期刊文献+
共找到107篇文章
< 1 2 6 >
每页显示 20 50 100
家庭参与式管理模式对早产儿18月龄生长发育的影响 被引量:78
1
作者 李颖 高翔羽 +4 位作者 向希盈 戴红梅 杨刘 Shoo k.lee 黑明燕 《中华儿科杂志》 CAS CSCD 北大核心 2016年第12期902-907,共6页
目的 了解新生儿重症监护病房(NICU)的家庭参与式管理模式(FIC)对早产儿18月龄生长发育的影响.方法 为前瞻性病例平行对照研究.2015至2016年在中南大学湘雅三医院儿童保健部进行18月龄生长发育随访的早产儿为研究对象.FIC组婴儿为... 目的 了解新生儿重症监护病房(NICU)的家庭参与式管理模式(FIC)对早产儿18月龄生长发育的影响.方法 为前瞻性病例平行对照研究.2015至2016年在中南大学湘雅三医院儿童保健部进行18月龄生长发育随访的早产儿为研究对象.FIC组婴儿为出生胎龄28~35周、出生时被纳入FIC的早产儿,对照组为根据性别、出生体重、胎龄和随访时日龄进行条件匹配(1:1比例)但未参加FIC的早产儿.分析指标包括母亲受教育年限、根据Graffar法进行的家庭社会分层(SES)、婴儿家庭环境测评(HOME)量表评分、婴幼儿智力行为发育贝利量表的智力发育指数(MDI)和精神运动发育指数(PDI).选用x2检验、t检验、Pearson相关系数、Spearman相关系数进行组间比较及相关性检验.结果 HC组与对照组各纳入67名早产儿,男早产儿比例分别为52%(35名)和51%(34名),出生胎龄(32.4±1.7)和(32.2±1.6)周,出生体重(1 690±415)和(1 719 ±412)g,两组婴儿具有可比性.18月龄时随访平均体重分别为(10±1)和(10±1)kg,母亲受教育年限(15±2)和(15±2)年,SES评分(42±6)和(41±6)分,HOME评分(31±5)和(32±5)分,两组之间各数据差异均无统计学意义(P均>0.05),FIC组18月龄贝利量表MDI及PDI均明显高于对照组[(95±9)比(86±9),(87 ±9)比(80±8)分,t=5.506、4.502,均P=0.000].全部婴儿的MDI、PDI与胎龄均正相关(r=0.398、0.272,P=0.000、0.001),但各胎龄阶段FIC组与对照组的MDI、PDI之差与胎龄无相关关系(r=0.679、-0.393,P=0.094、0.383).结论 在NICU中开展FIC可促进早产儿18月龄的生长发育,FIC值得在中国的NICU中进行推广。 展开更多
关键词 家庭 新生儿护理 重症监护病房 新生儿 婴儿 早产 生长和发育
原文传递
2015至2018年中国25家医院新生儿重症监护室早产儿中心导管相关性血流感染发生率的横断面调查 被引量:52
2
作者 卞一丁 +28 位作者 蒋思远 冀涌 韩树萍 王三南 李占魁 夏世文 杨长仪 杨传忠 陈玲 单若冰 刘玲 易彬 林振浪 王杨 刘江勤 何玲 李明霞 潘新年 郭艳 刘翠青 周勤 李晓莺 孙慧清 齐宇洁 黑明燕 Shoo k.lee 杨毅 严卫丽 曹云 《中国循证儿科杂志》 CSCD 北大核心 2019年第4期241-246,共6页
目的调查中国25家NICU中早产儿中心导管(CLs)置管率、CLs相关血流感染(CLABSI)的发生率及病原菌分布,为临床防治CLABSI提供基线数据。方法本研究数据来源于整群随机对照研究"应用以循证为基础的质量改进方法降低新生儿重症监护病... 目的调查中国25家NICU中早产儿中心导管(CLs)置管率、CLs相关血流感染(CLABSI)的发生率及病原菌分布,为临床防治CLABSI提供基线数据。方法本研究数据来源于整群随机对照研究"应用以循证为基础的质量改进方法降低新生儿重症监护病房感染发生率(REIN-EPIQ)"建立的早产儿临床数据库。研究人群为2015年5月至2018年4月中国25家医院NICU收治的出生胎龄<34周的所有早产儿(排除自动出院)。结果共纳入24 884例早产儿,其中9 537例(38.3%)至少留置一根置管,经外周静脉穿刺中心静脉置管(PICC)7 532例(79.0%)。CLABSI总发生率为2.4/1 000(0.0~9.8/1 000)导管日,CLABSI相关病死率为6.7%(35/526)。CLABSI的发生率随着胎龄和出生体重的上升呈下降趋势。CLABSI的主要病原菌为革兰阴性菌(46.2%),其中肺炎克雷伯菌占49.8%,其次为革兰阳性菌(33.9%),真菌占19.9%。结论我国NICU早产儿中心静脉导管置管率高,CLABSI发生率存在显著单位间差异,CLABSI病原菌以革兰阴性菌为主,真菌占比高。需要采取针对性质量改进措施以缩小单位间差异、降低真菌CLABSI发生率。 展开更多
关键词 早产儿 中心静脉导管相关血流感染 脐静脉导管 经外周静脉穿刺中心静脉置管 病原菌
下载PDF
家庭参与式护理对早产儿体格生长及随访影响的多中心群组随机对照研究 被引量:19
3
作者 向希盈 高翔羽 +11 位作者 高喜容 李占魁 夏世文 张谦慎 韩树萍 高红霞 农绍汉 张爱民 李佳 李颖 Shoo k.lee 黑明燕 《中华新生儿科杂志(中英文)》 CAS 2020年第6期435-438,共4页
目的探讨新生儿重症监护病房(neonatal intensive care unit,NICU)家庭参与式护理(family integrated care,FICare)对早产儿体格生长的影响。方法采用前瞻性群组随机对照研究,将来自国内8个省11家三级甲等医院的NICU随机分为FICare组(6... 目的探讨新生儿重症监护病房(neonatal intensive care unit,NICU)家庭参与式护理(family integrated care,FICare)对早产儿体格生长的影响。方法采用前瞻性群组随机对照研究,将来自国内8个省11家三级甲等医院的NICU随机分为FICare组(6家)和对照组(5家),比较两组患儿一般临床资料及随访时间点(校正年龄1月、3月、6月、12月、18月)的身长、体重、头围情况。结果FICare组共纳入298例,对照组共纳入303例。FICare组和对照组早产儿胎龄分别为(31.0±1.9)周、(31.7±1.8)周,出生体重分别为(1553±378)g、(1653±348)g,差异有统计学意义(P<0.05);两组患儿的性别比例、分娩方式及孕母情况等临床资料比较差异均无统计学意义(P>0.05)。FICare组、对照组的平均住院时间分别为(35.0±20.2)d、(34.3±17.4)d,差异无统计学意义(P>0.05);两组患儿出院时全母乳喂养率分别为36.6%、17.8%,差异有统计学意义(P<0.001)。FICare组校正年龄6月、12月、18月时的随访率高于对照组(90.9%比74.3%、82.6%比40.6%、60.7%比32.0%),差异有统计学意义(P<0.001);整个随访期间,除12月龄时体重外,FICare组患儿体重、头围大于对照组,差异有统计学意义(P<0.05);校正年龄1月、3月时FICare组患儿身长大于对照组,差异有统计学意义(P<0.05)。结论对NICU住院早产儿实施FICare可促进早产儿出院后的体格发育,提高家长对出院后随访的依从性。 展开更多
关键词 重症监护病房 新生儿 早产 婴儿 家庭护理 儿童发育 随访研究
原文传递
Switchgrass as a bioenergy crop in the Loess Plateau, China:Potential lignocellulosic feedstock production and environmental conservation 被引量:12
4
作者 Danielle Cooney Hyemi kim +5 位作者 Lauren Quinn Moon-Sub lee Jia Guo CHEN Shao-lin XU Bing-cheng D.k.lee 《Journal of Integrative Agriculture》 SCIE CAS CSCD 2017年第6期1211-1226,共16页
A large portion of the Loess Plateau of China is characterized as “marginal” with serious land degradation and desertification problems. Consequently, two policies, Grain for Green and Western Development Action wer... A large portion of the Loess Plateau of China is characterized as “marginal” with serious land degradation and desertification problems. Consequently, two policies, Grain for Green and Western Development Action were established by the Chinese government in response to the demand for ecological protection and economic development in the Loess Plateau. These policies are designed to increase forest cover, expand farmlands, and enhance soil and water conservation, while creating sustainable vegetation restoration. Perennial grasses have gained attention as bioenergy feedstocks due to their high biomass yields, low inputs, and greater ecosystem services compared to annual crops. Moreover, perennial grasses limit nutrient runoff and reduce greenhouse gas emissions and soil losses while sequestering carbon. Additionally, perennial grasses can generate economic returns for local farmers through producing bioenergy feedstock or forage on marginal lands. Here, we suggest a United States model energy crop, switchgrass(Panicum virgatum L.) as a model crop to minimize land degradation and desertification and to generate biomass for energy on the Loess Plateau. 展开更多
关键词 sustainability bioenergy crop soil erosion Loess Plateau SWITCHGRASS
下载PDF
中国极早产儿动脉导管未闭的治疗现状 被引量:3
5
作者 钱爱民 程锐 +12 位作者 顾昕玥 殷荣 白瑞苗 杜娟 孙梦雅 程萍 Shoo k.lee 杜立中 曹云 周文浩 赵幽燕 蒋思远 《中华儿科杂志》 CAS CSCD 北大核心 2023年第10期896-901,共6页
目的总结2019—2021年中国新生儿协作网(CHNN)各单位收治的极早产儿中动脉导管未闭(PDA)的治疗现状和变化趋势以及单位间治疗差异。方法横断面研究基于CHNN极早产儿队列,纳入2019—2021年CHNN 79家三级新生儿重症监护病房(NICU)收治的... 目的总结2019—2021年中国新生儿协作网(CHNN)各单位收治的极早产儿中动脉导管未闭(PDA)的治疗现状和变化趋势以及单位间治疗差异。方法横断面研究基于CHNN极早产儿队列,纳入2019—2021年CHNN 79家三级新生儿重症监护病房(NICU)收治的所有入院≤3日龄的22525例极早产儿(出生胎龄<32周)。描述所有极早产儿以及不同出生胎龄(≤26、27~28、29~31周)组的PDA治疗率以及药物和手术治疗情况。PDA定义为住院期间通过心脏超声诊断的PDA;PDA治疗率为接受过PDA药物和(或)手术治疗的极早产儿人数/所有极早产儿人数。使用Logistic回归检验分析研究3年间及不同出生胎龄组PDA治疗率的变化趋势。建立多元Logistic回归模型计算不同单位PDA治疗的标准化比率(SR),以比较调整人群特征后单位间PDA治疗率的差异。结果22525例极早产儿中男12615例(56.0%),出生胎龄30.0(28.6,31.0)周,出生体重1310(1100,1540)g,经超声心动图诊断的PDA 49.7%(11186/22525),所有极早产儿PDA治疗率为16.8%(3795/22525)。在3762例接受了药物治疗的极早产儿中,首次药物治疗以布洛芬为主[93.4%(3515例)],首次药物治疗的年龄为6(4,10)日龄;59.3%(2231例)的极早产儿在首次药物治疗时已经撤离了有创呼吸支持,82.2%(3092例)的极早产儿仅接受1个疗程药物治疗。在143例接受了手术治疗的极早产儿中,手术治疗的年龄为32(22,46)日龄。2019—2021年3年间,极早产儿PDA治疗率差异无统计学意义(P=0.650)。PDA治疗率随着出生胎龄的增加而降低(P<0.001)。出生胎龄≤26、27~28、29~31周极早产儿PDA治疗率分别为39.6%(688/1737)、25.9%(1319/5098)、11.4%(1788/15690)。极早产儿总数≥100例的单位共61家,这些单位的极早产儿PDA治疗率范围为0(0/116)~47.4%(376/793)。在调整患儿基本特征后,61家单位极早产儿PDA治疗的SR范围为0(95%CI 0~0.3)~3.4(95%CI 3.1~3.8)。结论2019—2021年中国新生儿协作单位收� 展开更多
关键词 动脉导管未闭 重症监护病房 新生儿 婴儿 早产
原文传递
Experimental Status of the HANBIT Facility 被引量:3
6
作者 S.J.Yoo M.kwon +29 位作者 J.G.Bak k.Choh I.S.Choi J.H.Choi J.W.Choi A.C.England J.Hong H.S.Jeon H.G.Jhang J.S.Ju M.Jung J.Y.kim S.S.kim W.H.ko k.Y.kwak M.C.kyum B.J.lee D.k.lee J.H.lee H.G.lee S.G.lee T.Lho H.k.Na B.H.Park M.k.Park D.C.Seo S.H.Seo J.H.Yeom J.S.Yoon k.I.You 《Plasma Science and Technology》 SCIE EI CAS CSCD 2004年第4期2367-2370,共4页
HANBIT is a magnetic mirror confinement device. Recent physics experimentshave been mainly focused on identifying discharge characteristics and on getting stable plasmaproduction and operation modes, by using a 500 kW... HANBIT is a magnetic mirror confinement device. Recent physics experimentshave been mainly focused on identifying discharge characteristics and on getting stable plasmaproduction and operation modes, by using a 500 kW slot antenna system at a fixed RF frequency of 3.5MHz and varying discharge conditions such as fueling rate, RF power, and B-field intensity incentral cell. Two distinct operation modes are found to be very sensitive to the RF power as well asthe ratio of the RF frequency to the ion cyclotron frequency. A MHD interchange mode of m = - 1 isclearly observed and the stabilizing mechanism can be explained by the sideband coupling theory. 展开更多
关键词 MIRROR DISCHARGE STABILIZATION
下载PDF
新生儿重症监护病房极早产儿宫外生长受限状况调查 被引量:1
7
作者 吕岩玉 曹云 +10 位作者 陈彦香 王淮燕 周玲 王宇 王延辰 蒋思远 lee Shoo k.lee 李莉 孙建华 中国新生儿协作网 《中华儿科杂志》 CAS CSCD 北大核心 2023年第9期811-819,共9页
目的综合评估我国新生儿重症监护病房(NICU)极早产儿宫外生长受限(EUGR)的现状及相关影响因素。方法队列研究。研究对象为6179例2019年入住中国新生儿协作网(CHNN)57家医院NICU且住院时间≥7 d的出生胎龄<32周的早产儿(极早产儿)。采... 目的综合评估我国新生儿重症监护病房(NICU)极早产儿宫外生长受限(EUGR)的现状及相关影响因素。方法队列研究。研究对象为6179例2019年入住中国新生儿协作网(CHNN)57家医院NICU且住院时间≥7 d的出生胎龄<32周的早产儿(极早产儿)。采用EUGR的横断面定义(出院体重低于相应胎龄儿的P10)、纵向定义(出生至出院时体重Z值下降>1)和体重增长速度全面评估极早产儿出生后的生长状况。采用两独立样本t检验、Mann-Whitney U检验或χ^(2)检验进行EUGR组和非EUGR组的组间比较。应用多因素Logistic回归模型评估不同定义的EUGR发生与母婴因素、临床治疗措施和早产儿主要疾病的关联。结果6179例极早产儿中男3474例(56.2%),出生胎龄为(29.8±1.5)周,出生体重为(1365±304)g。极早产儿出院时EUGR发生率横断面定义为48.4%(2992例),纵向定义为74.9%(4628例)。出生时体重Z值为(0.13±0.78),出院时体重Z值下降至(-1.35±0.99)。体重增长速度为10.13(8.42,11.66)g/(kg·d)。多因素Logistic回归分析发现在出生后可干预的影响因素中,达到完全肠内喂养日龄大(OR_(调整)=1.01,95%CI 1.01~1.02,P<0.001;OR_(调整)=1.01,95%CI 1.01~1.02,P<0.001)和坏死性小肠结肠炎≥Ⅱ期(OR_(调整)=2.64,95%CI 1.60~4.35,P<0.001;OR_(调整)=1.62,95%CI 1.10~2.40,P<0.001)及动脉导管未闭(OR_(调整)=1.94,95%CI 1.50~2.51,P<0.001;OR_(调整)=1.63,95%CI 1.29~2.06,P<0.001)均是横断面定义EUGR和纵向定义EUGR的危险因素。开始肠道内喂养日龄大(OR_(调整)=1.06,95%CI 1.02~1.09,P=0.020)和呼吸窘迫综合征(OR_(调整)=1.45,95%CI 1.24~1.69,P<0.001)均与横断面定义EUGR风险增加相关。母乳喂养与纵向定义EUGR的高风险相关(OR_(调整)=1.33,95%CI 1.05~1.68,P<0.001)。结论中国极早产儿EUGR的发生比例较高,对EUGR可干预风险因素的识别为改善极早产儿出生后的生长提供了优先实施的领域,对极早产儿的营养管理和降低并发症发生率依然 展开更多
关键词 婴儿 早产 宫外生长迟缓 发病率 危险因素
原文传递
新型钢丝网复合墙板的研制 被引量:4
8
作者 邓军 Marcus M.k.lee 《新型建筑材料》 北大核心 2007年第1期26-28,共3页
结合特殊的水泥基材料,研制了一种新型的预制钢丝网复合墙板。由于这种水泥基材料的非碳化性,它和钢丝网浇筑成的薄板最小厚度仅需6 mm,并具有良好的防水、防冻和防火性能。由薄板、加劲肋和泡沫保温层构成的复合墙板,具有极好的保温隔... 结合特殊的水泥基材料,研制了一种新型的预制钢丝网复合墙板。由于这种水泥基材料的非碳化性,它和钢丝网浇筑成的薄板最小厚度仅需6 mm,并具有良好的防水、防冻和防火性能。由薄板、加劲肋和泡沫保温层构成的复合墙板,具有极好的保温隔热性能和力学性能,适用于建筑物的外墙。 展开更多
关键词 新型墙板 钢丝网复合墙板 水泥基材料
下载PDF
中国新生儿重症监护病房极早及超早产儿非红细胞血制品使用现况 被引量:4
9
作者 赵璞 顾昕玥 +7 位作者 蒋思远 王延辰 曹云 周文浩 Shoo k.lee 张勤 王瑾 中国新生儿协作网 《中华儿科杂志》 CAS CSCD 北大核心 2022年第2期94-100,共7页
目的分析2019年中国新生儿协作网(CHNN)新生儿重症监护病房住院的极早及超早产儿非红细胞血制品的使用现状及单位间差异,为探讨输注合理性与规范性提供证据。方法基于CHNN大规模极早产儿队列数据库进行横断面研究,纳入2019年生后24 h内... 目的分析2019年中国新生儿协作网(CHNN)新生儿重症监护病房住院的极早及超早产儿非红细胞血制品的使用现状及单位间差异,为探讨输注合理性与规范性提供证据。方法基于CHNN大规模极早产儿队列数据库进行横断面研究,纳入2019年生后24 h内收入CHNN 57家NICU治疗、出生胎龄<32周且接受完整治疗的6598例早产儿。收集患儿一般情况,描述不同出生胎龄、不同病情危重程度早产儿非红细胞血制品(血小板、血浆、人免疫球蛋白、白蛋白、冷沉淀和凝血酶原复合物)的使用率及次数。输注过至少1种非红细胞血制品即为输注组。采用两独立样本t检验、秩和检验或χ^(2)检验进行输注组和非输注组组间比较。使用线性回归模型对单位间输注率和单位特征进行相关性分析。结果6598例早产儿出生胎龄为30.0(28.7,31.0)周,出生体重为(1353±312)g,女2877例(43.6%)。2816例(42.7%)早产儿为输注组,输注次数为3(1,6)次。与未输注组相比,输注组患儿出生胎龄更小(Z=17.62,P<0.01),出生体重更低(t=18.64,P<0.01),小于胎龄、多胎以及产房高级复苏比例均更高(χ^(2)=31.06、12.82、287.52,均P<0.01),女婴比例以及本院出生比例则均更低(χ^(2)=10.68、78.23,均P<0.01)。总研究人群中,使用率高的非红细胞血制品依次为白蛋白25.4%(1674例)、人免疫球蛋白21.5%(1417例)、血浆18.9%(1245例)。901例超早产儿中,60.4%(544例)输注过非红细胞血制品,使用次数4(2,8)次;5697例极早产儿中,39.9%(2272例)输注过非红细胞血制品,使用次数3(1,6)次。病情危重和非危重组中非红细胞血制品输注率分别达62.2%(1693/2723)和29.0%(1123/3875),输注次数分别为4(2,7)次和2(1,4)次。57家NICU中,调整与非红细胞血制品输注相关的因素后,各单位间极早及超早产儿非红细胞血制品输注率差异有统计学意义(校正χ^(2)=153.48,P<0.01)。结论2019年中国NICU救治的极早及超早产儿中,� 展开更多
关键词 婴儿 早产 白蛋白类 免疫球蛋白类 血浆
原文传递
The role of monocytes in optic nerve injury 被引量:2
10
作者 Xiangxiang Liu Yuan Liu +1 位作者 Mohamed M.khodeiry Richard k.lee 《Neural Regeneration Research》 SCIE CAS CSCD 2023年第8期1666-1671,共6页
Monocytes,including monocyte-derived macrophages and resident microglia,mediate many phases of optic nerve injury pathogenesis.Resident microglia respond first,followed by infiltrating macrophages which regulate neuro... Monocytes,including monocyte-derived macrophages and resident microglia,mediate many phases of optic nerve injury pathogenesis.Resident microglia respond first,followed by infiltrating macrophages which regulate neuronal inflammation,cell proliferation and differentiation,scar formation and tissue remodeling following optic nerve injury.However,microglia and macrophages have distinct functions which can be either beneficial or detrimental to the optic nerve depending on the spatial context and temporal sequence of their activity.These divergent effects are attributed to pro-and anti-inflammatory cytokines expressed by monocytes,crosstalk between monocyte and glial cells and even microglia-macrophage communication.In this review,we describe the dynamics and functions of microglia and macrophages in neuronal inflammation and regeneration following optic nerve injury,and their possible role as therapeutic targets for axonal regeneration. 展开更多
关键词 fibrotic scar glial scar INFLAMMATION MACROPHAGE MICROGLIA optic nerve injury REGENERATION
下载PDF
Present Status of the KSTAR Superconducting Magnet System Development 被引量:1
11
作者 keeman kim H.k.Park +26 位作者 k.R.Park B.S.Lim S.I.lee M.k.kim Y.Chu W.H.Chung S.H.Baek J.Y.Cho H.Yonekawa A.Chertovskikh Y.B.Chang J.S.kim C.S.kim D.J.kim N.H.Song k.P.kim Y.J.Song I.S.Woo W.S.Han D.k.lee Y.k.Oh k.W.Cho J.S.Park G.S.lee H.J.lee T.k.ko S.J.lee 《Plasma Science and Technology》 SCIE EI CAS CSCD 2004年第5期2445-2450,共6页
The mission of Korea Superconducting Tokamak Advanced Research (KSTAR)project is to develop an advanced steady-state superconducting tokamak for establishing a scientificand technological basis for an attractive fusio... The mission of Korea Superconducting Tokamak Advanced Research (KSTAR)project is to develop an advanced steady-state superconducting tokamak for establishing a scientificand technological basis for an attractive fusion reactor. Because one of the KSTAR mission is toachieve a steady-state operation, the use of superconducting coils is an obvious choice for themagnet system. The KSTAR superconducting magnet system consists of 16 Toroidal Field (TF) coils and14 Poloidal Field (PF) coils. Internally-cooled Cable-In-Conduit Conductors (CICC) are put into usein both the TF and PF coil systems. The TF coil system provides a field of 3.5 T at the plasmacenter and the PF coil system is able to provide a flux swing of 17 V-sec. The major achievement inKSTAR magnet-system development includes the development of CICC, the development of a full-size TFmodel coil, the development of a coil system for background magnetic-field generation , theconstruction of a large-scale superconducting magnet and CICC test facility. TF and PF coils are inthe stage of fabrication to pave the way for the scheduled completion of KSTAR by the end of 2006. 展开更多
关键词 superconducting magnet KSTAR CICC
下载PDF
中国新生儿协作网的现状与发展
12
作者 蒋思远 曹云 +14 位作者 黑明燕 孙建华 李晓莺 张华岩 马晓路 武辉 王来栓 孙慧清 史源 周伟 陈超 杜立中 周文浩 Shoo k.lee 中国新生儿协作网 《中国小儿急救医学》 CAS 2023年第11期809-815,共7页
中国新生儿协作网(Chinese Neonatal Network,CHNN)2018年成立,旨在建立全国性协作平台,开展高质量、合作性项目和研究,提升中国新生儿-围产医疗质量及新生儿健康。目前全国112家医院加入CHNN,已建成全国性标准化极早产儿/极低出生体重... 中国新生儿协作网(Chinese Neonatal Network,CHNN)2018年成立,旨在建立全国性协作平台,开展高质量、合作性项目和研究,提升中国新生儿-围产医疗质量及新生儿健康。目前全国112家医院加入CHNN,已建成全国性标准化极早产儿/极低出生体重儿队列,每年纳入超过万例早产儿,开展数据驱动的协作性临床质量改进项目,完成多项多中心临床研究,开展多层次人才培养。CHNN在合作共享、数据驱动、持续改进、国际接轨的原则指引下,已成为国内新生儿医学临床和研究合作的重要平台。 展开更多
关键词 新生儿 协作网 极早产儿 质量改进 临床研究
原文传递
肺部超声是否能取代胸部X线检查?一项前瞻性多中心研究
13
作者 曲洋明 司姝宇 +14 位作者 孙慧清 陈平洋 张谦慎 马莉 尹兆青 肖敏 汪吉梅 高喜容 刘玲 冯晋兴 朱艳萍 金笛 张静 Shoo k.lee 武辉 《中国小儿急救医学》 CAS 2023年第11期834-839,共6页
目的分析肺部超声和胸部X线在新生儿肺部疾病诊断中的准确性。方法前瞻性地纳入2019年6月至2020年4月全国12个新生儿重症监护病房需要进行胸部X线检查以诊断肺部疾病的新生儿。每例新生儿在接受胸部X线检查后的2 h内接受肺部超声检查。... 目的分析肺部超声和胸部X线在新生儿肺部疾病诊断中的准确性。方法前瞻性地纳入2019年6月至2020年4月全国12个新生儿重症监护病房需要进行胸部X线检查以诊断肺部疾病的新生儿。每例新生儿在接受胸部X线检查后的2 h内接受肺部超声检查。所有的胸部X线和肺部超声图像分别在不了解临床病史的情况下由放射科医师和超声医师独立判读。当胸部X线和肺部超声结果存在分歧时,由两名有经验的医师组成的专家组根据临床病史、胸部X线和肺部超声图像做出最终诊断。结果共有1100例新生儿参与了本研究。胸部X线和肺部超声之间的诊断一致性较差(Cohen′s kappa系数=0.347)。肺部超声在诊断湿肺(曲线下面积0.778,95%CI 0.753~0.803)时诊断价值明显优于胸部X线(曲线下面积0.513,95%CI 0.483~0.543)(P<0.001)。肺部超声和胸部X线对新生儿呼吸窘迫综合征、肺炎、胎粪吸入综合征和新生儿肺不张的诊断准确性相似。结论肺部超声做为一种低成本、简单、无辐射的辅助检查方法,诊断准确率接近或优于胸部X线,可替代胸部X线诊断新生儿肺部疾病。需要注意的是,胸部X线和肺部超声都应结合病史和临床表现来使用。 展开更多
关键词 肺超声 胸部X线 诊断
原文传递
Surgical management of uveitis-glaucoma-hyphema syndrome 被引量:5
14
作者 Abdelrahman M.Elhusseiny Richard k.lee William E.Smiddy 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2020年第6期935-940,共6页
AIM:To report outcomes of patients after intraocular lens(IOL)repositioning or exchange for the version of the uveitisglaucoma-hyphema(UGH)syndrome that does not include closed loop anterior chamber IOL(nUGH).METHODS:... AIM:To report outcomes of patients after intraocular lens(IOL)repositioning or exchange for the version of the uveitisglaucoma-hyphema(UGH)syndrome that does not include closed loop anterior chamber IOL(nUGH).METHODS:Chart review of patients with nUGH who underwent IOL repositioning or exchange by one surgeon were reviewed.The main outcome measures were best corrected visual acuity(BCVA)as a decimal fraction preoperatively and postoperatively after IOL repositioning or exchange.Clinical findings evaluated included the presence of uveitis,hyphema,elevated intraocular pressure(IOP),and other complications such as pigment dispersion or vitreous hemorrhage.The number of anti-inflammatory and glaucoma medications were assessed before and after IOL repositioning or exchange.RESULTS:The study included 14 pseudophakic eyes.The median time at the onset of contemporary UGH after cataract extraction and IOL implantation(CE/IOL)was7.5 y.IOL repositioning or exchange was performed at a mean duration of 8.1±4.7 mo(median:4 mo)after onset of UGH.The mean BCVA was improved from 0.45±0.26 preoperatively after onset of UGH syndrome to 0.76±0.22(P=0.016)after IOL repositioning or exchange.Among the14 eyes,uveitis,elevated IOP,and hyphema were present preoperatively in 13,13,and 6 eyes,respectively.Uveitis and hyphema resolved in all cases after IOL surgery.The mean IOP was reduced from 26.4±4.5 mm Hg preoperatively to 14.7±4.9 postoperatively(P=0.01).The mean number of glaucoma medications used was reduced from 1.7±1.1 medications preoperatively to 0.8±1.08(P=0.04)postoperatively.CONCLUSION:IOL repositioning or exchange is an effective treatment in many cases for medically resistant contemporary UGH syndrome. 展开更多
关键词 intraocular lens complications secondary glaucoma VITRECTOMY
下载PDF
Cost analysis of childhood glaucoma surgeries using the US Medicaire allowable costs 被引量:1
15
作者 Abdelrahman M.Elhusseiny Mohamed M.khodeiry +3 位作者 Nicolas A.Yannuzzi Ta C.Chang Richard k.lee William E.Smiddy 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2023年第5期700-704,共5页
AIM: To analyze and calculate the relative cost of various childhood glaucoma surgical interventions per mm Hg intraocular pressure(IOP) reduction($/mm Hg).METHODS: Representative index studies were reviewed to quanti... AIM: To analyze and calculate the relative cost of various childhood glaucoma surgical interventions per mm Hg intraocular pressure(IOP) reduction($/mm Hg).METHODS: Representative index studies were reviewed to quantitate the reduction of mean IOP and glaucoma medications for each surgical intervention in childhood glaucoma. A US perspective was adopted, using Medicare allowable costs to calculate cost/mm Hg IOP reduction($/mm Hg) at 1y postoperatively.RESULTS: At 1y postoperatively, the cost/mm Hg IOP reduction was $226/mm Hg for microcatheter-assisted circumferential trabeculotomy, $284/mm Hg for cyclophotocoagulation, $288/mm Hg for conventional ab-externo trabeculotomy, $338/mm Hg for Ahmed glaucoma valve, $350/mm Hg for Baerveldt glaucoma implant, $351/mm Hg for goniotomy, and $400/mm Hg for trabeculectomy.CONCLUSION: Microcatheter-assisted circumferential trabeculotomy is the most cost-efficient surgical method to lower IOP in childhood glaucoma, while trabeculectomy is the least cost-efficient surgical method. 展开更多
关键词 GLAUCOMA cost analysis TRABECULOTOMY TRABECULECTOMY intraocular pressure childhood glaucoma
下载PDF
The association of cerebrospinal fluid pressure with optic nerve head and macular vessel density 被引量:3
16
作者 Xiangxiang Liu Mohamed M.khodeiry +5 位作者 Danting Lin Yunxiao Sun Qing Zhang Jiawei Wang Richard k.lee Ningli Wang 《Science China(Life Sciences)》 SCIE CAS CSCD 2022年第6期1171-1180,共10页
The present study aims to investigate the effect of temporary cerebrospinal fluid pressure(CSFP) reduction on optic nerve head(ONH) and macular vessel density(VD) using optical coherence tomography angiography.Forty-f... The present study aims to investigate the effect of temporary cerebrospinal fluid pressure(CSFP) reduction on optic nerve head(ONH) and macular vessel density(VD) using optical coherence tomography angiography.Forty-four eyes of 44 adults with diagnostic lumbar puncture and CSFP reduction were recruited.Thirty-two eyes of 32 healthy volunteers were controls.ONH and macular VD images were evaluated differences between baseline and after CSFP reduction.The results showed that the mean CSFP decreased from(11.6±2.1) mm Hg to(8.2±3.4) mm Hg(P<0.001).VD in the macular regions decreased significantly after CSFP reduction in the study group(all P<0.05).The control group showed no significant changes in macular VD(all P>0.05).In the study group,decreased VD in the macular parainferior region was associated with CSFP reduction(R^(2)=0.192,P=0.003),the reduction of macular VD in parafoveal(R^(2)=0.098,P=0.018),parainferior(R^(2)=0.104,P=0.021),parasuperior(R^(2)=0.059,P=0.058),paranasal(R^(2)=0.057,P=0.042),paratemporal(R^(2)=0.079,P=0.026) was associated with mean ocular perfusion pressure decrease following CSFP reduction.ONH vessel density did not differ after CSFP reduction(all P>0.05).In conclusion,macular vessel density decreased in association with CSFP reduction.Retinal vessel density in the macular region is more sensitive than that in peripapillary region after CSFP reduction. 展开更多
关键词 cerebrospinal fluid pressure reduction macular vessel density peripapillary vessel density blood pressure
原文传递
Cell transplantation to replace retinal ganglion cells faces challenges-the Switchboard Dilemma 被引量:2
17
作者 Yuan Liu Richard k.lee 《Neural Regeneration Research》 SCIE CAS CSCD 2021年第6期1138-1143,共6页
The mammalian retina displays incomplete intrinsic regenerative capacities;therefore,retina degeneration is a major cause of irreversible blindness such as glaucoma,agerelated macular degeneration and diabetic retinop... The mammalian retina displays incomplete intrinsic regenerative capacities;therefore,retina degeneration is a major cause of irreversible blindness such as glaucoma,agerelated macular degeneration and diabetic retinopathy.These diseases lead to the loss of retinal cells and serious vision loss in the late stage.Stem cell transplantation is a great promising novel treatment for these incurable retinal degenerative diseases and represents an exciting area of regenerative neurotherapy.Several suitable stem cell sources for transplantation including human embryonic stem cells,induced pluripotent stem cells and adult stem cells have been identified as promising target populations.However,the retina is an elegant neuronal complex composed of various types of cells with different functions.The replacement of these different types of cells by transplantation should be addressed separately.So far,retinal pigment epithelium transplantation has achieved the most advanced stage of clinical trials,while transplantation of retinal neurons such as retinal ganglion cells and photoreceptors has been mostly studied in pre-clinical animal models.In this review,we opine on the key problems that need to be addressed before stem cells transplantation,especially for replacing injured retinal ganglion cells,may be used practically for treatment.A key problem we have called the Switchboard Dilemma is a major block to have functional retinal ganglion cell replacement.We use the public switchboard telephone network as an example to illustrate different difficulties for replacing damaged components in the retina that allow for visual signaling.Retinal ganglion cell transplantation is confronted by significant hurdles,because retinal ganglion cells receive signals from different interneurons,integrate and send signals to the correct targets of the visual system,which functions similar to the switchboard in a telephone network-therefore the Switchboard Dilemma. 展开更多
关键词 cell transplantation optic nerve regeneration PHOTORECEPTORS retina degeneration retinal ganglion cells stem cells
下载PDF
Medium-term clinical efficacy and safety of single incision and modified trans-obturator mid-urethral slings for female stress urinary incontinence
18
作者 Jerome Melon Paivi k.karjalainen +2 位作者 Claire McGannon Joseph k.lee Anna Rosamilia 《Gynecology and Obstetrics Clinical Medicine》 2022年第2期57-62,共6页
Aims:To evaluate the medium term efficacy and safety of Altis and Solyx single incision slings(SIS)compared with tension-free vaginal tape(TVT)Abbrevo trans-obturator sling.We hypothesize that both SIS show little dif... Aims:To evaluate the medium term efficacy and safety of Altis and Solyx single incision slings(SIS)compared with tension-free vaginal tape(TVT)Abbrevo trans-obturator sling.We hypothesize that both SIS show little difference in efficacy and safety and perform similarly to TVT Abbrevo.Methods:We conducted an ambispective comparative cohort study of women with stress urinary incontinence who received a SIS in comparison to matched TVT Abbrevo subjects from a concurrent randomized controlled trial(RCT).Subjects were identified retrospectively,and prospectively invited for examination and questionnaires>12 months post-operatively.Exclusions included intrinsic sphincter deficiency,previous sling surgery,and others.Primary outcome was subjective cure[negative response to International Consultation Incontinence Questionnaire-Urinary Incontinence Short Form(ICIQ-UI SF)question 6,leakage during coughing/activity].Secondary outcomes include objective cure(negative cough stress test),functional outcomes,and adverse events.Results:Between 2012 and 2018,a total of 113 women received one of two SIS surgeries;Solyx(n=50)followed by the Altis(n=63);104 were available for final efficacy analysis.Mean follow-up was 21.7(Altis),46.0(Solyx),and 29.0(Abbrevo)months.Baseline characteristics were comparable between the groups.There was no significant differences in the subjective or objective cure rates between the groups,and no differences in functional outcomes such as patient global impression of improvement,and post-operative ICIQ-UI SF score.There was a low rate of mesh related complications and no differences seen between the groups.Conclusions:Despite being an underpowered study,Altis and Solyx SIS have favourable efficacy and safety profiles which are comparable to an established trans-obturator mid-urethral slings(MUS). 展开更多
关键词 EFFICACY Mini-sling SAFETY Single incision sling Stress urinary incontinence
原文传递
Properties of Dispersion Casting of Y2O3 Particles in Hypo,Hyper and Eutectic Binary Al-Cu Alloys
19
作者 J.J.Park G.H.kim S.M.Hong S.H.lee M.k.lee C.k.Rhee 《Journal of Materials Science & Technology》 SCIE EI CAS CSCD 2008年第1期57-59,共3页
In the present work,the dispersion casting of Y-2O-3 particles in aluminum-copper alloy was investigated in terms of microstructural changes with respect to Cu contents of 20 (hypo),33 (eutectic) and 40 (hyper) ... In the present work,the dispersion casting of Y-2O-3 particles in aluminum-copper alloy was investigated in terms of microstructural changes with respect to Cu contents of 20 (hypo),33 (eutectic) and 40 (hyper) wt pct by scanning electron microscopy (SEM) and energy dispersive spectroscopy (EDS).For the fabrication of Al-Cu alloy dispersed Y-2O-3 ceramic particles,stir casting method was employed.In case of Al-20 wt pct Cu alloy (hypoeutectic),SEM images revealed that primary Al was grown up in the beginning.After that,eutectic phase with well dispersed ceramic particles was formed.In case of eutectic composition,Y-2O-3 particles were uniformly dispersed in the matrix.When the Cu is added into Al up to 40 wt pct (hypereutectic),primary phase was grown up without any Y-2O-3 ceramic particles in the early stage of solidification.Thereafter, eutectic phase was formed with well dispersed ceramic particles.It can be concluded that Y-2O-3 ceramic particles is mostly dispersed in case of eutectic composition in Al-Cu alloy. 展开更多
关键词 Dispersion casting Y2O3 particles Stir casting Al-Cu alloy
下载PDF
Comparison of Velocity Shear with Turbulence Reduction Driven by Biasing in a Simple Cylindrical Slab Plasma
20
作者 k.W.GENTLE k.LIAO +1 位作者 k.lee W.L.ROWAN 《Plasma Science and Technology》 SCIE EI CAS CSCD 2010年第4期391-396,共6页
In an experimental realization of the sheared cylindrical slab, the level of plasma turbulence is strongly reduced by application of a sufficient bias potential difference in the radial direction. Density fluctuation ... In an experimental realization of the sheared cylindrical slab, the level of plasma turbulence is strongly reduced by application of a sufficient bias potential difference in the radial direction. Density fluctuation levels △nrms/n decrease by more than a factor of five. The ion flow velocity profile is measured spectroscopically from the Doppler shift of an argon ion line. Comparison of the shearing rates with the turbulent amplitudes as a function of bias show no relation between the shearing rate and turbulence reduction, contrary to expectations. 展开更多
关键词 turbulence suppression shear stabilization velocity shear BIAS
下载PDF
上一页 1 2 6 下一页 到第
使用帮助 返回顶部