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81.
Internal auditing is a key mechanism in enhancing organizational reliability. However, research on the ways quality internal auditing is enabled through learning, deterrence, motivation and process improvement is scant. In particular, the relational underpinnings of internal auditing have been understudied. This study attempts to address this need by examining how organizational trust, perceived organizational support and psychological safety enable internal auditing. Data collected from employees in medical clinics of one of the largest healthcare organizations in Israel at two points in time six months apart. Our results show that organizational trust and perceived organizational support are positively related to psychological safety (measured at time 1), which, in turn, is associated with internal auditing (measured at time 2). 相似文献
82.
血液标本放置时间和抗凝剂对血糖检测结果的影响 总被引:5,自引:0,他引:5
目的 :探讨两种抗凝剂的血液标本放置时间对血糖测定的影响。方法 :采集门诊健康人血液标本 30份 ,分别以肝素钠和氟化钠作抗凝 ,放置不同时间检测血糖值。结果 :及时分离血浆的血液标本血糖在 5h内差异无显著性。而血液离体后不及时分离血浆 ,血糖是随着时间延长而降低。氟化钠抗凝的血糖比肝素钠抗凝的血糖下降的程度要缓慢一些 ,所以临床上采集血液标本必须及时分离血浆 ,选用合适的抗凝剂 ,及时测定 ,减少误差 ,提高准确性 ,给临床提供准确的诊断依据 相似文献
83.
A. Gildone B. Punginelli M. Manfredini A. Artioli R. Faccini 《Journal of orthopaedics and traumatology》2007,8(1):6-10
We report a prospective trial comparing the effectveness of a post-operative flexion regime versus a standard extension regime
on the early outcome and on the post-operative blood loss of total knee arthroplasty. Fourty-eight knees were divided to two
different post-operative rehabilitation regimes: a flexion regime and an extension regime. The two groups were well matched
with respect to age, gender, operation side and pre-op diagnosis All patients were implanted with a NexGen cemented total
knee prosthesis and all operations were performed by the same surgeon. Patients were assessed pre-operatively, at the time
of discharge, at 6 weeks and at 12 weeks, and were evaluated by means of the Knee Society Score (KSS) and the WOMAC score,
the Clarkson criteria for range of motion and muscolar strength measurement, and the Verbal Numeric Scale (VNS) for the pain.
Futhermore, postoperative blood loss was assessed by comparing the volume of blood in the drain at the time of their removal
and measuring the difference in preoperative and postoperative blood haemoglobin (Hb) in the 2 groups. Patients subjected
to the flexion regime had a better KSS and Womac score after 12 weeks and had less post-operative blood loss, requiring fewer
blood transfusions. No differences were found between the two groups in terms of pain and muscolar strength. We believe a
flexion regime after a total knee arthroplasty is a valid option of rehabilitation treatment and does not result in an increase
in wound problems. 相似文献
84.
85.
Eun Young Jung Hyung Joo Suh Wan Soo Hong Dong Geon Kim Yang Hee Hong In Sun Hong Un Jae Chang 《Nutrition Research》2009,29(7):457-461
Cooking processes that gelatinize granules or disrupt structure might increase the glucose and insulin responses because a disruption of the structure of starch by gelatinization increases its availability for digestion and absorption in the small intestine. We hypothesized that the uncooked form of rice, which has a relatively low degree of gelatinization even though in powder form, would result in lower metabolic glucose and insulin responses compared with cooked rice (CR). To assess the effects of the gelatinization of rice on metabolic response of glucose and insulin, we investigated the glucose and insulin responses to 3 rice meals of different gelatinization degree in female college students (n = 12): CR (76.9% gelatinized), uncooked rice powder (UP; 3.5% gelatinized), and uncooked freeze-dried rice powder (UFP; 5.4% gelatinized). Uncooked rice powders (UP and UFP) induced lower glucose and insulin responses compared with CR. The relatively low gelatinization degree of UPs resulted in low metabolic responses in terms of the glycemic index (CR: 72.4% vs UP: 49.7%, UFP: 59.8%) and insulin index (CR: 94.8% vs UP: 74.4%, UFP: 68.0%). In summary, UPs that were less gelatinized than CR induced low postprandial glucose and insulin responses. 相似文献
86.
目的探讨抗癌药物动脉灌注后对局部轴型皮瓣血运影响的组织学评价。方法在猪腹部的腹壁上动脉插管灌注抗癌药物,10d后在猪腹部形成以腹壁上血管为蒂的岛状皮瓣,通过对灌注区域轴型血管供养的岛状皮瓣的成活率、光镜、透射电镜及血管铸型透明标本的组织学观察,显示其血管结构及构筑的变化。结果抗癌药物用于局部动脉灌注后,使局部轴型血管支配的血管网有损伤的表现,岛状皮瓣远端的血运显著降低。结论抗癌药物经动脉灌注后可影响局部轴型皮瓣的血运,使皮瓣血供的安全范围缩小,为提高相关修复手术的成功率提供可靠的科学依据。 相似文献
87.
目的评价全自动血培养仪 (BACTEC90 5 0 )临床应用情况。方法对BACTEC90 5 0全自动血培养仪检测的 4 6 8份标本 ,捡出阳性的时间、细菌种类及阳性率进行了评估。结果BACTEC90 5 0最短检出时间 4小时 ,最长 96小时 ,2 4小时以内阳性率为 6 0 .8% ,4 8小时以内阳性率 82 .4 % ,72小时以内阳性率 94 .1% ,细菌种类 12种 ,阳性 10。 9%。结论BACTEC90 5 0无论从出现阳性的时间、检出细菌种类和阳性率均明显高于本室往年传统方法的结果 ,而且操作简便、结果快速、准确。 相似文献
88.
云克治疗类风湿关节炎临床疗效观察 总被引:1,自引:0,他引:1
目的:观察云克 (99Tc- MDP)治疗类风湿关节炎 (RA)的疗效。 方法:对 80例类风湿关节炎 (RA)患者应用云克进行静脉治疗 2 1d,并对治疗前后的相关指标进行对照分析。结果 :治疗前与治疗后相比 ,患者晨僵持续时间、握力、ESR、CRP、RF有统计学意义 (P <0 .0 5 ) ,患者关节压痛数及关节肿胀数差异无统计学意义 (P >0 .0 5 )。 结论:云克治疗类风湿关节炎能改善临床症状及实验室指标 ,远期疗效好 ,而且毒副作用小。 相似文献
89.
目的研究大剂量生脉注射液对慢性心功能衰竭(简称心衰)患者凝血功能的影响。方法将60例慢性心衰患者随机分为治疗组(即生脉注射液组)和对照组,每组各30例,治疗组给予生脉注射液加西药常规治疗,对照组仅西药常规治疗,观察用药前后心功能改善程度及血浆P-选择素、血管性血友病因子(vWF)和D-二聚体水平的变化。结果治疗组临床显效率与总有效率明显高于对照组。心是患者血浆P-选择素、vWF和D-二聚体水平明显高于健康人,治疗后两组患者血浆P-选择素、vWF和D-二聚体水平均下降,治疗组优于对照组。结论慢性心衰患者,体内存在着高凝状态,大剂量生脉注射液可改善慢性心衰患者的凝血功能,可能在一定程度上减少心衰患者血栓事件的发生和发展? 相似文献
90.
LI Wei-yong LI Qian QIAO Jian DENG Jun-gang ZHANG Ying 《中国临床药理学与治疗学》2007,12(10):1182-1183
AIM: To determine the safety, tolerability and pharmacokinetic parameters of a new drug recombinant human parathyroid hormone [ rhPTH (1-84)] in healthy male Chinese subjects. METHODS: domly divided Thirty-six healthy male volunteers were rangroups received into 3 groups. The volunteers in these single subcutaneous injection of rhPTH ( 1-84) in a dosage of 1, 2 and 4 μg/kg respectively. Blood samples were obtained before and after administration within 24 hours. The rhPTH concentrations in sennn were determined by enzyme linked immunosorbent assay (ELISA). The pharmacokinetic parameters determined with use of standard noncompartmental analysis were the maximum serum concentration ( Cmax ), the time to attain that concentration ( tmax ), and the area under the serum concentration-time curve up to 24 hours( AUC0-24 ) and up to infinity (AUC0-∞). Dose proportionality of pharmacokinetic parameters (AUC, Cmax of every volunteer of each dosage and A UC was computed from log transformed data) and was examined by mean of analysis of variance (ANOVA) using SPSS software package. In the study, subjects' symptoms, objective signs, and vital signs, including blood pressure, heart rate, respiratory rate and body temperature, were checked and 12-lead electrocardiography was recorded before and after drug administration within 24 hours. Routine laboratory tests, including hematology, blood biochemistry, serum electrolyte, and urinalysis, were performed before and after drug administration within at 24 hours.[第一段] 相似文献