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“动物病人”在内科学临床基础技能培训中的实践探索
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作者 陈兴 陈静 +2 位作者 方燕龄 罗辉遇 肖新怀 《当代医学》 2024年第16期172-176,共5页
目的探讨“动物病人”在内科学临床基础技能培训中的应用价值。方法选取2019年1—12月于广州医科大学附属第二医院已完成诊断学临床基础技能培训并进入临床实践的46名医学生作为研究对象,采用新西兰兔构建“动物病人”,每4名医学生为一... 目的探讨“动物病人”在内科学临床基础技能培训中的应用价值。方法选取2019年1—12月于广州医科大学附属第二医院已完成诊断学临床基础技能培训并进入临床实践的46名医学生作为研究对象,采用新西兰兔构建“动物病人”,每4名医学生为一组,分为12组,每组1名“动物病人”,采用互动式病例讨论等方式完成病例介绍,进行相关体格检查,并开展后续“动物病人”培训。采用问卷调查医学生对临床基础技能实践机会评价、医学生对“动物病人”培训必要性的评价。结果医学生对内科学临床操作技能培训满意占比37.0%、基本满意占比34.7%、不满意占比28.3%、非常不满意占比0.00%;影响内科学临床操作技能培训效果的主要原因自身专业不足占比10.9%、带教教师水平不足占比6.5%、带教师资不重视占比15.2%、临床实践机会不足占比56.5%、其他占比10.9%。医学生普遍对临床基础技能实践机会不足或严重不足,其中腹腔穿刺术、胸腔穿刺术、腰椎穿刺、动脉穿刺取血及导尿术实践机会不足、严重不足的比例均>55%。医学生对“动物病人”培训的总体满意度为95.6%、对教师满意度为95.7%;针对是否有必要在临床实际操作前采用“动物病人”培训,在腹腔穿刺术、血糖检测、动脉取血和导尿术四项技能中,选择有必要占比分别为91.3%、78.3%、93.5%和82.6%;全部医学生均表示能从“动物病人”临床技能培训中获益。在最大获益方面,41.3%选择有助于发现操作中的问题,39.1%选择有助于熟练操作,其他人员依次选择有助于培训临床思维和树立操作信心。培训设施不完善和学生参与程度不足是医学生认为本次培训的主要不足之处。结论“动物病人”培训作为现有技能培训与真实临床实践的桥梁,为医学生提供分层递进式技能操作培训,有利于提高医学生的实际临床技能操作水平,推动内科学临床基础技能教学改革,具有研究和推广价值。 展开更多
关键词 动物病人 内科学 临床基础技能 问卷调查
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四川省大竹县钩端螺旋体病两个集中暴发点流行病学特征调查 被引量:2
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作者 唐天勇 吴吉安 孙永清 《医学动物防制》 2017年第7期739-741,共3页
目的了解大竹县钩端螺旋体病(简称钩体病)两个集中暴发点流行病学特征,为制定防治措施提供科学依据。方法根据疫情报告,选取钩体病两个集中暴发点进行调查,用MAT法检测病人和蛙血清抗体;并分离培养钩体病原体。用夹夜法捕鼠,无菌采集鼠... 目的了解大竹县钩端螺旋体病(简称钩体病)两个集中暴发点流行病学特征,为制定防治措施提供科学依据。方法根据疫情报告,选取钩体病两个集中暴发点进行调查,用MAT法检测病人和蛙血清抗体;并分离培养钩体病原体。用夹夜法捕鼠,无菌采集鼠肾、猪肾、牛中段尿和蛙肾分离培养钩体病原体,分析钩体病流行病学特征和感染菌群情况。结果发病户数占总户数的68.13%;发病例数占总人数的28.41%;病人和宿主动物标本中检出阳性菌株51份,经鉴定以七日热群为主,占60.78%,其次分别为黄疸出血群、澳洲群、波摩那群、犬群,分别占29.41%、3.92%、3.92%、1.96%。结论病人和宿主动物感染钩体菌群复杂,应切实加强钩体病的监测,为制定钩体病防治方案提供科学依据。 展开更多
关键词 钩端螺旋体病 集中暴发点 流行特征 病人和宿主动物 感染菌群
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Genetically modified mouse models for the study of nonalcoholic fatty liver disease 被引量:7
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作者 Perumal Nagarajan M Jerald Mahesh Kuma +3 位作者 Ramasamy Venkatesan Subeer S Majundar Ramesh C Juyal M Jerald Mahesh Kuma 《World Journal of Gastroenterology》 SCIE CAS CSCD 2012年第11期1141-1153,共13页
Nonalcoholic fatty liver disease(NAFLD) is associated with obesity,insulin resistance,and type 2 diabetes.NAFLD represents a large spectrum of diseases ranging from(1) fatty liver(hepatic steatosis);(2) steatosis with... Nonalcoholic fatty liver disease(NAFLD) is associated with obesity,insulin resistance,and type 2 diabetes.NAFLD represents a large spectrum of diseases ranging from(1) fatty liver(hepatic steatosis);(2) steatosis with inflammation and necrosis;to(3) cirrhosis.The animal models to study NAFLD/nonalcoholic steatohepatitis(NASH) are extremely useful,as there are still many events to be elucidated in the pathology of NASH.The study of the established animal models has provided many clues in the pathogenesis of steatosis and steatohepatitis,but these remain incompletely understood.The different mouse models can be classified in two large groups.The first one includes genetically modified(transgenic or knockout) mice that spontaneously develop liver disease,and the second one includes mice that acquire the disease after dietary or pharmacological manipulation.Although the molecular mechanism leading to the development of hepatic steatosis in the pathogenesis of NAFLD is complex,genetically modified animal models may be a key for the treatment of NAFLD.Ideal animal models for NASH should closely resemble the pathological characteristics observed in humans.To date,no single animal model has encompassed the full spectrum of human disease progression,but they can imitate particular characteristics of human disease.Therefore,it is important that the researchers choose the appropriate animal model.This review discusses various genetically modified animal models developed and used in research on NAFLD. 展开更多
关键词 Nonalcoholic fatty liver disease STEATOSIS STEATOHEPATITIS KNOCKOUT Animal models
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Basal physiological parameters in domesticated tree shrews (Tupaia belangeri chinensis) 被引量:6
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作者 Jing WANG Xin-Li XU +8 位作者 Ze-Yang DING Rong-Rong MAO Qi-Xin ZHOU Long-Bao LV Li-Ping WANG Shuang WANG Chen ZHANG Lin XU Yue-Xiong YANG 《Zoological Research》 CAS CSCD 北大核心 2013年第2期J0035-J0040,共6页
Establishing non-human primate models of human diseases is an efficient way to narrow the large gap between basic studies and translational medicine. Multifold advantages such as simplicity of breeding, low cost of fe... Establishing non-human primate models of human diseases is an efficient way to narrow the large gap between basic studies and translational medicine. Multifold advantages such as simplicity of breeding, low cost of feeding and facility of operating make the tree shrew an ideal non-human primate model proxy. Additional features like vulnerability to stress and spontaneous diabetic characteristics also indicate that the tree shrew could be a potential new animal model of human diseases. However, basal physiological indexes of tree shrew, especially those related to human disease, have not been systematically reported. Accordingly, we established important basal physiological indexes of domesticated tree shrews including several factors: (1) body weight, (2) core body temperature and rhythm, (3) diet metabolism, (4) locomotor rhythm, (5) electroencephalogram, (6) glycometabolism and (7) serum and urinary hormone level and urinary cortisol rhythm. We compared the physiological parameters of domesticated tree shrew with that of rats and macaques. Results showed that (a) the core body temperature of the tree shrew was 39.59±0.05 °C, which was higher than that of rats and macaques; (b) Compared with wild tree shrews, with two activity peaks, domesticated tree shrews had only one activity peak from 17:30 to 19:30; (c) Compared with rats, tree shrews had poor carbohydrate metabolism ability; and (d) Urinary cortisol rhythm indicated there were two peaks at 8:00 and 17:00 in domesticated tree shrews, which matched activity peaks in wild tree shrews. These results provided basal physiological indexes for domesticated tree shrews and laid an important foundation for diabetes and stress-related disease models established on tree shrews. 展开更多
关键词 Domesticated tree shrew Basal physiological indexes Rhytlun Glycometabolism Stress-related hormone
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Advances in TCM Research of Insulin Resistance 被引量:2
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作者 尚文斌 程海波 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2001年第2期141-146,共6页
Insulin resistance (IR) refers to subnormal response to a certain amount of insulin and is the most characteristic phenomenon in non-insulin dependent diabetes mellitus (NIDDM). It is also an element of the pathogenic... Insulin resistance (IR) refers to subnormal response to a certain amount of insulin and is the most characteristic phenomenon in non-insulin dependent diabetes mellitus (NIDDM). It is also an element of the pathogenic mechanism shared with obesity, systemic hypertension, abnormal lipid metabolism and atherosclerosis. In recent years, studies on its treatment with traditional Chinese medicine (TCM) have gradually been carried out and the following is a report of them.Mechanisms of Diabetic IR in TCM TermsAction of insulin antagonizing hormones in peripheral tissues is one of the causes of diabetic IR. Cyclic nucleosides cAMP and cGMP, important intracellular messengers, are considered to be the second messenger of insulin, and cAMP is related to the amount of insulin receptors. Early in 1980s, some authors investigated the relationship among the symptoms of diabetes and such hormones and cAMP/cGMP ratio. Although they did not give due attention to IR, their studies provided evidences for differentiation of symptoms and signs in IR typing. 展开更多
关键词 Insulin Resistance Acupuncture Therapy ANIMALS Diabetes Mellitus Type 2 Drugs Chinese Herbal Humans
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Estimated prevalence of Echinococcus multilocularis in rac-coon dogs Nyctereutes procyonoides in northern Branden- burg, Germany
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作者 Sabine SCHWARZ Astrid SUTOR Christoph STAUBACH Roswitha MATTIS Kirsten TACKMANN Franz Josef CONRATHS 《Current Zoology》 SCIE CAS CSCD 北大核心 2011年第5期655-661,共7页
Human alveolar echinococcosis, caused by the larval stage of the small fox tapeworm, is a lethal zoonotic infection if left untreated. E. multilocularis is distributed in the Northern Hemisphere and lives in the small... Human alveolar echinococcosis, caused by the larval stage of the small fox tapeworm, is a lethal zoonotic infection if left untreated. E. multilocularis is distributed in the Northern Hemisphere and lives in the small intestines of carnivores, mainly canids. The main definitive host of E. multilocularis in European countries is the red fox Vulpes vulpes and in the last ten years new endemic areas for the parasite in Central Europe have been identified. In some areas, for instance in Germany, the raccoon dog Nyctereutes procyonoides - a spreading neozoon - must be regarded as an additional definitive host for E. multilocularis. In 2001 this parasite was found for the first time in raccoon dogs in the Federal State of Brandenburg, Germany. Between 2000 and 2008, 1,252 raccoon dogs from Brandenburg were examined by the Intestinal Scraping Technique. The majority of samples were obtained in five northern counties and all 60 animals that tested positive for E. multilocularis were located there. The estimated true prevalence calculated by a beta-binomial- model ranged from 6%-12% [Current Zoology 57 (5): 655-661, 2011]. 展开更多
关键词 ZOONOSIS Invasive species ECHINOCOCCOSIS GERMANY Raccoon dog
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Recent Advances in Animal Models of Zika Virus Infection 被引量:1
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作者 Shupeng Dong Qiming Liang 《Virologica Sinica》 SCIE CAS CSCD 2018年第2期125-130,共6页
An infection by Zika virus(ZIKV), a mosquito-borne flavivirus, broke out in South American regions in 2015, and recently showed a tendency of spreading to North America and even worldwide. ZIKV was first detected in 1... An infection by Zika virus(ZIKV), a mosquito-borne flavivirus, broke out in South American regions in 2015, and recently showed a tendency of spreading to North America and even worldwide. ZIKV was first detected in 1947 and only 14 human infection cases were reported until 2007. This virus was previously observed to cause only mild flu-like symptoms.However, recent ZIKV infections might be responsible for the increasing cases of neurological disorders such as GuillainBarre′ syndrome and congenital defects, including newborn microcephaly. Therefore, researchers have established several animal models to study ZIKV transmission and pathogenesis, and test therapeutic candidates. This review mainly summarizes the reported animal models of ZIKV infection, including mice and non-human primates. 展开更多
关键词 Zika virus FLAVIVIRUS Rodent models Non-human primate models
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Animal models to study Mycobacterium tuberculosis and HIV co-infection 被引量:1
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作者 Ming GUO Wen-Zhe HO 《Zoological Research》 CAS CSCD 北大核心 2014年第3期163-169,共7页
Mycobacterium tuberculosis(M.tb) and human immunodeficiency virus(HIV) co-infection has become a public health issue worldwide. Up to now, there have been many unresolved issues either in the clinical diagnosis and tr... Mycobacterium tuberculosis(M.tb) and human immunodeficiency virus(HIV) co-infection has become a public health issue worldwide. Up to now, there have been many unresolved issues either in the clinical diagnosis and treatment of M.tb/HIV coinfection or in the basic understanding of the mechanisms for the impairments to the immune system by interactions of these two pathogens. One important reason for these unsolved issues is the lack of appropriate animal models for the study of M.tb/HIV coinfection. This paper reviews the recent development of research on the animal models of M.tb/HIV co-infection, with a focus on the non-human primate models. 展开更多
关键词 HIV Mycobacterium tuberculosis CO-INFECTION Animal model
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Novel Coronaviruses and Astroviruses in Bats
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作者 Daniel K. W. Chu J. S. Malik Peiris Leo L. M. Poon 《Virologica Sinica》 SCIE CAS CSCD 2009年第2期100-104,共5页
Zoonotic transmissions of emerging pathogens from wildlife to human have shaped the history of mankind. These events have also highlighted our poor understanding of microorganisms circulated in wild animals. Coronavir... Zoonotic transmissions of emerging pathogens from wildlife to human have shaped the history of mankind. These events have also highlighted our poor understanding of microorganisms circulated in wild animals. Coronaviruses and astroviruses,which can be found from a wide range of mammals,were recently detected in bats. Strikingly,these bat viruses are genetically highly diverse and these interesting findings might help to better understand the evolution and ecology of these viruses. The discoveries of these novel bats viruses not only suggested that bats are important hosts for these virus families,but also reiterated the role of bats as a reservoir of viruses that might pose a zoonotic threat to human health. 展开更多
关键词 CORONAVIRUS Astroviruses Emerging pathogens
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