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COVID-19疫情期间预检分诊流程及优化 被引量:4
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作者 张众 鲍海红 《医院管理论坛》 2020年第4期74-76,共3页
为提高COVID-19患者的预检分诊效率与准确性,降低交叉感染率,根据《传染病防治法》《医疗机构传染病预检分诊管理办法》及相关文件规定,结合医院自身人员、设备、场地等特点,采用"先室外初级预检分诊分流,后专项次级分诊"流... 为提高COVID-19患者的预检分诊效率与准确性,降低交叉感染率,根据《传染病防治法》《医疗机构传染病预检分诊管理办法》及相关文件规定,结合医院自身人员、设备、场地等特点,采用"先室外初级预检分诊分流,后专项次级分诊"流程。在医院门诊部室外设立预检分诊处,初步分流三类患者:有流行病学史或/和有发热、呼吸道症状者;无流行病学史,有呼吸道症状者;其他患者。患者依据分诊类别分别进入相应诊疗通道,第一类患者直接从室外分诊处引导至发热门诊室外,进行次级疑似COVID-19专项分诊;第二类仅有呼吸道症状的患者,引导至门诊指定区域候诊,避免与普通门诊病人混合;第三类普通病患者进入门诊科室。可以有效保障门诊医疗安全。 展开更多
关键词 新型冠状病毒病 交叉感染 初级分流 次级分诊
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Neural circuits and temporal plasticity in hindlimb representation of rat primary somatosensory cortex:revisited by multi-electrode array on brain slices 被引量:1
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作者 王丹丹 李震 +7 位作者 常颖 王蕊蕊 陈雪峰 赵振宇 曹发乐 金建慧 刘明刚 陈军 《Neuroscience Bulletin》 SCIE CAS CSCD 2010年第3期175-187,共13页
Objective The well-established planar multi-electrode array recording technique was used to investigate neural circuits and temporal plasticity in the hindlimb representation of the rat primary somatosensory cortex (... Objective The well-established planar multi-electrode array recording technique was used to investigate neural circuits and temporal plasticity in the hindlimb representation of the rat primary somatosensory cortex (S1 area) . Methods Freshly dissociated acute brain slices of rats were subject to constant perfusion with oxygenated artificial cerebrospinal fluid (95% O2 and 5% CO2) , and were mounted on a Med64 probe (64 electrodes, 8×8 array) for simultaneous multi-site electrophysiological recordings. Current sources and sinks across all the 64 electrodes were transformed into two-dimensional current source density images by bilinear interpolation at each point of the 64 electrodes. Results The local intracortical connection, which is involved in mediation of downward information flow across layers II-VI, was identified by electrical stimulation (ES) at layers II-III. The thalamocortical connection, which is mainly involved in mediation of upward information flow across layers II-IV, was also characterized by ES at layer IV. The thalamocortical afferent projections were likely to make more synaptic contacts with S1 neurons than the intracortical connections did. Moreover, the S1 area was shown to be more easily activated and more intensively innervated by the thalamocortical afferent projections than by the intracortical connections. Finally, bursting conditioning stimulus (CS) applied within layer IV of the S1 area could success-fully induce long-term potentiation (LTP) in 5 of the 6 slices (83.3%) , while the same CS application at layers II-III induced no LTP in any of the 6 tested slices. Conclusion The rat hindlimb representation of S1 area is likely to have at least 2 patterns of neural circuits on brain slices: one is the intracortical circuit (ICC) formed by interlaminar connections from layers II-III, and the other is the thalamocortical circuit (TCC) mediated by afferent connections from layer IV. Besides, ICC of the S1 area is spatially limited, with less plasticity, while TCC is spatially extensive and exhibits a better plasticity in response to somatosensory afferent stimulation. The present data provide a useful experimental model for further studying microcircuit properties in S1 cortex at the network level in vitro. 展开更多
关键词 planar multi-electrode array two-dimensional current source density imaging primary somatosensory cortex neural circuits long-term potentiation
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