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延续性护理对高海拔地区居家老年患者压力性损伤的干预研究 被引量:1
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作者 巩芳 邹家勇 +2 位作者 袁怡婷 杨文媛 王丽梅 《数理医药学杂志》 CAS 2023年第7期505-510,共6页
目的 探究在高海拔地区给予压力性损伤(pressure injury,PI)居家老年患者延续性护理的干预效果。方法 选取2021年4月至10月西宁市第一人民医院收治且出院时仍存在PI的62例老年患者为研究对象,分为对照组和试验组,每组31例。对照组给予... 目的 探究在高海拔地区给予压力性损伤(pressure injury,PI)居家老年患者延续性护理的干预效果。方法 选取2021年4月至10月西宁市第一人民医院收治且出院时仍存在PI的62例老年患者为研究对象,分为对照组和试验组,每组31例。对照组给予常规出院宣教及随访,试验组给予延续性护理措施,收集两组患者PI创口愈合时间、SF-36生活质量评分、护理满意度、照护者知识评分、照护行为评分等指标,分析PI创口愈合时间的影响因素,比较延续性护理措施的干预效果。结果 试验组患者PI创口愈合时间短于对照组;试验组患者生活质量评分、护理满意度、照护者知识评分、照护行为评分均高于对照组,差异有统计学意义(P <0.05);PI分期与创口愈合时间呈正相关,患者体重指数(body mass index,BMI)、照护者知识评分、行为评分与创口愈合时间呈负相关,且均为创口愈合时间的独立影响因素。结论 在高海拔地区向PI居家老年患者提供延续性护理措施,可改善患者生活质量,提高护理工作满意度、照护者知识水平、照护行为质量,对缩短创口愈合时间有重要意义。 展开更多
关键词 延续性护理 高海拔地区 压力性损伤 老年患者
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DPYD、GSTP1、MTHFR基因多态性对5-FU类基础化疗结直肠癌患者疗效的影响 被引量:8
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作者 张杰 李昌海 +6 位作者 李林子 王琴 方功 谢雄伟 韦智丹 张勇 廖秋霞 《山东医药》 CAS 2020年第10期9-12,36,共5页
目的探讨二氢嘧啶脱氢酶基因(DPYD)、谷胱甘肽S转移酶P1(GSTP1)和亚甲基四氢叶酸还原酶(MTHFR)与接受以5-FU类为基础的化疗方案治疗的结直肠癌(CRC)患者疗效的关系。方法选择晚期CRC患者90例,其中接受FOLFOX方案34例、接受CapeOX方案56... 目的探讨二氢嘧啶脱氢酶基因(DPYD)、谷胱甘肽S转移酶P1(GSTP1)和亚甲基四氢叶酸还原酶(MTHFR)与接受以5-FU类为基础的化疗方案治疗的结直肠癌(CRC)患者疗效的关系。方法选择晚期CRC患者90例,其中接受FOLFOX方案34例、接受CapeOX方案56例,化疗至少3周期后评价疗效,应用荧光染色原位杂交测序法检测患者外周血DPYD(rs3918290、rs55886062)、GSTP1(rs1695)、MTHFR(rs1801133、rs1801131)基因型,分析各基因型与CRC患者近期疗效的关系。结果90例CRC患者中,DPYD 2个位点(rs3918290、rs55886062)均为野生型,该样本不符合Hardy-Weinberg遗传平衡检验;携带GSTP1(rs1695)AA、AG+GG基因型的患者化疗后有效率分别为18.9%(17/90)和21.1%(19/90),AG+GG基因型患者化疗失败的可能性是AA型的3.193倍(OR=3.193,95%CI:1.307~7.804,P<0.05);携带MTHFR(rs1801133)CC、TC+TT基因型的患者化疗后有效率分别为6.7%(6/90)和26.7%(24/90),TC+TT基因型患者化疗失败的可能性是CC型的4.000倍(OR=4.000,95%CI:1.431~11.180,P<0.05);携带MTHFR(rs1801131)AA、AC+CC基因型的患者化疗后有效率分别为30.0%(27/90)和10.0%(9/90),二者比较差异无统计学意义(P<0.05)。结论GSTP1(rs1695)及MTHFR(rs1801133)基因多态性与5-FU类药物的疗效有关,而MTHFR(rs1801131)基因多态性与5-FU类药物的疗效无关,检测GSTP1(rs1695)、MTHFR(rs1801133)单核苷酸多态性可以成为预测晚期CRC患者接受以5-FU类为基础的化疗方案疗效的指标。 展开更多
关键词 二氢嘧啶脱氢酶基因 谷胱甘肽S转移酶P1基因 亚甲基四氢叶酸还原酶基因 基因多态性 结直肠癌 5-氟尿嘧啶 化疗效果
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基于ARENA的通航飞行服务流程仿真与优化 被引量:3
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作者 方勇 朱丹彤 +1 位作者 武文杰 罗喜伶 《系统管理学报》 CSSCI CSCD 北大核心 2018年第6期1205-1211,共7页
通过分析通用航空飞行服务站的服务功能确立其服务内容,然后根据服务内容构建了飞行服务站的服务流程模型。在服务流程模型框架下,利用离散事件仿真软件ARENA对飞行服务流程进行仿真,并针对初步仿真结果提出3种服务资源优化方案。结果表... 通过分析通用航空飞行服务站的服务功能确立其服务内容,然后根据服务内容构建了飞行服务站的服务流程模型。在服务流程模型框架下,利用离散事件仿真软件ARENA对飞行服务流程进行仿真,并针对初步仿真结果提出3种服务资源优化方案。结果表明,分时段分配服务资源的优化方案能够提高服务效率2倍,缩短服务等待时间、等待服务队列60%~70%,在服务资源的使用上兼顾了合理性与均衡性。 展开更多
关键词 通用航空 飞行服务站 服务流程仿真 Arena仿真
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Active chinese mistletoe lectin-55 enhances colon cancer surveillance through regulating innate and adaptive immune responses 被引量:5
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作者 Yan-Hui Ma Wei-Zhi Cheng +6 位作者 fang gong An-Lun Ma Qi-Wen Yu Ji-Ying Zhang Chao-Ying Hu Xue-Hua Chen Dong-Qing Zhang 《World Journal of Gastroenterology》 SCIE CAS CSCD 2008年第34期5274-5281,共8页
AIM:To investigate the potential role of Active Chinese mistletoe lectin-55 (ACML-55) in tumor immune surveillance. METHODS: In this study, an experimental model was established by hypodermic inoculating the colon can... AIM:To investigate the potential role of Active Chinese mistletoe lectin-55 (ACML-55) in tumor immune surveillance. METHODS: In this study, an experimental model was established by hypodermic inoculating the colon cancer cell line CT26 (5 × 105 cells) into BALB/c mice. The experimental treatment was orally administered with ACML-55 or PBS, followed by the inoculation of colon cancer cell line CT26. Intracellular cytokine staining was used to detect IFN-γ production by tumor antigen specific CD8+ T cells. FACS analysis was employed to profi le composition and activation of CD4+, CD8+, γδ T and NK cells. RESULTS: Our results showed, compared to PBS treated mice, ACML-55 treatment signifi cantly delayed colon cancer development in colon cancer -bearingBalb/c mice in vivo. Treatment with ACML-55 enhanced both Ag specifi c activation and proliferation of CD4+ and CD8+ T cells, and increased the number of tumor Ag specific CD8+ T cells. It was more important to increase the frequency of tumor Ag specific IFN-γ producing-CD8+ T cells. Interestingly, ACML-55 treatment also showed increased cell number of NK, and γδT cells, indicating the role of ACML-55 in activation of innate lymphocytes. CONCLUSION: Our results demonstrate that ACML-55 therapy can enhance function in immune surveillance in colon cancer-bearing mice through regulating both innate and adaptive immune responses. 展开更多
关键词 先天性免疫响应 获得性免疫响应 结肠癌 槲寄生 植物凝血素
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Comparisons of OCO-2 satellite derived XCO_(2)with in situ and modeled data over global ocean 被引量:3
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作者 Siqi Zhang Yan Bai +3 位作者 Xianqiang He Haiqing Huang Qiangkun Zhu fang gong 《Acta Oceanologica Sinica》 SCIE CAS CSCD 2021年第4期136-142,共7页
Atmospheric CO_(2)is one of key parameters to estimate air-sea CO_(2)flux.The Orbiting Carbon Observatory-2(OCO-2)satellite has observed the column-averaged dry-air mole fractions of global atmospheric carbon dioxide(... Atmospheric CO_(2)is one of key parameters to estimate air-sea CO_(2)flux.The Orbiting Carbon Observatory-2(OCO-2)satellite has observed the column-averaged dry-air mole fractions of global atmospheric carbon dioxide(XCO_(2))since 2014.In this study,the OCO-2 XCO_(2)products were compared between in-situ data from the Total Carbon Column Network(TCCON)and Global Monitoring Division(GMD),and modeling data from CarbonTracker2019 over global ocean and land.Results showed that the OCO-2 XCO_(2)data are consistent with the TCCON and GMD in situ XCO_(2)data,with mean absolute biases of 0.25×10^(-6)and 0.67×10^(-6),respectively.Moreover,the OCO-2 XCO_(2)data are also consistent with the CarbonTracker2019 modeling XCO_(2)data,with mean absolute biases of 0.78×10^(-6)over ocean and 1.02×10^(-6)over land.The results indicated the high accuracy of the OCO-2 XCO_(2)product over global ocean which could be applied to estimate the air-sea CO_(2)flux. 展开更多
关键词 XCO_(2) OCO-2 COMPARISON in situ modeling data
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大体积钢结构整体提升监测控制方法研究 被引量:1
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作者 方龚 《福建建设科技》 2020年第6期72-76,共5页
本文以采用液压千斤顶同步提升方法就位的某自锚式悬索桥主塔钢结构上横梁为工程背景,对整体提升过程中主塔、上横梁、塔顶门架及牛腿支撑的安全性进行模拟验算,并对实际提升及安装过程进行监测分析控制。基于有限元模型计算分析表明,... 本文以采用液压千斤顶同步提升方法就位的某自锚式悬索桥主塔钢结构上横梁为工程背景,对整体提升过程中主塔、上横梁、塔顶门架及牛腿支撑的安全性进行模拟验算,并对实际提升及安装过程进行监测分析控制。基于有限元模型计算分析表明,提升过程中主塔、上横梁、塔顶门架及支撑牛腿等构件均能满足安全提升的要求。实际提升过程的应力变形监测结果表明主塔上横梁提升过程结构变形值及应力值均在理论允许范围内,结构安全稳定,提升过程的安全监测有力保障了主塔上横梁顺利吊装,本文的主塔钢结构上横梁提升过程模拟及监测方法可为其他类似工程起到参考借鉴作用。 展开更多
关键词 自锚式悬索桥 整体提升 有限元模型 施工监测
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Erratum to “Relationship between PaO_(2)/FiO_(2) and delirium in intensive care:A cross-sectional study”[Journal of Intensive Medicine volume 3(2023)73–78.]
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作者 fang gong Yuhang Ai +3 位作者 Lina Zhang Qianyi Peng Quan Zhou Chunmei Gui 《Journal of Intensive Medicine》 CSCD 2024年第1期136-136,共1页
The publisher regrets<“Relationship between PaO_(2)/FiO_(2) and delirium in intensive care:A cross-sectional study,”[1]published on pages 73-78,Issue 1,Volume 3 in Journal of Intensive Medicine(https://www.scienc... The publisher regrets<“Relationship between PaO_(2)/FiO_(2) and delirium in intensive care:A cross-sectional study,”[1]published on pages 73-78,Issue 1,Volume 3 in Journal of Intensive Medicine(https://www.sciencedirect.com/science/article/pii/S2667100x22000901)contains a mistake in Abstract and text.The sentence in the Methods of Abstract and Statistical analysis“slightly low(200≥PaO_(2)/FiO_(2)<300 mmHg)”should be“slightly low(200≤PaO_(2)/FiO_(2)<300 mmHg)”. 展开更多
关键词 slightly sectional MEDICINE
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Relationship between PaO_(2)/FiO_(2) and delirium in intensive care:A cross-sectional study 被引量:1
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作者 fang gong Yuhang Ai +3 位作者 Lina Zhang Qianyi Peng Quan Zhou Chunmei Gui 《Journal of Intensive Medicine》 CSCD 2023年第1期73-78,共6页
Background::To investigate the relationship between partial pressure of oxygen(PaO_(2))/fraction of inspired oxygen(FiO_(2))and the probability of delirium in intensive care units(ICUs).Methods::The investigation was ... Background::To investigate the relationship between partial pressure of oxygen(PaO_(2))/fraction of inspired oxygen(FiO_(2))and the probability of delirium in intensive care units(ICUs).Methods::The investigation was a cross-sectional study that involved the collection of data from patients admitted to the Xiang Ya Hospital Cardiothoracic Surgical Care Unit and Comprehensive Intensive Care Unit from 01 September 2016 to 10 December 2016.Delirium was diagnosed using the simplified version of the Chinese Confusion Assessment Method(CAM)for the ICU.Demographic and medical data were obtained within 24 h of each patient admitted in the ICU.The PaO_(2)/FiO_(2) of each patient was recorded 24 h after admission in the ICU.The patients were divided into three groups according to PaO_(2)/FiO_(2) data:normal(PaO_(2)/FiO_(2)≥300 mmHg),slightly low(200≥PaO_(2)/FiO_(2)<300 mmHg),and severely low(PaO_(2)/FiO_(2)<200 mmHg).Baseline characteristics were compared in the three groups.Results of the unadjusted model,minimally adjusted model,and fully adjusted model are presented.Results::A total of 403 participants were included in the study,of which 184(45.7%)developed delirium.Age(P<0.001),Sequential Organ Failure Assessment(SOFA)score(P<0.001),Acute Physiology and Chronic Health Evaluation(APACHE)II score(P<0.001),mechanical ventilation time(P<0.001),history of hypertension(P=0.040),heart disease(P=0.040),sedation(P=0.001),and PaO_(2)/FiO_(2)(P=0.006)were significantly associated with delirium in univariate analysis.Multivariate regression analysis models were used to further analyze the associations between PaO_(2)/FiO_(2) and delirium.In the crude model,for 1 standard deviation(SD)increase in PaO_(2)/FiO_(2),the odds ratio(OR)of delirium was 0.8(95%confidence interval[CI]:0.6-0.9),but there was no significant correlation in the fully adjusted model.There was a non-linear relationship between the PaO_(2)/FiO_(2) and delirium in a generalized additive model.A two-piecewise linear regression model was used to calculate a PaO_(2)/FiO_(2) threshold of 243 mmHg.On the left side of the threshold,the OR was 0.9 and the 95%CI was 0.9-1.0(P=0.013)when PaO_(2)/FiO_(2) increased by 1 SD.Conclusions::PaO_(2)/FiO_(2) was negatively associated with delirium when PaO_(2)/FiO_(2) was below the identified threshold.As a readily available laboratory indicator,PaO_(2)/FiO_(2) has potential value in the clinical evaluation of risk of delirium in ICU patients. 展开更多
关键词 DELIRIUM Intensive care unit Partial pressure of oxygen(PaO_(2))/Fraction of inspired oxygen(FiO_(2)) HYPOXIA Risk factor Non-linear relationship
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干预前后荆门地区剖宫产围术期抗菌药物的使用合理性分析 被引量:9
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作者 屈素君 白娟 +3 位作者 牛静 方功 陈章捷 李杨华 《现代药物与临床》 CAS 2020年第4期788-791,共4页
目的探讨干预前后荆门地区剖宫产围术期抗菌药物的使用合理性。方法回顾性调查荆门市二级以上医院2527患者剖宫产围术期抗菌药物的应用情况,按照干预时段分为干预前组(2017年1~12月,1186例患者)与干预后组(2018年1~12月,1341例患者)。... 目的探讨干预前后荆门地区剖宫产围术期抗菌药物的使用合理性。方法回顾性调查荆门市二级以上医院2527患者剖宫产围术期抗菌药物的应用情况,按照干预时段分为干预前组(2017年1~12月,1186例患者)与干预后组(2018年1~12月,1341例患者)。对两组剖宫产围术期抗菌药物品种选择、给药时机、用法用量、用药疗程等情况进行对比分析。结果干预后,抗菌药物的使用合理率由72.31%上升到88.95%。对于注射用头孢唑啉、注射用头孢他啶和甲硝唑氯化钠注射液,干预前组均采用2次/d给药方式,干预后组均采用1次/8 h给药方式。干预前预防用药疗程普遍较长,术后用药时间超过72 h者占29.5%,≤24 h者仅占21.8%。干预后,术后用药时间≤24 h者上升至47.9%。结论通过持续性药师干预,荆门地区剖宫产围术期抗菌药物应用的合理性显著改善,干预效果明显。 展开更多
关键词 抗菌药物 剖宫产术 干预 围术期
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Data fusion in data scarce areas using a back-propagation artificial neural network model: a case study of the South China Sea
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作者 Zheng WANG Zhihua MAO +6 位作者 Junshi XIA Peijun DU Liangliang SHI Haiqing HUANG Tianyu WANG fang gong Qiankun ZHU 《Frontiers of Earth Science》 SCIE CAS CSCD 2018年第2期280-298,共19页
The cloud cover for the South China Sea andits coastal area is relatively large throughout the year,which limits the potential application of optical remotesensing. A H J-charge-coupled device (HJ-CCD) has theadvant... The cloud cover for the South China Sea andits coastal area is relatively large throughout the year,which limits the potential application of optical remotesensing. A H J-charge-coupled device (HJ-CCD) has theadvantages of wide field, high temporal resolution, andshort repeat cycle. However, this instrument suffers fromits use of only four relatively low-quality bands whichcan't adequately resolve the features of long wavelengths.The Landsat Enhanced Thematic Mapper-plus (ETM+)provides high-quality data, however, the Scan LineCorrector (SLC) stopped working and caused striping ofremote sensed images, which dramatically reduced thecoverage of the ETM+ data. In order to combine theadvantages of the HJ-CCD and Landsat ETM+ data, weadopted a back-propagation artificial neural network (BP-ANN) to fuse these two data types for this study. Theresults showed that the fused output data not only have theadvantage of data intactness for the HJ-CCD, but also havethe advantages of the multi-spectral and high radiometricresolution of the ETM+ data. Moreover, the fused datawere analyzed qualitatively, quantitatively and from apractical application point of view. Experimental studiesindicated that the fused data have a full spatial distribution,multi-spectral bands, high radiometric resolution, a smalldifference between the observed and fused output data, anda high correlation between the observed and fused data.The excellent performance in its practical application is afurther demonstration that the fused data are of highquality. 展开更多
关键词 data fusion South China Sea BP-ANN model
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