Hemostasis Management Group and control group. the color of the irrigation fluid was categorized into 5 levels and the bipolar plasmakinetic technology was applied when the color came to level 4 or up. The following was analyzed: postoperative use of balloon compression, blood loss, irrigation time, length of hospital stay, and the number of a second operation. RESULTS Only 4 patients in Hemostasis Management Group required postoperative urinary catheter balloon compression, while there are 15 in the control group(p=0.03). The average irrigation time for patients in the HM Group with bipolar plasmakinetic hemostasis was 21.88±13.76 hours, compared to that in patients with catheter balloon compression(p=0.007). CONCLUSION Based on the bladder irrigation color chart, the selective application of bipolar plasmakinetic hemostasis led to a significant reduction in the number of patients requiring postoperative bladder catheter balloon compression. Secondly, the irrigation time of patients who underwent bipolar plasmakinetic hemostasis also decreased.
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Affiliation(s)
- Hengda Hu
- Department of Urology, Shanghai Jinshan District Central Hospital, Jinshan District Central Hospital affiliated to Shanghai University of Medicine & Health Sciences, Jinshan Branch of the Sixth People's Hospital of Shanghai, 147 Jiankang Road, Jinshan District, Shanghai, China
| | - Wenpu Chen
- Department of Urology, Shanghai Jinshan District Central Hospital, Jinshan District Central Hospital affiliated to Shanghai University of Medicine & Health Sciences, Jinshan Branch of the Sixth People's Hospital of Shanghai, 147 Jiankang Road, Jinshan District, Shanghai, China
| | - Weixiong Ma
- Department of Urology, Shanghai Jinshan District Central Hospital, Jinshan District Central Hospital affiliated to Shanghai University of Medicine & Health Sciences, Jinshan Branch of the Sixth People's Hospital of Shanghai, 147 Jiankang Road, Jinshan District, Shanghai, China
| | - Chengshuai Yu
- Department of Urology, Shanghai Jinshan District Central Hospital, Jinshan District Central Hospital affiliated to Shanghai University of Medicine & Health Sciences, Jinshan Branch of the Sixth People's Hospital of Shanghai, 147 Jiankang Road, Jinshan District, Shanghai, China
| | - Qirui He
- Department of Urology, Shanghai Jinshan District Central Hospital, Jinshan District Central Hospital affiliated to Shanghai University of Medicine & Health Sciences, Jinshan Branch of the Sixth People's Hospital of Shanghai, 147 Jiankang Road, Jinshan District, Shanghai, China
| | - Jinrong Tang
- Department of Urology, Shanghai Jinshan District Central Hospital, Jinshan District Central Hospital affiliated to Shanghai University of Medicine & Health Sciences, Jinshan Branch of the Sixth People's Hospital of Shanghai, 147 Jiankang Road, Jinshan District, Shanghai, China
| | - Guofeng Yu
- Department of Urology, Shanghai Jinshan District Central Hospital, Jinshan District Central Hospital affiliated to Shanghai University of Medicine & Health Sciences, Jinshan Branch of the Sixth People's Hospital of Shanghai, 147 Jiankang Road, Jinshan District, Shanghai, China.
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Wang Y, Su Q, Tang H, Lin X, Yi Y, Tian Q, Luo Z, Fu M, Peng J, Zhang K. Circ-USP9X accelerates deep vein thrombosis after fracture by acting as a miR-148b-3p sponge and upregulates SRC kinase signaling inhibitor 1. Clinics (Sao Paulo) 2024; 79:100403. [PMID: 38878321 PMCID: PMC11226750 DOI: 10.1016/j.clinsp.2024.100403] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/01/2023] [Revised: 03/11/2024] [Accepted: 05/12/2024] [Indexed: 06/21/2024] Open
Abstract
OBJECTIVES This study aims to elucidate the role of circUSP9X (Circular RNA Ubiquitin Specific Peptidase 9 X-Linked) in the development of venous thrombosis in the lower extremities. METHODS An animal model of Deep Vein Thrombosis (DVT) and a hypoxic model of Human Umbilical Vein Endothelial Cells (HUVECs) treated with Cobalt (II) Chloride (CoCl2) were developed. The expression levels of circUSP9X, microRNA-148b-3p (miR-148b-3p), and SRC Kinase Signaling Inhibitor 1 (SRCIN1) were quantified using quantitative reverse transcription Polymerase Chain Reaction and Western blot analysis. Cell cytotoxicity, viability, apoptosis, and inflammation in HUVECs were assessed via Lactate Dehydrogenase (LDH) assay, MTT assay, flow cytometry, Enzyme-Linked Immunosorbent Assay, and Western blot, respectively. Hematoxylin and Eosin staining were employed for histopathological examination of the venous tissues in the animal model. The interaction between circUSP9X, miR-148b-3p, and SRCIN1 was further explored through dual-luciferase reporter assays and RNA Immunoprecipitation experiments. RESULTS The present findings reveal a significant upregulation of circUSP9X and SRCIN1 and a concurrent downregulation of miR-148b-3p in DVT cases. Knockdown of circUSP9X or overexpression of miR-148b-3p ameliorated CoCl2-induced apoptosis in HUVECs, reduced LDH release, enhanced cellular viability, and mitigated inflammation. Conversely, overexpression of circUSP9X intensified CoCl2's cytotoxic effects. The effects of manipulating circUSP9X expression were counteracted by the corresponding modulation of miR-148b-3p and SRCIN1 levels. Additionally, circUSP9X knockdown effectively inhibited the formation of DVT in the mouse model. A competitive binding mechanism of circUSP9X for miR-148b-3p, modulating SRCIN1 expression, was identified. CONCLUSION circUSP9X promotes the formation of DVT through the regulation of the miR-148b-3p/SRCIN1 axis.
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Affiliation(s)
- YongChao Wang
- Department of Joint Sport Medicine, The First Affiliated Hospital of Hunan Medical College, Huaihua City, Hunan Province, PR China
| | - Qin Su
- Department of Joint Sport Medicine, The First Affiliated Hospital of Hunan Medical College, Huaihua City, Hunan Province, PR China
| | - HaiRong Tang
- School of Nursing, Hunan Medical College, Huaihua City, Hunan Province, PR China
| | - Xin Lin
- Department of Joint Sport Medicine, The First Affiliated Hospital of Hunan Medical College, Huaihua City, Hunan Province, PR China
| | - YanHua Yi
- Department of Joint Sport Medicine, The First Affiliated Hospital of Hunan Medical College, Huaihua City, Hunan Province, PR China
| | - Qiang Tian
- Department of Joint Sport Medicine, The First Affiliated Hospital of Hunan Medical College, Huaihua City, Hunan Province, PR China
| | - ZhangFeng Luo
- Department of Joint Sport Medicine, The First Affiliated Hospital of Hunan Medical College, Huaihua City, Hunan Province, PR China
| | - MeiChun Fu
- Department of Joint Sport Medicine, The First Affiliated Hospital of Hunan Medical College, Huaihua City, Hunan Province, PR China
| | - JiaQi Peng
- Department of Joint Sport Medicine, The First Affiliated Hospital of Hunan Medical College, Huaihua City, Hunan Province, PR China
| | - KeYun Zhang
- Department of Joint Sport Medicine, The First Affiliated Hospital of Hunan Medical College, Huaihua City, Hunan Province, PR China.
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Miranda FC, Castro ADAE, Obrigon AM, Godoy-Santos AL, Santos DDCB, Rosemberg LA, Taneja AK. Magnetic Resonance Imaging Features of Plantar Vein Thrombosis. Diagnostics (Basel) 2024; 14:1215. [PMID: 38928631 PMCID: PMC11202507 DOI: 10.3390/diagnostics14121215] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2024] [Revised: 05/30/2024] [Accepted: 06/06/2024] [Indexed: 06/28/2024] Open
Abstract
Plantar vein thrombosis (PVT) is an underdiagnosed condition affecting the deep plantar veins, with challenging clinical diagnosis, often presenting with non-specific symptoms that mimic other foot pathologies. This study assessed the magnetic resonance imaging (MRI) features of patients diagnosed with PVT to contribute to the understanding of this condition. We performed the comprehensive analysis of a substantial dataset, including 112 patients, with a total of 130 positive MRI scans (86 of the forefoot and 44 of the ankle) presenting with PVT. Upon evaluating all the veins of the feet, we observed a higher frequency of involvement of the lateral plantar veins (53.1%) when compared to the medial veins (3.8%). The most affected vascular segments in the forefeet were the plantar metatarsal veins (45.4%), the plantar venous arch (38.5%), and the plantar communicating veins (25.4%). The characteristic findings on MRI were perivascular edema (100%), muscular edema (86.2%), venous ectasia (100%), perivascular enhancement (100%), and intravenous filling defects (97.7%). Our study provides valuable insights into the imaging evaluation of PVT and shows that MRI is a reliable resource for such diagnosis.
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Affiliation(s)
- Frederico Celestino Miranda
- Hospital Israelita Albert Einstein, São Paulo 05652-900, Brazil; (F.C.M.); (A.d.A.e.C.); (A.M.O.); (A.L.G.-S.); (D.d.C.B.S.); (L.A.R.)
| | - Adham do Amaral e Castro
- Hospital Israelita Albert Einstein, São Paulo 05652-900, Brazil; (F.C.M.); (A.d.A.e.C.); (A.M.O.); (A.L.G.-S.); (D.d.C.B.S.); (L.A.R.)
- Department of Imaging Diagnosis, Universidade Federal de São Paulo, São Paulo 04024-002, Brazil
| | - Ariadne Moura Obrigon
- Hospital Israelita Albert Einstein, São Paulo 05652-900, Brazil; (F.C.M.); (A.d.A.e.C.); (A.M.O.); (A.L.G.-S.); (D.d.C.B.S.); (L.A.R.)
| | - Alexandre Leme Godoy-Santos
- Hospital Israelita Albert Einstein, São Paulo 05652-900, Brazil; (F.C.M.); (A.d.A.e.C.); (A.M.O.); (A.L.G.-S.); (D.d.C.B.S.); (L.A.R.)
- Faculdade de Medicina, Universidade de São Paulo, São Paulo 05403-010, Brazil
| | - Durval do Carmo Barros Santos
- Hospital Israelita Albert Einstein, São Paulo 05652-900, Brazil; (F.C.M.); (A.d.A.e.C.); (A.M.O.); (A.L.G.-S.); (D.d.C.B.S.); (L.A.R.)
| | - Laercio Alberto Rosemberg
- Hospital Israelita Albert Einstein, São Paulo 05652-900, Brazil; (F.C.M.); (A.d.A.e.C.); (A.M.O.); (A.L.G.-S.); (D.d.C.B.S.); (L.A.R.)
| | - Atul Kumar Taneja
- Department of Radiology, UT Southwestern Medical Center, Dallas, TX 75390, USA
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Wang B, Wang Q, Ji Y, Zhang Y, Qiao T. The clinical outcomes of different doses of rivaroxaban in patients with isolated distal deep vein thrombosis. J Vasc Surg Venous Lymphat Disord 2024; 12:101653. [PMID: 37490950 DOI: 10.1016/j.jvsv.2023.07.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2023] [Revised: 07/10/2023] [Accepted: 07/15/2023] [Indexed: 07/27/2023]
Abstract
OBJECTIVE Isolated distal deep vein thrombosis (IDDVT) is defined as thrombosis involving the infrapopliteal veins. The optimal anticoagulant therapy of IDDVT remains controversial. This study aimed to assess whether reduced dose of rivaroxaban was suitable in patients with IDDVT. METHODS Consecutive patients with acute IDDVT were identified by reviewing the venous thromboembolism (VTE) registry databases. Outcomes including VTE recurrence, major bleeding, clinically relevant non-major (CRNM) bleeding, and death. Patients were followed until the first occurrence of any outcomes or the study end date (December 31, 2018). Hazard ratios (HRs) and 95% confidence intervals (CIs) were computed. RESULTS A total of 1246 patients were divided into low-dose (10 or 15 mg/day; n = 716) and standard-dose (20 mg/day; n = 530) groups. The incidences of VTE recurrence, major bleeding, CRNM bleeding, and death between the two groups were 9.64% vs 5.66%, 1.68% vs 3.02%, 4.61% vs 8.68%, and 13.83% vs 10.75%, respectively. After the inverse probability of treatment weighting, HRs for standard-dose vs low-dose of VTE recurrence, major bleeding, CRNM bleeding, and death were 0.54 (95% CI, 0.35-0.84), 1.71 (95% CI, 0.80-3.67), 2.28 (95% CI, 1.40-3.74), and 1.30 (95% CI, 0.91-1.86), respectively. For the subgroup analysis, the interaction with anticoagulation duration and treatment was evident for VTE recurrence (P for interaction = .002), but not for major bleeding. Patients with residual vein thrombosis were associated with an increased risk of VTE recurrence (HR, 1.95; 95% CI, 1.29-2.95). The interaction between risk factors and residual vein thrombosis was evident for VTE recurrence (P for interaction = .085). CONCLUSIONS Standard-dose rivaroxaban reduced the risk of VTE recurrence without increasing the risk of major bleeding in patients with IDDVT. Anticoagulant therapy for >1.5 months should be preferred over shorter durations. Residual vein thrombosis should be assessed as a predictor of recurrence in patients with IDDVT, especially for patients with non-transient factors.
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Affiliation(s)
- Baoyan Wang
- Department of Vascular Surgery, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China
| | - Qing Wang
- Nanjing Drum Tower Hospital Clinical College of Nanjing University of Chinese Medicine, Nanjing, China
| | - Ye Ji
- Nanjing Drum Tower Hospital Clinical College of Nanjing University of Chinese Medicine, Nanjing, China
| | - Yepeng Zhang
- Department of Vascular Surgery, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China
| | - Tong Qiao
- Department of Vascular Surgery, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China; Nanjing Drum Tower Hospital Clinical College of Nanjing University of Chinese Medicine, Nanjing, China.
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Miranda FC, e Castro ADA, Yoshimura FB, Godoy-Santos AL, Santos DDCB, Rosemberg LA, Taneja AK. Imaging Features of Plantar Vein Thrombosis: An Easily Overlooked Condition in the Differential Diagnosis of Foot Pain. Diagnostics (Basel) 2024; 14:126. [PMID: 38248003 PMCID: PMC10814699 DOI: 10.3390/diagnostics14020126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2023] [Revised: 12/31/2023] [Accepted: 01/02/2024] [Indexed: 01/23/2024] Open
Abstract
Plantar vein thrombosis is a venous disorder affecting deep plantar veins that can manifest with non-specific localized pain, plantar foot pain, swelling, and sensation of fullness. Plantar veins are not routinely assessed during sonographic scans for deep venous thrombosis, which makes plantar venous thrombosis a commonly missed diagnosis. This paper provides a comprehensive review of the venous anatomy of the foot and imaging findings of plantar venous thrombosis as well as discusses the current literature on the topic and its differential diagnoses.
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Affiliation(s)
- Frederico Celestino Miranda
- Hospital Israelita Albert Einstein, São Paulo 05652-900, Brazil; (F.C.M.); (A.d.A.e.C.); (F.B.Y.); (A.L.G.-S.); (D.d.C.B.S.); (L.A.R.)
| | - Adham do Amaral e Castro
- Hospital Israelita Albert Einstein, São Paulo 05652-900, Brazil; (F.C.M.); (A.d.A.e.C.); (F.B.Y.); (A.L.G.-S.); (D.d.C.B.S.); (L.A.R.)
- Department of Imaging Diagnosis, Universidade Federal de São Paulo, São Paulo 04024-002, Brazil
| | - Fábio Brandão Yoshimura
- Hospital Israelita Albert Einstein, São Paulo 05652-900, Brazil; (F.C.M.); (A.d.A.e.C.); (F.B.Y.); (A.L.G.-S.); (D.d.C.B.S.); (L.A.R.)
| | - Alexandre Leme Godoy-Santos
- Hospital Israelita Albert Einstein, São Paulo 05652-900, Brazil; (F.C.M.); (A.d.A.e.C.); (F.B.Y.); (A.L.G.-S.); (D.d.C.B.S.); (L.A.R.)
- Faculdade de Medicina, USP, São Paulo 05403-010, Brazil
| | - Durval do Carmo Barros Santos
- Hospital Israelita Albert Einstein, São Paulo 05652-900, Brazil; (F.C.M.); (A.d.A.e.C.); (F.B.Y.); (A.L.G.-S.); (D.d.C.B.S.); (L.A.R.)
| | - Laercio Alberto Rosemberg
- Hospital Israelita Albert Einstein, São Paulo 05652-900, Brazil; (F.C.M.); (A.d.A.e.C.); (F.B.Y.); (A.L.G.-S.); (D.d.C.B.S.); (L.A.R.)
| | - Atul Kumar Taneja
- Department of Radiology, UT Southwestern Medical Center, Dallas, TX 75390, USA
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Horiuchi K, Fogel J, Sarmiento J. Endovenous radiofrequency ablation of great saphenous vein complicated by pulmonary embolism in an elderly patient. BMJ Case Rep 2023; 16:e255543. [PMID: 37524510 PMCID: PMC10391821 DOI: 10.1136/bcr-2023-255543] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/02/2023] Open
Affiliation(s)
- Kohei Horiuchi
- Department of Medicine, Icahn School of Medicine at Mount Sinai, Mount Sinai Beth Israel, New York, New York, USA
| | - Joyce Fogel
- Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA
| | - Jessica Sarmiento
- Department of Medicine, Icahn School of Medicine at Mount Sinai, Mount Sinai Beth Israel, New York, New York, USA
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Pham A, Heib A, Goodman E, Cotto R, Jafari P, Lipsitz E, Indes J. Warfarin Versus Direct Oral Anticoagulants For Patients Needing Treatment For Distal Deep Vein Thrombosis. J Vasc Surg Venous Lymphat Disord 2022; 10:826-831.e1. [DOI: 10.1016/j.jvsv.2022.01.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2021] [Accepted: 01/12/2022] [Indexed: 11/29/2022]
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Li H, Zhang W, Lu Q, Wang J, Zhi Y, Zhang L, Zhou L. Which Frequency of Ankle Pump Exercise Should Be Chosen for the Prophylaxis of Deep Vein Thrombosis? INQUIRY : A JOURNAL OF MEDICAL CARE ORGANIZATION, PROVISION AND FINANCING 2022; 59:469580221105989. [PMID: 35658650 PMCID: PMC9168852 DOI: 10.1177/00469580221105989] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Introduction Ankle pump exercise (APE) is an effective method to prevent deep vein
thrombosis (DVT) in the lower extremities. However, traditional APE at a
frequency of 3 times/min applied in the clinic lacked high compliance, and
individuals were found to prefer an APE of 30 times/min. This study aimed to
compare the effects of APEs with the above two different frequencies on the
venous hemodynamics and fatigue of lower extremities. Methods The study applied a randomized cross-over design, and 307 healthy adults were
randomly assigned into two groups, whose left feet performed 5 minutes of
traditional APE (3 times/min, after 10 minutes of rest) and 5 minutes of
selected APE (30 times/min, after 10 minutes of rest) in different orders.
The diameters and blood flow velocities of the external iliac vein, femoral
vein, and popliteal vein of the left extremities were recorded with the
color doppler ultrasound when participants were at rest and after 5 minutes
of traditional or selected APE. The fatigue of lower extremities was
assessed with the Rating of Perceived Exertion (RPE) after the participants
performed 5 minutes of different APEs. Results After both traditional APE and selected APE, the diameters and blood flow
(peak systolic) velocities of the external iliac vein, femoral vein, and
popliteal vein increased significantly in the participants (P<.01), and
the effects of the two APEs on venous hemodynamics of the lower extremities
had no significant difference (P>.05). However, participants reported
that traditional APE caused higher fatigue, and 252 (82.1%) participants
preferred APE at 30 times/min. Conclusion Both traditional and selected APE could increase venous blood flow in the
lower extremity. Despite the equivalent effects, the selected APE of 30
times/min may cause less fatigue than the traditional one of 3
times/min.
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Affiliation(s)
- Haiyan Li
- Department of Vascular Surgery, Changhai Hospital Affiliated to Naval Medical University, Shanghai, China
| | - Wei Zhang
- Department of Clinical Nursing, Nursing School, Naval Medical University, Shanghai, China
| | - Qingsheng Lu
- Department of Vascular Surgery, Changhai Hospital Affiliated to Naval Medical University, Shanghai, China
| | - Jinping Wang
- Department of Vascular Surgery, Changhai Hospital Affiliated to Naval Medical University, Shanghai, China
| | - Yanru Zhi
- Department of Vascular Surgery, Changhai Hospital Affiliated to Naval Medical University, Shanghai, China
| | - Lingjuan Zhang
- Education and Scientific Research Department of Clinical Nursing, Changhai Hospital Affiliated to Naval Medical University, Shanghai, China
| | - Lanshu Zhou
- Department of Clinical Nursing, Nursing School, Naval Medical University, Shanghai, China
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