目的针对替雷利珠单抗建立药物利用评价(drug use evaluation,DUE)标准,对南京医科大学附属南京医院替雷利珠单抗使用情况进行评价,为临床合理用药提供参考依据。方法根据替雷利单抗药品说明书、临床相关指导原则、诊疗指南和专家共识等...目的针对替雷利珠单抗建立药物利用评价(drug use evaluation,DUE)标准,对南京医科大学附属南京医院替雷利珠单抗使用情况进行评价,为临床合理用药提供参考依据。方法根据替雷利单抗药品说明书、临床相关指导原则、诊疗指南和专家共识等,建立替雷利珠单抗DUE标准,依据标准回顾性分析评价2023年1—9月南京医科大学附属南京医院使用替雷利珠单抗的住院病人用药情况。结果替雷利珠单抗DUE标准包含14个指标。纳入96例病人,共使用替雷利珠单抗687次。体力评分、器官功能和实验室指标、给药剂量、给药途径、输注时间、给药频次和疗效评估合理率100%;禁忌证、溶媒种类和用量合理率98.96%;联合用药合理率97.92%;药物相互作用合理率96.88%;给药顺序和时间合理率84.38%;适应证合理率80.21%;不良反应监测与处理合理率39.58%。结论建立并应用替雷利珠单抗DUE标准可发现用药过程中的不合理现象,为临床安全用药提供参考依据。展开更多
Abstract: Structure, crystallization and dissolution properties of CaO-MgO-SiO2 inorganic glass fiber in the presence of additives (A12O3, Y2O3) were investigated by DTA, XRD, FTIR and ICP-AES techniques. The resul...Abstract: Structure, crystallization and dissolution properties of CaO-MgO-SiO2 inorganic glass fiber in the presence of additives (A12O3, Y2O3) were investigated by DTA, XRD, FTIR and ICP-AES techniques. The results show that with the addition ofAl2O3 and Y2O3, the glass network structure is strengthened and the precipitation of crystals is inhibited for heat-treated fibers. Compared with Y2O3 doped fibers, AI2O3 presents more significant effects on the enhancement of silica network and the inhibition of crystallization in fibers. As for dissolution properties in physiological fluids, though the weight losses, changes of pH values and leached ions concentration lower slightly with the addition ofA1203 and Y203 for the intensified network structure, and fibers still present high dissolution rates.展开更多
核反应堆在运行过程中或核应急情况下会产生^(85)Kr、^(133)Xe、^(135)Xe和^(41)Ar等放射性惰性气体,准确测量不同惰性气体的放射性活度对了解反应堆的运行状况和核应急预警均有重要意义。根据各种核素衰变发射的β、γ射线,设计并优化...核反应堆在运行过程中或核应急情况下会产生^(85)Kr、^(133)Xe、^(135)Xe和^(41)Ar等放射性惰性气体,准确测量不同惰性气体的放射性活度对了解反应堆的运行状况和核应急预警均有重要意义。根据各种核素衰变发射的β、γ射线,设计并优化了可用于放射性惰性气体活度实时测量的4π双叠层闪烁体探测器。探测器的内层塑料闪烁体用于测量β射线,外层碘化铯闪烁体(CsI)用于测量γ射线,并通过β-γ的符合测量实现不同放射性核素的分辨及活度测量。针对核电放出的4种主要放射性惰性气体,基于GEANT4(GEometry ANd Tracking 4)模拟库包,研究了塑料闪烁体、CsI厚度及气体采样腔尺寸对不同核素发射的β、γ探测效率的影响;并给出该4π型双叠层闪烁体探测器的优化几何尺寸和相应探测器性能,为后续探测器的制作与测试提供参考。展开更多
文摘目的针对替雷利珠单抗建立药物利用评价(drug use evaluation,DUE)标准,对南京医科大学附属南京医院替雷利珠单抗使用情况进行评价,为临床合理用药提供参考依据。方法根据替雷利单抗药品说明书、临床相关指导原则、诊疗指南和专家共识等,建立替雷利珠单抗DUE标准,依据标准回顾性分析评价2023年1—9月南京医科大学附属南京医院使用替雷利珠单抗的住院病人用药情况。结果替雷利珠单抗DUE标准包含14个指标。纳入96例病人,共使用替雷利珠单抗687次。体力评分、器官功能和实验室指标、给药剂量、给药途径、输注时间、给药频次和疗效评估合理率100%;禁忌证、溶媒种类和用量合理率98.96%;联合用药合理率97.92%;药物相互作用合理率96.88%;给药顺序和时间合理率84.38%;适应证合理率80.21%;不良反应监测与处理合理率39.58%。结论建立并应用替雷利珠单抗DUE标准可发现用药过程中的不合理现象,为临床安全用药提供参考依据。
基金the National High Technology Research and Development Program ("863" Program) of China (No.2009AA032503)the National Natural Science Foundation of China (Nos.50872098, 51004080)the Open Fund of the Key State Laboratory Breeding Base of Refractories and Ceramics (Wuhan University of Science and Technology (No.G201004)
文摘Abstract: Structure, crystallization and dissolution properties of CaO-MgO-SiO2 inorganic glass fiber in the presence of additives (A12O3, Y2O3) were investigated by DTA, XRD, FTIR and ICP-AES techniques. The results show that with the addition ofAl2O3 and Y2O3, the glass network structure is strengthened and the precipitation of crystals is inhibited for heat-treated fibers. Compared with Y2O3 doped fibers, AI2O3 presents more significant effects on the enhancement of silica network and the inhibition of crystallization in fibers. As for dissolution properties in physiological fluids, though the weight losses, changes of pH values and leached ions concentration lower slightly with the addition ofA1203 and Y203 for the intensified network structure, and fibers still present high dissolution rates.
文摘核反应堆在运行过程中或核应急情况下会产生^(85)Kr、^(133)Xe、^(135)Xe和^(41)Ar等放射性惰性气体,准确测量不同惰性气体的放射性活度对了解反应堆的运行状况和核应急预警均有重要意义。根据各种核素衰变发射的β、γ射线,设计并优化了可用于放射性惰性气体活度实时测量的4π双叠层闪烁体探测器。探测器的内层塑料闪烁体用于测量β射线,外层碘化铯闪烁体(CsI)用于测量γ射线,并通过β-γ的符合测量实现不同放射性核素的分辨及活度测量。针对核电放出的4种主要放射性惰性气体,基于GEANT4(GEometry ANd Tracking 4)模拟库包,研究了塑料闪烁体、CsI厚度及气体采样腔尺寸对不同核素发射的β、γ探测效率的影响;并给出该4π型双叠层闪烁体探测器的优化几何尺寸和相应探测器性能,为后续探测器的制作与测试提供参考。