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医疗联合体区域内高血压护理网格化管理效果评价 被引量:3
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作者 董蓉 沙莎 王琦 《中国医药指南》 2013年第4期373-375,共3页
目的探讨医疗联合体区域内高血压护理网络化管理模式效果。方法 2011年4月~2012年4月,抽取上海市浦东新区373例高血压患者,进行为期1年医疗联合体区域内高血压护理网络化管理模式进行干预,并进行效果评价。结果干预后社区居民高血压知... 目的探讨医疗联合体区域内高血压护理网络化管理模式效果。方法 2011年4月~2012年4月,抽取上海市浦东新区373例高血压患者,进行为期1年医疗联合体区域内高血压护理网络化管理模式进行干预,并进行效果评价。结果干预后社区居民高血压知识掌握程度较干预前明显提高(P<0.001)、行为方式也明显改善,血压控制情况亦明显提高(除了吸烟一项P<0.05,其余均P<0.001)。结论医疗联合体区域内高血压狐狸网络化管理模式干预效果显着,具有重要示范和推广意义。 展开更多
关键词 高血压 医疗联合体 护理 网络化管理
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A novel positive modulator of GABA_(A) receptor exhibiting antidepressive properties
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作者 ZHENG Yin-Li SHEN Fu-Yi +7 位作者 WANG Yang PAN Jing-Pei WANG Xian LI Tian-Yu DU Wei-Jia LIU Zhi-Qiang LI Yang GUO Fei 《生理学报》 CAS CSCD 北大核心 2024年第5期677-690,共14页
γ-Aminobutyric acid(GABA) neurotransmission alterations have been implicated to play a role in depression pathogenesis. While GABA_(A) receptor positive allosteric modulators are emerging as promising in clinical pra... γ-Aminobutyric acid(GABA) neurotransmission alterations have been implicated to play a role in depression pathogenesis. While GABA_(A) receptor positive allosteric modulators are emerging as promising in clinical practice, their precise antidepressant mechanism remains to be further elucidated. The aim of the present study was to investigate the effects of LY-02, a novel compound derived from the metabolite of timosaponin, on depression in animals and its mechanism. The results of behavioral tests showed that LY-02 exhibited better antidepressant effects in both male C57BL/6 mice and Sprague Dawley(SD) rats. The results of cellular voltage clamp experiments showed that LY-02 enhanced GABA-mediated currents in HEK293T cells expressing recombinant α6β3δ subunitcontaining GABA_(A) receptors. Electrophysiological recording from brain slices showed that LY-02 decreased the amplitude of spontaneous inhibitory postsynaptic current(sIPSC) and increased action potentials of pyramidal neurons in the medial prefrontal cortex(mPFC) of C57BL/6 mice. Western blot results showed that LY-02 dose-dependently up-regulated the protein expression levels of brain-derived neurotrophic factor(BDNF), tropomyosin related kinase B(TrkB) and postsynaptic density protein 95(PSD-95) in m PFC of mice. The above results suggest that LY-02, as a positive modulator of GABA_(A) receptors, reduces inhibitory neurotransmission in pyramidal neurons. It further activates the BDNF/TrkB signaling pathway, thus exerting antidepressant effects. It suggests that LY-02 is a potential novel therapeutic agent for depression treatment. 展开更多
关键词 ANTIDEPRESSANT GABAa receptor positive modulator NEUROTRANSMISSION
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