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冬虫夏草菌和蛹虫草菌的研究现状、问题及展望 被引量:126
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作者 张姝 张永杰 +3 位作者 shrestha Bhushan 徐建平 王成树 刘杏忠 《菌物学报》 CAS CSCD 北大核心 2013年第4期577-597,共21页
冬虫夏草菌和蛹虫草菌是两种最著名的虫草菌。从分类学地位、分布、生活史及有性生殖类型、寄主范围、遗传多样性、分子遗传学和基因组学、生态学、人工栽培及产品开发等方面对冬虫夏草菌和蛹虫草菌的研究现状进行总结,指出了研究中存... 冬虫夏草菌和蛹虫草菌是两种最著名的虫草菌。从分类学地位、分布、生活史及有性生殖类型、寄主范围、遗传多样性、分子遗传学和基因组学、生态学、人工栽培及产品开发等方面对冬虫夏草菌和蛹虫草菌的研究现状进行总结,指出了研究中存在的一些问题,并对研究前景进行展望。 展开更多
关键词 冬虫夏草菌 蛹虫草菌 有性生殖 遗传多样性 分子遗传学 基因组学 生态学 人工栽培
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Broadband achromatic dielectric metalenses 被引量:55
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作者 Sajan shrestha Adam C.Overvig +2 位作者 Ming Lu Aaron Stein Nanfang Yu 《Light(Science & Applications)》 SCIE EI CAS CSCD 2018年第1期236-246,共11页
Metasurfaces offer a unique platform to precisely control optical wavefronts and enable the realization of flat lenses,or metalenses,which have the potential to substantially reduce the size and complexity of imaging ... Metasurfaces offer a unique platform to precisely control optical wavefronts and enable the realization of flat lenses,or metalenses,which have the potential to substantially reduce the size and complexity of imaging systems and to realize new imaging modalities.However,it is a major challenge to create achromatic metalenses that produce a single focal length over a broad wavelength range because of the difficulty in simultaneously engineering phase profiles at distinct wavelengths on a single metasurface.For practical applications,there is a further challenge to create broadband achromatic metalenses that work in the transmission mode for incident light waves with any arbitrary polarization state.We developed a design methodology and created libraries of meta-units—building blocks of metasurfaces—with complex cross-sectional geometries to provide diverse phase dispersions(phase as a function of wavelength),which is crucial for creating broadband achromatic metalenses.We elucidated the fundamental limitations of achromatic metalens performance by deriving mathematical equations that govern the tradeoffs between phase dispersion and achievable lens parameters,including the lens diameter,numerical aperture(NA),and bandwidth of achromatic operation.We experimentally demonstrated several dielectric achromatic metalenses reaching the fundamental limitations.These metalenses work in the transmission mode with polarization-independent focusing efficiencies up to 50%and continuously provide a near-constant focal length over λ=1200–1650 nm.These unprecedented properties represent a major advance compared to the state of the art and a major step toward practical implementations of metalenses. 展开更多
关键词 CHROMATIC DIELECTRIC LIMITATIONS
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Dielectric metasurfaces for complete and independent control of the optical amplitude and phase 被引量:43
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作者 Adam C.Overvig Sajan shrestha +4 位作者 Stephanie C.Malek Ming Lu Aaron Stein Changxi Zheng Nanfang Yu 《Light(Science & Applications)》 SCIE EI CAS CSCD 2019年第1期318-329,共12页
Metasurfaces are optically thin metamaterials that promise complete control of the wavefront of light but are primarily used to control only the phase of light.Here,we present an approach,simple in concept and in prac... Metasurfaces are optically thin metamaterials that promise complete control of the wavefront of light but are primarily used to control only the phase of light.Here,we present an approach,simple in concept and in practice,that uses meta-atoms with a varying degree of form birefringence and rotation angles to create high-efficiency dielectric metasurfaces that control both the optical amplitude and phase at one or two frequencies.This opens up applications in computer-generated holography,allowing faithful reproduction of both the phase and amplitude of a target holographic scene without the iterative algorithms required in phase-only holography.We demonstrate all-dielectric metasurface holograms with independent and complete control of the amplitude and phase at up to two optical frequencies simultaneously to generate two-and three-dimensional holographic objects.We show that phaseamplitude metasurfaces enable a few features not attainable in phase-only holography;these include creating artifactfree two-dimensional holographic images,encoding phase and amplitude profiles separately at the object plane,encoding intensity profiles at the metasurface and object planes separately,and controlling the surface textures of three-dimensional holographic objects. 展开更多
关键词 HOLOGRAPHIC PHASE COMPLETE
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2型糖尿病患者非酒精性脂肪肝患病率的回顾性分析 被引量:36
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作者 赵琳 Dina shrestha +4 位作者 张霞 王颖 孙崴 张萍 苏本利 《中国糖尿病杂志》 CAS CSCD 北大核心 2008年第9期535-535,562,共2页
收集550名T2DM住院患者的临床、肝脏彩超及生化指标检查资料,统计非酒精性脂肪肝(NAFL)的患病率,并分析其危险因素。发现T2DM中NAFL的患病率为42%,且男性患病率明显高于女性(P<0.05)。BMI、WC、FIns、TG、HOMA-IR是T2DM合并NAFL的独... 收集550名T2DM住院患者的临床、肝脏彩超及生化指标检查资料,统计非酒精性脂肪肝(NAFL)的患病率,并分析其危险因素。发现T2DM中NAFL的患病率为42%,且男性患病率明显高于女性(P<0.05)。BMI、WC、FIns、TG、HOMA-IR是T2DM合并NAFL的独立危险因素。 展开更多
关键词 脂肪肝 非酒精性 糖尿病 2型 患病率
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日本最新饮用水水质标准及相关管理 被引量:27
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作者 李伟英 李富生 +3 位作者 高乃云 汤浅晶 范瑾初 Madhusudan B shrestha 《中国给水排水》 CAS CSCD 北大核心 2004年第5期104-106,共3页
关键词 日本 饮用水 水质标准 自来水 饮水卫生
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舒芬太尼复合罗哌卡因用于硬膜外无痛分娩的临床观察 被引量:20
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作者 Dinesh Kumar shrestha 刘萍 张富荣 《昆明医科大学学报》 CAS 2019年第10期109-112,共4页
目的探讨舒芬太尼复合罗哌卡因用于连续硬膜外无痛分娩的效果和安全程度。方法将2018年12月至2019年4月期间昆明医科大学附属延安医院100例在产房正常待产的初产妇随机分为2组(n=50例),实验组常规于L2~3间隙行连续硬膜外穿刺,试验量后... 目的探讨舒芬太尼复合罗哌卡因用于连续硬膜外无痛分娩的效果和安全程度。方法将2018年12月至2019年4月期间昆明医科大学附属延安医院100例在产房正常待产的初产妇随机分为2组(n=50例),实验组常规于L2~3间隙行连续硬膜外穿刺,试验量后头侧置硬膜外管4cm接PCEA泵,协助产妇平卧位后给予舒芬太尼复合罗哌卡因的首剂量和维持剂量,对照组产妇实施常规阴道分娩。观察2组产妇硬膜外自控镇痛效果、产程时间、出血量和新生儿Apgar评分情况,记录是否需要助产和紧急更改剖宫产,是否出现产后出血和胎儿窘迫等不良事件。结果 2组产妇的年龄、身高、体重、孕周值比较差异无统计学意义(P>0.05),实验组产妇分娩镇痛效果的优良率明显高于对照组(P<0.05),2组产妇出血量和新生儿Apgar评分比较差异无统计学意义(P>0.05),实验组产妇第一产程和第二产程时间明显短于对照组(P<0.05),实验组产妇出现需要阴道助产、紧急更改剖宫产和产后出血的比例明显低于对照组(P<0.05)。结论舒芬太尼复合罗哌卡因用于连续硬膜外无痛分娩,镇痛效果显著,能够显著缩短产程时间,提高产妇自然分娩率,降低分娩过程中不良事件的发生率,可以安全有效地应用于临床。 展开更多
关键词 无痛分娩 连续硬膜外麻醉 罗哌卡因 舒芬太尼
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Therapeutic potential of Gastrodia elata Blume for the treatment of Alzheimer's disease 被引量:22
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作者 Guang-Biao Huang Tong Zhao +10 位作者 Sushma shrestha Muna Hong-Mei Jin Jong-Il Park Kyu-Sik Jo Bo-Hee Lee Soo-Wan Chae Sun-Young Kim Soo-Hyun Park Eun-Ock Park Eun-Kyung Choi Young-Chul Chung 《Neural Regeneration Research》 SCIE CAS CSCD 2013年第12期1061-1070,共10页
Several studies have demonstrated that the Chinese herb Gastrodia elata Blume can protect against amyloid beta-peptide (Ap)-induced cell death. To investigate the possible therapeutic effects of Gastrodia elata Blum... Several studies have demonstrated that the Chinese herb Gastrodia elata Blume can protect against amyloid beta-peptide (Ap)-induced cell death. To investigate the possible therapeutic effects of Gastrodia elata Blume on Alzheimer's disease, we established a rat model of AIzheimer's disease by injecting A325-35 into bilateral hippocampi. These rats were intragastrically administered 500 or 1 000 mg/kg Gastrodia elata Blume per day for 52 consecutive days. Morris water maze tests showed that Gastrodia elata Blume treatment significantly improved the spatial memory of Alzheimer's disease rats. Congo red staining revealed that Gastrodia elata Blume significantly reduced the number of amyloid deposits in the hippocampus of these rats. Western blot analysis showed that choline acetyltransferase expression in the medial septum and hippocampus was significantly increased by the treatment of Gastrodia elata Blume, while EIIman method showed significant decrease in the activity of acetylcholinesterase in all three regions (prefrontal cortex, medial septum and hippocampus). These findings suggest that long-term administration of Gastrodia elata Blume has therapeutic potential for Alzheimer's disease. 展开更多
关键词 neural regeneration neuroprotective effect Traditional Chinese medicine Gastrodia elata Blume Alzheimer's disease Morris water maze test choline acetyltransferase ACETYLCHOLINESTERASE grants-supported paper NEUROREGENERATION
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不同剂量右美托咪定对腹腔镜胆囊切除术中各指标及术后镇静的影响 被引量:18
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作者 Kumar shrestha 王力甚 《医学研究生学报》 CAS 北大核心 2018年第12期1301-1304,共4页
目的腹腔镜胆囊切除术中腹内压增加和二氧化碳吸收可引起明显的交感神经兴奋,致血压升高,心率增快。有效控制这些交感反应能减少并发症,有利于患者及时恢复。文中旨在研究不同剂量右美托咪定对腹腔镜胆囊切除术中血压、心率和术后镇静... 目的腹腔镜胆囊切除术中腹内压增加和二氧化碳吸收可引起明显的交感神经兴奋,致血压升高,心率增快。有效控制这些交感反应能减少并发症,有利于患者及时恢复。文中旨在研究不同剂量右美托咪定对腹腔镜胆囊切除术中血压、心率和术后镇静的影响。方法选择2018年1月2日至2018年2月9日荆州市中心医院肝胆外科拟行择期腹腔镜胆囊切除术的患者60例。根据术中是否输注右美托咪定随机分成3组:对照组(仅泵注等量等渗盐水)、低剂量组[0.5μg/(kg·h)右美托咪定]、高剂量组[1.0μg/(kg·h)右美托咪定],每组20例。在麻醉前、切皮前、气腹后0 min、10 min、20 min、放气后即刻、拔管前、苏醒前和苏醒后各时间点记录患者血压、心率、脉氧饱和度(SpO_2)、气道峰压、呼末二氧化碳分压(PetCO_2)、拔管后Ramsay镇静评分等。结果高剂量组拔管时间、恢复室留观时间较对照组、低剂量组明显延长(P<0.05)。放气后即刻,与对照组心率[(75.60±15.59)次/min]比较,高剂量组[(64.80±8.59)次/min]、低剂量组[(65.85±10.30)次/min]明显下降(P<0.05),苏醒前、苏醒后亦明显下降(P<0.05)。气腹后0 min至放气后即刻,高剂量组气道峰压明显高于对照组、低剂量组(P<0.05)。苏醒前,高剂量组Ramsay评分[(2.65±0.48)分]明显高于对照组[(2.30±0.57)分]、低剂量组[(2.25±0.44)分],差异有统计学意义(P=0.015)。结论右美托咪定持续泵注可稳定心率,但随着泵注速度或剂量的增加,可增加拔管后的镇静深度,明显延长拔管时间及恢复室留观时间。因此临床麻醉中使用右美托咪定时以不超过0.5μg/(kg·h)为宜。 展开更多
关键词 右美托咪定 心率 血压 气道峰压 术后镇静 腹腔镜胆囊切除术
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Nano-formulations for transdermal drug delivery:A review 被引量:17
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作者 Xingli Zhou Ying Hao +5 位作者 Liping Yuan Sushmita Pradhan Krista shrestha Ojaswi Pradhan Hongjie Liu Wei Li 《Chinese Chemical Letters》 SCIE CAS CSCD 2018年第12期1713-1724,共12页
Transdermal drug delivery refers to a means of delivering drugs through the surface of the skin for local or systemic treatment. The drug functions after absorption through the skin into the systemic circulation via c... Transdermal drug delivery refers to a means of delivering drugs through the surface of the skin for local or systemic treatment. The drug functions after absorption through the skin into the systemic circulation via capillary action at a certain rate. Use of traditional physical and chemical enhancers to improve the transdermal permeation rate by increasing drug solubility, diffusion coefficient, and reservoir effect is not feasible owing to the toxic side effects of the overuse of chemical penetration enhancers. Nanoformulations generally vary in size and range from 10 nm to 100 nm. The smaller particle size leads to increased drug permeability, stability, retention, and targeting, making nano-formulations suitable for transdermal drug delivery. The different applications of nano-formulations(vesicles or nanoparticles and nanoemulsions) have been widely studied. Here, the classification, characteristics, transdermal mechanism, and application of the most popular nano-formulations in transdermal drug delivery system are reviewed. 展开更多
关键词 Nano-formulation Transdermal drug delivery system CLASSIFICATION MECHANISM APPLICATION
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澜沧江和怒江流域的气候变化及其对径流的影响 被引量:17
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作者 刘苏峡 丁文浩 +7 位作者 莫兴国 王盛 刘昌明 罗贤 何大明 Sagar Ratna Bajracharya Arun Bhakta shrestha Nand Kishor Agrawal 《气候变化研究进展》 CSCD 北大核心 2017年第4期356-365,共10页
采用VIP(Vegetation Interface Processes)模型和HIMS(Hydro-Informatic Modeling System)模型,模拟分析了1957—2012年澜沧江和怒江流域(简称两江流域)水资源量的演变。根据CMIP5 RCP2.6,RCP4.5和RCP8.5情景预测,模拟了2030年代和2050... 采用VIP(Vegetation Interface Processes)模型和HIMS(Hydro-Informatic Modeling System)模型,模拟分析了1957—2012年澜沧江和怒江流域(简称两江流域)水资源量的演变。根据CMIP5 RCP2.6,RCP4.5和RCP8.5情景预测,模拟了2030年代和2050年代流域水资源的变化。研究发现,过去50年间,两江流域的气温都呈升高趋势,但海拔较高的上游地区升幅大于下游。年总降水量的变化趋势不明显,但春季降水增加趋势明显。两江流域年总水资源量为650亿~850亿m^3,水资源总量长期变化趋势不明显,其中澜沧江的波动性(1.884,最大与最小之比)大于怒江。空间上水资源量呈现北低-南高的格局。在未来,两江流域气温仍呈增加趋势,降水呈增加趋势,径流呈增加趋势,空间变异性趋小,但较强的季节性变化对水资源安全仍具有较大的挑战性。 展开更多
关键词 径流 气温 降水 VIP模型 HIMS模型
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产前皮质激素及产后肺泡表面活性物质防治新生儿呼吸窘迫综合征的疗效(英文) 被引量:14
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作者 徐发林 shrestha Him Kumar 程秀永 《实用儿科临床杂志》 CAS CSCD 北大核心 2008年第16期1305-1309,共5页
目的探讨产前应用皮质激素(ACS)联合产后应用外源性肺表面活性物质(PS)与单一应用防治新生儿呼吸窘迫综合征(RDS)的疗效。方法选取2003年1月-2007年1月本院NICU收治的143例RDS新生儿。随机分为4组:第1组为产前应用ACS联合产后应用PS (n=... 目的探讨产前应用皮质激素(ACS)联合产后应用外源性肺表面活性物质(PS)与单一应用防治新生儿呼吸窘迫综合征(RDS)的疗效。方法选取2003年1月-2007年1月本院NICU收治的143例RDS新生儿。随机分为4组:第1组为产前应用ACS联合产后应用PS (n=36);第2组为单一产前应用ACS (n=33);第3组为单一产后应用PS (n=39);第4组为2种治疗措施均未采用(n=35)。对4组患儿的一般资料如性别、胎龄、出生体质量、分娩方式、Apgar评分、产时复苏情况、围生期并发症进行分析,并对不同组间应用鼻导管吸氧、头罩吸氧、持续呼吸道正压(CPAP)、机械通气(MV)等不同氧疗模式的时间,治愈的平均治疗时间及疗效进行比较。结果 4组患儿的一般资料和临床特征相似(Pa>0.05)。第1、2、3、4组采用鼻导管吸氧时间分别为(75.81±15.63)、(130.09±27.32)、(150.67±28.59)、(174.32±25.92) h (P=0.041);头罩吸氧时间分别为(37.16±5.51)、(55.29±11.71)、(62.69±12.39)、(100.75±28.10) h (P=0.047);CPAP时间分别为(24.33±4.41)、(27.44±4.47)、(26.53±3.13)、(56.50±5.50) h (P=0.005);MV时间分别为(56.12±15.65)、(110.19±21.59)、(127.79±26.36)、(156.61±12.92) h (P=0.009);第1组采用MV的几率最低。4组患儿住院天数分别为(15.89±1.29)、(21.61±2.30)、(28.31±3.40)、(32.73±4.57) d(P=0);治愈率分别为63.89%、51.52%、35.90%、20.0%(P=0.005)。结论产前应用ACS联合产后外源性补充PS是治疗RDS的最佳措施,单一产前应用ACS对RDS的疗效优于单一产后应用PS。 展开更多
关键词 呼吸窘迫综合征 早产 联合治疗 皮质激素 肺泡表面活性物质
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A new type of blockchain for secure message exchange in VANET 被引量:11
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作者 Rakesh shrestha Rojeena Bajracharya +1 位作者 Anish P.shrestha Seung Yeob Nam 《Digital Communications and Networks》 SCIE 2020年第2期177-186,共10页
In the Vehicular Ad-hoc NETworks(VANET),the collection and dissemination of life-threatening traffic event information by vehicles are of utmost importance.However,traditional VANETs face several security issues.We pr... In the Vehicular Ad-hoc NETworks(VANET),the collection and dissemination of life-threatening traffic event information by vehicles are of utmost importance.However,traditional VANETs face several security issues.We propose a new type of blockchain to resolve critical message dissemination issues in the VANET.We create a local blockchain for real-world event message exchange among vehicles within the boundary of a country,which is a new type of blockchain suitable for the VANET.We present a public blockchain that stores the node trustworthiness and message trustworthiness in a distributed ledger that is appropriate for secure message dissemination. 展开更多
关键词 VANET Blockchain Message trustworthiness Node trustworthiness Edge computing
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钢管混凝土拱桥徐变影响分析 被引量:13
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作者 李生勇 李凤芹 +1 位作者 陈宝春 K M shrestha 《铁道学报》 EI CAS CSCD 北大核心 2011年第3期100-107,共8页
基于龄期调整有效模量法推导出钢管混凝土轴心受压构件徐变系数公式,采用该公式对钢管混凝土轴心受压构件进行徐变分析。由徐变预测结果与试验数据比较可知,在CEB-FIP 78、CEB-FIP 90及ACI 209R等3种典型徐变系数模式中,ACI 209R模式较... 基于龄期调整有效模量法推导出钢管混凝土轴心受压构件徐变系数公式,采用该公式对钢管混凝土轴心受压构件进行徐变分析。由徐变预测结果与试验数据比较可知,在CEB-FIP 78、CEB-FIP 90及ACI 209R等3种典型徐变系数模式中,ACI 209R模式较其它两种徐变系数模式更为合理。采用ACI 209R徐变系数模式对1座跨径380 m的大跨钢管混凝土铁路拱桥进行徐变分析,并与CEB-FIP 78模式计算结果进行比较,结论可为其它钢管混凝土拱桥的徐变分析提供参考。 展开更多
关键词 钢管混凝土 徐变 轴心受压构件 拱桥 龄期调整有效模量法 徐变系数模式
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Potential cotton aphid, Aphis gossypii, population suppression by arthropod predators in upland cotton 被引量:13
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作者 Ram B. shrestha Megha N. Parajulee 《Insect Science》 SCIE CAS CSCD 2013年第6期778-788,共11页
The cotton aphid, Aphis gossypii Glover, predation rate of convergent lady beetle, Hippodamia convergens Guerin-Meneville, was determined by assigning a single predator randomly to each of four prey density treatments... The cotton aphid, Aphis gossypii Glover, predation rate of convergent lady beetle, Hippodamia convergens Guerin-Meneville, was determined by assigning a single predator randomly to each of four prey density treatments in the laboratory. Prey densities included 25, 50, 100, and 200 aphids per Petri dish arena. Predation response was recorded at 1, 4, 8, 16, 24, and 48 h after assigning predators to their prey treatments. Rate of consumption increased through time, with all 25 aphids consumed during the first 4 h of the experiment. At the highest density, adult lady beetle consumed on average 49, 99, 131, 163, 183, and 200 aphids within 1, 4, 8, 16, 24 and 48 h, respectively. Predators showed a curvilinear feeding response in relation to total available time, indicating that convergent lady beetles have the potential to suppress larger populations of aphids through continuous feeding by regulating their predation efficiency during feeding. The analysis of age-specific mortality in absence of prey revealed that lady beetles could survive for an extended period of time (more than 2 weeks) without prey. The ability of a predator to survive without prey delays or prevents the rebound of pest populations that is a significant factor in natural biological control. A two-year field sampling of 10 cotton arthropod predator species showed that spiders (27%) were the most dominant foliage dwelling predators in the Texas High Plains cotton followed by convergent lady beetles (23.5%), hooded beetles (13.5%), minute pirate bugs (11%), green lacewings (9.5%), bigeyed bugs (7.5%), scymnus beetles (3%), soft-winged flower beetles (2%), damsel bugs (1.5%), and assassin bugs (1.5%). A field cage study showed that one H. convergens adult per plant released at prey density of one aphid per leaf kept the aphid population below economic threshold for the entire growing season. 展开更多
关键词 Aphis gossypii biological control cotton IPM functional response Hippo-damia convergens natural suppression
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Xanthogranulomatous cholecystitis mimicking gallbladder carcinoma:An analysis of 42 cases 被引量:13
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作者 Yi-Lei Deng Nan-Sheng Cheng +5 位作者 Shui-Jun Zhang Wen-Jie Ma Anuj shrestha Fu-Yu Li Fei-Long Xu Long-Shuan Zhao 《World Journal of Gastroenterology》 SCIE CAS 2015年第44期12653-12659,共7页
AIM: To review and evaluate the diagnostic dilemma of xanthogranulomatous cholecystitis(XGC) clinically.METHODS: From July 2008 to June 2014, a total of 142 cases of pathologically diagnosed XGC were reviewed at our h... AIM: To review and evaluate the diagnostic dilemma of xanthogranulomatous cholecystitis(XGC) clinically.METHODS: From July 2008 to June 2014, a total of 142 cases of pathologically diagnosed XGC were reviewed at our hospital, among which 42 were misdiagnosed as gallbladder carcinoma(GBC) based on preoperative radiographs and/or intra-operative findings. The clinical characteristics, preoperative imaging, intra-operative findings, frozen section(FS) analysis and surgical procedure data of these patients were collected and analyzed.RESULTS: The most common clinical syndrome in these 42 patients was chronic cholecystitis, followed by acute cholecystitis. Seven(17%) cases presented with mild jaundice without choledocholithiasis. Thirtyfive(83%) cases presented with heterogeneous enhancement within thickened gallbladder walls on imaging, and 29(69%) cases presented with abnormal enhancement in hepatic parenchyma neighboring the gallbladder, which indicated hepatic infiltration. Intra-operatively, adhesions to adjacent organs were observed in 40(95.2%) cases, including the duodenum, colon and stomach. Thirty cases underwent FS analysis and the remainder did not. The accuracy rate of FS was 93%, and that of surgeon's macroscopic diagnosis was 50%. Six cases were misidentified as GBC by surgeon's macroscopic examination and underwent aggressive surgical treatment. No statistical difference was encountered in the incidence of postoperative complications between total cholecystectomy and subtotal cholecystectomy groups(21% vs 20%, P > 0.05).CONCLUSION: Neither clinical manifestations and laboratory tests nor radiological methods provide apractical and effective standard in the differential diagnosis between XGC and GBC. 展开更多
关键词 XANTHOGRANULOMATOUS CHOLECYSTITIS GALLBLADDER carc
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Spatiotemporal variation in leaf size and shape in response to climate 被引量:12
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作者 Yaoqi Li Dongting Zou +4 位作者 Nawal shrestha Xiaoting Xu Qinggang Wang Wen Jia Zhiheng Wang 《Journal of Plant Ecology》 SCIE CSCD 2020年第1期87-96,共10页
Aims Morphological variation of leaves is a key indicator of plant response to climatic change.Leaf size and shape are associated with carbon,water and energy exchange of plants with their environment.However,whether ... Aims Morphological variation of leaves is a key indicator of plant response to climatic change.Leaf size and shape are associated with carbon,water and energy exchange of plants with their environment.However,whether and how leaf size and shape responded to climate change over the past decades remains poorly studied.Moreover,many studies have only explored inter-but not intraspecific variation in leaf size and shape across space and time.Methods We collected>6000 herbarium specimens spanning 98 years(1910–2008)in China for seven representative dicot species and measured their leaf length and width.We explored geographical patterns and temporal trends in leaf size(i.e.leaf length,leaf width and length×width product)and shape(i.e.length/width ratio),and investigated the effects of changes in precipitation and temperature over time and space on the variation in leaf size and shape.Important Findings After accounting for the effects of sampling time,leaf size decreased with latitude for all species combined,but the relationship varied among species.Leaf size and shape were positively correlated with temperature and precipitation across space.After accounting for the effects of sampling locations,leaf size of all species combined increased with time.Leaf size changes over time were mostly positively correlated with precipitation,whereas leaf shape changes were mostly correlated with temperature.Overall,our results indicate significant spatial and temporal intraspecific variation in leaf size and shape in response to climate.Our study also demonstrates that herbarium specimens collected over a considerable period of time provide a good resource to study the impacts of climate change on plant morphological traits. 展开更多
关键词 climate change geographical patterns herbarium specimens leaf traits paleo-climate reconstruction
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Basic life support:knowledge and attitude of medical/paramedical professionals 被引量:11
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作者 shrestha Roshana Batajoo KH +1 位作者 Piryani RM Sharma MW 《World Journal of Emergency Medicine》 CAS 2012年第2期141-145,共5页
BACKGROUND:Basic life support(BLS),a key component of the chain of survival decreases the arrest-cardiopulmonary resuscitation interval and increases the rate of hospital discharge.The study aimed to explore the knowl... BACKGROUND:Basic life support(BLS),a key component of the chain of survival decreases the arrest-cardiopulmonary resuscitation interval and increases the rate of hospital discharge.The study aimed to explore the knowledge of and attitude towards basic life support(BLS)among medical/paramedical professionals.METHODS:An observational study was conducted by assessing response to self prepared questionnaire consisting of the demographic information of the medical/paramedical staff,their personnel experience/attitude and knowledge of BLS based on the 2005 BLS Guidelines of European Resuscitation Council.RESULTS:After excluding incomplete questionnaires,the data from 121 responders(27 clinical faculty members,21 dental and basic sciences faculty members,29 house officers and 44 nurses and health assistants)were analyzed.Only 9(7.4%)of the 121 responders answered≥11,53(43%)answered 7-10,and 58(48%)answered<7 of 15 questions correctly.The clinical faculty members,house officers and nurses/HA had a mean score of 7.4±3.15,7.37±2.02 and 6.63±2.16 respectively,while dental/basic sciences faculty members attained a least mean score of 4.52±2.13(P<0.001).Those who had received cardiopulmonary resuscitation(CPR)training within 5 years obtained a highest mean score of 8.62±2.49,whereas those who had the training more than 5 years back or no training obtained a mean score of 5.54±2.38 and 6.1±2.29 respectively(P=0.001).Those who were involved in resuscitation frequently had a higher median score of 8 in comparison to those who were seldom involved or not involved at all(P<0.001).CONCLUSIONS:The average health personnel in our hospital lack adequate knowledge in CPR/BLS.Training and experience can enhance knowledge of CPR of these personnel.Thus standard of CPR/BLS training and assessment are recommended at our hospital. 展开更多
关键词 Basic life support(BLS) Cardiopulmonary resuscitation(CPR) TRAINING KNOWLEDGE ATTITUDE
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Successful conservative management with methotrexate and mifepristone of cervical pregnancy 被引量:11
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作者 Eliza shrestha 《The Journal of Biomedical Research》 CAS 2011年第1期71-73,共3页
This study investigated possible effective treatments for cervical pregnancy, a rare form of ectopic pregnancy. The clinical records of 11 cases of ectopic pregnancy admitted to the Third Affiliated Hospital of Sun Ya... This study investigated possible effective treatments for cervical pregnancy, a rare form of ectopic pregnancy. The clinical records of 11 cases of ectopic pregnancy admitted to the Third Affiliated Hospital of Sun Yat-sen University from 1998 to 2010 were analyzed. All patients were treated with intermuscular injection of methotrexate (MTX, 50 mg), and oral mifepristone (25 mg, bid). All cases were successfully cured by conservative treatments using methotrexate plus mifepristone. Cervical pregnancy is a contributive factor to mutiple abortions and curettages. Methotrexate plus mifepristone, curettage through hysteroscopy and intracervical obturation with gauze are effective treatments of cervical pregnancy without the need for surgical intervention. 展开更多
关键词 cervical pregnancy ectopic pregnancy conservative treatment
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颧骨复合体骨折临床资料回顾性研究 被引量:11
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作者 Sudhir shrestha 章宏毅 李祖兵 《口腔医学研究》 CAS CSCD 北大核心 2015年第2期175-178,共4页
目的:旨在对颧骨骨折的流行病学、治疗、并发症等作初步评估。方法:从长江大学第一人民医院2008年8月~2013年8月期间的97例颧骨骨折住院患者的病情资料中,针对性别、年龄、个人嗜好、病因、症状体征、口腔卫生状况、初诊、住院、手术... 目的:旨在对颧骨骨折的流行病学、治疗、并发症等作初步评估。方法:从长江大学第一人民医院2008年8月~2013年8月期间的97例颧骨骨折住院患者的病情资料中,针对性别、年龄、个人嗜好、病因、症状体征、口腔卫生状况、初诊、住院、手术时间、骨折类型、手术进路、治疗手段、抗生素使用情况、出院时间、术后并发症发生等方面进行描述性分析。结果:本病发生最常见的年龄段是31~40岁,最常见的病因是交通事故,最常见的症状体征是疼痛与肿胀,骨折类型以Ⅰ类骨折最常见,手术的方式全都采用切开复位内固定的术式,术后如有指征可使用抗生素,最常见的并发症是下眶下区麻木。结论:目前的治疗方案较为合理,与其他同类报道相比,有一定的先进性。 展开更多
关键词 颧骨骨折 流行病学研究 治疗方案 预后分析
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行业层面实际有效汇率:日本与中国的比较研究 被引量:11
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作者 佐藤清隆 清水顺子 +1 位作者 Nagendra shrestha 章沙娟 《世界经济》 CSSCI 北大核心 2013年第5期3-20,共18页
在分析汇率对特定出口行业价格竞争优势和企业收益影响的经验研究中,分行业实际有效汇率(REER)远比加总至国家层面的实际有效汇率要有用的多。本文的新颖之处在于,测算了以2005年为基年日度的人民币和日元分行业REER,为比较中国和日本... 在分析汇率对特定出口行业价格竞争优势和企业收益影响的经验研究中,分行业实际有效汇率(REER)远比加总至国家层面的实际有效汇率要有用的多。本文的新颖之处在于,测算了以2005年为基年日度的人民币和日元分行业REER,为比较中国和日本各行业的价格竞争优势提供了更好的指标。在模拟分析中,我们分别研究了引起这两种货币分行业REER近期波动的主要因素,例如,国内价格和国外价格。此外,我们还用日度人民币和日元的分行业REER做了协整检验,证实在莱曼兄弟倒闭之后中国和日本的一些产业之间存在着一种长期的稳定关系,这表明亚洲生产链在中国和日本之间不断地深化和发展。 展开更多
关键词 实际有效汇率 分行业汇率 价格竞争力 协整检验
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