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新一代服务平台环境下的智慧图书馆建设:业务重组与数据管理 被引量:135
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作者 邵波 单轸 王怡 《中国图书馆学报》 CSSCI 北大核心 2020年第2期27-37,共11页
在信息时代数据意识全面增强的背景下,图书馆作为科研活动和文化事业发展的重要支撑,其服务和业务管理也应尽快走向数据化和智能化。本文以新一代图书馆服务平台的实施为契机,回顾我国图书馆业务重组的历史,探索大数据背景下图书馆业务... 在信息时代数据意识全面增强的背景下,图书馆作为科研活动和文化事业发展的重要支撑,其服务和业务管理也应尽快走向数据化和智能化。本文以新一代图书馆服务平台的实施为契机,回顾我国图书馆业务重组的历史,探索大数据背景下图书馆业务流程重组的方法和主要内容,包括采访流程再造、馆藏模式再造、服务流程重组和图书馆人员再造等。在智慧图书馆建设的背景下,要革新图书馆服务理念,提供一体化的读者服务和资源发现服务,重构学术服务,强化数据管理。从全国图书馆发展的宏观规划来看,图书馆联盟也需重构,要探索向智慧图书馆联盟的转型升级。图书馆整体应该跳出传统的文献服务范畴,以数据智能计算为中心,着眼于数据的搜集、组织、挖掘、应用的全过程,将数据服务作为新时代图书馆服务的主要能力。 展开更多
关键词 智慧图书馆 业务重组 数据服务 图书馆联盟 图书馆员
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肠杆菌目细菌碳青霉烯酶的实验室检测和临床报告规范专家共识 被引量:101
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作者 喻华 徐雪松 +27 位作者 李敏 杨启文 杨青 张嵘 褚云卓 单斌 郭大文 胡志东 简翠 李轶 廖康 刘根焰 季萍 金炎 倪语星 沈瀚 苏丹虹 卓超 王辉 魏莲花 俞云松 张泓 张利侠 周铁丽 朱镭 王明贵 朱德妹 胡付品 《中国感染与化疗杂志》 CAS CSCD 北大核心 2020年第6期671-680,共10页
当前,细菌耐药已成为全球公共健康领域的重大挑战,其中尤以碳青霉烯类耐药肠杆菌目细菌(carbapenem-resistant Enterobacterales,CRE)引起的感染形势最为严峻.碳青霉烯类抗菌药物包括亚胺培南、美罗培南和厄他培南等,是治疗多重耐药革... 当前,细菌耐药已成为全球公共健康领域的重大挑战,其中尤以碳青霉烯类耐药肠杆菌目细菌(carbapenem-resistant Enterobacterales,CRE)引起的感染形势最为严峻.碳青霉烯类抗菌药物包括亚胺培南、美罗培南和厄他培南等,是治疗多重耐药革兰阴性杆菌所致感染最有效的抗菌药物之一.随着该类药物在临床的广泛应用,肠杆菌目细菌对碳青霉烯类抗菌药物的耐药率呈逐年快速上升趋势.CHINET中国细菌耐药监测网历年监测结果显示[1-2],我国临床分离肺炎克雷伯菌对碳青霉烯类抗菌药物的耐药率从2005年的3%快速攀升至2019年的25%以上,上升幅度高达8倍.2018年全国细菌耐药监测网(CARSS)数据显示,全国1429所医院临床分离的肺炎克雷伯菌对碳青霉烯类抗菌药物的平均耐药率为10.1%,部分省市甚至超过20%[3].由于CRE菌株通常还携带有对其他抗菌药物耐药的基因,对抗菌药物呈广泛耐药甚至全耐药的特征,使临床的抗感染治疗面临无药可用的困境[4]. 展开更多
关键词 肠杆菌目细菌 碳青霉烯酶 Carba NP 碳青霉烯灭活试验 碳青霉烯酶抑制剂增强试验 酶免疫层析技术 分子检测技术
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面向新型电力系统灵活性提升的国内外辅助服务市场研究综述 被引量:42
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作者 吴珊 边晓燕 +2 位作者 张菁娴 林毅 林伟伟 《电工技术学报》 EI CSCD 北大核心 2023年第6期1662-1677,共16页
我国传统辅助服务市场的参与主体与市场机制无法应对未来高比例新能源主导型电力系统的灵活性挑战。该文借鉴国内外最新研究成果与项目经验,从灵活性资源和市场设计角度综合提出面向新型电力系统灵活性提升的辅助服务市场发展思路。首... 我国传统辅助服务市场的参与主体与市场机制无法应对未来高比例新能源主导型电力系统的灵活性挑战。该文借鉴国内外最新研究成果与项目经验,从灵活性资源和市场设计角度综合提出面向新型电力系统灵活性提升的辅助服务市场发展思路。首先从源网荷储角度对灵活性资源进行分类并做特征比较,分析国内外辅助服务市场中灵活性资源的应用现状与前景;然后从市场设计角度总结辅助服务产品多元化、管理方式本地化、价格机制合理化与跨省区资源共享化的灵活性提升方案;最后提出面向灵活性提升的我国辅助服务市场发展思路。 展开更多
关键词 辅助服务市场 灵活性 新型电力系统 源网荷储
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Morphological and functional changes of mitochondria in apoptotic esophageal carcinoma cells induced by arsenic trioxide 被引量:35
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作者 Zhong-ying Shen Jian Shen Qiao-shan Li Department of Pathology,Medical College of shantou University,shantou 515031,Guandong Province,China Cai-Yun Chen Central Lab.Medical College of shantou University Jiong-Yu Chen Central Lab.of Tumor Hospital,Medical College of shantou University yi Zeng Institute of Virology,Chinese Academy of Preventive Medicine,Beijing 100052,China 《World Journal of Gastroenterology》 SCIE CAS CSCD 2002年第1期31-35,共5页
AIM:To demonstrate that mitochondrial morphological andfunctional changes are an important intermediate link in thecourse of apoptosis in esophageal carcinoma calls inducedby As_2O_3.METHODS:The esophageal carcinoma c... AIM:To demonstrate that mitochondrial morphological andfunctional changes are an important intermediate link in thecourse of apoptosis in esophageal carcinoma calls inducedby As_2O_3.METHODS:The esophageal carcinoma call line SHEEC1,established in our laboratory,was cultured in 199 growthmedium,supplemented with 100mL·L^(-1)calf serum and3 mol·L^(-1)As_2O_3(the same below).After 2,4,6,12,24 hof drug adding,the SHEECl calls were collected for light-and electron-microscopic examination.The mitochondriawere labeled by Rhodamine fluorescence probe and thefluorescence intensity of the mitochondria was measured byflow cytorneter and cytofluorimetric analysis.Further,themitochondrial transmembrane potential(MTP,ΔΨm)change was also calculated.RESULTS:The mitochondrial morphological change afteradding As_2O_3 could be divided into three stages.In theearly-stage(2-6h)after adding As203,an adaptiveproliferation of mitochondria appeared;in the mid-stage(6-12 h)a degenerative change was observed;and in the late-stage(12-24 h)the mitochondria swelled with outermembrane broken down and then calls death with apoptoticchanges of nucleus.The functional change of themitochondria indicated by fluorescent intensity,whichreflected the MTP status of mitochondria,was in accordancewith morphological change of the mitochondria.Thefluorescent intensity increased at early-stage,decUned inmid-stage and decreased to the lowest in the late-stage.24h after As_2O_3 adding,the cell nucleus showed typicalapoptotic changes.CONCLUSION:Under the inducement of As_2O_3,the earlyapoptotic changes of SHEEC1 cells ware the apparentmorphological and functional changes of mitochondria,afterwards the nucleus changes followed.It is consideredthat changes of mitochondria are an important intermediatelink in the course of apoptosis of esophageal carcinoma cells induced by As_2O_3. 展开更多
关键词 食道癌 癌细胞凋亡 三氧化砷 形态学改变 功能性改变 纯粒体
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磁压榨直肠阴道瘘闭合修补装置的改良设计 被引量:39
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作者 付珊 马佳 +4 位作者 赵广宾 邹余粮 马锋 吕毅 严小鹏 《中国医疗设备》 2018年第4期46-49,共4页
目的对本研究团队之前设计的用于磁压榨直肠阴道瘘闭合修补装置进行改良设计。方法分析原有磁压榨直肠阴道瘘闭合修补装置的缺陷,提出了针孔固定的结构方案,并设计了用于磁压榨直肠阴道瘘闭合修补的磁吻合钳。结果针孔结构的设计能够有... 目的对本研究团队之前设计的用于磁压榨直肠阴道瘘闭合修补装置进行改良设计。方法分析原有磁压榨直肠阴道瘘闭合修补装置的缺陷,提出了针孔固定的结构方案,并设计了用于磁压榨直肠阴道瘘闭合修补的磁吻合钳。结果针孔结构的设计能够有效防止磁体滑脱,磁吻合钳的孔杆结构能够对吻合磁体起到固定作用,并且有利于吻合磁体的放置。结论磁压榨直肠阴道瘘闭合修补装置的改良设计方案可行,有利于吻合操作。 展开更多
关键词 磁压榨技术 直肠阴道瘘 磁体 磁吻合钳
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Long-term changes in the fishery ecosystem structure of Laizhou Bay,China 被引量:38
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作者 JIN XianShi shan XiuJuan +3 位作者 LI XianSen WANG Jun CUI yi ZUO Tao 《Science China Earth Sciences》 SCIE EI CAS 2013年第3期366-374,共9页
Laizhou Bay provides a critical spawning and nursery habitat for many fishery species, including commercially important spe- cies, such as Fenneropenaeus chinensis and Larimichthys polyactis. The bay is severely stres... Laizhou Bay provides a critical spawning and nursery habitat for many fishery species, including commercially important spe- cies, such as Fenneropenaeus chinensis and Larimichthys polyactis. The bay is severely stressed due to high fishing pressure and environmental changes. Based on the long-term ecosystem surveys in Laizhou Bay during the main spawning period (May) of most fishery species from 1959 to 2008, the responses of the Laizhou Bay fishery ecosystem were analyzed here, including regime shifts in species composition, biomass, species diversity, zooplankton, phytoplankton, and environmental variables. The dominant species of large-size and high economic value (e.g. Trichiurus haumela, L. polyactis) have been replaced by the short-lived, low-trophic-level planktivorous pelagic species (e.g. Setipinna taty, Engraulisjaponicus) since the 1980s, and it is probable that the small-sized pelagic fishes have been recently replaced by invertebrates (e.g. Oratosquilla oratoria, Crangon affinis). The biomass of fishery resources declined continuously from 423.6 kg haul 1 h-1 in 1959 to 164.6 kg haul-l h i in 1982, 37.7 kg haul-1 h-1 in 1993, and less than 8 kg haul 1 h-a in 1998-2008. Moreover, the biomass of zooplankton showed an increasing trend during 1959-2006, but showed a slight decline in 2008. The abundance of phytoplankton increased from 1959 through 1982, decreased substantially in 1993, and increased again until 2004. More recently, however, the phytoplankton abundance was very low. The sea surface temperature (SST) and sea bottom temperature (SBT) in May increased by 0.23~C a-~ and 0.16~C a-~, respectively, during 1982-2008. The salinity in May showed large fluctuations and reached its lowest val- ues in 2004 and 2006. The ratio of dissolved inorganic nitrogen (DIN) to dissolved inorganic phosphate (DIP) increased. However, the dissolved silicon (DSi):DIP and DSi:DIN ratios decreased to a low level during 1959-2008. These changes seri- ously impacted primary produ 展开更多
关键词 long-term changes fishery ecosystem multi-stress Laizhou Bay
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Rapid and Efficient Gene Modification in Rice and Brachypodium Using TALENs 被引量:38
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作者 Qiwei shan Yanpeng Wang +9 位作者 Kunling Chen Zhen Liang Jun Li yi Zhang Kang Zhang Jinxing Liu Daniel F. Voytas Xuelian Zheng Yong Zhang Caixia Gao 《Molecular Plant》 SCIE CAS CSCD 2013年第4期1365-1368,共4页
Dear Editor, In the past few years, the use of sequence-specific nucle- ases for efficient targeted mutagenesis has provided plant biologists with a powerful new approach for understanding gene function and developin... Dear Editor, In the past few years, the use of sequence-specific nucle- ases for efficient targeted mutagenesis has provided plant biologists with a powerful new approach for understanding gene function and developing new traits. These nucleases create DNA double-strand breaks at chromosomal targeted sites that are primarily repaired by the non-homologous end joining (NHEJ) or homologous recombination (HR) pathways. NHEJ is o^en imprecise and can introduce mutations at tar- get sites resulting in the loss of gene function. In contrast, HR uses a homologous DNA template for repair and can be employed to create site-specific sequence modifications or targeted insertions (Moynahan and Jasin, 2010). 展开更多
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中成药临床应用专家共识(第一版) 被引量:36
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作者 曹俊岭 李学林 +44 位作者 李春晓 薛春苗 陈树和 高山 高艳 关胜江 郭桂明 何婷 华国栋 黄明政 孔祥文 李丹 李国辉 李亚秋 林华 刘芳 刘力 刘效栓 罗君 凌霄 梅全喜 年华 欧阳荣 沈夕坤 孙洪胜 谭喜莹 唐洪梅 唐进法 田杰 涂禾 汪永忠 王丽霞 王世伟 夏杰 晏军 杨敏 杨新建 姚毅 岳宝森 赵生俊 赵旭 赵艳玲 郑敏霞 周训蓉 邹爱英 《中国药学杂志》 CAS CSCD 北大核心 2022年第6期502-506,共5页
中成药是我国医疗卫生体系中药品的一大特色和优势,其剂型多样,品种繁多,临床应用十分广泛。据相关统计,我国获批国产中药批文共59474个,共涉及中成药品种9629个,剂型42种。综合性医院中,西医所开出的中成药占医疗机构全部售出中成药的8... 中成药是我国医疗卫生体系中药品的一大特色和优势,其剂型多样,品种繁多,临床应用十分广泛。据相关统计,我国获批国产中药批文共59474个,共涉及中成药品种9629个,剂型42种。综合性医院中,西医所开出的中成药占医疗机构全部售出中成药的84%[1-2]。随着中成药临床使用范围的扩大,安全性问题也日趋严峻,除中成药的质量状况外[3],临床合理应用方面更为明显,如用药过量,重复用药、联合用药不当,超用药禁忌、功效及毒副作用考虑不周等[4-5]。 展开更多
关键词 中成药 临床应用 合理使用 专家共识
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Karyotype Stability and Unbiased Fractionation in the Paleo-Allotetraploid Cucurbita Genomes 被引量:37
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作者 Honghe Sun shan WU +14 位作者 Guoyu Zhang Chen Jiao Shaogui Guo yi Ren Jie Zhang Haiying Zhang Guoyi Gong Zhangcai Jia Fan Zhang Jiaxing Tian William J. Lucas Jeff J. Doyle Haizhen Li Zhangjun Fei Yong Xu 《Molecular Plant》 SCIE CAS CSCD 2017年第10期1293-1306,共14页
The Cucurbita genus contains several economically important species in the Cucurbitaceae family. Here, we report high-quality genome sequences of C. maxima and C. moschata and provide evidence supporting an allotetrap... The Cucurbita genus contains several economically important species in the Cucurbitaceae family. Here, we report high-quality genome sequences of C. maxima and C. moschata and provide evidence supporting an allotetraploidization event in Cucurbita. We are able to partition the genome into two homoeologous subgenomes based on different genetic distances to melon, cucumber, and watermelon in the Benincaseae tribe. We estimate that the two diploid progenitors successively diverged from Benincaseae around 31 and 26 million years ago (Mya), respectively, and the allotetraploidization happened at some point between 26 Mya and 3 Mya, the estimated date when C. maxima and C. moschata diverged. The subgenomes have largely maintained the chromosome structures of their diploid progenitors. Such long-term karyotype stability after polyploidization has not been commonly observed in plant polyploids. The two subgenomes have retained similar numbers of genes, and neither subgenome is globally dominant in gene expression. Allele-specific expression analysis in the C. maxima ×C. moschata interspecific F1 hybrid and their two parents indicates the predominance of trans-regulatory effects underlying expression divergence of the parents, and detects transgressive gene expression changes in the hybrid correlated with heterosis in important agronomic traits. Our study provides insights into polyploid genome evolution and valuable resources for genetic improvement of cucurbit crops. 展开更多
关键词 Cucurbita maxima Cucurbita moschata paleo-allotetraploid karyotype stability unbiased fractionation allele-specific expression
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De novo combined lamivudine and adefovir dipivoxil therapy vs entecavir monotherapy for hepatitis B virus-related decompensated cirrhosis 被引量:36
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作者 Jiang-shan Lian Lin-Yan Zeng +9 位作者 Jian-Yang Chen Hong-Yu Jia yi-Min Zhang Dai-Rong Xiang Liang Yu Jian-Hua Hu ying-Feng Lu Ling Zheng Lan-Juan Li yi-Da Yang 《World Journal of Gastroenterology》 SCIE CAS 2013年第37期6278-6283,共6页
AIM:To compare efficacy of combined lamivudine(LAM)and adefovir dipivoxil(ADV)therapy with that of entecavir(ETV)monotherapy for hepatitis B virus(HBV)-related decompensated liver cirrhosis.METHODS:A total of 120 na v... AIM:To compare efficacy of combined lamivudine(LAM)and adefovir dipivoxil(ADV)therapy with that of entecavir(ETV)monotherapy for hepatitis B virus(HBV)-related decompensated liver cirrhosis.METHODS:A total of 120 na ve patients with HBVrelated decompensated cirrhosis participated in this study.Sixty patients were treated with combined LAM and ADV therapy(LAM+ADV group),while the other60 were treated with ETV monotherapy(ETV group)for two years.Tests for liver and kidney function,alpha-fetoprotein,HBV serum markers,HBV DNA load,prothrombin time(PT),and ultrasonography or computed tomography scan of the liver were performed every1 to 3 mo.Repeated measure ANOVA and theχ2test were performed to compare the efficacy,side effects,and the cumulative survival rates at 48 and 96 wk.RESULTS:Forty-five patients in each group were observed for 96 wk.No significant differences in HBV DNA negative rates and alanine aminotransferase(ALT)normalization rates at weeks 48(χ2=2.12 and 2.88)and96(χ2=3.21 and 3.24)between the two groups were observed.Hepatitis B e antigen seroconversion rate in the LAM+ADV group at week 96 was significantly higher in the ETV group(43.5%vs 36.4%,χ2=4.09,P<0.05).Viral breakthrough occurred in 2 cases(4.4%)by week 48 and in 3 cases(6.7%)by week 96 in the LAM+ADV group,and no viral mutation was detected.In the ETV group,viral breakthrough occurred in 1 case(2.2%)at the end of week 96.An increase in albumin(F=18.9 and 17.3),decrease in total bilirubin and in ALT(F=16.5,17.1 and 23.7,24.8),reduced PT(F=22.7 and 24.5),and improved Child-Turcotte-Pugh and the model for end-stage liver disease scores(F=18.5,17.8,and 24.2,23.8)were observed in both groups.The cumulative rates of mortality and liver transplantation were 16.7%(10/60)and 18.3%(11/60)in the LAM+ADV and ETV groups,respectively.CONCLUSION:Both LAM+ADV combination therapy and ETV monotherapy can effectively inhibit HBV replication,improve liver function,and decrease mortality. 展开更多
关键词 Chronic hepatitis B DECOMPENSATED liver cirrhosis LAMIVUDINE ADEFOVIR dipivoxil Combination THERAPY ENTECAVIR
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神经肌肉电刺激联合吞咽法治疗急性缺血性脑卒中后吞咽障碍的疗效分析 被引量:36
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作者 袁绘 于龙娟 +3 位作者 谢珊 查益 邓本强 吴涛 《第二军医大学学报》 CAS CSCD 北大核心 2018年第9期1052-1055,共4页
目的探讨神经肌肉电刺激联合吞咽法对急性缺血性脑卒中后吞咽障碍患者的治疗效果。方法回顾性连续纳入2013年9月至2016年9月在我院脑血管病中心住院治疗的急性缺血性脑卒中后吞咽障碍患者104例。根据治疗方法分为对照组(31例)和治疗组(7... 目的探讨神经肌肉电刺激联合吞咽法对急性缺血性脑卒中后吞咽障碍患者的治疗效果。方法回顾性连续纳入2013年9月至2016年9月在我院脑血管病中心住院治疗的急性缺血性脑卒中后吞咽障碍患者104例。根据治疗方法分为对照组(31例)和治疗组(73例),对照组给予常规脑血管病内科治疗,治疗组在常规脑血管病内科治疗基础上给予神经肌肉电刺激联合吞咽法治疗。比较两组治疗前后洼田饮水试验(WST)评分变化、肺部感染发生率、胃管拔除率等。结果两组患者年龄、性别、基线WST评分和住院天数等基线资料差异均无统计学意义(P均>0.05)。治疗后治疗组患者的WST评分小于对照组[(1.39±0.85)分vs(2.71±1.16)分,F=17.236,P<0.001],WST评分降低值大于对照组[(2.60±0.89)分vs(1.29±0.46)分,F=19.910,P<0.001],肺部感染发生率低于对照组[20.55%(15/73)vs 64.52%(20/31),χ~2=18.840,P<0.001],胃管拔除变化率高于对照组[52.05%(38/73)vs 25.81%(8/31),χ~2=6.078,P=0.014]。结论神经肌肉电刺激联合吞咽法治疗脑卒中后吞咽障碍,可有效改善急性缺血性脑卒中吞咽障碍患者的吞咽功能,降低肺部感染发生率。 展开更多
关键词 神经肌肉电刺激 吞咽障碍 吞咽法 急性缺血性脑卒中
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Meta-analysis of defibrase in treatment of acute cerebral infarction 被引量:35
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作者 GUO yi ZUO Yan-fang +3 位作者 WANG Qi-zhang TANG Bing-shan LI Fu-kang SUN yi 《Chinese Medical Journal》 SCIE CAS CSCD 2006年第8期662-668,共7页
Background Fibrinogen-depleting agents are promising in the treatment of cerebral ischemic disease. They were studied by many trials, and the outcomes were different because of different regimens and different doses. ... Background Fibrinogen-depleting agents are promising in the treatment of cerebral ischemic disease. They were studied by many trials, and the outcomes were different because of different regimens and different doses. In this study, we assessed the efficacy and safety of defibrase on acute cerebral infarction in China. Methods A search using Chinese hospital knowledge database (CHKD) and MEDLINE database for randomized controlled trials was carded out. A CHKD (1994 June 2005) search was performed with the keyword "defibrase", then a second search for the keyword "acute cerebral infarction"; a MEDLINE search (1950 June 2005) was performed with the following keywords: [(cerebral ischemia), OR (acute cerebral infarction), OR (stroke)], AND [defibrase]. Meta-analysis was performed with RevMan software 4.2. Results Included were 14 studies comparing the efficiency and safety of defibrase with other drugs in the treatment of acute cerebral infarction. Patients' records were pooled (total 646 patients; defibrase, n=328, no defibrase n=318). Neurological deficit score (NDS) before treatment showed weighted mean differences (WMD)=0.95, 95% confidence interval (CI)= (-0.60, 2.50), P=0.23; NDS after treatment showed WMD=- 2.20, 95% CI= (-4.21, -0.18), P=0.03; Barthel index at 3 months showed WMD=4.45, 95% CI= (-0.13, 9.03), P=0.06; the plasma fibrinogen level before treatment showed WMD=0.02, 95% CI= (-0.16, 0.19), P=0.86; plasma fibrinogen level after treatment showed WMD=- 1.51, 95% CI= (- 1.88, - 1.15), P〈0.00 001.Conclusions With the given dose and regimen of defibrase in China, defibrase may play a role of anticoagulation. It might inhibit the progression of stroke and prevent the recurrence of stroke. 展开更多
关键词 cerebral infarction TREATMENT META-ANALYSIS DEFIBRASE
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肠杆菌目细菌碳青霉烯酶的实验室检测和临床报告规范专家共识(第二版) 被引量:34
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作者 喻华 徐雪松 +27 位作者 李敏 杨启文 杨青 张嵘 褚云卓 单斌 郭大文 胡志东 简翠 李轶 廖康 刘根焰 季萍 金炎 倪语星 沈瀚 苏丹虹 卓超 王辉 魏莲花 俞云松 张泓 张利侠 周铁丽 朱镭 王明贵 朱德妹 胡付品 《中国感染与化疗杂志》 CAS CSCD 北大核心 2022年第4期463-474,共12页
当前,细菌耐药已成为全球公共健康领域的重大挑战,其中尤以碳青霉烯类耐药肠杆菌目细菌(carbapenem-resistant Enterobacterales,CRE)引起的感染形势最为严峻。碳青霉烯类抗生素包括亚胺培南、美罗培南和厄他培南等,是治疗多重耐药革兰... 当前,细菌耐药已成为全球公共健康领域的重大挑战,其中尤以碳青霉烯类耐药肠杆菌目细菌(carbapenem-resistant Enterobacterales,CRE)引起的感染形势最为严峻。碳青霉烯类抗生素包括亚胺培南、美罗培南和厄他培南等,是治疗多重耐药革兰阴性杆菌所致感染最有效的抗菌药物之一。随着该类药物在临床的广泛使用,CRE菌株的检出率呈逐年快速上升趋势。 展开更多
关键词 肠杆菌目细菌 碳青霉烯酶 Carba NP 碳青霉烯灭活试验 碳青霉烯酶抑制剂增强试验 酶免疫层析技术 分子检测技术 专家共识
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千万例体检人群高血压患病率、知晓率、治疗率和控制率的调查 被引量:34
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作者 佟明坤 满塞丽麦 +7 位作者 金成 吴晶 单瑞琪 高永祥 王波 杨进刚 宁毅 李立明 《中国循环杂志》 CSCD 北大核心 2020年第9期866-872,共7页
目的:了解体检人群的高血压患病率、知晓率、治疗率和控制率,为我国高血压防治提供科学基础和依据。方法:纳入2018年来自全国28个省份412家体检中心的11065907例成年体检者,调查不同年龄、性别、体重指数和省份的高血压患病率,并分析体... 目的:了解体检人群的高血压患病率、知晓率、治疗率和控制率,为我国高血压防治提供科学基础和依据。方法:纳入2018年来自全国28个省份412家体检中心的11065907例成年体检者,调查不同年龄、性别、体重指数和省份的高血压患病率,并分析体检人群高血压的知晓率、治疗率和控制率。结果:研究对象年龄18~91岁,平均年龄(41.4±13.3)岁,平均收缩压/舒张压分别为123.0/75.0 mmHg(1 mmHg=0.133 kPa)。高血压患病粗率为22.1%,标化患病率21.6%,男性高血压患病率明显高于女性(26.1%vs.17.0%,P<0.001),男性、女性肥胖者高血压患病率分别约为体重正常者的3倍(45.0%vs.16.4%,P<0.001)和4倍(42.9%vs.10.1%,P<0.001)。各省份间高血压患病率呈现北高南低趋势。研究对象高血压知晓率、治疗率和控制率分别为33.8%、25.0%和9.7%,女性高血压知晓率、治疗率和控制率均高于男性(P均<0.001)。随着研究对象年龄的增加,高血压知晓率、治疗率和控制率均呈上升趋势。结论:即便在健康意识相对较好的体检人群,高血压标化患病率依然较高,同时也需要提高高血压的知晓率、治疗率和控制率。 展开更多
关键词 体检人群 高血压 患病率 知晓率 治疗率 控制率
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综合医院心内科门诊心理障碍患者躯体化症状的临床特征及相关因素 被引量:33
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作者 张雅楠 金超 +3 位作者 宁亮 龚山 肖轶 余国龙 《中华心血管病杂志》 CAS CSCD 北大核心 2019年第11期907-912,共6页
目的 探讨就诊于综合医院心内科门诊的心理障碍患者躯体化症状的临床特征,并分析其相关因素.方法 该研究为横断面调查.连续纳入2017年8月至2018年9月于中南大学湘雅医院心内科门诊就诊,以躯体不适为主诉、经2014年《在心血管科就诊患者... 目的 探讨就诊于综合医院心内科门诊的心理障碍患者躯体化症状的临床特征,并分析其相关因素.方法 该研究为横断面调查.连续纳入2017年8月至2018年9月于中南大学湘雅医院心内科门诊就诊,以躯体不适为主诉、经2014年《在心血管科就诊患者的心理处方中国专家共识》推荐的“三问法”筛选,疑诊为心理障碍的患者508例.由经过统一培训的具有心理二级咨询师证书的协调员协助被试者完成一般人口学和临床资料(包括年龄、性别、婚姻状况、受教育程度、职业、病程、临床诊断及近1年内因目前主要躯体症状的就医诊治过程)的收集,以及广泛性焦虑量表(GAD-7)、患者健康问卷抑郁症状群量表(PHQ-9)、健康问卷躯体症状群量表(PHQ-15)的填写.分析门诊心理障碍患者焦虑、抑郁的检出率及躯体化症状的程度和分布情况,并采用多因素logistic回归筛选影响躯体化症状出现的相关因素.结果 入选患者年龄(51.3±10.1)岁,其中男性占37.8%(192/508),女性占62.2%(316/508).508例有效病例中,焦虑、抑郁总检出率为86.8%(441/508),具有躯体化症状的患者占93.1%(473/508),PHQ-15量表评价结果显示阳性条目数为(8.0±2.7)条,在具有躯体化症状的患者中焦虑、抑郁检出率为78.6%(372/473).轻、中和重度躯体症状患者间比较,女性构成比、近1年就医次数、GAD-7评分和PHQ-9评分的差异均有统计学意义(P均<0.05).PHQ-15评分与GAD-7评分(r=0.524 5,P<0.001)和PHQ-9评分(r=0.574 9,P<0.001)均呈正相关.多因素logistic回归分析显示PHQ-9(OR=8.020,95%CI 3.470~18.930,P<0.001)和GAD-7评分(OR=6.526,95%CI2.903~13.045,P<0.001)及女性(OR=4.440,95%CI 1.059~9.073,P=0.011)是躯体化症状的相关因素.结论 综合医院心内科门诊心理障碍患者躯体化症状发生率高,常见的心理障碍是焦虑、抑郁,躯体化症状程度越重伴随焦虑、抑郁越重.焦虑、抑郁和女性与躯体化症状相关. 展开更多
关键词 心血管疾病 焦虑 抑郁 躯体症状 门诊患者
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ABF2, ABF3, and ABF4 Promote ABA-Mediated Chlorophyll Degradation and Leaf Senescence by Transcriptional Activation of Chlorophyll Catabolic Genes and Senescence-Associated Genes in Arabidopsis 被引量:33
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作者 shan Gao Jiong Gao +5 位作者 Xiaoyu Zhu yi Song Zhongpeng Li Guodong Ren Xin Zhou Benke Kuai 《Molecular Plant》 SCIE CAS CSCD 2016年第9期1272-1285,共14页
Chlorophyll (Chl) degradation is an integral process of leaf senescence, and NYE1/SGR1 has been demonstrated as a key regulator of Chl catabolism in diverse plant species. In this study, using yeast one-hybrid scree... Chlorophyll (Chl) degradation is an integral process of leaf senescence, and NYE1/SGR1 has been demonstrated as a key regulator of Chl catabolism in diverse plant species. In this study, using yeast one-hybrid screening, we identified three abscisic acid (ABA)-responsive element (ABRE)-binding transcription factors, ABF2 (AREB1), ABF3, and ABF4 (AREB2), as the putative binding proteins of the NYE1 promoter. Through the transactivation analysis, electrophoretic mobility shift assay, and chromatin immunoprecipitation, we demonstrated that ABF2, ABF3, and ABF4 directly bound to and activated the NYE1 promoter in vitro and in vivo. ABA is a positive regulator of leaf senescence, and exogenously applied ABA can accelerate Chl degradation. The triple mutant of the ABFs, abf2abf3abf4, as well as two ABA-insensitive mutants, abil-1 and snrk2.2/2.3/2.6, exhibited stay-green phenotypes after ABA treatment, along with decreased induction of NYE1 and NYE2 expression. In contrast, overexpression of ABF4 accelerated Chl degradation upon ABA treatment. Interestingly, ABF2/3/4 could also activate the expression of two Chl catabolic enzyme genes, PAO and NYCl, by directly binding to their promoters. In addition, abf2abf3abf4 exhibited a functional stay-green phenotype, and senescence-associated genes (SAGs), such as SAG29 (SWEET15), might be directly regulated by the ABFs. Taken together, our results suggest that ABF2, ABF3, and ABF4 likely act as key regulators in mediating ABA-triggered Chl degradation and leaf senescence in general in Arabidopsis. 展开更多
关键词 abscisic acid ABF transcription factor chlorophyll degradation leaf senescence ARABIDOPSISTHALIANA
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Suppression of Jasmonic Acid-Mediated Defense by Viral-Inducible MicroRNA319 Facilitates Virus Infection in Rice 被引量:29
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作者 Chao Zhang Zuomei Ding +16 位作者 Kangcheng Wu Liang Yang Yang Li Zhen Yang shan Shi Xiaojuan Liu shanshan Zhao Zhirui Yang Yu Wang Luping Zheng Juan Wei Zhenguo Du Aihong Zhang Hongqin Miao yi Li Zujian Wu Jianguo Wu 《Molecular Plant》 SCIE CAS CSCD 2016年第9期1302-1314,共13页
MicroRNAs (miRNAs) are pivotal modulators of plant development and host-virus interactions. However, the roles and action modes of specific miRNAs involved in viral infection and host susceptibility remain largely u... MicroRNAs (miRNAs) are pivotal modulators of plant development and host-virus interactions. However, the roles and action modes of specific miRNAs involved in viral infection and host susceptibility remain largely unclear. In this study, we show that Rice ragged stunt virus (RRSV) infection caused increased accumulation of miR319 but decreased expression of miR319-regulated TCP (TEOSINTE BRANCHED/ CYCLOIDEA/PCF) genes, especially TCP21, in rice plants. Transgenic rice plants overexpressing miP,319 or downregulating TCP21 exhibited disease-like phenotypes and showed significantly higher susceptibility to RRSV in comparison with the wild-type plants. In contrast, only mild disease symptoms were observed in RRSV-infected lines overexpressing TCP21 and especially in the transgenic plants overexpressing miR319- resistant TCP21. Both RRSV infection and overexpression of miR319 caused the decreased endogenous jasmonic acid (JA) levels along with downregulated expression of JA biosynthesis and signaling-related genes in rice. However, treatment of rice plants with methyl jasmonate alleviated disease symptoms caused by RRSV and reduced virus accumulation. Taken together, our results suggest that the induction of miR319 by RRSV infection in rice suppresses JA-mediated defense to facilitate virus infection and symp- tom development. 展开更多
关键词 miR319 rice ragged stunt virus RRSV TCP21 viral infection jasmonic acid
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磁压榨超微创技术建立兔获得性气管食管瘘动物模型 被引量:27
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作者 高慧敏 邱明龙 +5 位作者 张砚超 刘豪 马思捷 付珊 吕毅 严小鹏 《中国临床解剖学杂志》 CSCD 北大核心 2019年第2期223-227,共5页
目的探讨磁压榨超微创技术建立兔气管食管瘘(TEF)动物模型的可行性。方法 10只新西兰兔麻醉后分别在颈段气管和食管内置入子母磁体,术后隔日X线拍片,观察子母磁体位置,当发现子母磁体脱离原位置进入消化道后3 d处死动物,观察TEF大体标... 目的探讨磁压榨超微创技术建立兔气管食管瘘(TEF)动物模型的可行性。方法 10只新西兰兔麻醉后分别在颈段气管和食管内置入子母磁体,术后隔日X线拍片,观察子母磁体位置,当发现子母磁体脱离原位置进入消化道后3 d处死动物,观察TEF大体标本情况,并取瘘口组织行HE和Masson染色进行病理学观察。结果磁压榨超微创技术建立TEF平均操作时间(3.20±0.81)min,术后(6.90±1.14)d子母磁体脱落进入消化道,同时TEF形成,大体标本观察可见瘘口位于气管膜部与食管前壁之间,瘘口周围组织轻度粘连,组织病理学观察可见瘘口自气管膜部与食管前壁相通,与临床上获得性TEF病理学特征极为接近。结论磁压榨超微创技术可通过非手术方式建立兔获得性TEF,具有操作简单、创伤小、成功率高等优点,可谓一种理想的获得性TEF动物造模方法。 展开更多
关键词 磁压榨技术 气管食管瘘 动物模型 微创
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Advanced Space-based Solar Observatory(ASO-S):an overview 被引量:26
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作者 Wei-Qun Gan Cheng Zhu +37 位作者 Yuan-Yong Deng Hui Li Yang Su Hai-ying Zhang Bo Chen Zhe Zhang Jian Wu Lei Deng Yu Huang Jian-Feng Yang Ji-Jun Cui Jin Chang Chi Wang Ji Wu Zeng-shan yin Wen Chen Cheng Fang yi-Hua Yan Jun Lin Wei-Ming Xiong Bin Chen Hai-Chao Bao Cai-Xia Cao Yan-Ping Bai Tao Wang Bing-Long Chen Xin-Yu Li Ye Zhang Li Feng Jiang-Tao Su ying Li Wei Chen You-Ping Li ying-Na Su Hai-Yan Wu Mei Gu Lei Huang Xue-Jun Tang 《Research in Astronomy and Astrophysics》 SCIE CAS CSCD 2019年第11期3-10,共8页
The Advanced Space-based Solar Observatory(ASO-S)is a mission proposed for the 25 th solar maximum by the Chinese solar community.The scientific objectives are to study the relationships between the solar magnetic fie... The Advanced Space-based Solar Observatory(ASO-S)is a mission proposed for the 25 th solar maximum by the Chinese solar community.The scientific objectives are to study the relationships between the solar magnetic field,solar flares and coronal mass ejections(CMEs).Three payloads are deployed:the Full-disk vector Magneto Graph(FMG),the Lyman-αSolar Telescope(LST)and the Hard X-ray Imager(HXI).ASO-S will perform the first simultaneous observations of the photospheric vector magnetic field,non-thermal imaging of solar flares,and the initiation and early propagation of CMEs on a single platform.ASO-S is scheduled to be launched into a 720 km Sun-synchronous orbit in 2022.This paper presents an overview of the mission till the end of Phase-B and the beginning of Phase-C. 展开更多
关键词 space vehicles instruments-Sun magnetic fields-Sun flares-Sun CMEs-Sun UV radiation-Sun X-ray gamma-rays
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经皮椎弓根钉和经椎旁肌间隙入路椎弓根钉系统治疗单节段胸腰椎骨折的临床疗效比较 被引量:26
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作者 单辉强 李翀 +3 位作者 尹毅 黄伟 邬亚明 金晔 《中华骨与关节外科杂志》 2018年第10期731-735,共5页
背景:经皮椎弓根钉和经椎旁肌间隙入路椎弓根钉系统均已广泛应用于胸腰椎骨折的治疗,且都符合微创手术的理念,但两种手术方式的优劣还不明确。目的:探讨采用经皮椎弓根钉和经椎旁肌间隙入路椎弓根钉系统治疗单节段胸腰椎骨折的临床疗效... 背景:经皮椎弓根钉和经椎旁肌间隙入路椎弓根钉系统均已广泛应用于胸腰椎骨折的治疗,且都符合微创手术的理念,但两种手术方式的优劣还不明确。目的:探讨采用经皮椎弓根钉和经椎旁肌间隙入路椎弓根钉系统治疗单节段胸腰椎骨折的临床疗效。方法:选取2014年5月至2017年12月收治的72例单节段胸腰椎骨折患者为研究对象,采用经椎旁肌间隙入路椎弓根螺钉系统41例(椎旁肌组),经皮椎弓根螺钉31例(经皮组)。比较2组患者的切口长度、手术时间、术中及术后出血量、术中透视次数、住院天数,测量后凸Cobb角矫正率、伤椎椎体前缘高度百分比、椎体复位后再丢失高度值,评估术后1周及6个月腰背痛疼痛视觉模拟评分法(visual analogue scale, VAS)评分及术后6个月Oswestry功能障碍指数评分,观察临床疗效。结果:所有患者均顺利完成手术并获得随访。随访时间6~12个月。椎旁肌组手术时间、术中透视次数、椎体复位后再丢失高度值显著低于经皮组(P<0.05),而经皮组术中及术后出血量、住院天数、后凸Cobb角矫正率、术后伤椎椎体前缘高度百分比、术后1周VAS评分显著低于椎旁肌组(P<0.05)。两组患者的切口长度、术后6个月VAS评分、Oswestry功能障碍指数评分比较,均无显著统计学差异(P>0.05)。结论:经皮椎弓根钉和经椎旁肌间隙入路椎弓根螺钉系统治疗单节段胸腰椎骨折,均可获得较好的临床疗效。经皮椎弓根螺钉手术创伤更小、恢复更快,但相对于经椎旁肌间隙入路椎弓根螺钉系统需要更长的手术时间和更多的X线辐射,椎体复位效果和椎体高度维持也稍逊,同时手术操作要求相对更高。 展开更多
关键词 经皮椎弓根钉 经椎旁肌间隙入路 椎弓根螺钉系统 单节段胸腰椎骨折 微创
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