五行与天人合一新探

目的：认识五行与五脏＂天人合一＂的关系。方法：探讨自然界的物质形态与人体五脏的对应关系。结论：五行木火土金水,代表的是自然界物质的生物态、等离子态、固态、气态和液态等五种物质形态,五脏根据各自的功能、性质与之相对应。     

Communication at the bedside to enhance patient care: A survey of nurses' experience and perspective of handover

Street M, Eustace P, Livingston PM, Craike MJ, Kent B, Patterson D. International Journal of Nursing Practice 2011; 17 : 133–140 Communication at the bedside to enhance patient care: A survey of nurses' experience and perspective of handover Strategies to support continuity of care and improve patient safety during clinical handover have been developed. The aims of this study were to identify the strengths and limitations in current practice of nursing clinical handover and implement a new bedside handover process. A total of 259 nurses completed a cross‐sectional survey at change of shift on 1 day, which was followed by an audit of the pilot implementation of bedside handover. The survey results showed great variation in the duration, location and method of handover with significant differences in the experience of nurses employed part‐time compared with full‐time. Following implementation of standardized bedside handover on two wards, the audit revealed significant improvement in the involvement of patients, use of Situation‐Background‐Assessment‐Recommendation, active patient checks and checking of documentation. These findings suggest the use of standardized protocols and communication tools for bedside handover improve continuity of patient care.     

规范住院病历表格管理的做法与思考

根据国家卫生部要求,制定并实施住院病历表格管理制度,对其使用与废除、内容与格式、纸张与印制等工作进行规范,使住院病历表格更加统一,增强了住院病历的法律效力,为实施电子病历打下了基础。     

严重药物不良反应184例报告分析

目的:对郑州市184例严重药品不良反应病例进行分析,为临床安全合理用药提供预警信息和服务。方法:对184例严重药品不良反应报告涉及的药物剂型、给药途径、发生前5位药品进行综合分析。结果:注射剂发生率占90.5%,静脉给药发生率占84.8%;不良反应集中在细辛脑注射液、双黄连注射液或注射用双黄连、注射用头孢曲松钠和注射用头孢哌酮钠舒巴坦钠等。不良反应表现主要是呼吸困难、紫绀、过敏性休克等。结论:提示临床要重视注射液的安全使用和过度使用问题;同样要重视中药注射剂的安全使用问题和肝肾毒性方面的不良反应。     

Targeting the C-terminal focal adhesion kinase scaffold in pancreatic cancer

Preliminary studies in our laboratory have demonstrated the importance of both the NH2 and COOH terminus scaffolding functions of focal adhesion kinase (FAK). Here, we describe a new small molecule inhibitor, C10, that targets the FAK C-terminus scaffold. C10 showed marked selectivity for cells overexpressing VEGFR3 when tested in isogenic cell lines, MCF7 and MCF7-VEGFR3. C10 preferentially inhibited pancreatic tumor growth in vivo in cells with high FAK-Y925 and VEGFR3 expression. Treatment with C10 led to a significant inhibition in endothelial cell proliferation and tumor endothelial and lymphatic vessel density and decrease in interstitial fluid pressure. These results highlight the underlying importance of targeting the FAK scaffold to treat human cancers.     

从病例报告表看金桥工程四种数据采集模式

“金桥工程”（golden bridge,GB）这一临床试验项目得以顺利运行的关键元素之一就是病例报告表（case report form,CRF）,目前存在纸质版、手机版、网络版、电子病历版4种模式,该工程实行的是以电子版为主的多种CRF模式相结合的方式。这4种模式在数据报告、后期处理环节及质量监控3个方面都有各自的特点。电子病例报告表（electronic clinical report form,E-CRF）在数据产出各个环节较纸质版更有优势,确保了数据采集的质量和效率,具备开放性、可扩展性、安全性、稳定性、易维护性及易用性等特点,其中又以E-CRF最具发展潜力模式。总之,从不同模式的CRF特点比较来看,E-CRF是实现数据质量提升和保证的一个重要进步,而且E-CRF是提高数据管理质量最重要、最有意义的一个目标和方向,对确保临床试验研究的质量与科学性,提高整个医疗系统管理质量及服务质量,有着重要意义,但尚需要一个实践的过程及相关课题设计完成对各种数据采集方式价值的比较。     

The visual word form area is organized according to orthography

Efficient word reading depends on a left fusiform brain region, the Visual Word Form Area (VWFA). The internal organization of this brain area is currently unknown, as are the potential factors that might underlie this organization. Here we combine functional magnetic resonance imaging (fMRI) with multi-voxel pattern analyses (MVPA) to probe the internal organization of the VWFA. Our findings reveal distinct activation patterns in the VWFA associated with individual letter strings, as well as for pictures. This result demonstrates that the VWFA is organized in such a way that similar words (as well as pictures) activate neurons consistently, irrespective of their exact visual appearance or location. The activation patterns for letter strings were driven primarily by orthographic similarity, and we observed no effects of semantics or lexical status (words versus pseudowords). This effect of orthographic similarity was significant only in the VWFA and not in retinotopic areas and object-selective control regions. Given the relationships between the internal organization and how visual input is processed in a brain region, our findings provide important constraints for computational models of how visual word forms are represented in the brain.     

智能药物传输系统的研究进展

智能药物传输系统是指系统自身具有传感、处理及响应释药、停止释药的“自动”药物传输体系。各种智能药物传输系统实现了药物的定点、定时及定量释放。简要介绍了智能药物传输系统的发展近况,并从pH值敏感型、温度敏感型、葡萄糖敏感型以及其他敏感型给药系统角度阐述了智能药物传输系统的研究现状及未来展望。