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Prevalence of fatty liver disease and its risk factors in the population of South China 被引量:113
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作者 Yong-Jian Zhou Yu-Yuan Li +5 位作者 Yu-Qiang nie Jin-Xiang Ma Lun-Gen Lu Sheng-Li Shi min-Hu Chen Pin-Jin Hu 《World Journal of Gastroenterology》 SCIE CAS CSCD 2007年第47期6419-6424,共6页
AIM: To investigate the population-based prevalence of fatty liver disease (FLD) and its risk factors in Guangdong Province,China. METHODS: A cross-sectional survey with multiple-stage stratified cluster and random sa... AIM: To investigate the population-based prevalence of fatty liver disease (FLD) and its risk factors in Guangdong Province,China. METHODS: A cross-sectional survey with multiple-stage stratified cluster and random sampling of inhabitants over 7-year-old was performed in 6 urban and rural areas of Guangdong Province,China. Questionnaires,designed by co-working of epidemiologists and hepatologists,included demographic characteristics,current medication use,medical history and health-relevant behaviors,i.e. alcohol consumption,smoking habits,dietary habits and physical activities. Anthropometric measurements,biochemical tests and abdominal ultrasonography were carried out. RESULTS: Among the 3543 subjects,609 (17.2%) were diagnosed having FLD (18.0% males,16.7% females,P > 0.05). Among them,the prevalence of confirmed alcoholic liver disease (ALD),suspected ALD and nonalcoholic fatty liver disease (NAFLD) were 0.4%,1.8%,and 15.0%,respectively. The prevalence rate (23.0%) was significantly higher in urban areas than (12.9%) in rural areas. After adjustment for age,gender and residency,the standardized prevalence of FLD in adults was 14.5%. Among them,confirmed ALD,suspected ALD and NAFLD were 0.5%,2.3%,and 11.7%,respectively,in adults and 1.3% (all NAFLD) in children at the age of 7-18 years. The overall prevalence of FLD increased with age in both genders to the peak of 27.4% in the group of subjects at the age of 60-70 years. The prevalence rate was significantly higher in men than in women under the age of 50 years (22.4% vs 7.1%,P < 0.001). However,the opposite phenomenon was found over the age of 50 years (20.6% vs 27.6%,P < 0.05). Multivariate and logistic regression analysis indicated that male gender,urban residency,low education,high blood pressure,body mass index,waist circumference,waist to hip ratio,serum triglyceride and glucose levels were the risk factors for FLD. CONCLUSION: FLD,especially NAFLD,is prevalent in South China. There are many risk factors for FLD. 展开更多
关键词 Fatty liver disease PREVALENCE EPIDEMIOLOGY Risk factors
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Effect of Long-Term Rice Straw Return on Soil Glomalin, Carbon and Nitrogen 被引量:49
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作者 nie Jun ZHOU Jian-min +2 位作者 WANG Huo-Yan CHEN Xiao-Qin DU Chang-Wen 《Pedosphere》 SCIE CAS CSCD 2007年第3期295-302,共8页
A long-term experiment was conducted to investigate how long-term fertilization and rice straw incorporation into soil affect soil glomalin, C and N. The combined application of chemical fertilizer and straw resulted ... A long-term experiment was conducted to investigate how long-term fertilization and rice straw incorporation into soil affect soil glomalin, C and N. The combined application of chemical fertilizer and straw resulted in a significant increase in both soil easily extractable glomalin (EEG) and total glomalin (TG) concentrations, as compared with application of only chemical fertilizer or no fertilizer application. The EEG and TG concentrations of the NPKS (nitrogen, phosphorus, and potassium fertilizer application + rice straw return) plot were 4.68% and 5.67% higher than those of the CK (unfertilized control) plot, and 9.87% and 6.23% higher than those of the NPK (nitrogen, phosphorus, and potassium fertilizer applied annually) plot, respectively. Application of only chemical fertilizer did not cause a statistically significant change of soil glomalin compared with no fertilizer application. The changes of soil organic C (SOC) and total N (TN) contents demonstrated a similar trend to soil glomalin in these plots. The SOC and TN contents of NPKS plot were 15.01% and 9.18% higher than those of the CK plot, and 8.85% and 14.76% higher than those of the NPK plot, respectively. Rice straw return also enhanced the contents of microbial biomass C (MBC) and microbial biomass N (MBN) in the NPKS plot by 7.76% for MBC and 31.42% for MBN compared with the CK plot, and 12.66% for MBC and 15.07% for MBN compared with the NPK plots, respectively. Application of only chemical fertilizer, however, increased MBN concentration, but decreased MBC concentration in soil. 展开更多
关键词 C GLOMALIN long-term fertilizer experiment N rice straw return
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导尿术虚拟仿真教学项目的开发及应用 被引量:49
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作者 聂立婷 殷秀敏 +4 位作者 徐奇 王翠 郭敏 娄凤兰 朱楠 《护理学杂志》 CSCD 北大核心 2019年第1期66-69,共4页
目的开发导尿术虚拟仿真教学项目,提高基础护理实验教学质量,节约实验室耗材。方法借助计算机信息技术开发导尿术虚拟仿真教学项目,通过探索"线上线下"相结合的教学模式,将导尿术虚拟仿真项目运用于2016级护理本科学生基础护... 目的开发导尿术虚拟仿真教学项目,提高基础护理实验教学质量,节约实验室耗材。方法借助计算机信息技术开发导尿术虚拟仿真教学项目,通过探索"线上线下"相结合的教学模式,将导尿术虚拟仿真项目运用于2016级护理本科学生基础护理实验教学中。结果与2015级学生常规教学比较,2016级学生的导尿术操作成绩显著提高(P <0. 05),实验室耗材经费显著下降(P <0. 01)。结论导尿术虚拟仿真教学项目为护理实验教学提供了一种实用、环保的教辅工具,且有效促进了护理教学模式的改革与创新。 展开更多
关键词 基础护理学 导尿术 虚拟仿真 护理教育 实验教学
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我国废弃塑料污染防治战略研究 被引量:40
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作者 王琪 瞿金平 +3 位作者 石碧 陈宁 聂敏 杨双桥 《中国工程科学》 CSCD 北大核心 2021年第1期160-166,共7页
废弃塑料污染防治是国家战略的重要组成部分。本文全面深入分析我国废弃塑料的来源、回收利用及回收利用技术的现状。在塑料全生命周期评价基础上,提出了我国塑料污染防治全链条解决方案:在技术层面,必须从塑料合成、加工、应用和处理... 废弃塑料污染防治是国家战略的重要组成部分。本文全面深入分析我国废弃塑料的来源、回收利用及回收利用技术的现状。在塑料全生命周期评价基础上,提出了我国塑料污染防治全链条解决方案:在技术层面,必须从塑料合成、加工、应用和处理等各环节全方位全链条防治废弃塑料污染,包括塑料制品源头减量,塑料原料及替代产品的开发,塑料制品循环利用的设计,高性能长服役期塑料制品的加工,废弃塑料清洁高效规模化回收利用,终极塑料垃圾的安全处理等;在政府层面,建议加强政府政策引导,落实行政监管;在企业层面,建立有效回收机制,明确生产者、经营者、消费者的回收责任,为废弃塑料污染防治提供政策及技术建议;在公众层面,提高公民环保意识,全民参与治理。采用上述提出的我国塑料污染防治全链条解决方案,可以促进我国塑料工业和国民经济绿色可持续发展。 展开更多
关键词 废弃塑料 环境污染 防治措施 回收利用 全链条治理
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基于快速康复外科理念并借助通信软件的护理管理在结直肠癌患者腹腔镜手术围手术期的应用观察 被引量:32
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作者 聂敏 路瑶 《结直肠肛门外科》 2021年第2期172-174,共3页
目的探讨基于快速康复外科(ERAS)理念并借助通信软件的护理管理在结直肠癌患者腹腔镜手术围手术期的应用效果。方法回顾性分析2018年6月至2020年6月辽宁中医药大学附属第三医院和中国医科大学附属第四医院收治的共83例结直肠癌患者临床... 目的探讨基于快速康复外科(ERAS)理念并借助通信软件的护理管理在结直肠癌患者腹腔镜手术围手术期的应用效果。方法回顾性分析2018年6月至2020年6月辽宁中医药大学附属第三医院和中国医科大学附属第四医院收治的共83例结直肠癌患者临床资料,按照不同的护理措施实施方式将患者分为对照组(n=41,予以基于ERAS理念的常规护理干预)和观察组(n=42,在对照组基础上借助通信软件管理)。比较两组术后恢复情况、术后并发症发生情况及患方对护理工作的满意度。结果观察组术后肠鸣音恢复时间、首次肛门排气时间、首次进食时间、首次下床活动时间较对照组提前,住院时间较对照组缩短,差异均有统计学意义(均P<0.05);两组首次排粪时间比较差异无统计学意义(P>0.05)。两组并发症发生率比较差异无统计学意义(P>0.05)。观察组护理工作满意度高于对照组,差异有统计学意义(P<0.05)。结论在对结直肠癌患者开展基于ERAS理念的腹腔镜手术围手术期护理干预中,借助通信软件可取得较为满意的效果,有助于促进患者术后康复,提高患方对护理工作的满意度。 展开更多
关键词 结直肠癌 护理 通信软件 快速康复外科
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固体电介质真空沿面闪络研究进展 被引量:25
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作者 李盛涛 聂永杰 +1 位作者 闵道敏 潘绍明 《电工技术学报》 EI CSCD 北大核心 2017年第8期1-9,共9页
针对真空中复合绝缘体系的耐电强度受到沿面闪络现象限制问题,综述了国内外真空沿面闪络相关的研究进展。研究发现,真空中固体绝缘介质的沿面闪络性能受老练方式、介质的表面特性及体特性、介质表面沉积电荷、绝缘体系的电场分布等因素... 针对真空中复合绝缘体系的耐电强度受到沿面闪络现象限制问题,综述了国内外真空沿面闪络相关的研究进展。研究发现,真空中固体绝缘介质的沿面闪络性能受老练方式、介质的表面特性及体特性、介质表面沉积电荷、绝缘体系的电场分布等因素影响。机理分析认为真空中的沿面闪络现象实质上是高场下电荷在气-固界面的输运行为,其过程涉及到介质表层中的电荷捕获/脱陷特性、二次电子的发射特性、以及气相中的气体(或解吸附气体)分子的碰撞电离/电子倍增等过程,沿面闪络的发展和形成是以上几个因素相互耦合作用结果。基于以上分析及认识,认为可以从改变材料表面特性及体特性和改善整个绝缘体系的电场分布方面,来提升真空沿面闪络电压。 展开更多
关键词 固体电介质 真空沿面闪络 电荷输运 倍增 耦合
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Nitrate Leaching from Maize Intercropping Systems with N Fertilizer Over-Dose 被引量:24
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作者 nie Sheng-wei AEgfinya Eneji +3 位作者 CHEN Yuan-quan SUI Peng HUANG Jian-xiong HUANGShao-min 《Journal of Integrative Agriculture》 SCIE CAS CSCD 2012年第9期1555-1565,共11页
A 2-yr field experiment was conducted on a calcareous alluvial soil with four summer maize intercropping systems at Shangzhuang Experiment Station (116.3°E, 39.9°N) in the North China Plain. The objective ... A 2-yr field experiment was conducted on a calcareous alluvial soil with four summer maize intercropping systems at Shangzhuang Experiment Station (116.3°E, 39.9°N) in the North China Plain. The objective was to determine nitrate leaching from intercropping systems involving maize (Zea mays L.): sole maize (CK), maize + soybean (CST), maize + groundnut (CGT), maize + ryegrass (CHM), and maize + alfalfa (CMX). Intercropping greatly reduced nitrate accumulation in the 100-200 cm soil layers compared with maize monoculture. Nitrate accumulation under intercropping systems decreased significantly at the 140-200 cm soil depth; the accumulation varied in the order CK〉CST〉CMX〉CHM〉CGT. However, compared to the CK treatment, nitrate leaching losses during the maize growing period were reduced by 20.9- 174.8 (CGT), 35.2-130.8 (CHM), 60.4-122.0 (CMX), and 30.6-82.4 kg ha-1 (CST). The results also suggested that intereropping is an effective way to reduce nitrogen leaching in fields with N fertilizer over-dose. 展开更多
关键词 NO3-N leaching MAIZE INTERCROPPING over-dose
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中国特色民族药材藤茶的资源调查 被引量:24
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作者 石依姗 肖凌 +3 位作者 聂晶 胡敏 王文清 方建国 《中药材》 CAS 北大核心 2020年第5期1076-1080,共5页
目的:调查藤茶的基原品种、资源分布现状、商品药材情况和标准收载情况,为藤茶资源保护和药材质量评价提供参考。方法:结合文献考证、访问专家和实地调查,对藤茶主产区的资源和商品药材情况进行调查,并采集样本。结果:明确藤茶基原为显... 目的:调查藤茶的基原品种、资源分布现状、商品药材情况和标准收载情况,为藤茶资源保护和药材质量评价提供参考。方法:结合文献考证、访问专家和实地调查,对藤茶主产区的资源和商品药材情况进行调查,并采集样本。结果:明确藤茶基原为显齿蛇葡萄Ampelopsis grossedentata(Hand.-Mazz.)W.T.Wang,主要分布在广西、湖北、湖南、贵州等地及重庆、江西部分地区。目前广西、贵州、重庆、江西等地藤茶野生资源较为丰富,湖北、湖南等地随着野生蕴藏量不断减少,藤茶栽培产业逐渐扩大。结论:藤茶在不同产地同物异名现象较为严重,应对其药名进行统一;藤茶野生资源不断减少,应加大野生资源保护力度,以维护生物多样性,同时应建立规范化、规模化、产业化的种植基地,提高栽培藤茶药材质量,推进藤茶药材质量标准研究,以保证藤茶商品药材资源优质和稳定。 展开更多
关键词 民族药 藤茶 显齿蛇葡萄 资源调查 质量评价
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Association between Vitamin D Insufficiency and the Risk for Gestational Diabetes Mellitus in Pregnant Chinese Women 被引量:22
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作者 WANG Ou nie min +6 位作者 HU Ying Ying ZHANG Kui LI Wei PING Fan LIU Jun Tao CHEN Li Meng XING Xiao Ping 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2012年第4期399-406,共8页
Objective To investigate the association between vitamin D deficiency and risk of gestational diabetes rnellitus (GDM) in pregnant Chinese women. Methods A nested case-control study was conducted. Clinical and bioch... Objective To investigate the association between vitamin D deficiency and risk of gestational diabetes rnellitus (GDM) in pregnant Chinese women. Methods A nested case-control study was conducted. Clinical and biochemical data were analyzed for 200 subjects with GDM and 200 subjects with normal glucose tolerance (NGT). Results The median (interquartile range) serum 25-hydroxyvitamin D (25OHD) levels were 22.39 (17.67, 29.38) and 25.86 (19.09, 34.88) nmol/L in the GDM and NGT groups, respectively. Rates of 25OHD deficiency or insufficiency were significantly higher in the GDM group than in the NGT group. Subjects with 25OHD levels 〈25 nmol/L had a 1.g-fold higher risk of GDM compared with subjects with higher vitamin D levels. In the GDM group, serum 25OHD was independently associated with HbAlc and insulin resistance after adjusting for confounding factors. In the NGT group, serum 25OHD was independently associated with fasting plasma glucose and systolic blood pressure after adjusting for maternal age and other confounding factors. Conclusion 2SOHD insufficiency is very common in Chinese women. Low 25OHD status may be associated with insulin resistance and act as a risk factor for GDM. 展开更多
关键词 Gestational diabetes mellitus Vitamin D insufficiency Chinese women
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麻醉深度指数和脑电双频指数在静脉麻醉中判断意识变化的多中心比较研究 被引量:22
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作者 付阳 许涛 +9 位作者 谢克亮 魏威 高萍 聂煌 邓小明 王国林 田鸣 严敏 董海龙 岳云 《国际麻醉学与复苏杂志》 CAS 2018年第11期1005-1009,共5页
目的评估基于样本熵(sample entropy,SampEn)等脑电参数的麻醉深度指数(depth of anesthesia index,Ai)在全凭静脉麻醉中反映意识状态的情况。方法将Ai和BIS的电极片通过随机数字表法随机贴于同一患者前额的左右两侧。血浆靶控输注丙泊... 目的评估基于样本熵(sample entropy,SampEn)等脑电参数的麻醉深度指数(depth of anesthesia index,Ai)在全凭静脉麻醉中反映意识状态的情况。方法将Ai和BIS的电极片通过随机数字表法随机贴于同一患者前额的左右两侧。血浆靶控输注丙泊酚以每分钟增加0.5mg/L的速度增加直至患者意识消失loss of consciousness,LOC).记录麻醉诱导和麻醉复苏过程中丙泊酚效应室浓度(effect-site concentration,Ce)、Ai和BIS数值并比较分析。通过Logistic回归模型分析意识状态和Ai、BIS的相关性。结果6家医院144例患者顺利完成实验。LOC时Ai为61±12、BIS为62±11,LOC后1min内Ai减少15.0%、BIS减少9.3%;意识恢复(recovery of consciousness,ROC)时Ai为74±14、BIS为76±8,ROC后1min内Ai增加15.0%、BIS增加7.0%。95%LOC时Ai为48.3、BIS为52.3;5%ROC时Ai为55.7、BIS为63.1。结论在LOC时和ROC时,以及用Logistic回归模型预测50%LOC和50%ROC时,Ai对比BIS二者的差距均很小,在临床判断麻醉深度上没有差别。在意识的变化过程中,Ai的改变比BIS更明显,更能反映意识的改变。 展开更多
关键词 意识消失 意识恢复 全凭静脉麻醉 麻醉深度指数 脑电双频指数
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Biomarkers of aging 被引量:16
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作者 Aging Biomarker Consortium Hainan Bao +118 位作者 Jiani Cao Mengting Chen min Chen Wei Chen Xiao Chen Yanhao Chen Yu Chen Yutian Chen Zhiyang Chen Jagadish K Chhetri Yingjie Ding Junlin Feng Jun Guo Mengmeng Guo Chuting He Yujuan Jia Haiping Jiang Ying Jing Dingfeng Li Jiaming Li Jingyi Li Qinhao Liang Rui Liang Feng Liu Xiaoqian Liu Zuojun Liu Oscar Junhong Luo Jianwei Lv Jingyi Ma Kehang Mao Jiawei nie Xinhua Qiao Xinpei Sun Xiaoqiang Tang Jianfang Wang Qiaoran Wang Siyuan Wang Xuan Wang Yaning Wang Yuhan Wang Rimo Wu Kai Xia Fu-Hui Xiao Lingyan Xu Yingying Xu Haoteng Yan Liang Yang Ruici Yang Yuanxin Yang Yilin Ying Le Zhang Weiwei Zhang Wenwan Zhang Xing Zhang Zhuo Zhang min Zhou Rui Zhou Qingchen Zhu Zhengmao Zhu Feng Cao Zhongwei Cao Piu Chan Chang Chen Guobing Chen Hou-Zao Chen Jun Chen Weimin Ci Bi-Sen Ding Qiurong Ding Feng Gao Jing-Dong JHan Kai Huang Zhenyu Ju Qing-Peng Kong Ji Li Jian Li Xin Li Baohua Liu Feng Liu Lin Liu Qiang Liu Qiang Liu Xingguo Liu Yong Liu Xianghang Luo Shuai Ma Xinran Ma Zhiyong Mao Jing nie Yaojin Peng Jing Qu Jie Ren Ruibao Ren Moshi Song Zhou Songyang Yi Eve Sun Yu Sun Mei Tian Shusen Wang Si Wang Xia Wang Xiaoning Wang Yan-Jiang Wang Yunfang Wang Catherine CL Wong Andy Peng Xiang Yichuan Xiao Zhengwei Xie Daichao Xu Jing Ye Rui Yue Cuntai Zhang Hongbo Zhang Liang Zhang Weiqi Zhang Yong Zhang Yun-Wu Zhang Zhuohua Zhang To 《Science China(Life Sciences)》 SCIE CAS CSCD 2023年第5期893-1066,共174页
Aging biomarkers are a combination of biological parameters to(i)assess age-related changes,(ii)track the physiological aging process,and(iii)predict the transition into a pathological status.Although a broad spectrum... Aging biomarkers are a combination of biological parameters to(i)assess age-related changes,(ii)track the physiological aging process,and(iii)predict the transition into a pathological status.Although a broad spectrum of aging biomarkers has been developed,their potential uses and limitations remain poorly characterized.An immediate goal of biomarkers is to help us answer the following three fundamental questions in aging research:How old are we?Why do we get old?And how can we age slower?This review aims to address this need.Here,we summarize our current knowledge of biomarkers developed for cellular,organ,and organismal levels of aging,comprising six pillars:physiological characteristics,medical imaging,histological features,cellular alterations,molecular changes,and secretory factors.To fulfill all these requisites,we propose that aging biomarkers should qualify for being specific,systemic,and clinically relevant. 展开更多
关键词 AGING SENESCENCE BIOMARKER CLOCK
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Simulation on dissolute and dust dispersion in comprehensive mechanized heading face with forced-exhaust ventilation 被引量:21
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作者 nie Wen CHENG Wei-min +3 位作者 HAN Li ZHOU Sheng-ju YU Yan-bin ZHAO Shan-shan 《Journal of Coal Science & Engineering(China)》 2011年第3期298-304,共7页
According to the characteristics of comprehensive mechanized heading face, established the mathematical model of single-phase air flow with κ-ε two equations model, and have established κ-ε-θ-κp mathematic model... According to the characteristics of comprehensive mechanized heading face, established the mathematical model of single-phase air flow with κ-ε two equations model, and have established κ-ε-θ-κp mathematic model to solve two-phase flow of gas and particles in dust space with eulerian-eulerian method and eulerian-lagrangian method. Numerical solution of gas-particle two-phase flow was put forward based on collocated grid SIMPLE algorithm. Moreover, numerical simulation of dust concentration in fully mechanized caving face was carded out by using Fluent software. Finally, when in forced-exhaust ventilation circumstance, drawer type fan drum have less dust absorption, and most of dust spread to the other site; the dust concentration is inversely proportional to the distance from tunneling head, and the dust concentration has already diffused to decrease below 102 mg/m3 at the position ofx=12 m. Dust are more focused on relative side(in the range about y from 0 to 2 meter) of roadway space of press-ventilated fan drum, especially between tunneling place and drawer type fan drum; the roadway with road header have a higher dust concentration. These conclusions provide reliable theory basis for the dust prevention in comprehensive mechanized heading face. 展开更多
关键词 dissolute dust dispersion forced-exhaust ventilation circumstance κ-ε-θ-κp mathematical model comprehensive digging
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社区老年人衰弱状态的过渡及其恶化影响因素分析的前瞻性研究 被引量:21
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作者 杨帆 王双 +8 位作者 覃海 谭柯 孙倩倩 王凌霄 聂双双 刘佳倪 陈杨 张敏 陈燕语 《中华流行病学杂志》 CAS CSCD 北大核心 2019年第2期186-190,共5页
目的探讨社区老年人衰弱状态的过渡情况,以及衰弱状态恶化的影响因素。方法在四川省都江堰市平义社区建立≥65岁老年人队列,分别于2014年1月和2017年1月进行面对面问卷调查,内容包括衰弱状态、认知功能、营养状况和功能状态等。采用二元... 目的探讨社区老年人衰弱状态的过渡情况,以及衰弱状态恶化的影响因素。方法在四川省都江堰市平义社区建立≥65岁老年人队列,分别于2014年1月和2017年1月进行面对面问卷调查,内容包括衰弱状态、认知功能、营养状况和功能状态等。采用二元logistic回归分析衰弱状态恶化的影响因素。结果 2014年1月调查了653名老年人,2017年1月进行随访,146名失访,共对507名老年人进行分析。基线调查时衰弱和衰弱前期的患病率分别为11.2%(57人)和26.2%(133人)。3年后,205名(40.4%)老年人衰弱状态恶化,276名(54.5%)老年人保持不变,26名(5.1%)老年人衰弱状态改善。在校正基线衰弱状态后,失能(OR=8.27,95%CI:1.62~42.26)、视力障碍(OR=2.02,95%CI:1.27~3.22)、认知功能障碍(OR=1.94,95%CI:1.08~3.48)、自评健康状态差(OR=1.89,95%CI:1.07~3.31)、慢性疼痛(OR=1.57,95%CI:1.03~2.40)和年龄(OR=1.12,95%CI:1.08~1.17)是衰弱状态恶化的危险因素;而超重是衰弱状态恶化的保护因素(OR=0.54,95%CI:0.34~0.85)。结论衰弱是一种动态综合征,失能、视力障碍、认知功能障碍、自评健康状态差、慢性疼痛和年龄是衰弱状态恶化的独立危险因素,而超重是其保护因素。 展开更多
关键词 衰弱综合征 社区 过渡 危险因素
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衰弱综合征对社区老年糖尿病患者跌倒影响的队列研究 被引量:20
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作者 杨帆 王双 +8 位作者 覃海 谭柯 孙倩倩 王凌霄 聂双双 刘佳倪 陈杨 张敏 陈燕语 《中华流行病学杂志》 CAS CSCD 北大核心 2018年第6期776-780,共5页
目的探讨衰弱综合征与社区老年糖尿病患者跌倒之间的关系。方法在都江堰市平义社区建立/〉65岁老年人队列,分别于2014年1月和2017年1月进行问卷调查,包括自报糖尿病、跌倒、衰弱状态、认知功能和营养状况等。采用多因素logistic回归... 目的探讨衰弱综合征与社区老年糖尿病患者跌倒之间的关系。方法在都江堰市平义社区建立/〉65岁老年人队列,分别于2014年1月和2017年1月进行问卷调查,包括自报糖尿病、跌倒、衰弱状态、认知功能和营养状况等。采用多因素logistic回归方法分析基线衰弱水平与随后3年内跌倒发生风险之间的关系。结果653名老年人接受了第一次调查,473人完成第二次调查。糖尿病的患病率为13.3%,糖尿病合并衰弱综合征老年人的跌倒发生率为62.5%。衰弱综合征是非糖尿病老年人(OR=3.87,95%CI:1.45-10.28)发生跌倒的独立危险因素,且对糖尿病老年人(OR=6.68,95%CI:1.14-38.99)的影响更强。结论衰弱综合征是老年糖尿病患者未来发生跌倒的强烈预测因子.需爱早期发现和干预。 展开更多
关键词 衰弱综合征 糖尿病 跌倒 社区
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CYP2C19*2 and Other Allelic Variants Affecting Platelet Response to Clopidogrel Tested by Thrombelastography in Patients with Acute Coronary Syndrome 被引量:19
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作者 Jian Liu Xiao-Yan nie +3 位作者 Yong Zhang Yun Lu Lu-Wen Shi Wei-min Wang 《Chinese Medical Journal》 SCIE CAS CSCD 2015年第16期2183-2188,共6页
Background:To investigate the contributions ofCYP2C 19 polymorphisms to the various clopidogrel responses tested by thrombelastography (TEG) in Chinese patients with the acute coronary syndrome (ACS).Methods:Pat... Background:To investigate the contributions ofCYP2C 19 polymorphisms to the various clopidogrel responses tested by thrombelastography (TEG) in Chinese patients with the acute coronary syndrome (ACS).Methods:Patients were screened prospectively with ACS diagnose and were treated with clopidogrel and aspirin dual antiplatelet therapy.CYP2C 19 loss of function (LOF) and gain of function (GOF) genotype,adenosine 5'-diphosphate (ADP)-channel platelet inhibition rate (PIR) tested by TEG and the occurrence of 3-month major adverse cardiovascular events and ischemic events were assessed in 116 patients.Results:High on-treatment platelet reactivity (HTPR) prevalence defined by PIR 〈30% by TEG in ADP-channel was 32.76% (38/116).With respect to the normal wild type,CYP2C 19*2,and *3 LOF alleles,and * 17 GOF alleles,patients were classified into three metabolism phenotypes:41.38% were extensive metabolizers (EMs),56.90% were intermediate metabolizers (IMs),and 1.72% were poor metabolizers (PMs).Of the enrolled patients,31.47%,5.17%,and 0.43%,respectively,were carriers of *2,*3,and * 17 alleles.The HTPR incidence differed significantly according to CYP2C 19 genotypes,accounting for 18.75%,41.54%,and 100.00% in EMs,IMs,and PMs,respectively.Eighteen (17.24%) ischemic events occurred during the 3-month follow-up,and there was a significant difference in ischemic events between HTPR group and nonhigh on-treatment platelet reactivity group.Conclusions:Genetic CYP2C 19 polymorphisms are relative to the inferior,the antiplatelet activity after clopidogrel admission and may increase the incidence of ischemic events in patients with ACS. 展开更多
关键词 Acute Coronary Syndrome Clopidogrel Resistance CYP2C19 Polymorphisms Platelet Reactivity THROMBELASTOGRAPHY
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Prevalence of isolated systolic hypertension and analysis on its relative factors in 1002 cases over 80 years old in retirement centers for army officers 被引量:17
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作者 LI Yan-fang CAO Jian +6 位作者 FAN Li BU Cong-ya LI Xi WANG Long-hua CHENG Xiu-qin nie Xiao-min WU Xiao-ying 《Chinese Medical Journal》 SCIE CAS CSCD 2006年第17期1473-1476,共4页
Nowadays, despite the high prevalence of hypertension, the awareness rate and control rate of this disease are still very low. In addition, the prevalence of hypertension in old population is very high, and most of ca... Nowadays, despite the high prevalence of hypertension, the awareness rate and control rate of this disease are still very low. In addition, the prevalence of hypertension in old population is very high, and most of cases are isolated systolic hypertension (ISH). We investigated people ranging in age from 80 to 99 years in 28 cadre retirement centers in Beijing to study the prevalence and incidence of target organ injury and analyze the relative factors of ISH. 展开更多
关键词 blood pressure HYPERTENSION population surveillance
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基于鼻饲术的虚拟仿真平台在基础护理教学中的应用 被引量:18
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作者 殷秀敏 聂立婷 +3 位作者 郭敏 王翠 娄凤兰 朱楠 《护士进修杂志》 2019年第16期1445-1448,共4页
目的探究基于鼻饲术的虚拟仿真平台在基础护理学教学中的应用效果。方法2018年5月应用方便抽样法选取山东大学护理学院2016级25名护理本科生,采用传统教学与鼻饲术虚拟仿真平台结合授课,授课结束后,调查学生使用该系统情况并发放基于鼻... 目的探究基于鼻饲术的虚拟仿真平台在基础护理学教学中的应用效果。方法2018年5月应用方便抽样法选取山东大学护理学院2016级25名护理本科生,采用传统教学与鼻饲术虚拟仿真平台结合授课,授课结束后,调查学生使用该系统情况并发放基于鼻饲术虚拟仿真系统效果评价问卷调查教学效果;2015级25名护理本科生采用传统教学方法授课。比较两级学生操作考核成绩及个人耗材均费。结果2016级92%的学生虚拟操作成绩达90分以上,85.7%的学生表示喜欢该系统的使用。学生操作考核成绩均分为(93.40±3.97)分,高于2015级学生(P<0.05);个人耗材均费较2015级降低了13%(P<0.05)。结论基于鼻饲术的虚拟仿真平台与传统教学方式相结合的创新教学方式,提高了学生的操作成绩,高效利用了实训时间,降低了实验室耗费,增强了学生的学习和理解能力,减轻了教学负担,改善了教学效果。 展开更多
关键词 虚拟仿真 鼻饲 教学 护理
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民勤绿洲天然植被生长与地下水埋深变化关系 被引量:18
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作者 曹乐 聂振龙 +2 位作者 刘敏 卢辉雄 汪丽芳 《水文地质工程地质》 CAS CSCD 北大核心 2020年第3期25-33,共9页
甘肃石羊河流域民勤盆地水资源短缺,生态环境脆弱,弄清地下水埋深与天然生态植被生长的关系,是精准调控地下水开采、针对性制定生态保护政策的重要理论依据。利用民勤盆地2000—2017年LANDSAT遥感数据,计算归一化差值植被指数(NDVI)年均... 甘肃石羊河流域民勤盆地水资源短缺,生态环境脆弱,弄清地下水埋深与天然生态植被生长的关系,是精准调控地下水开采、针对性制定生态保护政策的重要理论依据。利用民勤盆地2000—2017年LANDSAT遥感数据,计算归一化差值植被指数(NDVI)年均值,结合85眼监测井的地下水埋深实测数据,分析了植被生长与埋深的关系。结果显示:研究区植被NDVI较低,多年均值约0.1,2012年后NDVI趋于增大,反映人工造林等措施成果明显。地下水埋深总体趋于增大,2008年后增幅减缓,目前埋深西部大于20 m,东部、北部小于20 m。区内适宜植被生长的埋深范围为2.5~3.9 m,多年平均适宜生态水位约2.66 m;埋深小于4 m时,NDVI与埋深表现为高度负相关(R<-0.8),即埋深越小,NDVI越高;埋深大于4 m时,两者无明显关系。较前人成果,文章从长序列时间、盆地空间尺度分析了民勤绿洲区天然植被生长与地下水埋深的变化,得到浅埋区生态水位,进而圈定了生态治理重点靶区。 展开更多
关键词 天然生态植被 地下水埋深 NDVI 民勤盆地 生态水位
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Qingfei Xiaoyan Wan,a traditional Chinese medicine formula, ameliorates Pseudomonas aeruginosa–induced acute lung inflammation by regulation of PI3K/AKT and Ras/MAPK pathways 被引量:18
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作者 Yuanyuan Hou Yan nie +5 位作者 Binfeng Cheng Jin Tao Xiaoyao Ma min Jiang Jie Gao Gang Bai 《Acta Pharmaceutica Sinica B》 SCIE CAS CSCD 2016年第3期212-221,共10页
Gram-negative pathogen–induced nosocomial infections and resistance are a most serious menace to global public health. Qingfei Xiaoyan Wan(QF), a traditional Chinese medicine(TCM)formula, has been used clinically in ... Gram-negative pathogen–induced nosocomial infections and resistance are a most serious menace to global public health. Qingfei Xiaoyan Wan(QF), a traditional Chinese medicine(TCM)formula, has been used clinically in China for the treatment of upper respiratory tract infections, acute or chronic bronchitis and pulmonary infection. In this study, the effects of QF on Pseudomonas aeruginosa–induced acute pneumonia in mice were evaluated. The mechanisms by which four typical antiinflammatory ingredients from QF, arctigenin(ATG), cholic acid(CLA), chlorogenic acid(CGA) and sinapic acid(SPA), regulate anti-inflammatory signaling pathways and related targets were investigated using molecular biology and molecular docking techniques. The results showed that pretreatment with QF significantly inhibits the release of cytokines(TNF-α and IL-6) and chemokines(IL-8 and RANTES),reduces leukocytes recruitment into inflamed tissues and ameliorates pulmonary edema and necrosis. In addition, ATG was identified as the primary anti-inflammatory agent with action on the PI3K/AKT and Ras/MAPK pathways. CLA and CGA enhanced the actions of ATG and exhibited synergistic NF-κB inactivation effects possibly via the Ras/MAPK signaling pathway. Moreover, CLA is speculated to target FGFR and MEK firstly. Overall, QF regulated the PI3K/AKT and Ras/MAPK pathways to inhibit pathogenic bacterial infections effectively. 展开更多
关键词 ANTI-INFLAMMATORY Network PHARMACOLOGY PATHOGENIC bacterial infection PI3K/AKT PATHWAY Ras/MAPK PATHWAY Lung Mouse
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肺癌患者希望与生活质量的关系——社会支持的中介效应 被引量:17
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作者 王翠 聂立婷 +3 位作者 郭敏 殷秀敏 张楠 王功朝 《护士进修杂志》 2018年第22期2038-2042,共5页
目的了解肺癌患者生活质量状况,探讨希望、社会支持和生活质量三者之间的关系以及社会支持在希望和生活质量间的中介作用。方法采用Herth希望量表(HHI)、肺癌治疗功能性量表(FACT-L)、社会支持评定量表(SSRS)对239例肺癌患者进行横断面... 目的了解肺癌患者生活质量状况,探讨希望、社会支持和生活质量三者之间的关系以及社会支持在希望和生活质量间的中介作用。方法采用Herth希望量表(HHI)、肺癌治疗功能性量表(FACT-L)、社会支持评定量表(SSRS)对239例肺癌患者进行横断面调查。结果有并发症及婚姻状况为离婚或丧偶的肺癌患者的生活质量总分较低(P<0.001,P=0.001)。生活质量与希望、社会支持均呈正相关(r=0.323,P<0.01;r=0.357,P<0.01),希望与社会支持呈正相关(r=0.286,P<0.01)。社会支持在希望和生活质量间起部分中介作用,Bootstrap检验中介效应显著,中介效应量的95%置信区间为(0.053,0.182)。结论肺癌患者希望和社会支持与生活质量关系密切,社会支持介导了希望对生活质量的正面效应。 展开更多
关键词 肺癌 生活质量 社会支持 中介效应
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