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Prevalence of Nontraumatic Osteonecrosis of the Femoral Head and its Associated Risk Factors in the Chinese Population: Results from a Nationally Representative Survey 被引量:168
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作者 De-Wei Zhao Mang Yu +23 位作者 Kai Hu Wei Wang Lei Yang Ben-Jie Wang Xiao-Hong Gao Yong-Ming Guo Yong-Qing Xu Yu-Shan Wei Si-Miao Tian Fan Yang Nan Wang shi-Bo Huang hui Xie Xiao-Wei Wei Hai-Shen Jiang Yu-Qiang Zang Jun Ai Yuan-Liang Chen Guang-Hua Lei Yu-Jin Li Geng Tia Zong-Sheng Li Yong Cao Li Ma 《Chinese Medical Journal》 SCIE CAS CSCD 2015年第21期2843-2850,共8页
Background: Nontraumatic osteonecrosis of the femoral head (NONFH) is a debilitating disease that represents a significant financial burden for both individuals and healthcare systems. Despite its significance, how... Background: Nontraumatic osteonecrosis of the femoral head (NONFH) is a debilitating disease that represents a significant financial burden for both individuals and healthcare systems. Despite its significance, however, its prevalence in the Chinese general population remains unknown. This study aimed to investigate the prevalence of NONFH and its associated risk factors in the Chinese population. Methods: A nationally representative survey of 30,030 respondents was undertaken from June 2012 to August 2013. All participants underwent a questionnaire investigation, physical examination of hip, and bilateral hip joint X-ray and/or magnetic resonance imaging exalnination. Blood samples were taken after overnight fasting to test serum total cholesterol, triglyceride, and high-density lipoprotein (HDL) and low-density lipoprotein (LDL) levels. We then used multivariate logistic regression analysis to investigate the associations between various metabolic, demographic, and lifestyle-related variables and NONFH. Results: NONFH was diagnosed in 218 subjects (0.725%) and the estimated NONFH cases were 8.12 million among Chinesepeople aged 15 years and over. The prevalence of NONFH was significantly higher in males than in females (1.02% vs. 0.51%, x^2 = 24.997, P 〈 0.001 ). Among NONFH patients, North residents were subjected to higher prevalence of NONFH than that of South residents (0.85% vs. 0.61%,x^2= 5.847, P = 0.016). Our multivariate regression analysis showed that high blood levels oftriglycerides, total cholesterol, LDL-cholesterol, and non-H DL-cholesterol, male, urban residence, family history of osteonecrosis of the femoral head. heavy smoking, alcohol abuse and glucocorticoid intake, overweight, and obesity were all significantly associated with an increased risk of NONFH. Conclusions: Our findings highlight that NONFH is a significantpublic health challenge in China and underscore the need for policy measures on the national level. Furthermore, NONFH shares a number of risk 展开更多
关键词 Nontraumatic Osteonecrosis of the Femoral Head PREVALENCE Risk Factors
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Chinese consensus guidelines for diagnosis and management of gastrointestinal stromal tumor 被引量:108
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作者 Jian Li Yingjiang Ye +14 位作者 Jian Wang Bo Zhang Shukui Qins Yingqiang shi Yulong He Xiaobo Liang Xiufeng Liu Ye Zhou Xin Wu Xinhua Zhang Ming Wang Zhidong Gao Tianlong Lin hui Cao Lin Shen 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 2017年第4期281-293,共13页
In order to further promote the standardization of diagnosis and treatment of gastrointestinal stromal tumor (GIST) in China, the members of Chinese Society of Clinical Oncology (CSCO) Expert Committee on GIST tho... In order to further promote the standardization of diagnosis and treatment of gastrointestinal stromal tumor (GIST) in China, the members of Chinese Society of Clinical Oncology (CSCO) Expert Committee on GIST thoroughly discussed the key contents of the consensus guidelines, and voted on the controversial issue. In final, the Chinese consensus guidelines for the diagnosis and management of GIST (2017 edition) was formed on the basis of 2013 edition consensus guidelines, which is hereby announced. The consensus included the pathological diagnosis, recurrence risk classification evaluation, targeted agent therapy, surgery and principles of surveillance of GIST. 展开更多
关键词 Gastrointestinal stromal tumor DIAGNOSIS THERAPY CONSENSUS
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改进YOLO v3的安全帽佩戴检测方法 被引量:101
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作者 施辉 陈先桥 杨英 《计算机工程与应用》 CSCD 北大核心 2019年第11期213-220,共8页
在生产和作业场地中,工人由于不佩戴安全帽而引发的安全事故时有发生。为了降低由于未佩戴安全帽而引发的安全事故发生率,提出了一种基于改进YOLO v3算法的安全帽佩戴检测方法。通过采用图像金字塔结构获取不同尺度的特征图,用于位置和... 在生产和作业场地中,工人由于不佩戴安全帽而引发的安全事故时有发生。为了降低由于未佩戴安全帽而引发的安全事故发生率,提出了一种基于改进YOLO v3算法的安全帽佩戴检测方法。通过采用图像金字塔结构获取不同尺度的特征图,用于位置和类别预测;使用施工现场出入口监控视频作为数据集进行目标框维度聚类,确定目标框参数;在训练迭代过程中改变输入图像的尺寸,增加模型对尺度的适应性。理论分析和实验结果表明,在安全帽佩戴检测任务中,mAP(Mean Average Precision)达到了92.13%,检测速率提高到62 f/s,其检测准确率与检测速率相较于YOLO v3均略有提高,所提算法不仅满足安全帽佩戴检测中检测任务的实时性,同时具有较高的检测准确率。 展开更多
关键词 图像处理 深度学习 YOLO V3 安全帽佩戴检测
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农村异质性资源禀赋、宅基地使用权确权与农户宅基地流转:理论与来自湖北省的经验 被引量:86
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作者 吴郁玲 石汇 +1 位作者 王梅 冯忠垒 《中国农村经济》 CSSCI 北大核心 2018年第5期52-67,共16页
农村自然环境、地理区位、经济区位等资源禀赋的差异使得农户对宅基地使用权确权的制度效应的敏感度不同,并可能导致他们不同的宅基地流转响应行为。本文试图在分析宅基地使用权确权的制度效应基础上,利用倍差法和有序Probit模型分析近... 农村自然环境、地理区位、经济区位等资源禀赋的差异使得农户对宅基地使用权确权的制度效应的敏感度不同,并可能导致他们不同的宅基地流转响应行为。本文试图在分析宅基地使用权确权的制度效应基础上,利用倍差法和有序Probit模型分析近郊农村、远郊纯农村和远郊风景秀丽农村宅基地使用权确权对农户宅基地流转行为的影响,以评价确权的政策实施绩效,期待能为提高农村宅基地配置和利用效率提供理论借鉴和实证支持。研究表明:(1)宅基地使用权确权仅在近郊农村对农户宅基地流转行为有显著的正向驱动作用,而在远郊纯农村和远郊风景秀丽农村不存在显著影响。(2)除确权因素外,户主年龄、农户家庭人口数、农户家庭非农就业人数占比和宅基地拥有状况对农户的宅基地流转行为也存在较显著的影响,但在3类农村地区的具体影响存在一定差异。研究认为,在当前中国农村宅基地产权制度尚不完善的情况下,宅基地使用权确权是保障农户权益、促进农村闲置宅基地合理流动的重要举措,但应根据农村资源禀赋的差异执行差别性的宅基地确权和流转管理政策。 展开更多
关键词 资源禀赋 宅基地使用权确权 宅基地流转 倍差法
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基于行为分阶段转变理论的护理干预在初产妇母乳喂养指导中的应用 被引量:77
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作者 康凤英 贺建霞 +2 位作者 石惠 郭芬 白智音 《中国实用护理杂志》 2019年第6期430-435,共6页
目的探讨基于行为分阶段转变理论的护理干预对提高初产妇母乳喂养知识、自我效能感、纯母乳喂养持续时间的效果。方法选取2017年5-6月在产检的符合纳入和排除标准的130例初产妇作为研究对象,按随机数字表法进行分组,对照组分别于产前、... 目的探讨基于行为分阶段转变理论的护理干预对提高初产妇母乳喂养知识、自我效能感、纯母乳喂养持续时间的效果。方法选取2017年5-6月在产检的符合纳入和排除标准的130例初产妇作为研究对象,按随机数字表法进行分组,对照组分别于产前、住院期间和出院后3个阶段实施常规母乳喂养健康指导,试验组根据行为分阶段转变理论,将初产妇从孕期产检开始至产后6个月的时间段划分为5个阶段,对应不同阶段和行为转变过程实施母乳喂养干预。比较2组母乳喂养知识及母乳喂养效能。结果对照组初产妇干预前、产后第3天、产后第42天和第6个月的母乳喂养知识总得分分别为(8.76±1.14)、(8.92±1.21)、(9.90±1.27)、(9.94±1.29)分,试验组分别为(9.11±1.42)、(12.02±1.64)、(13.04±1.68)、(15.00±1.83)分,2组各阶段比较差异均有统计学意义(F时间=51.823、F组别=10.406、F交互=56.641,均P<0.01);对照组初产妇干预前、产后第3天、产后第42天和第6个月的母乳喂养自我效能总分分别为(84.62±1.14)、(88.96±1.41)、(86.65±1.47)、(84.31±1.57)分,试验组分别为(84.98±1.21)、(104.02±1.42)、(111.00±1.45)、(120.04±1.40)分,2组各阶段比较差异均有统计学意义(F时间=12.592、F组别=229.674、F交互=79.955,均P<0.01);初产妇产后第3天、第42天和第6个月的纯母乳喂养率比较,对照组分别为60.0%(33/55)、41.8%(23/55)、21.8%(12/55),试验组分别为84.7%(50/59)、76.3%(45/59)、49.2%(29/59),2组各阶段比较差异均有统计学意义(χ^2=8.804、14.038、9.235,均P<0.01)。结论基于行为分阶段转变理论的母乳喂养干预有助于提高初产妇母乳喂养知识和自我效能感、改善母乳喂养状况。 展开更多
关键词 母乳喂养 行为分阶段转变理论 护理 干预
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恶性肿瘤放疗患者营养治疗专家共识 被引量:66
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作者 李涛 吕家华 +22 位作者 郎锦义 石汉平 许红霞 李宝生 章真 祝淑钗 陈明 康静波 石安辉 李建成 赵充 刘士新 杨道科 李光 周福祥 李杭 董丽华 丛明华 申良方 邹丽娟 赵仁 李荣清 《肿瘤代谢与营养电子杂志》 2018年第4期358-365,共8页
营养不良在恶性肿瘤放疗患者中发生率高,降低治疗疗效,增加治疗副反应,因此应该对放疗患者常规进行营养风险筛查(推荐采用NRS 2002量表)和营养评估(推荐采用PG-SGA量表)。恶性肿瘤放疗患者在"围放疗期"需要进行全程营养管理... 营养不良在恶性肿瘤放疗患者中发生率高,降低治疗疗效,增加治疗副反应,因此应该对放疗患者常规进行营养风险筛查(推荐采用NRS 2002量表)和营养评估(推荐采用PG-SGA量表)。恶性肿瘤放疗患者在"围放疗期"需要进行全程营养管理。放疗前需根据PG-SGA评分,放疗中需根据PG-SGA评分和RTOG急性放射损伤分级,放疗后需根据PG-SGA评分和RTOG晚期放射损伤分级,规范化、个体化选择营养治疗方式。营养治疗方式遵循"五阶梯模式"。肠内营养途径选择遵循"四阶梯模式"。当患者无法通过肠内营养获得足够的营养需要或出现严重放射性黏膜炎、放射性肠炎或肠功能衰竭时,推荐及时联合部分或全肠外营养。恶性肿瘤放疗患者能量目标量推荐为25~30kcal/(kg·d)。在放疗过程中,患者能量需求受到肿瘤负荷、应激状态和急性放射损伤的影响而变化,因此需要个体化给予并进行动态调整。恶性肿瘤放疗患者推荐提高蛋白质摄入量,对于一般患者推荐1.2~1.5g/(kg·d),对于严重营养不良患者,推荐1.5~2.0g/(kg·d),对于并发恶液质的患者可提高到2.0g/(kg·d)。 展开更多
关键词 恶性肿瘤 放射治疗 营养治疗 共识
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Prognostic significance of expression of cyclooxygenase-2 and vascular endothelial growth factor in human gastric carcinoma 被引量:64
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作者 Hai shi Jian-Ming Xu Nai-Zhong Hu hui-Jun Xie Department of Gastroenterology,the First Affiliated Hospital,Anhui Medical University,Hefei 23022,Anhui Province,China 《World Journal of Gastroenterology》 SCIE CAS CSCD 2003年第7期1421-1426,共6页
AIM: To investigate the role of cyclooxygenase-2(COX-2)and vascular endothelial growth factor (VEGF) in the development of gastric carcinoma and correlation between expression of COX-2 and VEGF and clinicopathologic f... AIM: To investigate the role of cyclooxygenase-2(COX-2)and vascular endothelial growth factor (VEGF) in the development of gastric carcinoma and correlation between expression of COX-2 and VEGF and clinicopathologic features in tissues from patients with gastric carcinoma.METHODS: 281 patients with gastric carcinoma who underwent surgical resection between 1990 and 1999 at the First Affiliated Hospital, Anhui Medical University, PRC, were followed up. Expression of COX-2 and VEGF was investigated retrospectively in 232 gastric carcinoma tissues and 60noncancerous specimens by using immunohistochemistry.RESULTS: The 5-year survival rates of early gastric carcinoma (EGC) and advanced gastric carcinoma (AGC) were 93.4 %and 59.0 %, respectively. Survival time was highly correlated with lymph node metastasis, vascular invasion, depth of invasion and treatment with chemotherapy. Compared with paired noncancerous tissues, expression of COX-2 and VEGF and microvessel density (MVD) value in carcinoma tissue were significantly higher. The MVD value was much higher in COX-2-positive group and VEGF-positive group than that in COX-2-negative group and VEGF-negative group.Expression of COX-2 and VEGF, as well as MVD value were highly correlated with lymph node metastasis and vascular invasion. The 5-year survival rate of patients with expression of COX-2 or VEGF was significantly lower than that of patients without COX-2 or VEGF expression. Multivariate analysis revealed that VEGF overexpression, lymph node metastasis,COX-2 overexpression, depth of invasion and vascular invasion were all independent prognostic factors of gastric carcinoma.CONCLUSION: Overexpression of COX-2 and VEGF in patients with gastric carcinoma can enhance the possibility of invasion and metastasis, implicating a poor prognosis.They may serve as the fairly good prognostic factors to indicate biologic behaviors of gastric carcinoma. 展开更多
关键词 环氧合酶-2 血管内皮生长因子 过表达 胃癌 聚合酶链反应 微血管密度
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China land soil moisture EnKF data assimilation based on satellite remote sensing data 被引量:64
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作者 shi ChunXiang XIE Zhenghui +2 位作者 QIAN hui LIANG MiaoLing YANG XiaoChun 《Science China Earth Sciences》 SCIE EI CAS 2011年第9期1430-1440,共11页
Soil moisture plays an important role in land-atmosphere interactions. It is an important geophysical parameter in research on climate, hydrology, agriculture, and forestry. Soil moisture has important climatic effect... Soil moisture plays an important role in land-atmosphere interactions. It is an important geophysical parameter in research on climate, hydrology, agriculture, and forestry. Soil moisture has important climatic effects by influencing ground evapotranspi ration, runoff, surface reflectivity, surface emissivity, surface sensible heat and latent heat flux. At the global scale, the extent of its influence on the atmosphere is second only to that of sea surface temperature. At the terrestrial scale, its influence is even greater than that of sea surface temperatures. This paper presents a China Land Soil Moisture Data Assimilation System (CLSMDAS) based on EnKF and land process models, and results of the application of this system in the China Land Soil Moisture Data Assimilation tests. CLSMDAS is comprised of the following components: 1) A land process mo del—Community Land Model Version 3.0 (CLM3.0)—developed by the US National Center for Atmospheric Research (NCAR); 2) Precipitation of atmospheric forcing data and surface-incident solar radiation data come from hourly outputs of the FY2 geostationary meteorological satellite; 3) EnKF (Ensemble Kalman Filter) land data assimilation method; and 4) Observa tion data including satellite-inverted soil moisture outputs of the AMSR-E satellite and soil moisture observation data. Results of soil moisture assimilation tests from June to September 2006 were analyzed with CLSMDAS. Both simulation and assimila tion results of the land model reflected reasonably the temporal-spatial distribution of soil moisture. The assimilated soil mois ture distribution matches very well with severe summer droughts in Chongqing and Sichuan Province in August 2006, the worst since the foundation of the People’s Republic of China in 1949. It also matches drought regions that occurred in eastern Hubei and southern Guangxi in September. 展开更多
关键词 EnKF land data assimilation AMSR-E soil moisture FY2C geostationary satellite high-resolution precipitation surface incident solar radiation
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2018 Chinese Pediatric Cardiology Society(CPCS) guideline for diagnosis and treatment of syncope in children and adolescents 被引量:57
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作者 Cheng Wang Yaqi Li +86 位作者 Ying Liao Hong Tian Min Huang Xiangyu Dong Lin shi Jinghui Sun Hongfang Jin Junbao Du Jindou An Jie Chen Mingwu Chen Qi Chen Sun Chen Yonghong Chen Zhi Chen Adolphus Kai-tung Chau Junbao Du Zhongdong Du Junkai Duan Hongyu Duan Xiangyu Dong Lin Feng Lijun Fu Fangqi Gong Yonghao Gui Ling Han Zhenhui Han Bing He Zhixu He Xiufen Hu Yimin Hua Guoying Huang Min Huang Ping Huang Yujuan Huang Hongfang Jin Mei Jin Bo Li Fen Li Tao Li Xiaohui Li Xiaoyan Liu Yan Li Haitao Lv Tiewei Lv Zipu Li Luyi Ma Silin Pan Yusheng Pang Hua Peng Yuming Qin Jie Shen Lin shi Kun Sun Jinghui Sun Hong Tian Jie Tian Cheng Wang Hong Wang Lei Wang Jinju Wang Wendi Wang Yuli Wang Rongzhou Wu Tianhe Xia Yanyan Xiao Chunhong Xie Yanlin Xing Zhenyu Xiong Baoyuan Xu Yi Xu hui Yan shiwei Yang Qijian Yi Xia Yu Xianyi Yu Yue Yuan Hongyan Zhang huili Zhang Li Zhang Qingyou Zhang Xi Zhang Yanmin Zhang Zhiwei Zhang Cuifen Zhao Bin Zhou Hua Zhu 《Science Bulletin》 SCIE EI CAS CSCD 2018年第23期1558-1564,共7页
Syncope belongs to the transient loss of consciousness(TLOC), characterized by a rapid onset, short duration, and spontaneous complete recovery. It is common in children and adolescents, accounting for 1% to 2% of eme... Syncope belongs to the transient loss of consciousness(TLOC), characterized by a rapid onset, short duration, and spontaneous complete recovery. It is common in children and adolescents, accounting for 1% to 2% of emergency department visits.Recurrent syncope can seriously affect children's physical and mental health, learning ability and quality of life and sometimes cardiac syncope even poses a risk of sudden death. The present guideline for the diagnosis and treatment of syncope in children and adolescents was developed for guiding a better clinical management of pediatric syncope. Based on the globally recent development and the evidence-based data in China, 2018 Chinese Pediatric Cardiology Society(CPCS) guideline for diagnosis and treatment of syncope in children and adolescents was jointly prepared by the Pediatric Cardiology Society, Chinese Pediatric Society, Chinese Medical Association(CMA)/Committee on Pediatric Syncope, Pediatricians Branch, Chinese Medical Doctor Association(CMDA)/Committee on Pediatric Cardiology, Chinese College of Cardiovascular Physicians, Chinese Medical Doctor Association(CMDA)/Pediatric Cardiology Society, Beijing Pediatric Society, Beijing Medical Association(BMA). The present guideline includes the underlying diseases of syncope in children and adolescents, the diagnostic procedures, methodology and clinical significance of standing test and headup tilt test, the clinical diagnosis vasovagal syncope, postural orthostatic tachycardia syndrome, orthostatic hypotension and orthostatic hypertension, and the treatment of syncope as well as follow-up. 展开更多
关键词 CPCS CHILDREN ADOLESCENT SYNCOPE
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Mortality and Morbidity of Extremely Low Birth Weight Infants in the Mainland of China: A Multi-center Study 被引量:54
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作者 hui-Jia Lin Li-Zhong Du +33 位作者 Xiao-Lu Ma Li-Ping shi Jia-Hua Pan Xiao-Mei Tong Qiu-Ping Li Jian-Guo Zhou Bing Yi Ling Liu Yun-Bing Chen Qiu-Fen Wei hui-Qing Wu Mei Li Cui-Qing Li Xi-Rong Gao shi-Wen Xia Wen-Bin Li Chao-Ying Ya Ling He Kun Liang Xiao-Yu Zhou Shu-Ping Han Qin Lyu Yin-Ping Qiu Wen Li Dong-Mei Chen Hong-Ru Lu Xiao-Hong Liu Hong Liu Zhen-Lang Lin Li Liu Jia-Jun Zhu Hong Xiong Shao-Jie Yue Si-Qi Zhuang 《Chinese Medical Journal》 SCIE CAS CSCD 2015年第20期2743-2750,共8页
Background: With the progress ofperinatal medicine and neonatal technology, more and more extremely low birth weight (ELBW) survived all over the world. This study was designed to investigate the short-term ontcome... Background: With the progress ofperinatal medicine and neonatal technology, more and more extremely low birth weight (ELBW) survived all over the world. This study was designed to investigate the short-term ontcomes of ELBW infants during their Neonatal Intensive Care Unit (NICU) stay in the mainland of China. Methods: All infants admitted to 26 NICUs with a birth weight (BW) 〈1000 g were included between January 1,2011 and December 31,2011. All the data were collected retrospectively from clinical records by a prospectively designed questionnaire. The data collected from each NICU transmitted to the main institution where the results were aggregated and analyzed. Categorical variables were performed with Pearson Chi-square test. Binary Logistic regression analysis was used to detect risk factors. Results: A total of 258 ELBW infants were admitted to 26 NICUs, of whom the mean gestational age (GA) was 28.1 ± 2.2 weeks, and the mean BW was 868 ± 97 g. The overall survival rate at discharge was 50.0%. Despite aggressive treatment 60 infants (23.3%) died and another 69 infants (26.7%) died after medical care withdrawal. Furthermore, the survival rate was significantly higher in coastal areas than inland areas (53.6% vs. 35.3%, P = 0.019). BW 〈750 g and GA 〈28 weeks were the largest risk factors, and being small for gestational age was a protective factor related to mortality. Respiratory distress syndrome was the most common complication. The incidence of patent ductus arteriosus, intraventricular hemorrhage, periventricular leukomalacia, bronchopulmonary dysplasia, retinopathy of prematurity was 26.2%, 33.7%, 6.7%, 48.1%, and 41.4%, respectively. Ventilator associated pneumonia was the most common hospital acquired infection during hospitalization. Conclusions: Our study was the first survey that revealed the present status of ELBW infants in the mainland of China. The mortality and morbidity of ELBW infants remained high as compared to other developed countries. 展开更多
关键词 Extremely Low Birth Weight INFANT MORTALITY National Survey
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《中国女性乳腺癌筛查指南》解读(精简版) 被引量:56
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作者 黄育北 佟仲生 +11 位作者 陈可欣 王瑛 刘佩芳 顾林 刘俊田 于津浦 宋丰举 赵文华 史业辉 李慧 肖怀远 郝希山 《中国肿瘤临床》 CAS CSCD 北大核心 2019年第9期432-440,共9页
乳腺癌是中国女性最常见的恶性肿瘤,早期筛查是提高乳腺癌早诊早治最佳途径。中国女性乳腺癌发病高峰年龄与欧美国家乳腺癌发病高峰年龄明显不同,制定适合中国女性特点的群体性乳腺癌筛查指南势在必行。中国抗癌协会与国家肿瘤临床医学... 乳腺癌是中国女性最常见的恶性肿瘤,早期筛查是提高乳腺癌早诊早治最佳途径。中国女性乳腺癌发病高峰年龄与欧美国家乳腺癌发病高峰年龄明显不同,制定适合中国女性特点的群体性乳腺癌筛查指南势在必行。中国抗癌协会与国家肿瘤临床医学研究中心(天津医科大学肿瘤医院)组织专家在分析总结中国女性乳腺癌筛查数据的基础上,参考欧美及东亚等国家的最新乳腺癌筛查指南或共识,分别从筛查起始年龄、筛查方法、筛查时间间隔3个方面,针对中国女性乳腺癌一般风险人群和高危风险人群制定以人群为基础的《中国女性乳腺癌筛查指南》,本文对该指南进行解读以供乳腺癌筛查相关人士参考。 展开更多
关键词 乳腺癌 筛查 指南
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Effect of Microstructure Refinement on the Strength and Toughness of Low Alloy Martensitic Steel 被引量:52
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作者 Chunfang WANG Maoqiu WANG Jie shi Weijun hui Han DONG 《Journal of Materials Science & Technology》 SCIE EI CAS CSCD 2007年第5期659-664,共6页
Martensitic microstructure in quenched and tempered 17CrNiMo6 steel with the prior austenite grain size ranging from 6 μm to 199 μm has been characterized by optical metallography (OM), scanning electron microsco... Martensitic microstructure in quenched and tempered 17CrNiMo6 steel with the prior austenite grain size ranging from 6 μm to 199 μm has been characterized by optical metallography (OM), scanning electron microscopy (SEM) and transmission electron microscopy (TEM). The yield strength and the toughness of the steel with various prior austenite grain sizes were tested and correlated with microstructure characteristics. Results show that both the prior austenite grain size and the martensitic packet size in the 17CrNiMo6 steel follow a HalI-Petch relation with the yield strength. When the prior austenite grain size was refined from 199 μm to 6 μm , the yield strength increased by 235 MPa, while the Charpy U-notch impact energy at 77 K improved more than 8 times, indicating that microstructure refinement is more effective in improving the resistance to cleavage fracture than in increasing the strength. The fracture surfaces implied that the unit crack path for cleavage fracture is identified as being the packet. 展开更多
关键词 Martensitic steel Grain refinement STRENGTH Impact toughness Cleavage fracture
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新型冠状病毒的研究进展 被引量:53
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作者 苏石 李小承 +4 位作者 蒿花 王晓艳 张明明 耿辉 马茂 《西安交通大学学报(医学版)》 CAS CSCD 北大核心 2020年第4期479-482,496,共5页
2019年底暴发的不明原因肺炎被发现与一种新型冠状病毒(SARS-CoV-2)相关。该病毒为目前发现的第7种可感染人类的冠状病毒。由于短期内此冠状病毒感染在全球多个地区发现,从而引起世界各国的关注。目前对于SARS-CoV-2的相关研究尚处于起... 2019年底暴发的不明原因肺炎被发现与一种新型冠状病毒(SARS-CoV-2)相关。该病毒为目前发现的第7种可感染人类的冠状病毒。由于短期内此冠状病毒感染在全球多个地区发现,从而引起世界各国的关注。目前对于SARS-CoV-2的相关研究尚处于起步阶段,本文就SARS-CoV-2相关最新研究成果进行汇总,为后续研究及防治提供参考。 展开更多
关键词 冠状病毒 SARS-CoV-2 病毒传播 抗病毒药物
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小剂量联合重组人脑利钠肽和沙库巴曲缬沙坦治疗老年急性心力衰竭的短期疗效 被引量:51
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作者 崔建国 梁淑芹 +7 位作者 齐洁 胡孟芬 赵洁 石斗飞 毛艳华 宓宝斌 马慧 张清潭 《实用医学杂志》 CAS 北大核心 2020年第21期2984-2989,共6页
目的探讨小剂量联合重组人脑利钠肽(rhBNP)和沙库巴曲缬沙坦钠治疗老年急性心力衰竭的短期疗效及安全性。方法将纽约心功能Ⅲ-IV级合并NT-proBNP显著升高及射血分数下降的142例老年患者随机分为观察组(A组)、常规+重组人脑利钠肽组(B组... 目的探讨小剂量联合重组人脑利钠肽(rhBNP)和沙库巴曲缬沙坦钠治疗老年急性心力衰竭的短期疗效及安全性。方法将纽约心功能Ⅲ-IV级合并NT-proBNP显著升高及射血分数下降的142例老年患者随机分为观察组(A组)、常规+重组人脑利钠肽组(B组)及常规治疗组(C组),分别为47例、47例和48例。所有患者根据病情应用利尿剂、地高辛及其他对症治疗。A组为在常规治疗基础上,初始3 d应用重组人脑利钠肽0.5 mg/d,同时给予沙库巴曲缬沙坦钠片,25 mg bid口服,根据血压水平滴定;B组为在常规治疗基础上初始3 d应用重组人脑利钠肽;C组为常规治疗。比较三组患者临床症状缓解程度、临床缓解时间,纽约心功能改善程度、6 min步行距离、血压改变及NT-proBNP下降程度等。结果3组患者治疗后心室率及NT-proBNP水平均较入院前显著下降(P<0.001)。A组患者治疗后舒张压均较入院时下降(P<0.001)。A组临床缓解天数均少于C组,两组比较差异有统计学意义(P<0.001);出院时6 min步行距离A组大于C组(P<0.001);出院舒张压在A组低于C组(P=0.006);治疗1周时NT-proB NP水平在A组均低于C组和B组(P<0.001);同时B组也低于C组,差异有统计学意义(P<0.001)。3组之间心功能改善程度差异无统计学意义(P=0.051)。3组患者在住院期间共发生院内死亡9例,每组3例。院内死亡患者平均年龄及入院时NT-proBNP均显著大于院内存活患者(均P<0.001);入院时心室率和EF值在院内死亡患者显著小于存活患者(均P<0.001)。结论早期小剂量联合应用rhBNP联合沙库巴曲缬沙坦钠口服可较常规治疗方案进一步改善老年急性心力衰竭患者的短期预后。 展开更多
关键词 老年 急性心力衰竭 重组人脑利钠肽 沙库巴曲缬沙坦
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地方师范院校公费师范生乡村小学从教意愿调查 被引量:51
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作者 蒋蓉 李新 +1 位作者 黄月胜 石慧 《教育研究与实验》 CSSCI 北大核心 2019年第6期29-34,共6页
地方师范院校针对乡村小学进行的公费师范生培养是补充乡村教师、促进教育均衡发展的有效途径。基于湖南省公费师范生乡村小学从教意愿的调研数据显示,地方师范院校大部分公费师范生都愿意履约从教,但是合约期满后继续从教和终身从教的... 地方师范院校针对乡村小学进行的公费师范生培养是补充乡村教师、促进教育均衡发展的有效途径。基于湖南省公费师范生乡村小学从教意愿的调研数据显示,地方师范院校大部分公费师范生都愿意履约从教,但是合约期满后继续从教和终身从教的意愿逐渐减弱;长远影响公费师范生从教意愿的最主要因素在于职业发展前景和薪资待遇、生存环境。基于此,提升地方师范院校公费师范生的从教意愿要优化入口与保证出口结合、增强职业信念和认同感的培养以及大力拓展职业发展空间,适度提高薪资,改善生存环境。 展开更多
关键词 地方师范院校 公费师范生 乡村小学 从教意愿
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Roux-en-Y choledochojejunostomy using novel magnetic compressive anastomats in canine model of obstructive jaundice 被引量:50
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作者 Chao Fan,Xiao-Peng Yan,shi-Qi Liu,Chun-Bao Wang,Jian-hui Li,Liang Yu,Zheng Wu and Yi Lv Department of Hepatobiliary Surgery and Department of Pathology,First Affiliated Hospital,School of Medicine,Xi’an Jiaotong University,Xi’an 710061,China Department of Surgical Oncology,Third Affiliated Hospital,School of Medicine,Xi’an Jiaotong University,Xi’an 710068,China 《Hepatobiliary & Pancreatic Diseases International》 SCIE CAS 2012年第1期81-88,共8页
BACKGROUND:The traditional hand-sewn Roux-en-Y choledochojejunostomy is technically complicated,and the incidence of postoperative complications has remained high.A set of novel magnetic compressive anastomats was int... BACKGROUND:The traditional hand-sewn Roux-en-Y choledochojejunostomy is technically complicated,and the incidence of postoperative complications has remained high.A set of novel magnetic compressive anastomats was introduced to facilitate choledochojejunostomy and improve the prognosis of patients.METHODS:After ligating the common bile duct for 7 days,16 dogs were randomly divided into two groups (n=8 per group).Anastomats were used in the study group,and the traditional hand-sewn method was used in the control group for standard Roux-en-Y choledochojejunostomy.We compared the operation time,incidence of complications,gross appearance,and pathological disparity in stoma between the two groups in 1-month and 3-month follow-up examinations.RESULTS:The time spent on constructing the anastomosis for the study group was significantly shortened.Although no anastomotic stenosis occurred in the two groups,the narrowing rate of biliary-enteric anastomosis was much higher in the control group.There was one case of bile leakage in the control group,whereas no bile leakage occurred in the study group.A smoother surface,an improved layer apposition,and a lower local inflammatory response were identified in the anastomosis of the study group.CONCLUSION:The structures of the novel magnetic compressive anastomats are simple,and they are time-saving,safe and efficient for performing Roux-en-Y choledocho- jejunostomy procedures in a canine model of obstructive jaundice. 展开更多
关键词 anastomosis Roux-en-Y CHOLEDOCHOSTOMY jaundice obstructive magnetic compressive anastomats
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噻托溴铵联合布地奈德福莫特罗治疗哮喘-慢阻肺重叠综合征临床观察 被引量:47
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作者 石慧 云春梅 +1 位作者 魏慧 高丽霞 《中国药师》 CAS 2020年第5期901-904,共4页
目的:观察噻托溴铵联合布地奈德福莫特罗治疗哮喘-慢阻肺重叠综合征(AOCS)的疗效及对患者呼出气一氧化氮(FeNO)、免疫功能、肺功能指标及内皮功能的影响。方法:AOCS患者98例随机分为观察组和对照组各49例。两组患者入院后均进行常规治疗... 目的:观察噻托溴铵联合布地奈德福莫特罗治疗哮喘-慢阻肺重叠综合征(AOCS)的疗效及对患者呼出气一氧化氮(FeNO)、免疫功能、肺功能指标及内皮功能的影响。方法:AOCS患者98例随机分为观察组和对照组各49例。两组患者入院后均进行常规治疗,观察组患者给予噻托溴铵联合布地奈德福莫特罗吸入治疗,对照组仅给予布地奈德福莫特罗吸入治疗,两组患者均治疗6个月。比较两组总有效率、治疗前后FeNO、免疫功能(Th1、Th2、Th1/Th2)、肺功能[1s用力呼气量(FEV1)、吸气分数(IC/TLC)、残总比(RV/VTC)]及内皮细胞功能[内皮素(ET-1)、可溶性细胞间黏附分子(SICAM-1)]水平变化,观察药品不良反应发生情况。结果:观察组总有效率为91.84%,明显高于对照组的75.51%(P<0.05)。治疗后,两组患者FEV1、IC/TLC、Th1、Th2及Th1/Th2水平均较治疗前升高,RV/VTC、FeNO、ET-1、SICAM-1水平均较治疗前降低(P<0.05或P<0.01);且两组间差异有统计学意义(P<0.01)。观察组药品不良反应发生率明显低于对照组(P<0.05)。结论:噻托溴铵联合布地奈德福莫特罗治疗AOCS患者临床疗效显著,可降低FeNO水平,有效改善患者肺功能及血管内皮功能,提高患者免疫功能,降低不良反应的发生率,安全性较高。 展开更多
关键词 噻托溴铵 布地奈德福莫特罗 哮喘-慢阻肺重叠综合征 呼出气一氧化氮 免疫功能 肺功能 内皮功能
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Molecular and Biochemical Evidence for Phenylpropanoid Synthesis and Presence of Wall-linked Phenolics in Cotton Fibers 被引量:47
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作者 Ling Fan Wei-Jun shi +4 位作者 Wen-Ran Hu Xinn-Ynn Hao Dong-Mei Wang hui Yuan Hong-Ying Yan 《Journal of Integrative Plant Biology》 SCIE CAS CSCD 2009年第7期626-637,共12页
The mature cotton (Gossypium hirsutum L.) fiber is a single cell with a typically thickened secondary cell wall. The aim of this research was to use molecular, spectroscopic and chemical techniques to investigate th... The mature cotton (Gossypium hirsutum L.) fiber is a single cell with a typically thickened secondary cell wall. The aim of this research was to use molecular, spectroscopic and chemical techniques to investigate the possible occurrence of previously overlooked accumulation of phenolics during secondary cell wall formation in cotton fibers. Relative quantitative reverse transcription-polymerase chain reaction analysis showed that GhCAD6 and GhCAD1 were predominantly expressed among seven gene homologs, only GhCAD6 was up-regulated during secondary wall formation in cotton fibers. Phylogenic analysis revealed that GhCAD6 belonged to Class I and was proposed to have a major role in monolignol biosynthesis, and GhCAD1 belonged to Class III and was proposed to have a compensatory mechanism for monolignol biosynthesis. Amino acid sequence comparison showed that the cofactor binding sites of GhCADs were highly conserved with high similarity and identity to bona fide cinnamyl alcohol dehydrogenases. The substrate binding site of GhCAD1 is different from GhCAD6. This difference was confirmed by the different catalytic activities observed with the enzymes. Cell wall auto-fluorescence, Fourier transform infrared spectroscopy (FTIR), high-performance liquid chromatography (HPLC) and chemical analyses confirmed that phenolic compounds were bound to the cell walls of mature cotton fibers. Our findings may suggest a potential for genetic manipulation of cotton fiber properties, which are of central importance to agricultural, cotton processing and textile industries. 展开更多
关键词 cell wall cotton fiber gene expression phenolics phenylpropanoid biosynthesis pathway
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新疆旅游产业-经济发展-生态环境耦合态势分析及预测 被引量:46
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作者 赵胡兰 杨兆萍 +3 位作者 韩芳 时卉 王璀蓉 郭姣姣 《干旱区地理》 CSCD 北大核心 2020年第4期1146-1154,共9页
旅游产业作为国家战略产业之一,在经济发展中起到了很大的贡献作用,旅游与经济的发展都以生态环境为主要依托,因此处理好三者之间的关系是实现可持续发展的关键。在构建旅游产业-经济发展-生态环境评价指标体系的基础上,运用耦合协调模... 旅游产业作为国家战略产业之一,在经济发展中起到了很大的贡献作用,旅游与经济的发展都以生态环境为主要依托,因此处理好三者之间的关系是实现可持续发展的关键。在构建旅游产业-经济发展-生态环境评价指标体系的基础上,运用耦合协调模型对新疆2008-2017年三大系统耦合协调发展进行综合实证研究,并利用灰色预测模型GM(1,1)对未来五年的耦合协调度进行预测。结果表明:2008-2017年新疆旅游产业-经济发展-生态环境系统综合发展状态可分为两种类型,其中2008-2010年为生态超前型,2011-2017年为经济超前型;三大系统之间具有较高的关联度,从时间维度上看,耦合协调度呈现波动上升的趋势,从协调等级上看,整体从初级协调逐步演变到中级协调;未来几年内,新疆三大系统的耦合协调度总体上呈现小幅增长的趋势,在2021年达到良好协调水平。 展开更多
关键词 耦合协调模型 旅游产业 经济发展 生态环境 新疆
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创伤骨科患者围术期下肢静脉血栓形成诊断及防治专家共识(2022年) 被引量:44
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作者 周武 曹发奇 +44 位作者 曾睿寅 姜保国 唐佩福 吴新宝 余斌 侯志勇 黎健 苏佳灿 刘国栋 禹宝庆 袁志 倪江东 陈雁西 傅德皓 童培建 王栋梁 张殿英 张鹏 张云飞 牛丰 杨雷 杨强 施忠民 周强 王俊文 王勇 何承建 车彪 赵猛 夏平 熊蠡茗 曹烈虎 陈晓 李卉 孙云 胡良聪 胡衍 刘梦非 米博斌 熊元 薛航 林泽 张英泽 胡豫 刘国辉 《中华创伤杂志》 CAS CSCD 北大核心 2022年第1期23-31,共9页
下肢深静脉血栓形成(DVT)是创伤骨科患者的主要并发症之一,严重DVT甚至会影响动脉供血,出现相应肢体供血不足。若发生血栓脱落可并发肺栓塞,病死率较高。临床上下肢骨折患者DVT的治疗和康复策略均有其特殊性。创伤骨科患者并发DVT已经... 下肢深静脉血栓形成(DVT)是创伤骨科患者的主要并发症之一,严重DVT甚至会影响动脉供血,出现相应肢体供血不足。若发生血栓脱落可并发肺栓塞,病死率较高。临床上下肢骨折患者DVT的治疗和康复策略均有其特殊性。创伤骨科患者并发DVT已经引起广泛的关注与研究,预防和治疗DVT的最佳措施也在不断发展。近年来国内外陆续更新了一系列血栓防治指南,但临床上对于不同创伤骨折患者DVT的防治方式仍有不少疑惑。因此,笔者在总结国内外最新的循证医学证据和广大专家的临床经验基础上,针对创伤骨科患者DVT的临床诊疗和预防方案进行总结,就下肢DVT的诊断、评估、治疗及预防措施等方面制订本共识,为创伤骨科患者下肢DVT的处理提供一套适合我国国情且简便易行的方案,以期改善患者预后,提高其生活质量。 展开更多
关键词 创伤骨科患者 并发肺栓塞 循证医学证据 下肢静脉血栓形成 血栓脱落 下肢骨折患者 供血不足 动脉供血
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