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NICE指南概要:共病状态的临床评估和管理 被引量:9
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作者 Caroline Farmer Elisabetta Fenu +2 位作者 Norma O'Flynn Bruce guthrie 符天旭 《中国医院院长》 2017年第5期25-27,共3页
大多数慢性疾病患者患有一种或多种慢性疾病,共病状态在老年人中十分常见(图1和图2)。共病状态的重要性在于其与降低生活质量、高死亡率、多重用药、更高药物不良事件几率、更多计划外医疗服务耗费均相关。共病患者需要频繁前往初级... 大多数慢性疾病患者患有一种或多种慢性疾病,共病状态在老年人中十分常见(图1和图2)。共病状态的重要性在于其与降低生活质量、高死亡率、多重用药、更高药物不良事件几率、更多计划外医疗服务耗费均相关。共病患者需要频繁前往初级医疗保健机构和各个专科就诊,这些机构的医师之间可能缺乏有效沟通交流。 展开更多
关键词 共病状态 临床评估 NICE 管理 指南 药物不良事件 医疗保健机构 慢性疾病
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Transport phenomena in meniscus region of horizontal single belt casting
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作者 Mian-guang XU Roderick guthrie Mihaiela ISAC 《Transactions of Nonferrous Metals Society of China》 SCIE EI CAS CSCD 2020年第11期3124-3132,共9页
The horizontal single belt casting(HSBC)incorporating a single-impingement feeding system was simulated with an improved numerical model.Physical experiments were carried out on the pilot-scale caster for validation.T... The horizontal single belt casting(HSBC)incorporating a single-impingement feeding system was simulated with an improved numerical model.Physical experiments were carried out on the pilot-scale caster for validation.The results show that the meniscus turbulence neither comes from the tundish region,nor from the impingement between the melt and the moving belt.It is the moving belt that gives rise to this high turbulence region,and this region can stir the melt near the meniscus.The feeding system studied and the moving belt give rise to a buffer region,which can optimize casting parameter variations,especially melt depth changes in the tundish.The temperature change rate of the bottom surface of the strip is around 4 times faster than that of the upper surface. 展开更多
关键词 horizontal single belt transport phenomenon strip casting numerical simulation MENISCUS
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Colour Removal from Aqueous Solutions of the Reactive Azo Dye Remazol Black B Using the Immobilised Cells (Shewanella Strain J18 143) –Cellulose-g.co-Monomer System 被引量:2
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作者 T. LI J. T. guthrie 《Journal of Water Resource and Protection》 2010年第1期77-84,共8页
Consideration is given here to colour removal, carried out using immobilised biological cells, Shewanella strain J18 143. In order to provide greater control of an overall colour removal process and to give a basis fo... Consideration is given here to colour removal, carried out using immobilised biological cells, Shewanella strain J18 143. In order to provide greater control of an overall colour removal process and to give a basis for the effective recovery of the cell culture species, cell immobilisation has been established on chemically modified cellulose. The modification was achieved by chemically inducing the graft copolymerisation of methacrylic acid onto cotton fabric. The immobilised cells were able to decolorise the dye. The immobilisation methods, physical adsorption, “growing-in” and chemical coupling, were compared. Each of the methods was effective to some extent. However, the latter two immobilisation methods provided the greater effect in decoloration. Each of these immobilised systems is relatively simple to achieve, whether by adsorption, physical interlocking or covalent coupling. The graft copolymer is able to offer versatility in use. The decoloration was shown to be rapid under relatively simple processing conditions. Thus, compared with the established controls, complete decoloration of solutions of Remazol Black B was observed. The potential use of the graft copolymer substrate as support for a biochemical agent was confirmed. 展开更多
关键词 REACTIVE Azo DYES Colour Removal Immobilisation Immobilised Cells
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Clinical indices and mortality of hospitalized avian influenza A (H7N9) patients in Guangdong, China 被引量:1
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作者 Yang Yang Xue Li +2 位作者 guthrie S.Birkhead Zhe Zheng Jia-hai Lu 《Chinese Medical Journal》 SCIE CAS CSCD 2019年第3期302-310,共9页
Background:Six epidemic waves of human infection with avian influenza A (H7N9) virus have emerged in China with high mortality. However, study on quantitative relationship between clinical indices in ill persons and H... Background:Six epidemic waves of human infection with avian influenza A (H7N9) virus have emerged in China with high mortality. However, study on quantitative relationship between clinical indices in ill persons and H7N9 outcome (fatal and nonfatal) is still unclear. A retrospective cohort study was conducted to collect laboratory-confirmed cases with H7N9 viral infection from 2013 to 2015 in 23 hospitals across 13 cities in Guangdong Province, China.Methods:Multivariable logistic regression model and classification tree model analyses were used to detect the threshold of selected clinical indices and risk factors for H7N9 death. The receiver operating characteristic curve (ROC) and analyses were used to compare survival and death distributions and differences between indices. A total of 143 cases with 90 survivors and 53 deaths were investigated.Results:Average age (Odds Ratio (OR)=1.036, 95% Confidence Interval (CI)=1.016-1.057), interval days between dates of onset and confirmation (OR=1.078, 95% CI=1.004-1.157), interval days between onset and oseltamivir treatment (OR=5.923, 95% CI=1.877-18.687), body temperature (BT) (OR=3.612, 95% CI=1.914-6.815), white blood cell count (WBC) (OR=1.212, 95% CI=1.092-1.346) were significantly associated with H7N9 death after adjusting for confounders. The chance of death from H7N9 infection was 80.0% if BT was over 38.1 °C, and chance of death is 67.4% if WBC count was higher than 9.5 (109/L). Only 27.1% of patients who began oseltamivir treatment less than 9.5 days after disease onset died, compared to 68.8% of those who started treatment more than 15.5 days after onset.Conclusions:The intervals between date of onset and confirmation of diagnosis, between date of onset to oseltamivir treatment, age, BT and WBC are found to be the best predictors of H7N9 mortality. 展开更多
关键词 CLINICAL markers HOSPITALIZATION INFLUENZA A virus H7N9 SUBTYPE
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TA公司的“三明治”抗腐蚀垫片
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作者 Larry guthrie 任启蒙 《航空工程与维修》 2000年第6期40-41,共2页
“三明治”飞机天线垫片是由于垫片中间夹有氟硅材料的两片可压延长的铝丝网组成而得名。它可在增压或非增压区域平面和凹面安装,而不需要专门的油膏、防腐剂或别的密封剂,防止了天线和蒙皮之间、仪器和蒙皮之间以及连接螺钉的腐蚀。
关键词 美国TA公司 “三明治”飞机天线垫片 抗腐蚀垫片 AEROBOND
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构建可重用的ASP.NET用户控件和页面库
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作者 Scott guthrie 《MSDN开发精选》 2005年第6期69-72,共4页
场景简述 在本文中,我想用来描述构建可重用页面与控件库的场景,是一个开发团队在着手构建可重用的电子商务Web UI库,以便在多个Web工程和应用之间重用如果他们是ISV,他们还会有意对这个库打包并进行销售。
关键词 用户控件 ASP.NET 可重用 构建 页面 WEB工程 电子商务 开发团队 ISV
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在Visual Studio 2005中用IIS创建新的Web系统
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作者 Scott guthrie 《MSDN开发精选》 2005年第6期73-76,共4页
快速回顾:IIS如何映射应用程序和站点? Microsoft IIS支持在一个服务器上寄宿多个“站点”。这些站点被定义为一个由IP地址、主机名和/或端口地址惟一确定的组合。例如,我的站点(www.scottqu.tom)是由一个IP地址(192.197.15... 快速回顾:IIS如何映射应用程序和站点? Microsoft IIS支持在一个服务器上寄宿多个“站点”。这些站点被定义为一个由IP地址、主机名和/或端口地址惟一确定的组合。例如,我的站点(www.scottqu.tom)是由一个IP地址(192.197.157.24)、主机名(www.Scottgu.com)和端口号“80”(默认的HTTP端口)所组成的。Nikhil的站点(www.nikhilk.net)是另一个寄宿在同——Web服务器上的站点。它具有与我的站点相同的IP地址(192.197.257.24)和端口号(80),但是它的绑定主机名小同。只要这3个(IP地址、主机名、端口号)元素中有任何一个不同,那么就可以将在IIS上的每个站点区分开来并分别映射。 展开更多
关键词 IIS Visual STUDIO WEB系统 Microsoft Web服务器 IP地址 端口地址 主机名
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就地取材——安娜堡图书馆
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作者 Michael guthrie Cory Lavigne +1 位作者 Jame Haefner Justin Maconochie 《中国建筑装饰装修》 2011年第12期78-83,共6页
精选理由Ann Arbor市是密歇根大学Ann Arbor校区的所在地。密歇根大学是美国中西部BigTen十大联盟之一,无论校地大小、校园建筑、学术地位、教学资源、师资或学生素质都是美国州立大学的翘楚。Ann Arbor District Library是该市的公共... 精选理由Ann Arbor市是密歇根大学Ann Arbor校区的所在地。密歇根大学是美国中西部BigTen十大联盟之一,无论校地大小、校园建筑、学术地位、教学资源、师资或学生素质都是美国州立大学的翘楚。Ann Arbor District Library是该市的公共图书馆。而此图书馆采用当地已死的树木作为建筑材料。窗户的造型设计成竖条状,仿佛是木材的机理。透过灯光,整个图书馆散发着木头的暖色调,仿佛置身于一棵巨大的树干中。 展开更多
关键词 公共图书馆 就地取材 州立大学 ANN 校园建筑 教学资源 学生素质 建筑材料
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Kasai肝门肠吻合术:肝脏组织学上的新认识
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作者 Hussein A. Wyatt J. +2 位作者 guthrie A. Stringer M.D. 宁亮 《世界核心医学期刊文摘(儿科学分册)》 2005年第7期37-38,共2页
Background/Purpose: The aim of this paper was to investigate the mechanism of long-term biliary drainage after Kasai portoenterostomy by clinicopathologic study of hepatic morphology in explanted livers.Methods: Expla... Background/Purpose: The aim of this paper was to investigate the mechanism of long-term biliary drainage after Kasai portoenterostomy by clinicopathologic study of hepatic morphology in explanted livers.Methods: Explanted livers from 13 consecutive children undergoing transplantation for biliary atresia were examined in detail using a standardized protocol.Group 1 (n = 6) had no Kasai procedure before transplantation at a median age of 8 m.Group 2 (n = 4) were transplanted at a median age of 10 m after a failed Kasai portoenterostomy.Group 3 (n = 3) had a successful Kasai but required transplantation for complications of chronic liver disease at 12-14 years.Pathology findings were correlated with hepatic morphology determined by pretransplant magnetic resonance imaging.Results: Large perihilar regenerative nodules (8-14 cm diameter) were observed in 2 patients after successful Kasai portoenterostomy, less well-de-fined perihilar nodules in group 2 patients, and no regenerative nodules in group 1.Microscopically, group 1 had diffuse biliary cirrhosis with evidence of progressive ductopenia during infancy.In group 2, perihilar regenerative nodules showed variable portal fibrosis but no cirrhosis and bile ducts were present with 68%-100%of hepatic arteries; in peripheral cirrhotic areas, bile ducts were absent in patients older than 9 m.The perihilar regenerative nodules in group 3 patients had a noncirrhotic architecture with preserved bile ducts, but the peripheral parenchyma was cirrhotic; one patient had diffuse macronodular cirrhosis.These morphologic findings correlated well with magnetic resonance images, highlighting the preservation of relatively normal perihilar liver architecture after successful Kasai portoenterostomy.Conclusions: Unoperated biliary atresia is associated with progressive intrahepatic ductopenia leading to diffuse biliary cirrhosis.Kasai portoenterostomy can result in the growth of large perihilar regenerative nodules, probably as a consequence of surviving intrahepatic ducts in this regi 展开更多
关键词 肝门肠吻合术 Kasai 肝脏组织学 胆管闭锁 肝门肠吻合手术 再生结节 大结节性肝硬化 慢性肝脏疾病 移植术 胆汁性肝硬化
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Atlas——微软的AJAX工具包
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作者 Scott guthrie 刘彦博(翻译) 《MSDN开发精选》 2005年第5期97-98,共2页
微软现在已经进入了ASP.NET2.0和Visual Web Developer 2005发布版最后的RTM里程碑时刻。为了达到ZBB(Zero Bug nounce),微软已经锁定了这些产品的特性,着重优化最终的质量、性能和可靠性。
关键词 ATLAS 微软 工具包 DEVELOPER Visual SP. Web RTM BUG
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Highly Branched Poly(α-Methylene-γ-Butyrolactone) from Ring-Opening Homopolymerization
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作者 Pascal Binda Zakiya Barnes +1 位作者 Dechristian guthrie Rasaan Ford 《Open Journal of Polymer Chemistry》 2017年第4期76-91,共16页
New heteroleptic lanthanide complex [L1ILaN{Si(CH3)2}] (1) containing tridentate [ONO] ancillary ligand was synthesized from an acid-base ligand exchange reaction with ligands H2L1 and corresponding homoleptic lanthan... New heteroleptic lanthanide complex [L1ILaN{Si(CH3)2}] (1) containing tridentate [ONO] ancillary ligand was synthesized from an acid-base ligand exchange reaction with ligands H2L1 and corresponding homoleptic lanthanide compound La[N{Si(CH3)3}2]3. Meanwhile, dimeric complexes [L1LaCl] (2) and [L1ILaCl] (3) were prepared from salt metathesis reaction between one equivalent of ligands H2LI,II, three equivalent of NaN{Si(CH3)3}2, and one equivalent of LaCl3. These compounds were characterized by nuclear magnetic resonance (300 MHz) and elemental analysis. These complexes were used as catalysts in the ring-opening homopolymerization of α-methylene-γ-butyrolactone. While compound 1 did not show any significant reactivity, compounds 2 and 3 gave significant amount of highly branched poly(α-methylene-γ-butyrolactone) as confirmed by 1H NMR spectroscopy and Malvern’s triple detector GPCMax analysis in DMSO with molecular weights of over 500,000 Dalton. The glass-transition temperatures of the branched polymer samples were determined using a Dynamic Mechanical Analyzer, DMA Q800. 展开更多
关键词 LANTHANIDE α-Methylene-γ-Butyrolactone Polyesters RING-OPENING POLYMERIZATION
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合理的影像学检查检查腹痛原因以发现胰腺癌
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作者 J Ashley guthrie Maria B Sheridan +1 位作者 张国庆(译) 焦顺昌(校) 《英国医学杂志中文版》 2008年第4期247-249,共3页
当患者出现腹痛时,临床医生该对其进行何种检查以明确腹痛是否源于胰腺癌呢?
关键词 影像学检查 胰腺癌 腹痛 临床医生
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危重病人静脉注射白蛋白
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作者 guthrie RD 王国良 蒋西华 《国外医学(消化系疾病分册)》 1992年第2期107-109,共3页
危重病人通常有低白蛋白血症,并常伴有脓毒血症及成人呼吸窘迫综合征(ARDS),治疗上常采用静脉注入白蛋白,但对其价值一直有争议。白蛋白的代谢和动力学白蛋白分子量大约65kD,主要由肝脏产生。
关键词 白蛋白 静脉注射
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NICE指南概要:共病状态的临床评估和管理
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作者 Caroline Farmer Elisabetta Fenu +3 位作者 Norma O'Flynn Bruce guthrie 符天旭 周国鹏 《英国医学杂志中文版》 2017年第1期51-56,共6页
大多数慢性疾病患者患有一种或多种慢性疾病,共病状态在老年人中十分常见(见信息图1和框图1)。共病状态的重要性在于其与降低生活质量、高死亡率、多重用药、更高药物不良事件几率、更多计划外医疗服务耗费均相关。
关键词 共病状态 临床评估 医疗卫生行业 患者
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与媒体打交道
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作者 乔纳森·古思里 胡新妍(译) 《青年记者》 2005年第11期78-79,共2页
关键词 商业记者 新闻报道 新闻采访 公关工作
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TA公司的新型快速防火密封胶
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作者 Larry guthrie 任启蒙 《航空工程与维修》 2000年第5期14-15,共2页
快速防火密封胶是一种单组分,非烧蚀的密封胶。防火特性在 15分钟内就可实现。密封胶紧粘在金属、混合物、油漆类,及其他常见的飞机衬垫上,不需使用预涂或特殊的表面处理。
关键词 TA公司 飞机防火墙 快速防火密封胶
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胜利、比赛与细胞:兽医干细胞学
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作者 Margaret guthrie 李升伟(译) 《生物技术世界》 2008年第6期77-78,共2页
在加州阿卡迪亚举办的圣塔安妮塔跑道赛中,它看到我们到来,将头伸出了马房,耳朵向前,以便听到人们疯狂的喊叫,卷起胶膜,等待享用它喜欢的薄荷糖。
关键词 细胞学 兽医 比赛 薄荷糖
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竹帘下--波特兰日本餐厅SHIZUKU BY CHEF NAOKO
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作者 隈研吾 balazs bognar +3 位作者 aigerim syzdykova adrian yau lorraine guthrie jeremy bittermann 《中国建筑装饰装修》 2018年第4期72-73,共2页
隈研吾 日本著名建筑师,享有极高的国际声誉,建筑融合古典与现代风格为一体。曾获得国际石造建筑奖、自然木造建筑精神奖等。著有《十宅论》、《负建筑》等作品。
关键词 日本 餐厅 竹帘 建筑师 现代风格 建筑精神 隈研吾 国际
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“剃须之王”挑战传统
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作者 乔纳森·古思里(Jonathan guthrie 周莹(译) 《新财富》 2008年第10期44-45,共2页
“剃须之王”改变了以往剃刀和刀片搭售的定价策略,将二者调至同样价位,如今它已占英国剃须市场15%的份额。在商品、经营上实行差异化策略,是它崛起的经验之一。
关键词 传统 差异化策略 定价策略 搭售 价位 商品 经验
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美女,天才,所以嚣张——Google头号美女的硅谷传奇
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作者 Julian guthrie 达文西(收集整理) 《计算机应用文摘》 2009年第13期79-80,共2页
34岁的玛丽莎·梅耶尔是Google公司最有权势的女人,也被公认为硅谷第一美女。但她的身上集结着太多自相矛盾的东西:她长着一副俏丽迷人的面孔。头脑却比男人更冷静,行事比男人更硬朗;她自认是“奇客”。却截然不同于那些埋头编... 34岁的玛丽莎·梅耶尔是Google公司最有权势的女人,也被公认为硅谷第一美女。但她的身上集结着太多自相矛盾的东西:她长着一副俏丽迷人的面孔。头脑却比男人更冷静,行事比男人更硬朗;她自认是“奇客”。却截然不同于那些埋头编程的传统“奇客”——她时尚而高调,成为IT业最受关注的公众人物之一;她热爱生活,却被媒体称作“工作狂”。 展开更多
关键词 Google公司 美女 硅谷 天才 传奇 IT业 男人 编程
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