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地市级医院向临床研究型医院转化的探讨——以泰州市人民医院为例 被引量:1
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作者 戴佳文 周艳 +7 位作者 梁宗敏 汪羽 陈铭 姜敏 赵春明 季文祥 马丽丽 吴健 《卫生软科学》 2018年第12期50-52,共3页
阐述了临床研究型医院的相关概念,介绍了泰州市人民医院在转型为临床研究型医院时的具体做法及取得的成效;总结了充分运用管理手段、确定目标,分阶段、有步骤推进转型的经验;分析了改革中存在问题并提出愿景。
关键词 地市级医院 临床研究型 转型 核心竞争力 医务管理
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2016-2019年重症科多耐药菌分布研究 被引量:2
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作者 梅海峰 梁宗敏 +4 位作者 孙文斌 邰慧宇 朱尚 薛露 朱志云 《中国病原生物学杂志》 CSCD 北大核心 2020年第10期1198-1201,1206,共5页
目的调查医院重症科多耐药菌分布情况,指导临床抗感染防治。方法收集2016-2019年重症科患者2332例临床资料,分离多药耐药菌。采用全自动微生物鉴定仪鉴定病原菌类型,分析病原菌耐药性。采用PCR扩增检测多重耐药鲍曼不动杆菌耐药基因分... 目的调查医院重症科多耐药菌分布情况,指导临床抗感染防治。方法收集2016-2019年重症科患者2332例临床资料,分离多药耐药菌。采用全自动微生物鉴定仪鉴定病原菌类型,分析病原菌耐药性。采用PCR扩增检测多重耐药鲍曼不动杆菌耐药基因分布情况。采用统计学分析影响感染发生相关因素。结果2016-2019年重症科患者多重耐药菌感染率分别为2.10%、2.80%、2.20%和3.27%。经卡方检验,抗菌药物使用种类、住院时间、气管插管、机械通气时间、合并恶性肿瘤是影响多药耐药菌感染发生的因素(P<0.05)。61株多药耐药菌中,鲍曼不动杆菌27株、金黄色葡萄球菌15株、铜绿假单胞菌9株、肺炎克雷伯菌4株及其他多药耐药菌6株,分别占44.26%、24.59%、14.75%、6.56%、9.84%;分离61株多药耐药菌,在痰液、尿液、血液、伤口、脏器腔隙、烧伤皮肤、腹水液、脑脊液、血管导管、胆汁及其他标本中的分离率分别为4.86%、2.34%、2.36%、2.19%、2.23%、2.06%、1.99%、1.96%、1.89%、0.83%和4.55%;27株多药耐药鲍曼不动杆菌中,27株(100.00%)OXA-51检测阳性,27株(100.00%)qacE△1-sul1检测阳性,20株(74.07%)OXA-23检测阳性,13株(48.15%)AmpC检测阳性,5株(18.52%)TEM检测阳性,4株(14.81%)DHA检测阳性,2株(7.41%)PER检测阳性;此外,OXA-24、OXA-58、IMP-1、IMP-4、VIM-2在重症科分离的多药耐药鲍曼不动杆菌中均未检出。结论重症科多药耐药菌有增高趋势,应引起重视。下呼吸道是多药耐药菌感染的主要部位。多药耐药菌主要分离自感染患者的痰液标本。重症科患者感染多药耐药菌中,以鲍曼不动杆菌为主要类型,耐药基因传播是多药耐药株流行的主要原因。 展开更多
关键词 重症科 多药耐药菌 耐药基因 多药耐药鲍曼不动杆菌
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Two novel mutations of the LDL receptor gene associated with familial hypercholesterolemia in a Chinese family 被引量:4
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作者 XIE Li GONG Qi-hua +5 位作者 XIE Zhi-guo liang zong-min HU Zheng-mao XIA Kun XIA Jia-hui YANG Yi-feng 《Chinese Medical Journal》 SCIE CAS CSCD 2007年第19期1694-1699,共6页
Background Familial hypercholesterolemia (FH) is a type of dominant autosomal disease that causes high levels of plasma low-density lipoprotein cholesterol (LDL-C). In the past years, molecular data related to FH ... Background Familial hypercholesterolemia (FH) is a type of dominant autosomal disease that causes high levels of plasma low-density lipoprotein cholesterol (LDL-C). In the past years, molecular data related to FH were limited in China. Now, to gain more information about FH, we analyzed one proband with a severe FH phenotype as well as his relatives. Methods After the entire coding sequence and the intron-exon junctions of the low-density lipoprotein receptor (LDLR) gene were amplified using PCR, we sequenced the LDLR gene of a Chinese FH family. RT-PCR was used to detect changes in the mRNA. Results Two novel mutations were identified in the LDLR gene of this family. One, W165X, was a G〉A substitution at the third nucleotide of codon 165. The other, IVS5-1G〉A, was also a G〉A substitution at the acceptor splice site of intron 5. The most striking discovery is that the proband was heterozygous for W165X but homozygous for IVS5-1G〉A. The cDNA sequencing showed that the IVS5-1G〉A mutation caused the insertion of 10 nucleotides, namely GCTCTCACAA, between exon 5 and exon 6. Conclusions The two nucleotide variations are thought to be the FH-causing mutations because the co-segregation of the mutant allele with the phenotype of FH has been shown in this Chinese family. These data show an increase in the mutational spectrum of FH in China and verify a scarce mutational form in the LDLR gene. 展开更多
关键词 familial hypercholesterolemia low-density lipoprotein reverse transcriptase polymerase chain reaction MUTATION
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Targeted expression of vascular endothelial growth factor 165 in the hrDNA locus mediated by hrDNA targeting vector
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作者 liang zong-min LUO Hong +7 位作者 YANG Yi-feng LIU Xiong-hao XIE Li XUE Zhi-gang HU Dong-xu liang De-sheng XIA Kun XIA Jia-hui 《Chinese Medical Journal》 SCIE CAS CSCD 2007年第5期427-430,共4页
Vascular endothelial growth factor (VEGF) is an angiogenic regulator that stimulates endothelial cell migration, proliferation, and angiogenesis. VEGF gene therapy is a new promising approach to induce therapeutic a... Vascular endothelial growth factor (VEGF) is an angiogenic regulator that stimulates endothelial cell migration, proliferation, and angiogenesis. VEGF gene therapy is a new promising approach to induce therapeutic angiogenesis for the treatment of ischemic myocardial and limb diseases. Recently, clinical studies have demonstrated successful outcomes using plasmids, retroviruses and adenoviruses.l-3 But the safety of those vectors is poor, which has become a serious concern. Besides immunogenicity caused by viral vectors, a further problem is that viral vectors show a preference to integrate into the transcription or control region of active genes, which may induce tumors and other disorders. 展开更多
关键词 human-derived vector site-specific integration targeting expression vascular endothelial growth factor 165
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