期刊文献+
共找到1,578篇文章
< 1 2 79 >
每页显示 20 50 100
上消化道恶性肿瘤流行病学趋势 被引量:78
1
作者 李道娟 梁迪 +3 位作者 靳晶 师金 瞿峰 贺宇彤 《肿瘤预防与治疗》 2018年第1期62-68,共7页
GLOBOCAN 2012显示,全球约有140万上消化道恶性肿瘤(食管癌和胃癌)新发病例,位于肺癌和乳腺癌之后;死亡约112万人,仅次于肺癌。全球74.36%的上消化道恶性肿瘤新发病例发生在欠发达地区,其中中国上消化道恶性肿瘤新发病例占全球的44.60%... GLOBOCAN 2012显示,全球约有140万上消化道恶性肿瘤(食管癌和胃癌)新发病例,位于肺癌和乳腺癌之后;死亡约112万人,仅次于肺癌。全球74.36%的上消化道恶性肿瘤新发病例发生在欠发达地区,其中中国上消化道恶性肿瘤新发病例占全球的44.60%。全球上消化道恶性肿瘤发病、死亡率随年龄的增加而增长,且男性高于女性,欠发达地区高于发达地区。本文以最新数据就全球上消化道恶性肿瘤(食管癌和胃癌)的流行病学趋势作一综述,为上消化道恶性肿瘤的防治提供病因依据和理论支持。 展开更多
关键词 上消化道恶性肿瘤 食管癌 胃癌 发病率 死亡率 流行病学
原文传递
Effect of mild moxibustion on intestinal microbiota and NLRP6 inflammasome signaling in rats with post-inflammatory irritable bowel syndrome 被引量:50
2
作者 Chun-Hui Bao Chun-Ye Wang +8 位作者 Guo-Na Li Yi-Lu Yan di Wang Xiao-Ming Jin Lu-Yi Wu Hui-Rong Liu Xiao-Mei Wang Zheng shi Huan-Gan Wu 《World Journal of Gastroenterology》 SCIE CAS 2019年第32期4696-4714,共19页
BACKGROUND About one-third of refractory irritable bowel syndrome(IBS)cases are caused by gastrointestinal(GI)infection/inflammation,known as post-infectious/postinflammatory IBS(PI-IBS).Although it is known that inte... BACKGROUND About one-third of refractory irritable bowel syndrome(IBS)cases are caused by gastrointestinal(GI)infection/inflammation,known as post-infectious/postinflammatory IBS(PI-IBS).Although it is known that intestinal microbiota and host NOD-like receptor family pyrin domain containing 6(NLRP6)inflammsome signaling are closely related to PI-IBS and moxibustion has a therapeutic effect on PI-IBS,whether moxibustion regulates the intestinal flora and host NLRP6 events in PI-IBS remains unclear.AIM To examine the regulatory effect of moxibustion on intestinal microbiota and host NLRP6 inflammatory signaling in PI-IBS.METHODS Sprague-Dawley rats were divided into a normal control group,a model control group,a mild moxibustion group,and a sham mild moxibustion group.PI-IBS rats in the mild moxibustion group were treated with moxibusiton at bilateral Tianshu(ST 25)and Zusanli(ST36)for 7 consecutive days for 10 min each time.The sham group rats were given the same treatment as the mild moxibustion group except the moxa stick was not ignited.Abdominal withdrawal reflex(AWR)score was measured to assess the visceral sensitivity,and colon histopathology and ultrastructure,colonic myeloperoxidase(MPO)activity,and serum C-reactive protein(CRP)level were measured to evaluate low-grade colonic inflammation in rats.The relative abundance of selected intestinal bacteria in rat feces was detected by 16S rDNA PCR and the NLRP6 inflammsome signaling in the colon was detected by immunofluorescence,qRTPCR,and Western blot.RESULTS The AWR score was significantly decreased and the low-grade intestinal inflammation reflected by serum CRP and colonic MPO levels was inhibited in the mild moxibustion group compared with the sham group.Mild moxibustion remarkably increased the relative DNA abundances of Lactobacillus,Bifidobacterium,and Faecalibacterium prausnitzii but decreased that of Escherichia coli in the gut of PI-IBS rats.Additionally,mild moxibustion induced mRNA and protein expression of intestine lectin 1 but inhibited the ex 展开更多
关键词 Moxibustion Post-inflammation IRRITABLE bowel syndrome INTESTINAL microbes NLRP6 INFLAMMASOME INTESTINAL INFLAMMATION Visceral HYPERSENSITIVITY Traditional Chinese medicine
下载PDF
A Review on Lower Limb Rehabilitation Exoskeleton Robots 被引量:47
3
作者 di shi Wuxiang Zhang +1 位作者 Wei Zhang Xilun ding 《Chinese Journal of Mechanical Engineering》 SCIE EI CAS CSCD 2019年第4期2-12,共11页
Lower limb rehabilitation exoskeleton robots integrate sensing, control, and other technologies and exhibit the characteristics of bionics, robotics, information and control science, medicine, and other interdisciplin... Lower limb rehabilitation exoskeleton robots integrate sensing, control, and other technologies and exhibit the characteristics of bionics, robotics, information and control science, medicine, and other interdisciplinary areas. In this review, the typical products and prototypes of lower limb exoskeleton rehabilitation robots are introduced and stateof-the-art techniques are analyzed and summarized. Because the goal of rehabilitation training is to recover patients’ sporting ability to the normal level, studying the human gait is the foundation of lower limb exoskeleton rehabilitation robot research. Therefore, this review critically evaluates research progress in human gait analysis and systematically summarizes developments in the mechanical design and control of lower limb rehabilitation exoskeleton robots. From the performance of typical prototypes, it can be deduced that these robots can be connected to human limbs as wearable forms;further, it is possible to control robot movement at each joint to simulate normal gait and drive the patient’s limb to realize robot-assisted rehabilitation training. Therefore human–robot integration is one of the most important research directions, and in this context, rigid-flexible-soft hybrid structure design, customized personalized gait generation, and multimodal information fusion are three key technologies. 展开更多
关键词 Control method LOWER LIMB EXOSKELETON Mechanical design REHABILITATION ROBOT
下载PDF
围绝经期和绝经后女性骨密度的变化及其相关危险因素分析 被引量:44
4
作者 何跃辉 陈狄 +4 位作者 高谦 施平华 汤丽娜 田纪文 徐红伟 《中国骨质疏松杂志》 CAS CSCD 北大核心 2019年第2期185-188,211,共5页
目的观察40岁以上围绝经期和绝经后女性骨密度(bone mineral density,BMD)的变化并分析其相关危险因素。方法选取2017年8月至2018年3月在我院门诊进行体检的40岁以上女性,详细记录其病史、身高、体重,进行生化和内分泌测试,然后进行双能... 目的观察40岁以上围绝经期和绝经后女性骨密度(bone mineral density,BMD)的变化并分析其相关危险因素。方法选取2017年8月至2018年3月在我院门诊进行体检的40岁以上女性,详细记录其病史、身高、体重,进行生化和内分泌测试,然后进行双能X射线吸收测定扫描。结果研究人群的平均年龄为46.65岁,平均体质量指数为26.23 kg/m^2。研究中骨量减少的患病率为38%,骨质疏松症的患病率为4%,低骨密度的患病率为42%。随着年龄的增加和绝经状态的增加,低骨密度妇女的比例也随之增加。在内分泌评估中,60%的人群出现维生素D摄入不足的情况,56.67%的人群患有甲状旁腺功能亢进,100%的人群出现甲状腺功能减退,75%的人群伴随着甲状腺功能亢进,同时骨密度较低。在慢性疾病中,发现83.33%的女性患有糖尿病,50%的女性患有高血压,50%的女性具有肝肾功能异常,50%的女性患有关节炎等风湿性疾病,同时骨密度较低。每天接受阳光照射时间少于1 h的女性中,48.65%的人骨密度较低。由于日常体力劳动的减少,BMD正常的女性比例从72.72%下降到46.15%。在多因素Logistic回归分析中,发现血清维生素D缺乏,体力劳动和阳光照射不足与低BMD显著相关。结论低BMD不是仅限于绝经后妇女的疾病,它在40岁以上的女性中普遍存在。 展开更多
关键词 骨量减少 骨质疏松 骨密度 绝经后 围绝经期
下载PDF
An Interdisciplinary Nutrition Support Team Improves Clinical and Hospitalized Outcomes of Esophageal Cancer Patients with Concurrent Chemoradiotherapy 被引量:43
5
作者 Ming-Hua Cong Shu-Luan Li +9 位作者 Guo-Wei Cheng Jin-Ying Liu Chen-Xin Song Ying-Bing Deng Wei-Hu Shang di Yang Xue-Hui Liu Wei-Wei Liu shi-Yan Lu Lei Yu 《Chinese Medical Journal》 SCIE CAS CSCD 2015年第22期3003-3007,共5页
status, the incidence of complications, and completion rate of radiotherapy were evaluated. Besides, the length of hospital stay (LOS) and the in-patient cost were also compared between these two groups. Results: A... status, the incidence of complications, and completion rate of radiotherapy were evaluated. Besides, the length of hospital stay (LOS) and the in-patient cost were also compared between these two groups. Results: At the completion of CRF, the nutritional status in the NST group were much better than those in the control group, as evidenced by prealbumin (ALB), transferrin, and ALB parameters (P = 0.001, 0.000, and 0.000, respectively). The complication incidences, including bone marrow suppression (20% vs. 48%, P = 0.037) and complications related infections ( 12% vs. 44%, P = 0.012), in the NST group were lower and significantly different from the control group. In addition, only one patient in the NST group did not complete the planned radiotherapy while 6 patients in the control group had interrupted or delayed radiotherapy (96% vs. 76%, P - 0.103). Furthemlore, the average LOS was decreased by 4.5 days (P = 0.001 ) and in-patient cost was reduced to 1.26 ± 0.75 thousand US dollars person-times (P 〉 0.05) in the NST group. Conelusions: A NST could provide positive effects in esophageal cancer patients during concurrent CRT on maintaining their nutrition status and improving the compliance of CRF. Moreover, the NST could be helpful on reducing LOS and in-patient costs. 展开更多
关键词 CHEMORADIOTHERAPY Complication: Esophageal Cancer Nutrition Support Team Prognosis
原文传递
基于县域尺度土地利用碳排放的时空分异及影响因素研究 被引量:41
6
作者 张杰 陈海 +2 位作者 刘迪 史琴琴 耿甜伟 《西北大学学报(自然科学版)》 CAS CSCD 北大核心 2022年第1期21-31,共11页
基于县域尺度研究土地利用变化导致的碳排放变化、空间异质性及影响因素,对推动土地利用方式向低碳化转变及制定合理有效的政策意义重大。该文以陕西省为例,估算县域1990—2015年土地利用导致的碳排放,探索时空变化的同时分析了不同县... 基于县域尺度研究土地利用变化导致的碳排放变化、空间异质性及影响因素,对推动土地利用方式向低碳化转变及制定合理有效的政策意义重大。该文以陕西省为例,估算县域1990—2015年土地利用导致的碳排放,探索时空变化的同时分析了不同县域的碳排放风险及其影响因素。结果表明,陕西省土地利用碳排放呈不断增加趋势,年均增长率为13.20%,其中建设用地是主要碳源,耕地的碳源作用不断减弱,林地是主要的碳汇,草地发挥着弱碳汇作用;1990—2015年各县域碳排放总量均出现不同程度的增加,且不同县域碳排放增量和碳排放风险差异显著,其中,市辖区的变化最为明显;GDP、城市化水平、高程、政策是影响陕西省县域土地利用碳排放的主要因素,且城市化水平对碳排放量的解释作用最大。 展开更多
关键词 碳排放 土地利用 时空分异 空间计量模型 县域尺度
下载PDF
考虑源荷不确定性的直流配电网模糊随机日前优化调度 被引量:31
7
作者 金国彬 潘狄 +2 位作者 陈庆 石超 李国庆 《电工技术学报》 EI CSCD 北大核心 2021年第21期4517-4528,共12页
针对直流配电网中分布式可再生能源出力及典型直流类负荷的不确定性,提出了综合考虑负荷自弹性系数以及电价型需求响应的不确定性负荷模型;在考虑可再生能源随机性的基础上,通过签订日前充电合同将电动汽车这类高可调度单元转换为确定... 针对直流配电网中分布式可再生能源出力及典型直流类负荷的不确定性,提出了综合考虑负荷自弹性系数以及电价型需求响应的不确定性负荷模型;在考虑可再生能源随机性的基础上,通过签订日前充电合同将电动汽车这类高可调度单元转换为确定性负荷;以直流配电网与上级电网联络线功率最平滑及日前调度成本最小为优化目标,建立了模糊随机日前优化调度模型,并采用熵权法确定两者权重进行求解。以某直流配电网为例,针对不同场景、不同光伏出力、不同置信水平以及不同的电动汽车合同签订率,验证了优化调度模型的有效性、优越性。 展开更多
关键词 源荷不确定性 模糊随机机会约束 直流配电网 电动汽车 日前优化调度
下载PDF
生态脆弱区社会—生态景观恢复力时空演变及情景模拟 被引量:29
8
作者 张行 梁小英 +2 位作者 刘迪 史琴琴 陈海 《地理学报》 EI CSSCI CSCD 北大核心 2019年第7期1450-1466,共17页
从最具操作性的景观尺度探究社会—生态系统恢复力的时空分异及其演变,对于揭示人类活动变化对生态环境及其景观服务的影响机制,促进区域可持续发展意义重大。以黄土丘陵沟壑区米脂县作为典型案例地,从生态、社会、生产3个系统维度构建... 从最具操作性的景观尺度探究社会—生态系统恢复力的时空分异及其演变,对于揭示人类活动变化对生态环境及其景观服务的影响机制,促进区域可持续发展意义重大。以黄土丘陵沟壑区米脂县作为典型案例地,从生态、社会、生产3个系统维度构建社会—生态景观恢复力评价指标体系,分析研究区各子系统和整体社会—生态景观恢复力时空演变及其相互关系。结果显示:①研究区2000-2015年社会—生态景观3子系统恢复力空间分异显著且都有增强。其中,“退耕还林”第1阶段(2000-2009年)增强突出,生态、社会、生产三系统恢复力指数分别上升0.134、0.048、0.028;第2阶段(2009-2015年)增强相对减缓,生态、社会、生产三系统恢复力指数分别上升0.038、0.017、0.021。②总体社会—生态景观恢复力空间分异同样显著,其恢复力指数上升11.60%,呈现中间高东西低的空间格局。③子系统与整体景观系统恢复力变化之间有主导性正向关系,且3个子系统恢复力变化协同关系显著,两个或三个系统协同率达到90%以上。最后,运用有序加权平均法,基于干扰指标与适应能力指标的不同权重设置情景偏好,绘制出“不可持续导向型”“维持现状型”和“可持续导向型”3种情景下的社会—生态景观恢复力模拟图,为区域景观适应性管理提供决策支持。 展开更多
关键词 社会-生态景观 景观恢复力 时空演变 情景模拟 生态脆弱区
原文传递
珠江口盆地地温场特征及构造-热演化 被引量:29
9
作者 胡圣标 龙祖烈 +4 位作者 朱俊章 胡迪 黄玉平 史玉玲 胡杰 《石油学报》 EI CAS CSCD 北大核心 2019年第A01期178-187,共10页
位于南海北缘的珠江口盆地作为中国海洋油气勘探的重点区域,具有良好的油气勘探前景。利用钻井地热测量数据分析了珠江口盆地现今地温场特征,利用古温标反演和拉张盆地模型正演相结合的方法定量揭示了盆地新生代以来的热演化史,并对比... 位于南海北缘的珠江口盆地作为中国海洋油气勘探的重点区域,具有良好的油气勘探前景。利用钻井地热测量数据分析了珠江口盆地现今地温场特征,利用古温标反演和拉张盆地模型正演相结合的方法定量揭示了盆地新生代以来的热演化史,并对比分析了浅水区和深水区构造-热演化的差异及主控因素,总结了不同地热地质条件对油气生成和富集的影响。研究结果表明,珠江口盆地具有'热盆'特征,地温梯度高。地温梯度值的总体变化趋势表现为从浅水区向深水区逐渐增高,与地壳和岩石圈向南减薄趋势一致。珠江口盆地始新世以来经历了两期裂陷拉张作用,其基底热流值表现为幕式升高的特征。浅水区珠一坳陷达到最高古热流的时间相对较早(约为33.9 Ma),而盆地深水区(白云凹陷、荔湾凹陷)裂陷拉张时间可以持续到23 Ma,随后才进入裂后热沉降期,盆地基底热流开始降低。白云凹陷磷灰石裂变径迹(AFT)热史模拟显示晚期约在5 Ma以来存在一期古地温快速增加,这可能与新构造运动有关。此外,由于深水区拉张强度大,加热时间长,陆坡区的白云凹陷最高古热流要高于陆架区的其他凹陷。 展开更多
关键词 珠江口盆地 地温场 热流 磷灰石裂变径迹 构造-热演化
原文传递
Incidence and mortality of esophagus cancer in China, 2008-2012 被引量:28
10
作者 Yutong He Daojuan Li +4 位作者 Baoen Shan di Liang Jin shi Wanqing Chen Jie He 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 2019年第3期426-434,共9页
Objective: To analyze the incidence and mortality rates of esophagus cancer in China from 2008 to 2012.Methods: Incident and mortality cases of esophagus cancer were retrieved from the National Central Cancer Registry... Objective: To analyze the incidence and mortality rates of esophagus cancer in China from 2008 to 2012.Methods: Incident and mortality cases of esophagus cancer were retrieved from the National Central Cancer Registry(NCCR) database collecting from 135 cancer registries in China during 2008-2012. The incidence and mortality rates of esophagus cancer were calculated by area(urban/rural), region(eastern, middle, western), gender and age group(0, 1-4, 5-84 by 5 years and 85+ years). China census in 2000 and Segi’s world population were applied for age-standardized rates. Joinpoint model was used for time-trend analysis.Results: The crude incidence rate of esophagus cancer was 22.57/100,000. The age-standardized incidence rates by China standard population(ASIRC) and by world standard population(ASIRW) were 14.58/100,000 and14.80/100,000, respectively. The crude mortality rate of esophagus cancer was 17.19/100,000. The agestandardized mortality rates by Chinese standard population(ASMRC) and by world standard population(ASMRW) were 10.80/100,000 and 10.86/100,000 respectively. Incidence and mortality rates of esophagus cancer were higher in males than in females and higher in rural areas than in urban areas. The crude incidence rate in middle areas was the highest among all areas, followed by western areas and eastern areas. The age-specific incidence rate of esophagus cancer was relatively low in age groups before 40 years old and then increased after 45 years old. It peaked in the age group of 80-84 years. The patterns of age-specific mortality rates of esophagus cancer were close to those of age-specific incidence rates. The ASIRC of esophagus cancer decreased dramatically by 29.87% between 2003 and 2012, from 14.33/100,000 to 10.05/100,000. The esophagus cancer incidence rate decreased by 3.76% per year(P>0.05). The mortality rate of esophagus cancer decreased annually over the decades from 2003 to 2012 in China(P>0.05). In females, the annual percentage change(APC) of mortality rate was-5.43%[95% confidence in 展开更多
关键词 ESOPHAGUS CANCER INCIDENCE MORTALITY CANCER REGISTRATION China
下载PDF
Rice CYP703A3, a cytochrome P450 hydroxylase, is essential for development of anther cuticle and pollen exine 被引量:28
11
作者 Xijia Yang di Wu +9 位作者 Jianxin shi Yi He Franck Pinot Bernard Grausem Changsong Yin Lu Zhu Mingjiao Chen Zhijing Luo Wanqi Liang Dabing Zhang 《Journal of Integrative Plant Biology》 SCIE CAS CSCD 2014年第10期979-994,共16页
Anther cuticle and pollen exine act as protective envelopes for the male gametophyte or pollen grain, but the mechanism underlying the synthesis of these lipidic polymers remains unclear. Previously, a tapetum‐expres... Anther cuticle and pollen exine act as protective envelopes for the male gametophyte or pollen grain, but the mechanism underlying the synthesis of these lipidic polymers remains unclear. Previously, a tapetum‐expressed CYP703A3, a putative cytochrome P450 fatty acid hydroxylase, was shown to be essential for male fertility in rice(Oryza sativa L.). However,the biochemical and biological roles of CYP703A3 has not been characterized. Here, we observed that cyp703a3‐2 caused by one base insertion in CYP703A3 displays defective pollen exine and anther epicuticular layer, which differs from Arabidopsis cyp703a2 in which only defective pollen exine occurs. Consistently, chemical composition assay showed that levels of cutin monomers and wax components were dramatically reduced in cyp703a3‐2 anthers. Unlike the wide range of substrates of Arabidopsis CYP703A2, CYP703A3 functions as an in‐chain hydroxylase only for a specific substrate, lauric acid, preferably generating 7‐hydroxylated lauric acid. Moreover, chromatin immunoprecipitation and expression analyses revealed that the expression of CYP703A3 is directly regulated by Tapetum Degeneration Retardation, a known regulator of tapetum PCD and pollen exine formation. Collectively, our results suggest that CYP703A3 represents a conserved and diversified biochemical pathway for in‐chain hydroxylation of lauric acid required for the development of male organ in higher plants. 展开更多
关键词 Anther cuticle CYP703A3 cytochrome P450 hydroxylase 7‐hydroxylated lauric acid pollen exine
原文传递
骨代谢生化指标实验推荐方案 被引量:27
12
作者 张萌萌 张岩 +19 位作者 吴涤 张东伟 张智海 吴岩 赵国阳 葛继荣 黄宏兴 张秀珍 毛未贤 马倩倩 高远 张晓梅 李英华 邹军 史晓林 邓伟民 王永福 郑洪新 鲁艳芹 周萍 《中国骨质疏松杂志》 CAS CSCD 北大核心 2021年第10期1405-1412,1549,共9页
骨代谢生化指标包括钙磷代谢调节指标、骨形成标志物、骨吸收标志物、激素与细胞因子。其中骨形成标志物与骨吸收标志物合称为骨转换标志物。目前临床应用酶联免疫吸附测定、化学发光免疫测定、电化学发光免疫分析、放射免疫分析、免疫... 骨代谢生化指标包括钙磷代谢调节指标、骨形成标志物、骨吸收标志物、激素与细胞因子。其中骨形成标志物与骨吸收标志物合称为骨转换标志物。目前临床应用酶联免疫吸附测定、化学发光免疫测定、电化学发光免疫分析、放射免疫分析、免疫放射分析、高效液相色谱等方法检测血、尿中骨代谢生化指标水平,了解骨组织新陈代谢的情况,用于评价骨代谢状态、骨质疏松诊断分型、预测骨折风险、监测骨质疏松治疗疗效和代谢性骨病的鉴别诊断。本文复习了近年来中英文文献,总结了骨代谢生化指标的检测方法及原理,提出了骨代谢生化指标推荐方案。期待为骨代谢生化指标的推广和研究发挥积极作用。 展开更多
关键词 骨代谢生化指标 钙磷代谢调节指标 骨形成标志物 骨吸收标志物 激素与细胞因子
下载PDF
精细化护理管理在复发性急性胰腺炎患者中的应用效果 被引量:25
13
作者 陈莉 陈佳云 +3 位作者 陈翠 张菂 史晓金 席惠君 《中华胰腺病杂志》 CAS 2018年第5期333-336,共4页
目的探讨精细化护理管理在复发性急性胰腺炎(RAP)患者随访中的应用效果。方法收集2016年1月至2017年1月间海军军医大学附属长海医院收治的RAP患者的临床资料。采用自身对照的方法建立前瞻性队列研究,采取精细化护理管理模式对患者随... 目的探讨精细化护理管理在复发性急性胰腺炎(RAP)患者随访中的应用效果。方法收集2016年1月至2017年1月间海军军医大学附属长海医院收治的RAP患者的临床资料。采用自身对照的方法建立前瞻性队列研究,采取精细化护理管理模式对患者随访12个月,通过调查问卷收集患者遵医行为、疾病改善情况、患者满意度等指标以评估精细化护理管理的效果,每3个月1次,满12个月汇总。结果最终纳入64例RAP患者,平均随访时间为(19.7±3.4)个月。就诊前平均患病时长为(4.21±3.95)年;有饮酒史30例(46.9%),吸烟史33例(51.6%),血脂异常25例(39.1%),高脂高蛋白饮食习惯40例(62.5%);病因为酒精性10例(15.6%),高血脂性7例(10.9%),胆源性1例(1.6%),特发性46例(71.9%);体重指数(BMI)异常49例(76.6%)。精细化护理管理干预后RAP患者发作频率、发作疼痛评分及饮酒者均显著少于干预前[(0.50±0.85)次/年比(2.77±2.52)次/年、(1.84±2.54)分比(6.47±2.15)分、2例比30例];按时服药例数、BMI均较干预前显著升高[(52例比13例、(23.26±3.85)kg/m2比(21.92±4.27)kg/m2],差异均有统计学意义(P值均〈0.01)。患者对此干预模式满意度为(4.90±0.56)分。结论实施精细化护理管理能有效改善RAP患者病情,提高遵医行为及生活质量。 展开更多
关键词 复发性急性胰腺炎 护理实践模式 病案管理
原文传递
Treponema pallidum-specific antibody expression for the diagnosis of different stages of syphilis 被引量:23
14
作者 SUN Ran LAI di-hui +2 位作者 REN Rong-xin LIAN shi ZHANG Hai-ping 《Chinese Medical Journal》 SCIE CAS CSCD 2013年第2期206-210,共5页
Background Tp15, Tp17, Tp45, and Tp47 are outer-membrane proteins found in Treponema pallidum, the etiologic agent of syphilis. These proteins are potent antigens and are potential markers for the serological detectio... Background Tp15, Tp17, Tp45, and Tp47 are outer-membrane proteins found in Treponema pallidum, the etiologic agent of syphilis. These proteins are potent antigens and are potential markers for the serological detection of syphilis. The present study analyzed antibodies to these protein antigens (TP-IgM and TP-IgG) in human serum and investigated the expression of these antibodies during different stages of syphilis. Methods Serum samples were collected from 69 subjects (male 45, female 24) diagnosed with syphilis and analyzed by Western blotting for the expression of IgM and IgG against the four protein antigens. Expression levels of the target antibodies were compared during the same stage of syphilis as well as between different stages of this disease. Results In subjects with primary syphilis, the positive rate of Tp45 IgM was higher than that of other TP-IgM. Tp15 IgM was detected only in subjects with tertiary syphilis. Similarly, the seroprevalence of Tp45 IgG in primary syphilis was higher than for other TP-IgG. No target TP-IgM was detected in subjects with latent syphilis. In subjects with secondary syphilis, the expression level of Tp15 IgG (138.73±20.16) was higher than for other target TP-IgG. In subjects with tertiary syphilis, all target TP-IgG were detected. In subjects with tertiary or latent syphilis, the expression levels of Tp45 IgG (121.33±11.04 and 110.10±40.19, respectively) were higher than those of other target TP-IgG. The expression levels of all Tp-lgM were similar before or after anti-syphilis treatment. In comparison, the expression levels of all TP-IgG decreased compared with the pre-treatment levels, and this decrease was statistically significant (both P 〈0.05) for Tp17 IgG and Tp47 IgG. Conclusions After Treponema pallidum infection, Tp45 IgM appeared first and Tp15 IgM occurred during later stages. The positive rates of all TP-IgG increased with the duration of this disease. Anti-syphilis treatment reduced the expression levels of Tp17 IgG and Tp47 IgG. La 展开更多
关键词 Treponema pallidum Western blotting syphilis
原文传递
Epidemiology of Diabetes in Adults Aged 35 and Older from Shanghai,China 被引量:23
15
作者 RUAN Ye YAN Qing Hua +4 位作者 XU Ji Ying YANG Qun di YAO Hai Hong LI Rui shi Yan 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2016年第6期408-416,共9页
Objective This study aimed to investigate the epidemiology of diabetes in adults from Shanghai, aged 35 and older, in 2013. Methods We estimated the diabetes prevalence in a representative sample of 18,736 adults who ... Objective This study aimed to investigate the epidemiology of diabetes in adults from Shanghai, aged 35 and older, in 2013. Methods We estimated the diabetes prevalence in a representative sample of 18,736 adults who were selected through a multistage stratified cluster sampling process. A standard questionnaire containing questions about demographic characteristics and lifestyle factors was distributed. After an overnight fast of at least 10 hours, a venous blood sample was collected from each participant. For each patient without a history of diabetes, another blood sample was drawn 120 min after an oral glucose tolerance test to identify undiagnosed diabetes and prediabetic condition. Results Among Shanghai residents aged 35 and above, the overall weighted prevalence of diabetes was 17.6% [95% confidence interval(CI): 16.4%-18.8%]. The prevalences were 19.3% in men and 15.8% in women as well as 19.1%, 15.4%, and 16.1% in urban, suburban, and rural residents, respectively. In addition, the weighted prevalence of prediabetes was 16.5%(95% CI: 15.3%-17.8%), with the prevalences of 16.5% in men, 16.6% in women, 15.2% in urban residents, 18.0% in suburban residents, and 18.5% in rural residents. Among all patients with diabetes, 68.1%(95% CI: 64.3%-71.6%) were aware of their status, 63.5%(95% CI: 60.0%-66.9%) received diabetes treatment, but only 35.1%(95% CI: 32.4%-37.8%) had adequate glycemic control. Conclusion In Shanghai, diabetes and prediabetes are highly prevalent. However, 1/3rd of diabetes cases are undiagnosed, and the rate of glycemic control is low. 展开更多
关键词 DIABETES PREDIABETES PREVALENCE Control
下载PDF
中央环保督察“回头看”的市场反应——基于重污染行业上市公司的影响分析 被引量:21
16
作者 陈迪 孟乔钰 +2 位作者 石磊 马中 陆根法 《中国环境科学》 EI CAS CSCD 北大核心 2020年第7期3239-3248,共10页
运用事件研究法和非参数检验,探究了中央环保督察"回头看"的宣布实施对于沪深两市A股重污染行业上市公司收益情况的影响及其差异情况,结果显示:事件窗内中央环保督察"回头看"使得重污染行业上市公司的平均累计异常... 运用事件研究法和非参数检验,探究了中央环保督察"回头看"的宣布实施对于沪深两市A股重污染行业上市公司收益情况的影响及其差异情况,结果显示:事件窗内中央环保督察"回头看"使得重污染行业上市公司的平均累计异常收益率降低至-2.005%,且这一负面冲击在时间上有延长趋势;不同公司性质、子行业的重污染行业上市公司所受影响存在显著差异.就企业性质差异而言,非国有公司累计收益率所受的负面冲击平均比国有公司高1.696%.在不同行业中,建材、制药、石化行业所受负面冲击最大,纺织、造纸、制革行业所受影响则较小.此外,市场对于火电、化工行业企业的反应并非多为负向,注重环境管理使得部分企业在中央环保督察"回头看"中得到了市场的正向回馈.建议持续推进中央环保督察"回头看"制度,以切实促进公司开展节能减排,同时,重污染行业公司特别是非国有公司以及上述行业公司应加强自身环境管理,积极进行环境信息披露,从而尽可能避免在类似的环境规制中受到负面冲击. 展开更多
关键词 中央环保督察“回头看” 市场反应 事件研究法 非参数检验
下载PDF
Modeling,Control,and Protection of Modular Multilevel Converter-based Multi-terminal HVDC Systems:A Review 被引量:21
17
作者 Lei Zhang Yuntao Zou +5 位作者 Jicheng Yu Jiangchao Qin Vijay Vittal George G.Karady di shi Zhiwei Wang 《CSEE Journal of Power and Energy Systems》 SCIE 2017年第4期340-352,共13页
Multi-terminal direct current(MTDC)grids provide the possibility of meshed interconnections between regional power systems and various renewable energy resources to boost supply reliability and economy.The modular mul... Multi-terminal direct current(MTDC)grids provide the possibility of meshed interconnections between regional power systems and various renewable energy resources to boost supply reliability and economy.The modular multilevel converter(MMC)has become the basic building block for MTDC and DC grids due to its salient features,i.e.,modularity and scalability.Therefore,the MMC-based MTDC systems should be pervasively embedded into the present power system to improve system performance.However,several technical challenges hamper their practical applications and deployment,including modeling,control,and protection of the MMC-MTDC grids.This paper presents a comprehensive investigation and reference in modeling,control,and protection of the MMC-MTDC grids.A general overview of state-of-the-art modeling techniques of the MMC along with their performance in simulation analysis for MTDC applications is provided.A review of control strategies of the MMC-MTDC grids which provide AC system support is presented.State-of-the art protection techniques of the MMCMTDC systems are also investigated.Finally,the associated research challenges and trends are highlighted. 展开更多
关键词 circuit breaker(CB) DC-fault blocking DC voltage droop control detailed switching model embedded HVDC equivalent circuit model high-voltage direct current(HVDC) meshed DC grids modeling of MMC-MTDC modular multilevel converter(MMC) multi-terminal direct current(MTDC) power oscillation damping
原文传递
河北省居民癌症防治核心知识知晓情况调查分析 被引量:21
18
作者 李道娟 刘江惠 +3 位作者 梁迪 师金 靳晶 贺宇彤 《中国肿瘤》 CAS CSCD 北大核心 2021年第6期437-444,共8页
[目的]了解河北省居民对癌症的认识水平,以期为今后的癌症防治和健康宣教提供科学依据。[方法]采用非随机抽样和匿名方式,共获得河北省11个地市、2个省直管市和1个雄安新区36747份有效问卷。应用描述性分析、卡方检验、单因素分析和有... [目的]了解河北省居民对癌症的认识水平,以期为今后的癌症防治和健康宣教提供科学依据。[方法]采用非随机抽样和匿名方式,共获得河北省11个地市、2个省直管市和1个雄安新区36747份有效问卷。应用描述性分析、卡方检验、单因素分析和有序多因素Logistic分析等统计分析各个因素和知晓率的关系。[结果]河北省居民总体癌症防治核心知识知晓率为79.0%。女性知晓率为79.4%,高于男性(78.2%)。城市地区居民知晓率(80.5%)高于农村地区居民(77.7%)。25岁以下的青少年知晓率最低(70.8%),25~44岁组和45~64岁组知晓率最高,均为79.7%。研究生及以上组的知晓率最高,为86.2%,未进行正规上学的知晓率最低,为66.4%。医疗卫生行业的知晓率为80.9%,高于非医疗卫生行业的71.7%。参加过癌症筛查项目或防癌体检的知晓率为80.3%,高于未参加过癌症筛查的78.3%。从不吸烟的居民知晓率最高,为79.4%。多因素分析显示年龄、城乡分布、文化程度、职业、吸烟情况和癌症筛查或防癌体检是癌症防治核心知识知晓率的影响因素。[结论]河北省居民对癌症防治核心知识的总体知晓和认同情况较好,应继续加强癌症预防与控制宣教,提高河北省全民癌症防治知识水平。 展开更多
关键词 癌症防治 知晓率 多因素分析 河北
原文传递
黄土丘陵沟壑区生态系统服务对人类福祉的影响及其群体差异 被引量:19
19
作者 刘迪 陈海 +2 位作者 张行 史琴琴 耿甜伟 《地理研究》 CSSCI CSCD 北大核心 2022年第5期1298-1310,共13页
生态系统服务对人类福祉的影响研究对于分析区域生态系统的社会贡献及有效减贫等方面具有重要的理论与实践意义。本文以地处黄土丘陵沟壑区的陕西省米脂县为例,在整合主客观人类福祉的基础上,基于生态系统服务可得性评估,利用结构方程... 生态系统服务对人类福祉的影响研究对于分析区域生态系统的社会贡献及有效减贫等方面具有重要的理论与实践意义。本文以地处黄土丘陵沟壑区的陕西省米脂县为例,在整合主客观人类福祉的基础上,基于生态系统服务可得性评估,利用结构方程模型定量分析了生态系统服务对人类福祉的影响及其群体差异。结果如下:①生态系统服务对客观福祉和主观福祉具有显著正向影响,并通过客观福祉对主观福祉产生间接影响。农户属性对生态系统服务和客观福祉直接效应显著,对主观福祉直接效应不显著。②生态系统服务对人类福祉的影响存在群体差异,纯农型与兼业型的服务可得性对客观福祉直接效应显著,而非农型不显著;纯农型与兼业型的服务可得性对主观福祉的直接效应明显大于非农型,且非农型间接效应不显著;非农型客观福祉对主观福祉的影响明显高于纯农型与兼业型。③生态系统服务对人类福祉影响的因子贡献与服务组合存在群体差异,即三类群体生态系统服务对福祉影响的差异不仅体现在服务类型及影响程度上,还体现在服务组合的差异上。 展开更多
关键词 生态系统服务 客观福祉 主观福祉 群体差异 结构方程模型 黄土丘陵沟壑区
原文传递
Blockade of Tim-3 Pathway Ameliorates Interferon-γ Production from Hepatic CD8^+ T Cells in a Mouse Model of Hepatitis B Virus Infection 被引量:19
20
作者 Ying Ju Nan Hou +12 位作者 Xiaoning Zhang di Zhao Ying Liu Jinjin Wang Fang Luan Wei shi Faliang Zhu Wensheng Sun Lining Zhang Chengjiang Gao Lifen Gao Xiaohong Liang Chunhong Ma 《Cellular & Molecular Immunology》 SCIE CAS CSCD 2009年第1期35-43,共9页
T cell immunoglobulin- and mucin-domain-containing molecule-3 (Tim-3) has been reported to participate in the pathogenesis of inflammatory diseases. However, whether Tim-3 is involved in hepatitis B virus (HBV) in... T cell immunoglobulin- and mucin-domain-containing molecule-3 (Tim-3) has been reported to participate in the pathogenesis of inflammatory diseases. However, whether Tim-3 is involved in hepatitis B virus (HBV) infection remains unknown. Here, we studied the expression and function of Tim-3 in a hydrodynamics-based mouse model of HBV infection. A significant increase of Tim-3 expression on hepatic T lymphocytes, especially on CD8^+ T cells, was demonstrated in HBV model mice from day 7 to day 18. After Tim-3 knockdown by specific shRNAs, significantly increased IFN-γ production from hepatic CD8^+ T cells in HBV model mice was observed. Very interestingly, we found Tim-3 expression on CD8^+ T cells was higher in HBV model mice with higher serum anti-HBs production. Moreover, Tim-3 knockdown influenced anti-HBs production in vivo. Collectively, our data suggested that Tim-3 might act as a potent regulator of antiviral T-cell responses in HBV infection. Cellular & Molecular Immunology. 展开更多
关键词 TIM-3 HBV CD8^+ T cell hydrodynamic injection SHRNA
原文传递
上一页 1 2 79 下一页 到第
使用帮助 返回顶部