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医改新形势下病案的人文需求 被引量:3
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作者 史文宗 刘瑞吉 +3 位作者 杨柳 史美君 徐雅娟 岳春花 《医学信息》 2020年第5期19-21,共3页
病案是医务人员记录患者疾病表现和诊疗情况的档案,是更为广义的健康记录,也是反映患者人文需求的重要介质。传统的病案只记录患者躯体症状的形式已经不能满足患者健康管理的需求,随着现代医学模式逐渐由生物医学模式转变为生物-心理-... 病案是医务人员记录患者疾病表现和诊疗情况的档案,是更为广义的健康记录,也是反映患者人文需求的重要介质。传统的病案只记录患者躯体症状的形式已经不能满足患者健康管理的需求,随着现代医学模式逐渐由生物医学模式转变为生物-心理-社会医学模式,循证医学、叙事医学、医学教育的发展及心身医学的兴起,对病案提出了更高的人文要求。本文从病案人文需求的作用、丰富病案人文需求的实施途径进行阐述,以期为医院的医疗、科研、管理提供更有价值的参考数据。 展开更多
关键词 病案 人文需求 健康管理 平行病历
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Perfluorocarbon attenuates lipopolysaccharide-mediated inflammatory responses of alveolar epithelial cells in vitro 被引量:5
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作者 XU Shu-feng WANG Ping +7 位作者 liu rui-ji ZHAO Jing ZHANG Xiang-ning FU Zhan-zhao GAO Li-ming LIANG Zhi-xin SUN Ji-ping CHEN Liang-an 《Chinese Medical Journal》 SCIE CAS CSCD 2011年第16期2534-2539,共6页
Background Toll-like receptor-4 (TLR-4) is integrally involved in lipopolysaccharide (LPS) signaling and has a requisite role in the activation of nuclear factor-κB (NF-κB). The exact mechanisms that lend perf... Background Toll-like receptor-4 (TLR-4) is integrally involved in lipopolysaccharide (LPS) signaling and has a requisite role in the activation of nuclear factor-κB (NF-κB). The exact mechanisms that lend perfluorocarbon (PFC) liquids a cytoprotective effect have yet to be elucidated. Therefore we examined in an in vitro model the cytoprotective effect of PFC on LPS-stimulated alveolar epithelial cellls (AECs). Methods AECs (A549 cells, human lung adenocarcinoma cell line) were divided into four groups: control, PFC, LPS and LPS + PFC (coculture group) groups. Intercellular adhesion molecule-1 (ICAM-1) was detected by ELISA, tumor necrosis factor-g (TNF-a) and interleukin-8 (IL-8) were detected by radioimmunological methods. The expression of TLR-4 mRNA and protein was detected by real time PCR and Western blotting, respectively. The activation of NF-κB was detected by Western blotting (proteins of I-κBa and NF-κB p65). Results ICAM-1, TNF-a and IL-8 were significantly increased in LPS-stimulated AECs groups. The expression of TLR-4 mRNA and protein in LPS-stimulated groups was markedly increased. Meanwhile, NF-κB was activated as indicated by the significant degradation of IKB-a and the significant release of NF-κB P65 and its subsequent translocation into the nucleus. There were no significant effects of PFC alone on any of the factors studied while the coculture group showed significant downregulation of the secretion of ICAM-1, TNF-a and IL-8, the expression of TLR-4 rn^NA and the activity of NF-κB. Conclusions Taken together, our results demonstrate that LPS can induce AEC-related inflammatory injury via the activation of TLR-4 and subsequent activation of NF-κB. PFC is able to protect AECs from LPS-induced inflammatory injury by blocking the initiation of the LPS signaling pathway, which is indicated by the significant decrease of TLR-4 expression and NF-κB activation. 展开更多
关键词 PERFLUOROCARBON LIPOPOLYSACCHARIDE Toll-like receptor-4 nuclear factor-κB alveolar epithelial cells
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