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基于智能药柜的医院基数药管理实践与分析 被引量:15
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作者 黄蓓丽 王文辉 伊永菊 《中国管理信息化》 2016年第1期75-77,共3页
目的:规范医院各科室的基数药品管理,确保患者的用药安全,提高医护人员的工作效率,实现药品精细化管理。方法:基于医院的实际医疗情况和临床需求,结合药品管理规范,利用智能药柜实现对科室基数药品的监管,建立基数药实库存定期盘点机制... 目的:规范医院各科室的基数药品管理,确保患者的用药安全,提高医护人员的工作效率,实现药品精细化管理。方法:基于医院的实际医疗情况和临床需求,结合药品管理规范,利用智能药柜实现对科室基数药品的监管,建立基数药实库存定期盘点机制达到实耗实销。结果:科室基数药品存储数量显著下降,消除了过期药品、存储条件不达标、摆放不合理等安全隐患,盘点效率明显提高,同时减轻了科室管理基数药品的工作量。结论:充分利用信息化智能设备梳理和规范药品管理流程,智能药柜以规范药品管理和快速响应的优势来加强科室基数药品管理,克服了人为管理的缺陷、减少了临床反复多次往返住院药房临时取药的工作量,是一种值得推广应用的新模式。 展开更多
关键词 智能 基数药 实库存管理 成本核算
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某院病房基数药设置和使用情况调查分析 被引量:6
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作者 应菊素 《中国护理管理》 2010年第12期66-68,共3页
目的:探讨病房基数药的设置和使用情况。方法:采用回顾性研究方法,对某"三甲"医院各病房基数药储存量及2009年8月1~31日使用情况进行了调研。结果:该院基数药总量为2618种,18936支(片),未使用种类占58.21%,在使用的药品中,... 目的:探讨病房基数药的设置和使用情况。方法:采用回顾性研究方法,对某"三甲"医院各病房基数药储存量及2009年8月1~31日使用情况进行了调研。结果:该院基数药总量为2618种,18936支(片),未使用种类占58.21%,在使用的药品中,每班次最高使用量不超过基数总量20%的药品占45.80%。结论:基数药种类和数量大,管理成本高,使用率低,建议完善支持系统,减少以至取消基数药。 展开更多
关键词 病房基数药 品管理 品使用
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PDCA循环管理在血液科基数药管理中的运用 被引量:3
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作者 赖玲 《西南军医》 2016年第1期94-95,共2页
目的探讨病房采取安全管理基数药的方法。方法运用PDCA(计划、实施、检查、处理)循环管理模式对病房基数药管理中存在的问题、潜在的安全隐患等进行分析,制订对策及效果评价。结果通过全科护士群策群力,制订具体管理制度和检查标准,对... 目的探讨病房采取安全管理基数药的方法。方法运用PDCA(计划、实施、检查、处理)循环管理模式对病房基数药管理中存在的问题、潜在的安全隐患等进行分析,制订对策及效果评价。结果通过全科护士群策群力,制订具体管理制度和检查标准,对病房基数药进行科学、规范管理,既保证了用药安全,又增强护士工作的责任心。结论 PDCA循环管理模式可有效改进病房对基数药的管理。 展开更多
关键词 PDCA 基数药 管理
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PDCA循环管理在急诊科基数药品管理中的应用 被引量:1
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作者 邹燕 邵微颖 徐勤容 《中医药管理杂志》 2019年第1期109-110,共2页
目的:探讨PDCA循环管理在急诊科基数药品管理中的应用效果。方法:运用PDCA循环管理模式对急诊科基数药品管理中存在的问题进行调查,分析潜在的安全隐患,并制订基数药品管理的对策、具体管理制度和检查标准,对急诊科基数药实施科学、规... 目的:探讨PDCA循环管理在急诊科基数药品管理中的应用效果。方法:运用PDCA循环管理模式对急诊科基数药品管理中存在的问题进行调查,分析潜在的安全隐患,并制订基数药品管理的对策、具体管理制度和检查标准,对急诊科基数药实施科学、规范管理,实现质量控制。比较实施PDCA循环管理前后基数药品管理质量和护士基数药品相关知识掌握情况。结果:实施PDCA循环管理后,急诊科基数药品管理质量和护士基数药品相关知识掌握显著高于实施前(P<0.05)。结论:PDCA循环管理能够提高基数药品的管理质量,保证用药安全,提高护士工作的责任心,实现基数药品管理的规范化与科学化。 展开更多
关键词 PDCA循环管理 急诊科 基数药 管理
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PDCA循环管理模式在呼吸监护室基数药品管理中的应用 被引量:22
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作者 白金 周鑫 +2 位作者 苏晔 周虹 刘丽宏 《中国临床药理学杂志》 CAS CSCD 北大核心 2020年第3期366-368,共3页
目的探讨PDCA持续质量改进模式在呼吸监护室(RICU)基数药品管理中的应用价值。方法通过PDCA循环管理方法对RICU基数药管理当前存在的问题进行分析,制定改善计划,实施计划,并对改进项目前后的数据对比进行检查,针对结果寻找进一步改善空... 目的探讨PDCA持续质量改进模式在呼吸监护室(RICU)基数药品管理中的应用价值。方法通过PDCA循环管理方法对RICU基数药管理当前存在的问题进行分析,制定改善计划,实施计划,并对改进项目前后的数据对比进行检查,针对结果寻找进一步改善空间。结果智能化药品管理柜使用后,RICU的退药品种由(6.65±0.85)种减少至(4.29±0.55)种,夜间紧急取药次数由(2.09±0.19)次减少至(0.55±0.14)次,夜间紧急取药品种由(4.84±0.58)种降至(0.71±0.19)种,差异均有统计学意义(P<0.05,P<0.01)。结论在RICU基数药品管理中实施PDCA持续质量改进,不仅使管理更加科学,还提高了工作效率,而且能确保重症患者用药的安全性和及时性。 展开更多
关键词 PDCA循环 智能化品管理柜 基数药 管理
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Triterpenes and Other Constituents from Rhaponticum uniflorum 被引量:1
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作者 张永红 王文 +1 位作者 汪涛 汪汉卿 《Journal of Chinese Pharmaceutical Sciences》 CAS 2001年第3期113-114,共2页
From the roots of Rhaponticum uniflorum a new triterpene was isolated together with ursolic acid(2), 3-oxo-19a-hydroxyurs-12-en-28-oic acid (3), pomolic acid (4), 2a,3a,19a-trihydroxyurs-12-en-28-oic acid (5), arctic ... From the roots of Rhaponticum uniflorum a new triterpene was isolated together with ursolic acid(2), 3-oxo-19a-hydroxyurs-12-en-28-oic acid (3), pomolic acid (4), 2a,3a,19a-trihydroxyurs-12-en-28-oic acid (5), arctic acid (6), catechin (7) and b-sitosterol (8). The structure of the new compound was elucidated as 2a,3a,19a,25-tetrahydroxyurs-12-en-23,28-dioic acid (1) on the basis of spectral and chemical methods. 展开更多
关键词 Rhaponticum uniflorum COMPOSITAE Ttriterpene
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Vibrational Structure of Selected Compounds Derived from Biomass: Lignin Dimers, Selected Aldopentoses and Aldohexoses
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作者 Izabela Czekaj Natalia Sobus 《Journal of Chemistry and Chemical Engineering》 2018年第1期11-19,共9页
The production of chemicals from biomass is a very challenging process due to its diverse chemical composition. Lignin, cellulose and hemicellulose are the three main biopolymers of wood biomass, with cell walls &pla... The production of chemicals from biomass is a very challenging process due to its diverse chemical composition. Lignin, cellulose and hemicellulose are the three main biopolymers of wood biomass, with cell walls &plant origin. Lignin has been chosen for the present studies due to its range of different linkages and structures. The present work involved a computational study of the most dominant lignin dimers and their vibrational structures, based on the Density Functional Theory method. Full geometry optimization of the compartments used the StoBe code with cluster model and non-local functional (RPBE) approach. The calculations of the vibrational frequencies were performed with harmonic approximations as well as an anharmonicity fit in the Morse potential function, as implemented in the StoBe code. In the case oflignin, the calculations included three different precursors based on: coumaryl alcohol, coniferyl alcohol and sinapyl alcohol. To represent the cellulose and hemicellulose derivatives, selected aldopentoses and aldohexoses (arabinose, xylose, glucose, galactose, and mannose) were considered. Presented here are the theoretical investigations for a variety of biomass derived compounds, to give the possibility of obtaining a theoretical VBD (Vibrations Basis Database) for experimental spectra interpretation. Such a database could be further used in the preliminary composition assessment of biomass derived substrates, which will be discussed here in more detail. 展开更多
关键词 Wood biomass LIGNIN CELLULOSE vibrational structure DFT (density functional theory).
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Crizotinib: From Chemical Entity to Anticancer Agent
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作者 Xiaonan Jiang Weihua Song +1 位作者 Qi Yang Zhangqun Yang 《Journal of Pharmacy and Pharmacology》 2017年第10期755-759,共5页
Crizotinib is a mesenchymal-epithelial transition/anaplastic largecell kinase (MET/ALK) multi-targeted receptor tyrosine kinase inhibitor and has been rapidly and successfully developed as an inhibitor in ALK-rearra... Crizotinib is a mesenchymal-epithelial transition/anaplastic largecell kinase (MET/ALK) multi-targeted receptor tyrosine kinase inhibitor and has been rapidly and successfully developed as an inhibitor in ALK-rearranged NSCLC (non-small cell lung cancer). Lung cancer is the major cause of cancer-related mortality, accounting for over one quarter of cancer deaths. Lung cancers are generally divided into two main categories: SCLC (small cell lung cancer) and NSCLC. NSCLC accounts for approximately 85% of all lung cancers. ALK gene rearrangements are identified and targeted resulting in promising response rates for NSCLC in early studies. Considering the significance of Crizotinib in the treatment of NSCLC, the synthesis, pharmacodynamics, pharmacokinetics, therapeutic trials and adverse events are briefly overviewed in order to make more scholars, medical workers and patients have a more clear and comprehensive recognition on Crizotinib. 展开更多
关键词 CRIZOTINIB non-small cell lung cancer anaplastic largecell kinase inhibitor review.
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Safety assessment of Bifidobacterium longum JDM301 based on complete genome sequences 被引量:5
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作者 Yan-Xia Wei Zhuo-Yang Zhang +2 位作者 Chang Liu Pradeep K Malakar Xiao-Kui Guo 《World Journal of Gastroenterology》 SCIE CAS CSCD 2012年第5期479-488,共10页
AIM: To assess the safety of Bifidobacterium/ongum (B. longum) JDM301 based on complete genome sequences. METHODS: The complete genome sequences of JDM301 were determined using the GS 20 system. Putative virulence... AIM: To assess the safety of Bifidobacterium/ongum (B. longum) JDM301 based on complete genome sequences. METHODS: The complete genome sequences of JDM301 were determined using the GS 20 system. Putative virulence factors, putative antibiotic resis- tance genes and genes encoding enzymes respon- sible for harmful metabolites were identified by blast with virulence factors database, antibiotic resistance genes database and genes associated with harmful metabolites in previous reports. Minimum inhibitory concentration of 16 common antimicrobial agents was evaluated by E-test RESULTS: JDM301 was shown to contain 36 genes as- sociated with antibiotic resistance, 5 enzymes related to harmful metabolites and 162 nonspecific virulence fac- tors mainly associated with transcriptional regulation, adhesion, sugar and amino acid transport. B. longum JDM301 was intrinsically resistant to ciprofloxacin, ami- kacin, gentamicin and streptomycin and susceptible to vancomycin, amoxicillin, cephalothin, chloramphenicol, erythromycin, ampicillin, cefotaxime, rifampicin, imi- penem and trimethoprim-sulphamethoxazol. JDM301 was moderately resistant to bacitracin, while an earlier study showed that bifidobacteria were susceptible to this antibiotic. A tetracycline resistance gene with the risk of transfer was found in JDM301, which needs to be experimentally validated. CONCLUSION: The safety assessment of JDM301 using information derived from complete bacterial ge- nome will contribute to a wider and deeper insight into the safety of probiotic bacteria. 展开更多
关键词 Bifidobacterium longum Safety assess-ment GENOME Antibiotic resistance Harmful metabo-lite Virulence factor
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Effect of Roucongrong(Herba Cistanches Deserticolae) on reproductive toxicity in mice induced by glycoside of Leigongteng(Radix et Rhizoma Tripterygii) 被引量:3
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作者 Jie Li Di Huang Liqun He 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2014年第3期324-328,共5页
OBJECTIVE: The purpose of this research is to study the effect of Roucongrong (Herba Cistanches Deserticolae) on reproductive toxicity in mice in- duced by a glycoside extracted from Leigongteng (Radix et Rhizoma ... OBJECTIVE: The purpose of this research is to study the effect of Roucongrong (Herba Cistanches Deserticolae) on reproductive toxicity in mice in- duced by a glycoside extracted from Leigongteng (Radix et Rhizoma Tripterygii) (GRT). METHODS: Forty-eight BALB/c mice were random-ly divided into two groups in the ratio of I : 3, 12 in one group and 36 in the other. The 12-mouse group was the control group that was intragastrical- ly administered physiological saline for 3 weeks. The 36 mice in the other group were given 30 mg- kg ·^-1 d i GRT for 3 weeks, then randomly divided into 3 subgroups: the model group, GRI group and Roucongrong (Herba Cistanches Deserticolae) group, with 12 mice in each group. In the model group, 0.25 mL physiological saline was intragastri- cally administered; in the GRT group, GRT, 0.25 mL at 30 mg · kg ^-1· d ^-1 was intragastrically adminis- tered once a day; in the Roucongrong (Herba Cis- tanches Deserticolae) group, mice were adminis- tered Roucongrong (Herba Cistanches Deserticolae) decoction equivalent to 0.25 mL at a final dose of 10g.kg 1.d.1 crude drug (calculated as per 20 times of 0.5 g· kg^-1. d ^-1 for adults), and GRT 0.25 mL at 30 mg- kg^-1· d^- 1 daily. After another 3 weeks of exposure, expression levels of the reproduction-re- lated genes DEAD (Asp-Glu-Ala-Asp) box polypep- tide 3, Y-linked, B-cell CLL/lymphoma 6 and Signal transducer and activator of transcription 3 were evaluated. RESULTS: After 6 weeks of GRT treatment, the sper- matogenic cell population in the convoluted tu- bule of testis was in disorder and the tubule cavity expanded. Sertoli cell and Leydig cells exhibited at- rophy or disappeared. The number of sperm de- creased. The spermatogenic cell level of testis for male mice was ranked in order and sperm was pro- duced in the cavity of the spermatogenic cell. The expression levels of DDX3Y, BCL6 and STAT3 were up-regulated.CONCLUSION: GRT affected reproduction-related genes. Roucongrong (Herba Cistanches Desertico- lae) reversed reproductive toxicity in mice induced by GRT. 展开更多
关键词 Cistanche deserticola Tripterygium wil-fordii TOXICITY Reproduction-related genes Hypo-gonadal model
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Efficacy of Chinese herbal medicine for lumbar disc herniation: a systematic review of randomized controlled trials 被引量:15
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作者 Yi Luo Jian Huang +3 位作者 Lin Xu Weikang Zhao Jie Hao Zhenming Hu 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2013年第6期721-726,共6页
OBJECTIVE: This is a review of the effects of Chi- nese herbal medicine (CHM) used alone to treat lumbar disc herniation (LDH). METHORDS: A literature search of the following electronic databases from their ince... OBJECTIVE: This is a review of the effects of Chi- nese herbal medicine (CHM) used alone to treat lumbar disc herniation (LDH). METHORDS: A literature search of the following electronic databases from their inception to Febru- ary 2013 was conducted: Chinese Biomedical data- bases, Chinese National Knowledge Infrastructure, Wanfang Database, China Science and Technology Journal Database, Cochrane Library, Web of Sci- ence, MEDLINE, and EMBASE. Randomized con- trolled trials where CHM had been used to treat LDH were selected. Data extraction, quality assess- ment, and data analysis were carried out by two in- dependent reviewers. RESULTS: Of the 2415 studies identified, eight with complete data on 1146 patients were selected. The methodological quality was poor in all trials. Five studies reported that CHM was better than WesternMedicine [OR=2.81, 95% CI (1.27, 6.18); OR=3.34, 95% CI (1.92, 5.79); 0R=2.22, 95% CI (1.08, 4.57); OR= 6.67, 95% CI (1.34, 33.28); and OR=1.94, 95% CI (1.23, 3.06)]. Two studies reported that the clinical outcome was better in CHM groups than in physio- therapy and placebo groups, [OR=3.02, 9.5% CI (1.08, 8.46); and OR=2.67, 95% CI (1.26, 5.64), re- spectively], whereas one study reported no differ- ence between CHM and physiotherapy groups. One study reported that CHM resulted in higher Japanese Orthopedic Association scores [MD=7.78, 95% CI (6.67, 8.89)] than in a control group and an- other that participants treated with CHM had lower Visual Analogue Scale scores [MD=- 0.72, 95% CI ( - 0.86, 0.58)] than those in a control group. Three studies reported that the adverse effects of CHM and Western Medicine did not differ signifi- cantly [OR=0.10, 95% CI (0.01, 1.85); OR=0.19, 95% CI (0.01,4.07); and OR=O.07, 95% CI (0.00, 1.32)]. CONCLUSION: CHM may be more effective than other interventions for LDH; however, methodologi- cal weaknesses in the studies assessed in this re- view prevent a definitive conclusion. More high-quality large-scale studies are required to clar- ify this matter. 展开更多
关键词 Drugs Chinese herbal REVIEW Ran-domized controlled trial Lumbar disc disease
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