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上海市老年护理院病人结构及服务提供和利用的现状分析 被引量:4
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作者 严非 李悦 +6 位作者 龚幼龙 鲍勇 武桂英 卢福今 陈雄熊 毛春芳 陈昕 《中国初级卫生保健》 1999年第10期9-11,共3页
本文对上海市老年护理院中病人结构及服务提供和利用现状分析如下:护理院病人平均年龄为73.7岁,四分之三的病人生活不能自理。病人中以中风、慢支或慢阻肺、肿瘤、痴呆、高血压和心脏病人为主。公费、劳保和医保病人占90%,有22个护理院... 本文对上海市老年护理院中病人结构及服务提供和利用现状分析如下:护理院病人平均年龄为73.7岁,四分之三的病人生活不能自理。病人中以中风、慢支或慢阻肺、肿瘤、痴呆、高血压和心脏病人为主。公费、劳保和医保病人占90%,有22个护理院开展医疗、护理和康复三大类服务。医疗服务项目的开展基本相同。护理、康复服务的具体项目有些差别。护理院服务利用率高,老年病人等候入院。建议今后进一步根据病人的特点,提供适宜服务;以病人为中心,转变服务模式;改善管理,进一步提高护理院的利用率;加强医务人员的业务培训,更好地提供服务;同时进一步研究完善老年医疗保健制度。 展开更多
关键词 老年护理院 病人结构 社区卫生服务 上海
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住院病人结构改变与人口老化 被引量:2
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作者 李荫华 《中国冶金工业医学杂志》 2000年第6期372-374,共3页
关键词 住院病人结构 人口老化 年龄结构
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青藏铁路通车前后 西藏自治区急救中心病人结构分析
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作者 王凯 《中华医院管理杂志》 北大核心 2007年第6期406-408,共3页
西藏自治区无论是经济还是旅游业,现在都处于蓬勃发展之中,尤其是2006年7月1日青藏铁路通车之后,给西藏各业包括急救中心带来了前所未有的机遇和挑战。为此,通过对西藏自治区急救中心急诊患者的调查和研究,希望能够反映铁路通车后... 西藏自治区无论是经济还是旅游业,现在都处于蓬勃发展之中,尤其是2006年7月1日青藏铁路通车之后,给西藏各业包括急救中心带来了前所未有的机遇和挑战。为此,通过对西藏自治区急救中心急诊患者的调查和研究,希望能够反映铁路通车后我们面临的新的形势,为急救中心将来的管理建设提供科学依据。 展开更多
关键词 西藏自治区 急救中心 青藏铁路 病人结构 车前 急诊患者 科学依据 旅游业
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教师标准化病人/客观结构化临床考试模式下微视频翻转课堂教学法在儿科新入职护士带教中的应用效果 被引量:9
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作者 汤莹 黄瑞萍 张宝珍 《中国当代医药》 CAS 2022年第36期181-184,共4页
目的 探讨教师标准化病人(TSP)/客观结构化临床考试(OSCE)模式下微视频翻转课堂教学法在儿科新入职护士带教中的应用效果。方法 回顾性分析南昌大学第一附属医院儿科的50名新入职护士的资料,将2020年1月至2021年1月的25名新入职护士纳... 目的 探讨教师标准化病人(TSP)/客观结构化临床考试(OSCE)模式下微视频翻转课堂教学法在儿科新入职护士带教中的应用效果。方法 回顾性分析南昌大学第一附属医院儿科的50名新入职护士的资料,将2020年1月至2021年1月的25名新入职护士纳入对照组,将2021年2月至2022年1月的25名新入职护士纳入观察组。观察组采用TSP/OSCE模式下微视频翻转课堂教学法,对照组采用传统临床教学,根据TSP/OSCE模式对两组护士进行考核,比较两组护士的考核成绩;采用问卷调查的形式分析比较TSP对两组护士的评价及两组护士对临床教学的满意度。结果 观察组护士的考核成绩高于对照组,差异有统计学意义(P<0.05);TSP对观察组护士的评价优于对照组,差异有统计学意义(P<0.05);观察组护士对教学的满意度优于对照组,差异有统计学意义(P<0.05)。结论 TSP/OSCE模式下微视频翻转课堂教学法能够帮助新入职护士提升学习效率,更快地增强临床能力,培养临床思维,提升新入职护士对临床教学的满意度。 展开更多
关键词 教师标准化病人/客观结构化临床考试模式 翻转课堂 儿科 新入职护士
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电子病历——基于病人全集的循证医学临床证据 被引量:5
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作者 张燕 高非 游伟程 《循证医学》 CSCD 2010年第5期286-289,共4页
电子病历系统将全部病人的全部诊疗细节记录为电子文档,只要具有统一的符合临床逻辑的结构就有可能成为一种新的循证医学临床证据。对于肿瘤疾病,"病人——治疗次"结构可以将病人属性、疾病属性、治疗属性和疗效费用等信息组... 电子病历系统将全部病人的全部诊疗细节记录为电子文档,只要具有统一的符合临床逻辑的结构就有可能成为一种新的循证医学临床证据。对于肿瘤疾病,"病人——治疗次"结构可以将病人属性、疾病属性、治疗属性和疗效费用等信息组成全结构化的规范数据。具有这种结构的电子病历系统能够实现综合治疗方案和单科治疗方案的循证决策,使大量病历数据转化为可以直接利用的临床知识。 展开更多
关键词 肿瘤 循证医学 临床证据 病人——治疗次”结构
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临床技能强化训练效果分析 被引量:2
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作者 耿广琴 周语平 崔宇红 《中国高等医学教育》 2010年第2期104-105,共2页
为提高学生临床技能操作水平,甘肃中医学院安排学生实习前进行两个月的强化训练。通过分析学生的临床技能考核成绩,结果显示强化训练的效果不显著,表明临床技能的掌握是一个长期的、不间断的过程,应贯穿于本科教学的始终。
关键词 临床技能 强化训练 标准化病人与客观结构临床考试
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Incidence and Development of Powdery Mildew (Blumeria graminis f.sp. tritici) in the Czech Republic in the Years 1999-2010 and Race Spectrum of This Population 被引量:1
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作者 Lubomir Vechet 《Journal of Life Sciences》 2012年第7期786-793,共8页
Powdery mildew (Blumeria graminis f.sp. tritici) is one of the most important leaf diseases of wheat on the worldwide. Evolutionary potential of a pathogen population is reflected in its population genetic structure... Powdery mildew (Blumeria graminis f.sp. tritici) is one of the most important leaf diseases of wheat on the worldwide. Evolutionary potential of a pathogen population is reflected in its population genetic structure. Severity of powdery mildew in twelve years of small-plot experiments was in individual years different. Incidence of powdery mildew was followed in 1999-2010 and powdery mildew development was studied in 2003 and 2004 in the Crop Research Institute (CRI). These experiments were made on the cultivar Kanzler, susceptible cultivar to powdery mildew. Disease severity was made as a percentage of typical symptoms of the disease. Structure of powdery mildew population was probed in 2009 and 2010 in CRI and in the locality Humpolec. The highest was in 2004 and the lowest in 2003. Development of the disease in two extreme years depended on progress of weather factors mainly to average daily temperature and photosynthetic active radiation. In the year 2009 was higher disease severity in CRI than in the CRI station in Humpolec but in 2010 vice versa higher disease severity was in Humpolec. Observation showed that in small distances of two localities can be differences in composition of powdery mildew population. Higher virulence in CRI was to the gene of specific resistance Pml whereas in Humpolec to the gene Pm 17. In the year 2010 in CRI was the highest virulence to the gene Pm 1 whereas in Humpolec the highest virulence was to the genes Pm3fand Pm4a. Differences of powdery mildew were in 12 years of observation were very distinct and showed difference in structure of powdery mildew population in near localities. 展开更多
关键词 Powdery mildew INCIDENCE DEVELOPMENT VIRULENCE race spectrum.
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Confirmatory factor analysis of VISA-P scale and measurement invariance across sexes in athletes with patellar tendinopathy 被引量:1
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作者 Sergio Hernandez-Sanchez Ferran Abat +4 位作者 María D.Hidalgo Antonio I.Cuesta-Vargas Victor Segarra Jose M.Sanchez-Ibanez Antonia Gomez-Conesa 《Journal of Sport and Health Science》 SCIE 2017年第3期365-371,共7页
Background:The Victorian Institute of Sport Assessment–Patella(VISA-P) scale is the most condition-specific patient-reported outcome measure used to assess symptom severity in athletes with patellar tendinopathy.Prev... Background:The Victorian Institute of Sport Assessment–Patella(VISA-P) scale is the most condition-specific patient-reported outcome measure used to assess symptom severity in athletes with patellar tendinopathy.Previous exploratory factor analyses have been conducted to evaluate the scale's dimensionality,with inconsistent results,and the factor structure of the scale remains unclear.The aims of the present study were to determine the factorial structure of the VISA-P scale using confirmatory factor analysis(CFA) and test measurement invariance across sexes.Methods:The study included a convenience sample of 249 Spanish athletes with patellar tendinopathy.CFA was performed to assess factorial validity.Hypothesized 1-and 2-factor models were tested.Measurement invariance across sexes was evaluated via multi-group CFA with several fit indices using EQS 6.1 software.Results:The internal consistency coefficient was 0.74.Several CFA models were examined and the 1-factor model in which errors for Items 7 and8 were correlated showed acceptable fit in terms of comparative fit index(CFI) and goodness-of-fit index(GFI) statistics(CFI = 0.93;GFI = 0.94;standardized root mean square residual = 0.06;root mean square error of approximation = 0.10;90% confidence interval:0.08–0.13).This model was invariant across sexes.Conclusion:The 1-factor model of the Spanish version of the VISA-P scale(VISA-P-Sp) in which errors for Items 7 and 8 were correlated demonstrated relative fit in CFA.Scores obtained via VISA-P-Sp can be compared between men and women without sexes bias.Further studies should examine the VISA-P scale and other single-score patient-reported outcome measures concurrently. 展开更多
关键词 Jumper's knee Measurement invariance Patient-reported outcome measure Structural validity
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Construction of Large Human Single-chain Antibody Phage Display Library
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作者 张志超 Hu +6 位作者 Xuejun Bao Yongming Yang Qing An Lijia 《High Technology Letters》 EI CAS 2002年第3期1-4,共4页
A large human naive single chain antibody (scFv) library is constructed from 60 healthy donors via phage display technique. During the period, some methods are employed to optimize the diversity, such as multi donors,... A large human naive single chain antibody (scFv) library is constructed from 60 healthy donors via phage display technique. During the period, some methods are employed to optimize the diversity, such as multi donors, different annealing temperature, half nest PCR, and assembly by two way fusion PCR. In this study, 78 electroporations resulted in 1010 library, diversity of which is assayed by enzyme fingerprint. The efficiency and diversity are all better than other researches. 展开更多
关键词 phage display single chain antibody DIVERSITY
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SP结合OSCE在中医外科临床教学中的应用效果
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作者 朱本伟 《中医药管理杂志》 2024年第9期115-117,共3页
目的:探讨和研究SP结合OSCE在中医外科临床教学中的应用效果。方法:选取医院2022年6月—2023年8月的60名实习护士作为研究对象,分为对照组和观察组,每组30名。对照组采取常规临床教学模式,观察组采取SP结合OSCE中医外科临床教学模式。... 目的:探讨和研究SP结合OSCE在中医外科临床教学中的应用效果。方法:选取医院2022年6月—2023年8月的60名实习护士作为研究对象,分为对照组和观察组,每组30名。对照组采取常规临床教学模式,观察组采取SP结合OSCE中医外科临床教学模式。比较两组实习护士的临床考核成绩情况、医学知识状况及教学满意度情况。结果:观察组实习护士临床考核成绩优于对照组(P<0.05)。观察组实习护士医学知识评分高于对照组(P<0.05)。观察组实习护士教学干预总满意率高于对照组(P<0.05)。结论:SP结合OSCE应用于中医外科临床教学中能够显著提升学生的学习积极主动性,提高实习生的实践操作能力和基础理论知识掌握能力,培养学生综合素养。 展开更多
关键词 标准化病人:客观结构化考试 中医外科 临床教学效果
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Origin, dissemination and entry of the pandemic Zika viruses 被引量:1
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作者 Huimin Zhang Swaminath Srinivas +1 位作者 Defeng Li Youjun Feng 《Science Bulletin》 SCIE EI CAS CSCD 2016年第10期749-751,共3页
Zika virus (ZIKV) is a previously-neglected, but newly-emerging zoonotic pathogen that has swept most of the western hemisphere. The unexpected attention aroused worldwide lies in the explosive spread of ZIKV to Bra... Zika virus (ZIKV) is a previously-neglected, but newly-emerging zoonotic pathogen that has swept most of the western hemisphere. The unexpected attention aroused worldwide lies in the explosive spread of ZIKV to Brazil and USA in 2015 and its rare correlation to micro- cephaly in newborns, raising a serious challenge to public health. We show the origin and fast dissemination of these epidemic ZIKA isolates. Phylogenetic analyses revealed that all the newly-emerging ZIKV isolates belong to the Asian-American Lineage. Structural analyses of the ZIKV E surface protein suggested that it might adopt a similar entry mechanism to that of other Flavi-viruses like Dengue Virus and West Nile Virus. 展开更多
关键词 Zika virus FLAVIVIRUS DisseminationEntry ORIGIN
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Spectrin:Structure, function and disease 被引量:2
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作者 ZHANG Rui ZHANG ChenYu +1 位作者 ZHAO Qi LI DongHai 《Science China(Life Sciences)》 SCIE CAS 2013年第12期1076-1085,共10页
Spectrin is a large,cytoskeletal,and heterodimeric protein composed of modular structure of and subunits,it typically contains 106 contiguous amino acid sequence motifs called"spectrin repeats".Spectrin is c... Spectrin is a large,cytoskeletal,and heterodimeric protein composed of modular structure of and subunits,it typically contains 106 contiguous amino acid sequence motifs called"spectrin repeats".Spectrin is crucial for maintaining the stability and structure of the cell membrane and the shape of a cell.Moreover,it contributes to diverse cell functions such as cell adhesion,cell spreading,and the cell cycle.Mutations of spectrin lead to various human diseases such as hereditary hemolytic anemia,type 5 spinocerebellar ataxia,cancer,as well as others.This review focuses on recent advances in determining the structure and function of spectrin as well as its role in disease. 展开更多
关键词 ERYTHROCYTE SPECTRIN cell cycle mass spectrometry DISEASE
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Cancer:A proteomic disease 被引量:8
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作者 LI GuoQing XIAO ZheFeng +3 位作者 LIU JianPing LI Cui LI Feng CHEN ZhuChu 《Science China(Life Sciences)》 SCIE CAS 2011年第5期403-408,共6页
The development of cancer is a pathological process involving multiple environmental carcinogenic factors and genetic alterations.For decades,cancer researchers have focused on genomic and transcriptomic analyses.The ... The development of cancer is a pathological process involving multiple environmental carcinogenic factors and genetic alterations.For decades,cancer researchers have focused on genomic and transcriptomic analyses.The completion of the Human Genome Project has opened the door to the post-genome era and oncoproteomics.Proteins play a critical role in tumorigenesis and influence the differences between normal cells and malignant cells.This report proposes the concept that cancer is a proteomic disease.This concept is based on examining protein expression profiles,post-translational modifications,and protein-protein interactions in carcinogenesis using recent advances in comparative,functional and structural proteomics.This approach provides a new way of viewing carcinogenesis,presents new clues in biomarker discovery for cancer diagnosis and therapy,and reveals important scientific findings and their significance to clinical applications. 展开更多
关键词 CANCER proteomic disease protein profiling modification-specific proteome protein-protein interaction
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Histone Variant H3.3:A versatile H3 variant in health and in disease
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作者 Chaoyang Xiong Zengqi Wen Guohong Li 《Science China(Life Sciences)》 SCIE CAS CSCD 2016年第3期245-256,共12页
Histones are the main protein components of eukaryotic chromatin. Histone variants and histone modifications modulate chromatin structure, ensuring the precise operation of cellular processes associated with genomic D... Histones are the main protein components of eukaryotic chromatin. Histone variants and histone modifications modulate chromatin structure, ensuring the precise operation of cellular processes associated with genomic DNA. H3.3, an ancient and conserved H3 variant, differs from its canonical H3 counterpart by only five amino acids, yet it plays essential and specific roles in gene transcription, DNA repair and in maintaining genome integrity. Here, we review the most recent insights into the functions of histone H3.3, and the involvement of its mutant forms in human diseases. 展开更多
关键词 histone variants H3.3 histone chaperones development TUMORIGENESIS
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MODELING THE SPREAD OF HIV IN A STAGE STRUCTURED POPULATION: EFFECT OF AWARENESS 被引量:3
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作者 NAVJOT KAUR MINI GHOSH S. S. BHATIA 《International Journal of Biomathematics》 2012年第5期129-146,共18页
Human immunodeficiency virus (HIV) is a lenti-virus (a member of the retrovirus family) that causes acquired immunodeficieney syndrome (AIDS), a critical condition in humans in which progressive failure of the i... Human immunodeficiency virus (HIV) is a lenti-virus (a member of the retrovirus family) that causes acquired immunodeficieney syndrome (AIDS), a critical condition in humans in which progressive failure of the immune system allows life-threatening opportunis- tic infections. Over the past few years HIV has been spreading rapidly in the popula- tion. Almost, everyday there are thousands of new human cases of HIV infection being recorded in the world and these occur in almost every country of the world. However, the spread of HIV is relatively faster in the developing countries as compared to developed countries because developing countries have limited resources. Worldwide, 70% of HIV infections in the adults have been transmitted through heterosexual contact and vertical transmission accounts for more than 90~ of global infection in infants and children. In this paper, we propose a nonlinear mathematical model to study the spread of HIV by considering transmission of disease by heterosexual contact and vertical transmission. A stage structured model is proposed and analyzed by considering the total population variable and dividing the whole population under consideration into three stages: chil- dren, adults and old. Also, in this paper it is assumed that the rates of recruitment are different in different groups of population. Equilibria of the model and their stability are also discussed. Using the stability theory of differential equations and computer simu- lation, it is shown that due to the increase in the awareness of the disease in the adult class the total infective population decreases in the region under consideration. 展开更多
关键词 HIV heterosexual contact stability theory simulation.
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An age-structured model of the human papillomavirus dynamics and optimal vaccine control 被引量:1
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作者 Mo'tassem Al-Arydah Tufail Malik 《International Journal of Biomathematics》 2017年第6期183-200,共18页
We formulate an age-structured model based on a system of nonlinear partial differen- tial equations to assist the early and catch up female vaccination programs for human papillomavirus (HPV) types 6 and 11. Since ... We formulate an age-structured model based on a system of nonlinear partial differen- tial equations to assist the early and catch up female vaccination programs for human papillomavirus (HPV) types 6 and 11. Since these HPV types do not induce permanent immunity, the model, which stratifies the population based on age and gender, has a susceptible-infectious-susceptible (SIS) structure. We calculate the effective reproduction number Rv for the model and describe the local-asymptotic stability of the disease-free equilibrium using Rv. We prove the existence of an endemic equilibrium for Rv 〉 1 for the no vaccine case. However, analysis of the model for the vaccine case reveals that it undergoes the phenomenon of backward bifurcation. To support our theoretical results, we estimate the age and time solution with the given data for Toronto population, when an early and catch up female vaccine program is adopted, and when there is no vaccine. We show that early and catch up female vaccine program eliminates the infection in both male and female populations over a period of 30 years. Finally, we introduce the optimal control to an age-dependent model based on ordinary differential equations and solve it numerically to obtain the most cost-effective method for introducing the catch up vaccine into the population. 展开更多
关键词 Human papillomavirus age dependence mathematical model cervical can-cer vaccine.
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