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Effects of early enteral nutrition on immune function of severe acute pancreatitis patients 被引量:107
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作者 Jia-Kui Sun Xin-Wei mu +3 位作者 Wei-Qin Li Zhi-Hui Tong Jing Li Shu-Yun zheng 《World Journal of Gastroenterology》 SCIE CAS 2013年第6期917-922,共6页
AIM:To investigate the effects of early enteral nutrition (EEN) on the immune function and clinical outcome of patients with severe acute pancreatitis (SAP).METHODS:Patients were randomly allocated to receive EEN or d... AIM:To investigate the effects of early enteral nutrition (EEN) on the immune function and clinical outcome of patients with severe acute pancreatitis (SAP).METHODS:Patients were randomly allocated to receive EEN or delayed enteral nutrition (DEN).Enteral nutrition was started within 48 h after admission in EEN group,whereas from the 8 th day in DEN group.All the immunologic parameters and C-reactive protein (CRP) levels were collected on days 1,3,7 and 14 after admission.The clinical outcome variables were also recorded.RESULTS:Sixty SAP patients were enrolled to this study.The CD4+ T-lymphocyte percentage,CD4+/CD8+ ratio,and the CRP levels in EEN group became significantly lower than in DEN group from the 7 th day after admission.In contrast,the immunoglobulin G(IgG) levels and human leukocyte antigen-DR expression in EEN group became significantly higher than in DEN group from the 7 th day after admission.No difference of CD8+ T-lymphocyte percentage,IgM and IgA levels was found between the two groups.The incidences of multiple organ dysfunction syndrome,systemic inflammatory response syndrome,and pancreatic infection as well as the duration of intensive care unit stay were significantly lower in EEN group than in DEN group.However,there was no difference of hospital mortality between the two groups.CONCLUSION:EEN moderates the excessive immune response during the early stage of SAP without leading to subsequent immunosuppression.EEN can improve the clinical outcome,but not decrease the hospital mortality of SAP patients. 展开更多
关键词 Early ENTERAL NUTRITION IMMUNE SEVERE acute PANCREATITIS
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Clinical Features of Adult/Adolescent Atopic Dermatitis and Chinese Criteria for Atopic Dermatitis 被引量:80
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作者 Ping Liu Yan Zhao +24 位作者 Zhang-Lei mu Qian-Jin Lu Qian-Jin L U Li Zhang Xu Yao Min zheng Yi-Wen Tang Xin-Xiano Lu Xiu-Juan xia You-Kun Lin Yu-Zhen Li Cai-Xia Tu Zhi-Rong Yao Jin-Hua Xu Wei Li Wei Lai Hui-Min Yang Hong-Fu Xie Xiu-Ping Han Zhi-Qiang Xie Xiang Nong Zai-Pei Guo Dan-Qi Deng Tong-Xin Shi Jian-Zhong Zhang 《Chinese Medical Journal》 SCIE CAS CSCD 2016年第7期757-762,共6页
Background: Atopic dermatitis (AD) is an inflammatory skin disease characterized by chronic recurrent dermatitis with profound itching. Most patients have personal and/or family history of atopic diseases. Several ... Background: Atopic dermatitis (AD) is an inflammatory skin disease characterized by chronic recurrent dermatitis with profound itching. Most patients have personal and/or family history of atopic diseases. Several criteria have been proposed for the diagnosis of AD. Although the clinical features of childhood AD have been widely studied, there has been less large-scale study on adult/adolescent AD. The aim of this study was to investigate the clinical features of adult/adolescent patients with chronic symmetrical eczemaJAD and to propose Chinese diagnostic criteria for adult/adolescent AD. Methods: A hospital-based study was performed. Forty-two dermatological centers participated in this study. Adult and adolescent patients (12 years and over) with chronic symmetrical eczema or AD were included in this study. Questionnaires were completed by both patients and-investigators. The valid questionnaires were analyzed using EpiData 3.1 and SPSS 17.0 software. Results: A total of 2662 valid questionnaires were collected (1369 male and 1293 female). Of all 2662 patients, 2062 (77.5%) patients had the disease after 12 years old, while only 600 (22.5%) patients had the disease before 12 years old, suggesting late-onset eczema/AD is common. Two thousand one hundred and thirty-nine (80.4%) patients had the disease for more than 6 months. One thousand one hundred and forty-four (43.0%) patients had a personal and/or family history of atopic diseases. One thousand five hundred and forty-eight (58.2%) patients had an elevated total serum IgE and/or eosinophilia and/or positive allergen-specific IgE. Based on these clinical and laboratory features, we proposed Chinese criteria for adult/adolescent AD. Of all 2662 patients, 60.3% were satisfied with our criteria, while only 48.2% satisfied with Hanifin Rajka criteria and 32.7% satisfied with Williams criteria, suggesting a good sensitivity of our criteria in adult/adolescent AD patients. Conclusion: Late-onset of eczema or AD is common. Th 展开更多
关键词 Adolescents and Adults Atopic Dermatitis Clinical Features Diagnostic Criteria ECZEMA
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Risk factors and clinical characteristics of portal vein thrombosis after splenectomy in patients with liver cirrhosis 被引量:64
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作者 mu-Xing Li Xu-Feng Zhang +1 位作者 zheng-Wen Liu Yi Lv 《Hepatobiliary & Pancreatic Diseases International》 SCIE CAS 2013年第5期512-519,共8页
BACKGROUND:Portal vein thrombosis(PVT) is a potential lethal complication and may have negative influence on the prognosis after splenectomy in patients with liver cirrhosis.Prevention and timely detection of PVT are ... BACKGROUND:Portal vein thrombosis(PVT) is a potential lethal complication and may have negative influence on the prognosis after splenectomy in patients with liver cirrhosis.Prevention and timely detection of PVT are quite significant.There is a lack of knowledge about the clinical features and risk factors of PVT.Our study aimed to investigate the risk factors and clinical characteristics of PVT in order to figure out the high-risk individuals.METHODS:We collected the clinical data of 472 consecutive patients with non-neoplastic liver cirrhosis who had undergone splenectomy from January 2008 to December 2010 in our institution.Clinical and surgical characteristics of patients who developed PVT postoperatively and those who did not develop PVT were compared.Univariate and multivariate analyses of risk factors of PVT were performed.The mortality and rebleeding rate of the patients were also evaluated.RESULTS:Of the 472 patients,52 were excluded from the study.PVT developed in 71(71/420,16.9%) patients.Multivariate analysis revealed that wider preoperative portal vein diameter,postoperative thrombocytosis,prolonged prothrombin time and periesophagogastric devascularization were significantly correlated with PVT development [odds ratio(OR):5.701,2.807,1.850 and 2.090,respectively].The incidence of PVT in patients who took antiplatelet drugs was not lower than that in those who did not.Follow-up showed that patients in the PVT group had a tendency towards reduced overall survival but it was not statistically significant.Gastrointestinal bleeding occurred more often in the PVT group than that in the non-PVT group(P=0.044).CONCLUSIONS:Wider preoperative portal vein diameter,postoperative thrombocytosis,prolonged prothrombin time and periesophagogastric devascularization are independent risk factors of PVT.PVT is related with higher risk of postoperative gastrointestinal hemorrhage but has no significant impact on the overall survival. 展开更多
关键词 portal vein thrombosis clinical characteristics risk factor
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中国2010—2017年胆囊癌治疗模式及预后分析 被引量:46
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作者 任泰 李永盛 +31 位作者 耿亚军 李茂岚 吴向嵩 吴文广 王许安 束翌俊 包润发 董平 龚伟 顾钧 王雪峰 陆建华 穆嘉盛 潘伟华 张熙 张学利 费哲为 张再洋 王益 曹宏 孙备 崔云甫 朱春富 李兵 郑林辉 钱叶本 刘军 党学义 刘昌 彭淑牖 全志伟 刘颖斌 《中华外科杂志》 CAS CSCD 北大核心 2020年第9期697-706,共10页
目的探讨我国胆囊癌患者的临床特征和预后情况。方法多中心回顾性队列研究。回顾性收集中国10个省市15家医院2010年1月至2017年12月收治的3528例胆囊癌患者资料。男性1345例(38.12%),女性2183例(61.88%);初诊年龄(63.7±10.8)岁(范... 目的探讨我国胆囊癌患者的临床特征和预后情况。方法多中心回顾性队列研究。回顾性收集中国10个省市15家医院2010年1月至2017年12月收治的3528例胆囊癌患者资料。男性1345例(38.12%),女性2183例(61.88%);初诊年龄(63.7±10.8)岁(范围:26~99岁)。其中0~Ⅰ期213例(6.04%),Ⅱ~Ⅲ期1059例(30.02%),Ⅳ期1874例(53.12%),382例(10.83%)无法判断分期;行手术治疗2255例(63.92%),行放疗或化疗336例(9.52%,其中172例为姑息性治疗),仅支持治疗1101例(31.21%)。总结和分析3528例胆囊癌患者的地区分布、治疗方式、手术情况、病理学检查结果、合并胆囊结石情况、预后情况。结果在3528例诊断为胆囊癌的患者中,959例(27.18%)来自东部地区,603例(17.09%)来自东北地区,1533例(43.45%)来自中部地区,433例(12.27%)来自西部地区。在1578例可切除的患者中,759例(48.10%)合并胆囊结石。在1578例可切除的患者中,665例(42.14%)行根治性切除,913例手术未达根治标准(57.86%);891例(56.46%)患者在术前得到恶性肿瘤诊断,254例(16.10%)为术中诊断,381例(24.14%)为术后诊断,52例无法判断(3.30%)。在665例根治性切除患者中,切缘阳性69例(10.4%),切缘阴性510例(76.7%),86例(12.9%)切缘情况不详。3528例胆囊癌患者的5年总体生存率为23.0%,其中可切除肿瘤患者的5年生存率为39.6%,晚期未手术患者为5.4%,姑息性手术患者为4.7%。结论我国胆囊癌患者初诊超过半数为Ⅳ期;手术切除是提高可切除患者生存期的有效方式。胆囊癌的治疗尚不规范,亟需有效的综合治疗手段。 展开更多
关键词 胆囊肿瘤 疾病特征 手术 预后
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儿童维生素A缺乏与血红蛋白水平及呼吸道感染相关性研究 被引量:35
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作者 金春华 王晓燕 +16 位作者 张丽丽 张悦 李娜 王建红 高海涛 宋文红 金娜 高宝峻 蒋华英 王红 穆立娟 孙丽芳 任霞 付迎新 郑春梅 倪君君 张英 《临床儿科杂志》 CSCD 北大核心 2017年第10期755-758,共4页
目的了解健康儿童和伴有呼吸道感染症状儿童维生素A营养状况,及其与血红蛋白水平的相关性。方法纳入2014年12月至2015年8月期间在北京居住半年以上的健康体检儿童,检测血清视黄醇、外周血血红蛋白水平,分析维生素A营养状况与年龄、呼吸... 目的了解健康儿童和伴有呼吸道感染症状儿童维生素A营养状况,及其与血红蛋白水平的相关性。方法纳入2014年12月至2015年8月期间在北京居住半年以上的健康体检儿童,检测血清视黄醇、外周血血红蛋白水平,分析维生素A营养状况与年龄、呼吸道感染及贫血的关系。结果共纳入1 742例儿童,男1 056例、女686例,中位年龄3.1岁(6个月~17岁);就诊时有呼吸道感染症状儿童202例,无呼吸道感染症状儿童1 540例。受检儿童的血清视黄醇中位水平0.29 mg/L(0.25~0.33 mg/L),有呼吸道感染症状儿童低于无呼吸道症状儿童,差异有统计学意义(P<0.001)。亚临床维生素A缺乏、可疑亚临床缺乏比例分别为5.8%和47.9%;<9岁儿童的亚临床及可疑亚临床缺乏比率均>50%,不同年龄组的亚临床和可疑亚临床缺乏比例的差异有统计学意义(P<0.001)。亚临床维生素A缺乏、可疑亚临床缺乏及正常组儿童的贫血发生率分别为3.9%、8.7%、10.8%,差异有统计学意义(P<0.01)。血清视黄醇、血红蛋白浓度与年龄均呈正相关(r=0.179、0.571,P均<0.001);血清视黄醇与血红蛋白浓度呈正相关(r=0.244,P<0.001)。结论呼吸道感染儿童血清视黄醇水平低于健康儿童,维生素A缺乏与贫血发生相关。 展开更多
关键词 维生素A 缺乏症 呼吸道感染 血红蛋白
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Transarterial chemoembolization with PD-(L)1 inhibitors plus molecular targeted therapies for hepatocellular carcinoma(CHANCE001) 被引量:28
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作者 Hai-Dong Zhu Hai-Liang Li +61 位作者 Ming-Sheng Huang Wei-Zhu Yang Guo-Wen Yin Bin-Yan Zhong Jun-Hui Sun Zhi-Cheng Jin Jian-Jian Chen Nai-Jian Ge Wen-Bin Ding Wen-Hui Li Jin-Hua Huang Wei mu Shan-Zhi Gu Jia-Ping Li Hui Zhao Shu-Wei Wen Yan-Ming Lei Yu-Sheng Song Chun-Wang Yuan Wei-Dong Wang Ming Huang Wei Zhao Jian-Bing Wu Song Wang Xu Zhu Jian-Jun Han Wei-Xin Ren Zai-Ming Lu Wen-Ge Xing Yong Fan Hai-Lan Lin Zi-Shu Zhang Guo-Hui Xu Wen-Hao Hu Qiang Tu Hong-Ying Su Chuan-Sheng zheng Yong Chen Xu-Ya Zhao Zhu-Ting Fang Qi Wang Jin-Wei Zhao Ai-Bing Xu Jian Xu Qing-Hua Wu Huan-Zhang Niu Jian Wang Feng Dai Dui-Ping Feng Qing-Dong Li Rong-Shu Shi Jia-Rui Li Guang Yang Hai-Bin Shi Jian-Song Ji Yu-E Liu zheng Cai Po Yang Yang Zhao Xiao-Li Zhu Li-Gong Lu Gao-Jun Teng 《Signal Transduction and Targeted Therapy》 SCIE CSCD 2023年第3期1198-1207,共10页
There is considerable potential for integrating transarterial chemoembolization(TACE),programmed death-(ligand)1(PD-[L]1)inhibitors,and molecular targeted treatments(MTT)in hepatocellular carcinoma(HCC).It is necessar... There is considerable potential for integrating transarterial chemoembolization(TACE),programmed death-(ligand)1(PD-[L]1)inhibitors,and molecular targeted treatments(MTT)in hepatocellular carcinoma(HCC).It is necessary to investigate the therapeutic efficacy and safety of TACE combined with PD-(L)1 inhibitors and MTT in real-world situations.In this nationwide,retrospective,cohort study,826 HCC patients receiving either TACE plus PD-(L)1 blockades and MTT(combination group,n=376)or TACE monotherapy(monotherapy group,n=450)were included from January 2018 to May 2021.The primary endpoint was progression-free survival(PFS)according to modified RECIST.The secondary outcomes included overall survival(OS),objective response rate(ORR),and safety.We performed propensity score matching approaches to reduce bias between two groups.After matching,228 pairs were included with a predominantly advanced disease population.Median PFS in combination group was 9.5 months(95%confidence interval[CI],8.4-11.0)versus 8.0 months(95%CI,6.6-9.5)(adjusted hazard ratio[HR],0.70,P=0.002).OS and ORR were also significantly higher in combination group(median OS,19.2[16.1-27.3]vs.15.7 months[13.0-20.2];adjusted HR,0.63,P=0.001;ORR,60.1%vs.32.0%;P<0.001).Grade 3/4 adverse events were observed at a rate of 15.8%and 7.5%in combination and monotherapy groups,respectively.Our results suggest that TACE plus PD-(L)1 blockades and MTT could significantly improve PFS,OS,and ORR versus TACE monotherapy for Chinese patients with predominantly advanced HCC in real-world practice,with an acceptable safety profile. 展开更多
关键词 HEPATOCELLULAR TARGETED MATCHING
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Neuroprotective effects of Buyang Huanwu decoction on cerebral ischemia-induced neuronal damage 被引量:32
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作者 Qingchun mu Pengfei Liu +3 位作者 Xitong Hu Haijun Gao Xu zheng Haiyan Huang 《Neural Regeneration Research》 SCIE CAS CSCD 2014年第17期1621-1627,共7页
Among the various treatment methods for stroke, increasing attention has been paid to tradi- tional Chinese medicines. Buyang Huanwu decoction is a commonly used traditional Chinese medicine for the treatment of strok... Among the various treatment methods for stroke, increasing attention has been paid to tradi- tional Chinese medicines. Buyang Huanwu decoction is a commonly used traditional Chinese medicine for the treatment of stroke. This paper summarizes the active components of the Chinese herb, which is composed of Huangqi (Radix Astragali seu Hedysari), Danggui (Radix Angelica sinensis), Chishao (Radix Paeoniae Rubra), Chuanxiong (Rhizoma Ligustici Chuanx- iong), Honghua (Flos Carthami), Taoren (Semen Persicae) and Dilong (Pheretima), and identifies the therapeutic targets and underlying mechanisms that contribute to the neuroprotective prop- erties of Buyang Huanwu decoction. 展开更多
关键词 nerve regeneration Buyang Huanwu decoction traditional Chinese medicine cerebral ischemia clinical application NEUROPROTECTION REVIEW neural regeneration
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Current status of diagnosis and treatment of bladder cancer in China-Analyses of Chinese Bladder Cancer Consortium database 被引量:32
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作者 Kaiwen Li Tianxin Lin +87 位作者 Wei Xue Xin mu Enci Xu Xu Yang Fubao Chen Guangyong Li Lulin Ma Guoliang Wang Chaozhao Liang Haoqiang Shi Ming Li Mao Tang Xueyi Xue Yisong Lv Yaoliang Deng Chengyang Li Zhiwen Chen Xiaozhou Zhou Fengshuo Jin Xudong Liu Jinxin Wei Lei Shi Xin Gou Weiyang He Liqun Zhou Lin Cai Baiye Jin Guanghou Fu Xiangbo Kong Hongyan Sun Ye Tian Lang Feng Tiejun Pan Yiyi Wu Dongwen Wang Hailong Hao Benkang Shi Yaofeng Zhu Qiang Wei Ping Han Changli Wu Dawei Tian Zhangqun Ye zheng Liu Zhiping Wang Junqiang Tian Lin Qi Minfeng Chen Wei Li Jinchun Qi Gongxian Wang Longlong Fu Zhaolin Sun Guangheng Luo Zhoujun Shen Zhaowei Zhu Jinchun Xing Zhun Wu Dong Wei Xin Chen Yanqun Na Hongfeng Guo Chunxi Wang Zhihua Lu Chuize Kong Yang Liu Jin Yang Jianyun Hu Xin Gao Jielin Li Changjun Yin Pu Li Shan Chen Zhen Du Jiongming Li Yongji Yan Xu Zhang Shuang Huang Fangjian Zhou Zhiling Zhang Yinghao Sun Shuxiong Zeng Song Cen Jiaquan Zhou Hanzhong Li Jin Wen Jian Huang 《Asian Journal of Urology》 2015年第2期63-69,共7页
Objective:To investigate current status of diagnosis and treatment of bladder cancer in China.Methods:A database was generated by Chinese Bladder Cancer Consortium(CBCC).From January 2007 to December 2012,14,260 cases... Objective:To investigate current status of diagnosis and treatment of bladder cancer in China.Methods:A database was generated by Chinese Bladder Cancer Consortium(CBCC).From January 2007 to December 2012,14,260 cases from 44 CBCC centers were included.Data of diagnosis,treatment and pathology were collected.Results:The average age was 63.5 year-old and most patients were male(84.3%).The most common histologic types were urothelial carcinoma(91.4%),adenocarcinoma(1.8%),and squamous carcinoma(1.9%).According to 1973 and 2004 WHO grading system,42.0%,41.0%,and 17.0% of patients were grade 1,2,and 3,and 16.0%,48.7%,and 35.3% of patients were papillary urothelial neoplasms of low malignant potential,low,and high grade,respectively.Non-muscle invasive bladder cancer(NMIBC)and muscle invasive bladder cancer(MIBC)were 25.2% and 74.1%,respectively(0.8% not clear).Carcinoma in situ was only 2.4%.Most patients were diagnosed by white-light cystoscopy with biopsy(74.3%).Fluorescence and narrow band imaging cystoscopy had additional detection rate of 1.0% and 4.0%,respectively.Diagnostic transurethral resection(TUR)provided detection rate of 16.9%.Most NMIBCs were treated with TUR(89.2%).After initial TUR,2.6%accepted second TUR,and 45.7%,69.9%,and 58.7% accepted immediate,induced,and maintenance chemotherapy instillation,respectively.Most MIBCs were treated with radical cystectomy(RC,59.7%).Laparoscopic RCs were 35.1%,while open RC 63.4%.Extended and standard pelvic lymph node dissection were 7% and 66%,respectively.Three most common urinary diversions were orthotopic neobladder(44%),ileal conduit(31%),and ureterocutaneostomy(23%).Only 2.3% of patients accepted neo-adjuvant chemotherapy and only 18%of T3 and T4 patients accepted adjuvant chemotherapy.Conclusion:Disease characteristics are similar to international reports,while differences of diagnosis and treatment exist.This study can provide evidences for revisions of the guideline on bladder cancer in China. 展开更多
关键词 Bladder cancer DIAGNOSIS Treatment
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底板突水灾害大数据预测预警平台 被引量:31
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作者 余国锋 袁亮 +8 位作者 任波 李连崇 程关文 韩云春 牟文强 王四戌 魏廷双 郑群 马济国 《煤炭学报》 EI CAS CSCD 北大核心 2021年第11期3502-3514,共13页
针对淮河能源集团当前开采深部A组煤,受底板水害严重威胁而缺乏有效的智能化、全覆盖预警技术的问题,提出了构建基于水文、充水水源及底板破坏实时监测物联网的多源信息大数据智能预警云平台而指导矿区内突水灾害事故预防的技术思路。... 针对淮河能源集团当前开采深部A组煤,受底板水害严重威胁而缺乏有效的智能化、全覆盖预警技术的问题,提出了构建基于水文、充水水源及底板破坏实时监测物联网的多源信息大数据智能预警云平台而指导矿区内突水灾害事故预防的技术思路。以张集煤矿回采A组煤的1612A工作面为工程背景,构建了观测水源、水位、水压、水质、水温等参数变化的水文监测物联网数据传输系统,实时数据采集、数据传输、数据分析处理。而针对底板破坏深度则构建了微震实时监测物联网,传感器拾取底板破裂信号通过井上、井下的光纤环网传输到地面数据信号处理终端,实时监测反演底板破坏、导水裂隙通道分布。将回采、地质和监测数据各类因素考虑在内,建立了基于神经网络和深度学习的预警模型,确定了煤矿安全评价的主控指标以及评判指标,搜集全国大量矿井数据对模型进行了机器学习训练。集成数据采集、管理配置、设备监测、中控大屏、多维分析和故障预警5个模块,由网络集成技术和数据整合技术实现无缝连接,建立了煤矿底板突水灾害大数据预警云平台系统。将学习后的预警模型嵌入系统,基于整合的多源数据进行底板突水危险性评估与预警,与微震数据互馈分析实时发布决策信息。最后,选定淮南等矿区内的5组矿井数据进行了评估验证,并对1612A工作面回采进行了预警分析。结果表明,选定的矿井计算预测结果合理;张集矿工作面发生突水灾害的概率较小,监测期内未发生预警信息;证实了大数据云平台在煤矿底板水害防治应用的可行性,为淮河能源集团开采A组煤预防底板水害提供了新的技术支撑。 展开更多
关键词 底板水害 水文监测 微震监测 大数据 预测预警平台
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Isolation and algae-lysing characteristics of the algicidal bacterium B5 被引量:30
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作者 mu Rui-min FAN zheng-qiu +3 位作者 PEI Hai-yan YUAN Xue-liang Liu Si-xiu WANG Xiang-rong 《Journal of Environmental Sciences》 SCIE EI CAS CSCD 2007年第11期1336-1340,共5页
Water blooms have become a worldwide environmental problem. Recently, algicidal bacteria have attracted wide attention as possible agents for inhibiting algal water blooms. In this study, one strain of algicidal bacte... Water blooms have become a worldwide environmental problem. Recently, algicidal bacteria have attracted wide attention as possible agents for inhibiting algal water blooms. In this study, one strain of algicidal bacterium B5 was isolated from activated sludge. On the basis of analysis of its physiological characteristics and 16S rDNA gene sequence, it was identified as Bacillusfusiformis. Its algaelysing characteristics on Microcystis aeruginosa, Chlorella and Scenedesmus were tested. The results showed that: (1) the algicidal bacterium B5 is a Gram-negative bacterium. The 16S rDNA nucleotide sequence homology of strain B5 with 2 strains of B. fusiformis reached 99.86%, so B5 was identified as B. fusiformis; (2) the algal-lysing effects of the algicidal bacterium B5 on M. aeruginosa, Chlorella and Scenedesrnus were pronounced. The initial bacterial and algal cell densities strongly influence the removal rates of chlorophyll-a. The greater the initial bacterial cell density, the faster the degradation of chlorophyll-a. The greater the initial algal cell density, the slower the degradation of chlorophyll-a. When the bacterial cell density was 3.6 × 10^7 cells/ml, nearly 90% of chlorophyll-a was removed. When the chlorophyll-a concentration was less than 550 μg/L, about 70% was removed; (3) the strain B5 lysed algae by secreting metabolites and these metabolites could bear heat treatment. 展开更多
关键词 algicidal bacteria water blooms algae-lysing characteristic 16S rDNA Bacillusfusiformis
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手术室专业护士核心能力及其影响因素的调查分析 被引量:29
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作者 穆莉 王琤 +2 位作者 姜鲁平 付庆新 马薇 《中华医学教育杂志》 2019年第3期231-235,共5页
目的调查手术室专业护士核心能力水平现状,探讨其核心能力的影响因素。方法采用便利整群抽样方法,2018年10月~12月选择北京市两所三级甲等医院的196名手术室专业护士作为研究对象,采用自制的手术室专业护士核心能力评价量表进行调查。... 目的调查手术室专业护士核心能力水平现状,探讨其核心能力的影响因素。方法采用便利整群抽样方法,2018年10月~12月选择北京市两所三级甲等医院的196名手术室专业护士作为研究对象,采用自制的手术室专业护士核心能力评价量表进行调查。量表的克朗巴赫系数为0.983,KMO值为0.975。采用SPSS19.0对调查结果进行统计分析,并用单因素方差分析、独立样本t检验、多元线性回归分析进行影响因素分析。结果手术室专业护士的核心能力总分(191.65±23.90)分、专业基础能力(22.05±2.90)分、围手术期评估能力(25.38±3.41)分、专业管理能力(43.82±5.00)分、专业配合能力(51.15±7.34)分、专业发展能力(49.25±7.50)分。单因素方差分析和t检验结果显示,不同年龄、职称、职务、学历、工作年限、层级的护士在各维度得分及总分的差异均具有统计学意义(均P<0.05);多元线性回归分析结果显示,护士的层级、职务、职称、年龄分别是影响其专业基础能力、专业管理能力、专业配合能力、专业发展能力维度得分的重要变量。结论手术室专业护士核心能力处于良好水平,层级、职务、职称、年龄是其核心能力的影响因素。 展开更多
关键词 手术室 专业护士 核心能力 影响因素 调査
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延安市宝塔区地质灾害风险评价 被引量:25
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作者 杨柳 牟鑫亮 +2 位作者 李晨 郑续 岳东霞 《山地学报》 CSCD 北大核心 2020年第5期679-690,共12页
延安市宝塔区地处黄土高原地区,滑坡、崩塌等地质灾害频发,严重威胁当地居民生命和财产。本文在地质灾害历史统计资料基础上,基于现代遥感和GIS技术,并结合SBAS-InSAR监测数据,将不稳定斜坡危害区域面积占比引入危险性评价指标体系,不... 延安市宝塔区地处黄土高原地区,滑坡、崩塌等地质灾害频发,严重威胁当地居民生命和财产。本文在地质灾害历史统计资料基础上,基于现代遥感和GIS技术,并结合SBAS-InSAR监测数据,将不稳定斜坡危害区域面积占比引入危险性评价指标体系,不稳定斜坡危害区域内居民点数纳入易损性评价指标体系,构建了较为完善的、适用于宝塔区的地质灾害风险评价指标体系,以30 m栅格为单元对宝塔区进行了高分辨率的地质灾害风险评价。结果显示:宝塔区可划分为极高风险区、高风险区、中等风险区、低风险区、极低风险区,分别占全区面积的1.02%、9.24%、21.60%、32.62%、35.50%;极高风险区和高风险区主要分布于宝塔区中部延河流域地区及北部地区;极低风险区主要分布于宝塔区北部及南部汾川河流域地区。本次评价结果有效提高了该研究区地质灾害风险评价的精度,可为宝塔区地质灾害风险预防和国土空间规划提供依据。 展开更多
关键词 地质灾害 宝塔区 危险性 易损性
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从第三极到北极:气候与冰冻圈变化及其影响 被引量:25
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作者 王康 张廷军 +7 位作者 牟翠翠 钟歆玥 彭小清 曹斌 鲁蕾 郑雷 吴小丹 刘佳 《冰川冻土》 CSCD 北大核心 2020年第1期104-123,共20页
第三极和北极地区对于区域和全球环境、社会经济以及国家战略的重要性日益凸现。通过对第三极和北极气候与冰冻圈研究的现状、趋势进行梳理总结,为未来的系统研究提供借鉴。结果显示,第三极和北极气候系统与冰冻圈正在发生显著变化并预... 第三极和北极地区对于区域和全球环境、社会经济以及国家战略的重要性日益凸现。通过对第三极和北极气候与冰冻圈研究的现状、趋势进行梳理总结,为未来的系统研究提供借鉴。结果显示,第三极和北极气候系统与冰冻圈正在发生显著变化并预计将持续下去。第三极和北极地区气温在以全球平均升温速度两倍的速率变暖,且在20世纪70年代以来,变化总体趋势高度一致;降水变化总体呈增加趋势,但变率和不确定性较大;极端事件(尤其是极端降水)的频率增加;积雪范围总体上呈现减少趋势,雪水当量、积雪天数的变化存在区域和周期性差异;多年冻土温度升高,活动层厚度增加,亦呈现较大的区域差异。这些变化不仅对生态、水文、碳循环产生重要影响,而且对基础设施、社会经济以及人类健康产生不可忽视的影响,包括重金属污染、食品安全等。气候及冰冻圈快速变化会通过反照率反馈、水汽反馈等机制被放大,并通过一系列大气及海洋环流过程,对周边乃至全球气候系统产生广泛影响。目前第三极和北极研究中面临的重要共同问题包括极度稀疏的地面观测资料、模型物理机制和精细化描述不足以及缺少与周边地区乃至全球系统关联的量化研究和可靠证据。这些问题的解决都需要依赖地面监测网络的扩展以及对冰冻圈和气候系统物理过程理解的提升。从第三极到北极,不仅是研究视角的扩大,更是全面理解第三极和北极在地球系统中作用的必经之路。 展开更多
关键词 第三极 北极 气候 冰冻圈 变化
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缓控释肥施用方式对夏玉米产量、肥料利用率及经济效益的影响 被引量:21
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作者 史桂芳 董浩 +4 位作者 于淑慧 朱国梁 牟小翎 郑铮 任寒 《山东农业科学》 北大核心 2021年第8期80-84,共5页
在不同类型土壤上,研究缓控释肥全层混施和种肥同播两种施用方式对夏玉米产量、肥料利用率及经济效益的影响。结果表明:在氮肥减施10%条件下,施用缓控释肥料在棕壤和砂姜黑土上采用种肥同播的方式均能获得较高产量,与习惯施肥相比,分别... 在不同类型土壤上,研究缓控释肥全层混施和种肥同播两种施用方式对夏玉米产量、肥料利用率及经济效益的影响。结果表明:在氮肥减施10%条件下,施用缓控释肥料在棕壤和砂姜黑土上采用种肥同播的方式均能获得较高产量,与习惯施肥相比,分别增产1.55%和1.77%;两种施肥方式均可大幅提高氮肥利用率,增幅为28.13%~37.45%;磷肥、钾肥利用率除了砂姜黑土试验区全层混施处理略有降低外,其他施肥处理均有所提高,磷肥利用率提高18.77%~35.78%,钾肥利用率提高22.12%~26.91%。与习惯施肥相比,棕壤试验区,两种施肥方式均能提高收益,其中种肥同播施肥方式收益较高,增收312.11元/hm^(2),砂姜黑土试验区,种肥同播施肥方式增收416.45元/hm^(2),全层混施处理略低,减少138.39元/hm^(2)。可见缓控释肥采用种肥同播施肥方式在不同类型土壤上均能提高夏玉米产量,大幅提高肥料利用率,最终获得较好的经济效益。 展开更多
关键词 缓控释肥 棕壤 砂姜黑土 施肥方式 夏玉米 产量 肥料利用率 经济效益
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不同香型白酒的风味物质及抗氧化作用分析 被引量:21
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作者 张明珠 吴学凤 +7 位作者 穆冬冬 蔡静 徐相辉 许博阳 孙伟 梁进 郑志 李兴江 《食品工业科技》 CAS 北大核心 2021年第11期218-225,共8页
为了探究市售清香型、浓香型及酱香型白酒的风味物质成分及其抗氧化能力,利用HS-SPME-GC-MS对4种市售不同香型白酒中风味物质成分进行检测分析。其中两种浓香型白酒(Nong1,Nong2)中分别检出41和28种风味物质,酱香型白酒(Jiang)中检出41... 为了探究市售清香型、浓香型及酱香型白酒的风味物质成分及其抗氧化能力,利用HS-SPME-GC-MS对4种市售不同香型白酒中风味物质成分进行检测分析。其中两种浓香型白酒(Nong1,Nong2)中分别检出41和28种风味物质,酱香型白酒(Jiang)中检出41种风味物质,清香型白酒(Qing)中检出11种突出的风味物质。其中最主要的风味物质成分为酯类物质,数量达30种,并且在酯类物质中乙酸乙酯、丁酸乙酯、乳酸乙酯和己酸乙酯的含量要高于其他酯类物质。此外,利用超声处理得到白酒提取物,对4种白酒的抗氧化能力进行分析测定,其中Nong1对DPPH自由基和超氧阴离子的清除能力较强,清除率达到41.87%和38.46%,Nong2对羟自由基的清除能力较强,达到46.98%,Jiang白酒对羟自由基和ABTS自由基的清除能力都较为突出,分别为48.00%和31.50%,此外,Qing白酒对DPPH(22.91%)、羟自由基(31.93%)、ABTS自由基(23.41%)和超氧阴离子自由基(17.20%)均有一定的清除能力。综合来看,这几种白酒都具有一定的抗氧化能力。 展开更多
关键词 白酒 风味物质 抗氧化活性 浓香型 酱香型 清香型
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饲粮中添加葡萄籽原花青素对羔羊生长性能、屠宰性能、肉品质及血清抗氧化指标的影响 被引量:21
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作者 杨文军 牟春堂 +4 位作者 王鹏举 张牧州 郑玮才 郝小燕 张建新 《动物营养学报》 CAS CSCD 北大核心 2020年第6期2755-2764,共10页
本试验旨在研究饲粮中添加葡萄籽原花青素对羔羊生长性能、屠宰性能、肉品质及血清抗氧化指标的影响。试验选取48只4月龄左右、体重[(22.75±1.20) kg]相近的杜泊×小尾寒羊杂交一代公羔,随机分为4组,每组12只羊。各组饲喂基础... 本试验旨在研究饲粮中添加葡萄籽原花青素对羔羊生长性能、屠宰性能、肉品质及血清抗氧化指标的影响。试验选取48只4月龄左右、体重[(22.75±1.20) kg]相近的杜泊×小尾寒羊杂交一代公羔,随机分为4组,每组12只羊。各组饲喂基础饲粮的同时分别补饲0(对照组)、10(10GSPs组)、20(20GSPs组)、40 mg/kg BW(40GSPs组)的葡萄籽原花青素。预试期15 d,正试期45 d。结果表明:1)10GSPs和20GSPs组的终末体重显著高于对照组(P≤0.05)。10GSPs和20GSPs组的平均日增重和平均日采食量显著高于对照组和40GSPs组(P≤0.05)。各组之间料重比差异不显著(P>0.05)。2) 10GSPs和20GSPs组的宰前活重显著高于对照组(P≤0.05)。10GSPs、20GSPs和40GSPs组的胴体重和净肉重均显著高于对照组(P≤0.05)。40GSPs组的眼积面积显著高于对照组(P≤0.05)。各组之间器官指数无显著差异(P>0.05)。3)20GSPs组宰后1 h的红度值显著高于对照组和10GSPs组(P≤0.05)。20GSPs和40GSPs组的背最长肌剪切力显著低于对照组和10GSPs组(P≤0.05)。各组之间背最长肌的水分、粗灰分、粗脂肪和粗蛋白质含量均无显著差异(P>0.05)。4)与对照组相比,20GSPs和40GSPs组的血清超氧化物歧化酶和谷胱甘肽过氧化物酶活性显著提高(P≤0.05)。综上,饲粮中添加适量葡萄籽原花青素能够提高羔羊的生长性能和屠宰性能,改善肌肉品质。在本试验条件下,葡萄籽原花青素的适宜添加剂量为20 mg/kg BW。 展开更多
关键词 葡萄籽原花青素 羔羊 生长性能 屠宰性能 肉品质 抗氧化能力
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Inflammatory biomarkers and cerebral small vessel disease:a community-based cohort study 被引量:19
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作者 Ding-Ding Zhang Yuan Cao +13 位作者 Jing-Yu mu Yi-Ming Liu Feng Gao Fei Han Fei-Fei Zhai Li-Xin Zhou Jun Ni Ming Yao Ming-Li Li zheng-Yu Jin Shu-Yang Zhang Li-Ying Cui Yong Shen Yi-Cheng Zhu 《Stroke & Vascular Neurology》 SCIE CSCD 2022年第4期302-309,I0009-I0014,共14页
Background and purpose Although inflammation has been proposed to be a candidate risk factor for cerebral small vessel disease(CSVD),previous findings remain largely inconclusive and vary according to disease status a... Background and purpose Although inflammation has been proposed to be a candidate risk factor for cerebral small vessel disease(CSVD),previous findings remain largely inconclusive and vary according to disease status and study designs.The present study aimed to investigate possible associations between inflammatory biomarkers and MRI markers of CSVD.Methods A group of 15 serum inflammatory biomarkers representing a variety of those putatively involved in the inflammatory cascade was grouped and assessed in a cross-sectional study involving 960 stroke-free subjects.The biomarker panel was grouped as follows:systemic inflammation(high-sensitivity C reactive protein(hsCRP),interleukin 6 and tumour necrosis factorα),endothelial-related inflammation(E-selectin,P-selectin,intercellular adhesion molecule 1,vascular cell adhesion molecule 1(VCAM-1),CD40 ligand,lipoprotein-associated phospholipase A2,chitinase-3-like 1 protein and total homocysteine(tHCY))and media-related inflammation(matrix metalloproteinases 2,3 and 9,and osteopontin).The association(s)between different inflammatory groups and white matter hyperintensity(WMH),lacunes,cerebral microbleeds(CMBs),enlarged perivascular space(PVS)and the number of deep medullary veins(DMVs)were investigated.Results High levels of serum endothelial-related inflammatory biomarkers were associated with both increased WMH volume(R^(2)=0.435,p=0.015)and the presence of lacunes(R^(2)=0.254,p=0.027).Backward stepwise elimination of individual inflammatory biomarkers for endothelial-related biomarkers revealed that VCAM-1 was significant for WMH(β=0.063,p=0.005)and tHCY was significant for lacunes(β=0.069,p<0.001).There was no association between any group of inflammatory biomarkers and CMBs or PVS.Systemic inflammatory biomarkers were associated with fewer DMVs(R^(2)=0.032,p=0.006),and backward stepwise elimination of individual systemic-related inflammatory biomarkers revealed that hsCRP(β=−0.162,p=0.007)was significant.Conclusion WMH and lacunes were associated with endothe 展开更多
关键词 INFLAMMATION CEREBRAL STEPWISE
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Laser altimetry data of Chang'E-1 and the global lunar DEM model 被引量:20
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作者 LI ChunLai1, REN Xin1, LIU JianJun1, ZOU XiaoDuan1, mu LingLi1, WANG JianYu2, SHU Rong2, ZOU YongLiao1, ZHANG HongBo1, Chang1, LIU JianZhong1, ZUO Wei1, SU Yan1, WEN WeiBin1, BIAN Wei1, WANG Min1, XU Chun1, KONG DeQing1, WANG XiaoQian1, WANG Fang1, GENG Liang1, ZHANG ZhouBin1, zheng Lei1, ZHU XinYing1, LI JunDuo1 & OUYANG ZiYuan1 1 National Astronomical Observatories, Chinese Academy of Sciences, Beijing 100012, China 2 Shanghai Institute of Technical Physics, Chinese Academy of Sciences, Shanghai 200083, China 《Science China Earth Sciences》 SCIE EI CAS 2010年第11期1582-1593,共12页
The Laser AltiMeter (LAM), as one of the main payloads of Chang'E-1 probe, is used to measure the topography of the lunar surface. It performed the first measurement at 02:22 on November 28th, 2007. Up to December... The Laser AltiMeter (LAM), as one of the main payloads of Chang'E-1 probe, is used to measure the topography of the lunar surface. It performed the first measurement at 02:22 on November 28th, 2007. Up to December 4th 2008, the total number of measurements was approximately 9.12 million, covering the whole surface of the Moon. Using the LAM data, we constructed a global lunar Digtal Elevation Model (DEM) with 3 km spatial resolution. The model shows pronounced morphological characteristics, legible and vivid details of the lunar surface. The plane positioning accuracy of the DEM is 445 m (1σ), and the vertical accuracy is 60 m (1σ). From this DEM model, we measured the full range of the altitude difference on the lunar sur-face, which is about 19.807 km. The highest point is 10.629 km high, on a peak between crater Korolev and crater Dirichlet-Jackson at (158.656°W, 5.441°N) and the lowest point is -9.178 km in height, inside crater Antoniadi (172.413°W, 70.368°S) in the South Pole-Aitken Basin. By comparison, the DEM model of Chang'E-1 is better than the USA ULCN2005 in accuracy and resolution and is probably identical to the DEM of Japan SELENE, but the DEM of Chang'E-1 reveals a new lowest point, clearly lower than that of SELENE. 展开更多
关键词 Chang’E-1 LASER ALTIMETRY LUNAR DEM topographic TOPS of the MOON
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智慧农业革命影响及对策研究 被引量:17
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作者 牟少岩 丁慧媛 +1 位作者 郑满生 李敬锁 《农业经济问题》 CSSCI 北大核心 2022年第9期111-117,共7页
智慧农业技术使用为基础和核心的智慧农业已成为世界农业发展的重要趋势,将使农业现代化达到智慧农业阶段。这个过程就是智慧农业技术引发的智慧农业革命。这场智慧农业革命将使农业领域的劳动者劳动过程与经营者决策过程、政府农业管... 智慧农业技术使用为基础和核心的智慧农业已成为世界农业发展的重要趋势,将使农业现代化达到智慧农业阶段。这个过程就是智慧农业技术引发的智慧农业革命。这场智慧农业革命将使农业领域的劳动者劳动过程与经营者决策过程、政府农业管理过程、全产业链一体化将发生深层次的革命性变化。农业工人、农业领域专业投资者和农业职业经理人、农业生产过程工业化、新型人地关系将在农业生产领域兴起。为应对这场智慧农业革命,学界需要对智慧农业的场景构建保持足够的前瞻性和开放性;政府需要超前并主导推动智慧农业革命的行业规划、顶层设计,同时要加大智慧农业基础设施建设、引导市场力量加入;教育部门需要做好前瞻性规划,加大人才培养和储备力度。 展开更多
关键词 智慧农业技术 智慧农业 智慧农业革命 智慧农业阶段 农业现代化 对策
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腹腔镜D2根治术联合胃背侧系膜近胃端完整系膜切除术治疗进展期胃癌的近期疗效 被引量:18
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作者 张明凯 穆东 +2 位作者 陈艳 郑静 杨晓 《中国现代医学杂志》 CAS 北大核心 2021年第14期30-34,共5页
目的分析腹腔镜D2根治术联合胃背侧系膜近胃端完整系膜切除术(CME)治疗进展期胃癌的近期疗效。方法回顾性分析2018年2月—2019年1月滨州医学院附属医院收治的80例进展期胃癌患者临床资料。将40例实施腹腔镜D2根治术的患者作为对照组,其... 目的分析腹腔镜D2根治术联合胃背侧系膜近胃端完整系膜切除术(CME)治疗进展期胃癌的近期疗效。方法回顾性分析2018年2月—2019年1月滨州医学院附属医院收治的80例进展期胃癌患者临床资料。将40例实施腹腔镜D2根治术的患者作为对照组,其余40例实施腹腔镜D2根治术联合CME的患者作为观察组。比较两组患者的手术指标、生活质量综合评定问卷(GQOLI-74)、并发症发生率、肿瘤复发率、肿瘤转移率、生存率。结果观察组手术时间、住院时间短于对照组(P<0.05),术中出血量少于对照组,淋巴结清扫数目多于对照组(P<0.05)。两组患者首次排气时间比较,差异无统计学意义(P>0.05)。两组患者并发症发生率比较,差异无统计学意义(P>0.05)。两组患者6个月生存率、肿瘤复发率、肿瘤转移率比较,差异无统计学意义(P>0.05)。观察组1年的生存率高于对照组,肿瘤转移率低于对照组(P<0.05)。两组患者1年的肿瘤复发率比较,差异无统计学意义(P>0.05)。观察组和对照组术后GQOLI-74评分较术前升高(P<0.05)。观察组术后GQOLI-74评分较对照组升高(P<0.05)。两组患者术前GQOLI-74评分比较,差异无统计学意义(P>0.05)。结论CME联合D2根治术治疗进展期胃癌有利于彻底清除淋巴结,减少手术时间及术中出血量,促进术后恢复,改善生活质量,并发症更少,较D2根治术可行性更高。 展开更多
关键词 胃肿瘤 腹腔镜 治疗结果
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