检索结果-南通市图书馆

Establishing an integrated gastroenterology service between a medical center and the community

World Journal of Gastroenterology 2015年第7期21卷 2152-2158页

作者： Yaron Niv Ram Dickman Zohar Levi Gadi Neumann Dorit Ehrlich Haim Bitterman Jacob Dreiher Arnon Cohen Doron Comaneshter Eyran Halpern Rabin Medical center Clalit Health Services Tel Aviv University Dan-Petach Tikva District Clalit Health Services General Management Clalit Health Services

AIM:To combine community and hospital services inorder to enable improvements in patient management,an integrated gastroenterology service(IGS)was ***:Referral patterns to specialist clinics were optimized;open access route for endoscopic procedures(including esophago-gastro-duodenoscopy,sigmoidoscopy and colonoscopy)was established;family physicians’knowledge and confidence were enhanced;direct communication lines between experts and primary care physicians were *** education,guidelines and agreed instructions for referral were promoted by the *** quality indicators were developed by the Delphi method,rigorously designed and regularly *** was assessed by comparing 2010,2011 and 2012 ***:An integrated delivery system in a specific medical field may provide a solution to a fragmented healthcare system impaired by a lack of *** this paper we describe a new integrated gastroenterology service established in April *** time for procedures decreased:3 mo in April 30th 2010 to 3 wk in April 30th 2011and stayed between 1-3 wk till December 30th *** cost for patient’s visit decreased from 691 to638 NIS(a decrease of 7.6%).Six health indicators were improved significantly comparing 2010 to 2012,2.5%to 67.5%:Bone densitometry for patients with inflammatory bowel disease,preventive medications for high risk patients on aspirin/NSAIDs,colonoscopy following positive fecal occult blood test,gastroscopy in Barrett’s esophagus,documentation of family history of colorectal cancer,and colonoscopy in patients with a family history of colorectal ***:Establishment of an IGS was found to effectively improve quality of care,while being costeffective.

关键词： Gastroenterology Direct referral Endoscopy Communi

来源：

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

Associations between risk factors for cardiovascular diseases and frailty among community-dwelling older adults in Lanzhou,China

引用

International Journal of Nursing Sciences 2021年第2期8卷 168-174,I0003页

作者： Yanhong Wang Hae-Ra Han Wei Yang Hongchen Zhang Jing Zhang Haihui Ruan Nan Tang Jingjing Ren Xia Sun Chunrong Li Lin Han School of Nursing Lanzhou UniversityLanzhouChina School of Nursing Johns Hopkins UniversityMarylandUSA Gastroenterology Department The First Hospital of Lanzhou UniversityLanzhouChina community health services center of tuanjiexincun LanzhouChina community health services center of Jiaojiawan LanzhouChina

Objectives:To examine the relationship between cardiovascular disease risk factors and frailty in a sample of older Chinese ***:A total of 458 community-dwelling older adults(>65 years)in Lanzhou,Gansu Province of China participated in a cross-sectional *** status was evaluated in terms of frailty phenotype(unintentional weight loss,exhaustion,low activity levels,slowness and weakness).Participants were categorized as not frail,prefrail or *** disease risk factors that were assessed included:blood pressure,body mass index,waist circumference,blood glucose,total cholesterol,triglycerides,lowdensity lipoproteins and high-density ***:Individuals with obesity had an increased risk of prefrailty(OR:2.26;95%CI:1.05,4.84).Hypertension was inversely associated with frailtyamong the participants(OR:0.31;95%CI:0.11,0.87)after adjusting for ***:The findings suggest that much more attention should be paid to weight control of the elderly in the community for preventing them from transition to prefrailty or *** prevention and control of cardiovascular diseases among the community-dwelling elder are still of great importance.

关键词： Aged Cardiovascular disease China community health centers Frailty Risk factors

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Development and evaluation of a Traditional Chinese Medicine syndrome questionnaire for measuring sub-optimal health status in China

引用

Journal of Traditional Chinese Medicine 2012年第2期32卷 129-136页

作者：赵晖熊卫红赵歆王利敏陈家旭 Beijing University of Chinese Medicine China Academy of Chinese Medical Sciences health services center Yongwai Community Department of Basic Theory in Chinese Medicine Henan University of Traditional Chinese Medicine

OBJECTIVE:Sub-optimal health status(SHS),in which a person's mind and body exists in a low-quality state of being between disease and health,has become a public health problem that cannot be ignored in *** measurement presents a challenge to the academic *** developed and evaluated a questionnaire from the perspective of traditional Chinese medicine(TCM) that embodies the features of TCM syndrome diagnosis for measuring SHS in ***:The construction of the theoretical framework of the questionnaire was based on a literature review,an expert questionnaire survey and group *** subscales and questionnaire items were screened through a pilot study using statistical means and qualitative *** tests that were used included test-retest reliability,Cronbach's α coefficient,split-half reliability;validity tests included content validity,criterion validity,discrimination validity and construct ***:The final questionnaire,the SHSQ-50,included 50 five-class quantifiable items that encompassed nine subscales:liver stagnation syndrome,liver-Qi deficiency syndrome,spleen-Qi deficiency syndrome,liver-fire syndrome,heart-fire syndrome,stomach-fire syndrome,heart-Qi deficiency syndrome,lung-Qi deficiency syndrome and dampness *** were completed by 268 of the 288 SHS subjects(93.0%) and by 86 of the 94 healthy subjects(91.5%).The Cronbach α coefficients,split-half coefficients and stability coefficients ranged from 0.70 to 0.95,0.67 to 0.87 and 0.88 to 0.98,respectively,for the overall scores and *** Wilcoxon rank test showed statistically significant differences in the subscales and overall scores between the SHS group and the healthy group(P<0.01).Twelve factors with an eigenvalue greater than one were extracted by factor analysis and merged into nine factors,for which the cumulative contribution rate was 63.63%.The nine factors were corresponded to the overall structure of the ***

关键词： Sub-optimal health status Questionnaire TCM syndrome Reliability Validity

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Teicoplanin combined with conventional vancomycin therapy for the treatment of pulmonary methicillin-resistant Staphylococcus aureus and Staphylococcus epidermidis infections

引用

World Journal of Clinical Cases 2021年第34期9卷 10549-10556页

作者： Wei Wu Min Liu Jia-Jing Geng Mei Wang Laboratory Medicine Bejing Tongren HospitalCapital Medical UniversityBeijing 100176China Department of General Practice The Community Health Services Center in LumenBeijing 100080China

BACKGROUND Vancomycin and teicoplanin are both antibiotics that have significant antimicrobial effects on Gram-positive *** To explore the value of teicoplanin combined with conventional(vancomycin only)anti-infective therapy for the treatment of methicillin-resistant Staphylococcus aureus and Staphylococcus epidermidis pulmonary *** A total of 86 patients with methicillin-resistant Staphylococcus aureus or methicillin-resistant Staphylococcus epidermidis pulmonary infections,treated in our hospital between January 2018 and February 2020,were assigned to the study and control groups using a random number table method,with 43 patients in each *** control group received conventional treatment(vancomycin),and the study group received both teicoplanin and conventional *** following indicators were assessed in both groups:the time required for symptom relief,treatment effectiveness,serum levels of inflammatory factors(procalcitonin,interleukin-1β,tumor necrosis factor-α,C-reactive protein),clinical pulmonary infection scores before and after treatment,and the incidence of adverse *** Patients in the study group were observed to have faster cough and expectoration resolution,white blood cell count normalization,body temperature normalization,and rales disappearance than patients in the control group(all P<0.05);the total rate of effectiveness was 93.02%in the study group,higher than the 76.74%in the control group(P<0.05).The pre-treatment serum levels of procalcitonin,interleukin-1β,tumor necrosis factor-α,and C-reactive protein as well as the clinical pulmonary infection scores were similar among the patients in both ***,the post-treatment serum levels of procalcitonin,interleukin-1β,tumor necrosis factor-α,and C-reactive protein as well as the clinical pulmonary infection scores were significantly lower in the study group than in the control group(P<0.05).There was no significant difference in the incidence o

关键词： Vancomycin Teicoplanin Methicillin-resistant Staphylococcus aureus Methicillin-resistant Staphylococcus epidermidis Lung infection

来源：

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

Case Report:Recurrent severe vomiting due to hyperthyroidism

引用

Journal of Zhejiang University-Science B(Biomedicine & Biotechnology) 2010年第3期11卷 218-220页

作者： Li-ying CHEN Bo ZHOU Zhou-wen CHEN Li-zheng FANG Department of Family Medicine Sir Run Run Shaw Hospital School of Medicine Zhejiang University Hangzhou 310016 China Department of Family Medicine Community Health Services Center in Pengbu Town Hangzhou 310017 China

Thyrotoxicosis may present in many ways;severe vomiting as a prominent symptom of thyrotoxicosis is *** this paper,we report a 24-year-old Chinese male with hyperthyroidism who presented with recurrent severe *** patient had had intermittent vomiting for seven years and had lost approximately 15 kg of *** examinations revealed chronic gastritis and one occasion peptic *** was treated with antacid and proton pump inhibitors,but his symptoms had no *** presenting symptoms suggested hyperthyroidism and were confirmed by laboratory *** a month of propylthiouracil therapy,his symptoms were *** should be noted that hyperthyroidism patients can have unexplained vomiting,and that hyperthyroidism may coexist with peptic ulcer in rare *** of such atypical presentations of hyperthyroidism may help to make a correct diagnosis.

关键词： Vomiting Hyperthyroidism Peptic ulcer

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Hearing Loss and Cognitive Impairment Among community-Dwelling Older Adults-Liaoning,Henan,and Guangdong Provinces,China,2019-2020

引用

China CDC weekly 2024年第32期6卷 816-820,I0003页

作者： Shige Qi Yuzhang Huang Liyuan Yang Haoyan Guo Ran An Lu Cui Han Zhang Jing Wu National center for Chronic and Noncommunicable Disease Control and Prevention Chinese Center for Disease Control and PreventionBeijingChina Department of health Policy Management Johns Hopkins University Bloomberg School of Public HealthBaltimoreMDUSA Chengnan community health Service center of Changping District BeijingChina National Institute for Nutrition and health Chinese Center for Disease Control and PreventionBeijingChina School of Public health Capital Medical UniversityBeijingChina

Summary What is already known about this topic?Many studies have shown that hearing loss(HL)is a risk factor for cognitive decline and dementia,but there are still limited studies on this association among Chinese older *** is added by this report?Based on the results of pure-tone audiometry tests,HL is associated with cognitive impairment in communitydwelling older *** odds ratios(ORs)were 1.23(1.08–1.40)for mild HL,1.55(1.32–1.82)for moderate HL,and 1.87(1.47–2.39)for severe or profound *** are the implications for public health practice?Enhanced public awareness of hearing protection is important for preventing cognitive *** is advocated to promote the screening of HL and cognitive function assessment in elderly health examinations or management in primary care services.

关键词： hearing Guangdong Henan

来源：

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

A brief history of the Compendium of Physical Activities

引用

Journal of Sport and health Science 2024年第1期13卷 3-5页

作者： Barbara E.Ainsworth Stephen D.Herrmann David R.Jacobs Jr. Melicia C.Whitt-Glover Catrine Tudor-Locke School of Exercise and health Shanghai University of SportShanghai 200438China College of health Solutions Arizona State UniversityPhoenixAZ 85003USA Kansas center for Metabolism and Obesity Research University of Kansas Medical CenterKansas CityKS 66160USA Division of Epidemiology and community health University of MinnesotaMinneapolisMN 55455USA Gramercy Research Group KnightdaleNC 27545USA College of health and Human services University of North Carolina at CharlotteCharlotteNC 28223USA

The Compendium of Physical Activities(Compendium)was developed to address consistent assignment of physical activity(PA)intensity values used in PA epidemiology research of the association between PA and health outcomes.1The known protective effects of PA on incident health outcomes traces to the mid-1900s,with over 50 studies examining coronary heart disease(CHD)as the outcome of interest.

关键词： epidemiology Activities protective

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Efficacy and tolerability of a polysaccharide-resin-honey based cough syrup as compared to carbocysteine syrup for children with colds: a randomized, single-blinded,multicenter study

引用

World Journal of Pediatrics 2017年第1期13卷 27-33页

作者： Herman Avner Cohen Moshe Hoshen Shmuel Gur Arie Bahir Yoseph Laks Hannah Blau Pediatric Ambulatory community Clinic Petah—TikvaIsrael Sackler Faculty of Medicine Tel.Aviv UniversityTel—AvivIsrael Clalit Research Institute Chief Physician's OfficeClalit Health ServicesTel AvivIsrael Pediatric Ambulatory community Clinic Kefar SabaIsrael Pediatric Ambulatory community Clinic Bat YamIsrael Pediatric Ambulatory community Clinic Ramat Aviv.Israel Pulmonary Institute Schneider Children Medical Center ofIsrael.Petah Tikva.Israel.

Background:Available pediatric treatments for acute cough are limited by lack of demonstrated *** objective of this trial is to compare the effects of a poIysaccharide—resin-honey based cough syrup,and carbocysteine ... 详细信息

关键词： cough children upper respiratory tract infection

来源：

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

Population-based survey of prevalence,causes,and risk factors for blindness and visual impairment in an aging Chinese metropolitan population

引用

International Journal of Ophthalmology(English edition) 2017年第1期10卷 140-147页

作者： Jian-Yan Hu Liang Yan Yong-Dong Chen Xin-Hua Du Ting-Ting Li De-An Liu Dong-Hong Xu Yi-Min Huang Qiang Wu Shanghai Jiao Tong University Affiliated Sixth People's Hospital Shanghai 200233China community health center Xietu StreetXuhui DistrictShanghai 200233China

AIM： To assess the prevalence, causes, and risk factors for blindness and visual impairment among elderly （〉60 years of age） Chinese people in a metropolitan area of Shanghai, China. METHODS： Random cluster sampling was conducted to identify participants among residents ≥60 years of age living in the Xietu Block, Xuhui District, Shanghai, China. Presenting visual acuity （PVA） and best-corrected visual acuity （BCVA） were checked by the Early Treatment Diabetic Retinopathy Study （ETDRS） visual chart. All eligible participants underwent a comprehensive eye examination. Blindness and visual impairment were defined according to World health Organization （WHO） criteria. RESULTS： A total of 4190 persons （1688 men and 2502 women） participated in the study, and the response rate was 91.1%. Based on PVA, the prevalence of blindness was 1.1% and that of visual impairment was 7.6%. Based on BCVA, the prevalence of blindness and visual impairment decreased to 0.9% and 3.9%, respectively. Older （〉80 years of age） women, with low educational levels and smoking habits, exhibited a significantly greater chance for blindness and visual impairment than did those with high educational levels and no smoking habits （P〈0.05）. Based on PVA and BCVA, the main causes of blindness were cataract, myopic maculopathy, and age-related macular degeneration （AMD）. CONCLUSION： Our findings help to identify the population in need of intervention, to highlight the need for additional eye healthcare services in urban China.

关键词： blindness visual impairment prevalence riskfactor cross-sectional study

来源：

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

Prevalence of osteoporotic vertebral fracture among community-dwelling elderly in Shanghai

引用

Chinese Medical Journal 2019年第14期132卷 1749-1751页

作者： Chao Gao Yang Xu Li Li Wen-Qin Gu Chun-Tao Yi Qiong Zhu Hong-An Gu Bi-Hua Chen Qing-Qing Wang Feng Tang Ju-Liang Xu Jian-Miao Hou Hui-Jiang Song Hui Wang Zhi-Liang Wang Zhen-Lin Zhang Metabolic Bone Disease and Genetics Research Unit Department of Osteoporosis and Bone DiseasesShanghai Jiao Tong University Affiliated Sixth People's HospitalShanghai 200233China Fenglin community health Service center Shanghai 200030China Lingyun community health Service center Shanghai 200237China Longhua community health Service center Shanghai 200232China Qixian community health Service center Shanghai 201404China Sanlin community health Service center Shanghai 200124China Xujiahui community health Service center Shanghai 200030China

To the Editor:Osteoporosis is becoming a common,serious,and costly health problem,which causes over nine million fractures annually worldwide.[1] Currently,osteoporotic fractures are a considerable burden to public health services and have fairly high morbidity and mortality.[2] Vertebral fractures are the most common osteoporotic fracture and may lead to a high risk of further fracture and could be prevalent in both females and males.[3] Ling et al[4] and *** studies[5] evaluated the prevalence of vertebral fractures in Beijing and Hong Kong,***,our knowledge of the descriptive epidemiology and risk factors for vertebral fracture in China still remains poor.

关键词： osteoporotic vertebral fracture among Shanghai community-dwelling elderly

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：