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1.
Org Lett ; 21(13): 5051-5054, 2019 07 05.
Artículo en Inglés | MEDLINE | ID: mdl-31199154

RESUMEN

Ochrocephalamines B-D (1-3), composed of fused quinolizidine and octahydroquinoline rings, were isolated from Oxytropis ochrocephala Bunge. Ochrocephalamine B (1) has a unique bridged tetracyclic ring skeleton fused with a lactam ring. The structures of 1-3 were elucidated using spectroscopic and computational approaches. Ochrocephalamine C (2) and D (3) demonstrated potent anti-HBV activities and are more potent against the secretion of HBeAg than that of HBsAg.


Asunto(s)
Alcaloides/química , Oxytropis/química , Modelos Moleculares , Conformación Molecular
2.
J Nat Prod ; 77(12): 2590-4, 2014 Dec 26.
Artículo en Inglés | MEDLINE | ID: mdl-25427242

RESUMEN

Three indole alkaloid glycosides, strobilanthosides A-C (1-3), two known indole alkaloid glucosides (4 and 5), and five phenylethanoid glycosides (8-10) were isolated from the aerial parts of Strobilanthes cusia. The structures of the new compounds were elucidated by spectrometric analysis, and the absolute configurations of 1 and 2 were established by ECD spectrocsopy. N'-ß-d-Glucopyranosylindirubin (5) showed weak antibacterial activity (MIC 62.5-125 µM) against Staphylococcus aureus.


Asunto(s)
Acanthaceae/química , Antibacterianos/aislamiento & purificación , Medicamentos Herbarios Chinos/aislamiento & purificación , Glicósidos/aislamiento & purificación , Alcaloides Indólicos/aislamiento & purificación , Antibacterianos/química , Antibacterianos/farmacología , Medicamentos Herbarios Chinos/química , Medicamentos Herbarios Chinos/farmacología , Glicósidos/química , Glicósidos/farmacología , Alcaloides Indólicos/química , Alcaloides Indólicos/farmacología , Pruebas de Sensibilidad Microbiana , Estructura Molecular , Resonancia Magnética Nuclear Biomolecular , Staphylococcus aureus/efectos de los fármacos
3.
Chin J Nat Med ; 12(8): 623-7, 2014 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-25156289

RESUMEN

AIM: To study the bufadienolides in the Chinese traditional drug "Ch'an Su" and their cytotoxic activity. METHOD: Various chromatographic techniques were used to isolate the constituents, and their structures were elucidated through physical and spectroscopic data. RESULTS: Twenty compounds were isolated, and eighteen were evaluated in vitro for their cytotoxic activity against A-549 and K-562 cells. CONCLUSION: Compound 1 (bufalin 3ß-acrylic ester) was a new bufadienolide and exhibited the most potent activity against the two tumor cell lines with IC50 values of 7.16 and 6.83 nmol · L(-1). The relationships between structure and activity are discussed.


Asunto(s)
Venenos de Anfibios/uso terapéutico , Antineoplásicos/uso terapéutico , Productos Biológicos/uso terapéutico , Bufanólidos/uso terapéutico , Neoplasias/tratamiento farmacológico , Venenos de Anfibios/química , Venenos de Anfibios/farmacología , Antineoplásicos/química , Antineoplásicos/aislamiento & purificación , Antineoplásicos/farmacología , Productos Biológicos/química , Productos Biológicos/farmacología , Bufanólidos/química , Bufanólidos/aislamiento & purificación , Bufanólidos/farmacología , Humanos , Concentración 50 Inhibidora , Células K562 , Medicina Tradicional China , Estructura Molecular , Relación Estructura-Actividad
4.
Phytochemistry ; 103: 171-177, 2014 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-24766994

RESUMEN

Two diarylheptanoids, musaitinerins A and B, one heterodimeric phenylphenalenone musaitinerone and four known phenylphenalenones, identified as 4-hydroxy-2-methoxy-9-phenyl-1H-phenalen-1-one, musanolone E, hydroxyanigorufone and irenolone were isolated from the fruits of Musa itinerans Cheesm. Their structures were elucidated using spectroscopic analyses. The antimicrobial activity of these compounds was evaluated against Escherichia coli, Staphylococcus aureus and Candida albicans; the cytotoxic activity of these compounds was also evaluated against human erythromyeloblastoid leukemia (K562) and human alveolar carcinoma epithelial (A549) cell lines, respectively. Musaitinerone and musanolone E exhibited weak effects against the A549 cell line, as compared with adriamycin. However, these two compounds did not exhibit any growth inhibition against K562 cells, S. aureus, E. coli or C. albicans. The other compounds were inactive against all of the tested cell lines and microorganisms, even at concentrations as high as 50 µM.


Asunto(s)
Diarilheptanoides/química , Diarilheptanoides/farmacología , Frutas/química , Musa/química , Fenalenos/química , Fenalenos/farmacología , Extractos Vegetales/química , Extractos Vegetales/farmacología , Antiinfecciosos/química , Antiinfecciosos/farmacología , Antineoplásicos Fitogénicos , Candida albicans/efectos de los fármacos , Línea Celular Tumoral , Supervivencia Celular/efectos de los fármacos , Escherichia coli/efectos de los fármacos , Humanos , Staphylococcus aureus/efectos de los fármacos
5.
Artículo en Chino | MEDLINE | ID: mdl-25782254

RESUMEN

OBJECTIVE: To understand the dynamic status of schistosomiasis epidemic situation and Oncomelania hupensis snail status before and after the schistosomiasis transmission interrupted in the mountainous areas of Yunnan Province. METHODS: The data of schistosomiasis epidemic situation and snail status were collected and analyzed statistically in Jianchuan County from 10 years before the schistosomiasis transmission interrupted to 2008. RESULTS: The schistosomiasis control began in Jianchuan County from 1954. In 1976, the criteria of schistosomiasis endemic controlled were reached, and the infection rate of population was 0.65% and the infection rate of snails was 0.40%. In 1981, the criteria of schistosomiasis transmission controlled were reached, and the infection rate of population was 0.34% and the infection rate of snails was 1.41%. In 1993, the criteria of schistosomiasis transmission interrupted were reached, and the infection rate of population was 0 and the infection rate of snails was 0. There was a fluctuation in the schistosomiasis epidemic situation and snail status during the whole control duration, but the trend was decreasing. CONCLUSION: The time from schistosomiasis endemic controlled to transmission controlled is relatively short, but the time from transmission controlled to transmission interrupted is relatively long. In the original schistosomiasis endemic areas, there might be some areas where there is no the disease bud there still are snails.


Asunto(s)
Enfermedades de los Bovinos/epidemiología , Esquistosomiasis/epidemiología , Esquistosomiasis/veterinaria , Adolescente , Adulto , Anciano , Animales , Bovinos , Enfermedades de los Bovinos/parasitología , Enfermedades de los Bovinos/prevención & control , China/epidemiología , Reservorios de Enfermedades/parasitología , Enfermedades Endémicas/prevención & control , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Schistosoma/fisiología , Esquistosomiasis/parasitología , Esquistosomiasis/prevención & control , Caracoles/crecimiento & desarrollo , Caracoles/parasitología , Adulto Joven
6.
Planta Med ; 79(8): 693-6, 2013 May.
Artículo en Inglés | MEDLINE | ID: mdl-23576174

RESUMEN

Two new mono- and four new dimeric alkenylphenols, namely sarmentosumols A to F (1-6), were isolated from the aerial parts of Piper sarmentosum. The structures of these compounds were determined through a detailed analysis of NMR and MS data. Their antimicrobial activity against Escherichia coli, Staphyloccocus aureus, and Candida albicans, and their cytotoxic activity against human myeloid leukemia (K562) and human lung adenocarcinoma (A549) cell lines were also evaluated. Except for sarmentosumol A (1), whose MIC on S. aureus was reported to be 7.0 µg/mL, none of the other newly discovered compounds exhibited antimicrobial property. The studied compounds did not possess any cytotoxic property.


Asunto(s)
Antiinfecciosos/aislamiento & purificación , Fenoles/aislamiento & purificación , Piper/química , Antiinfecciosos/química , Antiinfecciosos/farmacología , Línea Celular Tumoral , Dimerización , Ensayos de Selección de Medicamentos Antitumorales , Humanos , Espectroscopía de Resonancia Magnética , Pruebas de Sensibilidad Microbiana , Fenoles/química , Fenoles/farmacología , Espectrometría de Masa por Ionización de Electrospray
7.
J Nat Prod ; 76(4): 732-6, 2013 Apr 26.
Artículo en Inglés | MEDLINE | ID: mdl-23544451

RESUMEN

A new complex natural product with a C39 skeleton, named nudibaccatumone, and the known sesquiterpenes (+)-spathulenol, (-)-4ß,10α-aromadendranediol, and ent-T-muurolol, as well as the phenylpropanoid hydroxychavicol, were isolated from the aerial parts of Piper nudibaccatum. The structure and absolute configuration of nudibaccatumone were elucidated using spectroscopic methods and ECD calculations. A 1,8-Michael addition reaction and an intermolecular, inverse electron demand Diels-Alder reaction are proposed as the key steps in the biosynthesis of nudibaccatumone.


Asunto(s)
Medicamentos Herbarios Chinos/aislamiento & purificación , Fenilpropionatos/aislamiento & purificación , Piper/química , Sesquiterpenos/aislamiento & purificación , Candida albicans/efectos de los fármacos , Ensayos de Selección de Medicamentos Antitumorales , Medicamentos Herbarios Chinos/química , Medicamentos Herbarios Chinos/farmacología , Escherichia coli/efectos de los fármacos , Humanos , Pruebas de Sensibilidad Microbiana , Estructura Molecular , Fenilpropionatos/química , Fenilpropionatos/farmacología , Sesquiterpenos/química , Sesquiterpenos/farmacología , Sesquiterpenos de Guayano , Staphylococcus aureus/efectos de los fármacos , Terpenos
8.
Zhong Yao Cai ; 36(7): 1092-6, 2013 Jul.
Artículo en Chino | MEDLINE | ID: mdl-24417144

RESUMEN

OBJECTIVE: To investigate the chemical constituents of Euphorbia helioscopia and their antitumor activities. METHODS: Normal phase silica gel, RP-18 silica gel and Sephadex LH-20 column chromatographies combined with recrystallization were used to isolate and purify the constituents. Their structures were identifided by spectroscopic methods, including 1H-NMR, 13C-NMR, ESI-MS and EI-MS. And the antitumor activities of some of chemical constituents in vitro were detected by sulphorhodamine B protein staining. RESULTS: Nine compounds were isolated and their structures were identified as euphohelioscopin A (1), euphoscopin (2), 9, 19-cyclolanost-23E-ene-3, 25-diol (3), euphoscopin C (4), euphornin A (5), euphoheliosnoid A (6), ent-kaurane-3-oxo-16beta, 17-diol (7), 9, 19-cyclolanost-25-ene-3beta, 22-diol (8) and helioscopinolide A(9) Compound 9 showed effect on inhibiting the cell proliferations of MCF-7 cell line. CONCLUSION: Compounds 3, 7, 8 and 9 are obtained from this plant for the first time, and compound 9 shows the potential antitumor activity.


Asunto(s)
Abietanos/aislamiento & purificación , Abietanos/farmacología , Medicamentos Herbarios Chinos/aislamiento & purificación , Medicamentos Herbarios Chinos/farmacología , Euphorbia/química , Abietanos/química , Antineoplásicos Fitogénicos/aislamiento & purificación , Antineoplásicos Fitogénicos/farmacología , Neoplasias de la Mama/patología , Proliferación Celular/efectos de los fármacos , Medicamentos Herbarios Chinos/química , Femenino , Humanos , Células MCF-7 , Espectroscopía de Resonancia Magnética , Estructura Molecular , Plantas Medicinales/química
9.
Planta Med ; 78(1): 65-70, 2012 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-21858757

RESUMEN

Twelve isoquinoline alkaloids including two new nitro-containing tetrahydroprotoberberines, (-)-2,9-dihydroxyl-3,11-dimethoxy-1,10-dinitrotetrahydroprotoberberine (1) and (+)-4-nitroisoapocavidine (2), were isolated from the whole plant of Corydalis saxicola Bunting. The structures of the new compounds were established by spectroscopic analysis and chemical evidence. The inhibitory activity of these isolates against cholinesterase and canine parvovirus were evaluated. Compounds 1 and 1A, (+)-1-nitroapocavidine (5), berberine (8), palmatine (9), dehydrocavidine (10), and sanguinarine (11) showed potent inhibitory activity against acetylcholinesterase with IC(50) values of less than 10 µM, while only compound 1 possessed weak activity against canine parvovirus. Structure-activity studies demonstrated that the nitro substituents at ring A in the tetrahydroprotoberberines led to an increase in the anti-acetylcholinesterase activity.


Asunto(s)
Alcaloides de Berberina/farmacología , Inhibidores de la Colinesterasa/farmacología , Corydalis/química , Parvovirus/efectos de los fármacos , Extractos Vegetales/farmacología , Acetilcolinesterasa/metabolismo , Animales , Antivirales/química , Antivirales/aislamiento & purificación , Antivirales/farmacología , Alcaloides de Berberina/química , Alcaloides de Berberina/aislamiento & purificación , Inhibidores de la Colinesterasa/química , Inhibidores de la Colinesterasa/aislamiento & purificación , Perros , Estructura Molecular , Extractos Vegetales/química , Relación Estructura-Actividad
10.
Nat Prod Res ; 25(15): 1418-22, 2011 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-20234973

RESUMEN

In a bioassay-guided search for acetylcholinesterase (AChE) inhibitors from Chinese natural resources, eight isoquinoline alkaloids, tetrahydropalmatine (1), corydaline (2), protopine (3), berberine (4), palmatine (5), jatrorrhizine (6), coptisine (7) and dehydrocorydaline (8), were isolated from the methanolic extract of the tubers of Corydalis yanhusuo. Structures of these compounds were identified by spectroscopic techniques. Compounds 4-8 inhibited AChE activity in a dose-dependent manner, and the IC50 values were 0.47 ± 0.01, 0.74 ± 0.06, 2.08 ± 0.09, 1.01 ± 0.03 and 0.62 ± 0.05 µM, respectively. Structure-activity relationship analysis suggested that aromatisation at ring C, as well as substitutions at C-2, C-3, C-9, C-10 and C-13 affect the AChE activity of protoberberine alkaloids.


Asunto(s)
Acetilcolinesterasa/efectos de los fármacos , Inhibidores de la Colinesterasa/farmacología , Corydalis/química , Bioensayo , Inhibidores de la Colinesterasa/química , Inhibidores de la Colinesterasa/aislamiento & purificación , Cromatografía en Capa Delgada , Relación Dosis-Respuesta a Droga , Concentración 50 Inhibidora , Espectroscopía de Resonancia Magnética , Estructura Molecular , Espectrometría de Masa por Ionización de Electrospray
11.
J Nat Prod ; 74(3): 464-9, 2011 Mar 25.
Artículo en Inglés | MEDLINE | ID: mdl-21192108

RESUMEN

Phytochemical study of the roots of Trigonostemon thyrsoideum led to the isolation of four new oxygenated daphnane-type diterpenoids, trigonosins A-D (1-4), and two new modified daphnanes, trigonosins E and F (5 and 6). The structures and relative configurations were elucidated on the basis of extensive spectroscopic analysis, including 1D and 2D NMR experiments. All compounds isolated were evaluated for their cytotoxicity against HL-60, A549, and MCF-7 human cancer cell lines.


Asunto(s)
Antineoplásicos Fitogénicos/aislamiento & purificación , Antineoplásicos Fitogénicos/farmacología , Diterpenos/aislamiento & purificación , Diterpenos/farmacología , Medicamentos Herbarios Chinos/aislamiento & purificación , Medicamentos Herbarios Chinos/farmacología , Euphorbiaceae/química , Antineoplásicos Fitogénicos/química , Diterpenos/química , Ensayos de Selección de Medicamentos Antitumorales , Medicamentos Herbarios Chinos/química , Células HL-60 , Humanos , Estructura Molecular , Resonancia Magnética Nuclear Biomolecular , Raíces de Plantas/química
12.
Org Lett ; 12(17): 3922-5, 2010 Sep 03.
Artículo en Inglés | MEDLINE | ID: mdl-20690613

RESUMEN

Palhinine A, a novel C(16)N-type Lycopodium alkaloid with a unique 5/6/6/9 tetracyclic ring system, was isolated from the whole plant of Palhinhaea cernua L. (Lycopodiaceae). Its structure was elucidated by spectroscopic methods, and the absolute configuration was determined by single-crystal X-ray diffraction analysis using the Flack parameter. Palhinine A is reported as the first example of Lycopodium alkaloids of which C-16 is fused to a new ring through a C-16-C-4 lingkage.


Asunto(s)
Alcaloides/química , Alcaloides/aislamiento & purificación , Antineoplásicos Fitogénicos/química , Antineoplásicos Fitogénicos/aislamiento & purificación , Lycopodium/química , Acetilcolinesterasa/efectos de los fármacos , Alcaloides/farmacología , Antineoplásicos Fitogénicos/farmacología , Cristalografía por Rayos X , Ensayos de Selección de Medicamentos Antitumorales , Humanos , Células K562 , Conformación Molecular , Estructura Molecular , Resonancia Magnética Nuclear Biomolecular
13.
J Nat Prod ; 72(6): 1151-4, 2009 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-19422203

RESUMEN

Eight new pyrrolidinoindoline alkaloids (1-8) were isolated from the whole plant of Selaginella moellendorfii. Their structures were determined by mass spectrometry, 1D and 2D NMR spectroscopy, and chemical interconversions. These alkaloids have a 3-carboxybut-2-enyl group at C-3a and two methyl groups at N-8. The possible biogenetic route from selaginellic acid (1) to neoselaginellic acid (6) was postulated and chemically mimicked. Tautomerization between 6 and 6a was observed. Selected compounds were evaluated for antibacterial, cytotoxic, and acetylcholinesterase inhibitory activities.


Asunto(s)
Medicamentos Herbarios Chinos/aislamiento & purificación , Alcaloides Indólicos/aislamiento & purificación , Pirrolidinas/aislamiento & purificación , Selaginellaceae/química , Inhibidores de la Colinesterasa/química , Inhibidores de la Colinesterasa/aislamiento & purificación , Inhibidores de la Colinesterasa/farmacología , Ensayos de Selección de Medicamentos Antitumorales , Medicamentos Herbarios Chinos/química , Medicamentos Herbarios Chinos/farmacología , Escherichia coli/efectos de los fármacos , Humanos , Alcaloides Indólicos/química , Alcaloides Indólicos/farmacología , Pruebas de Sensibilidad Microbiana , Estructura Molecular , Resonancia Magnética Nuclear Biomolecular , Pirrolidinas/química , Pirrolidinas/farmacología , Staphylococcus aureus/efectos de los fármacos
14.
Org Lett ; 9(25): 5279-81, 2007 Dec 06.
Artículo en Inglés | MEDLINE | ID: mdl-17994756

RESUMEN

Hostasinine A (1), a benzylphenethylamine alkaloid with an unprecedented skeleton featuring a C-4-C-6 linkage and a nitrone moiety, was isolated from Hosta plantaginea. Its structure was established on the basis of spectroscopic data, and was further confirmed by single-crystal X-ray diffraction. The alkaloid was postulated biogenetically from haemanthidine via N-oxidation and aza-aldol-type condensation and was synthesized biomimetically. The inhibitory activities of 1 on acetylcholinesterase (AChE) and two tumor cell lines (K562 and A549) were also evaluated.


Asunto(s)
Alcaloides/química , Benceno/química , Materiales Biomiméticos/síntesis química , Hosta/química , Fenetilaminas/química , Ácidos/química , Materiales Biomiméticos/química , Estructura Molecular , Fenetilaminas/síntesis química
15.
J Nat Prod ; 70(9): 1458-61, 2007 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-17822295

RESUMEN

Five new benzylphenethylamine alkaloids, hostasine (1), 8-demethoxyhostasine, 8-demethoxy-10-O-methylhostasine, 10-O-methylhostasine, and 9-O-demethyl-7-O-methyllycorenine, along with 12 known compounds, were isolated from Hosta plantaginea by bioassay-guided fractionation. The structures of the new alkaloids were established by means of extensive spectroscopic methods, and the relative configuration of 1 was further confirmed by single-crystal X-ray diffraction. 7-Deoxy-trans-dihydronarciclasine (IC(50) = 1.80 microM), a known alkaloid, showed strong activity against tobacco mosaic virus by the half-leaf method. Some of these alkaloids were also evaluated for their inhibitory activity against acetylcholinesterase. 8-Demethoxy-10-O-methylhostasine was found to possess significant activity, with an IC(50) of 2.32 microM.


Asunto(s)
Acetilcolinesterasa/efectos de los fármacos , Antivirales/aislamiento & purificación , Antivirales/farmacología , Inhibidores de la Colinesterasa/aislamiento & purificación , Inhibidores de la Colinesterasa/farmacología , Hosta/química , Plantas Medicinales/química , Virus del Mosaico del Tabaco/efectos de los fármacos , Antivirales/química , Inhibidores de la Colinesterasa/química , Cristalografía por Rayos X , Conformación Molecular , Estructura Molecular
16.
J Nat Prod ; 70(8): 1352-5, 2007 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-17655260

RESUMEN

Four new trijugin-type limonoids, cipatrijugins A-D (1-4), together with the known cipadesin A (5), were isolated from the leaves of Cipadessa cinerascens, and their structures were elucidated on the basis of spectroscopic and computational methods. The ability of compounds 1-5 to inhibit the growth of the A549 and K562 tumor cell lines was evaluated.


Asunto(s)
Antineoplásicos Fitogénicos/aislamiento & purificación , Medicamentos Herbarios Chinos/aislamiento & purificación , Limoninas/aislamiento & purificación , Meliaceae/química , Plantas Medicinales/química , Antineoplásicos Fitogénicos/química , Antineoplásicos Fitogénicos/farmacología , Ensayos de Selección de Medicamentos Antitumorales , Medicamentos Herbarios Chinos/química , Medicamentos Herbarios Chinos/farmacología , Humanos , Limoninas/química , Limoninas/farmacología , Estructura Molecular , Hojas de la Planta/química
17.
Biochimie ; 88(10): 1331-42, 2006 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-16793192

RESUMEN

Group IIA phospholipase A(2) (PLA(2)) are major components in Viperidae/Crotalidae venom. In the present study, a novel PLA(2) named promutoxin with Arg at the site 49 has been purified from the venom of Protobothrops mucrosquamatus by chromatography. It consists of 122 amino acid residues with a molecular mass of 13,656 Da assessed by MALDI-TOF. It has the structural features of snake venom group IIA PLA(2)s, but has no PLA(2) enzymatic activity. Promutoxin shows higher amino acid sequence identity to the K49 PLA(2)s (72-95%) than to D49 PLA(2)s (52-58%). Promutoxin exhibits potent myotoxicity in the animal model with as little as 1 microg of promutoxin causing myonecrosis and myoedema in the gastrocnemius muscle of mice. Promutoxin is also able to stimulate the release of IL-12, TNFalpha, IL-6 and IL-1beta from human monocytes, and induce IL-2, TNFalpha and IL-6 release from T cells, indicating that this snake venom group IIA PLA(2) is actively involved in the inflammatory process in man caused by snake venom poisoning.


Asunto(s)
Venenos de Crotálidos/enzimología , Citocinas/metabolismo , Fosfolipasas A/química , Fosfolipasas A/farmacología , Secuencia de Aminoácidos , Animales , Antibacterianos/farmacología , Arginina , Secuencia de Bases , Humanos , Datos de Secuencia Molecular , Peso Molecular , Monocitos/efectos de los fármacos , Monocitos/inmunología , Fosfolipasas A/aislamiento & purificación , Ratas , Ratas Wistar , Espectrometría de Masa por Láser de Matriz Asistida de Ionización Desorción , Linfocitos T/efectos de los fármacos , Linfocitos T/inmunología
18.
Int J Nurs Stud ; 42(7): 723-31, 2005 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-16084920

RESUMEN

The purpose of this pilot project was to establish a discharge-planning model and evaluate its effectiveness. Orthopedic patients who scored 7 or above on a high-risk screening form were recruited for the project. Case managers served as discharge planners, and handled the following procedures: screening of patients, drawing up of the discharge plan, providing pre-discharge instructions, coordinating resources and services, and telephone follow-up. Results showed that discharge planning improved both the completion rate of pre-discharge instructions and patient satisfaction with discharge planning. It is suggested that, in future research, experimental studies could be used to examine the effectiveness of discharge planning. The study showed the importance of dedicated case managers for improving the effectiveness of discharge planning.


Asunto(s)
Manejo de Caso , Alta del Paciente , Autocuidado , Anciano , Manejo de Caso/organización & administración , Femenino , Humanos , Masculino , Modelos de Enfermería , Satisfacción del Paciente , Proyectos Piloto , Evaluación de Programas y Proyectos de Salud , Taiwán
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