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Zhang L, Gao B, He F, Wu C, Du J, Zhang L, Liang J, Lang H. Construction of learning objectives and content for emergency triage nurses in tertiary general hospitals: A Delphi study. Nurse Educ Pract 2024; 80:104145. [PMID: 39317090 DOI: 10.1016/j.nepr.2024.104145] [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: 04/14/2024] [Revised: 09/07/2024] [Accepted: 09/12/2024] [Indexed: 09/26/2024]
Abstract
AIM To construct learning objectives and educational content for emergency triage nurses based on core competencies. BACKGROUND The core competencies of emergency triage nurses has an impact on the quality of medical services and patient treatment outcomes. However, research on learning objectives and educational content aimed at cultivating the core competencies of emergency triage nurses is limited. DESIGN A Delphi study. METHODS To develop a draft of the teaching objectives and content for emergency triage nurses based on core competencies, a literature review, semistructured interviews and expert group meetings were conducted. Then, 24 experts were invited to provide feedback on the draft and suggest revisions through two rounds of Delphi consultation. RESULTS Consensus was reached on six core competencies, 30 learning objectives and 43 educational contents. The response rate for the two rounds of expert questionnaires was 100 %, with 79.2 % and 54.2 % of the experts providing feedback in the first and second rounds, respectively. The judgement coefficient (Ca) was 0.910, the familiarity coefficient (Cs) was 0.917 and the authority coefficient (Cr) was 0.914. The Kendall's W coefficients for the two rounds of expert inquiry were 0.321 and 0.334, indicating a statistically significant difference (P<0.05). CONCLUSIONS Constructing learning objectives and educational content for emergency triage nurses based on core competencies is scientific and reliable and can provide a reference for the training and management of emergency triage nurses.
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Affiliation(s)
- Linyuan Zhang
- School of Nursing, Air Force Medical University, Xi'an, Shaanxi 710032, China.
| | - Bo Gao
- Department of Orthopaedic Surgery, The First Affiliated Hospital, Air Force Medical University, Xi'an, Shaanxi, China
| | - Fang He
- School of Nursing, Air Force Medical University, Xi'an, Shaanxi 710032, China
| | - Chao Wu
- School of Nursing, Air Force Medical University, Xi'an, Shaanxi 710032, China
| | - Juan Du
- School of Nursing, Air Force Medical University, Xi'an, Shaanxi 710032, China
| | - Li Zhang
- Department of Emergency Medicine, The First Affiliated Hospital, Air Force Medical University, Xi'an, Shaanxi 710032, China
| | - Juan Liang
- Department of Paediatrics, The First Affiliated Hospital, Air Force Medical University, Xi'an, Shaanxi 710032, China
| | - Hongjuan Lang
- School of Nursing, Air Force Medical University, Xi'an, Shaanxi 710032, China.
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Wu C, Zhang H, Lin Y, Yuan W, He J, Li L, Jiang D, Ji Z, Lang H. Construction and application of the core competence course training system for infectious disease specialist nurses. BMC MEDICAL EDUCATION 2024; 24:410. [PMID: 38622627 PMCID: PMC11017496 DOI: 10.1186/s12909-024-05405-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/27/2023] [Accepted: 04/09/2024] [Indexed: 04/17/2024]
Abstract
OBJECTIVES This study aims to construct and apply a training course system which was scientific and comprehensive to foster the core competence of infectious disease specialist nurses. DESIGN A two-round Delphi consultation survey was carried out to collect feedback from experts on constructing the training course system of core competence for infectious disease specialist nurses. Besides, a non-randomized controlled experimental study was adopted to check the application effect of the courses. METHODS This study adopted a series of methods including group discussion, theoretical analysis and Delphi consultation to draft the training course content of core competence of infectious disease specialist nurses. Twenty-one Chinese experts were invited to participate in the Delphi consultation from November 2021 to December 2021. From October 2022 to January 2023, a total of 105 infectious disease specialist nurses from two training bases were selected by the convenience sampling method, of which the nurses in one training base were the control group and the nurses in the other training base were the observation group. The observation group was trained by the constructed core competence training course. Questionnaire evaluation was used to compare the core competence of infectious disease specialist nurses and the training effect. RESULTS The experts, regarded as the authorities on the subject, were highly motivated in this study. Besides, they reached a consensus on the results. The final training course system of core competence for infectious disease specialist nurses focused on 5 competence modules and was composed of 12 categories of courses with 66 classes and corresponding objectives. The core competence scores of the observation group were significantly higher than those in the control group after training (P < 0.05), which proved the training system can effectively enhance the core competence of infectious disease specialist nurses. CONCLUSIONS The research methods embodied scientific and precise properties. The course system was comprehensive in content and reliable in results. It could serve as a reference for training infectious disease specialist nurses.
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Affiliation(s)
- Chao Wu
- Nursing Department, Air Force Medical University, No. 169 Changle West Road, 710032, Shaanxi, Shaanxi, China
| | - Hongli Zhang
- Nursing Department, Air Force Medical University, No. 169 Changle West Road, 710032, Shaanxi, Shaanxi, China
- School of Nursing, Shaanxi University of Chinese Medicine, Xianyang, China
| | - Yawei Lin
- Department of Anesthesiology, 956Th Hospital of the Chinese People's Liberation Army, Nyingchi, China
| | - Weiyun Yuan
- Xijing Hospital of Air Force Medical University, Shaanxi, China
| | - Jing He
- Laboratory Department, Yan'an University Affiliated Hospital, Yan'an, China
| | - Lu Li
- Tangdu Hospital of Air Force Medical University, Shaanxi, China
| | - Donglei Jiang
- Department of Foreign Languages, School of Basic Medicine, Air Force Medical University, No. 169 Changle West Road, 710032, Shaanxi, Shaanxi, China.
| | - Zhaohua Ji
- Department of Epidemiology, Ministry of Education Key Lab of Hazard Assessment and Control in Special Operational Environment, School of Public Health, Air Force Medical University, Shaanxi, China.
| | - Hongjuan Lang
- Nursing Department, Air Force Medical University, No. 169 Changle West Road, 710032, Shaanxi, Shaanxi, China.
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Hung MSY, Ng WWM, Choi EKY. The Impacts of the COVID-19 Pandemic on Hong Kong Nursing Students' Mental Health and Quality of Life. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:15117. [PMID: 36429837 PMCID: PMC9690710 DOI: 10.3390/ijerph192215117] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/26/2022] [Revised: 11/14/2022] [Accepted: 11/14/2022] [Indexed: 06/16/2023]
Abstract
Evidence shows that university students, especially healthcare students, experienced considerable health impacts during COVID-19. This study examined Hong Kong general nursing students' mental health and quality of life during the COVID-19 pandemic. An online questionnaire composed of personal demographics, the Fear of COVID-19 scale (FCV-19S), the Depression Anxiety Stress Scale short version (DASS21), and the World Health Organization Quality of Life-BREF (WHOQOL-BREF) was used for data collection in early 2021. Among 380 respondents, 170 (45%) did not attend clinical practicum during the pandemic. Students who did not participate in clinical training scored lower in FCV-19S but higher in WHOQOL-BREF than those who participated (p = 0.001 or p < 0.001). FCV-19S and WHOQOL-BREF were negatively correlated (r = -0.623 to -0.446, p < 0.001). Slight negative correlations were found between the FCV-19S and DASS-21 scores. Although there were no significant differences in DASS21 (p = 0.294-0.931) between these two student groups, there was a considerably high prevalence rate of depression (57.1%), anxiety (47.6%), and stress (39.5%). Hong Kong nursing students, especially those who attended clinical practicum during the pandemic, experienced substantial emotional and quality of life implications. Local universities are recommended to organize appropriate interventions to prepare and support nursing students' wellbeing and health in coping with future disasters.
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Affiliation(s)
- Maria Shuk Yu Hung
- School of Health Sciences, Caritas Institute of Higher Education, Hong Kong, China
| | - Winnie Wing Man Ng
- Division of Science, Engineering and Health Studies, College of Professional and Continuing Education, The Hong Kong Polytechnic University, Hong Kong, China
| | - Edward Kwok Yiu Choi
- Chinese Language Education and Assessment Centre, Lingnan University, Hong Kong, China
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Quinlan P, Davis J, Jacobson J. COVID-19-A Qualitative Orthopaedic Nurse Perspective. Orthop Nurs 2022; 41:271-281. [PMID: 35869914 PMCID: PMC9307262 DOI: 10.1097/nor.0000000000000862] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/04/2022] Open
Abstract
In response to a March 2020, New York State mandate, our elective surgery center began a physical and operational transformation to provide inpatient care to COVID-19 patients. Research study aims included (1) a description of the orthopaedic nurses' experience during the pandemic, and (2) tactics used to cope with related stress. Researchers used a descriptive, qualitative design to achieve study aims. During April to December 2020, nine nurses responded to seven open-ended, study prompts asking them to journal their thoughts about the pandemic. The majority (66%) of participants were experienced nurses and all provided direct patient care. Nurses provided 51 journal entries that generated 12 themes, which encapsulated their experience living through the pandemic: (1) Whirlwind, (2) War, (3) Control, (4) Death and Dying, (5) Staying Safe, (6) Loss, (7) Looking for Meaning, (8) Whatever It Takes, (9) Adaptability and Resilience, (10) What I Have Learned, (11) The New Normal, and (12) When Will This Be Over? Orthopaedic nurses in this study pivoted to the needs of patients requiring them to draw on all their training and resources. Nurses described the enormity and taxing nature of the viral threat and their ability to manage their well-being while caring for patients and loved ones, amidst social distancing and need for aggressive infection control. Support from peers and leadership were paramount factors in nurse coping. Positive thinking and personal resilience were considered essential. Most participants described personal growth; however, decreased participation in journal responses overtime, suggested emotional strain. Future studies should examine nurses' observations about the impact of changes to their practice brought on by the pandemic, and reliance on technology.
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Affiliation(s)
- Patricia Quinlan
- Correspondence: Patricia Quinlan, Nursing Excellence, Hospital for Special Surgery, 535 East 70th St, New York, NY 10021 (, )
| | - Jack Davis
- Patricia Quinlan, PhD, MPA, RN, CPHQ, Assistant Vice President, Nursing Excellence, Hospital for Special Surgery, New York City, NY
- Jack Davis, MSN, RN, ONC, Manager, Patient Education and Research, Hospital for Special Surgery, New York City, NY
- Joy Jacobson, MFA, Hospital for Special Surgery, New York City, NY
| | - Joy Jacobson
- Patricia Quinlan, PhD, MPA, RN, CPHQ, Assistant Vice President, Nursing Excellence, Hospital for Special Surgery, New York City, NY
- Jack Davis, MSN, RN, ONC, Manager, Patient Education and Research, Hospital for Special Surgery, New York City, NY
- Joy Jacobson, MFA, Hospital for Special Surgery, New York City, NY
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What Determines Pig Farmers' Epidemic Coping Behaviors: A Qualitative Analysis of Endemically Infected Areas in Relation to African Swine Fever. Vet Sci 2021; 8:vetsci8110266. [PMID: 34822639 PMCID: PMC8620968 DOI: 10.3390/vetsci8110266] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2021] [Revised: 10/31/2021] [Accepted: 11/01/2021] [Indexed: 11/17/2022] Open
Abstract
An animal epidemic is a big threat for economic development that may seriously disturb the breeding industry and people's normal life. The most effective approach so far for epidemic control is biosecurity, zoning, culling animals exposed, and other relevant measures, which highly demands the cooperation of farmers in epidemic areas. However, an uncooperative phenomenon among individual farmers facing an epidemic has been recorded for a long time and includes unwilling to report the epidemic and selling infected pork. It is important to unravel the determinants of farmers' coping behaviors during an animal epidemic outbreak and use corresponding strategies to reduce farmers' inappropriate behaviors. Taking African Swine Fever (ASF) crisis as an example, this study aimed to reveal the determinants and underlying mechanism of pig farmers' coping behaviors. We adopted qualitative interviews with 45 pig farmers across four endemically infected areas in Hunan provinces, and the data collected were subjected to a grounded theory analysis. Our results showed that emergency response, information sources, and information channels jointly affected pig farmers' epidemic risk perception and their perception of coping behaviors. Meanwhile, both the characteristics of the government and pig farmers moderated this affect. Consequently, by processing information through either a heuristic or an analytical path, pig farmers' behavioral intention was transformed into actual coping behaviors. Our study emphasizes the value of sufficient risk communication, proper compensation policies, and strong public trust in the government for improving the farmers' participation in the epidemic response. Theoretical and practical implications to animal epidemic prevention and control are provided.
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Wu C, Wu P, Li P, Cheng F, Du Y, He S, Lang H. Construction of an index system of core competence assessment for infectious disease specialist nurse in China: a Delphi study. BMC Infect Dis 2021; 21:791. [PMID: 34376141 PMCID: PMC8353424 DOI: 10.1186/s12879-021-06402-2] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2021] [Accepted: 07/18/2021] [Indexed: 12/25/2022] Open
Abstract
Aim and objective This study was to establish an index system for the evaluation of Chinese infectious disease specialist nurses’ core competence. Background The index system for the evaluation of infectious disease specialist nurses’ core competence has not been established. Design A two-round Delphi survey was conducted to seek opinions from experts about the index system for the evaluation of infectious disease specialist nurses’ core competence. Methods The study adopted several research methods, including literature retrieval, theoretical analysis and qualitative research. Based on the above method, the draft of core competence evaluation index system of infectious disease specialist nurses was constructed. A Delphi survey was used for the study of 30 infectious disease experts from 8 provinces and cities around China. A modified recommendation for the Conducting and Reporting of Delphi studies (CREDES) was also used to guide this study. A STROBE checklist was used. Results The Core Competence Evaluation Index System of Infectious Disease Nurses is composed of 6 primary indicators, namely, Nursing Abilities for Infectious Diseases, Infection Prevention and Control Abilities, Responsiveness to Infectious Diseases, Professional Development Abilities, Communication and Management Abilities, and Professionalism and Humanistic Accomplishment, 16 secondary indicators and 47 tertiary indicators. The authority coefficient, judgment coefficient and familiarity degree of Delphi experts were 0.923, 0.933 and 0.913 respectively. Conclusions The evaluation index system of core competence of diseases specialist nurses is scientific and reliable. It can be reference for future training and assessment of Chinese infectious disease specialist nurses. Relevance to clinical practice Infectious disease specialist nurses are the main force for infectious disease nursing. Their core competence is related to the quality of infectious disease nursing and treatment. The core competence of the nurses is important for identification of training strategies and can be regarded as reference for nurse assessment and promotion. The construction of the index system is based on the consensus of infectious disease experts, which is not only helpful to standardize the training strategies and selection standards of infectious disease specialist nurses in the future, but also meet the society’s needs in clinical infectious disease nursing.
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Affiliation(s)
- Chao Wu
- Air Force Medical University, Shaanxi, Xian, 710032, China
| | - Ping Wu
- Tongji Hospital, Affiliated Hospital of Tongji Medical School of Huazhong University of Science and Technology, Hubei, Wuhan, 430000, China
| | - Pei Li
- Tangdu Hospital, the Second Affiliated Hospital of Air Force Military Medical University Shaanxi, Shaanxi, Xian, 710032, China
| | - Feixia Cheng
- Naval University of Engineering, Hubei, Wuhan, 430000, China
| | - Yanling Du
- Air Force Medical University, Shaanxi, Xian, 710032, China
| | - Shizhe He
- Air Force Medical University, Shaanxi, Xian, 710032, China
| | - Hongjuan Lang
- Air Force Medical University, Shaanxi, Xian, 710032, China.
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He Y, Li M, Zhong Q, Li Q, Yang R, Lin J, Zhang X. The Chinese Government's Response to the Pandemic: Measures, Dynamic Changes, and Main Patterns. Healthcare (Basel) 2021; 9:1020. [PMID: 34442157 PMCID: PMC8393519 DOI: 10.3390/healthcare9081020] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2021] [Revised: 07/29/2021] [Accepted: 08/07/2021] [Indexed: 12/16/2022] Open
Abstract
(1) Background: The governance measures that governments deploy vary substantially across countries and even within countries; there is, however, limited knowledge of the responses of local governments or from different areas in the same country. (2) Methods: By using grounded theory and an automatic text processing method, this study analyses the pandemic governance measures, the pandemic governance pattern, and possible factors across 28 provinces in mainland China based on the text of 28 official provincial government Sina microblogs dating from 20 January to 1 July 2020. (3) Results and discussion: The provincial pandemic governance patterns in China are divided into a pathogen-control pattern, a diagnosis and treatment consolidation pattern, a balanced promotion pattern, a quick-adjustment response pattern, and a recovery-oriented pattern. The pandemic severity, economic development, public health service, and population structure may all have an impact on pandemic governance measures. (4) Conclusions: The conclusions of this study may help us to reconstruct governance systems related to global public health emergencies from the perspective of normalisation, as well as providing important clarification for management and a reference for countries seeking to curb the global spread of a pandemic.
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Affiliation(s)
- Yuxi He
- School of Economics and Management, Fuzhou University, Fuzhou 350108, China; (Y.H.); (M.L.); (Q.L.); (R.Y.); (J.L.)
| | - Maorui Li
- School of Economics and Management, Fuzhou University, Fuzhou 350108, China; (Y.H.); (M.L.); (Q.L.); (R.Y.); (J.L.)
| | - Qixi Zhong
- School of Public Administration and Policy, Renmin University of China, Beijing 100872, China;
| | - Qi Li
- School of Economics and Management, Fuzhou University, Fuzhou 350108, China; (Y.H.); (M.L.); (Q.L.); (R.Y.); (J.L.)
| | - Ruishi Yang
- School of Economics and Management, Fuzhou University, Fuzhou 350108, China; (Y.H.); (M.L.); (Q.L.); (R.Y.); (J.L.)
| | - Jing Lin
- School of Economics and Management, Fuzhou University, Fuzhou 350108, China; (Y.H.); (M.L.); (Q.L.); (R.Y.); (J.L.)
| | - Xiaojun Zhang
- School of Economics and Management, Fuzhou University, Fuzhou 350108, China; (Y.H.); (M.L.); (Q.L.); (R.Y.); (J.L.)
- Fujian Emergency Management Research Center, Fuzhou University, Fuzhou 350108, China
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Zhang L, Chen K, Jiang H, Zhao J. How the Health Rumor Misleads People's Perception in a Public Health Emergency: Lessons from a Purchase Craze during the COVID-19 Outbreak in China. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E7213. [PMID: 33023103 PMCID: PMC7579116 DOI: 10.3390/ijerph17197213] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/21/2020] [Revised: 09/15/2020] [Accepted: 09/29/2020] [Indexed: 12/13/2022]
Abstract
Health rumors often mislead people and cause adverse health behaviors. Especially during a public health emergency, health rumors may result in severe consequences for people's health and risk governance. Insight into how these rumors form and harm people's health behavior is critical for assisting people in establishing scientific health cognition and to enhance public health emergency responses. Using the case study with interview data of a salient purchase craze led by a health rumor during the COVID-19 outbreak in China, this article aimed to illustrate the process of how a piece of information becomes a health rumor. Furthermore, we identify factors that cause people to believe rumors and conduct behavior that leads to a purchase craze. Results show that a public misunderstanding of the unique psychology of uncertainty, cultural and social cognition, and conformity behavior jointly informs people's beliefs in rumors and further causes purchase craze behavior. We developed a simplified model to demonstrate how an ordinary news report can lead to a rumor. Based on this model, some implications of effective health communication are suggested for managing rumors.
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Affiliation(s)
- Liwei Zhang
- School of Public Administration, Jilin University, Changchun 130012, China;
| | - Kelin Chen
- Institute of Urban Governance, Shenzhen University, Shenzhen 518060, China;
| | - He Jiang
- Department of Social Psychology, Nankai University, Tianjin 300350, China;
| | - Ji Zhao
- School of International and Public Affairs, Shanghai Jiao Tong University, Shanghai 200030, China
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Pan Q, Gao T, He M. Influence of isolation measures for patients with mild symptoms on the spread of COVID-19. CHAOS, SOLITONS, AND FRACTALS 2020; 139:110022. [PMID: 32834589 PMCID: PMC7324350 DOI: 10.1016/j.chaos.2020.110022] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/07/2020] [Revised: 06/07/2020] [Accepted: 06/15/2020] [Indexed: 05/04/2023]
Abstract
During the transmission of COVID-19, the hospital isolation of patients with mild symptoms has been a concern. In this paper, we use a differential equation model to describe the propagation of COVID-19, and discuss the effects of intensity of hospital isolation and moment of taking measures on development of the epidemic. The results show that isolation measures can significantly reduce the epidemic final size and the number of dead, and the greater the intensity of measures, the better, but duration of the epidemic will be prolonged. Whenever isolation measures are taken, the epidemic final size and the number of dead can be reduced. In early stage of the epidemic, taking measures one day later has little impact, but after a certain period, if taking measures one day later, the epidemic final size and the number of dead increase sharply. Taking measures as early as possible makes the maximum number of patients appear later, which is conducive to expanding medical bed resources and reducing the pressure on medical resource demand. As long as possible, high-intensity isolation measures should be taken in time for patients with mild symptoms.
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Affiliation(s)
- Qiuhui Pan
- School of Mathematical Sciences, Dalian university of technology, Da Lian 116024, China
- School of Innovation and Entrepreneurship, Dalian university of technology, Da Lian 116024, China
| | - Ting Gao
- School of Mathematical Sciences, Dalian university of technology, Da Lian 116024, China
| | - Mingfeng He
- School of Mathematical Sciences, Dalian university of technology, Da Lian 116024, China
- School of Innovation and Entrepreneurship, Dalian university of technology, Da Lian 116024, China
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