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妇产科学课程思政发展现状探讨 被引量:34
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作者 杨静 钟天鹰 +4 位作者 刘蔚 贾雪梅 阮红杰 戴小婷 童华 《中国继续医学教育》 2020年第33期65-69,共5页
为贯彻落实习近平总书记在全国高校思想政治工作会议上的重要讲话精神,全面强化立德树人的根本任务,把思想政治工作贯穿教育教学全过程,达到全程育人,全方位育人的教育模式,形成协同育人的新格局。文章旨在根据目前妇产科学课程思政现状... 为贯彻落实习近平总书记在全国高校思想政治工作会议上的重要讲话精神,全面强化立德树人的根本任务,把思想政治工作贯穿教育教学全过程,达到全程育人,全方位育人的教育模式,形成协同育人的新格局。文章旨在根据目前妇产科学课程思政现状,探讨现代医学生思想教育新模式,阐述将思想政治教育有效渗透到妇产科学教学中,有效挖掘思想政治教育资源,实现知识传授、能力培养与价值引领的有机统一和相互融合,创建妇产科教育教学新局面,同时为建设德才兼备的医学人才队伍、丰富妇产科学课程思政的教学内容与方法和构建系统德育体系等提供参考意见。 展开更多
关键词 妇产科学 课程思政 医学生 临床教师 现状与问题 对策与思考
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Stability of SARS Coronavirus in Human Specimens and Environment and Its Sensitivity to Heating and UV Irradiation 被引量:32
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作者 SHU-MING DUAN, XIN-SHENG ZHAO, RUI-FU WEN, jing-jing HUANG, GUO-HUA PI, SU-XIANG ZHANG, JUN HAN, SHENG-LI BI, LI ruan, XIAO-PING DONGAND SARS RESEARCH TEAMInstitute for Viral Disease Control and Prevention, Chinese Center for Disease Control and Prevention,Ying-Xin Rd. 100, Beijing 100052, China 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2003年第3期246-255,共10页
Objective The causal agent for SARS is considered as a novel coronavirus that has never been described both in human and animals previously. The stability of SARS coronavirus in human specimens and in environments was... Objective The causal agent for SARS is considered as a novel coronavirus that has never been described both in human and animals previously. The stability of SARS coronavirus in human specimens and in environments was studied. Methods Using a SARS coronavirus strain CoV-P9, which was isolated from pharyngeal swab of a probable SARS case in Beijing, its stability in mimic human specimens and in mimic environment including surfaces of commonly used materials or in household conditions, as well as its resistances to temperature and UV irradiation were analyzed. A total of 106 TCID50 viruses were placed in each tested condition, and changes of the viral infectivity in samples after treatments were measured by evaluating cytopathic effect (CPE) in cell line Vero-E6 at 48 h after infectionn. Results The results showed that SARS coronavirus in the testing condition could survive in serum, 1:20 diluted sputum and feces for at least 96 h, whereas it could remain alive in urine for at least 72 h with a low level of infectivity. The survival abilities on the surfaces of eight different materials and in water were quite comparable, revealing reduction of infectivity after 72 to 96 h exposure. Viruses stayed stable at 4℃, at room temperature (20℃) and at 37℃ for at least 2 h without remarkable change in the infectious ability in cells, but were converted to be non-infectious after 90-, 60- and 30-min exposure at 56℃, at 67℃ and at 75℃, respectively. Irradiation of UV for 60 min on the virus in culture medium resulted in the destruction of viral infectivity at an undetectable level. Conclusion The survival ability of SARS coronavirus in human specimens and in environments seems to be relatively strong. Heating and UV irradiation can efficiently eliminate the viral infectivity. 展开更多
关键词 Severe acute respiratory syndrome CORONAVIRUS STABILITY ENVIRONMENT SPECIMEN
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多囊卵巢综合征卵巢储备功能降低患者肥胖及糖脂代谢特征 被引量:32
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作者 金婧 阮祥燕 +5 位作者 华琳 李杨璐 王利娟 王虎生 赵越 Alfred O.Mueck 《首都医科大学学报》 CAS 北大核心 2018年第4期505-511,共7页
目的探讨中国多囊卵巢综合征(polycystic ovary syndrome,PCOS)合并卵巢储备功能降低(diminished ovarian reserve,DOR)患者肥胖及糖脂代谢特征。方法选取2015年1月至2017年1月在首都医科大学附属北京妇产医院内分泌科就诊的多囊卵巢综... 目的探讨中国多囊卵巢综合征(polycystic ovary syndrome,PCOS)合并卵巢储备功能降低(diminished ovarian reserve,DOR)患者肥胖及糖脂代谢特征。方法选取2015年1月至2017年1月在首都医科大学附属北京妇产医院内分泌科就诊的多囊卵巢综合征患者338名(包括PCOS合并DOR功能降低患者57名及单纯PCOS患者281名)及同期就诊的正常对照组70名,记录研究对象的年龄、月经情况,测量其身高、体质量、腰围、臀围,测定基础血清卵泡刺激素(follicle stimulating hormone,FSH)、黄体生成素(luteinizing hormone,LH)、雌二醇(estradiol,E2)、睾酮(testosterone,T)、抗苗勒管激素(anti-Müllerian hormone,AMH)、空腹血糖(fasting plasma glucose,FPG)、空腹胰岛素(fasting insulin,FINS)、三酰甘油(triglyceride,TG)、总胆固醇(total cholesterol,TC)、高密度脂蛋白胆固醇(high density lipoprotein-cholesterol,HDL-C)、低密度脂蛋白胆固醇(low density lipoprotein-cholesterol,LDL-C),测量基础窦卵泡数(baseline antral follicle count,b AFC)。对多囊卵巢综合征合并卵巢储备功能低下患者、单纯多囊卵巢综合征及正常对照组的各指标进行比较,并对各组AMH与其他指标进行相关性分析。结果 (1)单纯PCOS患者、PCOS合并DOR患者及正常对照组全身型肥胖(≥25 kg/m2)的发生率分别为38.1%、40.4%及22.9%,腹型肥胖[腰臀比(waist hip ratio,WHR)≥0.85]的发生率分别为46.6%、21.1%及28.6%。PCOS合并DOR患者全身型肥胖率与单纯PCOS患者及正常对照组间的差异均无统计学意义(P>0.05),而腹型肥胖率低于单纯PCOS患者(P<0.05)。(2)PCOS合并DOR患者FPG、FINS、自我平衡模型分析法(homeostasis model assessment,HOMA)-计算胰岛素抵抗(insulin resistivity,IR)与单纯PCOS患者的差异均无统计学意义(P>0.05),而FPG、HOMA-IR均高于正常对照组(P<0.05)。(3)单纯PCOS患者、PCOS合并DOR患者TC、HDL-C及LDL-C均高于正常对照组(P<0.05),PCOS合并DOR患者TC、TG、HDL-C及LDL 展开更多
关键词 多囊卵巢综合征 卵巢储备功能降低 抗苗勒管激素 肥胖 胰岛素抵抗
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ICU护士报警疲劳量表的汉化及信度效度检验 被引量:25
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作者 刘洁 刘婧 +3 位作者 黄霞红 向玉萍 阮婷婷 刘豪 《中国护理管理》 CSCD 2021年第4期522-525,共4页
目的:汉化英文版ICU护士报警疲劳量表并分析中文版量表的信度、效度。方法:对英文版ICU护士报警疲劳量表进行翻译、回译及文化调试,确定中文版量表的维度和条目。采用便利抽样法选取四川省296名ICU护士进行问卷调查,对调查结果进行统计... 目的:汉化英文版ICU护士报警疲劳量表并分析中文版量表的信度、效度。方法:对英文版ICU护士报警疲劳量表进行翻译、回译及文化调试,确定中文版量表的维度和条目。采用便利抽样法选取四川省296名ICU护士进行问卷调查,对调查结果进行统计分析以检验量表的信度、效度。结果:中文版ICU护士报警疲劳量表共包含13个条目,探索性因子分析抽取4个公因子,累计方差贡献率为59.568%;量表水平S-CVI/Ave为0.920,条目水平的I-CVI为0.830~1.000;量表总体Cronbach’s α系数为0.771,重测信度为0.966;区分度分析显示,轮值夜班护士与非轮值夜班护士报警疲劳量表得分相比,差异具有统计学意义(P<0.001)。结论:中文版ICU护士报警疲劳量表具有良好的信度和效度,可用于评价国内ICU护士的报警疲劳水平。 展开更多
关键词 重症监护室 护士 报警疲劳 量表 信度 效度
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Clinical trial with traditional Chinese medicine intervention ''tonifying the kidney to promote liver regeneration and repair by affecting stem cells and their microenvironment'' for chronic hepatitis B-associated liver failure 被引量:23
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作者 Han-Min Li Zhi-Hua Ye +21 位作者 Jun Zhang Xiang Gao Yan-Ming Chen Xin Yao Jian-Xun Gu Lei Zhan Yang Ji Jian-Liang Xu Ying-He Zeng Fan Yang Lin Xiao Guo-Guang Sheng Wei Xin Qi Long Qing-jing Zhu Zhao-Hong Shi Lian-Guo ruan Jia-Yao Yang Chang-Chun Li Hong-Bin Wu Sheng-Duo Chen Xin-La Luo 《World Journal of Gastroenterology》 SCIE CAS 2014年第48期18458-18465,共8页
AIM:To study the clinical efficacy of traditional Chinese medicine(TCM)intervention"tonifying the kidney to promote liver regeneration and repair by affecting stem cells and their microenvironment"("TTK... AIM:To study the clinical efficacy of traditional Chinese medicine(TCM)intervention"tonifying the kidney to promote liver regeneration and repair by affecting stem cells and their microenvironment"("TTK")for treating liver failure due to chronic hepatitis B.METHODS:We designed the study as a randomized controlled clinical trial.Registration number of Chinese Clinical Trial Registry is Chi CTR-TRC-12002961.A total of 144 patients with liver failure due to infection with chronic hepatitis B virus were enrolled in this randomized controlled clinical study.Participants were randomly assigned to the following three groups:(1)a modern medicine control group(MMC group,36patients);(2)a"tonifying qi and detoxification"("TQD")group(72 patients);and(3)a"tonifying the kidney to promote liver regeneration and repair by affecting stem cells and their microenvironment"("TTK")group(36patients).Patients in the MMC group received general internal medicine treatment;patients in the"TQD"group were given a TCM formula"tonifying qi and detoxification"and general internal medicine treatment;patients in the"TTK"group were given a TCM formula of"TTK"and general internal medicine treatment.All participants were treated for 8 wk and then followed at 48 wk following their final treatment.The primaryefficacy end point was the patient fatality rate in each group.Measurements of various virological and biochemical indicators served as secondary endpoints.The one-way analysis of variance and the t-test were used to compare patient outcomes in the different treatment groups.RESULTS:At the 48-wk post-treatment time point,the patient fatality rates in the MMC,"TQD",and"TTK"groups were 51.61%,35.38%,and 16.67%,respectively,and the differences between groups were statistically significant(P<0.05).However,there were no significant differences in the levels of hepatitis B virus DNA or prothrombin activity among the three groups(P>0.05).Patients in the"TTK"group had significantly higher levels of serum total bilirubin compared to MMC subjects(339.40μm 展开更多
关键词 Clinical study 'Tonifying the kidney to promote liver regeneration and repair by affecting stem cells and their microenvironment'('TTK') Liver regeneration Treatment with integrated traditional and Western medicine Chronic hepatitis B-associated liver failure
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Back-n white neutron source at CSNS and its applications 被引量:20
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作者 jing-Yu Tang Qi An +73 位作者 Jiang-Bo Bai Jie Bao Yu Bao Ping Cao Hao-Lei Chen Qi-Ping Chen Yong-Hao Chen Zhen Chen Zeng-Qi Cui Rui-Rui Fan Chang-Qing Feng Ke-Qing Gao Xiao-Long Gao Min-Hao Gu Chang-Cai Han Zi-Jie Han Guo-Zhu He Yong-Cheng He Yang Hong Yi-Wei Hu Han-Xiong Huang Xi-Ru Huang Hao-Yu Jiang Wei Jiang Zhi-Jie Jiang Han-Tao jing Ling Kang Bo Li Chao Li Jia-Wen Li Qiang Li Xiao Li Yang Li Jie Liu Rong Liu Shu-Bin Liu Xing-Yan Liu Ze Long Guang-Yuan Luan Chang-Jun Ning Meng-Chen Niu Bin-Bin Qi Jie Ren Zhi-Zhou Ren Xi-Chao ruan Zhao-Hui Song Kang Sun Zhi-Jia Sun Zhi-Xin Tan Xin-Yi Tang Bin-Bin Tian Li-Jiao Wang Peng-Cheng Wang Zhao-Hui Wang Zhong-Wei Wen Xiao-Guang Wu Xuan Wu Li-Kun Xie Xiao-Yun Yang Yi-Wei Yang Han Yi Li Yu Tao Yu Yong-Ji Yu Guo-Hui Zhang Lin-Hao Zhang Qi-Wei Zhang Xian-Peng Zhang Yu-Liang Zhang Zhi-Yong Zhang Lu-Ping Zhou Zhi-Hao Zhou Ke-Jun Zhu 《Nuclear Science and Techniques》 SCIE EI CAS CSCD 2021年第1期95-104,共10页
Back-streaming neutrons from the spallation target of the China Spallation Neutron Source(CSNS)that emit through the incoming proton channel were exploited to build a white neutron beam facility(the so-called Back-n w... Back-streaming neutrons from the spallation target of the China Spallation Neutron Source(CSNS)that emit through the incoming proton channel were exploited to build a white neutron beam facility(the so-called Back-n white neutron source),which was completed in March 2018.The Back-n neutron beam is very intense,at approximately 29107 n/cm2/s at 55 m from the target,and has a nominal proton beam with a power of 100 kW in the CSNS-I phase and a kinetic energy of 1.6 GeV and a thick tungsten target in multiple slices with modest moderation from the cooling water through the slices.In addition,the excellent energy spectrum spanning from 0.5 eV to 200 MeV,and a good time resolution related tothe time-of-flight measurements make it a typical white neutron source for nuclear data measurements;its overall performance is among that of the best white neutron sources in the world.Equipped with advanced spectrometers,detectors,and application utilities,the Back-n facility can serve wide applications,with a focus on neutron-induced cross-sectional measurements.This article presents an overview of the neutron beam characteristics,the experimental setups,and the ongoing applications at Backn. 展开更多
关键词 White neutron source Nuclear data measurements Experimental setups Neutron applications
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月面无人自动采样返回任务技术设计与实现 被引量:20
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作者 杨孟飞 张高 +9 位作者 张伍 彭兢 阮剑华 王勇 张洪华 洪鑫 张玉花 查学雷 史伟 陈春亮 《中国科学:技术科学》 EI CSCD 北大核心 2021年第7期738-752,共15页
探月三期嫦娥五号任务是我国首次地外天体采样返回任务,研制目的是经过地月转移和环月飞行,在月面选定区域着陆,采集月球样品,经月面起飞、月球轨道交会对接与样品转移、月地转移和再入回收等过程,将月球样品安全送至地面.本文阐述了嫦... 探月三期嫦娥五号任务是我国首次地外天体采样返回任务,研制目的是经过地月转移和环月飞行,在月面选定区域着陆,采集月球样品,经月面起飞、月球轨道交会对接与样品转移、月地转移和再入回收等过程,将月球样品安全送至地面.本文阐述了嫦娥五号的任务特点、概貌和研制过程,重点对探测器关键技术的突破情况和创新点进行了总结,并给出了在轨飞行结果.飞行结果表明:嫦娥五号探测器所有功能性能均满足任务要求,在轨飞行状态正常,技术设计正确. 展开更多
关键词 探月三期 嫦娥五号 采样返回 技术路线 飞行结果
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Impact of Taurine on the proliferation and apoptosis of human cervical carcinoma cells and its mechanism 被引量:19
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作者 Hua Li Wen-jing ruan +6 位作者 Li-Qiao Liu Hui-Fang Wan Xiao-Hong Yang Wei-Feng Zhu Le-Han Yu Xia-Li Zhang Fu-Sheng Wan 《Chinese Medical Journal》 SCIE CAS CSCD 2019年第8期948-956,共9页
Background:Cervical cancer has the fourth highest incidence and mortality rate of all cancers in women worldwide;让seriously harms their physical and mental health.The aim of this study was to observe the roles and pr... Background:Cervical cancer has the fourth highest incidence and mortality rate of all cancers in women worldwide;让seriously harms their physical and mental health.The aim of this study was to observe the roles and preliminary mechanism of Taurine(Tau)-induced apoptosis in cervical cancer cells.Methods:Cells from the human cervical cancer cell line SiHa were transfected with the recombinant plasmid pEGFP-N1-MST1(mammalian sterile 20-like kinase 1);then,the cell proliferation activity was analyzed by the MTT assay,cell apoptosis by flow cytometry,and the related protein levels by Western blotting.Results:Tau inhibited the proliferation of SiHa cells and induced apoptosis in these cells(the apoptotic rate was 21.95%in the Tau 160 mmol/L group and 30%in the Tau 320 mmol/L group),upregulated the expression of the MST1(control,0.53;Tau 40-320 mmol/L groups,0.84-1.45)and Bax(control,0.45;Tau 40-320 mmol/L groups,0.64-1.51)proteins(P<0.01),and downregulated the expression of Bcl-2(control,1.28,Tau 40-320 mmol/L groups,0.93-0.47)(P<0.01).The overexpression of MST1 promoted the apoptosis of SiHa cells,enhanced the apoptosis-inductive effects of Tau(P<0.01),upregulated the expression of the proapoptotic proteins p73,p53,PUMA(p53 upregulated modulator of apoptosis),and caspase-3,and promoted the phosphorylation of YAP(Yes-associated protein).Conclusions:Tau inhibited the proliferation and induced the apoptosis of cervical cancer SiHa cells.The MST1 protein plays an important role in the Tau-induced apoptosis of cervical cancer cells. 展开更多
关键词 Apoptosis CERVICAL cancer Human MAMMALIAN STERILE line 20-like KINASE 1 Molecular TARGETED therapy TAURINE
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Changing Proportions of HIV-1 Subtypes and Transmitted Drug Resistance Among Newly Diagnosed HIV/AIDS Individuals—China,2015 and 2018 被引量:19
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作者 jingjing Hao Shan Zheng +11 位作者 Mengze Gan Aobo Dong Ruihua Kang Miaomiao Li Shuai Zhao jing Hu Chang Song Lingjie Liao Yi Feng Yiming Shao Yuhua ruan Hui Xing 《China CDC weekly》 2021年第53期1133-1138,共6页
Introduction:With the expansion of human immunodeficiency virus(HIV)antiretroviral therapy(ART),HIV drug resistance is becoming more and more serious.This study describes the changing prevalence of HIV-1 subtypes and ... Introduction:With the expansion of human immunodeficiency virus(HIV)antiretroviral therapy(ART),HIV drug resistance is becoming more and more serious.This study describes the changing prevalence of HIV-1 subtypes and transmitted drug resistance(TDR)among newly diagnosed individuals in China,2015 and 2018.Methods:A total of 8,980 individuals in 2015 and 2018 from 31 provincial-level administrative divisions(PLADs)were enrolled in this study.Viral RNAs were amplified and sequenced using an in-house polymerase chain reaction(PCR)protocol.The Stanford HIV Drug Resistance Database(HIVdb)was used to predict susceptibility to 12 antiretroviral drugs.Results:The prevalence of TDR was not significantly increased over time.The prevalence of TDR was 3.8%and 4.4%in 2015 and 2018,respectively(P=0.13).The prevalence of CRF55_01B increased from 2.3%in 2015 to 3.9%in 2018(P<0.001).The drug resistance prevalence of nonnucleoside reverse transcriptase inhibitors(NNRTI)increased from 2.4%in 2015 to 3.3%in 2018(P<0.01).The prevalence of E138(P<0.001),H221(P=0.03),and V179(P<0.001)mutations increased from 0.30%,0.09%,and 0.70%in 2015 to 1.10%,0.30%,and 1.70%in 2018,respectively.Conclusions:HIV drug resistance affects the effect of antiretroviral treatment,so the monitoring of HIV TDR should be strengthened to control the transmission of HIV drug resistance. 展开更多
关键词 drugs STANFORD HIV/AIDS
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基于知识图谱的交直流大电网断面越限处置策略快速生成方法 被引量:17
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作者 张虹 景欣 +4 位作者 阮梦宇 周利军 王静 林春龙 林春哲 《现代电力》 北大核心 2021年第4期455-464,共10页
为快速有效地消除断面越限,保障大电网安全稳定运行,提出了基于知识图谱的交直流大电网断面越限处置策略快速生成方法。首先,分析了调度领域知识的特点及知识图谱技术的适用性,明确了面向电网异常与故障处置的调度知识来源,提出了调度... 为快速有效地消除断面越限,保障大电网安全稳定运行,提出了基于知识图谱的交直流大电网断面越限处置策略快速生成方法。首先,分析了调度领域知识的特点及知识图谱技术的适用性,明确了面向电网异常与故障处置的调度知识来源,提出了调度领域知识属性图模型构建方法及基本原则。然后,以功率灵敏度为基础,综合考虑重载线路运行风险,推导了输电断面传输功率与节点注入功率之间的综合功率灵敏度计算方法,提出了基于反向等量配对调整法的断面越限处置策略计算方法,设计了基于知识图谱的交直流大电网断面越限处置策略快速生成实现流程。最后,以某实际电网为算例,验证了该方法的正确性和有效性。 展开更多
关键词 紧急控制 断面越限 知识图谱 功率灵敏度 反向等量配对调整法 智能调度
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急诊科静脉输液工具使用状况的调查 被引量:17
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作者 陈婷 景峰 +4 位作者 董茹晔 阮雯君 许敬华 傅晓菁 刘渠凯 《解放军护理杂志》 CSCD 北大核心 2018年第4期42-44,共3页
目的了解上海市某三级甲等医院急诊科静脉输液工具的使用现状,并分析相关影响因素。方法 2015年4月,采用自行设计的《静脉治疗横断面调查表》对上海交通大学医学院附属瑞金医院急诊科收治的153例行静脉治疗的患者进行调查。结果临床静... 目的了解上海市某三级甲等医院急诊科静脉输液工具的使用现状,并分析相关影响因素。方法 2015年4月,采用自行设计的《静脉治疗横断面调查表》对上海交通大学医学院附属瑞金医院急诊科收治的153例行静脉治疗的患者进行调查。结果临床静脉留置针普及率已较高,但在适应证应用和穿刺部位选择方面仍存在不规范现象;静脉留置针的维护、输液接头的使用等规范的落实欠佳。结论临床护士执行静脉治疗规范的情况不佳,建议对护士实施规范化培训,以提高和确保静脉治疗护理安全。 展开更多
关键词 静脉治疗 输液工具 调查
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重庆农村40岁以上人群青光眼流行病学调查 被引量:16
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作者 覃佐欣 谭莲 +8 位作者 徐钰飞 刘勇 吴楠 应希 陈静 阮流刚 刘玺 李志宏 阴正勤 《中华实验眼科杂志》 CAS CSCD 北大核心 2020年第5期433-437,共5页
目的了解重庆市农村40岁以上人群青光眼的患病率及流行病学特征,为青光眼防治工作提供科学依据。方法于2018年8—10月采取分层整群随机抽样的方法对重庆市荣昌区、綦江区等地区农村40岁以上人群进行青光眼调查,受检人群为在当地生活10... 目的了解重庆市农村40岁以上人群青光眼的患病率及流行病学特征,为青光眼防治工作提供科学依据。方法于2018年8—10月采取分层整群随机抽样的方法对重庆市荣昌区、綦江区等地区农村40岁以上人群进行青光眼调查,受检人群为在当地生活10年以上的农村人口。统计每位受检者性别、年龄等基本信息,常规测视力、眼压,裂隙灯显微镜检查眼前节,采用Van Herick法评估中央及周边前房深度,前置镜检查眼底,重点评估视盘杯盘比(C/D)值,对所有可疑青光眼者进行进一步青光眼标准检查。结果确定调查对象4680人,实际参与调查4073人,应答率为87%。最终确诊青光眼患者70例,青光眼患病率为1.72%(70/4073)。不同性别间原发性闭角型青光眼(PACG)和原发性开角型青光眼(POAG)的患病率比较差异均无统计学意义(χ^2=0.042,P=0.837;χ^2=2.838,P=0.092),70岁以上人群青光眼患病率为2.5%,明显高于其他年龄段。青光眼患者视力损伤的比例为68.57%(48/70),致盲比例为47.14%(33/70),不同类型青光眼低视力发生率比较差异无统计学意义(χ^2=2.785,P=0.248),致盲率比较差异有统计学意义(χ^2=10.668,P=0.005),继发性青光眼致盲率最高。现场筛查中,眼压、前房深度、C/D的检出率情况显示,C/D异常时青光眼检出率最高,3种检查方法检出率比较差异有统计学意义(χ^2=43.325,P<0.001)。综合考虑眼压和C/D因素时,青光眼检出率可提高至55.88%。结论重庆农村40岁以上人群青光眼患病率为1.72%,PACG患病率较以往下降,青光眼致视力损伤比例较高。现场筛查中,眼底视神经的形态学检查对青光眼确诊十分重要。 展开更多
关键词 青光眼 流行病学 患病率 重庆市 农村地区
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我国HIV-1 CRF55_01B感染者抗病毒治疗前耐药分析 被引量:15
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作者 郑姗 宋畅 +7 位作者 甘梦泽 韩晴羽 胡婧 董敖渤 廖玲洁 冯毅 阮玉华 邢辉 《中华实验和临床病毒学杂志》 CAS CSCD 2021年第2期194-198,共5页
目的了解我国HIV-1 CRF5501B感染者抗病毒治疗前对蛋白酶类抑制剂(PI)、核苷类逆转录酶抑制剂(NRTIs)、非核苷类逆转录酶抑制剂(NNRTIs)、整合酶抑制剂(INSTIs)的耐药程度以及耐药株的传播关系。方法对2018年全国抗病毒治疗前HIV耐药监... 目的了解我国HIV-1 CRF5501B感染者抗病毒治疗前对蛋白酶类抑制剂(PI)、核苷类逆转录酶抑制剂(NRTIs)、非核苷类逆转录酶抑制剂(NNRTIs)、整合酶抑制剂(INSTIs)的耐药程度以及耐药株的传播关系。方法对2018年全国抗病毒治疗前HIV耐药监测中CRF5501B重组亚型感染者的血浆样本提取RNA,分别扩增蛋白酶/逆转录酶(PR/RT)区基因片段1 056 bp和整合酶(IN)区基因片段846 bp并测序,利用美国斯坦福大学HIV db Program数据库中全部收录药物进行耐药判定,运用HIV-TRACE软件进行HIV-1耐药传播网络分析,并重点分析了CRF5501B整合酶基因区遗传多态性位点的突变情况。结果共分析来自全国26个省的178份样本,获得CRF5501B PR/RT区序列170条以及对应样本的IN区序列170条,总体耐药率为15.3%(26/170)。PIs、NRTIs、NNRTIs、INSTIs耐药率分别为1.2%(2/170)、1.2%(2/170)、15.3%(26/170)、0.6%(1/170);耐药水平多为低度耐药,NNRTIs类耐药位点主要是V179D/E与其他位点协同出现,另有84.1%(143/170)单独携带V179D/E的感染者表现为潜在耐药;INSTIs类耐药位点为G163R,对EVG和RAL表现为低度耐药。在0.9% 最适基因距离阈值下构建分子网络,入网率为30.0%(51/170),耐药株在男男同性传播人群和异性性传播人群之间传播,并且都携带耐药位点E138G和V179E。在整合酶区CRF5501B与CRF01AE和B亚型在5个位点突变频率差异较高(T215A、G134N、I135V)。结论我国CRF5501B感染者抗病毒治疗前即对NNRTIs类药物耐药率较高,携带E138G和V179E耐药位点的毒株存在成簇传播,CRF5501B整合酶抑制剂耐药株处于低水平流行,但整合酶基因区存在的高突变率的遗传性多态性位点对药物敏感性有潜在的影响,所以新型重组毒株耐药对我国抗病毒治疗的影响还需要进一步监测和分析。 展开更多
关键词 CRF5501B 抗病毒治疗前 耐药位点 整合酶基因区 遗传多态性
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Synthesis and anti-tumor activity of all-trans retinoic acid derivatives 被引量:13
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作者 Juan Shen jing Bo Shi +3 位作者 Fei Hu Chen Yuan Wang jing jing ruan Yan Huang 《Chinese Chemical Letters》 SCIE CAS CSCD 2009年第7期809-811,共3页
A series of retinoate and retinamide derivatives were designed, synthesized, and their anti-tumor activities were investigated in NB4 by MTT and flow cytometry assays (FCM). All compounds showed cytotoxicity, especi... A series of retinoate and retinamide derivatives were designed, synthesized, and their anti-tumor activities were investigated in NB4 by MTT and flow cytometry assays (FCM). All compounds showed cytotoxicity, especially compounds la and ld exhibited a higher cytotoxicity than other derivatives and all-trans rethaoic acid (ATRA). Furthermore, compound 1d could induce NB4 cell lines differentiation efficiently. O 2009 Fei Hu Chert. Published by Elsevier B.V. on behalf of Chinese Chemical Society. All rights reserved. 展开更多
关键词 All-trans retinoic acid SYNTHESIS Cell differentiation NB4 cell lines
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Improvement in acupoint selection for acupuncture of nerves surrounding the injury site: electro-acupuncture with Governor vessel with local meridian acupoints 被引量:14
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作者 Guan-heng He jing-wen ruan +3 位作者 Yuan-shan Zeng Xin Zhou Ying Ding Guang-hui Zhou 《Neural Regeneration Research》 SCIE CAS CSCD 2015年第1期128-135,共8页
Peripheral nerve injury not only affects the site of the injury, but can also induce neuronal apop- tosis at the spinal cord. However, many acupuncture clinicians still focus only on the injury site, selecting acupoin... Peripheral nerve injury not only affects the site of the injury, but can also induce neuronal apop- tosis at the spinal cord. However, many acupuncture clinicians still focus only on the injury site, selecting acupoints entirely along the injured nerve trunk and neglecting other regions; this may delay onset of treatment efficacy and rehabilitation. Therefore, in the present study, we compared the clinical efficacy of acupuncture at Governor vessel and local meridian acupoints combined (GV/LM group) with acupuncture at local meridian acupoints alone (LM group) in the treatment of patients with peripheral nerve injury. In the GV/LM group (n = 15), in addition to meridian acupoints at the injury site, the following acupoints on the Governor vessel were stimulated: Baihui (GV20), Fengfu (GV16), Dazhui (GV14), and Shenzhu (GV12), selected to treat nerve injury of the upper limb, and Jizhong (GV6), Mingmen (GV4), Yaoyangguan (GV3), and Yaoshu (GV2) to treat nerve injury of the lower limb. In the LM group (n = 15), only me- ridian acupoints along the injured nerve were selected. Both groups had electroacupuncture treatment for 30 minutes, once a day, 5 times per week, for 6 weeks. Two cases dropped out of the LM group. A good or excellent clinical response was obtained in 80% of the patients in the GV/ LM group and 38.5% of the LM group. In a second study, an additional 20 patients underwent acupuncture with the same prescription as the GV/LM group. Electomyographic nerve conduc- tion tests were performed before and after acupuncture to explore the mechanism of action of the treatment. An effective response was observed in 80.0% of the patients, with greater motor nerve conduction velocity and amplitude after treatment, indicating that electroacupuncture on specific Governor vessel acupoints promotes functional motor nerve repair after peripheral nerve injury. In addition, electromyography was performed before, during and after electroacu- puncture in one patient with r 展开更多
关键词 nerve regeneration peripheral nerve injury ACUPUNCTURE electroacupuncture Governorvessel acupoints local acupoints eleetrophysiology spinal cord motor nerve conduction functionalrepair neural regeneration
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矫形鞋垫对扁平足人群足底压力分布的影响 被引量:14
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作者 汤运启 李静 +3 位作者 王志康 演若冰 阮班锋 魏书涛 《中国皮革》 CAS 2019年第11期55-61,共7页
招募了17名女性扁平足受试者,制作了9种足弓支撑高度和材料硬度不同的鞋垫,受试者分别随机穿着9种鞋垫以3 km/h的速度在跑步机上进行测试。使用足底压力测量系统记录不同鞋垫下的足底压力分布,并对每双鞋垫进行主观舒适性评价。结果显示... 招募了17名女性扁平足受试者,制作了9种足弓支撑高度和材料硬度不同的鞋垫,受试者分别随机穿着9种鞋垫以3 km/h的速度在跑步机上进行测试。使用足底压力测量系统记录不同鞋垫下的足底压力分布,并对每双鞋垫进行主观舒适性评价。结果显示:鞋垫硬度对前掌区域峰值压强的影响具有显著性(P=0.02),且硬度为50°shore C的矫形鞋垫对足底降压效果最好;鞋垫足弓支撑高度仅对前掌区域峰值压强(P=0.04)和压强时间积分(P=0.02)的影响具有显著性,鞋垫足弓支撑高度为24 mm时,矫形鞋垫能显著降低前掌区域的峰值压强和压强时间积分。硬度为50°shore C,支撑高度为24 mm的矫形鞋垫对于降低扁平足人群前掌区域的峰值压强的作用效果最为明显。 展开更多
关键词 扁平足 矫形鞋垫 足弓高度 材料硬度 足底压力
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癌症患儿父母化疗期间症状管理照护体验及需求的质性研究 被引量:13
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作者 刘砚燕 沈南平 +2 位作者 孙晶 阮海姗 刘毅铭 《中华现代护理杂志》 2020年第35期4914-4918,共5页
目的了解肿瘤患儿父母化疗期间症状管理照护体验及需求,为提高症状管理水平提供借鉴和参考。方法采用现象学研究方法,于2018年11月—2019年4月对来自2家医院的14名处于化疗阶段的肿瘤患儿父母进行半结构式访谈,采用Colaizzi 7步分析法... 目的了解肿瘤患儿父母化疗期间症状管理照护体验及需求,为提高症状管理水平提供借鉴和参考。方法采用现象学研究方法,于2018年11月—2019年4月对来自2家医院的14名处于化疗阶段的肿瘤患儿父母进行半结构式访谈,采用Colaizzi 7步分析法进行分析。结果肿瘤患儿父母化疗阶段的症状及不良反应照护体验提炼为2个主题,分别为学习成长的过程、心理适应转变。照护需求主要为信息需求、交流需求和心理支持需求。结论肿瘤患儿父母在对患儿治疗及症状护理的过程中不断学习成长,存在多种需求。医护人员应与患儿及父母密切合作,满足父母的症状照护的知识、交流及心理支持需求,提升父母照护体验,减轻患儿的痛苦。 展开更多
关键词 儿童 肿瘤 照顾者 症状管理 质性研究
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有机化学与实验课程在线“双练教学”模式的探索与实践 被引量:13
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作者 陈立 周金梅 +5 位作者 胡菁 陈毅辉 林敏 阮永红 郑锦丽 魏爱琳 《大学化学》 CAS 2020年第5期191-196,共6页
在有机化学与实验在线课程中,采用课前、课后开放式或半开放式小测练,在网络教学平台上探索以练促学的“双练教学”模式。通过“双练教学”,学生的学习状态、自信与积极性得到了改善和提高。同时,教师通过在线学生成绩数据分析、问卷和... 在有机化学与实验在线课程中,采用课前、课后开放式或半开放式小测练,在网络教学平台上探索以练促学的“双练教学”模式。通过“双练教学”,学生的学习状态、自信与积极性得到了改善和提高。同时,教师通过在线学生成绩数据分析、问卷和互动反馈,及时了解和掌握学生的学习状况并适时调整教学内容,在线上教学中取得了良好的效果。 展开更多
关键词 有机化学 有机化学实验 双练教学 在线教学
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重楼总皂苷的现代研究进展与展望 被引量:8
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作者 张艺博 张慧中 +7 位作者 付京 阮意丹 姚爱娜 张萍芝 尹兴斌 曲昌海 倪健 董晓旭 《中国实验方剂学杂志》 CAS CSCD 北大核心 2024年第1期232-243,共12页
重楼具有清热解毒、消肿止痛、凉肝定惊的作用,重楼皂苷是重楼的主要活性成分。研究表明,重楼总皂苷抗肿瘤作用显著,对乳腺癌、肺癌、胃癌、肝癌等实体瘤和白血病等非实体瘤有明显的抑制作用,其机制与抑制肿瘤细胞增殖、迁移和侵袭,调... 重楼具有清热解毒、消肿止痛、凉肝定惊的作用,重楼皂苷是重楼的主要活性成分。研究表明,重楼总皂苷抗肿瘤作用显著,对乳腺癌、肺癌、胃癌、肝癌等实体瘤和白血病等非实体瘤有明显的抑制作用,其机制与抑制肿瘤细胞增殖、迁移和侵袭,调控细胞周期,诱导凋亡和非凋亡的死亡途径,调节机体代谢与肿瘤微环境等密切相关。此外,重楼总皂苷在抗炎、抗氧化、抑菌、止血、缩宫等方面也表现出很好的药理活性。与此同时,重楼总皂苷可能诱导正常细胞凋亡、诱发炎症反应与氧化应激、导致机体代谢紊乱,近年来其肝损伤、生殖损伤、胃肠损伤、溶血等不良反应报道逐渐增多。药代动力学研究显示,不同给药方式的重楼总皂苷在机体内代谢存在着较大的差异,注射给药清除速度较快,口服则可能存在肝肠循环,同时由于溶解度低、并能激活P-糖蛋白(P-gp),导致其原型吸收差、在肠道渗透率和回收率低,影响重楼总皂苷的生物利用度,借助现代技术制备新剂型或新型载药系统一定程度上可提高其生物利用度。基于上述研究,该文将“重楼总皂苷”“Rhizoma Paridis Total Saponins”作为关键词,通过检索中国知网、维普、Web of Science等国内外中英文数据库,对重楼总皂苷的药理作用、药代动力学及不良反应展开综述,以期能为重楼总皂苷的研究开发及临床应用提供参考。 展开更多
关键词 重楼总皂苷 抗肿瘤 药理作用 药代动力学 不良反应
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甲状腺乳头状癌甲状腺球蛋白抗体的动态监测及其预后价值 被引量:12
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作者 段莉莉 崔静 +6 位作者 武新宇 王鹏 李博 张莹 阮谢妹 徐俊玲 高永举 《中华核医学与分子影像杂志》 CAS 北大核心 2019年第3期146-149,共4页
目的探讨甲状腺球蛋白抗体(TgAb)阳性(+)甲状腺乳头状癌(PTC)患者TgAb变化规律及其与患者预后的关系。方法回顾性分析2008年2月至2014年12月间PTC术后行放射性^131I治疗(RAI)的817例患者(男254例、女563例,中位年龄45岁)。RAI前TgAb(+) ... 目的探讨甲状腺球蛋白抗体(TgAb)阳性(+)甲状腺乳头状癌(PTC)患者TgAb变化规律及其与患者预后的关系。方法回顾性分析2008年2月至2014年12月间PTC术后行放射性^131I治疗(RAI)的817例患者(男254例、女563例,中位年龄45岁)。RAI前TgAb(+) 130例,TgAb阴性(-)687例。分析RAI后3年间TgAb变化,并得出预测疾病复发和(或)转移的TgAb下降百分比阈值。采用Mann-Whitney u检验、X^2检验和受试者工作特征(ROC)曲线分析处理数据。结果TgAb(+)及TgAb(-)组患者,在性别、是否合并桥本甲状腺炎(HT)、危险度分层及是否复发和(或)转移间的差异均有统计学意义(X^2值:13.988~191.059,2=2.053,均P<0.05)。有、无复发和(或)转移的TgAb(+)患者在肿瘤大小、是否腺外侵犯、危险度分层、RAI前TgAb及是否合并HT方面的差异均有统计学意义(X^2值:3.865~6.278,z值:4.624和3.641,均P<0.05)。有、无复发和(或)转移的TgAb(-)患者在肿瘤大小、是否腺外侵犯、危险度分层及TNM分期方面的差异均有统计学意义(X^2值:13.459,8.215,z 值:5.385、3.998,均 P<0.05)。ROC 曲线分析示,TgAb(+)患者 RAI 后 1、2和3年预测复发和(或)转移的TgAb下降百分比阈值分别为54.0%.38.0%和59.0%,曲线下面积分别为0. 847,0.815和0.822。结论 RAI后TgAb的变化趋势与预后有关;RAI后1、2、3年TgAb分别下降≥54.0%、≥38.0%和≥59.0%的PTC患者预后较好。 展开更多
关键词 甲状腺肿瘤 放射疗法 碘放射性同位素 甲状腺球蛋白 抗体 预后
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