目的观察基于名医专病工作室的糖尿病肾脏疾病(D K D)社区一体化管理模式的效果。方法2020年该中心团队签约的DKD患者100例,随机分为专病组与对照组各50例。对照组予以日常全科签约门诊管理,专病组纳入DKD专病门诊管理,比较两组干预前...目的观察基于名医专病工作室的糖尿病肾脏疾病(D K D)社区一体化管理模式的效果。方法2020年该中心团队签约的DKD患者100例,随机分为专病组与对照组各50例。对照组予以日常全科签约门诊管理,专病组纳入DKD专病门诊管理,比较两组干预前后空腹血糖(FPG)、糖化血红蛋白(HbA1c)、血肌酐(Scr)、尿白蛋白/肌酐比(uACR)、肾小球滤过率估值(eGFR)及患者满意度、预约到诊率、医护人员DKD知晓率。结果两组性别、年龄、病程比较,差异无统计学意义(P>0.05)。专病组总有效率(72.0%)明显高于对照组(36.0%),患者满意度(96.0%)、预约到诊率(82.0%)、医护人员DKD知识知晓率(92.0%)明显高于对照组(76.0%、56.0%、62.0%);干预后专病组FPG、HbA1c、Scr、uACR水平低于对照组,eGFR水平高于对照组,差异有统计学意义(P<0.05)。结论基于名医专病工作室的DKD社区一体化管理模式可以有效降低DKD患者血糖,有助于改善肾功能,增强疗效,提高患者满意度、依从性,提升了医护人员DKD知识知晓率。展开更多
The renewed interest in ＂cultural landscapes＂ is a global phenomenon to be explained in a multi dimensional way.The process of revalorising traditional habitats,people and their way of living in a particular environ...The renewed interest in ＂cultural landscapes＂ is a global phenomenon to be explained in a multi dimensional way.The process of revalorising traditional habitats,people and their way of living in a particular environment,is closely linked to the introduction of heritage as ＂a cultural,social and economic construct＂.The recognition of cultural landscapes as a new category on the world heritage list （UNESCO） since the 1990s,emphasises the importance of the human-environment interaction and the need for understanding the dynamics of landscapes in time and space.Values are changing and new opportunities emerge for a ＂dynamic preservation＂ of iconic landscapes and traditional communities.A cross disciplinary understanding of interacting processes is essential to plan and manage sustainable heritage（land）scapes.Various pilot projects and case studies-world-wide-lead to critical reflections about the sustainability of heritage landscapes and the sovereign role of tourism.The perspective of ＂Globally Important Agricultural Heritage Sites＂ （GIAHS）,supported by economic resources generated by tourism,requires a research-based approach analysing opportunities and expectations,assessing strategic policies and top down politics.展开更多
文摘目的观察基于名医专病工作室的糖尿病肾脏疾病(D K D)社区一体化管理模式的效果。方法2020年该中心团队签约的DKD患者100例,随机分为专病组与对照组各50例。对照组予以日常全科签约门诊管理,专病组纳入DKD专病门诊管理,比较两组干预前后空腹血糖(FPG)、糖化血红蛋白(HbA1c)、血肌酐(Scr)、尿白蛋白/肌酐比(uACR)、肾小球滤过率估值(eGFR)及患者满意度、预约到诊率、医护人员DKD知晓率。结果两组性别、年龄、病程比较,差异无统计学意义(P>0.05)。专病组总有效率(72.0%)明显高于对照组(36.0%),患者满意度(96.0%)、预约到诊率(82.0%)、医护人员DKD知识知晓率(92.0%)明显高于对照组(76.0%、56.0%、62.0%);干预后专病组FPG、HbA1c、Scr、uACR水平低于对照组,eGFR水平高于对照组,差异有统计学意义(P<0.05)。结论基于名医专病工作室的DKD社区一体化管理模式可以有效降低DKD患者血糖,有助于改善肾功能,增强疗效,提高患者满意度、依从性,提升了医护人员DKD知识知晓率。
基金Chinese Academy of Sciences Visiting Professorship for Senior International Scientists(Grant No.Y0S00100KD)
文摘The renewed interest in ＂cultural landscapes＂ is a global phenomenon to be explained in a multi dimensional way.The process of revalorising traditional habitats,people and their way of living in a particular environment,is closely linked to the introduction of heritage as ＂a cultural,social and economic construct＂.The recognition of cultural landscapes as a new category on the world heritage list （UNESCO） since the 1990s,emphasises the importance of the human-environment interaction and the need for understanding the dynamics of landscapes in time and space.Values are changing and new opportunities emerge for a ＂dynamic preservation＂ of iconic landscapes and traditional communities.A cross disciplinary understanding of interacting processes is essential to plan and manage sustainable heritage（land）scapes.Various pilot projects and case studies-world-wide-lead to critical reflections about the sustainability of heritage landscapes and the sovereign role of tourism.The perspective of ＂Globally Important Agricultural Heritage Sites＂ （GIAHS）,supported by economic resources generated by tourism,requires a research-based approach analysing opportunities and expectations,assessing strategic policies and top down politics.
