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急诊内镜静脉断流术治疗上消化道静脉曲张破裂出血的临床疗效 被引量:14
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作者 王飞 李芊蔚 +6 位作者 周旖旎 吴立双 吕梅 刘春英 朴莲淑 吴琳琳 于庆功 《中国内镜杂志》 2018年第7期46-50,共5页
目的探讨急诊内镜静脉断流术(ESVD)治疗上消化道静脉曲张破裂出血的临床疗效。方法回顾性分析2016年1月-2017年9月在大连大学附属中山医院消化内科接受急诊ESVD治疗的45例肝硬化食管胃静脉曲张破裂出血患者,统计分析ESVD治疗次数,术前... 目的探讨急诊内镜静脉断流术(ESVD)治疗上消化道静脉曲张破裂出血的临床疗效。方法回顾性分析2016年1月-2017年9月在大连大学附属中山医院消化内科接受急诊ESVD治疗的45例肝硬化食管胃静脉曲张破裂出血患者,统计分析ESVD治疗次数,术前及术后临床指标变化,术后复查内镜和随访情况,分析其有效性、安全性及相关性。结果 45例患者均成功完成急诊ESVD治疗,ESVD治疗次数73次,急诊内镜治疗的成功率97.8%(44/45),ESVD治疗后静脉曲张有效率97.8%(44/45)。术后随访期间5例患者术后迟发性出血,再出血的发生率11.1%(5/45),2例患者术后出现肺内感染,呼吸衰竭导致死亡,死亡率4.4%(2/45)。结论急诊ESVD可以作为一种安全有效的上消化道静脉曲张破裂出血的临床方法。 展开更多
关键词 食管胃静脉曲张 出血 内镜下静脉断流术 急诊
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Dual-domain and Multiscale Fusion Deep Neural Network for PPG Biometric Recognition
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作者 chun-ying liu Gong-Ping Yang +1 位作者 Yu-Wen Huang Fu-Xian Huang 《Machine Intelligence Research》 EI CSCD 2023年第5期707-715,共9页
Photoplethysmography(PPG)biometrics have received considerable attention.Although deep learning has achieved good performance for PPG biometrics,several challenges remain open:1)How to effectively extract the feature ... Photoplethysmography(PPG)biometrics have received considerable attention.Although deep learning has achieved good performance for PPG biometrics,several challenges remain open:1)How to effectively extract the feature fusion representation from time and frequency PPG signals.2)How to effectively capture a series of PPG signal transition information.3)How to extract timevarying information from one-dimensional time-frequency sequential data.To address these challenges,we propose a dual-domain and multiscale fusion deep neural network(DMFDNN)for PPG biometric recognition.The DMFDNN is mainly composed of a two-branch deep learning framework for PPG biometrics,which can learn the time-varying and multiscale discriminative features from the time and frequency domains.Meanwhile,we design a multiscale extraction module to capture transition information,which consists of multiple convolution layers with different receptive fields for capturing multiscale transition information.In addition,the dual-domain attention module is proposed to strengthen the domain of greater contributions from time-domain and frequency-domain data for PPG biometrics.Experiments on the four datasets demonstrate that DMFDNN outperforms the state-of-the-art methods for PPG biometrics. 展开更多
关键词 Photoplethysmography(PPG)signal biometric recognition multiple scale deep neural network dual-domain attention.
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新型冠状病毒肺炎流行下方舱医院护理团队的构建与管理策略 被引量:3
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作者 王荣 刘春英 +4 位作者 靳英辉 罗丽娇 曾淑豪 杨冰香 欧阳艳琼 《医学新知》 CAS 2020年第5期402-407,共6页
目的总结新型冠状病毒肺炎(Corona virus disease 2019,COVID-19)流行期间某方舱医院护理团队的构建及管理策略,为今后应对类似的重大公共卫生应急事件提供参考。方法某方舱医院迅速组建临时性应急护理团队,设置高效的组织架构,实施方... 目的总结新型冠状病毒肺炎(Corona virus disease 2019,COVID-19)流行期间某方舱医院护理团队的构建及管理策略,为今后应对类似的重大公共卫生应急事件提供参考。方法某方舱医院迅速组建临时性应急护理团队,设置高效的组织架构,实施方舱管理“网格化”,防疫培训与院感管理“同步化”、资源管理“最优化”,护理质量“标准化”,团队管理“人性化”和护理措施“整体化”。结果2020年2月5日-3月10日,该方舱医院共收治COVID-19确诊患者1124例,患者零病死和零投诉,医护人员零感染,护理服务满意度达99.77%。结论方舱医院应急护理团队的有效组织与管理,精准实施各项护理工作,保证了疫情防控中的护理质量,圆满完成了救治任务。 展开更多
关键词 新型冠状病毒肺炎 方舱医院 临时性团队 护理管理
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Gut microbiome,cognitive function and brain structure:a multi-omics integration analysis 被引量:3
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作者 Xinxiu Liang Yuanqing Fu +15 位作者 Wen-ting Cao Zhihong Wang Ke Zhang Zengliang Jiang Xiaofang Jia chun-ying liu Hong-rou Lin Haili Zhong Zelei Miao Wanglong Gou Menglei Shuai Yujing Huang Shengdi Chen Bing Zhang Yu-ming Chen Ju-Sheng Zheng 《Translational Neurodegeneration》 SCIE 2022年第1期178-191,共14页
Background:Microbiome-gut-brain axis may be involved in the progression of age-related cognitive impairment and relevant brain structure changes,but evidence from large human cohorts is lacking.This study was aimed to... Background:Microbiome-gut-brain axis may be involved in the progression of age-related cognitive impairment and relevant brain structure changes,but evidence from large human cohorts is lacking.This study was aimed to investigate the associations of gut microbiome with cognitive impairment and brain structure based on multi-omics from three independent populations.Methods:We included 1430 participants from the Guangzhou Nutrition and Health Study(GNHS)with both gut microbiome and cognitive assessment data available as a discovery cohort,of whom 272 individuals provided fecal samples twice before cognitive assessment.We selected 208 individuals with baseline microbiome data for brain magnetic resonance imaging during the follow-up visit.Fecal 16S rRNA and shotgun metagenomic sequencing,tar-geted serum metabolomics,and cytokine measurements were performed in the GNHS.The validation analyses were conducted in an Alzheimer’s disease case-control study(replication study 1,n=90)and another community-based cohort(replication study 2,n=1300)with cross-sectional dataset.Results:We found protective associations of specific gut microbial genera(Odoribacter,Butyricimonas,and Bac-teroides)with cognitive impairment in both the discovery cohort and the replication study 1.Result of Bacteroides was further validated in the replication study 2.Odoribacter was positively associated with hippocampal volume(β,0.16;95%CI 0.06-0.26,P=0.002),which might be mediated by acetic acids.Increased intra-individual alterations in gut microbial composition were found in participants with cognitive impairment.We also identified several serum metabolites and inflammation-associated metagenomic species and pathways linked to impaired cognition.Conclusions:Our findings reveal that specific gut microbial features are closely associated with cognitive impair-ment and decreased hippocampal volume,which may play an important role in dementia development. 展开更多
关键词 Gut microbiome Cognitive impairment Brain structure METAGENOMICS Microbiome-gut-brain axis COHORT
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