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盐酸阿夫唑嗪联合头孢克肟治疗儿童神经源性膀胱合并尿路感染的效果观察
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作者 王娴 尹瀚浚 +3 位作者 朱娟 薛琼 朱苏月 施龙 《中国处方药》 2024年第2期139-142,共4页
目的探究盐酸阿夫唑嗪联合头孢克肟治疗儿童神经源性膀胱合并尿路感染的应用效果。方法选取2018年5月~2023年4月收治的60例神经源性膀胱合并尿路感染患儿,按照随机数字法分为对照组(n=30)和研究组(n=30),其中对照组采用盐酸阿夫唑嗪进... 目的探究盐酸阿夫唑嗪联合头孢克肟治疗儿童神经源性膀胱合并尿路感染的应用效果。方法选取2018年5月~2023年4月收治的60例神经源性膀胱合并尿路感染患儿,按照随机数字法分为对照组(n=30)和研究组(n=30),其中对照组采用盐酸阿夫唑嗪进行治疗,研究组采用盐酸阿夫唑嗪联合头孢克肟治疗。比较两组炎症因子水平、临床症状改善情况、细胞计数情况,评估临床疗效。结果治疗后,研究组总有效率高于对照组,差异有统计学意义(P<0.05);治疗前,两组肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)、C反应蛋白(CRP)水平差异无统计学意义(P>0.05);治疗后,研究组TNF-α、IL-6、CRP水平低于对照组,差异有统计学意义(P<0.05);治疗前,两组每日间歇性导尿(IC)次数、膀胱剩余尿量(PVR)、膀胱漏尿点容积(LPV)、逼尿肌漏尿点压力(LPP)差异无统计学意义(P>0.05),治疗后,两组LPV水平差异无统计学意义(P>0.05),治疗后研究组每日IC次数、PVR、LPP均低于对照组,差异有统计学意义(P<0.05);治疗前,两组尿白细胞(WBC)计数、血白细胞(WBC)计数、血中性粒细胞计数差异无统计学意义(P>0.05),治疗后研究组尿WBC计数、血WBC计数、血中性粒细胞计数低于对照组,差异有统计学意义(P<0.05)。结论盐酸阿夫唑嗪联合头孢克肟应用于儿童神经源性膀胱合并尿路感染,可有效改善患儿的临床疗效,降低患儿血液中的炎症因子水平,同时有效降低患儿尿白细胞、血白细胞、血中性粒细胞计数水平。 展开更多
关键词 神经源性膀胱 尿路感染 盐酸阿夫唑嗪 头孢克肟 应用效果
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读懂“狂”字背后的选择和坚守——执教《江城子·密州出猎》 被引量:1
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作者 殷寒君 《语文教学之友》 2021年第5期27-30,共4页
《江城子·密州出猎》是苏轼的一首豪放词,被选入部编版语文教材九年级下册第三单元。“狂”字是这首词的“词眼”,诠释着苏轼的理想抱负与精神特质。通过设计感知苏轼的“英豪之气”,理解苏轼的“报国之志”,领悟苏轼的“进取之心... 《江城子·密州出猎》是苏轼的一首豪放词,被选入部编版语文教材九年级下册第三单元。“狂”字是这首词的“词眼”,诠释着苏轼的理想抱负与精神特质。通过设计感知苏轼的“英豪之气”,理解苏轼的“报国之志”,领悟苏轼的“进取之心”等多个环节的教学活动,引导学生分析“狂”的多层含义,使学生理解苏轼的“狂”并非狂妄,而是源于其希望辅佐君主、造福天下百姓、实现个人价值的理想抱负,源于其才华横溢、敢于担当的自信,还源于其豪放洒脱的心性。词作暗含苏轼几经沉浮、壮志未酬的辛酸无奈,彰显出其蓬勃奋发、老当益壮的生命状态,诠释出其在身处逆境时的选择和坚守。 展开更多
关键词 苏轼 选择 坚守
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Velocity dispersion and fluid substitution in sandstone under partially saturated conditions 被引量:5
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作者 Ma Xiao-Yi Wang Shang-Xu +2 位作者 Zhao Jian-Guo yin han-jun Zhao Li-Ming 《Applied Geophysics》 SCIE CSCD 2018年第2期188-196,361,362,共11页
The elastic moduli of four sandstone samples are measured at seismic (2-2000 Hz) and ultrasonic (1 MHz) frequencies and water- and glycerin-saturated conditions. We observe that the high-permeability samples under... The elastic moduli of four sandstone samples are measured at seismic (2-2000 Hz) and ultrasonic (1 MHz) frequencies and water- and glycerin-saturated conditions. We observe that the high-permeability samples under partially water-saturated conditions and the low-permeability samples under partially glycerin-saturated conditions show little dispersion at low frequencies (2-2000 Hz). However, the high-permeability samples under partially glycerin-saturated conditions and the low-permeability samples under partially water-saturated conditions produce strong dispersion in the same frequency range (2-2000 Hz). This suggests that fluid mobility largely controls the pore-fluid movement and pore pressure in a porous medium. High fluid mobility facilitates pore-pressure equilibration either between pores or between heterogeneous regions, resulting in a low-frequency domain where the Gassmann equations are valid. In contrast, low fluid mobility produces pressure gradients even at seismic frequencies, and thus dispersion. The latter shows a systematic shift to lower frequencies with decreasing mobility. Sandstone samples showed variations in Vp as a function of fluid saturation. We explore the applicability of the Gassmann model on sandstone rocks. Two theoretical bounds for the P-velocity are known, the Gassmann-Wood and Gassmann-Hill limits. The observations confirm the effect of wave-induced flow on the transition from the Gassmann-Wood to the Gassmann-Hill limit. With decreasing fluid mobility, the P-velocity at 2-2000 Hz moves from the Gassmann-Wood boundary to the Gassmann-Hill boundary. In addition,, we investigate the mechanisms responsible for this transition. 展开更多
关键词 SANDSTONE SATURATION P-WAVE DISPERSION Gassmann fluid substitution
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Experimental Study on Sloshing Characteristics in the Elastic Tank Based on Morlet Wavelet Transform 被引量:2
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作者 JIANG Mei-rong ZHONG Wen-jun +4 位作者 YU Jian-xing LIU Pei-lin yin han-jun WANG Shou-dong MA Yu-xiang 《China Ocean Engineering》 SCIE EI CSCD 2018年第4期400-412,共13页
Hydroelastic effect of sloshing is studied through an experimental investigation. Different excitation frequencies are considered with low-fill-depth and large amplitude. Morlet wavelet transform is introduced to anal... Hydroelastic effect of sloshing is studied through an experimental investigation. Different excitation frequencies are considered with low-fill-depth and large amplitude. Morlet wavelet transform is introduced to analyze the free surface elevations and sloshing pressures. It focuses on variations and distributions of the wavelet energy in elastic tanks. The evolutions of theoretical and experimental wavelet spectra are discussed and the corresponding Fourier spectrums are compared. Afterwards, average values of the wavelet spectra are extracted to do a quantitative study at various points. From the wavelet analysis, sloshing energies are mainly distributed around the external excitation frequency and expanded to high frequencies under violent condition. In resonance, experimental wavelet energy of the elevation in elastic tanks is obviously less than that in the rigid one; for sloshing pressures, the elastic wavelet energy close to the rigid one and conspicuous impulse is observed. It recommends engineers to concern the primary natural frequency and impulsive peak pressures. 展开更多
关键词 SLOSHING elastic tank wavelet transform free surface elevation PRESSURE
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地震循环剪切应力引起的土壤液化及强度衰减对水下生产系统基础的影响分析 被引量:1
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作者 尹汉军 顾永维 《海洋工程装备与技术》 2018年第2期125-128,共4页
随着水下生产系统在中国深水油气田中的逐步应用,对于各种极端工况的分析也越来越详细,并应用在水下生产系统设计分析中。目前国内的水下生产系统设计处于起步阶段,在分析地震对水下生产系统的影响时,一般仅将地震等效载荷施加于结构上... 随着水下生产系统在中国深水油气田中的逐步应用,对于各种极端工况的分析也越来越详细,并应用在水下生产系统设计分析中。目前国内的水下生产系统设计处于起步阶段,在分析地震对水下生产系统的影响时,一般仅将地震等效载荷施加于结构上用以分析结构的承载能力和安全性,很少考虑地震对土壤的影响。为此,分析了地震循环剪应力作用下发生土壤液化的风险以及地震后土壤强度衰减引起的沉降量问题,并通过实际工程的计算分析证明了考虑地震作用下土壤液化分析和强度衰减分析的重要性。 展开更多
关键词 水下生产系统 地震 循环剪切应力 土壤液化 强度衰减
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《秋天》为何要写牧羊女
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作者 殷寒君 《语文教学之友》 2019年第6期21-23,共3页
何其芳的诗歌《秋天》在第三节为何要写牧羊女,这既是学生初读诗歌的疑难点,也是教师备课的困惑点。解读发现正是牧羊女这一意象使诗歌形成纵深结构,意蕴更为丰富。拟遵循变异教学的理论,在微格教学中运用比较阅读的教学策略,突破教学难... 何其芳的诗歌《秋天》在第三节为何要写牧羊女,这既是学生初读诗歌的疑难点,也是教师备课的困惑点。解读发现正是牧羊女这一意象使诗歌形成纵深结构,意蕴更为丰富。拟遵循变异教学的理论,在微格教学中运用比较阅读的教学策略,突破教学难点,使学生收获颇丰。 展开更多
关键词 《秋天》 牧羊女 变异教学 比较阅读 反思
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