1.Research on Construction of Index System for the Quality Evaluation of Multidisciplinary Diagnosis and Treatment Model for Cancer on the Multi Case Coding
Yiqing MAO ; Wenjie MA ; Bowen ZHANG ; Xinrui YANG ; Shuwan CHEN ; Yafeng ZHANG ; Mengyu YANG ; Shanshan YANG ; Chengzeng WANG
Chinese Hospital Management 2024;44(7):36-41
Objective It aims to construct a quality evaluation index system for cancer multidisciplinary diagnosis and treatment(MDT)model in China from a full process perspective,providing guidance for practical application and model optimization.Methods Based on the number of MDT publications and practical situations,20 provincial-level hospitals nationwide were selected as typical cases.Rooted theory was used to extract evaluation indicators from the original text of the cases through three-level coding.A cancer MDT quality evaluation index system was constructed under the Input-Process-Output framework.Results Through three-level coding,27 initial categories,8 subcategories,and 3 main categories were sorted out,and a cancer MDT quality evaluation index system was constructed with input,process,and output as the primary evaluation indicators,and top-level design,management system,object resources,meeting preparation,meeting progress,plan implementation,patient outcomes,and hospital outcomes as the secondary evaluation indicators.Conclusion The quality evaluation index system of cancer MDT mode based on the perspective of the entire process can effectively guide practical optimization,but there is still a need for the improvement of supporting policies and information systems to assist in quality evaluation.
2.Research on Construction of Index System for the Quality Evaluation of Multidisciplinary Diagnosis and Treatment Model for Cancer on the Multi Case Coding
Yiqing MAO ; Wenjie MA ; Bowen ZHANG ; Xinrui YANG ; Shuwan CHEN ; Yafeng ZHANG ; Mengyu YANG ; Shanshan YANG ; Chengzeng WANG
Chinese Hospital Management 2024;44(7):36-41
Objective It aims to construct a quality evaluation index system for cancer multidisciplinary diagnosis and treatment(MDT)model in China from a full process perspective,providing guidance for practical application and model optimization.Methods Based on the number of MDT publications and practical situations,20 provincial-level hospitals nationwide were selected as typical cases.Rooted theory was used to extract evaluation indicators from the original text of the cases through three-level coding.A cancer MDT quality evaluation index system was constructed under the Input-Process-Output framework.Results Through three-level coding,27 initial categories,8 subcategories,and 3 main categories were sorted out,and a cancer MDT quality evaluation index system was constructed with input,process,and output as the primary evaluation indicators,and top-level design,management system,object resources,meeting preparation,meeting progress,plan implementation,patient outcomes,and hospital outcomes as the secondary evaluation indicators.Conclusion The quality evaluation index system of cancer MDT mode based on the perspective of the entire process can effectively guide practical optimization,but there is still a need for the improvement of supporting policies and information systems to assist in quality evaluation.
3.Research on Construction of Index System for the Quality Evaluation of Multidisciplinary Diagnosis and Treatment Model for Cancer on the Multi Case Coding
Yiqing MAO ; Wenjie MA ; Bowen ZHANG ; Xinrui YANG ; Shuwan CHEN ; Yafeng ZHANG ; Mengyu YANG ; Shanshan YANG ; Chengzeng WANG
Chinese Hospital Management 2024;44(7):36-41
Objective It aims to construct a quality evaluation index system for cancer multidisciplinary diagnosis and treatment(MDT)model in China from a full process perspective,providing guidance for practical application and model optimization.Methods Based on the number of MDT publications and practical situations,20 provincial-level hospitals nationwide were selected as typical cases.Rooted theory was used to extract evaluation indicators from the original text of the cases through three-level coding.A cancer MDT quality evaluation index system was constructed under the Input-Process-Output framework.Results Through three-level coding,27 initial categories,8 subcategories,and 3 main categories were sorted out,and a cancer MDT quality evaluation index system was constructed with input,process,and output as the primary evaluation indicators,and top-level design,management system,object resources,meeting preparation,meeting progress,plan implementation,patient outcomes,and hospital outcomes as the secondary evaluation indicators.Conclusion The quality evaluation index system of cancer MDT mode based on the perspective of the entire process can effectively guide practical optimization,but there is still a need for the improvement of supporting policies and information systems to assist in quality evaluation.
4.Research on Construction of Index System for the Quality Evaluation of Multidisciplinary Diagnosis and Treatment Model for Cancer on the Multi Case Coding
Yiqing MAO ; Wenjie MA ; Bowen ZHANG ; Xinrui YANG ; Shuwan CHEN ; Yafeng ZHANG ; Mengyu YANG ; Shanshan YANG ; Chengzeng WANG
Chinese Hospital Management 2024;44(7):36-41
Objective It aims to construct a quality evaluation index system for cancer multidisciplinary diagnosis and treatment(MDT)model in China from a full process perspective,providing guidance for practical application and model optimization.Methods Based on the number of MDT publications and practical situations,20 provincial-level hospitals nationwide were selected as typical cases.Rooted theory was used to extract evaluation indicators from the original text of the cases through three-level coding.A cancer MDT quality evaluation index system was constructed under the Input-Process-Output framework.Results Through three-level coding,27 initial categories,8 subcategories,and 3 main categories were sorted out,and a cancer MDT quality evaluation index system was constructed with input,process,and output as the primary evaluation indicators,and top-level design,management system,object resources,meeting preparation,meeting progress,plan implementation,patient outcomes,and hospital outcomes as the secondary evaluation indicators.Conclusion The quality evaluation index system of cancer MDT mode based on the perspective of the entire process can effectively guide practical optimization,but there is still a need for the improvement of supporting policies and information systems to assist in quality evaluation.
5.Research on Construction of Index System for the Quality Evaluation of Multidisciplinary Diagnosis and Treatment Model for Cancer on the Multi Case Coding
Yiqing MAO ; Wenjie MA ; Bowen ZHANG ; Xinrui YANG ; Shuwan CHEN ; Yafeng ZHANG ; Mengyu YANG ; Shanshan YANG ; Chengzeng WANG
Chinese Hospital Management 2024;44(7):36-41
Objective It aims to construct a quality evaluation index system for cancer multidisciplinary diagnosis and treatment(MDT)model in China from a full process perspective,providing guidance for practical application and model optimization.Methods Based on the number of MDT publications and practical situations,20 provincial-level hospitals nationwide were selected as typical cases.Rooted theory was used to extract evaluation indicators from the original text of the cases through three-level coding.A cancer MDT quality evaluation index system was constructed under the Input-Process-Output framework.Results Through three-level coding,27 initial categories,8 subcategories,and 3 main categories were sorted out,and a cancer MDT quality evaluation index system was constructed with input,process,and output as the primary evaluation indicators,and top-level design,management system,object resources,meeting preparation,meeting progress,plan implementation,patient outcomes,and hospital outcomes as the secondary evaluation indicators.Conclusion The quality evaluation index system of cancer MDT mode based on the perspective of the entire process can effectively guide practical optimization,but there is still a need for the improvement of supporting policies and information systems to assist in quality evaluation.
6.Research on Construction of Index System for the Quality Evaluation of Multidisciplinary Diagnosis and Treatment Model for Cancer on the Multi Case Coding
Yiqing MAO ; Wenjie MA ; Bowen ZHANG ; Xinrui YANG ; Shuwan CHEN ; Yafeng ZHANG ; Mengyu YANG ; Shanshan YANG ; Chengzeng WANG
Chinese Hospital Management 2024;44(7):36-41
Objective It aims to construct a quality evaluation index system for cancer multidisciplinary diagnosis and treatment(MDT)model in China from a full process perspective,providing guidance for practical application and model optimization.Methods Based on the number of MDT publications and practical situations,20 provincial-level hospitals nationwide were selected as typical cases.Rooted theory was used to extract evaluation indicators from the original text of the cases through three-level coding.A cancer MDT quality evaluation index system was constructed under the Input-Process-Output framework.Results Through three-level coding,27 initial categories,8 subcategories,and 3 main categories were sorted out,and a cancer MDT quality evaluation index system was constructed with input,process,and output as the primary evaluation indicators,and top-level design,management system,object resources,meeting preparation,meeting progress,plan implementation,patient outcomes,and hospital outcomes as the secondary evaluation indicators.Conclusion The quality evaluation index system of cancer MDT mode based on the perspective of the entire process can effectively guide practical optimization,but there is still a need for the improvement of supporting policies and information systems to assist in quality evaluation.
7.Research on Construction of Index System for the Quality Evaluation of Multidisciplinary Diagnosis and Treatment Model for Cancer on the Multi Case Coding
Yiqing MAO ; Wenjie MA ; Bowen ZHANG ; Xinrui YANG ; Shuwan CHEN ; Yafeng ZHANG ; Mengyu YANG ; Shanshan YANG ; Chengzeng WANG
Chinese Hospital Management 2024;44(7):36-41
Objective It aims to construct a quality evaluation index system for cancer multidisciplinary diagnosis and treatment(MDT)model in China from a full process perspective,providing guidance for practical application and model optimization.Methods Based on the number of MDT publications and practical situations,20 provincial-level hospitals nationwide were selected as typical cases.Rooted theory was used to extract evaluation indicators from the original text of the cases through three-level coding.A cancer MDT quality evaluation index system was constructed under the Input-Process-Output framework.Results Through three-level coding,27 initial categories,8 subcategories,and 3 main categories were sorted out,and a cancer MDT quality evaluation index system was constructed with input,process,and output as the primary evaluation indicators,and top-level design,management system,object resources,meeting preparation,meeting progress,plan implementation,patient outcomes,and hospital outcomes as the secondary evaluation indicators.Conclusion The quality evaluation index system of cancer MDT mode based on the perspective of the entire process can effectively guide practical optimization,but there is still a need for the improvement of supporting policies and information systems to assist in quality evaluation.
8.Research on Construction of Index System for the Quality Evaluation of Multidisciplinary Diagnosis and Treatment Model for Cancer on the Multi Case Coding
Yiqing MAO ; Wenjie MA ; Bowen ZHANG ; Xinrui YANG ; Shuwan CHEN ; Yafeng ZHANG ; Mengyu YANG ; Shanshan YANG ; Chengzeng WANG
Chinese Hospital Management 2024;44(7):36-41
Objective It aims to construct a quality evaluation index system for cancer multidisciplinary diagnosis and treatment(MDT)model in China from a full process perspective,providing guidance for practical application and model optimization.Methods Based on the number of MDT publications and practical situations,20 provincial-level hospitals nationwide were selected as typical cases.Rooted theory was used to extract evaluation indicators from the original text of the cases through three-level coding.A cancer MDT quality evaluation index system was constructed under the Input-Process-Output framework.Results Through three-level coding,27 initial categories,8 subcategories,and 3 main categories were sorted out,and a cancer MDT quality evaluation index system was constructed with input,process,and output as the primary evaluation indicators,and top-level design,management system,object resources,meeting preparation,meeting progress,plan implementation,patient outcomes,and hospital outcomes as the secondary evaluation indicators.Conclusion The quality evaluation index system of cancer MDT mode based on the perspective of the entire process can effectively guide practical optimization,but there is still a need for the improvement of supporting policies and information systems to assist in quality evaluation.
9.Effects of bamboo leaf flavonoids on liver injury,antioxidant function and related gene expression in rats induced by diquat
Chao WU ; Shuwan LU ; Xueyan SHI ; Caimei YANG ; Xinfu ZENG ; Ruiqiang ZHANG ; Jinsong LIU
Chinese Journal of Veterinary Science 2024;44(7):1498-1506
Bamboo leaf flavonoids(BLF)are compounds extracted from bamboo leaves,possessing properties including antioxidant,antimicrobial and anti-inflammatory properties.This study aimed to investigate the effects of BLF on liver damage,antioxidant function,and related gene expression in rats induced by diquat(DQ).Thirty-two 5-week-old male Sprague-Dawley(SD)rats were randomly divided into four experimental groups:the control group(Con),1 000 mg/kg BLF group(BLF),DQ stress group(DQ),and 1 000 mg/kg BLF+DQ stress group(BLF-DQ).The results showed that compared to the Con,the DQ group exhibited significantly decreased serum AST lev-els(P<0.05),as well as decreased levels of T-AOC,GPX,SOD,and CAT in the liver(P<0.05),and increased MDA levels in rats(P<0.05).Additionally,the gene expression levels of HO-1,GPX,CAT,SOD1,and Nrf2 in the liver were significantly reduced(P<0.05).In contrast,1 000 mg/kg BLF significantly decreased serum AST and ALT levels(P<0.05),increased levels of T-AOC,GPX,CAT,and SOD in liver(P<0.05),and significantly increased gene expression of HO-1,GPX,CAT,SOD1,Nrf2,and NQO1(P<0.05).Compared to the DQ group,BLF-DQ significant-ly decreased liver index(P<0.05),reduced serum AST and ALT levels(P<0.05),increased lev-els of CAT,GPX,and T-AOC in liver(P<0.05),decreased MDA levels(P<0.05),and signifi-cantly upregulated gene expression levels of HO-1,GPX,CAT,SOD1,and Nrf2(P<0.05).These findings indicated that BLF alleviate liver damage caused by DQ stress in rats,improve liver an-tioxidant function inhibition,activate the Nrf2 signaling pathway and PINK/Parkin mitophagy-re-lated gene expression.
10.Bacterial drug resistance situation and clinical features of urinary tract infection in children
Jianhua YU ; Shuwan ZHANG ; Kai JIA ; Weina YANG ; Lu WANG ; Juan WANG ; Huijun CAI ; Jiahua LIU ; Sancheng CAO
International Journal of Laboratory Medicine 2015;(5):633-635
Objective To analyze the basic clinical characteristics,auxiliary diagnostic indexes,bacterial infection spectrum and drug resistance of child urinary tract infection to provide the basis for the prevention,diagnosis and treatment of child UTI.Methods The clinical data in the inpatients with UTI or complicating UTI in our hospital from January 2012 to March 2014 were collected. The repeated strains were excluded.The differences in the pathogens between the patients with complicated UTI and the patients with non-complicated UTI were comprehensively analyzed.Results The onset peak of child UTI for the first time was 0 -0.5 years old.Escherichia coli ,Klebsiella and Pseudomonas aeruginosa are the major pathogens of child UTI,in which 110 strains were Escherichia coli,accounting for 52.9%.The enterobacteriaceae pathogens of UTI had higher sensitivity to carbapenems antibacterial drugs,with the resistance rate of less than 10%;the resistance rate of others detected antibacterial drugs was more than 20%.Con-clusion UTI in the children inpatients of this area has higher drug resistance rate,in the treatment of child UTI,the antibacterial drugs should be rationally used by combining the bacterial drug resistance situation in the local place and the disease severity in or-der to avoid the aggravation of bacterial drug resistance.

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