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Establishment of predictive models and determinants of preoperative gastric retention in endoscopic retrograde cholangiopancreatography 被引量:1
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作者 ying jia Hao-Jun Wu +3 位作者 Tang Li jia-Bin Liu Ling Fang Zi-Ming Liu 《World Journal of Gastrointestinal Surgery》 SCIE 2024年第8期2574-2582,共9页
BACKGROUND Study on influencing factors of gastric retention before endoscopic retrograde cholangiopancreatography(ERCP)background:With the wide application of ERCP,the risk of preoperative gastric retention affects t... BACKGROUND Study on influencing factors of gastric retention before endoscopic retrograde cholangiopancreatography(ERCP)background:With the wide application of ERCP,the risk of preoperative gastric retention affects the smooth progress of the operation.The study found that female,biliary and pancreatic malignant tumor,digestive tract obstruction and other factors are closely related to gastric retention,so the establishment of predictive model is very important to reduce the risk of operation.METHODS A retrospective analysis was conducted on 190 patients admitted to our hospital for ERCP preparation between January 2020 and February 2024.Patient baseline clinical data were collected using an electronic medical record system.Patients were randomly matched in a 1:4 ratio with data from 190 patients during the same period to establish a validation group(n=38)and a modeling group(n=152).Patients in the modeling group were divided into the gastric retention group(n=52)and non-gastric retention group(n=100)based on whether gastric retention occurred preoperatively.General data of patients in the validation group and identify factors influencing preoperative gastric retention in ERCP patients.A predictive model for preoperative gastric retention in ERCP patients was constructed,and calibration curves were used for validation.The receiver operating characteristic(ROC)curve was analyzed to evaluate the predictive value of the model.RESULTS We found no statistically significant difference in general data between the validation group and modeling group(P>0.05).The comparison of age,body mass index,hypertension,and diabetes between the two groups showed no statistically significant difference(P>0.05).However,we noted statistically significant differences in gender,primary disease,jaundice,opioid use,and gastrointestinal obstruction between the two groups(P<0.05).Mul-tivariate logistic regression analysis showed that gender,primary disease,jaundice,opioid use,and gastrointestinal obstruction were independent factors influencing preoperative gastric retention in ERCP patients(P<0.05).The results of logistic regression analysis revealed that gender,primary disease,jaundice,opioid use,and gastroin-testinal obstruction were included in the predictive model for preoperative gastric retention in ERCP patients.The calibration curves in the training set and validation set showed a slope close to 1,indicating good consistency between the predicted risk and actual risk.The ROC analysis results showed that the area under the curve(AUC)of the predictive model for preoperative gastric retention in ERCP patients in the training set was 0.901 with a standard error of 0.023(95%CI:0.8264-0.9567),and the optimal cutoff value was 0.71,with a sensitivity of 87.5 and specificity of 84.2.In the validation set,the AUC of the predictive model was 0.842 with a standard error of 0.013(95%CI:0.8061-0.9216),and the optimal cutoff value was 0.56,with a sensitivity of 56.2 and specificity of 100.0.CONCLUSION Gender,primary disease,jaundice,opioid use,and gastrointestinal obstruction are factors influencing preoperative gastric retention in ERCP patients.A predictive model established based on these factors has high predictive value. 展开更多
关键词 CHOLANGIOPANCREATOGRAPHY Gastric retention Influencing factors Predictive model ENDOSCOPE
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Prediction of Porous Media Fluid Flow with Spatial Heterogeneity Using Criss-Cross Physics-Informed Convolutional Neural Networks
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作者 jiangxia Han Liang Xue +5 位作者 ying jia Mpoki Sam Mwasamwasa Felix Nanguka Charles Sangweni Hailong Liu Qian Li 《Computer Modeling in Engineering & Sciences》 SCIE EI 2024年第2期1323-1340,共18页
Recent advances in deep neural networks have shed new light on physics,engineering,and scientific computing.Reconciling the data-centered viewpoint with physical simulation is one of the research hotspots.The physicsi... Recent advances in deep neural networks have shed new light on physics,engineering,and scientific computing.Reconciling the data-centered viewpoint with physical simulation is one of the research hotspots.The physicsinformedneural network(PINN)is currently the most general framework,which is more popular due to theconvenience of constructing NNs and excellent generalization ability.The automatic differentiation(AD)-basedPINN model is suitable for the homogeneous scientific problem;however,it is unclear how AD can enforce fluxcontinuity across boundaries between cells of different properties where spatial heterogeneity is represented bygrid cells with different physical properties.In this work,we propose a criss-cross physics-informed convolutionalneural network(CC-PINN)learning architecture,aiming to learn the solution of parametric PDEs with spatialheterogeneity of physical properties.To achieve the seamless enforcement of flux continuity and integration ofphysicalmeaning into CNN,a predefined 2D convolutional layer is proposed to accurately express transmissibilitybetween adjacent cells.The efficacy of the proposedmethodwas evaluated through predictions of several petroleumreservoir problems with spatial heterogeneity and compared against state-of-the-art(PINN)through numericalanalysis as a benchmark,which demonstrated the superiority of the proposed method over the PINN. 展开更多
关键词 Physical-informed neural networks(PINN) flow in porous media convolutional neural networks spatial heterogeneity machine learning
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Rate transient analysis methods for water-producing gas wells in tight reservoirs with mobile water
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作者 Qingyan Yu ying jia +2 位作者 Pengcheng Liu Xiangyang Hu Shengye Hao 《Energy Geoscience》 EI 2024年第1期311-320,共10页
Tight gas reservoirs with mobile water exhibit multi-phase flow and high stress sensitivity.Accurately analyzing the reservoir and well parameters using conventional single-phase rate transient analysis methods proves... Tight gas reservoirs with mobile water exhibit multi-phase flow and high stress sensitivity.Accurately analyzing the reservoir and well parameters using conventional single-phase rate transient analysis methods proves challenging.This study introduces novel rate transient analysis methods incorporating evaluation processes based on the conventional flowing material balance method and the Blasingame type-curve method to examine fractured gas wells producing water.By positing a gas-water two-phase equivalent homogenous phase that considers characteristics of mobile water,gas,and high stress sensitivity,the conventional single-phase rate transient analysis methods can be applied by integrating the phase's characteristics and defining the phase's normalized parameters and material balance pseudotime.The rate transient analysis methods based on the equivalent homogenous phase can be used to quantitatively assess the parameters of wells and gas reservoirs,such as original gas-in-place,fracture half-length,reservoir permeability,and well drainage radius.This facilitates the analysis of production dynamics of fractured wells and well-controlled areas,subsequently aiding in locating residual gas and guiding the configuration of well patterns.The specific evaluation processes are detailed.Additionally,a numerical simulation mechanism model was constructed to verify the reliability of the developed methods.The methods introduced have been successfully implemented in field water-producing gas wells within tight gas reservoirs containing mobile water. 展开更多
关键词 Gas reservoirs with mobile water Gas-water two phase flow High stress sensitivity Equivalent homogenous phase Rate transient analysis
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Production forecasting methods for different types of gas reservoirs
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作者 Fanliao Wang Shucheng Liu +5 位作者 ying jia Anrong Gao Kun Su Yanqing Liu Jing Du Liru Wang 《Energy Geoscience》 EI 2024年第3期275-283,共9页
Hydrocarbon production in oil and gas fields generally progresses through stages of production ramp-up,plateau(peak),and decline during field development,with the whole process primarily modeled and forecasted using l... Hydrocarbon production in oil and gas fields generally progresses through stages of production ramp-up,plateau(peak),and decline during field development,with the whole process primarily modeled and forecasted using lifecycle models.SINOPEC's conventional gas reservoirs are dominated by carbonates,low-permeability tight sandstone,condensate,volcanic rocks,and medium-to-high-permeability sandstone.This study identifies the optimal production forecasting models by comparing the fitting coefficients of different models and calculating the relative errors in technically recoverable reserves.To improve forecast precision,it suggests substituting exponential smoothing method-derived predictions for anomalous data caused by subjective influences like market dynamics and maintenance activities.The preferred models for carbonate gas reservoir production forecasts are the generalized Weng's,Beta,Class-I generalized mathematical,and Hu-Chen models.The Vapor pressure and Beta models are optimal for forecasting the annual productivity of wells(APW)from gas-bearing low-permeability tight sandstone reservoirs.The Wang-Li,Beta,and Yu QT tb models are apt for moderate-to-small-reserves,single low-permeability tight sandstone gas reservoirs.The Rayleigh,Hu-Chen,and generalized Weng's models are suitable for condensate gas reservoirs.For medium-to-high-permeability sandstone gas reservoirs,the lognormal,generalized gamma,and Beta models are recommended. 展开更多
关键词 Production prediction Life cycle model Carbonate gas reservoir Low-permeability tight sandstone gas reservoir
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新时代高校中层领导人员能力素质现状及提升对策研究 被引量:2
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作者 杨守鸿 应佳 王琪琪 《高等建筑教育》 2019年第6期148-154,共7页
党的十九大召开以后,新时代背景下,中央对高校的综合改革提出了更高要求,高校中层领导人员的地位和作用至关重要。以某中管高校中层领导人员为研究对象,结合中央提出干部“八个本领”的具体要求,采用自编问卷对中层领导人员的能力素质... 党的十九大召开以后,新时代背景下,中央对高校的综合改革提出了更高要求,高校中层领导人员的地位和作用至关重要。以某中管高校中层领导人员为研究对象,结合中央提出干部“八个本领”的具体要求,采用自编问卷对中层领导人员的能力素质等多方面情况进行了调查。在此基础上,提出提升高校中层领导人员能力素质的几项对策建议。 展开更多
关键词 高校管理 中层领导 干部素质 对策研究
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术前玻璃酸钠滴眼液联用rbBFG对白内障合并干眼的手术疗效 被引量:1
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作者 张少威 应佳 张秀珍 《浙江实用医学》 2021年第4期296-299,共4页
目的探讨术前玻璃酸钠滴眼液联用重组牛碱性成纤维细胞生长因子(rbBFG)对白内障合并干眼的手术疗效。方法选择2019年1月-2021年6月白内障合并干眼患者96例(丽水市第二人民医院34例,丽水市中心医院62例),随机分为对照组和联用组各48例。... 目的探讨术前玻璃酸钠滴眼液联用重组牛碱性成纤维细胞生长因子(rbBFG)对白内障合并干眼的手术疗效。方法选择2019年1月-2021年6月白内障合并干眼患者96例(丽水市第二人民医院34例,丽水市中心医院62例),随机分为对照组和联用组各48例。对照组术前7天给予玻璃酸钠滴眼液局部用药,联用组在对照组基础上联用rbBFG治疗,两组均行超声乳化术+晶体植入术。比较两组治疗前与术后30天的临床症状、眼表功能、泪液炎症因子及氧化应激水平。结果治疗前,临床症状、眼表功能、泪液炎症因子及氧化应激水平差异均无统计学意义(P>0.05),治疗后,联用组临床症状评分明显低于对照组,差异有统计学意义(P<0.05);治疗后,联用组眼表疾病指数、基础泪液分泌试验结果、泪膜破裂时间以及角膜荧光染色评分改善均较对照组显著,组间比较差异具有统计学意义(P<0.05);治疗后,联用组TNF-α、IL-6及丙二醛(MDA)水平较对照组低,总抗氧化能力(TAC)及超氧化物歧化酶(SOD)水平较对照组高,组间比较差异具有统计学意义(P<0.05)。结论术前应用玻璃酸钠滴眼液和rbBFG能改善白内障合并干眼患者术后的临床症状及眼表功能,减轻其炎症及氧化应激反应。 展开更多
关键词 白内障 干眼 成纤维细胞生长因子 超声乳化术
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Effect of the distributor plugging ways on fluidization quality and particle stratification in air dense medium fluidized bed 被引量:8
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作者 Zhonglin Gao Xuesen Chai +3 位作者 Enhui Zhou ying jia Chenlong Duan Ligang Tang 《International Journal of Mining Science and Technology》 SCIE EI CAS CSCD 2020年第6期883-888,共6页
Gas-solid fluidized bed separation is a highly efficient and clean technique for coal separation,and can effectively remove ash and sulfur contained gangue minerals from coal.However,the fine coal plugging distributor... Gas-solid fluidized bed separation is a highly efficient and clean technique for coal separation,and can effectively remove ash and sulfur contained gangue minerals from coal.However,the fine coal plugging distributor often leads to uneven fluidization and affects the separation effect.In this paper,different plugging ways were designed to study their effects on the fluidization characteristics and particle mixing.It was found that when the plugging phenomenon occurs,the minimum fluidization velocity of the fluidized bed gradually decreases as the plugging area enlarges.The difference between the top and the bottom of the bed minimum fluidization velocity increases accordingly,and a“stagnation phenomenon”occurs in the bed.The standard deviation of pressure fluctuations at the top of the bed is smaller than that at the bottom of the bed,which is the opposite of normal conditions.As the area of the plugging increases,the dead zone on the side wall of the fluidized bed significantly increases.The size of the dead zone is rapid reducing at the initial stage.It was noticed that the stratification of the low-density products is particularly affected by plugging,whereas the stratification of high-density products is not obviously influenced by certain conditions. 展开更多
关键词 Dry separation DISTRIBUTOR Plugging Particle mixing
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Effect of deposition temperature on SrFe12O19@carbonyl iron core–shell composites as high-performance microwave absorbers 被引量:2
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作者 Yuan Liu Rong Li +1 位作者 ying jia Zhen-Xin He 《Chinese Physics B》 SCIE EI CAS CSCD 2020年第6期505-511,共7页
The SrFe12O19@carbonyl iron(CI) core–shell composites used in microwave absorption are prepared by the metal–organic chemical vapor deposition(MOCVD). The x-ray diffractometer, scanning electron microscope, energy d... The SrFe12O19@carbonyl iron(CI) core–shell composites used in microwave absorption are prepared by the metal–organic chemical vapor deposition(MOCVD). The x-ray diffractometer, scanning electron microscope, energy dispersive spectrometer, and vector network analyzer are used to characterize the structural, electromagnetic, and absorption properties of the composites. The results show that the SrFe12O19@CI composites with a core–shell structure could be successfully prepared under the condition: deposition temperatures above 180℃, deposition time 30 min, and gas flow rate 30 m L/min.The electromagnetic properties of the composites change significantly, and their absorption capacities are improved. Of the obtained samples, those samples prepared at a deposition temperature of 180℃ exhibit the best absorption performance.The reflection loss of SrFe12O19@CI(180℃) with 1.5 mm–2.5 mm in thickness is less than-10 dB in a frequency range of 8 GHz–18 GHz, which covers the whole X band and Ku band. 展开更多
关键词 SrFe12O19 carbonyl iron electromagnetic properties microwave absorption
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Study on changes of polyamine levels in mice with the development of U14 cervical cancer 被引量:1
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作者 Qian Wang Yi-Xiang Wang +6 位作者 Ran Liu Yan Zhou ying jia Xiang-Lin Wang Yu Hu Kai-Shun Bi Qing Li 《Journal of Pharmaceutical Analysis》 SCIE CAS 2013年第1期20-27,共8页
This study was performed to investigate the possible involvement of polyamincs in the development of cervical cancer. The objective of the present study was therefore to lind the specilic polyamine indicators, which c... This study was performed to investigate the possible involvement of polyamincs in the development of cervical cancer. The objective of the present study was therefore to lind the specilic polyamine indicators, which could be used as useful markers for the early determination of cervical cancer. A simple method for the simultaneous determination of plasma concentrations ol live polyamines in normal and UI4 model mice was developed by using HPLC-MS. The samples were derivatized by benzoyl chloride. The derived polyamines were separated on a C18 colunm by a gradient elution with methanol water, and then detected with HPLC-MS. The results showed tha! all polyamine levels in the U 14 model mice were higher than those in normal ones. Thc cadaverine. putrescine and 1,3-diaminopropane levels were significantly higher in U 14 model mice plasma than those in normal mice plasma, especially the putrescine and 1, 3-diaminopropane (P〈0.01). The cadaverine, putrescine and 1, 3-diaminopropane levels were significantly higher in U 14 mice model urine than those in normal mice urine, especially the cadaverine and 1, 3-diaminopropane (P〈0.01). Putrescine, cadaverine and I, 3-diaminopropane might be the indicators of the cervical cancer. 展开更多
关键词 Polyamines Cervical cancer Plasma URINE MICE HPLC-MS
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因果与权重:决策的眼动模型 被引量:1
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作者 刘洪志 魏子晗 +2 位作者 盈嘉 贺祉秋 李东启 《心理科学》 CSSCI CSCD 北大核心 2022年第1期242-249,共8页
结合眼动注视的漂移扩散模型可较好描述个体的决策行为,但尚存两个问题未得解决:注视与决策的因果关系以及决策过程中累积证据的权重问题。本研究采用基于注视的操纵范式考察了基于价值的决策中注视与决策的关系,发现操纵被试对选项的... 结合眼动注视的漂移扩散模型可较好描述个体的决策行为,但尚存两个问题未得解决:注视与决策的因果关系以及决策过程中累积证据的权重问题。本研究采用基于注视的操纵范式考察了基于价值的决策中注视与决策的关系,发现操纵被试对选项的注视时间可影响其选择,注视操纵主要影响决策后期时程,且模型参数估计结果更支持近因模型。研究结果支持了漂移扩散模型的近因假设,为今后的模型发展指明了新方向。 展开更多
关键词 眼动追踪技术 基于价值的决策 漂移扩散模型 因果关系
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绿色建筑专项规划编制与实践 被引量:2
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作者 陈洪 李志磊 +1 位作者 胡莹坚 应佳 《绿色建筑》 CAS 2020年第3期33-37,共5页
以浙江省宁波市为例,基于层次分析法探讨绿色建筑专项规划编制技术路径,立足现有的绿色建筑和建筑工业化发展基础,合理考虑和设置宁波市绿色建筑总体发展目标、定位、战略以及技术路线.明确各行政目标管理分区和政策单元的对应指标要求... 以浙江省宁波市为例,基于层次分析法探讨绿色建筑专项规划编制技术路径,立足现有的绿色建筑和建筑工业化发展基础,合理考虑和设置宁波市绿色建筑总体发展目标、定位、战略以及技术路线.明确各行政目标管理分区和政策单元的对应指标要求,将规划要求与空间落实紧密结合.同时,确保绿色建筑及建筑工业化各项工作有据可依,并形成了以绿色建筑和装配式建筑为引领的“绿色化、工业化、信息化”的转型方向.以此全面落实生态文明建设理念,希冀可为浙江省乃至其他地区开展绿色建筑专项规划提供技术支撑. 展开更多
关键词 绿色建筑 专项规划 目标管理分区 政策单元 层次分析法 规划编制
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RCA2在1例非计划性气管拔管事件中的应用 被引量:4
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作者 周宁宁 应嘉 +1 位作者 孙建良 程远 《麻醉安全与质控》 2018年第2期87-90,共4页
目的通过对1例非计划性气管拔管事件的分析,介绍在根本原因分析法(RCA)基础上的RCA^2在医院手术室及麻醉科中的应用。方法运用根本原因分析法回顾性分析杭州市第一人民医院1例非计划性气管拔管事件。结果通过一系列的分析找出事件发生... 目的通过对1例非计划性气管拔管事件的分析,介绍在根本原因分析法(RCA)基础上的RCA^2在医院手术室及麻醉科中的应用。方法运用根本原因分析法回顾性分析杭州市第一人民医院1例非计划性气管拔管事件。结果通过一系列的分析找出事件发生的各种末端原因并确定根本原因,采取了制订并落实转床流程、进行气管导管固定培训、添置转运呼吸机等整改措施,并对整改效果进行评价。结论 RCA^2为医院手术室、麻醉科提供了一种科学系统地处理差错的方法,值得在临床工作中推广。 展开更多
关键词 根本原因分析 RCA2 非计划性气管拔管 转床流程
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Noradrenergic, glutamatergic and dopaminergic systems are implicated in antidepressant-like effect of flavonoids extracted from okra (Abelmoschus esculentus [L.] Moench.) fruit in the forced swimming test
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作者 Fuyuan Li Xiaozhuo Zhang +3 位作者 Qianqian Mao Bo Wu ying jia Tingxu Yan 《Journal of Polyphenols》 2022年第1期17-31,共15页
Okra(Abelmoschus esculentus[L.]Moench.)is one of the most frequently used herbals in East or West Africa,and its various biological activities have been widely studied.Flavonoids extracted from many plants are reporte... Okra(Abelmoschus esculentus[L.]Moench.)is one of the most frequently used herbals in East or West Africa,and its various biological activities have been widely studied.Flavonoids extracted from many plants are reported to have neurological properties,e.g antidepressant and antifatigue.However,its neurological protect in antidepressant-like effect of flavonoids extracted from okra have not yet been demonstrated.The present study was aimed at investigating the antidepressant-like eff ect of the flavonoids extracted from okra fruit(FOF)using the forced swimming test(FST)pattern and preliminary exploration its potential mechanism.We also used the open fi eld test(OFT)to estimate the spontaneous locomotor activity.We found that oral administration(p.o.)of FOF(300 mg/kg)alone signifi cantly reduced the immobility time in the FST without changes in locomotor activity in the OPT.The experimental data indicated the antidepressant-like eff ect of FOF involved in noradrenergic,glutamatergic and dopaminergic systems. 展开更多
关键词 OKRA ANTIDEPRESSANT forced swimming test(FST) mechanism flavonoid compound
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玻璃体切除联合内界膜剥除术治疗高度近视眼黄斑劈裂的疗效观察 被引量:8
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作者 应佳 李俊 +1 位作者 徐格致 俞颂平 《中华眼科杂志》 CAS CSCD 北大核心 2020年第12期928-932,共5页
目的探讨玻璃体切除联合保留黄斑中心凹的环形内界膜剥除术治疗高度近视眼黄斑劈裂的临床疗效。方法病例对照研究。纳入2016年6月至2017年5月在浙江省丽水市中心医院拟行玻璃体切除联合内界膜剥除术治疗高度近视眼黄斑劈裂的患者72例(8... 目的探讨玻璃体切除联合保留黄斑中心凹的环形内界膜剥除术治疗高度近视眼黄斑劈裂的临床疗效。方法病例对照研究。纳入2016年6月至2017年5月在浙江省丽水市中心医院拟行玻璃体切除联合内界膜剥除术治疗高度近视眼黄斑劈裂的患者72例(86只眼),其中男性18例(18只眼),女性54例(68只眼),年龄(50.5±8.9)岁。采用随机数字表和随机数余数分组法随机分为观察组(34例,43只眼)和对照组(38例,43只眼)。所有患者均行玻璃体切除手术,对照组术中剥除黄斑区内界膜,观察组术中保留中心凹的环形内界膜,白内障严重者联合白内障摘除手术。观察所有患者治疗前后的最佳矫正视力(BCVA)、黄斑中心凹视网膜厚度(CFT)、屈光度数、眼压、眼轴长度及黄斑形态完全愈合情况。两组治疗前后计量数据的比较采用配对t检验,黄斑愈合分布的比较采用卡方检验。结果观察组治疗前CFT为(723.49±130.95)μm,末次随访下降至(286.33±210.73)μm,差异有统计学意义(t=17.059,P=0.000);黄斑中心凹处劈裂完全或部分愈合的39只眼中,治疗前BCVA为0.99±0.40,治疗后提高到0.68±0.24,差异有统计学意义(t=7.585,P=0.000)。对照组治疗前CFT为(726.98±140.62)μm;治疗后末次随访下降至(297.88±241.56)μm,差异有统计学意义(t=16.271,P=0.000);中心凹处劈裂完全或部分愈合的38只眼中,治疗前BCVA为1.04±0.47,治疗后提高到0.69±0.21,与治疗前相比差异有统计学意义(t=6.707,P=0.00)。以末次随访时间为疗效判定时间,观察组和对照组BCVA(t=0.22)和CFT(t=0.236)的差异均无统计学意义(P>0.05);观察组和对照组中出现黄斑裂孔差异率有统计学意义(P=0.026)。结论玻璃体切除联合保留黄斑中心凹的环形内界膜剥除治术在有效治疗高度近视眼黄斑劈裂的同时,可减少术后黄斑裂孔的形成。 展开更多
关键词 近视 退行性 视网膜劈裂症 基膜 玻璃体切除术 治疗结果
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FMEA和HVA联合应用于消毒供应中心的感染控制效果观察 被引量:6
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作者 应嘉 叶卉 +1 位作者 刘秀俊 杜翠旗 《实用预防医学》 CAS 2022年第7期891-893,共3页
目的探讨失效模式和效应分析(failure mode and effects analysis,FMEA)与灾难脆弱性(hazard vulnerability assessment,HVA)联合用于医院消毒供应中心(central sterile supply department,CSSD)感染防控管理的成效。方法联合应用FMEA与... 目的探讨失效模式和效应分析(failure mode and effects analysis,FMEA)与灾难脆弱性(hazard vulnerability assessment,HVA)联合用于医院消毒供应中心(central sterile supply department,CSSD)感染防控管理的成效。方法联合应用FMEA与HVA对杭州市第一人民医院CSSD感染防控工作进行管理,选择12名工作人员组成管理小组,其中2020年6—12月为FMEA联合HVA管理实施前,2021年1—6月为实施后,对比分析两个阶段风险事件危害相关风险值(RISK)、RISK前三事件的失效模式事先风险数(risk priority number,RPN),并对比实施前后消毒合格率。结果通过HVA评估,实施前后居于前三位的医源性感染风险事件为自动化清洗消毒机故障、真空压蒸汽灭菌器故障以及锐器损伤,但FMEA配合HVA管理实施后,三者的RISK均显著低于实施前的,差异有统计学意义(P<0.05)。FMEA配合HVA管理实施后,自动化清洗消毒机器故障、真空压蒸汽灭菌机器故障及锐器损伤的失效模式RPN值分别是(43.62±6.23)分、(44.45±5.52)分、(52.37±5.61)分,分别低于实施前的(65.26±5.26)分、(60.23±6.00)分、(67.20±4.78)分(均P<0.05)。实施前消毒物品合格率为91.67%,实施后为100.00%,差异有统计学意义(P=0.029)。结论在医院CSSD实施FMEA配合HVA管理可有效减少感染风险事件,预防感染发生,提高医疗器械安全性,有着重要的临床意义。 展开更多
关键词 失效模式与效应分析 灾害脆弱性 消毒供应中心 感染控制
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Triplet excitation dynamics of β-carotene studied in three solvents by ns flash photolysis spectroscopy
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作者 ying jia ying Shi +1 位作者 Peng Wang jian-Ping Zhang 《Chinese Chemical Letters》 SCIE CAS CSCD 2017年第1期83-88,共6页
Upon anthracene-sensitizing, triplet excitation dynamics of β-carotene(β-Car) were studied in nhexane, in methanol, and in acetonitrile, respectively, by ns flash photolysis spectroscopy. In n-hexane,only the blea... Upon anthracene-sensitizing, triplet excitation dynamics of β-carotene(β-Car) were studied in nhexane, in methanol, and in acetonitrile, respectively, by ns flash photolysis spectroscopy. In n-hexane,only the bleaching of the ground state absorption(GSB) and the excitation triplet(^3Car*) absorption were observed, and there were no cationic species detected. In both methanol and acetonitrile, similar excitation dynamics were observed, i.e.,^3Car* having a similar lifetime to that in n-hexane, and the immediate generation of the cation dehydrodimer(^#[Car]2^+) upon excitation following transformation into the radical cation Car*^+, since Car*^+ has much longer lifetime in acetonitrile than in methanol. The results prove that both solvent and carotenoid structure determine the triplet excitation mechanism. 展开更多
关键词 Β-CAROTENE Triplet excitation dynamics Solvent effect ns Flash photolysis
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