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1.
Article in Chinese | WPRIM | ID: wpr-912726

ABSTRACT

Objectives:To investigate the current research status and focus of multi-campus construction and management in public hospitals, and to provide research reference and policy recommendations.Methods:The CNKI and Wanfang databases were searched from the establishment of the databases to October 31, 2020. Literatures of multi-campus construction and management in public hospitals were screened following inclusion and exclusion criteria. Bibliometric analysis was used to analyze the characteristics of the included literatures.Results:A total of 99 articles were included. In 2019, there were 18 articles, which was the most over the years. The number of published literatures has increased significantly since 2014. The most common origin cities of publications were Shanghai, Wuhan and Beijing. Literature research focused on integration, homogeneity, economic operation, cultural construction and development strategy.Conclusions:The development of multi-campus in public hospitals has attracted more and more attention, but it has not yet involved in the research of setting access, functional positioning, construction mode, peacetime and wartime transformation, and it is predicted that it will become a research hotspot in the future.

2.
Chinese Journal of Geriatrics ; (12): 1386-1391, 2021.
Article in Chinese | WPRIM | ID: wpr-911024

ABSTRACT

Objective:To investigate the expression of urinary exosomal miR-150-5p in different age groups and its relationship with kidney aging.Methods:Seventy-six subjects were recruited at the geriatrics department of Beijing Friendship Hospital from January 2014 to December 2016, with 15 in the young group, 35 in the middle-aged group, and 26 in the elderly group.We detected the expression of urinary exosomal miR-150-5p by real-time PCR from urine samples of different age groups and used Logistic regression analysis to evaluate the correlation of different levels of miR-150-5p with age, gender, history of hypertension, history of coronary heart disease, and hyperlipidemia.Additionally after overexpression and knockdown of miR-150-5p in human renal tubular cells of the HK2 cell line, we analyzed the expression levels of epithelial-to-mesenchymal transition(EMT)-related proteins by Western blotting.Results:Logistic regression analysis showed that age was closely related to estimated urinary exosomal miR-150-5p levels( P<0.05), and estimated urinary exosomal miR-150-5p levels in the elderly group(1.33±0.41)were significantly higher than those in the young group(0.88±0.40)( P<0.05). In addition, estimated urinary exosomal miR-150-5p levels became inversely proportional to the glomerular filtration rate as age increased. In vitro experiments showed that the expression levels of ZO-1 and E-cadherin in epithelial cells were slightly decreased after knockdown of miR-150-5p in renal tubular epithelial cells of the HK-2 cell line. Conclusions:The expression of miR-150-5p in urinary exosomes may be slightly increased in the elderly.It could inhibit the occurrence of renal EMT, and its expression is correlated with renal function.Mir-150-5p may also affect the expression of adhesion molecule-related proteins in HK-2 cells.MiR-150-5p in urinary exosomes is expected to become one of the genetic markers associated with renal aging.

3.
Article in Chinese | WPRIM | ID: wpr-909540

ABSTRACT

Objective:To explore the differences between impaired perspective-taking and executive function in children with attention deficit hyperactivity disorder(ADHD).Methods:From January 2019 to December 2020, according to DSM-5 diagnostic criteria, thirty-two cases of ADHD children aged 6 to 16(ADHD group) and twenty-six cases of typical development children and adolescents matched with age and intelligence (TD Group) were included. The response time and accuracy rate in dilemma stage and probe stage to self-oriented, maternal perspective-taking and other perspective-taking were measured using perspective-shifting task, and the executive function was evaluated by the behavior rating inventory of executive function (BRIEF). Repeated measurement analysis of variance was used to compare the difference of response time and accuracy rate between the two groups. Pearson correlation analysis was used to explore the correlation between the perspective-taking behavior characteristics and the BRIEF total score and subscale scores of ADHD group.Results:The total score and subscale scores of BRIEF scale in ADHD group were significantly higher than those in TD group (all P<0.01). The interaction between group and task type was significant during the task dilemma stage of perspective-shifting task ( F(2, 106)=4.365, P<0.05). Simple effect analysis showed that in other-perspective-taking task, the response time of ADHD group ((2 305.48±464.27)ms) was significantly longer than that of TD group ((1 971.13±462.95)ms) and the difference was statistically significant ( t=2.870, P<0.01). Pearson correlation analysis showed that the response time of ADHD group to other perspective-taking in dilemma stage was positively correlated with working memory, organization and inhibition index in EF ( r=0.401, 0.432, 0.342, all P<0.01). Conclusion:The ability of the perspective taking is closely related to impaired executive function, which seem to share a common neuropsychological basis.

4.
Article in Chinese | WPRIM | ID: wpr-906350

ABSTRACT

Infertility is commonly seen but difficult to treat in the department of obstetrics and gynecology. The incidence of infertility in women of childbearing age has reached as high as 25% in China, which seriously affects social harmony and people's happiness. As the lifestyle of modern women changes, thin endometrium has gradually become an important reason for infertility and embryo transfer failure. Such factors as repeated operations in uterine cavity and oral intake of hormones have resulted in destructed blood vessels and reduced blood flow in endometrium, impaired growth of glandular epithelial cells, insufficient local blood supply, retarded development of endometrium, reduced receptivity, and therefore poor acceptance of endometrium to the implanted gestational sac, which is not conducive to the implantation of fertilized eggs. As a result, the infertility will occur. Traditional Chinese medicine (TCM) has a long history of treating infertility. During the long-term clinical practice, physicians of ancient and modern times have gained rich experience in the diagnosis and treatment of infertility. The idea of "blood being the basis of women" sprouted in the Spring and Autumn and Warring States Periods and determined in the Song Dynasty as an important guiding principle that can be applied in various physiological periods of women. It emphasizes "blood regulation" for gynecological diseases to ensure sufficient blood in blood vessels and its normal circulation, thus allowing the thoroughfare and conception vessels and endometrium to be nourished and the pregnancy to be facilitated. With blood as the basis, the paper explored the physiopathological correlations of five zang organs and thoroughfare and conception vessels with blood, pointed out the preference for "blood harmonization" in ancient literature based on the differentiation of infertility into blood stasis, blood cold, blood heat, and blood deficiency syndromes, reviewed the key methods of modern physicians in assisting pregnancy including tonifying kidney and nourishing blood, tonifying kidney and activating blood, tonifying kidney and invigorating spleen, as well as invigorating kidney and soothing liver, and summarized the efficacy of integrated TCM and western medicine in promoting ovulation, regulating hormones, improving blood supply, and nourishing endometrium to assist pregnancy. All these would contribute to the clinical treatment and scientific research of thin endometrium in infertility from multiple angles.

5.
Article in Chinese | WPRIM | ID: wpr-906317

ABSTRACT

Perimenopausal anovulatory dysfunctional uterine bleeding (ADUB) is a severe acute disease that is difficult to be dealt with in gynecology, accounting for about 70% of abnormal uterine bleeding. The significant differences in bleeding patterns make it particularly challenging to treat. The main manifestations of perimenopausal ADUB are prolonged menstrual period, inexhaustible menstrual bleeding, or heavy inter-menstrual vaginal bleeding, which allow it to be classified into the category of metrorrhagia and metrostaxis in traditional Chinese medicine (TCM). After conducting in-depth research on this disease, physicians of the past dynasties have figured out its etiology and pathogenesis and accumulated rich experience in its differentiation and treatment, thus forming a relatively systematic theoretical system. The existing literature mainly focuses on four types of its pathogenesis, namely blood heat, blood stasis, spleen deficiency, and kidney deficiency, and there are few discussions on liver. However, patients with metrorrhagia and metrostaxis due to liver dysfunction are commonly seen in clinical practice. The theory of liver being innate basis of women explores the special physiological and pathological characteristics of women and emphasizes the important role of liver in the treatment of this disease based on its characteristic functions and meridian circulation. Considering the close relationship of liver Qi and blood with spleen, kidney, and thoroughfare and conception vessels, this paper discussed the TCM treatment of perimenopausal ADUB from the following four aspects: soothing liver Qi and nourishing liver blood, liver and kidney sharing the same source, simultaneous regulation of liver and spleen, and liver meridian circulation, so as to broaden the clinical treatment options. Perimenopause is a unique physiological period when women tend to suffer from Qi stagnation and blood deficiency. Liver, characterized by Yin in property and Yang in function, governs the free flow of Qi, induces ovulation, stores blood, and regulates blood volume. Therefore, the liver should be emphasized in the treatment of perimenopausal ADUB, which contributes to correcting the hormone disorder caused by abnormal ovulation, stopping bleeding, and alleviating perimenopausal symptoms. This paper has provided a new direction for the clinical treatment of perimenopausal ADUB .

6.
Article in Chinese | WPRIM | ID: wpr-905831

ABSTRACT

Objective:To investigate the mechanism of Jianzhong Bushen Xiaozheng decoction in regulating the effect of miRNA139 on Wnt/<italic>β</italic>-catenin signaling pathway for renal interstitial fibrosis. Method:The 120 mice were randomly divided into sham operation group, unilateral ureteral obstruction (UUO) group, Jianzhong Bushen Xiaozheng decoction low, middle, high dose group, and Niaoduqing group. The UUO animal model was established to observe the morphological changes in mice. Intragastic administration was started from day 3 after modeling. The sham operation group and UUO group received the same amount of distilled water every day. The low, medium and high-dose groups received Jianzhong Bushen Xiaozheng decoction solution at 6,12,24 g·kg<sup>-1</sup>·d<sup>-1</sup> respectively. The Niaoduqing group received 6.2 g·kg<sup>-1</sup>·d<sup>-1</sup> Niaoduqing granule solution. After 14 d and 21 d, 28 d , the morphological changes, general signs and renal interstitial fibrosis index of the obstructed side were observed, hematoxylin-eosin (HE) staining and Masson staining were used to observe the pathological changes of renal tissue. Real-time fluorescent quantitative polymerase chain reaction (Real-time PCR) method was used to detect the miRNA-139 expression in renal tissue volume, Western blot was used to detect expression of beta serial proteins (<italic>β</italic>-catenin) and fibrinolytic enzyme activators inhibitor-1 (PAI-1) in renal tissues, and immunohistochemical assay was used for detection of matrix metalloproteinases-7 (MMP-7) protein expression at the obstruction side. Result:After 14, 21 and 28 days, the expression levels of <italic>β</italic>-catenin and PAI-1 in UUO group were higher than those in sham operation group(<italic>P</italic><0.05),while the expression levels of miRNA139 and MMP-7 protein were lower than those of sham operation group (<italic>P</italic><0.05). The expression levels of <italic>β</italic>-catenin and PAI-1 proteins in mice after treatment in Niaoduqing group and the traditional Chinese medicine groups were lower than those in the UUO group(<italic>P</italic><0.05), the expression of miRNA139 and MMP-7 proteins increased(<italic>P</italic><0.05), and the efficacy of high-dose Jianzhong Bushen Xiaozheng decoction group was better than that of other dosage groups or Niaoduqing group(<italic>P</italic><0.05). Conclusion:Jianzhong Bushen Xiaozheng decoction may regulate miRNA139 to mediate the process of renal interstitial fibrosis through the Wnt/ <italic>β</italic>-catenin pathway and delay the development of renal interstitial fibrosis to improve renal function.

7.
Acta Pharmaceutica Sinica ; (12): 630-638, 2021.
Article in Chinese | WPRIM | ID: wpr-873783

ABSTRACT

Chalcone isomerases (CHIs) play an essential role in the biosynthesis of flavonoids important in plant self-defense. Based on the transcriptome data of Aquilaria sinensis Calli, a full-length cDNA sequence of CHI1 (termed as AsCHI1) was cloned by reverse transcription PCR. AsCHI1 contains a complete open frame (ORF) of 654 bp. The deduced protein is composed of 217 amino acids, with a predicted molecular weight of 23.11 kDa. The sequence alignment and phylogenetic analysis revealed that AsCHI1 has conserved most of the active site residues in type I CHIs, indicating a close relationship with the CHI from Gossypium hirsutum. The recombinant AsCHI1 protein was obtained by heterologous expression of AsCHI1 in E. coli BL21(DE3). The purified AsCHI1 protein exhibited CHI activity by catalyzing the production of naringenin from naringenin chalcone. Remarkably, AsCHI1 expression in A. sinensis Calli treated with various abiotic stresses including salt, mannitol, cold, and heavy metals could be markedly increased, and plant hormones such as abscisic acid (ABA), gibberellin (GA3), and salicylic acid (SA) could also increase the expression of AsCHI1, suggesting that AsCHI1 might play an important role in plant self-defense. The results expand our understanding of the biosynthesis of flavonoids in A. sinensis and give further insight into the defensive responses of A. sinensis to abiotic and biotic stresses.

8.
Article in Chinese | WPRIM | ID: wpr-887894

ABSTRACT

Objective To investigate the application value of indocyanine green(ICG)in the localization of small pulmonary nodules in video-assisted thoracoscopic surgery(VATS). Methods We retrospectively analyzed the clinical data of 45 patients with small nodules(diameter<1 cm)who received preoperative localization with ICG and underwent VATS wedge resection from October 2020 to February 2021.The data for analysis included patients age,nodule diameter,distance from the parietal pleura,nodule density,success rate of localization,time of localization,incidence of complications,and pathological findings. Results The success rate of localization was 100%.The average nodule size was 6.3 mm,and the nodules were(10±11)mm from the parietal pleura.After localization of 59 nodules,13(22.0%)cases were found to have mild pneumothorax,and 4(6.7%)cases were found to have mild hemorrhage.The success rate of operation was 100%,and 43(72.9%)cases were confirmed adenocarcinoma by postoperative pathology. Conclusion ICG has a high success rate and good safety in the localization of small pulmonary nodules in VATS.


Subject(s)
Humans , Indocyanine Green , Lung Neoplasms/surgery , Retrospective Studies , Solitary Pulmonary Nodule/surgery , Thoracic Surgery, Video-Assisted , Tomography, X-Ray Computed
9.
Chinese Journal of Biotechnology ; (12): 2077-2084, 2021.
Article in Chinese | WPRIM | ID: wpr-887782

ABSTRACT

Curcumin is exclusively isolated from Zingiberaceae plants with a broad spectrum of bioactivities. In the present study, we used the diketide-CoA synthase (DCS) and curcumin synthase (CURS) genes to construct a non-natural fusion gene encoding diketide-CoA synthase::curcumin synthase (DCS::CURS). This fusion protein, together with the acetyl coenzyme A carboxylase (ACC) and the 4-coumarate coenzyme A ligase (4CL), were introduced into Escherichia coli for the production of curcumin from ferulic acid. The process is divided into two stages, the growth stage using LB medium and the fermentation stage using the modified M9 medium. The yield of curcumin reached 386.8 mg/L by optimizing the induction of protein expression in the growth stage, and optimizing the inoculum volume, medium composition and fermentation time in the fermentation stage, as well as the addition of macroporous resin AB-8 into the second medium to attenuate the toxicity of the end product. The exploitation of the non-natural fusion protein DCS::CURS for the production of curcumin provides a new alternative to further promoting the production of curcumin and the related analogues.


Subject(s)
Curcumin/pharmacology , Escherichia coli/genetics , Fermentation
10.
International Eye Science ; (12): 1881-1886, 2021.
Article in Chinese | WPRIM | ID: wpr-887373

ABSTRACT

@#Dry eye is a complex disease caused by multiple factors which pathogenesis is complex and diverse. At present, the tear film instability, the increase of tear osmotic pressure, ocular surface inflammation and neurological abnormalities are recognized as the pathogenesis of dry eye. Particularly, inflammation has been confirmed as the key mechanism for the pathogenesis of the dry eye. In this case, this study focuses on discussing the role of critical factors and cell mediators related to dry eye and the anti-inflammatory treatments for it to understand the inflammatory cascade of the dry eye more comprehensively.

11.
Article in Chinese | WPRIM | ID: wpr-883593

ABSTRACT

Objective:To analyze the relationship between the clinical medical college students' time investment (including study, activities, entertainment and exercise) and general self-efficacy (GSE) in a medical university in Liaoning province, China.Methods:The first-year medical students were asked to participate the survey. Their GSE was measured by using general self-efficacy scale (GSES) in 2018. One year later, the independent variable table was used to investigate the extracurricular activity time, and 683 valid questionnaires were collected. Ordered logistic regression method was used to analyze the correlation between students' extracurricular activities and GSE.Results:Medical students' GSE was positively associated with their time in extracurricular study ( OR = 1.94, 95%CI = 1.49-2.54), volunteer activities ( OR=1.36, 95%CI = 1.01-1.83), and physical activities ( OR = 1.37, 95%CI = 1.01-1.85). However, there was no significant correlation with the time in activities organized by students ( OR = 1.09, 95%CI = 0.79-1.50) or activities organized by school ( OR = 1.15, 95%CI = 0.84-1.59). Furthermore, compared with clinical students of "5+3" year program, the 5-year program clinical students had a stronger correlation between medical students' GSE and the input of extracurricular study time. Conclusion:There is a positive correlation between medical students' GSE and their extracurricular time investment, which indicates that increasing medical students' GSE could be an effective method to improve their extracurricular time investment and eventually improve their comprehensive quality.

12.
Clinical Medicine of China ; (12): 254-257, 2020.
Article in Chinese | WPRIM | ID: wpr-867523

ABSTRACT

Objective:To observe the effect of injecting erythromycin into chest cavity through pig tail celiac drainage catheter in the treatment of senile chronic obstructive pulmonary disease with spontaneous pneumothorax.Methods:From January 2015 to August 2018, 55 patients with chronic obstructive pulmonary disease admitted to thoracic surgery of the First People′s Hospital of Hefei, Anhui Province were analyzed retrospectively.All of them were old men who had spontaneous pneumothorax for many times or for the first time.They were divided into two groups by simple randomized method(control group and observation group). The observation group was treated by intrathoracic injection of erythromycin through the abdominal drainage tube of pig tail, while the control group was treated by intrathoracic injection of erythromycin through the conventional closed thoracic drainage tube.There were 23 cases in the observation group and 32 cases in the control group.The time of injecting erythromycin (once a day) into the chest cavity through different drainage tubes, the effect of perfusion, the time from clamping to extubation, the incidence of complications, the total effective rate of perfusion and the recurrence rate within 6 months after discharge were compared between the two groups.Results:The infusion time of erythromycin infusion and extubation in the observation group were (3.00±0.32) d and (2.41±0.24) d, which were shorter than those in the control group (4.22±0.39) d and (3.39±0.37) d, respectively, and the differences were statistically significant (t values were 2.298 and 2.218, respectively; P values were 0.026, 0.032, respectively.The incidence of chest pain in the observation group was 17.4%(4/23), lower than that in the control group 46.9% (15/32), the difference was statistically significant ( P=0.023). There was no serious complication of shock and death in the observation group, 1 case in the control group; 22 cases patients in the observation group and 23 cases patients in the control group were discharged from the hospital after extubation, respectively.The total effective rate, recurrence rate and cure rate of the observation group and the control group were 95.7%(22/23) and 71.9%(23/32), 34.8%(8/23) and 59.4%(19/32), 65.2%(15/23) and 37.5%(12/32), respectively.There was statistical significance (χ 2 values were 5.086, 1.816 and 4.114, respectively, all P<0.05). The observation group was superior to the control group in efficacy and recurrence rate. Conclusion:The treatment of chronic obstructive pulmonary disease in the elderly with spontaneous pneumothorax by intrathoracic infusion of erythromycin through the pig tail peritoneal drainage catheter has the advantages of short perfusion time, rapid extubation, low recurrence rate, low complication rate, good tolerance and good perfusion effect.

13.
Article in Chinese | WPRIM | ID: wpr-866641

ABSTRACT

Objective:To investigate the application value of three-dimensional power Doppler ultrasound in the clinical diagnosis of endometrial polyps.Methods:Seventy-three patients with suspected endometrial lesions admitted to Xin'an International Hospital of Zhejiang Province from June 2018 to June 2019 were enrolled.Three-dimensional power Doppler ultrasound and hysteroscopy were performed on the patients.The results of hysteroscopy and three-dimensional power Doppler ultrasound diagnosis and ROC curve were analyzed.Results:In 73 patients, the pathological diagnosis showed that there were 35 cases in the non-polyp group and 38 cases in the polyp group.The area and standard error under the three-dimensional Doppler ultrasound curve were 0.93 and 0.04, respectively.The area under the hysteroscopic curve and the standard error were 0.92.0.03, respectively, there was no statistically significant difference in the area of ROC curve between the two diagnostic methods ( P=0.051). Conclusion:Three-dimensional power Doppler ultrasound in the diagnosis of endometrial polyps is highly accurate and similar to hysteroscopy.In the clinical examination of endometrial polyps, three-dimensional energy Doppler ultrasonography is worthy of promotion and application.

14.
Article in Chinese | WPRIM | ID: wpr-866619

ABSTRACT

Objective:To evaluate the clinical value of three-dimensional ultrasound imaging in the localization and shaping of intrauterine contraceptive device.Methods:A total of 46 patients with abnormal intrauterine contraceptive device positions who admitted to Xin'an International Hospital from May 2018 to May 2019 were selected.All patients were examined by two-dimensional ultrasound and three-dimensional ultrasound, and the results were compared with the surgical results of the patients.The application value of three-dimensional ultrasound in the localization and shaping of intrauterine contraceptive device was analyzed.Results:By surgery pathology diagnosed with synthetic in palace in 2 cases, synthetic down in 29 cases, synthetic part or security in 15 cases.The two-dimensional ultrasonic diagnosis of patients with synthetic in the palace in 2 cases, synthetic down in 30 cases, synthetic part or security embedded in 11 cases, abnormal suspicious uncertain in 3 cases, 3 cases of missed diagnosis, 1 case of misdiagnosis.The three-dimensional ultrasound diagnosis in patients with synthetic in the palace in 2 cases, synthetic down in 29 cases, synthetic part or security embedded in 14 cases, abnormal suspicious uncertain in 1 case, no misdiagnosis, missed diagnosis in 1 case, pure synthetic down patients can be removed under hysteroscopy.Patients with IUD outside the uterus were removed laparoscopically without IUD rupture or residual fragments.And synthetic guided by hysteroscopy in patients with incarcerated during extraction, 3 cases of synthetic fracture or residual fragments occurring and compared with synthetic down the difference was statistically significant (χ 2=4.982, P<0.05), compared with the synthetic located outside the uterus, the difference was statistically significant (χ 2=4.634, P<0.05), the incidence of completely bypassed economizer fracture or residual fragments was higher than partial incarceration patients (χ 2=4.845, P<0.05). Conclusion:Three-dimensional ultrasound has higher accuracy in positioning and shaping the intrauterine contraceptive device of patients, which can guide clinicians to choose the treatment program.

15.
Article in Chinese | WPRIM | ID: wpr-798663

ABSTRACT

The construction and development of online hospitals will maximize the use of existing health resources, improve the accessibility of high-quality medical care, and alleviate the difficulty in getting medical care for the masses. In this perspective, the authors briefly described the current construction and operation of online hospitals in China, and analyzed in detail the problems existing in the operation management, supporting policies among others. On such basis, they put forward suggestions from the perspectives of construction subjects and supervision subjects, so as to provide references for the benign development of online hospitals.

16.
Article in Chinese | WPRIM | ID: wpr-811550

ABSTRACT

Since the outbreak of COVID-19 in Wuhan, cabin hospitals have played an important role in preventing the spread of the epidemic and admitting all the patients and suspected ones. As one of the first three cabin hospitals in Wuhan, Jianghan cabin hospital under care of Wuhan Union Hospital has efficiently fulfilled its purpose of admitting patients of mild symptoms. Measures taken by the cabin hospital include clearing its positioning, optimizing its layout, establishing organization structure, setting up the rules and regulations, and strengthening the prevention and control of hospital infection. This article briefly summed up the operation and management practices of the cabin hospital, and analyzed its management difficulties, hence putting forwards suggestions on medical emergency management system of China, for references of hospitals and authorities in charge.

17.
Article in Chinese | WPRIM | ID: wpr-811546

ABSTRACT

Outbreak of the novel coronavirus pneumonia (NC) across the country has seriously threatened people's lives and health, endangering smooth operation of the national economy and social stability. An all-out campaign to save the NCP patients and reduce their mortality is not only one of the key tasks to fight against the epidemic, but also a major responsibility and mission of public hospitals. In view of the field practice of Wuhan Union Hospital in the epicenter, the authorsDescribed the challenges faced by such hospitals in the prevention and control, summarized its experiences and proposed improvement measures, for reference of other public hospitals and relevant authorities.

18.
Article in Chinese | WPRIM | ID: wpr-872270

ABSTRACT

Outbreak of COVID-19 across the country has seriously threatened people′s lives and health, endangering smooth operation of the national economy and social stability. An all-out campaign to save these patients and reduce their mortality is not only one of the key tasks to fight against the epidemic, but also a major responsibility and mission of public hospitals. In view of the field practice of Wuhan Union Hospital in the epicenter, the authors described the challenges faced by such hospitals in the prevention and control, summarized its experiences and proposed improvement measures, for reference of other public hospitals and relevant authorities.

19.
Article in Chinese | WPRIM | ID: wpr-872261

ABSTRACT

Since the outbreak of COVID-19 in Wuhan, cabin hospitals have played an important role in preventing the spread of the epidemic and admitting all the patients and suspected ones. As one of the first three cabin hospitals in Wuhan, Jianghan cabin hospital under care of Wuhan Union Hospital has efficiently fulfilled its purpose of admitting patients of mild symptoms. Measures taken by the cabin hospital include defining its positioning, optimizing its layout, establishing organization structure, setting up the rules and regulations, and strengthening the prevention and control of hospital infection. This article briefly summed up the operation and management practices of the cabin hospital, and analyzed its management difficulties, hence putting forward suggestions on medical emergency management system of China, for references of hospitals and authorities in charge.

20.
Article in Chinese | WPRIM | ID: wpr-872194

ABSTRACT

The construction and development of online hospitals will maximize the use of existing health resources, improve the accessibility of high-quality medical care, and alleviate the difficulty in getting medical care for the masses. In this perspective, the authors briefly described the current construction and operation of online hospitals in China, and analyzed in detail the problems existing in the operation management, supporting policies among others. On such basis, they put forward suggestions from the perspectives of construction subjects and supervision subjects, so as to provide references for the benign development of online hospitals.

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