Objective The purpose of the present study is to provide scientific evidence for the implementation of standardized management of the loaner instruments by examining the process of receiving through issuing steps and ...Objective The purpose of the present study is to provide scientific evidence for the implementation of standardized management of the loaner instruments by examining the process of receiving through issuing steps and analyzing challenges encountered by the CSSD of our hospital. Methods The loaner instruments were collected and categorized into the control group( 2 639 pieces during the period of January 2013 to December 2014) and the observation group( 2 418 pieces during the period of January 2015 to December 2016). The possible causes of the challenges were carefully investigated and analyzed. Results After the implementation of standardized management procedures,the efficiency and qualified care of the loaner instruments was significantly improved by measuring qualified rate. The difference in the qualified rate between control and observation groups was statistically significant( P < 0. 01). Conclusion The implementation of the standardized management procedures is important for central sterilization supply departments in guarantee of safe supplies of the loaner instruments,reducing operation risks,and ultimately ensuring patient safety.展开更多
The challenges of the ocean working environment and conditions require that marine instrumentsand equipment be highly reliable and environmentally adaptable.The various parts and componentsof marine instruments should...The challenges of the ocean working environment and conditions require that marine instrumentsand equipment be highly reliable and environmentally adaptable.The various parts and componentsof marine instruments should be interchangeable,so as to reduce product costs and reasonably economizethe use of energy and material resources.This paper intruduces the importance of formulating marine instrumentproduct standards,the present conditions and problems of marine product standards,and proposesrelated measures and suggestions to sovle the problems.展开更多
There is an urgent need for developing a procedure for biomarker standardization and relative quantificationin clinical laboratories. Measuring the expression levels of cell antigens is critical for the diagnosis of m...There is an urgent need for developing a procedure for biomarker standardization and relative quantificationin clinical laboratories. Measuring the expression levels of cell antigens is critical for the diagnosis of many diseases, e.g. leukemia, lymphoma and immunodeficiency diseases. One of the most significant challenges in flow cytometry is obtaining inter-laboratory and intra-laboratory consistent and reproducible results across multiple cytometer platforms and locations longitudinally over time. To obtain measurement consistency, the target flow cytometer voltages should be optimized to segregate the negative population from the electronic noise, and to keep the brightest positive population within the dynamic range of each detector. Then target values should be determined and transferred to selected cytometers. In this study, we optimized a procedure for instrument standardization across three different flow cytometer platforms from the same vendor and in two different locations. The biomarker quantification was implemented on standardized instruments using CD4 expression on T lymphocytes with a known amount of antibody bound per cell as a quantification standard. Our results on blood cell subset typing and CD19 quantification demonstrated that consistent and reliable results could be accomplished between instruments using the developed procedure. Quantitating the expression levels of certain cell biomarkers relative to a known reference marker before, during, and after therapy would provide important information for monitoring antibody-based therapy and could be potentially used to adjust dosing. Presently, we are implementing this protocol to quantify critical disease biomarkers, and making necessary modifications to the procedure to include instruments from different instrument manufacturers.展开更多
Radon observation is an important measurement item of seismic precursor network observation.The radon detector calibration is a key technical link for ensuring radon observation accuracy.At present,the radon detector ...Radon observation is an important measurement item of seismic precursor network observation.The radon detector calibration is a key technical link for ensuring radon observation accuracy.At present,the radon detector calibration in seismic systems in China is faced with a series of bottleneck problems,such as aging and scrap,acquisition difficulties,high supervision costs,and transportation limitations of radon sources.As a result,a large number of radon detectors cannot be accurately calibrated regularly,seriously affecting the accuracy and reliability of radon observation data in China.To solve this problem,a new calibration method for radon detectors was established.The advantage of this method is that the dangerous radioactive substance,i.e.,the radon source,can be avoided,but only“standard instruments”and water samples with certain dissolved radon concentrations can be used to realize radon detector calibration.This method avoids the risk of radioactive leakage and solves the current widespread difficulties and bottleneck of radon detector calibration in seismic systems in China.The comparison experiment with the traditional calibration method shows that the error of the calibration coefficient obtained by the new method is less than 5%compared with that by the traditional method,which meets the requirements of seismic observation systems,confirming the reliability of the new method.This new method can completely replace the traditional calibration method of using a radon source in seismic systems.展开更多
目的对慢性阻塞性肺疾病(COPD)相关性疲劳特异性评估工具进行系统评价,为今后临床选择和开发高质量工具提供依据。方法检索PubMed、Web of Science、CINAHL、Embase、Cochrane Library、中国生物医学文献数据库(CBM)、中国知网(CNKI)、...目的对慢性阻塞性肺疾病(COPD)相关性疲劳特异性评估工具进行系统评价,为今后临床选择和开发高质量工具提供依据。方法检索PubMed、Web of Science、CINAHL、Embase、Cochrane Library、中国生物医学文献数据库(CBM)、中国知网(CNKI)、万方数据库和维普数据库中,所有关于COPD相关性疲劳特异性评估工具相关研究。检索时限为建库至2023年5月22日。使用“基于共识选择健康测量工具的标准(COSMIN)指南”对纳入工具的方法学及测量属性特征进行系统评价,综合评定证据等级并形成推荐意见。结果共纳入8个COPD相关性疲劳特异性评估量表,曼彻斯特COPD疲劳量表(MCFS)为A级推荐,修订版慢性病治疗功能评估—疲劳量表(MFACIT-F)、疲劳影响量表(FIS-25)、COPD和哮喘疲劳量表(CAFS)、疲劳评估工具(TFT)、中文修订版曼彻斯特COPD疲劳量表(MCFS-C)、中文修订版疲劳影响量表(FIS-C)、疲劳严重程度量表(FSS)为B级推荐。结论MCFS量表有高等证据支持内容效度、内部一致性和稳定性、中等证据支持结构效度,故暂被推荐使用,但适合我国的COPD相关性疲劳特异性评估工具仍有待进一步开发。展开更多
基金Special Fund of Academic Competence Improvement Project in Nursing of Integrated Traditional Chinese and Western M edicine(TG20180002g)
文摘Objective The purpose of the present study is to provide scientific evidence for the implementation of standardized management of the loaner instruments by examining the process of receiving through issuing steps and analyzing challenges encountered by the CSSD of our hospital. Methods The loaner instruments were collected and categorized into the control group( 2 639 pieces during the period of January 2013 to December 2014) and the observation group( 2 418 pieces during the period of January 2015 to December 2016). The possible causes of the challenges were carefully investigated and analyzed. Results After the implementation of standardized management procedures,the efficiency and qualified care of the loaner instruments was significantly improved by measuring qualified rate. The difference in the qualified rate between control and observation groups was statistically significant( P < 0. 01). Conclusion The implementation of the standardized management procedures is important for central sterilization supply departments in guarantee of safe supplies of the loaner instruments,reducing operation risks,and ultimately ensuring patient safety.
文摘The challenges of the ocean working environment and conditions require that marine instrumentsand equipment be highly reliable and environmentally adaptable.The various parts and componentsof marine instruments should be interchangeable,so as to reduce product costs and reasonably economizethe use of energy and material resources.This paper intruduces the importance of formulating marine instrumentproduct standards,the present conditions and problems of marine product standards,and proposesrelated measures and suggestions to sovle the problems.
文摘There is an urgent need for developing a procedure for biomarker standardization and relative quantificationin clinical laboratories. Measuring the expression levels of cell antigens is critical for the diagnosis of many diseases, e.g. leukemia, lymphoma and immunodeficiency diseases. One of the most significant challenges in flow cytometry is obtaining inter-laboratory and intra-laboratory consistent and reproducible results across multiple cytometer platforms and locations longitudinally over time. To obtain measurement consistency, the target flow cytometer voltages should be optimized to segregate the negative population from the electronic noise, and to keep the brightest positive population within the dynamic range of each detector. Then target values should be determined and transferred to selected cytometers. In this study, we optimized a procedure for instrument standardization across three different flow cytometer platforms from the same vendor and in two different locations. The biomarker quantification was implemented on standardized instruments using CD4 expression on T lymphocytes with a known amount of antibody bound per cell as a quantification standard. Our results on blood cell subset typing and CD19 quantification demonstrated that consistent and reliable results could be accomplished between instruments using the developed procedure. Quantitating the expression levels of certain cell biomarkers relative to a known reference marker before, during, and after therapy would provide important information for monitoring antibody-based therapy and could be potentially used to adjust dosing. Presently, we are implementing this protocol to quantify critical disease biomarkers, and making necessary modifications to the procedure to include instruments from different instrument manufacturers.
基金supported by the National Natural Science Foundation of China Study on the Key Technology of Non-radium Source Radon Chamber(No.42274235).
文摘Radon observation is an important measurement item of seismic precursor network observation.The radon detector calibration is a key technical link for ensuring radon observation accuracy.At present,the radon detector calibration in seismic systems in China is faced with a series of bottleneck problems,such as aging and scrap,acquisition difficulties,high supervision costs,and transportation limitations of radon sources.As a result,a large number of radon detectors cannot be accurately calibrated regularly,seriously affecting the accuracy and reliability of radon observation data in China.To solve this problem,a new calibration method for radon detectors was established.The advantage of this method is that the dangerous radioactive substance,i.e.,the radon source,can be avoided,but only“standard instruments”and water samples with certain dissolved radon concentrations can be used to realize radon detector calibration.This method avoids the risk of radioactive leakage and solves the current widespread difficulties and bottleneck of radon detector calibration in seismic systems in China.The comparison experiment with the traditional calibration method shows that the error of the calibration coefficient obtained by the new method is less than 5%compared with that by the traditional method,which meets the requirements of seismic observation systems,confirming the reliability of the new method.This new method can completely replace the traditional calibration method of using a radon source in seismic systems.
文摘目的对慢性阻塞性肺疾病(COPD)相关性疲劳特异性评估工具进行系统评价,为今后临床选择和开发高质量工具提供依据。方法检索PubMed、Web of Science、CINAHL、Embase、Cochrane Library、中国生物医学文献数据库(CBM)、中国知网(CNKI)、万方数据库和维普数据库中,所有关于COPD相关性疲劳特异性评估工具相关研究。检索时限为建库至2023年5月22日。使用“基于共识选择健康测量工具的标准(COSMIN)指南”对纳入工具的方法学及测量属性特征进行系统评价,综合评定证据等级并形成推荐意见。结果共纳入8个COPD相关性疲劳特异性评估量表,曼彻斯特COPD疲劳量表(MCFS)为A级推荐,修订版慢性病治疗功能评估—疲劳量表(MFACIT-F)、疲劳影响量表(FIS-25)、COPD和哮喘疲劳量表(CAFS)、疲劳评估工具(TFT)、中文修订版曼彻斯特COPD疲劳量表(MCFS-C)、中文修订版疲劳影响量表(FIS-C)、疲劳严重程度量表(FSS)为B级推荐。结论MCFS量表有高等证据支持内容效度、内部一致性和稳定性、中等证据支持结构效度,故暂被推荐使用,但适合我国的COPD相关性疲劳特异性评估工具仍有待进一步开发。
