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血液透析患者便秘情况及其相关因素分析 被引量:14
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作者 吴禹池 张上鹏 +2 位作者 尹自长 邹川 林启展 《中国现代医学杂志》 CAS 2018年第12期58-62,共5页
目的对慢性肾脏病(CKD)维持血液透析(HD)患者便秘的发生情况及其相关因素进行调查。方法根据RomeⅢ诊断标准制作调查表,选取2016年3月该院行HD患者进行问卷调查,了解其便秘的发生情况,并探讨其相关因素。结果共调查206例HD患者,193例应... 目的对慢性肾脏病(CKD)维持血液透析(HD)患者便秘的发生情况及其相关因素进行调查。方法根据RomeⅢ诊断标准制作调查表,选取2016年3月该院行HD患者进行问卷调查,了解其便秘的发生情况,并探讨其相关因素。结果共调查206例HD患者,193例应答,应答率为93.7%;便秘发生率为34.2%。单因素分析结果显示,HD充分性(Kt/V)、血清硫酸吲哚酚(IS)水平、每日蔬菜摄入量、进食蔬菜、水果及运动习惯与HD患者便秘相关。逐步多因素Logistic回归分析提示,IS水平[OR=1.051(95%CI:1.009,1.095)]和Kt/V[OR=0.264(95%CI:0.074,0.945)]是HD患者发生便秘的主要影响因素。结论 HD患者有较高的便秘发生率。IS蓄积是HD患者发生便秘的危险因素,而较高的Kt/V则是保护因素。 展开更多
关键词 慢性肾脏病 血液透析 便秘 硫酸吲哚酚 横断面调查
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青年全科医师科研素养及培训需求调查 被引量:2
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作者 林恺 姚弥 +3 位作者 林桂丽 邹川 徐志杰 邱卫黎 《中华全科医师杂志》 2022年第11期1056-1062,共7页
目的基于科研素养发展框架对青年全科医师科研素养现状及培训需求展开调研,为相关培训及评价提供依据。方法2020年12月,方便抽取广东省深圳和粤东地区住院医师规范化培训基地各1所,采用自行设计的《青年全科医师科研素养调查问卷》对从... 目的基于科研素养发展框架对青年全科医师科研素养现状及培训需求展开调研,为相关培训及评价提供依据。方法2020年12月,方便抽取广东省深圳和粤东地区住院医师规范化培训基地各1所,采用自行设计的《青年全科医师科研素养调查问卷》对从事或参与全科医学临床工作的青年医师进行调研,了解其科研素养现状及培训需求。结果共纳入研究172名青年全科医师。(1)科研态度与科研经历方面,认为“参与科研”及“科研素养”重要者分别占75.6%(130人)及76.2%(131人);但仅11.9%(21人)曾参与过科研项目,81.0%(17人)承担数据收集工作。(2)循证医学基础评分为24.00(21.00,28.00)分,大部分受访者“碰到问题会查找文献”(95人,55.2%)以及“使用国内数据库”(77人,43.7%);科研能力自评评分为14.00(12.00,17.00)分,评分较低;科研培训需求评分为41.00(31.00,49.50)分,“科研选题、科研设计、统计分析、组织实施、论文撰写”得分普遍较高(中位评分7.00~8.00分)。(3)不同学历和参与对象的循证医学基础和科研能力自评量表总分比较差异有统计学意义(P<0.05)。订单定向培养的青年全科医师循证医学基础评分较非订单定向者高;女性科研培训需求均分较男性更高,差异均有统计学意义(P<0.05)。结论青年全科医师科研项目参与和组织管理经验不足,他们对科研素养自我评价较低,但个人效能普遍较高。建议为青年全科医师制定相应的培训内容和组织合理的干预措施。 展开更多
关键词 全科医生 科研素养 科研能力 培训需求
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A naturally occurring CD8^+CD122^+ T-cell subset as a memory-like Treg family 被引量:6
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作者 Shanshan Li Qingfeng Xie +7 位作者 Yuqun Zeng chuan zou Xusheng Liu Shouhai Wu Haixia Deng Yang Xu Xian C Li Zhenhua Dai 《Cellular & Molecular Immunology》 SCIE CAS CSCD 2014年第4期326-331,共6页
Despite extensive studies on CD4^+CD25^+ regulatory T cells (Tregs) during the past decade, the progress on their clinical translation remains stagnant. Mounting evidence suggests that naturally occurring CD8^+CD... Despite extensive studies on CD4^+CD25^+ regulatory T cells (Tregs) during the past decade, the progress on their clinical translation remains stagnant. Mounting evidence suggests that naturally occurring CD8^+CD122^+ T cells are also Tregs with the capacity to inhibit T-cell responses and suppress autoimmunity as well as alloimmunity. In fact, they are memory-like Tregs that resemble a central memory T cell (TcM) phenotype. The mechanisms underlying their suppression are still not well understood, although they may include IL-IO production. We have recently demonstrated that programmed death-1 (PD-1) expression distinguishes between regulatory and memory CD8^+CD122^+ T cells and that CD8^+CD122^+ Tregs undergo faster homeostatic proliferation and are more potent in the suppression of allograft rejection than conventional CD4^+CD25^+ Tregs. These findings may open a new line of investigation for accelerating effective Treg therapies in the clinic. In this review, we summarize the significant progress in this promising field of CD8^+CD122^+ Treg research and discuss their phenotypes, suppressive roles in autoimmunity and alloimmunity, functional requirements, mechanisms of action and potential applications in the clinic. 展开更多
关键词 autoimmunity and transplant immunology CD8^+CD122^+ T cells immune regulation regulatory T cells
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Transforming a medical curriculum development into an education research 被引量:1
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作者 chuan zou Xiaoyang Liao 《Family Medicine and Community Health》 2019年第3期73-74,共2页
To the editor As family medicine educators and researchers in China,it was with a great antic-ipation we read the article of curriculum development framework by Jill Schneiderhan and Dobson.1 Because education of futu... To the editor As family medicine educators and researchers in China,it was with a great antic-ipation we read the article of curriculum development framework by Jill Schneiderhan and Dobson.1 Because education of future general practitioner in China has become increasingly important,this paper is timely and instructive.However,an elaborate curric-ulum development isn’t sufficient to become an education research.We hope to raise some concerns for the education researchers regarding the methodological aspects while developing a curriculum. 展开更多
关键词 EDUCATION HAS BECAUSE
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