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Application of Hazard Vulnerability Analysis Based on Kaiser Model in Neonatal Breast Milk Management
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作者 Bingqing Zheng Wenqing Zhang xiaoxia huang 《Journal of Clinical and Nursing Research》 2024年第1期152-161,共10页
Objective:To analyze the existing risks in breast milk management at the neonatal department and provide corresponding countermeasures.Methods:22 risk events were identified in 7 risk links in the process of bottle-fe... Objective:To analyze the existing risks in breast milk management at the neonatal department and provide corresponding countermeasures.Methods:22 risk events were identified in 7 risk links in the process of bottle-feeding of breast milk.Hazard Vulnerability Analysis based on the Kaiser model was applied to investigate and evaluate the risk events.Results:High-risk events include breast milk quality inspection,hand hygiene during collection,disinfection of collectors,cold chain management,hand hygiene during the reception,breast milk closed-loop management,and post-collection disposal.Root cause analysis of high-risk events was conducted and breast milk management strategies outside the hospital and within the neonatal department were proposed.Conclusion:Hazard Vulnerability Analysis based on the Kaiser model can identify and assess neonatal breast milk management risks effectively,which helps improve the management of neonatal breast milk.It is conducive to the safe development and promotion of bottle feeding of breast milk for neonates,ensuring the quality of medical services and the safety of children. 展开更多
关键词 Breast milk management The Kaiser model Hazard vulnerability analysis risk assessment
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Determination of laser entrance hole size for ignition-scale octahedral spherical hohlraums 被引量:2
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作者 Yao-Hua Chen Zhichao Li +31 位作者 Hui Cao Kaiqiang Pan Sanwei Li Xufei Xie Bo Deng Qiangqiang Wang Zhurong Cao Lifei Hou Xingsen Che Pin Yang Yingjie Li Xiaoan He Tao Xu Yonggang Liu Yulong Li Xiangming Liu Haijun Zhang Wei Zhang Baibin Jiang Jun Xie Wei Zhou xiaoxia huang Wen Yi Huo Guoli Ren Kai Li Xudeng Hang Shu Li Chuanlei Zhai Jie Liu Shiyang Zou Yongkun Ding Ke Lan 《Matter and Radiation at Extremes》 SCIE EI CAS CSCD 2022年第6期41-49,共9页
A recently proposed octahedral spherical hohlraum with six laser entrance holes(LEHs)is an attractive concept for an upgraded laser facility aiming at a predictable and reproducible fusion gain with a simple target de... A recently proposed octahedral spherical hohlraum with six laser entrance holes(LEHs)is an attractive concept for an upgraded laser facility aiming at a predictable and reproducible fusion gain with a simple target design.However,with the laser energies available at present,LEH size can be a critical issue.Owing to the uncertainties in simulation results,the LEH size should be determined on the basis of experimental evidence.However,determination of LEH size of an ignition target at a small-scale laser facility poses difficulties.In this paper,we propose to use the prepulse of an ignition pulse to determine the LEH size for ignition-scale hohlraums via LEH closure behavior,and we present convincing evidence from multiple diagnostics at the SGIII facility with ignition-scale hohlraum,laser prepulse,and laser beam size.The LEH closure observed in our experiment is in agreement with data from the National Ignition Facility.The total LEH area of the octahedral hohlraum is found to be very close to that of a cylindrical hohlraum,thus successfully demonstrating the feasibility of the octahedral hohlraum in terms of laser energy,which is crucially important for sizing an ignition-scale octahedrally configured laser system.This work provides a novel way to determine the LEH size of an ignition target at a small-scale laser facility,and it can be applied to other hohlraum configurations for the indirect drive approach. 展开更多
关键词 LASER SIZE SPHERICAL
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Facies character and geochemical signature in the late Quaternary meteoric diagenetic carbonate succession at the Xisha Islands,South China Sea 被引量:1
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作者 Wanli Chen xiaoxia huang +3 位作者 Shiguo Wu Gang Liu Haotian Wei Jiaqing Wu 《Acta Oceanologica Sinica》 SCIE CAS CSCD 2021年第3期94-111,共18页
The late Quaternary shallow-water carbonates have been altered by a variety of diagenetic processes,and further influenced by high-amplitude global and regional sea level changes.This study utilizes a new borehole dri... The late Quaternary shallow-water carbonates have been altered by a variety of diagenetic processes,and further influenced by high-amplitude global and regional sea level changes.This study utilizes a new borehole drilled on the Yongxing Island,Xisha Islands to investigate meteoric diagenetic alteration in the late Quaternary shallowwater carbonates.Petrographic,mineralogical,stable isotopic and elemental data provide new insights into the meteoric diagenetic processes of the reef limestone.The results show the variation in the distribution of aragonite,high-Mg calcite(HMC)and low-Mg calcite(LMC)divides the shallow-water carbonates in Core SSZK1 into three intervals,which are UnitⅠ(31.20-55.92 m,LMC),UnitⅡ(18.39-31.20 m,aragonite and LMC)and UnitⅢ(upper 18.39 m of core,aragonite,LMC and HMC).Various degrees of meteoric diagenesis exist in the identified three units.The lowermost UnitⅠhas suffered almost complete freshwater diagenesis,whereas the overlying UnitsⅡandⅢhave undergone incompletely meteoric diagenesis.The amount of time that limestone has been in the freshwater diagenetic environment has the largest impact on the degree of meteoric diagenesis.Approximately four intact facies/water depth cycles are recognized.The cumulative depletion of elements such as strontium(Sr),sodium(Na)and sulphur(S)caused by duplicated meteoric diagenesis in the older reef sequences are distinguished from the younger reef sequences.This study provides a new record of meteoric diagenesis,which is well reflected by whole-rock mineralogy and geochemistry. 展开更多
关键词 shallow-water carbonates meteoric diagenesis elemental concentration facies cycles Xisha Islands late Quaternary
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Construction of a New Model of Contactless Medical Services for Outpatients Based on the Project-Achieving Quality Control Circle 被引量:2
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作者 Shuang Chen Zhihong Gao +1 位作者 xiaoxia huang Zhiqin Yin 《Journal of Clinical and Nursing Research》 2023年第4期29-37,共9页
Objective: To carry out empirical research on the role of project-achieving quality control circle (QCC) in constructing a new model of contactless medical service for outpatients. Methods: A QCC, consisting of inform... Objective: To carry out empirical research on the role of project-achieving quality control circle (QCC) in constructing a new model of contactless medical service for outpatients. Methods: A QCC, consisting of information office members from a grade A tertiary hospital in Wenzhou, was established to conduct a research project with the theme “Constructing a new model of contactless medical service based on outpatients’ experience.” According to the ten steps and PDCA cycle, an analysis was carried out before and after the QCC activities, focusing on improving pre-consultation services, providing steward-like services, and facilitating post-consultation management. Results: After the QCC activities, the mobile appointment rate, missed appointment rate, the proportion of smart check-ins, and the average check-in time were 55.68%, 4.02%, 39.75%, and 8.24 ± 3.66 min, respectively;in contrast, before the activities, they were 32.00%, 7.88%, 0.00%, and 14.96 ± 4.98 min, respectively;the difference between the two groups was statistically significant (χ2 = 3480.112, 4994.496;Fisher’s exact probability = 963788.570;t = 5.323, P < 0.001). Many experts have also visited the hospital to learn about this system, thus rendering social and economic benefits. Conclusion: Project-achieving QCC activities are suitable for complex situations, such as constructing a new model of contactless medical service, and can significantly improve outpatient service quality, enhance patients’ experience, and improve the abilities of circle members. 展开更多
关键词 Quality control circle Project-achieving Outpatient Contactless medical service Patient experience
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Risk Factors of Neonatal Medical Adhesive-Related Skin Injury and Management of High-Risk Nodes 被引量:1
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作者 Sisi Hu xiaoxia huang Dan Wang 《Journal of Clinical and Nursing Research》 2023年第3期157-164,共8页
Objective:To analyze the risk factors of neonatal medical adhesive-related skin injury and put forward targeted preventive measures,so as to provide reference for the care and prevention of neonatal medical adhesive-r... Objective:To analyze the risk factors of neonatal medical adhesive-related skin injury and put forward targeted preventive measures,so as to provide reference for the care and prevention of neonatal medical adhesive-related skin injuries.Methods:Using the convenience sampling method,262 neonates admitted to the neonatal intensive care unit(NICU)of a tertiary general hospital in Wenzhou from April 2021 to May 2022 were selected as the study subjects.The incidence of medical adhesive-related skin injuries in these neonates was retrospectively analyzed.Results:Among the 262 children,43 cases had skin injuries,with an incidence rate of 16.4%.Single factor analysis showed that the occurrence of medical adhesive-related skin injury was related to gestational age,weight,electrocardiogram(ECG)monitoring,venous access,ambient temperature,and mechanical ventilation(P<0.05).Multivariate logistic regression showed that gestational age,ECG monitoring,and ambient temperature were independent risk factors of medical adhesive-related skin injury(OR values were 0.700,0.431,and 6.365,respectively).Conclusion:The high incidence of neonatal medical adhesive-related skin injury may be caused by one or more factors.Clinical measures should be taken,such as selecting the appropriate type of adhesive according to gestational age and using skin-protecting membrane,minimizing ECG monitoring,etc.,to prevent the occurrence of neonatal medical adhesive-related skin injury. 展开更多
关键词 NEWBORN Medical adhesive Skin injury Risk factor
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军队后勤保障成本管理评价体系设计—基于平衡计分卡理论
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作者 黄晓夏 高炎东 《社会科学前沿》 2015年第4期268-282,共15页
本文通过比较几种常见的评价方法,选取平衡计分卡作为评价军队后勤成本管理绩效的方法,并运用一系列的技术手段,构建评价指标体系,为推广平衡计分卡在军队后勤保障成本管理中的应用打下基础。
关键词 平衡计分卡 成本管理 军队后勤保障 评价
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N-methyl-D-aspartate receptor effects on p38 mitogen activated protein kinase and its role in a rat model of diabetic neuropathic pain
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作者 Changbin Ke xiaoxia huang +4 位作者 Xianghong Luo Xiancheng Xu Chengming Qin Xianyu Wang Juying Liu 《Neural Regeneration Research》 SCIE CAS CSCD 2009年第11期868-873,共6页
BACKGROUND: Activated N-methyl-D-aspartate (NMDA) receptor is involved in the formation of chronic neuropathic pain, and its antagonist, ketamine, exhibits effective amelioration of diabetic neuropathic pain (DNP... BACKGROUND: Activated N-methyl-D-aspartate (NMDA) receptor is involved in the formation of chronic neuropathic pain, and its antagonist, ketamine, exhibits effective amelioration of diabetic neuropathic pain (DNP). However, the mechanisms of NMDA receptor participation in the formation and maintenance of DNP remain poorly understood. OBJECTIVE: To evaluate the role NMDA receptor plays in DNP and effects on p38 mitogen activated protein kinase (p38 MAPK) in a rat model of DNP. DESIGN, TIME AND SETTING: A randomized, controlled, animal experiment was performed at the Human Embryonic Stem Cell Research Institute of Yunyang Medical College Affiliated Taihe Hospital between July 2005 and September 2007. MATERIALS: Streptozotocin was provided by Sigma, USA; p38 MAPK inhibitor (SB203580) was provided by Shanghai KangChen Biotech, China; NMDA receptor antagonist (MK-801) was purchased from Shanghai Yope Biotech, China. METHODS: A total of 128 healthy, Wistar rats of clean grade, aged 3 months and weighing 180- 220 g, were randomly assigned to 4 groups: control, DNP model, p38 MAPK, and NMDA receptor. Each group contained 32 rats. DNP was established in all groups except for the control group by intraperitoneal injection of streptozocin (65 mg/kg). Subsequently, 1 mg/kg SB203580 and 1 mg/kg MK-801 were injected once each week via intraperitoneal injection in the p38 MAPK and NMDA receptor groups, respectively. MAIN OUTCOME MEASURES: At the end of 2, 4, 6, and 8 weeks following streptozotocin injection, mechanical withdrawal threshold was measured in 8 animals from each group following von Frey filament stimulation. The rats were anesthetized and nerve conduction velocity of the left sciatic nerve was measured. Subsequently, the right sciatic nerve, the lumbar segment of the spinal cord, and dorsal root ganglia were removed from the L3-6 segment for microscopic examination, p38 MAPK expression was determined using immunohistochemistry and Western blot analysis. Expression of NMDA receptor 1 mRNA in dorsal root ganglion and spinal cord neurons was detected using RT-PCR. RESULTS: Mechanical withdrawal threshold and nerve conduction velocity were significantly reduced, and p38 MAPK and NMDA receptor 1 mRNA expression in the spinal cord and dorsal root ganglia were significantly increased, in the model, p38 MAPK, and NMDA receptor groups compared with the control group at all time points (P 〈 0.05). At 4-8 weeks following successful DNP model establishment, SB203580 and MK-801 increased mechanical withdrawal threshold, accelerated nerve conduction velocity, and attenuated p38 MAPK expression, compared with the model group. The NMDA receptor group exhibited downregulated mRNA expression of NMDA receptor 1 compared with the model and p38 MAPK groups (P 〈 0.05). CONCLUSION: NMDA receptor was highly expressed in the brains of DNP rats and was involved in DNP development via activation of the p38 MAPK signal pathway. 展开更多
关键词 N-methyI-D-aspartate receptors p38 mitogen-activated protein kinases diabetic neuropathy NEURALGIA
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Beam wavefront retrieval by convoluted spatial spectral benchmark
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作者 Xuewei Deng xiaoxia huang +3 位作者 Deen Wang Ying Yang Xin Zhang Dongxia Hu 《Matter and Radiation at Extremes》 SCIE CAS CSCD 2021年第4期24-30,共7页
We propose a method for retrieving a beam wavefront from its near-field intensity distribution after a 4f system by simply inserting a benchmark at the Fourier plane.Through a convolution of the mark-blocked spatial f... We propose a method for retrieving a beam wavefront from its near-field intensity distribution after a 4f system by simply inserting a benchmark at the Fourier plane.Through a convolution of the mark-blocked spatial frequency component and the original optical field with the 4f system,the separation between the focus of any sub-aperture and the benchmark can be determined to reconstruct the beam wavefront.Theoretical and experimental studies demonstrate the validity of this method,which has potential applications in real-time wavefront sensing. 展开更多
关键词 system BEAM simply
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Comparison of Extraction Methods for Total Alkaloids from Abrus Cantoniensis Hance
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作者 Mengyao LIN Qiumeng WEI +7 位作者 xiaoxia huang Jiaming WANG Suoyi huang Luyao WANG Yan LIU Gongxiao MO Xunjie LIANG Xiaoting MA 《Medicinal Plant》 2017年第2期19-21,共3页
[Objectives] To compare different extraction methods for total alkaloids from Abrus Cantoniensis Hance taking chloroform as solvent. [Methods] The ethanol extraction method,ultrasonic extraction method,acid water extr... [Objectives] To compare different extraction methods for total alkaloids from Abrus Cantoniensis Hance taking chloroform as solvent. [Methods] The ethanol extraction method,ultrasonic extraction method,acid water extraction method,and Soxhlet extraction method were used to extract total alkaloids,and the total alkaloids of Abrus Cantoniensis Hance were measured at 238 nm wavelength. [Results] The extraction rate of ethanol extraction method was 14. 76 mg/100 g; the extraction rate of ultrasonic extraction method was 56. 85 mg/100 g; the extraction rate of acid water extraction method was 56. 63 mg/100 g; the extraction rate of Soxhlet extraction method was 58. 19 mg/100 g.[Conclusions]Results indicate that Soxhlet extraction method can obtain the highest extraction rate. 展开更多
关键词 TOTAL ALKALOIDS Abrus Cantoniensis Hance EXTRACTION METHODS COMPARISON
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房角镜辅助的360°小梁切开术治疗中晚期原发性开角型青光眼疗效观察
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作者 刘岳峰 黄肖霞 +4 位作者 郭亮 熊婵 余学清 张旭 杨璐 《中华眼视光学与视觉科学杂志》 CAS CSCD 北大核心 2024年第7期481-488,共8页
目的:评价房角镜辅助的360°小梁切开术(GATT)治疗中晚期原发性开角型青光眼(POAG)患者的临床疗效和安全性。方法:回顾性研究。连续纳入2020年4月至2022年1月在南昌大学附属眼科医院成功施行360°GATT且完成12个月按时随访的中... 目的:评价房角镜辅助的360°小梁切开术(GATT)治疗中晚期原发性开角型青光眼(POAG)患者的临床疗效和安全性。方法:回顾性研究。连续纳入2020年4月至2022年1月在南昌大学附属眼科医院成功施行360°GATT且完成12个月按时随访的中晚期POAG患者48例(56眼),根据国际视野分期法分为中期组19例(20眼)和晚期组31例(36眼),根据术后是否出现一过性高眼压(IOP Spike)分为IOP Spike组(40眼)和非IOP Spike组(16眼)。比较中、晚期组术前及术后1、3、6、12个月的眼压、用药种类、术后并发症情况(前房出血、IOP Spike)以及手术成功率(总成功率、完全成功率和条件成功率);比较IOP Spike组术前与术后3个月的最佳矫正视力(BCVA)和视野(VF)。数据分析采用t检验、非参数秩和检验、卡方检验及Log-Rank两两检验统计方法。结果:术后12个月时,所有患者眼压由术前的(27.0±7.6)mmHg(1 mmHg=0.133 kPa)降为(14.5±2.0)mmHg,用药种类由术前的3(3,4)种降为2(0,4)种,二者均较术前有显著下降(t=11.89,P<0.001;Z=-4.21,P<0.001)。中期组和晚期组的眼压在术后任意随访时间点比较差异均无统计学意义(均P>0.05)。2组平均用药种类在术后1、3、6个月比较差异无统计学意义(均P>0.05);术后12个月时,晚期组用药种类3(0,4)种高于中期组的0(0,3)种,差异有统计学意义(Z=-2.00,P=0.045)。术后12个月,中期组和晚期组总成功率分别为80%、68%,条件成功率分别为25%、39%,差异均无统计学意义(均P>0.05);2组完全成功率分别为55%、28%,差异有统计学意义(χ^(2)=4.07;P=0.044)。IOP Spike组和非IOP Spike组总成功率分别为69%、72%,差异无统计学意义(P>0.05);2组完全成功率分别为63%、50%,条件成功率分别为62%、22%,差异均有统计学意义(χ^(2)=9.33,P=0.002;χ^(2)=8.16,P=0.004)。IOP Spike组术前与术后3个月BCVA、VF比较差异无统计学意义(均P>0.05)。术后前房出血发生率为100%,其中发生持续性前房积血为9%(5/56),IOP Spike为29%(16/56),未发生严重并发症。结论:GATT具有较好的降压效果,可显著减少患者术后用药,且无严重并发症;IOP Spike并未加重视功能损害,GATT对于中晚期POAG仍是一种可选择的有效手术方式。 展开更多
关键词 原发性开角型青光眼 房角镜辅助的360°小梁切开术 并发症 微创青光眼手术
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Epidemiological Characteristics of Dengue Fever-China,2005–2023
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作者 Zhuowei Li xiaoxia huang +3 位作者 Aqian Li Shanshan Du Guangxue He Jiandong Li 《China CDC weekly》 SCIE CSCD 2024年第41期1045-1048,共4页
Introduction:The global incidence of dengue fever has increased significantly over the past two decades,and China faces a significant upward trend in dengue control challenges.Methods:Data were obtained from China’s ... Introduction:The global incidence of dengue fever has increased significantly over the past two decades,and China faces a significant upward trend in dengue control challenges.Methods:Data were obtained from China’s NNDRS from 2005 to 2023.Joinpoint regression software was used to analyze temporal trends,while SaTScan software was used to analyze spatial,seasonal,and spatiotemporal distributions.ArcGIS software was used to visualize clusters.Results:A total of 117,892 dengue cases were reported from 2005 to 2023,with significant fluctuation in annual reported cases.Dengue was not endemic in China.Autochthonous outbreaks most likely occurred in the southwestern,southeastern coastal,and inland areas of China.These outbreaks have occurred between June and November,generally peaking in September or October,around epidemiological week(EW)40.Conclusions:Dengue challenges in China are increasing.Timely case monitoring,proactive control interventions,and staff mobilization should be implemented before June to ensure a timely response to autochthonous outbreaks. 展开更多
关键词 INLAND LIKELY SOUTHWESTERN
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Longitudinal Analysis of Antibody Dynamics in Severe Fever with Thrombocytopenia Syndrome Patients—High-Incidence Regions of China,2010–2023
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作者 Yanhan Wen Dongmei Song +13 位作者 Aqian Li Lina Sun Shuhua Ma Tiezhu Liu xiaoxia huang Tao huang Boyang Li Mengxuan Wang Jiandong Li Mifang Liang Dexin Li Wei Wu Xinxian Dai Shiwen Wang 《China CDC weekly》 SCIE CSCD 2024年第46期1211-1217,I0004-I0008,共12页
What is already known about this topic?Severe fever with thrombocytopenia syndrome(SFTS)is a serious tick-borne disease in East Asia with high mortality,particularly affecting the elderly.Since its discovery in 2010,i... What is already known about this topic?Severe fever with thrombocytopenia syndrome(SFTS)is a serious tick-borne disease in East Asia with high mortality,particularly affecting the elderly.Since its discovery in 2010,inconsistencies in small-scale studies and the lack of decade-long research on antibody levels in large population samples after natural infection,along with the absence of an effective vaccine,highlight the need for large-scale,long-term data in highincidence regions of China.What is added by this report?This study of 1,410 serum samples from SFTS patients in high-incidence regions of China reveals that immunoglobulin M(IgM)levels peak at 8–14 days post-infection,declining to nearly undetectable levels by 180 days.Immunoglobulin G(IgG)and neutralizing antibodies(NAb)levels peak at 22–180 days,persisting up to 10 years.IgM levels correlate with viral load and various immune and coagulation parameters,with lower levels observed in fatal cases.During convalescence,elderly patients have lower IgG levels,whereas females exhibit higher IgG levels compared with males.What are the implications for public health practice?The study’s findings on long-term antibody dynamics in SFTS patients can significantly improve vaccine development,optimize therapy scheduling,inform public health policies,and enhance diagnostic tools,leading to better disease management and prevention in high-incidence areas. 展开更多
关键词 VACCINE PREVENTION ANTIBODY
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新生儿医用粘胶剂相关性皮肤损伤风险评估量表的编制与信效度检验 被引量:70
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作者 黄小夏 张丽萍 +1 位作者 陈艳 尹志勤 《中华护理杂志》 CSCD 北大核心 2019年第3期380-384,共5页
目的研制新生儿医用粘胶剂相关性皮肤损伤风险评估量表,并评估其在新生儿中的应用效果。方法综合文献和12名新生儿科临床护士的访谈结果,结合现有的新生儿皮肤风险评估量表和新生儿皮肤状况评分表,通过2轮专家咨询,形成量表初稿,对102... 目的研制新生儿医用粘胶剂相关性皮肤损伤风险评估量表,并评估其在新生儿中的应用效果。方法综合文献和12名新生儿科临床护士的访谈结果,结合现有的新生儿皮肤风险评估量表和新生儿皮肤状况评分表,通过2轮专家咨询,形成量表初稿,对102例新生儿进行粘胶剂相关性皮肤损伤风险的评估,检测量表的信效度。结果新生儿医用粘胶剂相关性皮肤损伤风险评估量表包括2个维度,7个条目,总量表的Cronbach'sα系数为0.808,重测信度为0.875,各条目内容效度指数为0.833~1.000,全体一致性量表水平的内容效度指数为0.875,平均量表水平的内容效度指数为0.980,探索因子分析共提取2个公因子,累计方差贡献率为69.984%。结论新生儿医用粘胶剂相关性皮肤损伤风险评估量表具有良好的信效度,适用于新生儿医用粘胶剂相关性皮肤损伤风险的评估。 展开更多
关键词 新生儿护理 医用粘胶 皮肤损伤 信度 效度
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京津风沙源治理对生态系统服务的影响及其效益核算 被引量:3
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作者 黄晓霞 程宏 +5 位作者 蒋宁 李继峰 贺伟伟 莫旭昱 王琇瑜 罗晶 《科学通报》 EI CAS CSCD 北大核心 2023年第11期1367-1380,共14页
京津风沙源区治理工程是国家为改善和优化京津及周边地区生态环境状况、减轻风沙危害实施的一项重大生态建设工程.工程实施以来,区域的土地利用、植被盖度、土壤风蚀等方面发生了深刻变化,也改变了区域生态系统服务的供给.生态系统服务... 京津风沙源区治理工程是国家为改善和优化京津及周边地区生态环境状况、减轻风沙危害实施的一项重大生态建设工程.工程实施以来,区域的土地利用、植被盖度、土壤风蚀等方面发生了深刻变化,也改变了区域生态系统服务的供给.生态系统服务及其多功能性的理论框架与定量化研究,为综合评估区域生态效益,准确厘定生态系统服务变化,深刻理解生态治理工程对区域生态系统服务的作用与影响提供了方法和途径.本文利用多源数据,从生态供给、生态调节、生境支持服务3个方面,计算了京津风沙源区生态系统服务各项指标,结合生态系统服务集成性指数(multiple ecosystem services landscape index,MESLI)和生态系统服务香农多样性指数(ecosystem services Shannon diversity index,ESHDI)等指标,评估了县域的生态系统服务多功能性,揭示了县域尺度综合生态服务的空间格局和集聚规律,阐明治理前后生态系统服务的变化特征及其空间分布,确定各类土地利用和生态系统服务的相关关系,厘清风沙治理与植被恢复工程对区域生态系统服务功能及其多功能性贡献的变化,并对治理区2000~2015年的生态系统调节服务进行了价值核算,为京津风沙源治理工程效益定量评估和国家制定新的治理规划提供科学依据. 展开更多
关键词 京津风沙源 风沙治理 生态系统服务 土地利用变化 多功能性 价值核算
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静脉麻醉诱导联合前腰方肌阻滞对腹膜后入路肾部分切除术患者的镇痛效果及血流动力学的变化 被引量:3
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作者 袁海军 黄晓霞 +3 位作者 蓝志坚 傅理 彭文勇 傅亚明 《中华全科医师杂志》 2022年第11期1063-1068,共6页
目的了解静脉麻醉诱导联合前腰方肌阻滞对腹腔镜腹膜后入路肾部分切除术患者的镇痛效果及血流动力学的影响。方法选取2021年8月至2022年2月金华市中心医院116例择期行腹腔镜肾肿瘤肾部分切除术患者为研究对象,其中男性65例、女性51例,年... 目的了解静脉麻醉诱导联合前腰方肌阻滞对腹腔镜腹膜后入路肾部分切除术患者的镇痛效果及血流动力学的影响。方法选取2021年8月至2022年2月金华市中心医院116例择期行腹腔镜肾肿瘤肾部分切除术患者为研究对象,其中男性65例、女性51例,年龄42~64岁。采用抽签法将116例患者分为对照组和观察组(各58例),分别行静脉麻醉、静脉麻醉诱导联合前腰方肌阻滞下腹膜后入路肾部分切除术。采用疼痛视觉模拟评分(VAS)于术后1、6、12、24和48 h观察镇痛效果;以心率和平均动脉压(MAP)观察入手术室时(T_(0))、麻醉诱导后3 min(T_(1))、手术开始时(T_(2))、术毕(T_(3))、出手术室时(T_(4))血流动力学表现;采用管襻形态积分、血液流态积分观察术后1、6、12、24和48 h的微循环改变;采用简易智力状态检查量表(MMSE)于麻醉前30 min、术后6、24和72 h进行认知功能评定,并进行两组比较。结果术后1、6、12、24和48 h,观察组静息时(平躺安静状态下)VAS分别为(3.2±1.2)、(2.6±0.3)、(2.0±0.4)、(1.5±0.4)和(0.8±0.2)分,低于对照组的(4.0±1.7)、(3.4±0.7)、(2.9±0.5)、(1.7±0.5)和(1.2±0.3)分,差异均有统计学意义(t=2.93,P=0.004;t=8.00,P<0.001;t=10.07,P<0.001;t=2.38,P=0.019;t=8.45,P<0.001)。观察组与对照组T0时的心率和MAP比较,差异无统计学意义;T1、T2、T3、T4时心率比较差异均无统计学意义,MAP水平[观察组分别为(80.0±8.0)、(84.4±8.4)、(80.4±5.7)和(86.4±4.7)mmHg(1 mmHg=0.133 kPa),对照组为(77.1±7.5)、(88.0±8.6)、(83.0±7.7)和(92.2±6.2)mmHg]比较,差异均有统计学意义(t=2.01,P=0.046;t=2.28,P=0.024;t=2.07,P=0.041;t=5.68,P<0.001)。术后6、12、24和48 h,观察组管襻形态积分分别为(1.0±0.2)、(0.8±0.2)、(0.7±0.1)和(0.7±0.1)分,低于对照组的(1.1±0.2)、(0.9±0.2)、(0.8±0.2)和(0.8±0.1)分,差异均有统计学意义(t=2.69,P=0.008;t=2.69,P=0.008;t=3.41,P=0.001;t=5.39,P<0.001);血液流态积分分别为(1.1±0.2)、(0.9±0.2)、(0.8±0.2)和(0.6±0.1)分,低于对照组的(1.2±0.2)、(1.0±0.2)、(0.9±0.2)和(0.7±0.1)分,差异均有统计学意义(t=2.69,P=0.008;t=2.69,P=0.008;t=2.69,P=0.008;t=5.39,P<0.001)。观察组和对照组术后6和24 h MMSE评分分别为(24.4±1.0)、(27.1±0.9)分与(23.5±0.9)、(26.7±0.9)分,差异均有统计学意义(t=5.10,P<0.001;t=2.39,P=0.018);术后72 h时为(28.2±0.9)与(28.1±0.8)分,差异无统计学意义(t=0.63,P=0.529)。结论静脉麻醉诱导联合前腰方肌阻滞对腹膜后入路肾部分切除术患者具有良好的镇痛效果,有助于维持患者血流动力学和微循环的稳定,对患者的认知功能无不良影响。 展开更多
关键词 麻醉 静脉 神经肌肉阻滞 前腰方肌 肾切除术 部分性 镇痛 血流动力学
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2019年7月中国大陆需关注的突发公共卫生事件风险评估 被引量:1
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作者 孟玲 温宁 +8 位作者 黄晓霞 刘凤凤 冯录召 王霄晔 王哲 黎丹 涂文校 向妮娟 尹遵栋 《疾病监测》 CAS 2019年第7期588-592,共5页
目的评估2019年7月在我国大陆地区发生或者可能由境外输入的突发公共卫生事件风险。方法根据国内外突发公共卫生事件报告及重点传染病监测等各种资料和部门通报信息,采用专家会商法,并通过视频会议形式邀请省(自治区、直辖市)疾病预防... 目的评估2019年7月在我国大陆地区发生或者可能由境外输入的突发公共卫生事件风险。方法根据国内外突发公共卫生事件报告及重点传染病监测等各种资料和部门通报信息,采用专家会商法,并通过视频会议形式邀请省(自治区、直辖市)疾病预防控制中心专家参与评估。结果总体上,预计7月突发公共卫生事件的报告数将较6月有所下降。四川省发现Ⅱ型疫苗衍生脊灰病毒病例,病毒具有继续传播的可能。我国媒介伊蚊分布地区处于登革热高发期,本地病例将继续增多,出现小规模本地暴发疫情的风险增加,存在发生较大规模本地暴发疫情的风险。霍乱进入高发季节,可能出现散发病例或聚集性病例。人腺病毒呼吸道感染在集体单位、医院等场所发生暴发疫情的风险仍存在。食物中毒和高温中暑处于高发期。洪涝灾区灾后水源性、食源性等传染病风险将有所上升。刚果民主共和国埃博拉病毒病疫情仍将持续发生,但输入我国的风险低。结论需要对Ⅱ型疫苗衍生脊灰病毒病例、登革热予以重点关注,对霍乱、人腺病毒呼吸道感染、食物中毒、高温中暑、地震和洪涝灾害、刚果民主共和国及乌干达埃博拉病毒病予以一般关注。 展开更多
关键词 突发公共卫生事件 传染病疫情 风险评估
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共享经济下新型非典型雇佣策略研究:基于动态能力视角 被引量:24
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作者 裴嘉良 刘善仕 +2 位作者 蒋建武 黄小霞 冯镜铭 《中国人力资源开发》 CSSCI 北大核心 2021年第7期109-124,共16页
共享经济下的新型非典型雇佣呈现出组织形态平台化、雇佣关系复杂化、用工类型多样化和劳动控制数字化的新特征,新型非典型雇佣策略也逐渐成为企业应对动态环境变化、优化综合用工成本以及提升自身竞争力的重要战略选择。本研究基于动... 共享经济下的新型非典型雇佣呈现出组织形态平台化、雇佣关系复杂化、用工类型多样化和劳动控制数字化的新特征,新型非典型雇佣策略也逐渐成为企业应对动态环境变化、优化综合用工成本以及提升自身竞争力的重要战略选择。本研究基于动态能力理论,依据企业动态能力的获取方向和实现方式两个维度,对共享经济下企业新型非典型雇佣的组织环境进行构型分析,根据不同动态能力管理目标针对性地提炼出众包分布式、在线匹配式、自主竞争式和外包集约式四种新型非典型雇佣策略,同时构建出共享经济下新型非典型雇佣配置策略选择机制的理论模型。 展开更多
关键词 共享经济 非典型雇佣 雇佣策略 动态能力理论
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Molecular evolution and genetic diversity analysis of SFTS virus based on next-generation sequencing 被引量:7
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作者 Aqian Li Lin Liu +8 位作者 Wei Wu Yang Liu xiaoxia huang Chuan Li Di Liu Jiandong Li Shiwen Wang Dexin Li Mifang Liang 《Biosafety and Health》 CSCD 2021年第2期105-115,共11页
SFTS virus(SFTSV)is a novel bunyavirus,which was discovered as the etiological agent of severe fever with thrombocytopenia syndrome(SFTS)in China in 2009,and was now prevalent in at least 25 provinces in China.SFTS wa... SFTS virus(SFTSV)is a novel bunyavirus,which was discovered as the etiological agent of severe fever with thrombocytopenia syndrome(SFTS)in China in 2009,and was now prevalent in at least 25 provinces in China.SFTS was subsequently identified in South Korea and Japan in 2012.To explore themolecular evolution and genetic characteristics of this newly identified pathogen,we reported 72 whole genome sequences of SFTSV,and built a dataset of SFTSV genome sequences containing 292 L-segment,302 M-segment and 502 S-segment.We clearly divided SFTSV into six genotypes,Genotype A-F.It was found that genotype F was the dominant epidemic genotype of Japan,South Korea,and Zhejiang province of China.The coalescent analysis supported that SFTSV originated in the early 18th century from Zhejiang province,and Genotype F was the most primitive one.Henan,Hubei,and Anhui provinces which are located in Dabie Mountain area weremainly epidemic of Genotype A,which emerged relatively late but distributed widely.A total of 37 recombination events were identified,making SFTSV with a high recombination frequency(L segment 5.1%,Msegment 3.6%,S segment 0.8%)among negative-strand segmented RNA viruses.It was identified that 19 reassortant strains belonged to 12 reassortment forms of SFTSV genome containing 6 newly identified forms.The reassortment virus and recombination in tick were both found for the first time.We also found many of genotype-specific mutation sites,7 of which could be considered as potential molecular marker for genotype classification.This study promoted a more comprehensive understanding of the phylogeny and origin,and the genetic diversity of SFTSV,and it could help the studies of other newly discovered tick-borne bunyavirus as reference data and research ideas. 展开更多
关键词 SFTS virus(SFTSV) Next-generation sequencing GENOTYPE Reassortment and recombination COALESCENT
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Surface phase defects induced downstream laser intensity modulation in high-power laser facility 被引量:3
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作者 Xin Zhang Wei Zhou +8 位作者 Wanjun Dai Dongxia Hu Xuewei Deng Wanqing huang Lidan Zhou Qiang Yuan xiaoxia huang De'en Wang Ying Yang 《High Power Laser Science and Engineering》 SCIE CAS CSCD 2016年第1期41-44,共4页
Optics surface phase defects induced intensity modulation in high-power laser facility for inertial confinement fusion research is studied. Calculations and experiments reveal an exact mapping of the modulation patter... Optics surface phase defects induced intensity modulation in high-power laser facility for inertial confinement fusion research is studied. Calculations and experiments reveal an exact mapping of the modulation patterns and the optics damage spot distributions from the surface phase defects. Origins are discussed during the processes of optics manufacturing and diagnostics, revealing potential improvements for future optics manufacturing techniques and diagnostic index, which is meaningful for fusion level laser facility construction and its operation safety. 展开更多
关键词 INTENSITY MODULATION OPTICS damage phase DEFECT
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Hemorrhagic Fever with Renal Syndrome — Liaoning Province, China, 1999−2018 被引量:9
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作者 Cui Shang Yingwei Sun +12 位作者 Qiangling Yin xiaoxia huang Xuesheng Liu Quanfu Zhang Lingling Mao Chuan Li Aqian Li Qin Wang Lina Sun Mifang Liang Shiwen Wang Dexin Li Jiandong Li 《China CDC weekly》 2020年第20期350-354,共5页
Summary What is already known on this topic?Hemorrhagic fever with renal syndrome(HFRS)is endemic in Liaoning Province.Both Seoul and Hantaan virus are circulating in rodents,and epidemic outbreaks and sporadic cases ... Summary What is already known on this topic?Hemorrhagic fever with renal syndrome(HFRS)is endemic in Liaoning Province.Both Seoul and Hantaan virus are circulating in rodents,and epidemic outbreaks and sporadic cases have been recorded every year since the disease was recognized. 展开更多
关键词 Province. LIAONING HEMORRHAGIC
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