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Relationship between different surgical methods,hemorrhage position,hemorrhage volume,surgical timing,and treatment outcome of hypertensive intracerebral hemorrhage 被引量:114
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作者 Feng-ling Chi Tie-cheng Lang +4 位作者 Shu-jie Sun Xue-jie Tang Shu-yuan Xu Hong-bo Zheng Hui-song Zhao 《World Journal of Emergency Medicine》 CAS 2014年第3期203-208,共6页
BACKGROUND:The present study aimed to explore the relationship between surgical methods,hemorrhage position,hemorrhage volume,surgical timing and treatment outcome of hypertensive intracerebral hemorrhage(HICH).METHOD... BACKGROUND:The present study aimed to explore the relationship between surgical methods,hemorrhage position,hemorrhage volume,surgical timing and treatment outcome of hypertensive intracerebral hemorrhage(HICH).METHODS:A total of 1 310 patients,who had been admitted to six hospitals from January 2004 to January 2008,were divided into six groups according to different surgical methods:craniotomy through bone fl ap(group A),craniotomy through a small bone window(group B),stereotactic drilling drainage(group C1 and group C2),neuron-endoscopy operation(group D) and external ventricular drainage(group E) in consideration of hemorrhage position,hemorrhage volume and clinical practice. A retrospective analysis was made of surgical timing and curative effect of the surgical methods.RESULTS:The effectiveness rate of the methods was 74.12% for 1 310 patients after onemonth follow-up. In this series,the disability rate was 44.82% 3–6 months after the operation. Among the 1 310 patients,241(18.40%) patients died after the operation. If hematoma volume was >80 mL and the operation was performed within 3 hours,the mortality rate of group A was signifi cantly lower than that of groups B,C,D,and E(P<0.05). If hematoma volume was 50–80 mL and the operation was performed within 6–12 hours,the mortality rate of groups B and D was lower than that of groups A,C and E(P<0.05). If hematoma volume was 20–50 mL and the operation was performed within 6–24 hours,the mortality rate of group C was lower than that of groups A,B and D(P<0.05).CONCLUSIONS:Craniotomy through a bone f lap is suitable for patients with a large hematoma and hernia of the brain. Stereotactic drilling drainage is suggested for patients with hematoma volume less than 80 mL. The curative effect of HICH individualized treatment would be improved via the suitable selection of operation time and surgical method according to the position and volume of hemorrhage. 展开更多
关键词 Hypertensive intracerebral hemorrhage Hemorrhage position Hemorrhage volume Surgical timing Stereotactic drilling drainage Treatment effect Individualized Polycentric
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Persistence and clearance of viral RNA in 2019 novel coronavirus disease rehabilitation patients 被引量:63
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作者 Yun ling Shui-Bao Xu +13 位作者 Yi-Xiao Lin Di Tian Zhao-Qin Zhu Fa-Hui Dai Fan Wu Zhi-Gang song Wei Huang Jun Chen Bi-Jie Hu Sheng Wang En-Qiang Mao Lei Zhu Wen-Hong Zhang Hong-Zhou Lu 《Chinese Medical Journal》 SCIE CAS CSCD 2020年第9期1039-1043,共5页
Background:A patient’s infectivity is determined by the presence of the virus in different body fluids,secretions,and excreta.The persistence and clearance of viral RNA from different specimens of patients with 2019 ... Background:A patient’s infectivity is determined by the presence of the virus in different body fluids,secretions,and excreta.The persistence and clearance of viral RNA from different specimens of patients with 2019 novel coronavirus disease(COVID-19)remain unclear.This study analyzed the clearance time and factors influencing 2019 novel coronavirus(2019-nCoV)RNA in different samples from patients with COVID-19,providing further evidence to improve the management of patients during convalescence.Methods:The clinical data and laboratory test results of convalescent patients with COVID-19 who were admitted to from January 20,2020 to February 10,2020 were collected retrospectively.The reverse transcription polymerase chain reaction(RT-PCR)results for patients’oropharyngeal swab,stool,urine,and serum samples were collected and analyzed.Convalescent patients refer to recovered non-febrile patients without respiratory symptoms who had two successive(minimum 24 h sampling interval)negative RT-PCR results for viral RNA from oropharyngeal swabs.The effects of cluster of differentiation 4(CD4)+T lymphocytes,inflammatory indicators,and glucocorticoid treatment on viral nucleic acid clearance were analyzed.Results:In the 292 confirmed cases,66 patients recovered after treatment and were included in our study.In total,28(42.4%)women and 38 men(57.6%)with a median age of 44.0(34.0-62.0)years were analyzed.After in-hospital treatment,patients’inflammatory indicators decreased with improved clinical condition.The median time from the onset of symptoms to first negative RT-PCR results for oropharyngeal swabs in convalescent patients was 9.5(6.0-11.0)days.By February 10,2020,11 convalescent patients(16.7%)still tested positive for viral RNA from stool specimens and the other 55 patients’stool specimens were negative for 2019-nCoV following a median duration of 11.0(9.0-16.0)days after symptom onset.Among these 55 patients,43 had a longer duration until stool specimens were negative for viral RNA than for throat swabs,with 展开更多
关键词 COVID-19 2019-nCoV Nucleic acid detection GLUCOCORTICOID
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问题提出:基本蕴涵与教育价值 被引量:51
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作者 张玲 宋乃庆 蔡金法 《中国电化教育》 CSSCI 北大核心 2019年第12期31-39,共9页
问题提出逐渐成为各国各学科课程、教学改革关注的焦点之一。问题提出是基于特定的问题情境形成并表达问题的认知活动,同时兼具教学手段和教学目标的角色。该文从“认知活动”“教学手段”和“教学目标”三个方面审视问题提出的内涵与... 问题提出逐渐成为各国各学科课程、教学改革关注的焦点之一。问题提出是基于特定的问题情境形成并表达问题的认知活动,同时兼具教学手段和教学目标的角色。该文从“认知活动”“教学手段”和“教学目标”三个方面审视问题提出的内涵与研究发展概貌,剖析问题提出的功能与产生价值的原因,以期勾勒出问题提出内涵与意义的整体概貌,为读者提纲挈领地、深入地认识问题提出提供线索与门径。研究发现作为高认知需求的问题提出活动,具有实现学习机会的公平化与最大化、促进和反观学生知识理解、提高学生问题解决能力、激发学生创造力和促进学生非认知能力的教育价值。 展开更多
关键词 问题提出 教学手段 教学目标 教育价值
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重新认识真实世界数据研究:更新与展望 被引量:50
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作者 王雯 谭婧 +14 位作者 任燕 李玲 沈传勇 田春华 宋海波 王涛 高培 彭晓霞 温泽淮 舒啸尘 王丽 刘梅 何俏 邹康 孙鑫 《中国循证医学杂志》 CSCD 北大核心 2020年第11期1241-1246,共6页
真实世界数据研究近年来发展迅速,但目前对其认识和理解仍然还存在诸多误区。为推动真实世界数据研究的标准化,本文对真实世界数据的分类进行了更新和进一步明确,提出了真实世界数据研究的两种常用模式,构建了研究型数据体系框架,尤其... 真实世界数据研究近年来发展迅速,但目前对其认识和理解仍然还存在诸多误区。为推动真实世界数据研究的标准化,本文对真实世界数据的分类进行了更新和进一步明确,提出了真实世界数据研究的两种常用模式,构建了研究型数据体系框架,尤其厘清了对登记数据库的误区和问题,对真实世界数据研究的未来发展方向进行了展望。 展开更多
关键词 真实世界数据与研究 研究型数据体系 标准化
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Helicobacter pylori infection generated gastric cancer through p53-Rb tumor-suppressor system mutation and telomerase reactivation 被引量:39
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作者 Jing Lan Yong-Yan Xiong Yi-Xian Lin Bi-Cheng Wang ling-ling Gong Hui-Sen Xu Guang-song Guo Department of Pathology,Zhongnan Hospital,Wuhan University,Wuhan city 430071,Hubei Province,China 《World Journal of Gastroenterology》 SCIE CAS CSCD 2003年第1期54-58,共5页
AIM: To investigate the relationship between Helicobacterpylori (H. pylori) infection and the expressions of the p53,Rb, c-myc, bcl-2 and hTERT mRNA in a series of diseasesfrom chronic gastritis (CG), intestinal metap... AIM: To investigate the relationship between Helicobacterpylori (H. pylori) infection and the expressions of the p53,Rb, c-myc, bcl-2 and hTERT mRNA in a series of diseasesfrom chronic gastritis (CG), intestinal metaplasia type Ⅰ or Ⅱ(IMⅠ-Ⅱ), intestinal metaplasia type Ⅲ (IMⅢ), mild or modestdysplasia (DysⅠ-Ⅱ), severe dysplasia (DysⅢ) to gastric cancer(GC) and to elucidate the mechanism of gastriccarcinogenesis relating to H.pyloriinfection.METHODS: 272 cases between 1998 and 2001 wereavailable for the study including 42 cases of CG, 46 cases ofIMⅠ-Ⅱ, 25 cases of IMⅢ, 48 cases of DysⅠ-Ⅱ, 27 cases ofDysⅢ, 84 cases of GC.-H. pyloriinfection and the expressionsof p53, Rb, c-myc, bcl-2 were detected by means ofstreptavidin-peroxidase (SP) immunohistochemical method.HTERT mRNA was detected byin situ hybridization(ISH).RESULTS: The expressions of p53, Rb, c-myc, hTERT mRNAand bcl-2 were higher in the GC than in CG, IN, Dys. Theexpression of c-myc was higher in IMⅢ with-H.pyloriinfection(10/16) than that without infection (1/9) and the positive ratein DysⅠ-Ⅱ and DysⅢ with-H.pyloriinfection was 18/30 and 13/17, respectively, higher than that without infection (4/18 and3/10, respectively). In our experiment mutated p53 had noassociation with H.pyloriinfection, theexpression of Rb wasassociated with-H. pyloriinfection in GC, but the p53-Rb tumor-suppressor system abnormal in DysⅠ-Ⅱ cases, DysⅢⅡ and GCcases with H. pyloriinfection was 21/30, 15/17 and 48/48respecively, higher than non-infection groups (4/18, 3/10, 28/36). Furthermore the level of hTERT mRNA in GC with H. pyloriinfection (47/48) was higher than that without infection (30/36), however the relationship between bcl-2 and H. pyloriwasonly in IMⅢ. C-myc had a close association with hTERT mRNAin DysⅢ and GC (P=0.0 253,0.0 305 respectively).CONCLUSION: In the gastric carcinogenesis, H. pylorimightcause the severe imbalance of proliferation and apoptosisin the precancerous lesions (IMⅢ and GysⅢ) first, leadingt 展开更多
关键词 胃癌 幽门螺杆菌 肿瘤抑制因子 端粒酶 免疫组织化学
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Fibroblast growth factor-4 and hepatocyte growth factor induce differentiation of human umbilical cord blood-derived mesenchymal stem cells into hepatocytes 被引量:38
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作者 Xin-Qin Kang Wei-Jin Zang +4 位作者 Li-Jun Bao Dong-ling Li Tu-Sheng song Xiao-Li Xu Xiao-Jiang Yu 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第47期7461-7465,共5页
AIM: To investigate the differentiation of human umbilical cord blood (HUCB)-derived mesenchymal stem cells (MSCs) into hepatocytes by induction of fibroblast growth factor-4 (FGF-4) and hepatocyte growth fact... AIM: To investigate the differentiation of human umbilical cord blood (HUCB)-derived mesenchymal stem cells (MSCs) into hepatocytes by induction of fibroblast growth factor-4 (FGF-4) and hepatocyte growth factor (HGF), and to find a new source of cell types for therapies of hepatic diseases. METHODS: MSCs were isolated by combining gradient density centrifugation with plastic adherence. When HUCB-derived MSCs reached 70% confluence, they were cultured in Iscove modified Dulbecco medium (IMDM) supplemented with 10 mL/L FBS, 20 ng/mL HGF and 10 ng/mL FGF-4. The medium was changed every 4 d and stored for albumin, alpha-fetoprotein (AFP) and urea assay. Expression of CK-18 was detected by immunocytochemistry. Glycogen storage in hepatocytes was determined by PAS staining. RESULTS: By combining gradient density centrifugation with plastic adherence, we could isolate MSCs from 25.6% of human umbilical cord blood. When MSCs were cultured with FGF-4 and HGF, approximately 63.6% of cells became small, round and epithelioid on d 28 by morphology. Compared with the control, the level of AFP increased significantly from d 12 to 18.20:1=1.16 μg/L (t = 2.884, P〈0.05) in MSCs cultured with FGF-4 and HGF, and was higher (54.28±3.11 μg/L) on d 28 (t = 13.493, P〈0.01). Albumin increased significantly on d 16 (t = 6.68, P〈0.01) to 1.02±0.15 μg/mL, and to 3.63±0.30 μg/mL on d 28 (t = 11.748, P〈0.01). Urea (4.72±1.03 μmol/L) was detected on d 20 (t = 4.272, P〈0.01), and continued to increase to 10.28±1.06 μmol/L on d 28 (t = 9.276, P〈0.01). Cells expressed CK-18 on d 16. Glycogen storage was observed on d 24. CONCLUSION: HUCB-derived MSCs can differentiate into hepatocytes by induction of F-GF-4 and HGF. HUCB derived MSCs are a new source of cell types for cell transplantation therapy of hepatic diseases. 展开更多
关键词 Mesenchymal stem cell DIFFERENTIATION HEPATOCYTE
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基于高频测试信号注入的配电网故障节点在线识别方法 被引量:39
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作者 戚振彪 凌松 +2 位作者 刘文烨 刘志祥 俞飞 《电力系统保护与控制》 EI CSCD 北大核心 2020年第4期110-117,共8页
为准确识别带电网络中的故障,提出了一种适用于多层复杂配电网故障节点的在线识别和定位方法。该方法将高频测试信号注入电网,通过智能电表向中心单元提供的电网信息获取阻抗参数,并根据阻抗特性和电网高频测试信号下的响应结果检测是... 为准确识别带电网络中的故障,提出了一种适用于多层复杂配电网故障节点的在线识别和定位方法。该方法将高频测试信号注入电网,通过智能电表向中心单元提供的电网信息获取阻抗参数,并根据阻抗特性和电网高频测试信号下的响应结果检测是否存在故障节点。采用该方法对45节点三层配电网进行多种条件下仿真,接着对8节点低压网络模型进行测试,讨论模数转换分辨率和测量误差公差对检测精度的影响。仿真和测试的结果发现,故障节点处高频接收信号电压与估计电压差值最大,表明该方法能够准确识别配电网中的故障节点。 展开更多
关键词 智能电网 故障识别与定位 故障节点 高频信号注入 阻抗特性
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授权型领导--下属自我领导匹配对下属情绪衰竭和工作绩效的影响 被引量:39
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作者 陈晨 秦昕 +3 位作者 谭玲 卢海陵 周汉森 宋博迪 《管理世界》 CSSCI 北大核心 2020年第12期145-161,共17页
为应对外部环境发展和组织结构变革,越来越多研究者和实践者呼吁领导授权给下属,以更大限度发挥下属的作用。现有研究大多关注授权型领导的积极影响,却忽视了其潜在的消极影响。基于角色理论,本文通过引入领导—下属匹配的视角,探索了... 为应对外部环境发展和组织结构变革,越来越多研究者和实践者呼吁领导授权给下属,以更大限度发挥下属的作用。现有研究大多关注授权型领导的积极影响,却忽视了其潜在的消极影响。基于角色理论,本文通过引入领导—下属匹配的视角,探索了授权型领导与下属自我领导的匹配对下属角色冲突、情绪衰竭和工作绩效的影响。应用多项式回归和响应面分析技术,通过对217份领导—下属配对数据分析发现:授权型领导与下属自我领导越不匹配,下属角色冲突越高;相比在"高授权型领导—高下属自我领导"情形下,在"低授权型领导—低下属自我领导"情形下,下属角色冲突更高;授权型领导与下属自我领导的匹配通过角色冲突和情绪衰竭的链式中介影响工作绩效。本研究从匹配视角发现了授权型领导的潜在阴暗面,揭示了其作用机制,为授权型领导相关研究提供了更加全面和辩证的视角。 展开更多
关键词 授权型领导 下属自我领导 匹配 角色冲突 情绪衰竭 工作绩效
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Type Ⅰ and type Ⅱ Helicobacter pylori infection status and their impact on gastrin and pepsinogen level in a gastric cancer prevalent area 被引量:36
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作者 Lin Yuan Jun-Bo Zhao +8 位作者 Ying-Lei Zhou Ya-Bin Qi Qiong-Ya Guo Hai-Hui Zhang Muhammad Noman Khan ling Lan Chang-He Jia Yan-Rui Zhang song-Ze Ding 《World Journal of Gastroenterology》 SCIE CAS 2020年第25期3673-3685,共13页
BACKGROUND Type I Helicobacter pylori(H.pylori)infection causes severe gastric inflammation and is a predisposing factor for gastric carcinogenesis.However,its infection status in stepwise gastric disease progression ... BACKGROUND Type I Helicobacter pylori(H.pylori)infection causes severe gastric inflammation and is a predisposing factor for gastric carcinogenesis.However,its infection status in stepwise gastric disease progression in this gastric cancer prevalent area has not been evaluated;it is also not known its impact on commonly used epidemiological gastric cancer risk markers such as gastrin-17(G-17)and pepsinogens(PGs)during clinical practice.AIM To explore the prevalence of type I and type II H.pylori infection status and their impact on G-17 and PG levels in clinical practice.METHODS Thirty-five hundred and seventy-two hospital admitted patients with upper gastrointestinal symptoms were examined,and 523 patients were enrolled in this study.H.pylori infection was confirmed by both 13C-urea breath test and serological assay.Patients were divided into non-atrophic gastritis(NAG),nonatrophic gastritis with erosion(NAGE),chronic atrophic gastritis(CAG),peptic ulcers(PU)and gastric cancer(GC)groups.Their serological G-17,PG I and PG II values and PG I/PG II ratio were also measured.RESULTS A total H.pylori infection rate of 3572 examined patients was 75.9%,the infection rate of 523 enrolled patients was 76.9%,among which type I H.pylori infection accounted for 72.4%(291/402)and type II was 27.6%;88.4%of GC patients were H.pylori positive,and 84.2%of them were type I infection,only 11.6%of GC patients were H.pylori negative.Infection rates of type I H.pylori in NAG,NAGE,CAG,PU and GC groups were 67.9%,62.7%,79.7%,77.6%and 84.2%,respectively.H.pylori infection resulted in significantly higher G-17 and PG II values and decreased PG I/PG II ratio.Both types of H.pylori induced higher G-17 level,but type I strain infection resulted in an increased PG II level and decreased PG I/PG II ratio in NAG,NAGE and CAG groups over uninfected controls.Overall PG I levels showed no difference among all disease groups and in the presence or absence of H.pylori;in stratified analysis,its level was increased in GC and PU patients in H.pylori a 展开更多
关键词 Helicobacter pylori Chronic gastric diseases GASTRIN-17 PEPSINOGEN Gastric cancer
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Liver cancer stem cell markers: Progression and therapeutic implications 被引量:32
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作者 Jing-Hui Sun Qing Luo +1 位作者 ling-ling Liu Guan-Bin song 《World Journal of Gastroenterology》 SCIE CAS 2016年第13期3547-3557,共11页
Cancer stem cells(CSCs) are a small subpopulation in cancer, have been proposed to be cancer-initiating cells, and have been shown to be responsible for chemotherapy resistance and cancer recurrence. The identificatio... Cancer stem cells(CSCs) are a small subpopulation in cancer, have been proposed to be cancer-initiating cells, and have been shown to be responsible for chemotherapy resistance and cancer recurrence. The identification of CSC subpopulations inside a tumor presents a new understanding of cancer development because it implies that tumors can only be eradicated by targeting CSCs. Although advances in liver cancer detection and treatment have increased the possibility of curing the disease at early stages, unfortunately, most patients will relapse and succumb to their disease. Strategies aimed at efficiently targeting liver CSCs are becoming important for monitoring the progress of liver cancer therapy and for evaluating new therapeutic approaches. Herein, we provide a critical discussion of biological markers described in the literature regarding liver cancer stem cells and the potential of these markers to serve as therapeutic targets. 展开更多
关键词 LIVER CANCER CANCER recurrence LIVER CANCER STEM cells CANCER STEM cell markers Targeted therapy
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新型冠状病毒肺炎患者重症化危险因素的临床分析 被引量:32
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作者 凌云 林逸骁 +17 位作者 钱志平 黄丹 张丹丹 李涛 刘敏 宋树丽 王军 张宇一 徐水宝 陈军 张建良 朱同玉 胡必杰 王胜 毛恩强 朱蕾 张文宏 卢洪洲 《中华传染病杂志》 CAS CSCD 2020年第4期193-198,共6页
目的分析上海地区收治的新型冠状病毒肺炎患者的临床特点,探讨其进展为重症的危险因素。方法回顾性分析2020年1月20日至2月10日上海市公共卫生临床中心收治的292例成人新型冠状病毒肺炎患者的临床资料,其中重症患者21例,轻症患者271例... 目的分析上海地区收治的新型冠状病毒肺炎患者的临床特点,探讨其进展为重症的危险因素。方法回顾性分析2020年1月20日至2月10日上海市公共卫生临床中心收治的292例成人新型冠状病毒肺炎患者的临床资料,其中重症患者21例,轻症患者271例。比较两组患者人口学特征、流行病学史、基础疾病和实验室检查等指标。计量资料比较采用t检验或Mann-Whitney U检验,计数资料比较采用χ^2检验。采用二元logistic回归方程分析影响患者进展为重症的危险因素。结果292例患者中,重症患者21例,重症率为7.2%,死亡1例,重症病死率为4.8%。21例重症患者年龄为(65.5±15.7)岁,其中男19例(90.5%),11例(52.4%)合并有基础疾病,7例(33.3%)亲属中存在确诊患者;271例轻症患者年龄为(48.7±15.7)岁,其中男135例(49.8%),74例(27.3%)有基础疾病,36例(13.3%)亲属中存在确诊患者;两组间比较差异均有统计学意义(t=-4.730,χ^2=12.930、5.938、4.744,均P<0.05)。与轻症患者比较,重症患者入院时的中性粒细胞绝对值、丙氨酸转氨酶、天冬氨酸转氨酶、乳酸脱氢酶、肌酐、血清胱抑素C、C反应蛋白、降钙素原、D-二聚体、B型钠尿肽前体、肌红蛋白、肌酸激酶、肌酸激酶同工酶、血清肌钙蛋白I水平较高(U=2091.5、1928.0、1215.5、729.0、1580.5、1375.5、947.5、789.5、1209.0、1434.0、638.0、964.5、1747.5、1258.0),而淋巴细胞绝对值、白蛋白、转铁蛋白、CD3^+T淋巴细胞计数、CD8+T淋巴细胞计数、CD4+T淋巴细胞计数水平较低(U=1263.5,t=4.716,U=1214.0、962.0、1167.5、988.0),差异均有统计学意义(均P<0.05)。进一步logistic回归分析发现,患者入院时白蛋白[比值比(odds ratio,OR)=0.806,95%可信区间(confidence interval,CI)0.675~0.961]、肌红蛋白(OR=1.010,95%CI 1.004~1.016)、C反应蛋白(OR=1.016,95%CI 1.000~1.032)、CD3+T淋巴细胞计数(OR=0.996,95%CI 0.991~1.000)、CD8+T淋巴细胞计数水平(OR=1.006,95%C 展开更多
关键词 冠状病毒感染 肺炎 新型冠状病毒 重症 危险因素
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微创软通道穿刺引流术与开颅血肿清除术治疗高血压性脑出血的效果比较 被引量:32
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作者 杨春红 安岭 +3 位作者 张松 刘春荣 陈勇 杨丰忠 《实用临床医药杂志》 CAS 2020年第17期66-68,72,共4页
目的比较微创软通道穿刺引流术与开颅血肿清除术治疗高血压性脑出血的效果。方法选择116例高血压性脑出血患者,采用盲选法分为对照组和观察组,每组58例。对照组行开颅血肿清除术,观察组行微创软通道穿刺引流术。比较2组手术相关指标、Ba... 目的比较微创软通道穿刺引流术与开颅血肿清除术治疗高血压性脑出血的效果。方法选择116例高血压性脑出血患者,采用盲选法分为对照组和观察组,每组58例。对照组行开颅血肿清除术,观察组行微创软通道穿刺引流术。比较2组手术相关指标、Barthel指数评分、并发症发生率。结果观察组手术时间、血肿清除时间、脑脊液恢复正常时间均短于对照组,差异有统计学意义(P<0.05)。观察组术后1、3、6个月Barthel指数评分均低于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率为6.90%,低于对照组的20.69%,差异有统计学意义(P<0.05)。结论微创软通道穿刺引流术治疗高血压性脑出血的疗效显著,患者手术时间较短,出血量较少,术后恢复更好,并发症发生率也较低。 展开更多
关键词 微创软通道穿刺引流术 开颅血肿清除术 高血压性脑出血 BARTHEL指数 并发症
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Expert consensus on the use of human serum albumin in critically ill patients 被引量:31
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作者 Yue-Tian Yu Jiao Liu +17 位作者 Bo Hu Rui-Lan Wang Xiang-Hong Yang Xiu-ling Shang Gang Wang Chang-song Wang Bai-ling Li Ye Gong Sheng Zhang Xin Li Lu Wang Min Shao Mei Meng Feng Zhu You Shang Qiang-Hong Xu Zhi-Xiong Wu De-Chang Chen 《Chinese Medical Journal》 SCIE CAS CSCD 2021年第14期1639-1654,共16页
Introduction Human serum albumin(HSA)is a non-glycosylated,negatively charged,single-chain polypeptide composed of 585 amino acid residues with a relative molecular mass of 66.438 kD.It is synthesized by the liver at ... Introduction Human serum albumin(HSA)is a non-glycosylated,negatively charged,single-chain polypeptide composed of 585 amino acid residues with a relative molecular mass of 66.438 kD.It is synthesized by the liver at a rate of approximately 200 mg·kg^(-1)·day^(-1),with a half-life of 21 days,and subjected to catabolism in the muscles,liver,and kidneys at a rate of 4%per day.[1]Albumin,accounting for 60%of the total plasma protein,has various physiological functions,[2]such as maintaining 70%to 80%of effective plasma colloid osmotic pressure,coordinating vascular endothelial integrity,anti-oxidant and anti-inflammatory activities,maintaining the acidbase balance,and participating in the transport,distribution,and metabolism of a variety of endogenous and exogenous substances. 展开更多
关键词 METABOLISM ENDOGENOUS critically
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Mapping high resolution National Soil Information Grids of China 被引量:30
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作者 Feng Liu Huayong Wu +6 位作者 Yuguo Zhao Decheng Li Jin-ling Yang Xiaodong song Zhou Shi A-Xing Zhu Gan-Lin Zhang 《Science Bulletin》 SCIE EI CSCD 2022年第3期328-340,共13页
Soil spatial information has traditionally been presented as polygon maps at coarse scales. Solving global and local issues, including food security, water regulation, land degradation, and climate change requires hig... Soil spatial information has traditionally been presented as polygon maps at coarse scales. Solving global and local issues, including food security, water regulation, land degradation, and climate change requires higher quality, more consistent and detailed soil information. Accurate prediction of soil variation over large and complex areas with limited samples remains a challenge, which is especially significant for China due to its vast land area which contains the most diverse soil landscapes in the world. Here, we integrated predictive soil mapping paradigm with adaptive depth function fitting, state-of-the-art ensemble machine learning and high-resolution soil-forming environment characterization in a highperformance parallel computing environment to generate 90-m resolution national gridded maps of nine soil properties(pH, organic carbon, nitrogen, phosphorus, potassium, cation exchange capacity, bulk density, coarse fragments, and thickness) at multiple depths across China. This was based on approximately5000 representative soil profiles collected in a recent national soil survey and a suite of detailed covariates to characterize soil-forming environments. The predictive accuracy ranged from very good to moderate(Model Efficiency Coefficients from 0.71 to 0.36) at 0–5 cm. The predictive accuracy for most soil properties declined with depth. Compared with previous soil maps, we achieved significantly more detailed and accurate predictions which could well represent soil variations across the territory and are a significant contribution to the GlobalSoilMap.net project. The relative importance of soil-forming factors in the predictions varied by specific soil property and depth, suggesting the complexity and non-stationarity of comprehensive multi-factor interactions in the process of soil development. 展开更多
关键词 Predictive soil mapping Soil-landscape model Machine learning Depth function Large and complex areas Soil spatial variation
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Conservation of IRE1-Regulated bZIP74 mRNA Unconventional Splicing in Rice (Oryza sativa L.) Involved in ER Stress Responses 被引量:31
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作者 Sun-Jie Lu Zheng-Ting Yang +3 位作者 ling Sun Le Sun Ze-Ting song Jian-Xiang Li 《Molecular Plant》 SCIE CAS CSCD 2012年第2期504-514,共11页
Protein folding in the endoplasmic reticulum (ER) is a fundamental process in plant cells that is vulnerable to many environmental stresses. When unfolded or misfolded proteins accumulate in the ER, the well-conserv... Protein folding in the endoplasmic reticulum (ER) is a fundamental process in plant cells that is vulnerable to many environmental stresses. When unfolded or misfolded proteins accumulate in the ER, the well-conserved unfolded protein response (UPR) is initiated to mitigate the ER stress by enhancing the protein folding capability and/or accelerating the ER-associated protein degradation. Here, we report the conservation of the activation mechanism of OsbZIP74 (also known as OsbZIP50), an important ER stress regulator in monocot plant rice (Oryza sativa L.). Under normal conditions, OsbZIP74 mRNA encodes a basic leucine-zipper transcription factor with a putative transmembrane domain. When treating with ER stress-inducing agents such as tunicamycin and DTT, the conserved double stem-loop structures of OsbZIP74 mRNA are spliced out. Thereafter, the resulting new OsbZIP74 mRNA produces the nucleus-localized form of OsbZIP74 protein, eliminating the hydrophobic region. The activated form of OsbZIP74 has transcriptional activation activity in both yeast cells and Arabidopsis leaf protoplasts. The induction of OsbZIP74 splicing is much suppressed in the OsIRE1 knock- down rice plants, indicating the involvement of OslRE1 in OsbZIP74 splicing. We also demonstrate that the unconventional splicing of OsbZIP74 mRNA is associated with heat stress and salicylic acid, which is an important plant hormone in systemic acquired resistance against pathogen or parasite. 展开更多
关键词 mRNA unconventional splicing unfolded protein response bZIP transcription factor IRE1 heat stress salicylic acid (SA) Oryza sativa.
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硫酸羟氯喹治疗2019冠状病毒病(COVID-19)普通型患者的初步研究 被引量:31
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作者 陈军 刘丹萍 +11 位作者 刘莉 刘萍 徐庆年 夏露 凌云 黄丹 宋树丽 张丹丹 钱志平 李涛 沈银忠 卢洪洲 《浙江大学学报(医学版)》 CAS CSCD 北大核心 2020年第2期215-219,共5页
目的:初步评价硫酸羟氯喹治疗2019冠状病毒病(COVID-19)普通型患者的疗效和安全性。方法:收集2020年2月6至25日在上海市公共卫生临床中心住院治疗的30例COVID-19普通型患者。患者1:1随机分配到试验组和对照组。对照组接受常规治疗,试验... 目的:初步评价硫酸羟氯喹治疗2019冠状病毒病(COVID-19)普通型患者的疗效和安全性。方法:收集2020年2月6至25日在上海市公共卫生临床中心住院治疗的30例COVID-19普通型患者。患者1:1随机分配到试验组和对照组。对照组接受常规治疗,试验组在常规治疗的基础上口服硫酸羟氯喹(400 mg,1次/d)治疗,疗程为5 d。比较两组治疗第7天时咽拭子病毒核酸转阴率等指标。研究获上海市公共卫生临床中心伦理委员会批准,并登记注册(NCT04261517)。结果:在治疗过程中,试验组1例患者发展为重型。入组后第7天,试验组中13例(86.7%)和对照组中14例(93.3%)患者咽拭子病毒核酸检测为阴性(P>0.05)。在2周的访视期内,所有受试者的咽拭子核酸检测均转为阴性,其中试验组咽拭子核酸转阴时间为入院后第4(1,9)天,对照组为第2(1,4)天,差异无统计学意义(Z=1.27,P>0.05)。试验组在入院后第1(0,2)天体温恢复正常,对照组在入院后第1(0,3)天体温恢复正常。影像学检查结果显示,试验组5例(33.3%)和对照组7例(46.7%)患者均在入院3 d后的复查中出现了进展,所有患者在随后的复查中均提示病灶好转。试验组和对照组分别有4例(26.7%)和3例(20.0%)患者出现一过性的腹泻和肝功能异常等不良反应,两组不良反应发生率差异无统计学意义(P>0.05)。结论:目前COVID-19普通型患者预后较好,以病毒转阴率、重症化率为主要终点的研究难以对药物的疗效进行判断。开展后续的研究需要确定更合适的人群和终点事件,并充分考虑样本量等试验的可行性问题。 展开更多
关键词 2019冠状病毒病 严重急性呼吸综合征冠状病毒2 新型冠状病毒肺炎 羟氯喹 治疗结果 安全性 随机对照试验
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运用PDCA循环法对门诊处方调剂质量的影响 被引量:29
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作者 刘玲 陶松 +3 位作者 徐娟 冯新 李卫星 陈志高 《安徽医药》 CAS 2019年第10期2090-2094,共5页
目的探究运用PDCA循环法对门诊药房处方调剂质量的影响。方法采用PDCA循环管理模式,调查江西省人民医院2017年4—11月门诊药房调剂差错情况,分析差错原因,制定防治措施,对实施效果进行评价。结果该院门诊药房处方调剂差错率由0.031 2%降... 目的探究运用PDCA循环法对门诊药房处方调剂质量的影响。方法采用PDCA循环管理模式,调查江西省人民医院2017年4—11月门诊药房调剂差错情况,分析差错原因,制定防治措施,对实施效果进行评价。结果该院门诊药房处方调剂差错率由0.031 2%降至0.015 4%,差错率降低了52.06%,达到预期目标。结论PDCA循环法的开展有效减少工作中存在的问题,降低处方调剂差错率,使门诊日常调剂工作更加准确高效,提高了病人满意度。 展开更多
关键词 全面质量管理 戴明环 门诊医疗 药物处方 药物调剂 医疗差错
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淫羊藿苷促进骨髓间充质干细胞成骨分化缓解小鼠骨质疏松的机制 被引量:28
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作者 张锦明 田滢舟 +4 位作者 赵玲 熊莉华 王丘平 宋薇 温建炫 《中国组织工程研究》 CAS 北大核心 2022年第19期2991-2996,共6页
背景:淫羊藿苷是临床用于治疗骨质疏松的常用中草药淫羊藿的主要活性成分,但是其分子机制尚待深入研究。目的:探究淫羊藿苷缓解小鼠骨质疏松的效果和作用机制。方法:通过皮下连续注射地塞米松5周构建C57BL/6小鼠骨质疏松模型,将20只造... 背景:淫羊藿苷是临床用于治疗骨质疏松的常用中草药淫羊藿的主要活性成分,但是其分子机制尚待深入研究。目的:探究淫羊藿苷缓解小鼠骨质疏松的效果和作用机制。方法:通过皮下连续注射地塞米松5周构建C57BL/6小鼠骨质疏松模型,将20只造模成功的小鼠随机分成模型组和治疗组,每组10只,另选择10只未经造模的C57BL/6小鼠作为对照组,治疗组灌胃给淫羊藿苷和生理盐水的混悬液,模型组和对照组灌胃等量生理盐水,每天给药1次,给药期间每天监测小鼠状态,并称量体质量。给药治疗2个月后,采用Micro-CT机对胫骨近端干骺端进行扫描,分析小鼠骨组织微观结构,研究淫羊藿苷对小鼠骨质疏松的治疗效果。同时,分离培养各组小鼠骨髓间充质干细胞,流式细胞术检测其碱性磷酸酶、成骨特异性转录因子、骨钙素、转化生长因子β及RUNX家族转录因子2的表达量,qRT-PCR检测骨桥蛋白、骨涎蛋白、过氧化物酶体增殖物激活受体γmRNA的表达水平,茜素红和油红O染色检测成骨和成脂分化能力。结果与结论:(1)与对照组相比,模型组小鼠胫骨和股骨总湿质量、骨体积分数、骨小梁厚度、骨小梁数目明显下降(P<0.01),骨小梁分离度变大(P<0.001),骨皮质厚度变薄(P<0.001);与模型组相比,治疗组小鼠上述指标均明显改善(P<0.05);(2)与模型组相比,治疗组小鼠骨髓间充质干细胞中成骨相关基因或者相关蛋白的表达明显升高(P<0.05),而成脂相关基因过氧化物酶体增殖物激活受体γmRNA的表达则显著下降;(3)与模型组相比,治疗组小鼠骨髓间充质干细胞茜素红染色吸光度值明显升高(P<0.05),而油红O染色吸光度值明显降低(P<0.05);(4)结果表明,淫羊藿苷可能通过促进小鼠骨髓间充质干细胞的成骨分化,抑制其成脂分化,改善骨髓微环境,促进骨小梁形成,缓解骨质疏松。 展开更多
关键词 淫羊藿苷 骨质疏松 骨小梁 骨髓间充质干细胞 成骨分化
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Advances in Mg corrosion and research suggestions 被引量:28
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作者 Andrej Atrens Guang-ling song +2 位作者 Fuyong Cao Zhiming Shi Patrick K.Bowen 《Journal of Magnesium and Alloys》 SCIE EI CAS 2013年第3期177-200,共24页
Recent research is summarised with an emphasis on the use of Mg alloys for biodegradable medical applications.Mg melt purification using Zr has been shown to provide the opportunity to produce ultra-high-purity Mg all... Recent research is summarised with an emphasis on the use of Mg alloys for biodegradable medical applications.Mg melt purification using Zr has been shown to provide the opportunity to produce ultra-high-purity Mg alloys,which could lead to stainless Mg.Nor's solution may be a good starting model for the study of Mg for biodegradable medical implant applications.A systematic laboratory investigation is needed to elucidate the details of how the corrosion behaviour is controlled by the various constituents of the body fluids.In the evaluation of the Mg corrosion mechanism there is a critical lack of understanding of(i)the amount of hydrogen dissolved in the Mg metal during corrosion,and during anodic polarisation,and(ii)the size film-free area where corrosion occurs,and how to measure this area.In the evaluation of the apparent valence of Mg using an applied anodic current density,for reliable values,it is important to apply a sufficiently large applied current density.The available data are consistent with the slightly modified uni-positive Mg^(+)ion mechanism,which maintains that(i)the surface of Mg is covered by a partially protective film,and the film-free area increases as the potential becomes more positive(i.e.a catalytic activation process),(ii)corrosion occurs preferentially at breaks in the partial protective film,(iii)corrosion at the breaks in the partially protective film involves the uni-positive Mg ion,(iv)undermining of particles occurs when Mg is severely dissolved,and(v)there may be some self-corrosion not covered by these four processes,which may be associated with crevice-like features on a severely corroded surface or hydride dissolution at relatively negative potentials.Self-corrosion might also be possible under condition of essentially uniform corrosion.Mg^(+)has not been experimentally observed.Its existence is postulated as an extremely-short lifetime intermediate in the reaction sequence between metallic Mg and the equilibrium ion Mg^(++).There has been no direct experimental examination 展开更多
关键词 Magnesium CORROSION Stainless Mg Uni-positive Mg^(+) BIODEGRADATION Self-corrosion
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神门、三阴交配伍对失眠症睡眠质量和血清GABA、5-HT的影响 被引量:27
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作者 李仲文 杨玲 +2 位作者 宋孝军 杜莉 诸毅晖 《世界科学技术-中医药现代化》 CSCD 北大核心 2022年第2期860-866,共7页
目的探索神门-三阴交改善失眠症睡眠质量的穴位配伍效应及神经递质调控机制。方法将90例失眠症患者以每组30例随机分至神门组、三阴交组、神门-三阴交组。共54例受试者完成PSG监测,其中神门组16例,三阴交组13例,神门-三阴交组15例,与健... 目的探索神门-三阴交改善失眠症睡眠质量的穴位配伍效应及神经递质调控机制。方法将90例失眠症患者以每组30例随机分至神门组、三阴交组、神门-三阴交组。共54例受试者完成PSG监测,其中神门组16例,三阴交组13例,神门-三阴交组15例,与健康组10例进行对照。三组患者分别电针神门、三阴交、神门-三阴交30 min,疏密波,频率5Hz/25Hz,每天治疗1次,5次为1个疗程,共2个疗程,疗程间间隔2天。采用SDRS量表、PSG监测评价失眠症患者睡眠质量,检测血清GABA、5-HT含量揭示神门-三阴交穴位配伍的神经递质调控机制。结果(1)治疗后,三组失眠症患者SDRS评分较治疗前降低(P<0.05),神门-三阴交组、三阴交组SDRS评分明显低于神门组(P<0.05)。(2)完成PSG失眠症患者治疗后与治疗前比较,神门组总睡眠时间延长、睡眠潜伏期缩短、睡眠效率提高,血清GABA含量升高(P<0.05);三阴交组总睡眠时间延长、睡眠潜伏期缩短、睡眠效率提高,血清5-HT含量升高(P<0.05);神门-三阴交组总睡眠时间延长、睡眠潜伏期和入睡后清醒时间缩短、睡眠效率提高,血清GABA、5-HT含量均明显升高(P<0.05)。治疗后,神门-三阴交组较神门组总睡眠时间延长、睡眠潜伏期缩短、睡眠效率提高(P<0.05),血清GABA、5-HT含量明显升高(P<0.05)。结论神门-三阴交在改善失眠症状、提高睡眠质量方面具有穴位配伍效应优势,三阴交穴发挥主导作用。神门-三阴交可能通过上调血清GABA、5-HT含量发挥穴位配伍效应。 展开更多
关键词 失眠症 神门 三阴交 穴位配伍
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