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中国社区养老服务状况——基于CLHLS调查分析
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作者 王康 李颖 +1 位作者 曾婵娟 赵志强 《山东工商学院学报》 2023年第5期106-115,共10页
根据2017—2018年中国老年健康影响因素跟踪调查的调查数发现,社区养老服务总体上需求较高,但供应不足,导致需求未得到满足。其中最大的不平衡是个人护理和心理咨询服务的有效供给与老年人需求之间的不平衡。此外,特定群体的老年人口存... 根据2017—2018年中国老年健康影响因素跟踪调查的调查数发现,社区养老服务总体上需求较高,但供应不足,导致需求未得到满足。其中最大的不平衡是个人护理和心理咨询服务的有效供给与老年人需求之间的不平衡。此外,特定群体的老年人口存在明显的供需失衡。在需求方面,生活在中国东部和西部或城市地区的年轻的老年人对社区养老服务有较强的需求,严重残疾或低收入的农村和城镇老年人对家访医疗的需求更大,而有自理能力或收入高的老年人则需要更多的社会和娱乐服务;生活在农村和城镇或中国西部的低收入老年人对于社区养老服务的需求更容易得不到满足。 展开更多
关键词 社区养老服务 中国老年健康影响因素跟踪调查 社区居家护理 医疗护理
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Increased hepatic peroxisome proliferator-activated receptor coactivator-la expression precedes the development of insulin resistance in offspring of rats from severe hyperglycemic mothers 被引量:6
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作者 MA Jing-mei zeng chan-juan +2 位作者 ZHANG Li SHOU Chong YANG Hui-xia 《Chinese Medical Journal》 SCIE CAS CSCD 2012年第7期1224-1229,共6页
Background Prenatal hyperglycaemia may increase metabolic syndrome susceptibility of the offspring. An underlying component of the development of these morbidities is hepatic gluconeogenic molecular dysfunction. We hy... Background Prenatal hyperglycaemia may increase metabolic syndrome susceptibility of the offspring. An underlying component of the development of these morbidities is hepatic gluconeogenic molecular dysfunction. We hypothesized that maternal hyperglycaemia will influence her offsprings hepatic peroxisome proliferator-activated receptor coactivator-la (PGC-la) expression, a key regulator of glucose production in hepatocytes. Method We established maternal hyperglycaemia by streptozotocin injection to induce the maternal hyperglycaemic Wistar rat model. Offspring from the severe hyperglycemia group (SDO) and control group (CO) were monitored until 180 days after birth. Blood pressure, lipid metabolism indicators and insulin resistance (IR) were measured. Hepatic PGC-la expression was analyzed by reverse transcription polymerase chain reaction and Western blotting, mRNA expression of two key enzymes in gluconeogenesis, glucose-6-phospha-tase (G-6-Pase) and phosphoenolpyruvate carboxykinase (PEPCK), were analyzed and compared. Results In the SDO group, PGC-la expression at protein and mRNA levels were increased, so were expression of G-6-Pase and PEPCK (P〈0.05). The above effects were seen prior to the onset of IR. Conclusion The hepatic gluconeogenic molecular dysfunction may contribute to the metabolic morbidities experienced by this population. 展开更多
关键词 prenatal programming peroxisome proliferator-activated receptor coactivator-l a phosphoenolpyruvate carboxykinase insulin resistance
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