目的探讨医院在做好新冠疫情常态化防控工作的同时,如何推进门诊和互联网诊疗服务。方法在2022年5月上海疫情期间,对复旦大学附属儿科医院门诊就诊的患儿家长进行调研,就患儿及家长基本情况、就医需求、门诊就诊满意度、互联网医院知晓...目的探讨医院在做好新冠疫情常态化防控工作的同时,如何推进门诊和互联网诊疗服务。方法在2022年5月上海疫情期间,对复旦大学附属儿科医院门诊就诊的患儿家长进行调研,就患儿及家长基本情况、就医需求、门诊就诊满意度、互联网医院知晓情况、使用意愿等方面对来院的644名患儿家长进行问卷调查。结果受新冠疫情影响,医院门诊就诊人次大幅减少,儿童就医行为有所改变。由于平均候诊时间比以前缩短(12.82 min vs.23.21 min),医师诊治每位患儿的时间增加,受访者对疫情前和疫情期间对候诊秩序和候诊时间的满意度差异有统计学意义(P<0.05),受访者在就诊过程中有更好的体验。在互联网医院使用意向方面,年龄≤39岁的受访者更愿意使用(P<0.05)。结论新冠肺炎疫情对医院的管理水平和综合诊治能力是严峻的考验,改变传统就医模式,将互联网思维与医院管理模式进行融合,提升医疗资源可及性,对于提升疫情常态化防控时期的医疗服务尤为重要。展开更多
Rose is a highly significant ornamental plant with substantial edible and medicinal value,cultivated worldwide primarily for perfume production.Recently,Rosa yangii,a new species found in northwestern Yunnan,China,has...Rose is a highly significant ornamental plant with substantial edible and medicinal value,cultivated worldwide primarily for perfume production.Recently,Rosa yangii,a new species found in northwestern Yunnan,China,has drawn attention due to its strong sweet scented flowers.In this study,the floral components of R.yangii were extracted at different flowering stages using solid phase micro extraction(SPME)and analyzed through gas chromatography-mass spectrometry(GC-MS).A total of 131 volatile organic compounds(VOCs)were detected from R.yangii,including 69 odor compounds.The production and release of floral VOCs were the highest during the initial-open stage,making it the most suitable time for harvesting as a significant number of floral components were synthesized and preserved.The analysis of the odor activity values(OAV)highlighted several key aromatic ingredients of R.yangii,such as eugenol,methyleugenol,benzeneacetaldehyde and phenylethylalcohol,heptanal,decanal,(E)-2-hexen-1-yl acetate,caryophyllene,and others.Metabolome and time-order gene co-expression networks(TO-GCN)revealed that VOCs and benzenoids/phenylpropanoids,along with associated genes,played a pivotal role in the overall floral regulatory network of R.yangii.MYB and bHLH were identified as the essential regulatory factors governing the regulation of eugenol synthase(EGS)and isoeugenol synthase(IGS),consequently influencing the sweet scent of R.yangii.The findings of this study provide a scientific foundation for enhancing fragrance through molecular breeding of ornamental plants.Furthermore,the study facilitated the development and utilization of this new plant’s essential oil material in various industries,including food storage,aromatherapy,cosmetic,and perfumery.展开更多
文摘目的探讨医院在做好新冠疫情常态化防控工作的同时,如何推进门诊和互联网诊疗服务。方法在2022年5月上海疫情期间,对复旦大学附属儿科医院门诊就诊的患儿家长进行调研,就患儿及家长基本情况、就医需求、门诊就诊满意度、互联网医院知晓情况、使用意愿等方面对来院的644名患儿家长进行问卷调查。结果受新冠疫情影响,医院门诊就诊人次大幅减少,儿童就医行为有所改变。由于平均候诊时间比以前缩短(12.82 min vs.23.21 min),医师诊治每位患儿的时间增加,受访者对疫情前和疫情期间对候诊秩序和候诊时间的满意度差异有统计学意义(P<0.05),受访者在就诊过程中有更好的体验。在互联网医院使用意向方面,年龄≤39岁的受访者更愿意使用(P<0.05)。结论新冠肺炎疫情对医院的管理水平和综合诊治能力是严峻的考验,改变传统就医模式,将互联网思维与医院管理模式进行融合,提升医疗资源可及性,对于提升疫情常态化防控时期的医疗服务尤为重要。
基金supported by the Beijing High-Precision Discipline Project,Discipline of Ecological Environment of Urban and Rural Human Settlements and the National Key R&D Program of China(2019YFD1000400)。
文摘Rose is a highly significant ornamental plant with substantial edible and medicinal value,cultivated worldwide primarily for perfume production.Recently,Rosa yangii,a new species found in northwestern Yunnan,China,has drawn attention due to its strong sweet scented flowers.In this study,the floral components of R.yangii were extracted at different flowering stages using solid phase micro extraction(SPME)and analyzed through gas chromatography-mass spectrometry(GC-MS).A total of 131 volatile organic compounds(VOCs)were detected from R.yangii,including 69 odor compounds.The production and release of floral VOCs were the highest during the initial-open stage,making it the most suitable time for harvesting as a significant number of floral components were synthesized and preserved.The analysis of the odor activity values(OAV)highlighted several key aromatic ingredients of R.yangii,such as eugenol,methyleugenol,benzeneacetaldehyde and phenylethylalcohol,heptanal,decanal,(E)-2-hexen-1-yl acetate,caryophyllene,and others.Metabolome and time-order gene co-expression networks(TO-GCN)revealed that VOCs and benzenoids/phenylpropanoids,along with associated genes,played a pivotal role in the overall floral regulatory network of R.yangii.MYB and bHLH were identified as the essential regulatory factors governing the regulation of eugenol synthase(EGS)and isoeugenol synthase(IGS),consequently influencing the sweet scent of R.yangii.The findings of this study provide a scientific foundation for enhancing fragrance through molecular breeding of ornamental plants.Furthermore,the study facilitated the development and utilization of this new plant’s essential oil material in various industries,including food storage,aromatherapy,cosmetic,and perfumery.
