检索结果-南通市图书馆

Application Effect of Blended Education Strategy Based on the Learning Pass Platform in Phase III Cardiac Rehabilitation of Patients with Coronary Artery Disease

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Journal of Contemporary Educational Research 2024年第2期8卷 91-97页

作者： Shanshan Cui Guihua Xue xuelan Yan hua Zhang Fang Wang Yan Xu Xuefei Li Affiliated Hospital of Hebei University Baoding 071000Hebei ProvinceChina

Objective:To explore the application effect of the blended education strategy based on the Learning Pass platform in the phase III cardiac rehabilitation of patients with coronary artery ***:90 patients diagnosed with coronary artery disease in the Department of Cardiology of our hospital from January 2019 to January 2021 were selected and divided into the control group and the experimental group according to the method of randomized numerical table,with 45 cases in each *** the experimental group and the control group received pre-discharge cardiac rehabilitation education by conventional *** control group received education and supervision information via WeChat after discharge,while the experimental group joined the Learning Pass platform to receive online and offline hybrid education and supervision,with online as the mainstay and offline as a *** disease cognitive level,self-management skills,quality of life,medication adherence,and emotional status of the two groups were ***:The disease cognitive levels in the experimental group were significantly higher than those of the control group(P<0.05);the scores of the experimental group in terms of quality of life,self-management skills,and medication adherence were significantly higher than those of the control group(P<0.05);and the scores of anxiety and depression in the experimental group were significantly lower than those of the control group(P<0.05).Conclusion:The blended education strategy based on the Learning Pass platform has a significant application effect in phase III cardiac rehabilitation of patients with coronary artery *** can improve patients’disease cognitive level,self-management skills,and quality of life,and provide a basis for improving patients’prognosis.

关键词： Learning Pass platform Blended education Coronary artery disease Cardiac rehabilitation

Manufacturing Enterprises Value Chain Model Analysis within the Context of the Network Economy

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Manufacturing Enterprises Value Chain Model Analysis within ...

从玄府理论探讨开玄法治疗不孕症合并焦虑的研究进展

第四届电子商务国际会议

作者： Xuejun Xu Luo Li xuelan hua Jianhui huang Business Administration School South China University of Technology Guangzhou 510640 China Institute for New Industrialization South China University of Technology Guangzhou 510640 China

＜正＞ Manufacturing enterprises in the future will have to survive and develop in the network economy with the development of information and network communication technology, the globalization of economy, and the interaction of these two factors. Nowadays the business environments which manufacturing enterprises are facing are very complicated and volatile. The traditional coordinating relationships between operation models of manufacturing enterprises and their business environment have already been changed as a result of globalization, informatization and personalization of customers’ needs. New coordinating relationships are in the process of *** operations management in manufacturing enterprise, traditional management theories and methods only confined to the solving of problems within the boundaries of individual enterprise. The introduction of supply chain management makes people considering enterprise problems in a larger context, but most researchers in this field pay more attention to tactic issues. Typical solutions are methods such as postponed manufacturing, information sharing and interests sharing. The systematic and strategic analysis of the supply chain is *** analysis approach is adopted in this paper. We start our work from the analysis of environment, objective, and structure of supply chain system. Porter’s value chain model is then studied and its limitations under new circumstances are pointed out. On the basis of the work described above, we analyze the features of network economy and explore the new value chain model for manufacturing enterprise in the network economy. Finally an empirical case study is conducted.

关键词： Manufacturing Enterprises Value Chain Systematic Analysis Net Economy Case Study

来源： cnki会议评论

在线全文

cnki会议

学校读者我要写书评

暂无评论

四川中医 2024年第2期42卷 218-222页

作者：冯华洪学兰安静江苏医药职业学院江苏盐城224005 南京中医药大学盐城附属医院江苏盐城224001

本文从玄府理论出发,认为肝郁、脾虚、肾虚均为不孕合并焦虑患者的重要病因,肝郁、脾虚、肾虚反之加重玄府闭塞,胞宫失养,冲任二脉失调,诱发不孕,长期焦虑伤及心神是本病重要病机。通过将疏肝开玄、健脾开玄、补肾开玄、宁心安神开玄等... 详细信息

本文从玄府理论出发,认为肝郁、脾虚、肾虚均为不孕合并焦虑患者的重要病因,肝郁、脾虚、肾虚反之加重玄府闭塞,胞宫失养,冲任二脉失调,诱发不孕,长期焦虑伤及心神是本病重要病机。通过将疏肝开玄、健脾开玄、补肾开玄、宁心安神开玄等开玄法进行综述,为临床治疗提供思考。同时阐述了开玄法序贯疗法在月经不同周期用药原则,为临床更好治疗本病提供依据。

关键词：玄府理论开玄府不孕症合并焦虑疏肝开玄健脾开玄补肾开玄宁心安神开玄

Comparing the Diagnostic Criteria for Gestational Diabetes Mellitus of World Health Organization 2013 with 1999 in Chinese Population

在线全文

学校读者我要写书评

暂无评论

Chinese Medical Journal 2015年第1期128卷 125-127页

作者： Weiwei Zhu Huixia Yang Yumei Wei Zilian Wang xuelan Li Hairong Wu Nan Li Meihua Zhang Xinghui Liu hua Zhang Yunhui Wang Jianmin Niu Yujie Gan Liruo Zhong Yunfeng Wang Anil Kapur Department of Obstetrics and Gynecology Peking University First Hospital Beijing 100034 China Department of Obstetrics and Gynecology First Affiliated Hospital of Sun Yat-sen University Guangzhou Guangdong 510080 China Department of Obstetrics and Gynecology First Affiliated Hospital of Medical ColLege of Xi'an Jiaotong University Xi'an Shaanxi 710061 China Department of Obstetrics and Gynecology Aviation General Hospital Beijing 100025 China Department of Obstetrics and Gynecology Tongzhou Maternal and Child Health Hospital of Beijing Beijing 101101 China Department of Obstetrics and Gynecology Maternal and Child Health Hospital of Taiyuan Taiyuan Shanxi 030012 China Department of Obstetrics and Gynecology West China Second University Hospital Chengdu Sichuan 610041 China Department of Obstetrics and Gynecology First Affiliated Hospital of Chongqing Medical University Chongqing 400042 China Department of Obstetrics and Gynecology Sun Yat-sen Memorial Hospital of Sun Yat-sen University Guangzhou Guangdong 510120 China Department of Obstetrics and Gynecology Guangdong Women and Children Hospital Guangzhou Guangdong 510623 China Department of Obstetrics and Gynecology Boai Hospital of Zhongshan Zhongshan Guangdong 528403 China Department of Obstetrics and Gynecology Shenzhen People's Hospital Shenzhen Guangdong 518020 China Department of Obstetrics and Gynecology Miyunxian Hospital Beijing 101500 China World Diabetes Foundation Gentofte Denmark

INTRODUCTION Gestational diabetes mellitus （GDM） was earlier defined as ＂hyperglycemia first recognized during pregnancy＂ and has more recently been described by American Diabetes Association （ADA）（2012） as diabetes diagnosed during pregnancy that is not clearly overt diabetes. The hyperglycemia and adverse pregnancy outcomes study （HAPO） demonstrated that the risk of adverse maternal,fetal,and neonatal outcomes continuously increase as a function of maternal glycemia at 24-28 weeks,even within ranges previously considered normal for pregnancy.

关键词： Criteria Gestational Diabetes Mellitus Oral Glucose Tolerance Test

宁心疏肝汤联合甲磺酸溴隐亭对高催乳素血症性不孕症患者kisspeptin、mi R-126、mi R-145表达的影响

在线全文

学校读者我要写书评

暂无评论

中药新药与临床药理 2022年第4期33卷 537-542页

作者：冯华洪学兰常小丽张清江苏医药职业学院江苏南京224005 南京中医药大学江苏南京210023 南京中医药大学盐城附属医院江苏南京224001

目的探讨宁心疏肝汤联合甲磺酸溴隐亭对高催乳素血症性不孕症患者神经肽吻素(kisspeptin)、miR-126、miR-145表达的影响。方法纳入2018年3月至2021年2月在南京中医药大学盐城附属医院就诊的高催乳素血症性不孕症患者84例,采取前瞻性随... 详细信息

目的探讨宁心疏肝汤联合甲磺酸溴隐亭对高催乳素血症性不孕症患者神经肽吻素(kisspeptin)、miR-126、miR-145表达的影响。方法纳入2018年3月至2021年2月在南京中医药大学盐城附属医院就诊的高催乳素血症性不孕症患者84例,采取前瞻性随机对照试验,以随机数字表法将患者分为观察组(42例)、对照组(42例)。对照组给予甲磺酸溴隐亭片治疗,观察组在对照组基础上给予宁心疏肝汤治疗。疗程均治疗3个月。比较两组临疗疗效,以及治疗前、治疗3个月后中医证候总积分及中医单项证候积分、性激素水平[血清催乳素(PRL)、黄体生成素(LH)、卵泡雌激素(FSH)、雌二醇(E2)],基础体温变化、kisspeptin、血清miR-126、miR-145表达水平、妊娠率及排卵率。结果观察组治疗后总有效率88.09%(37/42),高于对照组的71.43%(30/42)(P0.05)。结论宁心疏肝汤联合甲磺酸溴隐亭治疗可降低高催乳素血症性不孕症患者血清miR-145、miR-126表达水平,提高血清Kisspeptin表达,促进FSH、LH、E2释放,改善其中医症状,提高排卵率和妊娠率。

关键词：宁心疏肝汤甲磺酸溴隐亭片高催乳素血症不孕症吻素 miR-126 miR-145 排卵率妊娠率

GnRH-a对保护年轻妇科恶性肿瘤患者化疗后卵巢功能的研究

在线全文

学校读者我要写书评

暂无评论

现代妇产科进展 2018年第9期27卷 657-660,664页

作者：刘雪兰郭华哈春芳宁夏医科大学银川750001 宁夏医科大学附属总院妇科银川750001

目的:探讨GnRH-a在年轻妇科恶性肿瘤患者化疗过程中对卵巢功能的保护作用。方法:收集2016年1月至2017年9月于宁夏医科大学总医院行规律化疗且要求保留生育功能的妇科恶性肿瘤患者30例,其中化疗期间应用GnRH-a者14例(研究组),未应用GnRH-... 详细信息

目的:探讨GnRH-a在年轻妇科恶性肿瘤患者化疗过程中对卵巢功能的保护作用。方法:收集2016年1月至2017年9月于宁夏医科大学总医院行规律化疗且要求保留生育功能的妇科恶性肿瘤患者30例,其中化疗期间应用GnRH-a者14例(研究组),未应用GnRH-a者16例(对照组)。比较两组患者化疗过程中、化疗后月经及血清AMH变化情况。结果:两组患者在化疗过程中均有月经紊乱发生,差异无统计学意义(P>0.05);化疗过程中患者的血清AMH水平随着化疗次数增多而降低。化疗前及化疗1次后,两组患者的血清AMH值比较,差异无统计学意义(P>0.05);化疗3次后、化疗完全结束后,研究组的血清AMH水平高于对照组,差异有统计学意义(P0.05);研究组的月经恢复正常时间小于对照组,差异有统计学意义(P<0.05);化疗结束后两组患者的血清AMH水平随着化疗结束后时间的延长而升高,化疗后1月、3月、6月,研究组患者的血清AMH水平高于对照组,差异有统计学意义(P<0.05)。结论:化疗对卵巢功能有明确的损害,导致患者血清AMH水平降低,与化疗次数呈正相关。化疗期间应用GnRH-a对化疗过程中的卵巢功能有一定的保护作用,有利于患者化疗后月经及血清AMH水平的恢复,具有一定的临床实用价值。

关键词： GnRH-a 妇科恶性肿瘤年轻化疗患者卵巢功能保护

在线全文

学校读者我要写书评

暂无评论

先天性毛干异常性疾病研究进展

儿科药学杂志 2019年第9期25卷 49-52页

作者：胡雪岚王华重庆医科大学附属儿童医院儿童发育疾病研究教育部重点实验室儿童发育重大疾病国家国际科技合作基地儿科学重庆市重点实验室

毛干异常性疾病分为先天性和获得性两类。先天性毛干异常性疾病是一组罕见的以基因缺陷导致毛干形态学异常为主要特征的遗传性疾病,包括念珠状发、结节性脆发病、套叠性脆发病、扭转发、毛发低硫营养不良、环状发、羊毛状发等。毛干异... 详细信息

毛干异常性疾病分为先天性和获得性两类。先天性毛干异常性疾病是一组罕见的以基因缺陷导致毛干形态学异常为主要特征的遗传性疾病,包括念珠状发、结节性脆发病、套叠性脆发病、扭转发、毛发低硫营养不良、环状发、羊毛状发等。毛干异常可以独立发生,也可以为某种综合征或系统性疾病的临床表现之一。

关键词：遗传性疾病异常性先天性形态学异常系统性疾病基因缺陷营养不良临床表现

在线全文

学校读者我要写书评

暂无评论

手术室压疮风险评估的最佳证据总结

中国实用护理杂志 2019年第20期35卷 1551-1556页

作者：胡延秋陈捷茹华玮杨雪蓝葛畅复旦大学附属眼耳鼻喉科医院护理部上海200031 复旦大学护理学院上海200032

目的总结手术患者压疮风险评估的最佳证据。方法计算机检索国内外循证资源数据库及文献数据库关于手术患者压疮风险评估的所有指南、证据总结、最佳实践、系统评价及专家共识等,检索时限为建库至2018年6月。由3名研究者对检索到的文献... 详细信息

目的总结手术患者压疮风险评估的最佳证据。方法计算机检索国内外循证资源数据库及文献数据库关于手术患者压疮风险评估的所有指南、证据总结、最佳实践、系统评价及专家共识等,检索时限为建库至2018年6月。由3名研究者对检索到的文献进行评价和资料提取,对符合质量标准的文献进行证据提取。结果共纳入8篇文献,其中临床指南5篇、证据总结3篇。经过评价,总结得出12条手术患者压疮评估的证据:专业医护人员参与评估高危人群,评估包括疼痛、主诉及皮肤检查;使用有效、可靠的专业评估工具,结合临床判断,识别压疮危险因素(如灌注、氧合、体温升高、年老);手术患者要考虑到手术患者的风险因素包括术前制动时间长短、手术持续时间、术中低血压事件次数增多、术中低体温、术后翌日活动能力降低等;压疮评估包括内源性因素和外源性因素;根据患者的病情特点需要尽可能地重复进行风险评估;每次风险评估时,都要进行全面的皮肤检查,以评价完好的皮肤是否有任何变化;每次皮肤评估的内容:皮温、皮肤颜色改变、有无水肿、受压组织相对于周围组织硬度的改变、皮肤湿度改变、皮肤的完整性;检查医疗器械下面和周围的皮肤至少每天2次,查看周围组织有无压力相关损伤的迹象;评估并记录压疮特征,包括部位、分类/分期、大小、组织类型、颜色、伤口周围情况、创缘、窦道、瘘管、渗出、气味;对医疗专业人员就如何使用国际NPUAP/EPUAP压疮分期体系进行培训;对医疗专业人员就如何进行准确而可靠的风险评估进行教育;考虑使用计算机决策支持系统或多元化策略,以促进压疮评估和记录的质量改进。结论医疗机构应加强对护理人员进行压疮评估及规范记录的培训,强化危险意识,对手术患者进行动态、专业的压疮危险因素评估,及时预警压疮的发生,从而保障患者的安全。由于最佳证据随着研究的推陈出新而持续更新,使用证据者需根据所在医院的临床环境、医院特点,选择性应用证据。

关键词：手术室压疮评估证据总结循证护理

在线全文

学校读者我要写书评

暂无评论

履带式车辆训练中的车辙桥行驶算法研究

计算机工程与应用 2004年第30期40卷 201-204页

作者：张雪兰宿春慧申华北京理工大学计算机科学工程系北京100081

车辙桥地形是履带式车辆训练中的重要科目。首先介绍了视景仿真系统中车辆的简化模型和相关算法,在此基础上,对车辆以各种方式通过车辙桥的姿态进行了分析,并提出了针对车辙桥的地形匹配算法。通过该算法,车辆实现了以正确的姿态在车辙... 详细信息

车辙桥地形是履带式车辆训练中的重要科目。首先介绍了视景仿真系统中车辆的简化模型和相关算法,在此基础上,对车辆以各种方式通过车辙桥的姿态进行了分析,并提出了针对车辙桥的地形匹配算法。通过该算法,车辆实现了以正确的姿态在车辙桥路段的行驶。该算法已应用在实际的项目中,并取得良好的仿真效果。

关键词：视景仿真地形匹配履带式车辆车辙桥