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A rapid advice guideline for the diagnosis and treatment of 2019 novel coronavirus(2019-nCoV) infected pneumonia(standard version) 被引量:159
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作者 ying-Hui Jin Lin Cai +44 位作者 Zhen-Shun Cheng Hong Cheng tong Deng yi-Pin Fan Cheng Fang Di Huang Lu-Qi Huang Qiao Huang Yong Han Bo Hu Fen Hu Bing-Hui Li yi-Rong Li Ke Liang Li-Kai Lin Li-Sha Luo Jing Ma Lin-Lu Ma Zhi-Yong Peng Yun-Bao Pan Zhen-Yu Pan Xue-Qun Ren Hui-Min Sun ying Wang Yun-Yun Wang Hong Weng Chao-Jie Wei Dong-Fang Wu Jian Xia Yong Xiong Hai-Bo Xu Xiao-Mei Yao Yu-Feng Yuan Tai-Sheng Ye Xiao-Chun Zhang ying-Wen Zhang yin-Gao Zhang Hua-Min Zhang Yan Zhao Ming-Juan Zhao Hao Zi Xian-Tao Zeng Yong-Yan Wang Xing-Huan Wang 《Military Medical Research》 SCIE CAS CSCD 2020年第1期1-22,共22页
In December 2019, a new type viral pneumonia cases occurred in Wuhan, Hubei Province;and then named "2019 novel coronavirus(2019-nCoV)" by the World Health Organization(WHO) on 12 January 2020. For it is a n... In December 2019, a new type viral pneumonia cases occurred in Wuhan, Hubei Province;and then named "2019 novel coronavirus(2019-nCoV)" by the World Health Organization(WHO) on 12 January 2020. For it is a never been experienced respiratory disease before and with infection ability widely and quickly, it attracted the world’s attention but without treatment and control manual. For the request from frontline clinicians and public health professionals of 2019-nCoV infected pneumonia management, an evidence-based guideline urgently needs to be developed. Therefore, we drafted this guideline according to the rapid advice guidelines methodology and general rules of WHO guideline development;we also added the first-hand management data of Zhongnan Hospital of Wuhan University. This guideline includes the guideline methodology, epidemiological characteristics, disease screening and population prevention, diagnosis, treatment and control(including traditional Chinese Medicine), nosocomial infection prevention and control, and disease nursing of the 2019-nCoV. Moreover, we also provide a whole process of a successful treatment case of the severe 2019-nCoV infected pneumonia and experience and lessons of hospital rescue for 2019-nCoV infections. This rapid advice guideline is suitable for the first frontline doctors and nurses, managers of hospitals and healthcare sections, community residents, public health persons, relevant researchers, and all person who are interested in the 2019-nCoV. 展开更多
关键词 2019 novel coronavirus 2019-nCoV Respiratory disease PNEUMONIA Infectious diseases Rapid advice guideline Clinical practice guideline Evidence-based medicine
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双下肢动脉硬化远端动脉的影像特点的研究 被引量:129
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作者 谷涌泉 tong yi-Sha 《中国实用外科杂志》 CSCD 北大核心 2003年第3期165-166,共2页
目的 探讨双侧下肢动脉硬化的影像学特点。方法 回顾性地分析了Austin医学中心的 2 86例病人的双下肢远端流出道动脉的血管造影 ,并应用“分数”对每个病人进行评估。结果 双下肢分数之差 ,Ⅰ型 ( 0~ 3分 ) 2 0 8例 ( 72 7% ) ,Ⅱ... 目的 探讨双侧下肢动脉硬化的影像学特点。方法 回顾性地分析了Austin医学中心的 2 86例病人的双下肢远端流出道动脉的血管造影 ,并应用“分数”对每个病人进行评估。结果 双下肢分数之差 ,Ⅰ型 ( 0~ 3分 ) 2 0 8例 ( 72 7% ) ,Ⅱ型 ( 4~ 9分 ) 6 3例 ( 2 2 % ) ,Ⅲ型 (≥ 10分 ) 15例 ( 5 3 % ) ,各型差别有非常显著的意义。糖尿病与非糖尿病比较 ,经 χ2 检验差异无明显意义 (P >0 0 5 )。性别比较 ,经 χ2 检验差异无明显意义 (P >0 0 5 )。年龄比较 ,经 χ2 检验差异无明显意义 (P >0 0 5 )。结论 无论是糖尿病或是非糖尿病病人 ,其双下肢的动脉硬化均是对称性发展。无论是男性或是女性 ,都具有这种对称性发展的特点 ;而且这种特点是不随着年龄的变化而变化。 展开更多
关键词 下肢动脉硬化 流出道动脉 影像学检查 血管造影
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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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城市建成环境对广州市居民幸福感的影响——基于15 min步行可达范围的分析 被引量:43
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作者 刘晔 肖童 +3 位作者 刘于琪 邱婴芝 刘义 李志刚 《地理科学进展》 CSSCI CSCD 北大核心 2020年第8期1270-1282,共13页
人民群众幸福感的提升,是新型城镇化的落脚点,改善人居环境是城镇化质量提升的必然要求。既有的社区环境与居民幸福感关系的研究大多基于行政管辖范围评估社区的建成环境状况,且忽视了城市建成环境影响居民幸福感的中间机制。论文基于... 人民群众幸福感的提升,是新型城镇化的落脚点,改善人居环境是城镇化质量提升的必然要求。既有的社区环境与居民幸福感关系的研究大多基于行政管辖范围评估社区的建成环境状况,且忽视了城市建成环境影响居民幸福感的中间机制。论文基于广州市23个社区采集的问卷调查数据,利用多层线性回归模型、中介效应分析和分层分析,识别影响居民幸福感的建成环境因素,揭示了居住满意度所起到的中介作用,尤其关注缓冲区的重新划定对分析结果的影响,以及建成环境对幸福感影响的异质性效应。结果表明:(1)相较于行政管辖范围和1000 m面要素缓冲区,基于15 min步行可达范围所提取的建成环境指标与居民主观幸福感的关联程度更高;(2)人均绿地面积、POI点密度与居民幸福感呈正相关关系,人口密度与幸福感呈负相关关系;(3)居住满意度在POI点密度与居民主观幸福感之间的关系中发挥了完全中介作用;(4)异质性分析结果表明,社区建成环境与个体幸福感的关联程度因居民的户籍、住房产权和就业情况不同而呈现显著差异。 展开更多
关键词 主观幸福感 社区建成环境 多层线性回归 中介效应 异质性 广州
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标准化病人结合CBL教学模式在眼科学专业硕士临床实践教学中的应用 被引量:40
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作者 梁瀛 李汉林 +6 位作者 仇雪梅 潘曈 周琼 裴重刚 邵毅 吴晓蓉 童桂芳 《国际眼科杂志》 CAS 北大核心 2021年第5期895-898,共4页
目的:探讨标准化病人(SP)与以病例为基础的学习(CBL)模式相结合的教学模式应用在眼科学专业硕士研究生临床实践教学中的效果。方法:于2017-07/2019-07选取南昌大学第一附属医院眼科病区2017、2018、2019级专业硕士研究生40名为研究对象... 目的:探讨标准化病人(SP)与以病例为基础的学习(CBL)模式相结合的教学模式应用在眼科学专业硕士研究生临床实践教学中的效果。方法:于2017-07/2019-07选取南昌大学第一附属医院眼科病区2017、2018、2019级专业硕士研究生40名为研究对象,随机进行分组,研究组20名采取SP+CBL案例式相结合的教学模式;对照组20名采取传统课堂带教学习(LBL)教学模式。两组教学师资、内容与时间(12mo)无差别,观察并比较两组学生学习能力、理论知识和临床技能操作考核成绩,并针对学生对教学效果的评价进行统计学分析。结果:两组学生入学成绩无明显差异,教学后研究组学生学习积极性、记忆效率、临床操作技能及医患沟通能力均更具优势(P<0.05),理论知识和临床技能操作考核成绩均优于对照组(87.95±6.78分vs 78.95±6.28分,82.20±4.53分vs 75.95±4.05分,均P<0.05),且研究组学生对实行SP+CBL案例式教学模式的评价显著高于实行LBL教学模式的对照组(P<0.05)。结论:SP与CBL案例式教学相结合的教学模式对眼科学专业硕士研究生的临床实践教学有显著优势。 展开更多
关键词 标准化病人 CBL案例式教学 教学模式 眼科学 专业硕士研究生 临床实践
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Contamination of Fungi and Mycotoxins in Foodstuffs in High Risk Area of Esophageal Cancer 被引量:38
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作者 ZHANG XIANG-HONG XIE tong-XIN +5 位作者 LI SHAO-SEN WANG JUN-LING YAN XIA WANG ZHAO-yi WANG FENG-RONG AND FU CHENG-GUANG(Department of Experimental Pathology, Hebei Medical University,Shijiazhuang 050017, China Research Center of Physical and Chemical Analysis, He 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 1998年第2期140-146,共7页
Fungal and mycotoxin contamination has been found in fordstuffs from Cixian County, an area with a high incidence of esophageal carcinoma (Eca). To set a scientific foundation for the prevention of Eca at the etiologi... Fungal and mycotoxin contamination has been found in fordstuffs from Cixian County, an area with a high incidence of esophageal carcinoma (Eca). To set a scientific foundation for the prevention of Eca at the etiological level, fungal and mycotoxin contaminations of local foodstuffs in Cixian County were analyzed using classical fungal culture methods and HPLC. From 1990 to 1994, 220 corn/wheat samples and 34 corn samples were studied. As a control, 26 corn samples collected from a relatively low incidence area of Eca in Zanhuang County were analyzed for mycotoxins in 1990. The results showed that fungal contamination in corn and wheat was severe and that several of the predominant contaminating fungi such as Furasium moniliforme, etc. were carcinogenic. HPLC results showed that the detection rate and mean content of the mycotoxin sterigmatocystin (ST) in the mountainous area (5/8; 9. 14 μg/kg) were significantly higher than those in the hilly (0; 0) and plain areas (1/18; 1. 29 μg/kg) as well as in low risk area control samples (3/26; 0. 76 μg/kg). Detection rates of deoxynivalenol (DON) in mountainous and hilly areas (5/8, 4/8 respectively) were slightly higher than that in plain area (8/18), while the mean content of DON in the plain area was significantly higher (90. 45-170. 22 vs 50. 56 and 46. 45 μg/kg).Among the different aflatoxins, AFB1 was detected in samples from the two villages in the plain area for the subsequent two years. The mean content of AFB1 was 0. 0183μg/kg, and the highest level was 0. 0497 μg/kg. No AFB1 was detected in the samples from mountainous and hilly areas. AFG1 was detected in more than half of all the samples, and its concentration ranged from 8. 77 to 46. 51 ng/kg. No AFG2 was found in the samples. Thus, the results suggest that at present, fungal and mycotoxin contamination of foodstuffs in Cixian County are quite common. 展开更多
关键词 LI WANG Contamination of Fungi and Mycotoxins in Foodstuffs in High Risk Area of Esophageal Cancer
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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:36
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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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内痔套扎术联合外痔切除术对Ⅱ-Ⅳ期混合痔患者围术期指标、疼痛症状及肛肠动力学指标的影响 被引量:33
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作者 佟瑶 沈艺 +2 位作者 刘磊 张译心 陈瑞超 《现代生物医学进展》 CAS 2020年第23期4522-4525,共4页
目的:探讨内痔套扎术联合外痔切除术对Ⅱ-Ⅳ期混合痔患者围术期指标、疼痛症状及肛肠动力学指标的影响。方法:选取2017年1月~2019年6月期间我院收治的95例Ⅱ-Ⅳ期混合痔患者,根据手术方式的不同分为对照组(n=44)和研究组(n=51),对照组... 目的:探讨内痔套扎术联合外痔切除术对Ⅱ-Ⅳ期混合痔患者围术期指标、疼痛症状及肛肠动力学指标的影响。方法:选取2017年1月~2019年6月期间我院收治的95例Ⅱ-Ⅳ期混合痔患者,根据手术方式的不同分为对照组(n=44)和研究组(n=51),对照组给予外剥内扎术,研究组则给予内痔套扎术联合外痔切除术,比较两组患者围术期指标、疼痛症状评分、肛肠动力学指标及并发症发生情况。结果:研究组术中出血量少于对照组(P<0.05);手术时间、创面愈合时间、肛门疼痛消退时间短于对照组(P<0.05)。与术前比较,两组患者术后1、7、14 d视觉模拟评分量表(VAS)评分呈先升高后降低趋势(P<0.05),且研究组VAS评分低于对照组(P<0.05)。两组患者术后3个月肛管静息压、直肠最大耐受量、直肠感觉阈值、肛管最大收缩压均下降,且研究组低于对照组(P<0.05)。研究组术后并发症发生率低于对照组(P<0.05)。结论:内痔套扎术联合外痔切除术治疗Ⅱ-Ⅳ期混合痔患者,可有效改善患者围术期相关指标,改善患者疼痛症状及肛肠动力学指标,同时还可减少并发症发生率,临床应用价值较高。 展开更多
关键词 内痔套扎术 外痔切除术 Ⅱ-Ⅳ期混合痔 围术期指标 疼痛症状 肛肠动力学
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中国海洋石油集团有限公司深水钻完井技术进展及展望 被引量:31
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作者 刘书杰 谢仁军 +2 位作者 仝刚 吴怡 徐国贤 《石油学报》 EI CAS CSCD 北大核心 2019年第S02期168-173,共6页
近年来,深水区域成为油气资源重要的潜力区与增长极。中国海洋石油集团有限公司(中国海油)在深水领域从跟踪学习、对外合作到自主创新,目前在西非、巴西、墨西哥湾均拥有深水权益区块,已安全高效完成40余口深水井钻完井作业,正在稳步推... 近年来,深水区域成为油气资源重要的潜力区与增长极。中国海洋石油集团有限公司(中国海油)在深水领域从跟踪学习、对外合作到自主创新,目前在西非、巴西、墨西哥湾均拥有深水权益区块,已安全高效完成40余口深水井钻完井作业,正在稳步推进中国首个自营深水气田的开发作业。中国海油已经掌握了深水钻完井系列技术,在深水隔水管、深水浅层安全高效钻井、深水测试和完井、深水井控及应急救援等方面形成了技术体系。面向未来,中国海油将聚焦深水高温高压、超深水、深水深井、深海天然气水合物等领域,进一步发展作业风险控制及安全应急技术,着力实现信息化、智能化、国产化,助推中国海洋石油工业走向更深、更远。 展开更多
关键词 中国海洋石油集团有限公司 深水区域 钻完井技术 技术挑战 展望
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麦芽糊精的功能特性及其应用研究进展 被引量:30
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作者 应欣 卢玉 +2 位作者 李义 佟毅 张连慧 《中国粮油学报》 EI CAS CSCD 北大核心 2019年第12期131-137,共7页
麦芽糊精作为一种广泛应用的食品原料,不同DE值及分子量分布的麦芽糊精在稳定性、吸湿性、黏度、溶解性、甜度、渗透性等功能特性上有较大的差异。本文主要对麦芽糊精用作食品干燥助剂、包埋用壁材和提升蛋白功能特性三个应用领域的最... 麦芽糊精作为一种广泛应用的食品原料,不同DE值及分子量分布的麦芽糊精在稳定性、吸湿性、黏度、溶解性、甜度、渗透性等功能特性上有较大的差异。本文主要对麦芽糊精用作食品干燥助剂、包埋用壁材和提升蛋白功能特性三个应用领域的最新研究进展做了综述,重点分析了不同应用领域对麦芽糊精功能特性的不同需求,以期对麦芽糊精的推广应用提供借鉴。随着食品应用要求的提升,更专一化和定制化的麦芽糊精将成为研究的热点,本文也为麦芽糊精的深入研究提供了新的研究思路。 展开更多
关键词 麦芽糊精 功能特性 干燥助剂 微胶囊 美拉德反应
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The first data release(DR1) of the LAMOST regular survey 被引量:29
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作者 A-Li Luo Yong-Heng Zhao +134 位作者 Gang Zhao Li-Cai Deng Xiao-Wei Liu yi-Peng Jing Gang Wang Hao-tong Zhang Jian-Rong Shi Xiang-Qun Cui Yao-Quan Chu Guo-Ping Li Zhong-Rui Bai Yue Wu Yan Cai Shu-Yun Cao Zi-Huang Cao Jeffrey L.Carlin Hai-Yuan Chen Jian-Jun Chen Kun-Xin Chen Li Chen Xue-Lei Chen Xiao-Yan Chen ying Chen Norbert Christlieb Jia-Ru Chu Chen-Zhou Cui yi-Qiao Dong Bing Du Dong-Wei Fan Lei Feng Jian-Ning Fu Peng Gao Xue-Fei Gong Bo-Zhong Gu Yan-Xin Guo Zhan-Wen Han Bo-Liang He Jin-Liang Hou Yong-Hui Hou Wen Hou Hong-Zhuan Hu Ning-Sheng Hu Zhong-Wen Hu Zhi-ying Huo Lei Jia Fang-Hua Jiang Xiang Jiang Zhi-Bo Jiang Ge Jin Xiao Kong Xu Kong Ya-Juan Lei Ai-Hua Li Chang-Hua Li Guang-Wei Li Hai-Ning Li Jian Li Qi Li Shuang Li Sha-Sha Li Xin-Nan Li Yan Li yin-Bi Li Ye-Ping Li Yuan Liang Chien-Cheng Lin Chao Liu Gen-Rong Liu Guan-Qun Liu Zhi-Gang Liu Wen-Zhi Lu Yu Luo yin-Dun Mao Heidi Newberg Ji-Jun Ni Zhao-Xiang Qi Yong-Jun Qi Shi-yin Shen Huo-Ming Shi Jing Song yi-Han Song Ding-Qiang Su Hong-Jun Su Zheng-Hong Tang Qing-Sheng Tao Yuan Tian Dan Wang Da-Qi Wang Feng-Fei Wang Guo-Min Wang Hai Wang Hong-Chi Wang Jian Wang Jia-Ning Wang Jian-Ling Wang Jian-Ping Wang Jun-Xian Wang Lei Wang Meng-Xin Wang Shou-Guan Wang Shu-Qing Wang Xia Wang Ya-Nan Wang You Wang Yue-Fei Wang You-Fen Wang Peng Wei Ming-Zhi Wei Hong Wu Ke-Fei Wu Xue-Bing Wu Yu-Zhong Wu Xiao-Zheng Xing Ling-Zhe Xu Xin-Qi Xu Yan Xu Tai-Sheng Yan De-Hua Yang Hai-Feng Yang Hui-Qin Yang Ming Yang Zheng-Qiu Yao Yong Yu Hui Yuan Hai-Bo Yuan Hai-Long Yuan Wei-Min Yuan Chao Zhai En-Peng Zhang Hua-Wei Zhang Jian-Nan Zhang Li-Pin Zhang Wei Zhang Yong Zhang Yan-Xia Zhang 《Research in Astronomy and Astrophysics》 SCIE CAS CSCD 2015年第8期1095-1124,共30页
The Large sky Area Multi-Object Fiber Spectroscopic Telescope(LAMOST) general survey is a spectroscopic survey that will eventually cover approximately half of the celestial sphere and collect 10 million spectra of ... The Large sky Area Multi-Object Fiber Spectroscopic Telescope(LAMOST) general survey is a spectroscopic survey that will eventually cover approximately half of the celestial sphere and collect 10 million spectra of stars, galaxies and QSOs. Objects in both the pilot survey and the first year regular survey are included in the LAMOST DR1. The pilot survey started in October 2011 and ended in June 2012, and the data have been released to the public as the LAMOST Pilot Data Release in August 2012. The regular survey started in September 2012, and completed its first year of operation in June 2013. The LAMOST DR1 includes a total of 1202 plates containing 2 955 336 spectra, of which 1 790 879 spectra have observed signalto-noise ratio(SNR) ≥ 10. All data with SNR ≥ 2 are formally released as LAMOST DR1 under the LAMOST data policy. This data release contains a total of 2 204 696 spectra, of which 1 944 329 are stellar spectra, 12 082 are galaxy spectra and 5017 are quasars. The DR1 not only includes spectra, but also three stellar catalogs with measured parameters: late A,FGK-type stars with high quality spectra(1 061 918 entries), A-type stars(100 073 entries), and M-type stars(121 522 entries). This paper introduces the survey design, the observational and instrumental limitations, data reduction and analysis, and some caveats. A description of the FITS structure of spectral files and parameter catalogs is also provided. 展开更多
关键词 techniques: spectroscopic survey—data release—catalog
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浸润性三阴性乳腺癌超声影像组学特征与肿瘤生物学特性的关系研究 被引量:29
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作者 李佳伟 方舟 +6 位作者 周瑾 童宇洋 时兆婷 常才 郭翌 余锦华 汪源源 《中华超声影像学杂志》 CSCD 北大核心 2019年第2期137-143,共7页
目的研究三阴性乳腺癌超声影像组学定量特征与其临床、病理及免疫组化特征的关系。方法收集96例手术病理证实的浸润性三阴性乳腺癌病例,按照患者年龄、肿瘤大小、病理组织学级别、Ki67表达水平及人类表皮生长因子受体2(HER-2)评分分组... 目的研究三阴性乳腺癌超声影像组学定量特征与其临床、病理及免疫组化特征的关系。方法收集96例手术病理证实的浸润性三阴性乳腺癌病例,按照患者年龄、肿瘤大小、病理组织学级别、Ki67表达水平及人类表皮生长因子受体2(HER-2)评分分组。同时收集患者的术前超声图像,利用基于相位信息的动态轮廓模型进行边缘分割并提取高通量特征。对每一幅超声图像提取的特征共460个。利用K-svd算法对提取的460维度的特征矩阵进行字典学习,以稀疏表示判断所提取的特征与需要分类的变量之间的相关度。将相关度的权重从大到小排序,按照相关度的权重选取权重最大的特征组合数量输入支持向量机(SVM)分类器以决定选取特征的数量。运用径向基核函数进行分析,预测效能用准确性及ROC曲线下面积(AUC)来表示。结果浸润性三阴性乳腺癌的超声高通量特征与肿块的病理学分级、Ki67表达水平及HER-2表达相关性较大,准确性92.2%~96.9%,AUC98.7%~99.9%。对病理学分级预测分组选取82个特征,权重最大的参数为形态特征中的同二阶中心从矩椭圆离心率;对Ki67表达水平预测分组选取100个特征,权重最大的参数为基于边界纹理特征的环形区的标准偏差;对HER-2表达高低预测分组选取85个特征,权重最大的参数为基于领域灰度差分矩阵(NGTDM)纹理特征的强度。结论浸润性三阴性乳腺癌的超声影像组学定量特征与肿瘤的病理及免疫组化特征具有相关性。超声影像组学特征对预测三阴性乳腺癌的生物学特性具有一定的价值。 展开更多
关键词 超声检查 乳腺肿瘤 病理学 影像组学 免疫组化
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Pretreatment with Tongxinluo protects porcine myocardium from ischaemia/reperfusion injury through a nitric oxide related mechanism 被引量:28
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作者 CHENG Yu-tong YANG Yue-jin +5 位作者 ZHANG Hai-tao QIAN Hai-yan ZHAO Jing-lin MENG Xian-min LUO Fu-liang WU yi-ling 《Chinese Medical Journal》 SCIE CAS CSCD 2009年第13期1529-1538,共10页
Background The traditional Chinese medicine injury, but the mechanism of its action is not we protective role of Tongxinluo. Tongxinluo can protect myocardium against documented. We examined the involvement schaemia/r... Background The traditional Chinese medicine injury, but the mechanism of its action is not we protective role of Tongxinluo. Tongxinluo can protect myocardium against documented. We examined the involvement schaemia/reperfusion of nitric oxide in the Methods Miniswine were randomized to four groups of seven: sham, control, Tongxinluo and Tongxinluo coadministration with a nitric oxide synthase inhibitor N^ωnitro-L-arginine (L-NNA, 10 mg/kg i.v.). Three hours after administration of Tongxinluo, the animals were anaesthetised and the left anterior descending coronary artery ligated and maintained in situ for 90 minutes followed by 3 hours of reperfusion before death. Area of no reflow and necrosis and risk region were determined pathologically by planimetry. The degree of neutrophil accumulation in myocardium was obtained by measuring myeloperoxidase activity and histological analysis. Myocardial endothelial nitric oxide synthase activity and vascular endothelial cadherin content were measured by colorimetric method and immunoblotting analysis respectively. Results Tongxinluo significantly increased the local blood flow and limited the infarct and size of no reflow. Tongxinluo also attenuated myeloperoxidase activity and neutrophil accumulation in histological sections and maintained the level of vascular endothelial cadherin and endothelial nitric oxide synthase activity in the reflow region when compared with control group. The protection of Tongxinluo was counteracted by coadministration with L-NNA. Conclusions Tongxinluo may limit myocardial ischaemia and protect the heart against reperfusion injury. Tongxinluo regulates synthesis of nitric oxide by altering activity of endothelial nitric oxide synthase. 展开更多
关键词 myocardial infarction myocardial reperfusion injury nitric oxide drugs Chinese Herbal neutrophil infiltration
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Sufentanil reduces emergence agitation in children receiving sevoflurane anesthesia for adenotonsillectomy compared with fentanyl 被引量:27
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作者 LI Jun HUANG Zhi-lian ZHANG Xu-tong LUO Ke ZHANG Zhan-qin MAO yi ZHUANG Xiao-biao LIAN Qing-quan CAO Hong 《Chinese Medical Journal》 SCIE CAS CSCD 2011年第22期3682-3685,共4页
Background Emergence agitation is a common problem in pediatric anesthesia, especially after sevoflurane induction and maintenance anesthesia. The purpose of this study was to investigate the effect of sufentanil to r... Background Emergence agitation is a common problem in pediatric anesthesia, especially after sevoflurane induction and maintenance anesthesia. The purpose of this study was to investigate the effect of sufentanil to reduce emergence agitation after sevoflurane anesthesia in children undergoing adenotonsillectomy compared with fentanyl. Methods One hundred and five children, aged 3-11 years, were randomly allocated to receive normal saline (control group), sufentanil 0.2 pg/kg (S2) or fentanyl 2 pg/kg (F2) 1 minute after loss of the eyelash reflex. Anesthesia was induced and maintained with sevoflurane. Time to tracheal extubation, recovery time, Paediatric Anesthesia Emergence Delirium (PAED) scale, and emergence behavior were assessed. Results The incidence of severe agitation was significantly lower in $2 and F2 groups vs. the control group, 4/32 and 15/34 vs. 24/34 respectively, (P=0.002, 0.009, respectively). PAED scales were significantly different among three groups (P=0.007), and lower in the S2 and F2 groups than in the control group (P=0.007 and P=-0.025, respectively). And the incidence of severe agitation and the PAED scale score was significantly different between the $2 and F2 groups (P=-0.007, P=0.019, respectively). Time to tracheal extubation and recovery time were similar in all three groups. Conclusions Administration of sufentanil at 0.2 IJg/kg after induction of anesthesia reduced emergence agitation in children receiving sevoflurane anesthesia for adenotonsillectomy compared with fentanyl. This was without delaying the recovery time or causing significant hypotension. 展开更多
关键词 ANESTHESIA SUFENTANIL FENTANYL emergence agitation CHILDREN
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中性粒细胞/淋巴细胞比值与系统性红斑狼疮脏器受累及疾病活动的相关性分析 被引量:27
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作者 林维 张卫茹 +7 位作者 李通 王萱 李佳容 王萌 黄婷 周月圆 彭一 宁旺斌 《中华肾脏病杂志》 CAS CSCD 北大核心 2019年第3期191-197,共7页
目的探讨中性粒细胞/淋巴细胞比值(neutrophil-lymphocyte ratio,NLR)与系统性红斑狼疮(systemic lupus erythematosus,SLE)疾病活动的相关性,及SLE患者不同脏器受累时的NLR变化情况。方法选取2010—2018年中南大学湘雅医院风湿免疫科... 目的探讨中性粒细胞/淋巴细胞比值(neutrophil-lymphocyte ratio,NLR)与系统性红斑狼疮(systemic lupus erythematosus,SLE)疾病活动的相关性,及SLE患者不同脏器受累时的NLR变化情况。方法选取2010—2018年中南大学湘雅医院风湿免疫科确诊的初治SLE患者155例为SLE组,135例健康体检者为健康对照组。根据SLE患者有无肾脏受累或浆膜炎,将SLE患者分为狼疮肾炎组(LN组)和无狼疮肾炎组(无LN组)、浆膜炎组和无浆膜炎组;根据系统性红斑狼疮疾病活动度指数2000(SLEDAI-2000)将患者分为轻中度疾病活动组(SLEDAI评分<15分)和重度疾病活动组(SLEDAI评分≥15分),分别比较以上各组的NLR值。同时利用Spearman相关分析分析NLR与SLE患者实验室指标的相关性,采用多重线性回归模型分析NLR与SLE疾病活动度之间的关系,通过绘制受试者工作特征曲线(ROC)评价NLR在SLE诊断及活动性评估中的价值。结果(1)SLE患者的NLR值明显高于健康对照组,差异有统计学意义(P<0.01)。(2)LN组的NLR值高于无LN组,合并浆膜炎SLE患者的NLR值高于无浆膜炎组,差异均有统计学意义(均P<0.05)。(3)重度疾病活动组SLE患者的NLR值高于轻中度疾病活动组,差异有统计学意义(P<0.01)。(4)SLE患者的NLR分别与C反应蛋白(CRP)(rs=0.188,P=0.019)、SLEDAI评分(rs=0.264,P=0.001)呈正相关,与血清总蛋白(rs=-0.250,P=0.002)、血清白蛋白(rs=-0.329,P<0.001)呈负相关。(5)多重线性回归分析示NLR与SLE疾病活动独立相关(B=0.351,95%CI0.012~0.690,t=2.047,P=0.042)。(6)根据ROC曲线,NLR用于诊断SLE的最佳截断值为2.17(敏感性为60.0%,特异性为83.1%,AUC=0.744),预测SLE患者重度疾病活动的NLR最佳截段值为3.28(敏感性为58.5%,特异性为78.1%,AUC=0.700)。结论NLR与SLE患者的肾脏受累、浆膜炎及疾病活动密切相关,提示其作为一种新的炎症指标,对评估SLE疾病活动及脏器受累具有重要意义。 展开更多
关键词 红斑狼疮 系统性 狼疮肾炎 浆膜炎 中性粒细胞/淋巴细胞比值 疾病活动度
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基于柔性多状态开关的主动配电网负荷在线紧急转供策略 被引量:27
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作者 祝旭焕 童宁 +3 位作者 林湘宁 李正天 陆翌 杨勇 《电力系统自动化》 EI CSCD 北大核心 2019年第24期87-95,共9页
配电网故障后,传统基于联络线的负荷转供方法存在停电转供、容易引起非故障线路过负荷等诸多问题。近年来出现的一种配电灵活交流输电(DFACTS)设备--智能软开关为上述问题的解决提供了契机。依托其对多条相连线路功率的柔性调节能力,提... 配电网故障后,传统基于联络线的负荷转供方法存在停电转供、容易引起非故障线路过负荷等诸多问题。近年来出现的一种配电灵活交流输电(DFACTS)设备--智能软开关为上述问题的解决提供了契机。依托其对多条相连线路功率的柔性调节能力,提出了一种兼顾故障馈线残余负荷以及非故障馈线安全运行约束的负荷快速在线转供策略。首先建立了线路末端功率和各节点电压的关系,设置满足配电网正常运行状态的约束条件;在此基础上,以最大负荷转供量为上层目标函数,以电压偏差最小为下层目标函数,在约束范围内进行求解,获取最优潮流分配方法。最后针对上述最优潮流可能影响非故障馈线的安全运行的特殊场景,提出了在保证正常线路安全运行前提下最大程度保全待转供负荷的紧急切负荷策略和实现方案。依托大江东工程实际拓扑结构,搭建了基于PSCAD-MATLAB的联合仿真平台。结果表明,所提出的方案能够实现负荷的不断电在线转供。 展开更多
关键词 智能软开关 负荷转供 最优潮流分配 紧急负荷切除
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Progress in active compounds effective on ulcerative colitis from Chinese medicines 被引量:27
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作者 CAO Si-Yu YE Sheng-Jie +3 位作者 WANG Wei-Wei WANG Bing ZHANG tong PU yi-Qiong 《Chinese Journal of Natural Medicines》 SCIE CAS CSCD 2019年第2期81-102,共22页
Ulcerative colitis(UC), a chronic inflammatory disease affecting the colon, has a rising incidence worldwide. The known pathogenesis is multifactorial and involves genetic predisposition, epithelial barrier defects, d... Ulcerative colitis(UC), a chronic inflammatory disease affecting the colon, has a rising incidence worldwide. The known pathogenesis is multifactorial and involves genetic predisposition, epithelial barrier defects, dysregulated immune responses, and environmental factors. Nowadays, the drugs for UC include 5-aminosalicylic acid, steroids, and immunosuppressants. Long-term use of these drugs, however, may cause several side effects, such as hepatic and renal toxicity, drug resistance and allergic reactions. Moreover, the use of traditional Chinese medicine(TCM) in the treatment of UC shows significantly positive effects, low recurrence rate, few side effects and other obvious advantages. This paper summarizes several kinds of active compounds used in the experimental research of anti-UC effects extracted from TCM, mainly including flavonoids, acids, terpenoids, phenols, alkaloids, quinones, and bile acids from some animal medicines. It is found that the anti-UC activities are mainly focused on targeting inflammation or oxidative stress, which is associated with increasing the levels of anti-inflammatory cytokine(IL-4, IL-10, SOD), suppressing the levels of pro-inflammatory cytokines(TNF-α, IL-1β, IL-6, IL-8, IL-23, NF-κB, NO), reducing the activity of MPO, MDA, IFN-γ, and iNOS. This review may offer valuable reference for UC-related studies on the compounds from natural medicines. 展开更多
关键词 ULCERATIVE COLITIS Chinese medicine FLAVONOIDS TERPENOIDS ALKALOIDS
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A PP2C-1 Allele Underlying a Quantitative Trait Locus Enhances Soybean l O0-Seed Weight 被引量:25
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作者 Xiang Lu Qing Xiong +11 位作者 tong Cheng Qing-Tian Li Xin-Lei Liu ying-Dong Bi Wei Li Wan-Ke Zhang Biao Ma Yong-Cai Lai Wei-Guang Du Wei-Qun Man Shou-yi Chen Jin-Song Zhang 《Molecular Plant》 SCIE CAS CSCD 2017年第5期670-684,共15页
Cultivated soybeans may lose some useful genetic loci during domestication. Introgression of genes from wild soybeans could broaden the genetic background and improve soybean agronomic traits. In this study, through w... Cultivated soybeans may lose some useful genetic loci during domestication. Introgression of genes from wild soybeans could broaden the genetic background and improve soybean agronomic traits. In this study, through whole-genome sequencing of a recombinant inbred line population derived from a cross between a wild soybean ZYD7 and a cultivated soybean HN44, and mapping of quantitative trait loci for seed weight, we discovered that a phosphatase 2C-1 (PP2C-1) allele from wild soybean ZYD7 contributes to the increase in seed weight/size. PP2C-1 may achieve this function by enhancing cell size of integument and activating a subset of seed trait-related genes. We found that PP2C-1 is associ- ated with GmBZR1, a soybean ortholog of Arabidopsis BZR1, one of key transcription factors in brassi- nosteroid (BR) signaling, and facilitate accumulation of dephosphorylated GmBZR1. In contrast, the PP2C-2 allele with variations of a few amino acids at the N-terminus did not exhibit this function. More- over, we showed that GmBZR1 could promote seed weight/size in transgenic plants. Through analysis of cultivated soybean accessions, we found that 40% of the examined accessions do not have the PP2C-1 allele, suggesting that these accessions can be improved by introduction of this allele. Taken together, our study identifies an elite allele PP2C-1, which can enhance seed weight and/or size in soybean, and pinpoints that manipulation of this allele by molecular-assisted breeding may increase production in soybean and other legumes/crops. 展开更多
关键词 SOYBEAN lO0-seed weight PP2C-1 BZR1
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Cohort Study on Prognosis of Patients with Metastatic Colorectal Cancer Treated with Integrated Chinese and Western Medicine 被引量:24
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作者 ZHANG tong HE Wen-ting +3 位作者 ZI Ming-jie SONG Gang yi Dan-hui YANG Yu-fei 《Chinese Journal of Integrative Medicine》 SCIE CAS CSCD 2018年第8期573-578,共6页
Objective: To investigate the efficacy of integrated Chinese and Western medicine(IM) in the treatment of metastatic colorectal cancer(m CRC) in a cohort study.Methods: The survival outcome of patients receiving... Objective: To investigate the efficacy of integrated Chinese and Western medicine(IM) in the treatment of metastatic colorectal cancer(m CRC) in a cohort study.Methods: The survival outcome of patients receiving IM was compared with that of patients receiving Western medicine alone.The study design was adopted with "continuous administration of Chinese medicine for 3 months" as the exposure factor.Patients who met this exposure factor were assigned to the IM cohort(Group A,110 patients).Patients who did not meet this exposure factor were assigned to the Western medicine cohort(Group B,225 patients).The overall survival(OS),progression-free survival(PFS),and 1 st year,2 nd year,and 3 rd year survival in the two cohorts were compared.Results: The median OS in Group A and B were 18 months [95% confidence interval(CI) 15-21] and 16 months(95% CI 14-18),respectively,and the median PFS in Group A and B were 6 months(95% CI 4-7) and 5 months(95% CI 4-6),respectively.No statistically significant differences were observed between the groups(P=0.186,P=0.223).Group A demonstrated significantly longer OS and PFS than Group B in the following subgroups: female patients,patients with lesions in the right half of the colon,and those who received first-line treatment(P〈0.05).In the subgroup of elderly patients(age〉65 years),the OS in Group A was longer than that in Group B(P〈0.05).Conclusion: IM could prolong the survival of patients with m CRC.(Registry No.Chi CTR-IOR-17010497) 展开更多
关键词 cohort study metastatic colorectal cancer integrative medicine
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浅谈临床科研能力培养在住院医师规范化培训中的作用 被引量:23
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作者 朱将虎 童煜 +1 位作者 屈艺 母得志 《教育教学论坛》 2017年第25期62-63,共2页
本文针对住院医生规范化培训中临床科研能力培养的重要性进行了探讨,论述了临床科研能力的培养在住院医师规范化培训中发挥的积极作用,并总结了进一步加强规培医生临床科研能力培养的重要意义。
关键词 住院医师规范化培训 临床科研能力 培养方案
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