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医务人员除颤知识掌握情况调查分析 被引量:5
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作者 刘晶晶 桂莉 席惠君 《中国急救复苏与灾害医学杂志》 2019年第2期125-128,共4页
目的了解医务人员除颤知识掌握情况及相关认知现状。方法采用便利抽样法使用自行设计的问卷进行调查。结果共收集有效问卷124份。被调查者以护士、医生等为主,其中61.29%的被调查者参与过心搏骤停急救,41.13%的被调查者实施过除颤。除... 目的了解医务人员除颤知识掌握情况及相关认知现状。方法采用便利抽样法使用自行设计的问卷进行调查。结果共收集有效问卷124份。被调查者以护士、医生等为主,其中61.29%的被调查者参与过心搏骤停急救,41.13%的被调查者实施过除颤。除颤相关知识的平均正确率仅为35.75%±22.86%,其中可除颤心律全部选择正确的为0,仅5.65%的被调查者全部正确识别出可除颤心电图,除颤操作正确率由低到高依次为:除颤步骤的实施顺序(37.10%)、除颤能量的选择(46.77%)、电极片的放置位置(61.29%)及除颤放电前应进行的操作(62.90%)。多元逐步回归分析显示是否参与过心搏骤停救治(P<0.05)和是否参加过除颤培训(P<0.05)是影响被调查者除颤掌握水平的重要因素。41.94%的被调查者知道自动体外除颤器(automated external defibrillator,AED),仅有少数被调查者会使用AED(25.00%)或接受过AED培训(18.55%),大部分被调查者认为院内(67.74%)和院外公共场所(72.58%)有必要配置AED。结论医务人员除颤知识掌握情况并不理想,应定期开展院内除颤培训,未来可在院内一些科室配置AED,保证除颤操作的可及性和准确性。 展开更多
关键词 医务人员 除颤 自动体外除颤器 掌握水平
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20-Hydroxyecdysone Improves Neuronal Differentiation of Adult Hippocampal Neural Stem Cells in High Power Microwave Radiation-Exposed Rats
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作者 liu jing jing ZHANG Hong Yan +4 位作者 CHEN Xin ZHANG Guang Bin LIN Jiang Kai FENG Hua CHU Wei Hua 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2022年第6期504-517,共14页
Objective The hippocampus is thought to be a vulnerable target of microwave exposure.The aim of the present study was to investigate whether 20-hydroxyecdysone(20E)acted as a fate regulator of adult rat hippocampal ne... Objective The hippocampus is thought to be a vulnerable target of microwave exposure.The aim of the present study was to investigate whether 20-hydroxyecdysone(20E)acted as a fate regulator of adult rat hippocampal neural stem cells(NSCs).Furthermore,we investigated if 20E attenuated high power microwave(HMP)radiation-induced learning and memory deficits.Methods Sixty male Sprague-Dawley rats were randomly divided into three groups:normal controls,radiation treated,and radiation+20E treated.Rats in the radiation and radiation+20E treatment groups were exposed to HPM radiation from a microwave emission system.The learning and memory abilities of the rats were assessed using the Morris water maze test.Primary adult rat hippocampal NSCs were isolated in vitro and cultured to evaluate their proliferation and differentiation.In addition,hematoxylin&eosin staining,western blotting,and immunofluorescence were used to detect changes in the rat brain and the proliferation and differentiation of the adult rat hippocampal NSCs after HPM radiation exposure.Results The results showed that 20E induced neuronal differentiation of adult hippocampal NSCs from HPM radiation-exposed rats via the Wnt3a/β-catenin signaling pathway in vitro.Furthermore,20E facilitated neurogenesis in the subgranular zone of the rat brain following HPM radiation exposure.Administration of 20E attenuated learning and memory deficits in HPM radiation-exposed rats and frizzled-related protein(FRZB)reduced the 20E-induced nuclear translocation ofβ-catenin,while FRZB treatment also reversed 20E-induced neuronal differentiation of NSCs in vitro.Conclusion These results suggested that 20E was a fate regulator of adult rat hippocampal NSCs,where it played a role in attenuating HPM radiation-induced learning and memory deficits. 展开更多
关键词 High power microwave HIPPOCAMPUS 20-HYDROXYECDYSONE Learning and memory
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The Immune Responses Induced by Licensed Flavivirus Vaccines against Zika Virus
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作者 WANG Ling liu jing jing +3 位作者 FANG En Yue LI Ming liu Ming Lei LI Yu Hua 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2022年第8期750-754,共5页
Zika virus(ZIKV) is a mosquito-borne virus of the Spondweni group that belongs to the Flaviviridae family and genus Flavivirus. Microcephaly(small head size, decreased brain size, and poor neurocognitive development) ... Zika virus(ZIKV) is a mosquito-borne virus of the Spondweni group that belongs to the Flaviviridae family and genus Flavivirus. Microcephaly(small head size, decreased brain size, and poor neurocognitive development) was linked to ZIKV infection in Brazil in 2015. Outbreaks and indications of transmission have spread quickly over the Americas, Africa, and other parts of the globe.Over 80 nations and territories have documented symptoms of Zika infection spread by mosquitoes,including microcephaly and Guillain-Barre syndrome(GBS). 展开更多
关键词 INFECTION IMMUNE belongs
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心脏起搏器安置术后沙袋压迫与弹力绷带压迫止血效果比较 被引量:4
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作者 刘菁晶 林文华 邸成业 《中国心脏起搏与心电生理杂志》 2018年第1期66-68,共3页
目的比较起搏器安置术后沙袋压迫与弹力绷带压迫止血的效果。方法选取2015年1月1日至2016年11月31日所有置入永久起搏器患者共301例,随机分为沙袋压迫组(沙袋组)151例和弹力绷带压迫组(绷带组)150例。沙袋组术后沙袋压迫6h,绷带组术后... 目的比较起搏器安置术后沙袋压迫与弹力绷带压迫止血的效果。方法选取2015年1月1日至2016年11月31日所有置入永久起搏器患者共301例,随机分为沙袋压迫组(沙袋组)151例和弹力绷带压迫组(绷带组)150例。沙袋组术后沙袋压迫6h,绷带组术后弹力绷带压迫24h。比较两组术后7天内伤口周围皮下淤血、血肿、颈肩痛及导线脱位的发生情况。结果两组患者术后伤口渗血、皮下瘀血、一般囊袋血肿、严重囊袋血肿发生情况及导线脱位情况无差异(P>0.05),但绷带组颈肩背痛发生率明显低于沙袋组(6%vs 25.8%,P<0.01)。多因素Logistics回归分析显示口服抗血小板/抗凝药(OR=10.47,95%CI 4.66~23.53)和除颤器置入(OR=8.38,95%CI 2.98~23.60)是术后出现出血并发症的独立危险因素(P<0.01)。结论使用弹力绷带加压包扎法压迫止血可减轻患者痛苦,并不增加出血风险,可作为常规术后止血方法。口服抗血小板/抗凝药和除颤器置入是术后出血独立危险因素。 展开更多
关键词 心血管病学 永久起搏器 出血 压迫止血 沙袋压迫 弹力绷带
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基于学习环理论的新型野战救护训练模式构建与应用 被引量:1
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作者 王毅欣 桂莉 +4 位作者 周玲君 于海容 刘晶晶 师文文 黄燕 《军事医学》 CAS 北大核心 2019年第5期325-329,共5页
目的创新野战救护训练模式,为探索我军一线救治能力建设优化策略提供参考。方法以学习环理论(LCT)为指导,构建了一套“核心理论讲授 关键技术操作 案例系统自测 小组桌面推演 综合模拟演练”五位一体的野战救护实战化训练模式,在海军军... 目的创新野战救护训练模式,为探索我军一线救治能力建设优化策略提供参考。方法以学习环理论(LCT)为指导,构建了一套“核心理论讲授 关键技术操作 案例系统自测 小组桌面推演 综合模拟演练”五位一体的野战救护实战化训练模式,在海军军医大学本科学员中开展应用,并通过问卷调查了解其对野战救护知识、态度、能力的自我感知变化和训练质量评价。结果学员的野战救护自我效能感均实现了显著性提升,训练满意度均>80%。结论该模式彰显了强军特色,体现了理论应用创新;今后仍需进一步拓展训练内容,优化训练模式,提高训练效率效果。 展开更多
关键词 军事医学 野战救护 训练模式 学习环理论
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