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Effect of Abdominal Massage on Gastrointestinal Outcomes of Critical Ill Patients with Enteral Feeding 腹部按摩对肠内喂养危重病人胃肠功能的影响
Pub Date : 2021-09-01 DOI: 10.26655/jmchemsci.2021.5.11
Murhaf Aldugiem, A. Abdelkader, A. El-soussi, Tayseer M. Zeitoun, Fadia A. Abdelkader, AmalSayed Ali Abdelrahem, Masouda Abd-Elhamid
Background: Life-threatening problems are risks for critically ill patients. Moreover, they need complex care with carful coordination. In addition, nutritional support considered as fundamental aspect of a standard care of critically ill patients. Objectives: We aimed at evaluating the abdominal massage effect on gastrointestinal outcomes of critical ill patients with enteral feeding.Methods: Quasi-experimental research design was used in this study. The Swedish massage technique for abdomen was carried out twice daily for five consecutive days by the trained researcher. A convenience sample of 60 critically adult males with enteral feeding participated voluntarily in the study.Results: The results of this study revealed that, gastric residual volume was low with the study group than the control group during intervention period after abdominal massage.  Also, a significant difference was noticed in last three days of the intervention between the study and control groups. Moreover, it was indicated that abdominal distension, vomiting, and constipation were low with the study group than the control group during the five consecutive days of intervention. Conclusion: This study provides promising evidence that massage of abdomen can be used with entirely fed critically ill patients to improve their gastrointestinal outcomes. This leads to a reduction in residual volume of gastric, distension of abdomen, constipation, and vomiting.
背景:危及生命的问题是危重患者的风险。此外,它们需要复杂的护理和细致的协调。此外,营养支持被认为是危重病人标准护理的基本方面。目的:探讨腹部按摩对重症肠内喂养患者胃肠功能的影响。方法:采用准实验研究设计。由训练有素的研究人员进行瑞典式腹部按摩,每天两次,连续5天。为了方便起见,60名经肠内喂养的危重成年男性自愿参加了这项研究。结果:本研究结果显示,腹部按摩后干预期,研究组胃残量低于对照组。此外,在干预的最后三天,实验组和对照组之间也有显著差异。此外,研究表明,在连续5天的干预期间,研究组的腹胀、呕吐和便秘发生率低于对照组。结论:本研究为完全喂养危重病人腹部按摩改善胃肠功能提供了有希望的证据。这导致胃残余容量减少,腹部膨胀,便秘和呕吐。
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引用次数: 1
Increase of Neutrophil-Lymphocyte Ratio (NLR) during Urologic Laparoscopic Surgery with Intraoperative Complications in Dr. Sardjito Hospital Sardjito医生医院泌尿外科腹腔镜手术伴术中并发症中性粒细胞-淋巴细胞比率(NLR)升高
Pub Date : 2021-09-01 DOI: 10.26655/jmchemsci.2021.5.13
Hidayu Permata Hardi, A. Z. Hendri, S. R. Brodjonegoro
Laparoscopy is a minimally invasive surgery using advanced technology, so the resulting surgical wound is smaller than conventional surgery. Laparoscopy, especially in the field of urology, is known to cause complications in patients. Intraoperative complications will cause physiological stress that causes an inflammatory response in the body. Neutrophils are one of the most important cells in producing the inflammatory response in the acute phase. Meanwhile, lymphocytes are the main cellular components of the immune system that are mediated by T cells and humoral cells. This study was conducted retrospectively and reviewed the patient's medical record data from intraoperative to outpatient admission. The sample included 71 patients who underwent laparoscopic urology in 2017-2019. There was a difference in NLR values between pre surgery and post-surgery (p <0.05). It is known that the postoperative NLR value is higher than preoperative. In addition, it was known that there were differences in postoperative NLR values between patients who did not experience complications and those who had complications (p < 0.05). Where there is an increase in the postoperative NLR value in patients with complications, intraoperative complications lead to increased NLR. The greater the physiological stress experienced, the higher the NLR value. Increased NLR reflects poor output.
腹腔镜手术是一种采用先进技术的微创手术,因此手术伤口比传统手术要小。腹腔镜手术,特别是在泌尿外科领域,已知会引起患者并发症。术中并发症会引起生理应激,引起体内炎症反应。中性粒细胞是急性期产生炎症反应最重要的细胞之一。同时,淋巴细胞是免疫系统的主要细胞成分,由T细胞和体液细胞介导。本研究是回顾性进行的,回顾了患者从术中到门诊入院的医疗记录数据。样本包括2017-2019年接受腹腔镜泌尿外科手术的71例患者。术后NLR值与术前比较差异有统计学意义(p <0.05)。已知术后NLR值高于术前。此外,已知无并发症患者与有并发症患者术后NLR值存在差异(p < 0.05)。并发症患者术后NLR值升高时,术中并发症导致NLR升高。生理应激越大,NLR值越高。NLR的增加反映了较差的产出。
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引用次数: 0
Effective Methods and Techniques of Teaching English to Students of Medicine 医学专业学生英语教学的有效方法与技巧
Pub Date : 2021-08-20 DOI: 10.26655/JMCHEMSCI.2021.5.9
Seyed Mohammad Ali Mansoorian, A. A. Ebrahimimehr
The study followed two fundamental aims. The first aim of the study was to explore EFL teachers’ perceptions about effective teaching and learning and its second goal was to explore participants’ beliefs about the best methods and techniques of teaching. This is a survey that used a researcher-made questionnaire to garner data from the participants. It had two main dimensions, one focusing on the nature of children’s learning, and the other was focusing on methods and techniques of language teaching. The participants were EFL male and female teachers who were selected through a convenient sampling method from some language institutes in Shiraz. To analyze the data, the researcher made use of a one-sample t-test. The results showed that teachers’ awareness about language learning and teaching was higher than average. The mean scores of the participants in all the dimensions, including traditional concepts, constructivist concepts, and humanistic concepts, were higher than average. The results also depicted that teachers’ awareness about the methods and techniques of teaching was also higher than the average domain. The participants’ mean scores in all the dimensions of the grammar-translation method, communicative approach, and teaching practices were higher than average in the communicative approach.
这项研究遵循两个基本目标。本研究的第一个目的是探讨英语教师对有效教学的看法,第二个目的是探讨参与者对最佳教学方法和技巧的看法。这是一项调查,使用研究人员制作的问卷来收集参与者的数据。它有两个主要方面,一个是关注儿童学习的本质,另一个是关注语言教学的方法和技巧。参与者是通过方便的抽样方法从设拉子的一些语言学院中选出的英语男女教师。为了分析数据,研究人员使用了单样本t检验。结果表明,教师对语言学习和教学的意识高于平均水平。被试在传统概念、建构主义概念和人文主义概念三个维度的平均得分均高于平均水平。结果还显示,教师对教学方法和技巧的认识也高于平均水平。被试在语法翻译法、交际法和教学实践三个维度的平均得分均高于交际法的平均得分。
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引用次数: 0
Physiological Basis and Limitations of Diagnosis of Synchronous Registration of Surface Electrocardiogram of Patients with Cervical Cancer 宫颈癌患者体表心电图同步登记的生理基础及诊断局限性
Pub Date : 2021-08-20 DOI: 10.26655/JMCHEMSCI.2021.5.10
V. Nesterov, V. Dmitriev, S. Igrunova, E. Nesterova, U. A. Kharchenko, O. V. Anciferov
This study highlights one of the areas of modern electrophysiology of the human heart in health and in case of cervical cancer - multichannel synchronous registration of an electrostatic field on the patient's body surface. The physiological basis of the research method, hardware, methods of data analysis and presentation of results are briefly discussed. It has been shown that the limitations of diagnosis of the proposed method of analysis and interpretation of the results of electrocardiographic study can be useful in the early diagnosis of comorbid pathology of patients with cervical cancer.
这项研究突出了现代人类心脏电生理学的一个领域,在健康和宫颈癌的情况下-多通道同步注册的静电场在病人的体表。简要讨论了研究方法的生理基础、硬件、数据分析方法和结果的呈现。已有研究表明,所提出的分析和解释心电图研究结果的诊断方法的局限性可用于宫颈癌患者共病病理的早期诊断。
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引用次数: 1
Improving the Traction and Adhesion Properties of Nano Water Sprinkling Machines Fregat in Areas with Rugged Terrain 提高纳米洒水机在崎岖地形上的牵引和附着性能
Pub Date : 2021-08-20 DOI: 10.26655/JMCHEMSCI.2021.5.8
Anatoly I. Rozantsev, I. Malko, A. Antipov, Olegovich Antipov, E. Y. Evseev
In recent years, nanotechnology has been considered a useful technology for agriculture and has been studied in the fields of water management and crop production and the use of nanotechnology in crop breeding, production, and plant protection methods. In comparison with other agricultural machinery, Nano water sprinkling machines Fregat has more difficult working conditions in terms of rutting and traction-adhesion properties due to reduced bearing capacity of wetted soils, long sprinkling machine lengths, and irrigated areas with a wide range of strength and relief characteristics. Therefore, the most important in improving multi-support sprinkling machines is, first of all, the study of the soil-relief conditions of irrigated lands and their influence on the technological and technical ways of solving the problem of its soil trafficability. Also important is the issue of adhesion of the undercarriage systems of the sprinkling machine bogies. Fregat sprinkling machine DMU-B-463-90 was used in the Lukhovitsky District of the Moscow Region. The stuhollow punchs were carried out on soddy podzolic medium loamy soils. Cleaning devices for undercarriage systems providing wheel cleaning have been proposed. According to industrial research data obtained in production conditions, all high-quality operational, technological, and reliability indicators of Fregat sprinkling machines equipped with cleaning devices have rather high values, correspond to agrotechnical requirements, and exceed similar values inherent in the serial modifications of other sprinkling machines on average by 30-35 %.
近年来,纳米技术被认为是一种有用的农业技术,在水管理和作物生产领域以及在作物育种、生产和植物保护方法中使用纳米技术进行了研究。与其他农业机械相比,由于湿土承载能力降低,喷水机长度长,灌区强度和缓动特性范围广,纳米喷水机在车辙和牵引粘附性能方面的工作条件更加困难。因此,改进多支架喷灌机最重要的是,首先要研究灌溉地的土壤松动状况及其对解决其土壤可通性问题的技术途径的影响。同样重要的是洒水机转向架起落架系统的粘附问题。Fregat洒水机DMU-B-463-90被用于莫斯科地区的Lukhovitsky区。在灰化土中壤土上进行了空心打孔试验。提出了用于提供车轮清洗的底盘系统的清洗装置。根据在生产条件下获得的工业研究数据,配备清洗装置的弗雷格特洒水机的各项高质量的操作、工艺和可靠性指标均具有较高的数值,符合农业技术要求,平均比其他洒水机系列改进型固有的类似数值高出30- 35%。
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引用次数: 0
Metabolic Changes after the Surgical Treatment of Morbid Obesity 病态肥胖手术治疗后的代谢变化
Pub Date : 2021-08-19 DOI: 10.26655/JMCHEMSCI.2021.5.7
A. A. Seypilov, E. Akhmetzhanova, K. Outlev, E. Kruchinin, I. V. Kostenko
The use of bariatric surgery in the treatment of morbid obesity is most effective for metabolic syndrome. The greatest decrease in body weight occurred in the first 3 months after intragastric balloon and biliopancreatic diversion, whereas with a laparoscopic adjustable gastric band, the best effect was observed in the period from 3 months to 1 year. With an intragastric balloon, a decrease in body weight of 6.6% was observed in the first 3 months and 13.5% after 6 months, with an average decrease in body mass index of 5.7±2.3 kg/m2. After a laparoscopic adjustable gastric band, there was a 14.1% decrease in body weight at 3 months, a 21.4% decrease at 6 months, and a 27.9% decrease in body mass index at 1 year, with a 13.3±2.5 kg/m2 decrease in body mass index. Considering intragastric balloon surgery, as early as 6 months after balloon removal, almost 33% of patients showed regain of initial body weight, and 1 year later – almost 50% of patients. It should be noted only after a laparoscopic adjustable gastric band and biliopancreatic diversion, 3 months after the operation with preservation of results 1 year after treatment, a significant reduction of systolic and diastolic blood pressure and levels of total cholesterol and low-density lipoproteins was observed. If the body mass index is over 50 kg/m2 and the metabolic syndrome is present, biliopancreatic diversion surgery is the best option also for the treatment of carbohydrate and lipid metabolism disorders, blood pressure regulation, and other diseases associated with obesity.
使用减肥手术治疗病态肥胖对代谢综合征最有效。胃内球囊和胆胰分流术后体重下降幅度最大的是前3个月,而腹腔镜下可调节胃带术后3个月至1年效果最佳。经胃内球囊治疗后,前3个月体重下降6.6%,6个月后体重下降13.5%,体重指数平均下降5.7±2.3 kg/m2。经腹腔镜可调节胃带后,3个月体重下降14.1%,6个月体重下降21.4%,1年体重指数下降27.9%,体重指数下降13.3±2.5 kg/m2。考虑到胃内球囊手术,早在球囊切除后6个月,近33%的患者恢复了初始体重,1年后,近50%的患者恢复了初始体重。需要注意的是,只有在腹腔镜胃束可调及胆胰分流术后,术后3个月,治疗1年后,观察到收缩压和舒张压以及总胆固醇和低密度脂蛋白水平的显著降低。如果身体质量指数超过50kg /m2且存在代谢综合征,胆胰分流手术也是治疗碳水化合物和脂质代谢紊乱、血压调节和其他与肥胖相关疾病的最佳选择。
{"title":"Metabolic Changes after the Surgical Treatment of Morbid Obesity","authors":"A. A. Seypilov, E. Akhmetzhanova, K. Outlev, E. Kruchinin, I. V. Kostenko","doi":"10.26655/JMCHEMSCI.2021.5.7","DOIUrl":"https://doi.org/10.26655/JMCHEMSCI.2021.5.7","url":null,"abstract":"The use of bariatric surgery in the treatment of morbid obesity is most effective for metabolic syndrome. The greatest decrease in body weight occurred in the first 3 months after intragastric balloon and biliopancreatic diversion, whereas with a laparoscopic adjustable gastric band, the best effect was observed in the period from 3 months to 1 year. With an intragastric balloon, a decrease in body weight of 6.6% was observed in the first 3 months and 13.5% after 6 months, with an average decrease in body mass index of 5.7±2.3 kg/m2. After a laparoscopic adjustable gastric band, there was a 14.1% decrease in body weight at 3 months, a 21.4% decrease at 6 months, and a 27.9% decrease in body mass index at 1 year, with a 13.3±2.5 kg/m2 decrease in body mass index. Considering intragastric balloon surgery, as early as 6 months after balloon removal, almost 33% of patients showed regain of initial body weight, and 1 year later – almost 50% of patients. It should be noted only after a laparoscopic adjustable gastric band and biliopancreatic diversion, 3 months after the operation with preservation of results 1 year after treatment, a significant reduction of systolic and diastolic blood pressure and levels of total cholesterol and low-density lipoproteins was observed. If the body mass index is over 50 kg/m2 and the metabolic syndrome is present, biliopancreatic diversion surgery is the best option also for the treatment of carbohydrate and lipid metabolism disorders, blood pressure regulation, and other diseases associated with obesity.","PeriodicalId":16365,"journal":{"name":"Journal of Medicinal and Chemical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73957021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Molecular Graphs and Molecular Hypergraphs of Organic Compounds: Comparative Analysis 有机化合物的分子图和分子超图:比较分析
Pub Date : 2021-08-17 DOI: 10.26655/JMCHEMSCI.2021.5.6
M. Skvortsova
Computer chemistry is a field of science appearing at the intersection of chemistry, mathematics and informatics. For the solution of any task in this field some mathematical representation of chemical structures is need. The most widely used approach to description of molecular structure is based on its representation as a graph G with vertices and edges corresponding to atoms and bonds of molecule. However, there may be other ways of describing the molecular structure. In this paper a number of methods to present the molecular structures of organic compounds (hydrocarbons) as hypergraphs Hk (k=1,2,…) of special type is suggested. Some results of comparison of graph and hypergraph molecular models are also given. Construction of Hk is defined by neighborhoods of k-th order for all vertices in a graph G corresponding to the carbon skeleton of molecule (k=1,2,…). Besides, analytical formulae, expressing the adjacency matrices of Hk throw adjacency matrix of corresponding graph G are obtained (k=1,2,…). The comparison of traditional graph model G and suggested hypergraph models Hk (k=1,2,…) is made by definite quantitative parameters, characterizing the efficiency of their applications in some tasks of computer chemistry. Some 4 different sets of structural formulae of hydrocarbons and 30 different quantitative parameters are used for these investigations. It is shown, that in 97% of all considered 120 cases the model H1 is superior to the model G, and in other cases these models are equivalent. However, the models Hk for k ≥ 2 are worse than G and H1. It is also shown on concrete examples, that in some cases, H1-models may be useful in constructing the structure-property correlations, since their use allows us to obtain more precise correlations than for G-models (in 75% of considered cases).
计算机化学是一门出现在化学、数学和信息学交叉领域的科学。为了解决这一领域的任何问题,都需要一些化学结构的数学表示。最广泛使用的描述分子结构的方法是将其表示为图G,其顶点和边对应于分子的原子和键。然而,可能还有其他描述分子结构的方法。本文提出了几种将有机化合物(碳氢化合物)分子结构表示为特殊类型超图Hk (k=1,2,…)的方法。并给出了图图分子模型与超图分子模型比较的一些结果。Hk的构造由图G中与分子(k=1,2,…)碳骨架对应的所有顶点的k阶邻域定义。此外,得到了表示Hk的邻接矩阵和对应图G的邻接矩阵的解析公式(k=1,2,…)。用确定的定量参数对传统图模型G和建议的超图模型Hk (k=1,2,…)进行了比较,表征了它们在计算机化学某些任务中的应用效率。这些研究使用了4套不同的碳氢化合物结构式和30种不同的定量参数。结果表明,在所有考虑的120例中,H1模型优于G模型的占97%,在其他情况下,这些模型是等效的。但当k≥2时,模型Hk较G和H1差。具体的例子也表明,在某些情况下,h1模型可能有助于构建结构-属性相关性,因为它们的使用使我们能够获得比g模型更精确的相关性(在75%的考虑情况下)。
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引用次数: 0
Place Attachment and Decisions to Move: A Study of Indian Migrants during Covid-19 Pandemic and Directions to Future Research 地方依恋和移动决定:2019冠状病毒病大流行期间印度移民的研究及未来研究方向
Pub Date : 2021-08-14 DOI: 10.26655/JMCHEMSCI.2021.5.5
Subrato Adhikari, A. Mandal, S. Guha
The relation between attachment to places and human mobility are not straightforward or linear, but is frequently indirect and mediated by social, cultural and economic drivers. Migration affects people positively, but most migratory movement are due to economic issue, financial problem, unemployment, vulnerability, stress or shocks. This migratory movement has a place attachment angle that is now becoming increasingly noticed for several times. Place attachments are based on interpersonal interaction and can alter a person's perception of risk and coping techniques in areas prone to natural disasters. The COVID-19 pandemic had a significant impact on migrants. The interplay of COVID-19 and the decline in economic activity have led to both domestic and international instability. Due to environmental change, migration explains complex interactions, hazards and unpredictability. This study examines the problems and opportunities in terms of place for the immobile population that undergo environmental degradation and clarifies its significance in the pandemic situation in Indian context.
对地方的依恋与人类流动性之间的关系不是直接或线性的,而是经常间接的,并受到社会、文化和经济驱动因素的调节。移徙对人有积极影响,但大多数移徙是由于经济问题、金融问题、失业、脆弱性、压力或冲击。这种迁移运动有一个地方依恋的角度,现在越来越多地注意到这一点。地点依恋建立在人际互动的基础上,可以改变一个人对自然灾害易发地区的风险感知和应对技巧。2019冠状病毒病大流行对移民产生了重大影响。COVID-19和经济活动下降的相互作用导致了国内和国际的不稳定。由于环境变化,移民解释了复杂的相互作用、危害和不可预测性。这项研究审查了遭受环境退化的不流动人口在地方方面的问题和机会,并阐明了其在印度大流行病形势中的重要性。
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引用次数: 1
A Review of Laboratory Studies in COVID-19 in Different Patients 不同患者COVID-19实验室研究综述
Pub Date : 2021-08-13 DOI: 10.26655/JMCHEMSCI.2021.5.4
H. Danesh, Elhamsadat Motaharian, Raheleh Alimoradzadeh, Alireza Masoudi, Mozhgan Taebi
The aim of the present study was to review the laboratory studies in COVID 19 in different patients. The outbreak of Coronavirus 2019 (COVID-19) appeared in Wuhan, China, and the reason for its increasing spread is not fully understood. According to research, COVID-19 virus, like other risk factors in any country, has many heterogeneous effects, especially in the field of environment and energy. The clinical symptoms of this disease are nonspecific and cannot be easily distinguished from other acquired pneumonias. Therefore, radiological findings and laboratory tests play an important role in the diagnosis and follow-up of the disease. Preliminary studies have shown that people with underlying diseases are at higher risk for complications and mortality from COVID-19. Approximately 50% of hospitalized patients suspected of having a new coronavirus have other chronic diseases, and about 40% of hospitalized patients with confirmed new SARS-CoV-2 infection have heart disease. They are vascular or cerebrovascular. The researchers have also found a large difference in mortality by age group.
本研究的目的是回顾不同患者的COVID - 19实验室研究。2019冠状病毒肺炎(COVID-19)在中国武汉爆发,其传播加剧的原因尚不完全清楚。根据研究,COVID-19病毒与任何国家的其他风险因素一样,具有许多异质性影响,特别是在环境和能源领域。该病的临床症状无特异性,不易与其他获得性肺炎区分。因此,放射学检查和实验室检查在该病的诊断和随访中起着重要作用。初步研究表明,患有基础疾病的人患COVID-19并发症和死亡的风险更高。在疑似感染新型冠状病毒的住院患者中,约50%患有其他慢性疾病,在确诊感染新型SARS-CoV-2的住院患者中,约40%患有心脏病。它们是血管或脑血管。研究人员还发现,不同年龄组的死亡率存在很大差异。
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引用次数: 2
The Chinese Private Medical Service Providers: A Review 中国民营医疗服务机构:综述
Pub Date : 2021-07-31 DOI: 10.26655/JMCHEMSCI.2021.5.3
Yuaner Ma, Juhaini Jabar
In the past 20 years, the number of private medical institutions in China has increased rapidly, the technology has been upgraded and the scale has been expanded. Domestic medical service giants, specialty chains, international medical and diversified institutions have entered the private sector. The trend of value-based healthcare is emerging. The diversified pattern of running hospitals has taken shape. The global trend of value-based healthcare has also brought opportunities for differentiated development of private medical institutions in China, which promotes the transformation from "quantitative change" to "qualitative change". The influx of diversified social capital helps the expansion and integration of medium and high-end private hospitals. The investment in private hospitals and public hospitals in China's capital market has shown unprecedented growth; the diversified capital structure composed of investment institutions, pharmaceutical groups, insurance funds and pharmaceutical-related industrial chain enterprises has become the core driving force for the sustainable development of China's private medical institutions.
近20年来,中国民营医疗机构数量迅速增加,技术不断升级,规模不断扩大。国内医疗服务巨头、专业连锁、国际医疗多元化机构纷纷进入民营领域。以价值为基础的医疗保健趋势正在出现。多元化的办学格局初步形成。价值医疗的全球趋势也为中国民营医疗机构的差异化发展带来了机遇,促进了从“量变”到“质变”的转变。多元化社会资本的涌入,有利于中高端民营医院的扩张与整合。中国资本市场对民营医院和公立医院的投资呈现前所未有的增长态势;由投资机构、医药集团、保险基金、医药相关产业链企业组成的多元化资本结构,成为中国民营医疗机构可持续发展的核心动力。
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引用次数: 0
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Journal of Medicinal and Chemical Sciences
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