Complex and lengthy endoscopic examinations like endoscopic ultrasonography and/or endoscopic retrograde cholangiopancreatography benefit from deep sedation, due to an enhanced quality of examinations, reduced discomf...Complex and lengthy endoscopic examinations like endoscopic ultrasonography and/or endoscopic retrograde cholangiopancreatography benefit from deep sedation, due to an enhanced quality of examinations, reduced discomfort and anxiety of patients, as well as increased satisfaction for both the patients and medical personnel. Current guidelines support the use of propofol sedation, which has the same rate of adverse effects as traditional sedation with benzodiazepines and/or opioids, but decreases the procedural and recovery time. Non-anesthesiologist administered propofol sedation has become an option in most of the countries, due to limited anesthesiology resources and the increasing evidence from prospective studies and metaanalyses that the procedure is safe with a similar rate of adverse events with traditional sedation. The advantages include a high quality of endoscopic examination, improved satisfaction for patients and doctors, as well as decreased recovery and discharge time. Despite the advantages of non-anesthesiologist administered propofol, there is still a continuous debate related to the successful generalization of the procedures.展开更多
Objective： To investigate the immunological function of a yeast expression system for thymosin α1 （Tα1）. Methods： A constructed Tetl yeast expression system was used to investigate the immunological function of ...Objective： To investigate the immunological function of a yeast expression system for thymosin α1 （Tα1）. Methods： A constructed Tetl yeast expression system was used to investigate the immunological function of orally administered Tα1. Dried yeast containing three different concentration of Tα1 was fed to normal Balb/c mice and other Balb/c mice whose immunities were inhibited in advance by cyclophosphamide. Synthesized Tα1 peptide was used as positive control and dried yeast with empty plasmid was used as negative control. CD4^＋ and CD8^＋ levels were detected by flow cytometry assay. TNF-α, IFN-γ, IL-2, IL-6 and IL-10 levels were detected by liquid chip. Results： In normal Balb/c mice or immune inhibition Balb/c mice, CD8^＋ levels were significantly increased. Especially in immune inhibition Balb/c mice, CD8^＋ levels in synthesized Tα1 group （18.77%±4.72%）, small dose group （13.48%±6.17%） and large dose group （22.74%±1.09%） were significantly higher than that in empty yeast control group （7.49%±2.14%）. Conclusion： Orally administered Tα1 has its certain immunomodulatory function.展开更多
Computer administering of a psychological investigation is the computer representation of the entire procedure of psychological assessments—test construction, test implementation, results evaluation, storage and main...Computer administering of a psychological investigation is the computer representation of the entire procedure of psychological assessments—test construction, test implementation, results evaluation, storage and maintenance of the developed database, its statistical processing, analysis and interpretation. A mathematical description of psychological assessment with the aid of personality tests is discussed in this article. The set theory and the relational algebra are used in this description. A relational model of data, needed to design a computer system for automation of certain psychological assessments is given. Some finite sets and relation on them, which are necessary for creating a personality psychological test, are described. The described model could be used to develop real software for computer administering of any psychological test and there is full automation of the whole process: test construction, test implementation, result evaluation, storage of the developed database, statistical implementation, analysis and interpretation. A software project for computer administering personality psychological tests is suggested.展开更多
<strong>Background:</strong> With Electro-Convulsive Therapy (ECT) during the COVID-19 pandemic at risk, nurse administered ECT has become a treatment resource. This study aims to investigate the experienc...<strong>Background:</strong> With Electro-Convulsive Therapy (ECT) during the COVID-19 pandemic at risk, nurse administered ECT has become a treatment resource. This study aims to investigate the experiences of two senior ECT nurses practicing Nurse Administered ECT. <strong>Method: </strong>Qualitative reflective interviews were conducted;the data was then analyzed and presented as corresponding themes for inductive data driven analysis. Each nurse was asked to recall positive and negative events from their practice and describe how their experiences have enabled them to cope. <strong>Results:</strong> Theme 1: The nurse’s competence is positively influenced by feedback, leading to enhancement of personal and professional development. Theme 2: During the COVID-19 pandemic, nurses report an increased sense of teamwork among staff, and feel that “we are all in this together”. Theme 3: The nurse’s ability to manage difficult situations is dependent on their education, individual knowledge, and experience.<strong> Limitations: </strong>The authors had the role of both researcher and participant.<strong> Conclusion: </strong>This study found that both nurses valued feedback above any medical and technical skills they had acquired. This strengthened their advanced practice enabling them to handle difficult situations with confidence. The COVID 19 pandemic has led to advanced nursing practice replacing the junior doctor role within ECT treatment. The nurses felt this had been recognised by their organisation and has led to an increased pride in their work. This paper would suggest that Nurse administered ECT is a valuable resource and that, future nurses could be at the forefront of delivering ECT services.展开更多
Regional public administration represents in essence an institutional change in the pattern of governance by the government, in that it breaks down the original institutional arrangements of the administration of admi...Regional public administration represents in essence an institutional change in the pattern of governance by the government, in that it breaks down the original institutional arrangements of the administration of administrative divisions and embarks on a new process of institutional evolution of the patterns of interest distribution in society. Present throughout this process is a game between different interests, leading to the final emergence of a new system - a new contractual setup resulting from the playing out of the relevant factors. These games take place mainly between the central and the local authorities and among the latter. Setting up a cooperative approach of ＂repeated gaming＂ when the game runs into possible difficulties, developing mechanisms conducive to better information exchange and to bilateral or multilateral consultation, further reshaping government functions by cutting the interest ties that link local authorities with socioeconomic entities, and strengthening the central authorities＇ macro-control functions are efficient guidance measures for setting up a system of regional public administration and realizing change in governance patterns.展开更多
美国的福特基金会(Ford Foundation)是世界上最大的私人慈善机构之一,也是世界上最大的私人基金会。它“接受、管理并提供用于科学、教育和慈善目的的基金”(to re-ceive and administer funds for scientific,edu-cational,and charita...美国的福特基金会(Ford Foundation)是世界上最大的私人慈善机构之一,也是世界上最大的私人基金会。它“接受、管理并提供用于科学、教育和慈善目的的基金”(to re-ceive and administer funds for scientific,edu-cational,and charitable purposes)。福特基金会创建的宗旨是通过资助各种教育和研究活动来提高人类的福利。基金会每年向那些致力于改善教育、促进文化艺术和解决社会问题的个人、机构和团体提供经费。展开更多
Clinical comparison of the efficacy between Chai Ling Tang (柴苓汤) and kidney-tonifying herbs in the treatment of steroid-dependent nephrosis syndrome (SDNS) indicates that these two modalities are essentially simila...Clinical comparison of the efficacy between Chai Ling Tang (柴苓汤) and kidney-tonifying herbs in the treatment of steroid-dependent nephrosis syndrome (SDNS) indicates that these two modalities are essentially similar in effect in the treatment of SDNS, or the former is more potent in eliminating proteinuria.展开更多
The author adopted auricular and bodyacupuncture in the treatment of obesity withsatisfactory results as reported in the follow-ing:Clinical DataThe series of 75 cases were
During 1987--1992, we treated 202cases of headache by electro--acupuncturewith good results as reported in the follow-ing.Clinical DataThe 202 cases of headache comprised112 males and 90 females aged 8--72 years,of wh...During 1987--1992, we treated 202cases of headache by electro--acupuncturewith good results as reported in the follow-ing.Clinical DataThe 202 cases of headache comprised112 males and 90 females aged 8--72 years,of whom the majority 97 cases (48%) werein an age range of 20^+ --42 years. The dura-tion of disease had been from 5 days to 30years, and the location of pain was in展开更多
基金The Partnership program in priority areas-PN II,implemented with support from National Authority of Scientific Research(ANCS)CNDI-Uefiscdi,Romania,No.2011-3.1-0252(Nano-Ablation)
文摘Complex and lengthy endoscopic examinations like endoscopic ultrasonography and/or endoscopic retrograde cholangiopancreatography benefit from deep sedation, due to an enhanced quality of examinations, reduced discomfort and anxiety of patients, as well as increased satisfaction for both the patients and medical personnel. Current guidelines support the use of propofol sedation, which has the same rate of adverse effects as traditional sedation with benzodiazepines and/or opioids, but decreases the procedural and recovery time. Non-anesthesiologist administered propofol sedation has become an option in most of the countries, due to limited anesthesiology resources and the increasing evidence from prospective studies and metaanalyses that the procedure is safe with a similar rate of adverse events with traditional sedation. The advantages include a high quality of endoscopic examination, improved satisfaction for patients and doctors, as well as decreased recovery and discharge time. Despite the advantages of non-anesthesiologist administered propofol, there is still a continuous debate related to the successful generalization of the procedures.
基金Project (No. 2003C13015) supported by the Key Project from Sci-ence and Technology Department of Zhejiang Province, China
文摘Objective： To investigate the immunological function of a yeast expression system for thymosin α1 （Tα1）. Methods： A constructed Tetl yeast expression system was used to investigate the immunological function of orally administered Tα1. Dried yeast containing three different concentration of Tα1 was fed to normal Balb/c mice and other Balb/c mice whose immunities were inhibited in advance by cyclophosphamide. Synthesized Tα1 peptide was used as positive control and dried yeast with empty plasmid was used as negative control. CD4^＋ and CD8^＋ levels were detected by flow cytometry assay. TNF-α, IFN-γ, IL-2, IL-6 and IL-10 levels were detected by liquid chip. Results： In normal Balb/c mice or immune inhibition Balb/c mice, CD8^＋ levels were significantly increased. Especially in immune inhibition Balb/c mice, CD8^＋ levels in synthesized Tα1 group （18.77%±4.72%）, small dose group （13.48%±6.17%） and large dose group （22.74%±1.09%） were significantly higher than that in empty yeast control group （7.49%±2.14%）. Conclusion： Orally administered Tα1 has its certain immunomodulatory function.
文摘Computer administering of a psychological investigation is the computer representation of the entire procedure of psychological assessments—test construction, test implementation, results evaluation, storage and maintenance of the developed database, its statistical processing, analysis and interpretation. A mathematical description of psychological assessment with the aid of personality tests is discussed in this article. The set theory and the relational algebra are used in this description. A relational model of data, needed to design a computer system for automation of certain psychological assessments is given. Some finite sets and relation on them, which are necessary for creating a personality psychological test, are described. The described model could be used to develop real software for computer administering of any psychological test and there is full automation of the whole process: test construction, test implementation, result evaluation, storage of the developed database, statistical implementation, analysis and interpretation. A software project for computer administering personality psychological tests is suggested.
文摘<strong>Background:</strong> With Electro-Convulsive Therapy (ECT) during the COVID-19 pandemic at risk, nurse administered ECT has become a treatment resource. This study aims to investigate the experiences of two senior ECT nurses practicing Nurse Administered ECT. <strong>Method: </strong>Qualitative reflective interviews were conducted;the data was then analyzed and presented as corresponding themes for inductive data driven analysis. Each nurse was asked to recall positive and negative events from their practice and describe how their experiences have enabled them to cope. <strong>Results:</strong> Theme 1: The nurse’s competence is positively influenced by feedback, leading to enhancement of personal and professional development. Theme 2: During the COVID-19 pandemic, nurses report an increased sense of teamwork among staff, and feel that “we are all in this together”. Theme 3: The nurse’s ability to manage difficult situations is dependent on their education, individual knowledge, and experience.<strong> Limitations: </strong>The authors had the role of both researcher and participant.<strong> Conclusion: </strong>This study found that both nurses valued feedback above any medical and technical skills they had acquired. This strengthened their advanced practice enabling them to handle difficult situations with confidence. The COVID 19 pandemic has led to advanced nursing practice replacing the junior doctor role within ECT treatment. The nurses felt this had been recognised by their organisation and has led to an increased pride in their work. This paper would suggest that Nurse administered ECT is a valuable resource and that, future nurses could be at the forefront of delivering ECT services.
文摘Regional public administration represents in essence an institutional change in the pattern of governance by the government, in that it breaks down the original institutional arrangements of the administration of administrative divisions and embarks on a new process of institutional evolution of the patterns of interest distribution in society. Present throughout this process is a game between different interests, leading to the final emergence of a new system - a new contractual setup resulting from the playing out of the relevant factors. These games take place mainly between the central and the local authorities and among the latter. Setting up a cooperative approach of ＂repeated gaming＂ when the game runs into possible difficulties, developing mechanisms conducive to better information exchange and to bilateral or multilateral consultation, further reshaping government functions by cutting the interest ties that link local authorities with socioeconomic entities, and strengthening the central authorities＇ macro-control functions are efficient guidance measures for setting up a system of regional public administration and realizing change in governance patterns.
文摘美国的福特基金会(Ford Foundation)是世界上最大的私人慈善机构之一,也是世界上最大的私人基金会。它“接受、管理并提供用于科学、教育和慈善目的的基金”(to re-ceive and administer funds for scientific,edu-cational,and charitable purposes)。福特基金会创建的宗旨是通过资助各种教育和研究活动来提高人类的福利。基金会每年向那些致力于改善教育、促进文化艺术和解决社会问题的个人、机构和团体提供经费。
文摘Clinical comparison of the efficacy between Chai Ling Tang (柴苓汤) and kidney-tonifying herbs in the treatment of steroid-dependent nephrosis syndrome (SDNS) indicates that these two modalities are essentially similar in effect in the treatment of SDNS, or the former is more potent in eliminating proteinuria.
文摘The author treated 20 cases of urinaryretention with acupuncture andmoxibustion effectively,as reported in thefollowing:GENERAL DATAThe 20 patients comprised 7 males and13 females,while 11 cases aged 20-40 years,and 9 cases 41-60 years.The patients pres-ented themselves for acupuncture treatmentwhen other Chinese or western drugs failedto produce effects.
文摘The author adopted auricular and bodyacupuncture in the treatment of obesity withsatisfactory results as reported in the follow-ing:Clinical DataThe series of 75 cases were
文摘During 1987--1992, we treated 202cases of headache by electro--acupuncturewith good results as reported in the follow-ing.Clinical DataThe 202 cases of headache comprised112 males and 90 females aged 8--72 years,of whom the majority 97 cases (48%) werein an age range of 20^+ --42 years. The dura-tion of disease had been from 5 days to 30years, and the location of pain was in
