目的:对国外长期照护机构与医院之间卫生信息交换文献进行系统综述分析。方法:检索2009年1月1日至2020年10月31日期间PubMed、Embase和Web of Science数据库中收录的相关英文文献,进行筛选、审核和纳入。结果:42篇文献被纳入分析,结果...
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目的:对国外长期照护机构与医院之间卫生信息交换文献进行系统综述分析。方法:检索2009年1月1日至2020年10月31日期间PubMed、Embase和Web of Science数据库中收录的相关英文文献,进行筛选、审核和纳入。结果:42篇文献被纳入分析,结果显示长期照护机构与医院之间卫生信息交换主要包括电子照护传输系统(28.6%)、电子消息系统(14.3%)、信息交换系统(26.2%)和远程医疗系统(30.9%)四种类型。61.9%文献中卫生信息交换系统与患者电子健康档案系统有交互接口,只有19.0%文献在信息交换期间使用HL7相关标准,属于语义互操作文献仅有11.9%。结论:国外长期照护机构与医院之间数据交换的信息化程度较弱,实现两类机构之间有效信息共享与交换,面临很多问题和挑战。
Recent studies have provided in vivo evidence that an increased GABAergic tone contributes to the pathogenesis of hepatic *** is the main inhibitory neurotransmitter in the adult brain,and causes Cl influx into the ce...
Recent studies have provided in vivo evidence that an increased GABAergic tone contributes to the pathogenesis of hepatic *** is the main inhibitory neurotransmitter in the adult brain,and causes Cl influx into the cell via GABAa *** direction of the Cl inflow is dependent on the Cl gradient across the *** - Cl cotransporters have been considered to play pivotal roles in controlling intracellular Cl concentration of neurons;hence,they modulate GABAergic *** tested the hypothesis that the balance between the Cl-extrusion system(K - Cl cotransporter 2,KCC2) and the Cl accumulation system(Na - K -Cl cotransporter 1,NKCC1) may become impaired during acute hepatic encephalopathy in patients with liver *** the present study,KCC2 and NKCC1 mRNA transcript levels were detected by real time RT-PCR technique in the plasma of 36 patients with hepatic encephalopathy of gradeⅢ-Ⅳ.Calculations of expression were made with the 2 *** found no significant difference of NKCC1 mRNA levels between cirrhotic patients with acute hepatic encephalopathy and healthy ***,there was a significant decrease of plasma KCC2 in patients with liver cirrhosis when compared with the corresponding healthy control *** in the group of cirrhotic patients with hepatic encephalopathy,we found a significant negative correlation between plasma KCC2 mRNA levels and the Child-Pugh ***,there were significant positive correlations between plasma KCC2 mRNA levels and the Glasgow *** conclusion,our study suggests that imbalance of serum KCC2 and NKCC1 mRNAs may reflect the hepatic function impairment in liver cirrhosis and appears to be associated with hepatic encephalopathy.
美国国立综合癌症网络（National Comprehensive Cancer Network,NCCN）2016年2月更新了《NCCN遗传性/家族性高风险评估指南：乳腺和卵巢》,该指南适用于遗传性/家族性乳腺癌或卵巢癌,与其相关的Li-Fraumeni综合征和Cowden综合征/PTEN...
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美国国立综合癌症网络（National Comprehensive Cancer Network,NCCN）2016年2月更新了《NCCN遗传性/家族性高风险评估指南：乳腺和卵巢》,该指南适用于遗传性/家族性乳腺癌或卵巢癌,与其相关的Li-Fraumeni综合征和Cowden综合征/PTEN错构瘤综合征（PTEN hamartoma tumor syndrome,PHTS）,以及其他类型的遗传性/家族性肿瘤不在该指南的范围。为了早日实现通过遗传筛查在中国进行乳腺癌有效防控,笔者结合新版指南就遗传学评估的对象选择、具体内容及评估原则等进行介绍。
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