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Management and operation of extra-large Fangcang hospitals:experience and lessons from containing the highly contagious SARS-CoV-2 Omicron in Shanghai,China

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Frontiers of Medicine 2023年第1期17卷 165-171页

作者： Yun Xian chenhao Yu Minjie chen Lin Zhang Xinyi Zheng Shijian Li Erzhen chen zhongwan chen Weihua chen Chaoying Wang Qingrong Xu Tao Han Weidong Ye Wenyi Xu Xu Zhuang Yu Zheng Min chen Jun Qin Yu Feng Shun Wei Yiling Fan Zhiruo Zhang Junhua Zheng School of Public Health Shanghai Jiao Tong University School of MedicineShanghai 200025China Renji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine Shanghai 200127China SUNY Old Westbury Department of Public HealthOld WestburyNY 11568USA Department of Emergency Intensive Care Unit Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of MedicineShanghai 200025China Emergency Department Renji Hospital Affiliated to Shanghai Jiao Tong University School of MedicineShanghai 200127China Shanghai Construction Group Co. Shanghai 200080China Department of Orthopaedics Renji Hospital Affiliated to Shanghai Jiao Tong University School of MedicineShanghai 200127China Department of Obstetrics and Gynecology Renji Hospital Affiliated to Shanghai Jiao Tong University School of MedicineShanghai 200127China Nursing Department Renji Hospital Affiliated to Shanghai Jiao Tong University School of MedicineShanghai 200127China Department of Gastrointestinal Surgery Renji Hospital Affiliated to Shanghai Jiao Tong University School of MedicineShanghai 200127China Department of Neurosurgery Renji Hospital Affiliated to Shanghai Jiao Tong University School of MedicineShanghai 200127China Department of Pharmacy Huashan HospitalFudan UniversityShanghai 200040China Department of Urology Renji Hospital Affiliated to Shanghai Jiao Tong University School of MedicineShanghai 200127China Department of Pulmonology Renji Hospital Affiliated to Shanghai Jiao Tong University School of MedicineShanghai 200127China Civil Aviation Administration of China(CAAC) East China Regional Administration Aviation Personnel Examination CenterShanghai Hospital of Civil AviationShanghai 200336China

Introduction Omicron is more contagious and stealthier than the previous *** basic reproduction number of Omicron is around 8–12,whereas that of the previous mainstream strain Delta is only 5–8[1].Omicron’s symptoms are relatively mild[2]compared with Delta’s symptoms;however,Omicron’s transmission ability is very strong,and its risk to children and the elderly remains high[3].In addition,the vaccine’s preventive effect on Omicron has ***,Omicron can easily cause a rapid outbreak in a *** population density of megacities and the limited public health resources further exacerbate the difficulty of Omicron prevention and control.

关键词： prevention operation difficulty

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医务人员组织支持感的研究现状及展望

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卫生软科学 2024年第6期38卷 74-77页

作者：陈钟婉李斯斯张智若上海交通大学医学院公共卫生学院上海200025

采用文献综述的方法,梳理医务人员组织支持感的研究现状。通过梳理发现,在结构与测量方面,现有组织支持感测量工具呈多样化趋势,但局限于一般场景或消极场景下的组织支持,无法测量积极场景下的组织支持;影响因素方面,现有研究主要从人... 详细信息

采用文献综述的方法,梳理医务人员组织支持感的研究现状。通过梳理发现,在结构与测量方面,现有组织支持感测量工具呈多样化趋势,但局限于一般场景或消极场景下的组织支持,无法测量积极场景下的组织支持;影响因素方面,现有研究主要从人力资源实践、组织氛围、个人特质等方面探讨医务人员组织支持感的前因;影响效果方面,医务人员感知到组织支持对其工作态度、行为和身心健康有积极影响,有助于改善其福祉和推动医院发展。未来研究应进一步完善组织支持感的测量工具和探讨医院积极情境下的组织支持。

关键词：医务人员组织支持感研究现状展望积极视角

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颈部痛风结节1例

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临床耳鼻咽喉头颈外科杂志 2020年第10期34卷 945-946页

作者：胡娅琴李忠万陈红江重庆市人民医院耳鼻咽喉头颈外科重庆400013

患者,男,43岁,半年前无意中发现颈部正中包块,自诉无明显疼痛感,无吞咽梗阻及呼吸困难,半年来包块逐渐增大,门诊以甲状舌管囊肿收入院。患者既往有痛风病史十余年,未行内科系统治疗,仅在痛风发作时自行口服秋水仙碱及非布司他片,疼痛缓... 详细信息

患者,男,43岁,半年前无意中发现颈部正中包块,自诉无明显疼痛感,无吞咽梗阻及呼吸困难,半年来包块逐渐增大,门诊以甲状舌管囊肿收入院。患者既往有痛风病史十余年,未行内科系统治疗,仅在痛风发作时自行口服秋水仙碱及非布司他片,疼痛缓解后即自行停药。体检:颈部正中可见一类圆形包块,5cm×4cm大小,质韧,边界清楚,可随吞咽而活动,局部皮肤色泽红润,皮温正常,按压稍疼痛。颈部增强CT(图1)提示颈部正中一囊性不规则混杂密度影,大小4.1cm×1.5cm×3.6 cm,自舌骨后向前下走行于甲状软骨板前,其内可见不规则斑结、条状高密度影.

关键词：痛风结节颈部甲状舌管囊肿误诊

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独立学院仪器设备效益评价探讨

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中国现代教育装备 2011年第9期 33-34页

作者：陈小飞欧阳中万湖南农业大学湖南长沙410128

对独立学院仪器设备资源进行效益综合评价是必要的。制定合理的评价标准对于实施评价、促进管理者的工作积极性有重要意义。制定评价标准应该坚持分类原则、保底原则、标准定级原则和实践原则。

关键词：独立学院仪器设备效益评价标准

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Three Sclerotinia species as the cause of white mold on pea in Chongqing and Sichuan of China

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Journal of Integrative Agriculture 2021年第11期20卷 2957-2965页

作者： DENG Dong SUN Su-li DU chen-zhang XIANG Chao LONG Jue-chen chen Wei-dong ZHU Zhen-dong Institute of Crop Sciences Chinese Academy of Agricultural SciencesBeijing 100081P.R.China Chongqing Academy of Agricultural Sciences Chongqing 402160P.R.China Crop Research Institute Sichuan Academy of Agricultural SciencesChengdu 610066P.R.China United States Department of Agriculture-Agricultural Research Service Washington State UniversityPullmanWA 99164USA

White mold of pea caused by Sclerotinia sclerotiorum is a common disease in ***,we discovered that the diverse Sclerotinia species could cause white mold on pea plants in Chongqing and Sichuan of China during recent disease ***,the objective of this study was to confirm the causal agents from diseased pea *** obtained isolates of white mold from Chongqing and Sichuan were identified by morphological characters and molecular characterization to determine the pathogen species,and their pathogenicity was confirmed on pea through completing Koch’s *** isolates of Sclerotinia-like were obtained from diseased plants or *** on morphological characteristics and molecular characterization,30 isolates were identified to three species,six isolates as ***,seven as ***,and 17 as *** pathogenicity tests on pea cultivars zhongwan 4 and Longwan 1,all 30 isolates caused typical symptoms of white mold on the inoculated plants,and the inoculated pathogens were re-isolated from the diseased *** study confirmed that white mold of pea was caused by three Sclerotinia species,***,*** and *** in Chongqing and *** is the first report that *** and *** cause white mold of pea in Southwest China.

关键词： Pisum sativum white mold Sclerotinia sclerotiorum Sclerotinia minor Sclerotinia trifoliorum

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鼻内镜下聚焦超声治疗变应性鼻炎的临床应用

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第三军医大学学报 2012年第13期34卷 1350-1352页

作者：陈红江高明华李劲松李忠万邹帆重庆市第三人民医院耳鼻咽喉科重庆400014

目的比较聚焦超声与药物治疗常年变应性鼻炎(perennial allergic rhinitis,PAR)的临床疗效。方法 284例PAR患者随机分组:CZB型聚焦超声治疗(聚焦超声治疗组)140例、常规药物治疗(对照组)144例。于治疗后1、6、12个月进行病情随访,用记... 详细信息

目的比较聚焦超声与药物治疗常年变应性鼻炎(perennial allergic rhinitis,PAR)的临床疗效。方法 284例PAR患者随机分组:CZB型聚焦超声治疗(聚焦超声治疗组)140例、常规药物治疗(对照组)144例。于治疗后1、6、12个月进行病情随访,用记分法分别评定其疗效。于聚焦超声治疗前,治疗后1、6、12个月用鼻内镜采集图像作对比观察。结果聚焦超声治疗组与对照组鼻痒、喷嚏、清水样鼻涕等症状明显缓解,聚焦超声治疗组术后无鼻腔粘连及鼻中隔穿孔等。聚焦超声治疗组治疗前及治疗后12个月评分分别为(11.15±2.54)分和(4.68±1.25)分(P0.05),6个月聚焦超声治疗组为90.7%,对照组为85.4%(P<0.01),12个月聚焦超声治聚焦超声疗组为80.7%,对照组为61.1%(P<0.01)。结论鼻内镜下聚焦超声治疗PAR微创、安全性高、疗效确实可靠。

关键词：聚焦超声变应性鼻炎,常年性药物治疗

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Cerebral mechanism of puncturing at He-Mu point combination for functional dyspepsia: study protocol for a randomized controlled parallel trial

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Neural Regeneration Research 2017年第5期12卷 831-840页

作者： Shuai Yin Yuan chen Du Lei Rui-rui Sun Ting-ting Ma Pei-min Feng Zhao-xuan He Xue-ling Suo Pei-hong Ma Yu-zhu Qu Ke Qiu Miao-miao Jing Qi-yong Gong Fan-rong Liang Jiao chen Fang Zeng Acupuncture and Tuina School/The Third Affiliated Hospital Chengdu University of Traditional Chinese Medicine First Affiliated Hospital of Henan University of Traditional Chinese Medicine Huaxi MR Research Center Department of Radiology West China Hospital of Sichuan University First Affiliated Hospital of chengdu University of Traditional Chinese Medicine

Acupuncture is widely used to treat functional dyspepsia with satisfactory outcomes. Combination of the He and Mu acupoints is commonly used and has a synergistic effect on functional dyspepsia; however, its underlying mechanisms remain unclear. Therefore, a randomized controlled parallel clinical trial is currently underway at chengdu University of Traditional Chinese Medicine, China. This trial is designed to explore the efficacy of and central responses to the He-Mu point combination in patients with functional dyspepsia using functional magnetic resonance imaging. A total of 105 patients with functional dyspepsia will be allocated into 3 groups： the low-He point group（puncturing at Zusanli（ST36））, Mu point group（puncturing at zhongwan（CV12））, and He-Mu point combination group（puncturing at ST36 and CV12）. Every participant will receive 20 sessions of manual acupuncture for 4 weeks. The needles will be inserted perpendicularly to a depth of 1 to 2 cun. The angle of rotation and twisting will range from 90 to 180 degrees, while lifting and thrusting will range from 0.3 to 0.5 cm. The various manipulations will be performed 60 to 90 times per minute. The needles will remain in place for 30 minutes, during which manipulation will be applied every 10 minutes. Magnetic resonance imaging will be performed before and after 20 sessions of acupuncture. The primary outcome is symptom improvement according to the Chinese version of the Nepean Dyspepsia Index. Secondary outcomes include the Leeds dyspepsia questionnaire, Self-Rating Anxiety Scale, Self-Rating Depression Scale, Beck Anxiety Inventory, Beck Depression Inventory, and visual analogue scale scores before and after 10 and 20 sessions of acupuncture. Needle sensation and adverse events will be used to assess the therapeutic effects. This study will promote more widespread awareness of the benefits of acupoint combination in the clinical setting and provide a further explanation of the neuromechanism by which acupun

关键词： nerve regeneration dyspepsia acupoint combination acupuncture traditional Chinese medicine neuromechanism functional magnetic resonance imaging clinical trial protocol neural regeneration

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Effect of moxibustion on survival status and nutritional metabolic factor in tumor-bearing rats with gastric cancer

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World Journal of Acupuncture-Moxibustion 2019年第3期29卷 210-215页

作者： Zhuojun PENG Jing TAN Yupan chen Huan ZHAO Junlin SHI Yaping LIN School of Acupuncture-Moxibustion Hunan University of Chinese MedicineChangsha 410208China First-Class Discipline of Chinese medicine in Hunan University of Chinese Medicine Changsha 410208China

Objective:To observe the effect of moxibustion on the survival status and nutritional metabolic factors of tumor-bearing rats with gastric cancer and explore the inhibitory effect of moxibustion on the tumorbearing ***:A total of 40 SD rats were randomly divided into a blank group,a sham-operated group,a model group and a moxibustion group,10 rats in each *** cancer models were established in the model group and the moxibustion *** rats of all the groups underwent the same constraining procedure for 20 min every ***,moxibustion was applied at acupoints for 20 min in the rats of the moxibustion *** were two groups of *** group included"Zusanli(足三里ST 36)""zhongwan(中脘CV12)"and"Guanyuan(关元CV4)".The other group included bilateral"Pishu(脾俞BL 20)"and"Weishu(胃俞BL 21)".Moxibustion was applied for 20 min every day at the acupoints of the two groups alternatively and lasted for 14 *** survival status of rats was observed and the score of survival status and body weight of rats were recorded every *** the end of intervention,the orbital blood was collected and the rats were sacrificed for sample *** viscera-free body weight was *** biochemical analyzer,the blood glucose(GLU),albumin(ALB),total protein(TP)and triglyceride(TG)in serum were ***:(1)Regarding the score of the survival status,after modeling,the scores in the model group and the moxibustion group were all higher than those of the sham-operation group(both P<0.05).After intervention,the score in the moxibustion group was lower than that of the model group(P<0.05).(2)After modeling,the body weight in the moxibustion group and the model group was lower than those of the blank group,indicating a statistical significance(both P<0.05).The body weight in the moxibustion group was higher than that of the model group after intervention,indicating the statistical significance(P<0.05).(3)Regarding the viscera-free body weight,it wa

关键词： Moxibustion Tumor-bearing rats with gastric cancer Survival status Blood glucose(GLU) Albumin(ALB) Total protein(TP) Triglyceride(TG) Viscera-free weight

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不同规格毫针针刺对大鼠穴区筋膜组织、细胞和胶原纤维的影响

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中国针灸 2015年第8期35卷 801-805页

作者：李程陈波胡铁汉陈磊贵阳中医学院针灸推拿学院贵州贵阳550025 贵州省第二人民医院康复科贵阳550002

目的:探讨不同规格毫针针刺对大鼠腧穴穴区筋膜结缔组织结构、细胞活性、胶原纤维排列形态及含量的影响。方法:将32只SD大鼠随机分为空白组、细针组、中针组和粗针组,每组8只。除空白组外,其他组分别采用不同规格毫针在大鼠"中脘"沿任... 详细信息

目的:探讨不同规格毫针针刺对大鼠腧穴穴区筋膜结缔组织结构、细胞活性、胶原纤维排列形态及含量的影响。方法:将32只SD大鼠随机分为空白组、细针组、中针组和粗针组,每组8只。除空白组外,其他组分别采用不同规格毫针在大鼠"中脘"沿任脉循行方向平刺,施以捻转平补平泻刺激,每天1次,空白组予相同的麻醉、抓取、固定。干预3天后,切取各组穴区筋膜结缔组织,采用HE染色、增殖细胞核抗原(proliferating cell nuclear antigen,PCNA)免疫组化染色和MASSON染色,镜下观察腧穴筋膜结缔组织形态、细胞中PCNA表达、胶原纤维的排列形态和表达变化。结果:各组毫针针刺后,腧穴筋膜结缔组织形态及胶原纤维排布一致性发生改变;各组腧穴筋膜结缔组织细胞中PCNA蛋白表达均明显增强(P0.05),中针组与粗针组胶原纤维的面积分布均较空白组减小(均P<0.05)。结论:不同规格毫针针刺均能够改变受治腧穴穴区局部组织形态、增强细胞活性和调节胶原纤维蛋白表达变化,这可能是毫针针刺治疗"通经脉"作用的细胞生物力学原理之一,但规格不同,其所产生的刺激量不同,穴区组织细胞和胶原纤维变化的量-效差异存在复杂关系。

关键词：毫针针刺筋膜结缔组织形态结构增殖细胞核抗原(PCNA) 胶原蛋白

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“老十针”治疗肝郁脾虚型功能性消化不良疗效观察

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中国针灸 2020年第11期40卷 1169-1171页

作者：陈鹏陈爱萍首都医科大学附属北京中医医院北京100010

目的:验证针刺"老十针"治疗肝郁脾虚型功能性消化不良(FD)的临床疗效。方法:将96例肝郁脾虚型FD患者随机分为观察组和对照组,各48例。观察组采用针刺"老十针"穴位处方治疗,穴取上脘、中脘、下脘、气海、天枢、足三里、内关;对照组采用... 详细信息

目的:验证针刺"老十针"治疗肝郁脾虚型功能性消化不良(FD)的临床疗效。方法:将96例肝郁脾虚型FD患者随机分为观察组和对照组,各48例。观察组采用针刺"老十针"穴位处方治疗,穴取上脘、中脘、下脘、气海、天枢、足三里、内关;对照组采用针刺无关穴位处方治疗,穴取飞扬、鹤顶、阴谷、天府、侠白。两组均留针30 min,每周针刺5次,连续治疗2周。比较两组治疗前后症状评分的变化,并评定临床疗效。结果:观察组治疗后症状评分较治疗前降低(P<0.05),且低于对照组(P<0.05)。观察组总有效率为95.8%(46/48),高于对照组的33.3%(16/48,P<0.05)。结论:针刺"老十针"穴位处方可以改善肝郁脾虚型FD患者的症状评分,具有较好的临床疗效。

关键词：功能性消化不良老十针针刺肝郁脾虚

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