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Implementation of a novel train-the-trainer program for pharmacists in China

Family Medicine and Community Health 2016年第1期4卷 60-63页

作者： hoan linh banh Andrew Cave Faculty of Medicine and Dentistry Department of Family MedicineUniversity of Alberta

Clinical pharmacy services in North American are well implemented both in community phar-macies and in hospital *** 2009 the Chinese government mandated the implementation of clinical pharmacy services in all secondary and tertiary hospitals by *** mandate would require adequately trained clinical ***,most pharmacy education programs in China have not yet incorporated clinical pharmacy into their *** pharmacists have been sent to countries,including the United States and Canada,to receive clinical pharmacy *** of different health care systems,medical team dynamics,and language barriers,it became difficult for the returning pharmacists to apply the skills gained from this type of *** a result,the Second Xiangya Hospital of Central South University initiated an international academic-run train-the-trainer *** objectives are to provide adequate training for phar-macists to provide pharmaceutical care to patients,conduct clinical pharmacy-related research,and engage in scholarly *** evaluation of local readiness,the course commenced in 2014,and to date four trainers have received personalized one-on-one training by an advanced pharma-cist with 15 years of experience of delivering similar curricula in North *** present the initial process evaluation and learning that will contribute to the development of clinical pharmacy courses at Central South University.

关键词： Train the trainer clinical pharmacists clinical pharmacy clinical pharmacy research China

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Impacts from the implementation of a Novel Clinical Pharmacist Training Program in Changsha,Hunan Province,China

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Family Medicine and Community Health 2018年第2期6卷 89-92页

作者： Ping Xu Da Xiong Xiang Andrew J.Cave hoan linh banh Department of Pharmacy The Second Xiangya Hospital of Central South UniversityNo 139 Middle Renmin RoadChangshaHunanChina Department of Family Medicine Faculty of Medicine and DentistryUniversity of AlbertaEdmontonAlbertaCanadaand 6-10 University TerraceUniversity of AlbertaEdmontonAB T6G 2T4Canada

The Ministry of Health and Family Planning of the People’s Republic of China issued a mandate to all hospitals to implement clinical pharmacy services by *** of clinical pharmacy services to provide pharmaceutical care is a *** Second Xiangya Hospital of Central South University in collaboration with the University of Alberta implemented a structured train-the-trainer program to train pharmacists to provide direct patient care in collaboration with physicians,to teach/mentor other pharmacists and students from Hunan province,and to conduct clinical pharmacy *** implementation of the program,the pharmacy department increased the number of clinical pharmacists,expanded the clinical pharmacy services,made changes to hospital policies,and received a financial award of five million renminbi(one million Canadian dollars)to support the department.

关键词： Clinical pharmacy pharmaceutical care pharmacy practice in China hospital pharmacy training program pharmacy practice China

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8760例住院患者人血白蛋白临床使用分析与评价

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中国药房 2017年第8期28卷 1027-1030页

作者：曾晶徐萍王清朱艳原海燕肖轶雯 Andrew Cave hoan linh banh 中南大学湘雅二医院药学部长沙410011 中南大学临床药学研究所长沙410011 阿尔伯塔大学医学与牙科学院/家庭医学部

目的:为人血白蛋白临床合理使用提供参考。方法:回顾性调查我院2014年1-12月使用人血白蛋白的住院患者病例,统计患者一般资料、用药前血清白蛋白水平、用药量、费用、用药原因等信息,并进行分析。结果:人血白蛋白使用人数最多的8个科室... 详细信息

目的:为人血白蛋白临床合理使用提供参考。方法:回顾性调查我院2014年1-12月使用人血白蛋白的住院患者病例,统计患者一般资料、用药前血清白蛋白水平、用药量、费用、用药原因等信息,并进行分析。结果:人血白蛋白使用人数最多的8个科室共8 760例患者纳入研究,占全院使用人血白蛋白住院患者的64%。其中,男性5 244例(占59.9%),女性3 516例(占40.1%),患者年龄主要集中在>30~60岁(占52.6%)。白蛋白使用人数最多的科室为普通外科(2 588例)和心血管外科(2 348例)。以国内说明书作为参照标准时,该院有8 210例(约93.7%)患者符合适应证,低蛋白血症为最常见的用药指征(占35.6%)。重症监护治疗病房人均使用量最高(152.5 g),普通外科总用药金额最高(13 334 396.4元),传染科人均使用疗程最长(10.7 d)。结论:我院存在人血白蛋白不合理使用情况,科室间使用情况存在差异。应加强对人血白蛋白使用的监督,建立合理的用药评估体系,以促进用药规范,实现医疗资源合理分配。

关键词：人血白蛋白临床应用用量金额适应证

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头孢菌素皮试,半个世纪的误会

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药学服务与研究 2018年第4期18卷 318-320页

作者：赵程程 hoan linh banh 刘艺平徐萍肖轶雯杨芳博候成奇中南大学湘雅二医院药学部长沙410011 Medicine and Dentistry/Department of Familiy Medicine University of Alberta 湖南省肿瘤医院药学部长沙410013

自从1964年礼来公司上市第一个头孢菌素——头孢噻吩以来,目前头孢菌素类抗生素已发展到第五代[1],上市品种达60多种。头孢菌素高效、低毒,临床应用非常广泛,在抗感染治疗中占有十分重要的地位。临床中头孢菌素使用前皮试比较普遍,在学... 详细信息

自从1964年礼来公司上市第一个头孢菌素——头孢噻吩以来,目前头孢菌素类抗生素已发展到第五代[1],上市品种达60多种。头孢菌素高效、低毒,临床应用非常广泛,在抗感染治疗中占有十分重要的地位。临床中头孢菌素使用前皮试比较普遍,在学术界也存在极大争议。针对目前国内头孢菌素皮试混乱现状,本文将从头孢菌素过敏性休克发生的机制,及过敏反应类型和特点、皮试的预测价值、国内外管理以及临床实践的现状.

关键词：头孢菌素皮肤敏感试验过敏性休克急救措施

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Genetic variants of interferon regulatory factor 5 associated with chronic hepatitis B infection

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World Journal of Gastroenterology 2018年第2期24卷 248-256页

作者： Bui Tien Sy Nghiem Xuan hoan hoang Van Tong Christian G Meyer Nguyen linh Toan Le Huu Song Claus-Thomas Bock Thirumalaisamy P Velavan Vietnamese-German Center of Excellence in Medical Research HanoiVietnam Institute of Clinical Infectious Diseases 108 Military Central HospitalHanoiVietnam Institute of Tropical Medicine University of TübingenTübingen 72074Germany Department of Infectious Diseases Robert Koch InstituteBerlin 13302Germany Department of Pathophysiology Vietnam Military Medical UniversityHanoiVietnam

AIM To investigate possible effects of IRF5 polymorphisms in the 3' UTR region of the IFR5 locus on susceptibilityto hepatitis B virus(HBV) infection and progression of liver diseases among clinically classified Vietnamese *** Four IFR5 SNPs(rs13242262 A/T, rs77416878 C/T, rs10488630 A/G, and rs2280714 T/C) were genotyped in clinically classified HBV patients [chronic hepatitis B(CHB). n = 99; liver cirrhosis(LC), n = 131; hepatocellular carcinoma(HCC), n = 149] and in 242 healthy controls by direct sequencing and Taq Man realtime PCR assays. RESULTS Comparing patients and controls, no significant association was observed for the four IFR5 variants. However, the alleles rs13242262 T and rs10488630 G contributed to an increased risk of liver cirrhosis(LC vs CHB: OR = 1.5, 95%CI: 1.1-2.3, adjusted P = 0.04; LC vs CHB: OR = 1.7, 95%CI: 1.1-2.6, adjusted P = 0.019). Haplotype IRF5*TCGT constructed from 4 SNPs was observed frequently in LC compared to CHB patients(OR = 2.1, 95%CI: 1.2-3.3, adjusted P = 0.008). Haplotype IRF5*TCAT occurred rather among CHB patients than in the other HBV patient groups(LC vs CHB: OR = 0.4, 95%CI: 0.2-0.8, adjusted P = 0.03; HCC vs CHB: OR = 0.3, 95%CI: 0.15-0.7, adjusted P = 0.003). The IRF5*TCAT haplotype was also associated with increased levels of ALT, AST and bilirubin. CONCLUSION Our study shows that IFR5 variants may contribute as a host factor in determining the pathogenesis in chronic HBV infections.

关键词： hepatitis B virus infection Liver diseases IRF5 IFR5 polymorphisms IFR5 haplotypes

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