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接近正义:我国医疗纠纷调解组织发展的困境及其对策研究 被引量:3
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作者 王红梅 《南京中医药大学学报(社会科学版)》 2020年第3期198-204,共7页
目前医疗纠纷调解组织普遍存在人才流失严重、人才结构不合理,布局不科学,管理与运作方式行政化和过度趋同化等问题,主要原因在于组织定位不清晰、政府主导性过强、盲目模仿和组织学习等。大力发展以医疗纠纷人民调解组织为代表的医疗... 目前医疗纠纷调解组织普遍存在人才流失严重、人才结构不合理,布局不科学,管理与运作方式行政化和过度趋同化等问题,主要原因在于组织定位不清晰、政府主导性过强、盲目模仿和组织学习等。大力发展以医疗纠纷人民调解组织为代表的医疗纠纷调解组织,准确界定政府部门与医疗纠纷调解组织之间的关系,积极实现医疗纠纷调解组织从单一化向多元化、从人才流失向人才流动等方面的转变,是我国医疗纠纷调解组织发展的必由之路。 展开更多
关键词 医疗纠纷调解组织 医疗纠纷人民调解委员会 医疗纠纷预防与处理条例 多元化
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Serum Gamma-glutamyl Transferase Levels Predict Functional Outcomes after Aneurysmal Subarachnoid Hemorrhage 被引量:7
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作者 XU Tian wang Wei +9 位作者 ZHAI Lin ZHANG Yun Feng ZHOU hong Zhi WU Xin Min LI Ai hong XIE Li Li NING Xiao Jin JI Yu Teng wang hong mei KE Kai Fu 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2017年第3期170-176,共7页
Objective We aim to explore the potential association between serum gamma-glutamyl transferase levels and functional outcome after aneurysmal subarachnoid hemorrhage in a Chinese population. Methods A total of 386 ane... Objective We aim to explore the potential association between serum gamma-glutamyl transferase levels and functional outcome after aneurysmal subarachnoid hemorrhage in a Chinese population. Methods A total of 386 aneurysmal subarachnoid hemorrhage patients were included in the study from September 2007 to February 2015. Baseline serum gamma-glutamyl transferase levels and 6-month follow-up functional outcomes were determined. A poor outcome was defined as a modified ranking scale score of ≥ 3. The multivariable logistic model was used to analyze the relationship between serum gamma-glutamyl transferase and clinical outcomes after aneurysmal subarachnoid hemorrhage. Results The adjusted poor outcome rates of patients with gamma-glutamyl transferase levels of 〈 30 U/L, 30-50 U/L and ≥ 50 U/L were 16.7%, 19.6%, and 34.4%, respectively (P 〈 0.01). The age-sex and multivariable adjusted odds ratios (95% confidence intervals) of poor prognosis comparing the top group (≥ 50 U/L) with the lowest group (〈 30 U/L) were 5.76 (2.74-12.13), 6.64 (2.05-21.52), and 6.36 (1.92-21.02). A significant linear trend existed between gamma-glutamyl transferase level and aneurysmal subarachnoid hemorrhage prognosis. This association was also observed among nondrinkers. Conclusion Patients with higher gamma-glutamyl transferase levels were more likely to have a poor prognosis. Serum gamma-glutamyl transferase can be considered to be an independent predictor of functional outcomes after aneurysmal subarachnoid hemorrhage. 展开更多
关键词 Aneurysmal subarachnoid hemorrhage Gamma-glutamyl transferase Functional outcome PREDICTOR
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The Cellular Toxicity of PM_(2.5) Emitted from Coal Combustion in Human Umbilical Vein Endothelial Cells 被引量:5
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作者 wang Fei Fei GENG Chun mei +4 位作者 HAO Wei Dong ZHAO Yong Dong LI Qin wang hong mei QIAN Yan 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2016年第2期107-116,共10页
Objective To explore the relationship between different components of fine particulate matter(PM2.5) emitted from coal combustion and their cytotoxic effect in the vascular endothelial cells. Methods Coal-fired PM2.... Objective To explore the relationship between different components of fine particulate matter(PM2.5) emitted from coal combustion and their cytotoxic effect in the vascular endothelial cells. Methods Coal-fired PM2.5 was sampled using a fixed-source dilution channel and flow sampler. The sample components were analyzed by ion chromatography and inductively coupled plasma atomic emission spectroscopy(ICP-AES). The PM2.5 suspension was extracted using an ultrasonic water-bath method and then human umbilical vein endothelial cells(EA.hy926) were treated with various concentrations of the PM2.5 suspension. Cell proliferation, oxidative DNA damage, and global DNA methylation levels were used to measure the cellular toxicity of PM2.5 emitted from coal combustion. Results Compared to other types of coal-fired PM2.5 preparations, the PM2.5 suspension from Yinchuan coal had the highest cytotoxicity. PM2.5 suspension from Datong coal had the highest toxic effect while that from Yinchuan coal had the lowest. Exposure to coal-fired PM2.5 from Jingxi coal resulted in lower 8-hydroxy-2’-deoxyguanosine(8-OHd G) levels. At the same dose, PM2.5 emitted from coal combustion could produce more severe DNA impairment compared to that produced by carbon black. Cell survival rate was negatively correlated with chloride and potassium ions content. The 5-methylcytosine(5-m C) level was positively correlated with Mn and negatively correlated with Zn levels. The 8-OHd G% level was positively correlated with both Mn and Fe. Conclusion PM2.5 emitted from coal combustion can decrease cell viability, increase global DNA methylation, and cause oxidative DNA damage in EA.hy926 cells. Metal components may be important factors that influence cellular toxicity. 展开更多
关键词 PM2.5 Coal combustion Vascular endothelial cell CYTOTOXICITY DNA methylation
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Crystal Structure of the Addition Compound of N,N′-Bi(2-pyridylmethyl)-Oxamide and the Complex of Copper with 1,10-Phenanthroline
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作者 LIU Bin wang hong mei +4 位作者 LIAO Dai zheng YAN Shi ping JIANG Zong hui wang Geng lin HUANG Xiao ying 《Chemical Research in Chinese Universities》 SCIE CAS CSCD 1998年第4期39-42,共4页
The structure of addition compound Cu(phen)3(PMoxdH)(CO4)2 was establish ed by means of X-ray crystallography,where PMoxdH is N,N-Bi(2-pyridyl-methyl)-oxamide,in which six nitrogen atoms of the three 1,10,-phen-anthro... The structure of addition compound Cu(phen)3(PMoxdH)(CO4)2 was establish ed by means of X-ray crystallography,where PMoxdH is N,N-Bi(2-pyridyl-methyl)-oxamide,in which six nitrogen atoms of the three 1,10,-phen-anthroline bind to the copper ion and the oxygen atom of PMoxdH is uncoordinated. 展开更多
关键词 Copper ion Phen Addition compound COMPLEX
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