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深度学习在图像隐写术与隐写分析领域中的研究进展 被引量:17
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作者 翟黎明 嘉炬 +2 位作者 任魏翔 徐一波 王丽娜 《信息安全学报》 CSCD 2018年第6期2-12,共11页
隐写术与隐写分析是信息安全领域的热门研究方向,近年来得到了广泛的研究与快速的发展。随着深度学习新技术的兴起,深度学习也被引入到隐写术与隐写分析领域,并在方法和性能上取得了一系列突破性的研究成果。为推进基于深度学习的隐写... 隐写术与隐写分析是信息安全领域的热门研究方向,近年来得到了广泛的研究与快速的发展。随着深度学习新技术的兴起,深度学习也被引入到隐写术与隐写分析领域,并在方法和性能上取得了一系列突破性的研究成果。为推进基于深度学习的隐写术与隐写分析的研究,本文对目前的主要方法和代表性工作进行了归纳与探讨。对于图像隐写术与隐写分析这两个领域,本文分别各自比较了传统方法和与相关深度学习方法的异同,详细介绍了目前主要的基于深度学习的图像隐写术与隐写分析的基本原理和方法,最后讨论了基于深度学习的图像隐写术与隐写分析仍需要解决的问题及未来的研究趋势。 展开更多
关键词 隐写术 隐写分析 深度学习 生成对抗网络 卷积神经网络
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中药穴位贴敷配合苏黄止咳胶囊治疗感冒后咳嗽临床研究 被引量:4
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作者 王冬雨 崔鹤 +1 位作者 贾菊 苟丽 《新中医》 CAS 2020年第15期159-162,共4页
目的:观察中药穴位贴敷配合苏黄止咳胶囊治疗感冒后咳嗽的临床疗效。方法:将130例风邪伏肺证患者随机分为对照组和观察组各65例。2组均服用苏黄止咳胶囊,并给予饮食、生活起居、健康指导、宣教和心理护理的综合护理措施,观察组加予中药... 目的:观察中药穴位贴敷配合苏黄止咳胶囊治疗感冒后咳嗽的临床疗效。方法:将130例风邪伏肺证患者随机分为对照组和观察组各65例。2组均服用苏黄止咳胶囊,并给予饮食、生活起居、健康指导、宣教和心理护理的综合护理措施,观察组加予中药穴位贴敷。2组疗程均为7 d。治疗前后评定咳嗽程度视觉模拟评分法(VAS)评分、咳嗽症状积分、风邪伏肺证评分,应用莱塞斯特生活质量咳嗽问卷(LCQ)评价生活质量,记录咳嗽消失时间。比较2组的临床疗效。结果:治疗后,观察组临床疗效优于对照组(P<0.05)。2组主观咳嗽程度VAS评分、日间咳嗽症状评分、夜间咳嗽症状评分及日间+夜间咳嗽积分均较治疗前降低(P<0.01);观察组上述咳嗽情况评分均低于对照组(P<0.01)。2组风邪伏肺证积分均较治疗前下降(P<0.01),观察组风邪伏肺证积分低于对照组(P<0.01)。观察组咳嗽消失率为58.46%,对照组咳嗽消失率为40.00%,2组比较,差异有统计学意义(P<0.05)。观察组咳嗽消失时间较对照组加快(P<0.05)。2组LCQ生理、心理、社会评分和总分均较治疗前升高(P<0.01),观察组LCQ各维度评分、总分均高于对照组(P<0.01)。结论:中药穴位贴敷配合苏黄止咳胶囊内服治疗感冒后咳嗽患者,可进一步减轻咳嗽症状,促进咳嗽的消失,缩短病程,提高患者的生活质量。 展开更多
关键词 感冒后咳嗽 风邪伏肺证 穴位贴敷 苏黄止咳胶囊 护理 生活质量
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共价有机框架材料的离子化改性及其催化合成环碳酸酯的性能研究(英文) 被引量:2
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作者 张衍 胡慧 +5 位作者 居佳 闫欠欠 Vasanthakumar Arumugam 景学超 蔡华强 高艳安 《Chinese Journal of Catalysis》 SCIE EI CAS CSCD 北大核心 2020年第3期485-493,共9页
共价有机框架(COFs)材料是继金属-有机框架材料之后,在拓扑学基础上发展起来的又一类多孔材料.这类材料是由轻质元素(C,H,O,N,B,Si等)通过可逆共价键连接而成的结晶性有机多孔聚合物,具有比表面积大、骨架密度低、孔道结构规整、可人为... 共价有机框架(COFs)材料是继金属-有机框架材料之后,在拓扑学基础上发展起来的又一类多孔材料.这类材料是由轻质元素(C,H,O,N,B,Si等)通过可逆共价键连接而成的结晶性有机多孔聚合物,具有比表面积大、骨架密度低、孔道结构规整、可人为设计以及表面易修饰改性等特点,自2005年首次报道以来就引起了人们的广泛关注.经过十多年的发展,COFs材料已经被广泛用于气体吸附/分离、光电、能量存储、非均相催化等研究领域.由于材料的多孔性以及相对稳定的特点,近年来COFs材料作为催化剂或催化剂载体用于多相催化反应已经成为该领域的一个研究热点.但是到目前为止,COFs材料的离子化改性用于异相催化相关研究还相对较少.本文选择二维骨架中含有羟基基团的H2P-DHPhCOF作为载体,通过两步接枝反应成功地将咪唑型离子液体引入到COF材料的孔道中;采用红外光谱、核磁共振、粉末X射线衍射、热失重分析等方法详细地表征了COF材料在后修饰过程中的变化.研究发现,1,4-二溴丁烷与N-甲基咪唑基团的引入占据了部分孔道,导致框架材料的孔径和孔容减小.同时,我们还将该改性后的离子型COF材料在DMSO/盐酸溶液中消解,利用核磁共振波谱计算了离子化程度.实验结果表明,N-甲基咪唑的接枝率约为4.9wt%.在既定的反应条件下,将该离子化的COF材料作为多相催化剂用于CO2和环氧化合物之间的环加成反应.以环氧氯丙烷作为测试底物,发现该离子型催化剂的催化性能与H2P-DHPhCOF相比有大副度提高,转化率达到了91%(120°C,24 h,CO2压力位1.0 MPa).在相同的条件下,该催化剂还对其他的环氧化合物具有一定的催化效果,其中环氧丙烷的转化率高达95%,且目标产物碳酸丙烯酯的选择性为100%.然而,对于大分子的环氧化合物,转化率和产率均较低,表明催化剂具有明显的尺寸选择性.此外,我们还以环氧氯丙烷的环加成反应为例考察了催化剂的循环稳定性,经过连续的5次循环,催化剂的催化活性得到了有效保持.我们的研究表明COF材料作为异相催化剂用于多相催化具有潜在的应用前景.而且,由于离子型多孔材料具有可交换的性质,我们可以通过将不同功能的反离子交换到孔道中,从而得到具有不同功能特性的多孔材料.因此,离子化共价有机框架材料是一类集多孔、高比表面积、可人为设计等性质于一体的新型多孔材料,有望应用于更加广泛的研究领域. 展开更多
关键词 共价有机框架 离子化 催化剂 环加成反应
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环状促进剂对煤层气水合物稳定性的影响 被引量:2
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作者 贾菊 梁海峰 +1 位作者 郭栋 张强 《现代化工》 CAS CSCD 北大核心 2020年第S01期211-215,共5页
采用分子动力学模拟的方法,在恒温、恒压系综(NPT)下考察环戊烷、四氢吡喃、四氢呋喃3种环状化合物促进剂对SII型煤层气水合物结构稳定性的影响.研究结果表明,在模拟体系温度为263 K、压力为10 MPa时,环戊烷促进剂的存在可有效提高煤层... 采用分子动力学模拟的方法,在恒温、恒压系综(NPT)下考察环戊烷、四氢吡喃、四氢呋喃3种环状化合物促进剂对SII型煤层气水合物结构稳定性的影响.研究结果表明,在模拟体系温度为263 K、压力为10 MPa时,环戊烷促进剂的存在可有效提高煤层气水合物结构的稳定性;在相同温度与压力体系下,四氢呋喃对煤层气水合物的促进效果优于四氢吡喃.通过水合物稳定性的评价指标分析,环状促进剂分子和水分子中氧原子的动力学运动状态与煤层气水合物的稳定性有直接关联. 展开更多
关键词 煤层气水合物 环戊烷 四氢吡喃 四氢呋喃 环状促进剂
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新生儿百日咳致病株抗菌药物敏感性和抗原基因型研究 被引量:17
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作者 李丽君 刘莹 +4 位作者 贾举 袁林 史伟 孟庆红 姚开虎 《中国当代儿科杂志》 CAS CSCD 北大核心 2019年第3期208-213,共6页
目的探讨新生儿百日咳抗菌药物的可选方案,阐明致病株的抗原基因型。方法以2013年5月至2018年7月分离到的32株新生儿百日咳鲍特菌为研究对象。采用E-test法检测红霉素、磺胺甲基异噁唑-甲氧苄啶(SMZ)、氨苄西林等共18种抗菌药物的最低... 目的探讨新生儿百日咳抗菌药物的可选方案,阐明致病株的抗原基因型。方法以2013年5月至2018年7月分离到的32株新生儿百日咳鲍特菌为研究对象。采用E-test法检测红霉素、磺胺甲基异噁唑-甲氧苄啶(SMZ)、氨苄西林等共18种抗菌药物的最低抑菌浓度(MIC);扩增分离株23S rRNA基因并测序,检测红霉素耐药基因的突变位点,分析菌株抗原相关的7个基因型(ptxA、ptxC、ptxP、prn、fim2、fim3和tcfA)。结果 25株(25/32,78%)百日咳鲍特菌对红霉素、阿奇霉素、克拉霉素、克林霉素的MIC值均>256 mg/L,且23S rRNA基因均有红霉素耐药A2047G突变。所有菌株对SMZ的MIC值均≤0.064 mg/L。氨苄西林、阿莫西林、阿莫西林‐克拉维酸和头孢曲松的MIC值波动在0.032~1 mg/L。大环内酯类耐药菌株的抗原基因型均为ptxA1/ptxC1/ptxP1/prn1/fim2-1/fim3-1/tcfA2。结论新生儿百日咳鲍特菌对大环内酯类抗菌药物耐药常见,体外试验支持超说明书使用磺胺类抗菌药物是治疗大环内酯类耐药的新生儿百日咳的可靠方案。耐药菌流行更加强调了免疫预防的重要性。 展开更多
关键词 百日咳 耐药性 抗菌药物 新生儿
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Treatment of hyperbilirubinemia with blood purification in China 被引量:10
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作者 Zhi-jun Duan Lei-Lei Li +2 位作者 jia ju Zhi-Hong Gao Gao-Hong He 《World Journal of Gastroenterology》 SCIE CAS CSCD 2006年第46期7467-7471,共5页
The incidence of hyperbilirubinemia is high clinically, which is difficult to cure by medication, surgery or interventional therapies. Non-bioartificial liver is the main alternative in the blood purification for hype... The incidence of hyperbilirubinemia is high clinically, which is difficult to cure by medication, surgery or interventional therapies. Non-bioartificial liver is the main alternative in the blood purification for hyperbilirubinemia, which includes plasma exchange, hemoperfusion, hemodialysis, molecular adsorbent recycling system and so on. The research results and clinical experiences in China show that these methods are effective in lowering high levels of bilirubin with fewer side effects. The hyperbilirubinemias of different causes, with different complications or accompanying different diseases can be treated by different methods. Bioartificial liver, hybrid artificial liver support system and adsorbent membrane material have also been studied and their development in reducing hyperbilirubinemias has been achieved. This article gives a brief overview on the actuality and research improvement in blood purification for hyperbilirubinemia in China. 展开更多
关键词 高胆红素血症 血液净化 治疗 中国 综述 人工肝
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Advancement in separation materials for blood purification therapy 被引量:5
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作者 jia ju Feixue Liang +6 位作者 Xiaoxin Zhang Ran Sun Xiaoguang Pan Xiaoyun Guan Guanning Cui Xuan He Mengyan Li 《Chinese Journal of Chemical Engineering》 SCIE EI CAS CSCD 2019年第6期1383-1390,共8页
Blood purification refers to the extra corporeal therapies of removing potentially toxic substances, in which blood is circulated through an adsorption system loading separation materials. High-efficient inexpensive s... Blood purification refers to the extra corporeal therapies of removing potentially toxic substances, in which blood is circulated through an adsorption system loading separation materials. High-efficient inexpensive separation materials are critical to success. In this review, separation materials such as polymers and nanomaterials are summarized and compared. Combining the advantages of the adsorptive membranes and nanomaterials, organic–inorganic hybrid/blend membranes have been developed explosively. These hybrid/blend membranes have both the characteristics of high permeability, easy fabrication, good biocompatibility of adsorptive membranes, and characteristics of fast adsorption rate and high adsorption capacity of nanomaterials. The preparation and modification methodology of the separation materials is reviewed. For affinity separation materials, the relationship of ligand chemistry, ligand density and pores of the matrix is discussed. This paper also summarizes some interesting applications in separation materials for removal of bilirubin, endotoxin, toxic metal ions, cytokine, etc. 展开更多
关键词 Blood purification Organic INORGANIC hybrid/blend membrane Albumin-bound TOXINS Preparation and modification LIGAND density
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百日咳并发症 被引量:8
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作者 贾举 袁林 +1 位作者 高薇 姚开虎 《中国当代儿科杂志》 CAS CSCD 北大核心 2019年第7期713-717,共5页
百日咳感染者可出现多种并发症,常见并发肺炎、球结膜下出血等,严重并发症,如肺动脉高压、脑病等可能危及生命.低年龄患儿缺乏百日咳特征性的临床表现,因此提高对百日咳并发症的认识,有助于及时诊断和治疗百日咳,对改善预后有着积极意义... 百日咳感染者可出现多种并发症,常见并发肺炎、球结膜下出血等,严重并发症,如肺动脉高压、脑病等可能危及生命.低年龄患儿缺乏百日咳特征性的临床表现,因此提高对百日咳并发症的认识,有助于及时诊断和治疗百日咳,对改善预后有着积极意义.但目前还没有百日咳并发症的诊治规范,不同报告使用的诊断名称、依据和报告数据等存在很大差异.该文就文献报道的百日咳并发症,包括呼吸系统并发症(肺炎、肺动脉高压、气胸及纵膈或皮下气肿)、骨折、疝气、循环系统并发症、神经系统并发症(惊厥、脑病及出血和血肿)、泌尿系统并发症、继发感染等进行了全面综述,希望为临床诊治和研究百日咳并发症,以及早日促成百日咳并发症的规范诊治提供参考. 展开更多
关键词 百日咳 并发症 诊断 儿童
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Optimal activated carbon for separation of CO_2 from(H_2 + CO_2) gas mixture 被引量:1
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作者 Xiao-Xin Zhang Peng Xiao +5 位作者 Chang-Yu Sun Gen-Xiang Luo jia ju Xiao-Rong wang Hao-Xuan wang Hao Yang 《Petroleum Science》 SCIE CAS CSCD 2018年第3期625-633,共9页
Seven types of activated carbon were used to investigate the effect of their structure on separation of CO2 from(H2 + CO2) gas mixture by the adsorption method at ambient temperature and higher pressures. The resul... Seven types of activated carbon were used to investigate the effect of their structure on separation of CO2 from(H2 + CO2) gas mixture by the adsorption method at ambient temperature and higher pressures. The results showed that the limiting factors for separation of CO2 from 53.6 mol% H2 + 46.4 mol% CO2 mixture and from 85.1 mol% H2 + 14.9 mol% CO2 mixture were different at 20 °C and about 2 MPa. The best separation result could be achieved when the pore diameter of the activated carbon ranged from 0.77 to 1.20 nm, and the median particle size was about2.07 lm for 53.6 mol% H2 + 46.4 mol% CO2 mixture and 1.41 lm for 85.1 mol% H2 + 14.9 mol% CO2 mixture. The effect of specific area and pore diameter of activated carbon on separation CO2 from 53.6 mol% H2 + 46.4 mol% CO2 mixture was more significant than that from 85.1 mol% H2 + 14.9 mol% CO2 mixture. CO2 in the gas phase can be decreased from 46.4 mol% to 2.3 mol%–4.3 mol% with a two-stage separation process. 展开更多
关键词 Structure of activated carbon Characteristic optimization SEPARATION H2 C02 mixtures
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The Application of Herzberg's Two-Factor Theory in Management--Taking Huawei and Lenovo as Examples
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作者 jia ju 《Proceedings of Business and Economic Studies》 2021年第2期47-51,共5页
The report mainly shows the methods of Huawei and Lenovo’s managers to manage the organizations to achieve goals.First,it gives the overviews of Huawei and Lenovo which are two of the largest communication devices ma... The report mainly shows the methods of Huawei and Lenovo’s managers to manage the organizations to achieve goals.First,it gives the overviews of Huawei and Lenovo which are two of the largest communication devices manufacturers,provides a departmental structure.Second,it simply explains the meaning of management and management personnel in this report.Then,it analyzes Two-Factor Theory.It provides their successful cases with using Two-Factor Theory.Finally,it provides a conclusion of similarities and differences between them and offers recommendations. 展开更多
关键词 HUAWEI LENOVO ORGANIZATION COMPANY
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Microstructure and mechanical property of Mg-10Gd-2Y-1.5Zn-0.5Zr alloy processed by eight-pass equal-channel angular pressing
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作者 Huan Liu jia ju +3 位作者 Xiao-Wei Yang Yu-Hua Li Jing-Hua jiang Ai-Bin Ma 《Rare Metals》 SCIE EI CAS CSCD 2023年第4期1371-1377,共7页
In this work,a high-strength Mg-10Gd-2Y-1.5Zn-0.5Zr(wt%)alloy was prepared via eight passes of equal-channel angular pressing(ECAP).The microstructures and mechanical properties of as-cast and ECAP alloys were systema... In this work,a high-strength Mg-10Gd-2Y-1.5Zn-0.5Zr(wt%)alloy was prepared via eight passes of equal-channel angular pressing(ECAP).The microstructures and mechanical properties of as-cast and ECAP alloys were systematically investigated by X-ray diffraction(XRD),optical microscopy(OM),scanning electron microscopy(SEM),transmission electron microscopy(TEM)and electronic universal testing machine.The obtained results indicate that the microstructure of as-cast alloy consists ofα-Mg dendrite,network Mg3(Gd,Y,Zn)phase and lamellar 14H long-period stacking ordered(LPSO)phase which is precipitated near the boundary of Mg3(Gd,Y,Zn)networks.After eight-pass ECAP,the network Mg3(Gd,Y,Zn)phase is deformed and broken.However,the refined Mg_3(Gd,Y,Zn)particles are not distributed uniformly in the matrix,but still aggregated at the interdendritic area.Moreover,the content of 14H lamellas increases obviously,and they become bent and kinked during severe deformation.DRX is activated in the region between Mg3(Gd,Y,Zn)particles and 14H clusters.Compression test at room temperature indicates that the ECAP alloy exhibits excellent mechanical property with compressive strength of 518 MPa and fracture strain of 21.6%.The comprehensive high strength and toughness could be ascribed to the refined Mg_3(Gd,Y,Zn)particles,DRX grains and kinked 14H LPSO phase. 展开更多
关键词 Mg-Gd-Y-Zn-Zr Long-period stacking ordered phase Equal-channel angular pressing Compression strength Fracture strain
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Developing Zn–1.5Mg Alloy with Simultaneous Improved Strength,Ductility and Suitable Biodegradability by Rolling at Room Temperature
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作者 Ziyue Xu Huan Liu +7 位作者 Guangyang Hu Xiaoru Zhuo Kai Yan jia ju Wenkai Wang Hang Teng Jinghua jiang Jing Bai 《Acta Metallurgica Sinica(English Letters)》 SCIE EI CAS CSCD 2023年第11期1833-1843,共11页
This study systematically investigated the influence of the microstructure evolution,mechanical properties and corrosion behaviors on Zn–1.5Mg(wt%)alloy processed by room-temperature rolling.The as-cast Zn–1.5Mg all... This study systematically investigated the influence of the microstructure evolution,mechanical properties and corrosion behaviors on Zn–1.5Mg(wt%)alloy processed by room-temperature rolling.The as-cast Zn–1.5Mg alloy consists ofη-Zn matrix andη-Zn+Mg_(2)Zn_(11)eutectic structure.As rolling reduction increases,the average grain size of the alloy reduces from 42.9 to 1.7μm,and the eutectic structure undergoes fragmentation and refinement,changing from a network distribution surrounding the matrix to a lamellar alternating distribution with the matrix.The ultimate tensile strength of the as-rolled alloy(80%reduction)is increased to 366±3.7 MPa,along with a good elongation of 18.4%±2.0%.Immersion tests in Hanks’solution indicate that the initial corrosion rate of the 80%-rolled alloy is 0.030 mm/year and finally stabilizes at 0.034 mm/year when the immersion duration is extended to 21 days.According to X-ray diffractometer and X-ray photoelectron spectroscopy analyses,Ca_(3)(PO_(4))_(2),CaCO_(3),Ca(OH)_(2),Zn_(3)(PO_(4))_(2),Zn(OH)_(2),ZnO and a small amount of MgO and MgCO_(3)are the main corrosion products on the surface.Due to the microstructure refinement,the developed alloy exhibits uniform corrosion,and the corrosion morphology is dominated by pitting pits. 展开更多
关键词 Zn-1.5Mg alloy ROLLING Microstructure Mechanical properties Corrosion behavior
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四川省中江县医院192株肺炎链球菌的血清型和耐药性研究 被引量:10
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作者 唐萍 杜倩倩 +5 位作者 曾海玲 袁林 高薇 刘丹丹 贾举 姚开虎 《疾病监测》 CAS CSCD 北大核心 2021年第2期147-151,共5页
目的分析四川省中江县医院分离的全年龄段住院患者来源的肺炎链球菌的血清型分布以及耐药性状况。方法以2018年11月至2019年6月分离的肺炎链球菌菌株为研究对象;采用荚膜肿胀试验检测血清型;采用E-test法或纸片扩散法检测青霉素等11种... 目的分析四川省中江县医院分离的全年龄段住院患者来源的肺炎链球菌的血清型分布以及耐药性状况。方法以2018年11月至2019年6月分离的肺炎链球菌菌株为研究对象;采用荚膜肿胀试验检测血清型;采用E-test法或纸片扩散法检测青霉素等11种抗菌药物的敏感性。结果192株肺炎链球菌共鉴定出26种血清型。最常见血清型为19A型(41株,21.35%),其次为19F(37株,19.27%)、6B(17株,8.85%)、23F(15株,7.81%)、16F(12株,6.25%)和15A型(11株,5.73%),13价肺炎链球菌结合疫苗(PCV13)覆盖率67.19%,23价荚膜多糖疫苗(PPV23)覆盖率68.23%。随年龄增加,PCV13比例明显减少,从<2岁年龄组的78.05%降低到≥60岁的44.00%,差异有统计学意义。分离株对口服青霉素的中介率和耐药率分别为56.20%和39.60%;对红霉素耐药率较高(92.43%)。PCV13型菌株对青霉素的耐药较非PCV13型菌株更为普遍。结论四川省中江县肺炎链球菌临床分离株中PCV13覆盖率较低,且随宿主年龄增加而降低,成年人尤其老年患者可能是非PCV13型的储存库。 展开更多
关键词 肺炎链球菌 血清型 耐药性 全年龄组
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荚膜肿胀试验阴性肺炎链球菌的菌种鉴定及其抗生素敏感性分析 被引量:1
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作者 贾举 董方 +4 位作者 袁林 高薇 刘丹丹 史伟 姚开虎 《中华实用儿科临床杂志》 CSCD 北大核心 2020年第8期595-599,共5页
目的明确临床常规检测为肺炎链球菌,但荚膜肿胀试验阴性的分离菌株中是否存在其他草绿色链球菌,分析其抗生素敏感性,为临床选药提供参考。方法以105株临床分离但荚膜肿胀试验阴性的肺炎链球菌为研究对象,采用草绿色链球菌的多位点序列分... 目的明确临床常规检测为肺炎链球菌,但荚膜肿胀试验阴性的分离菌株中是否存在其他草绿色链球菌,分析其抗生素敏感性,为临床选药提供参考。方法以105株临床分离但荚膜肿胀试验阴性的肺炎链球菌为研究对象,采用草绿色链球菌的多位点序列分析(MLSA)和基质辅助激光解析电离飞行时间质谱(MALDI-TOF-MS)进行菌种鉴定;采用微量肉汤稀释法检测14种抗菌药物的敏感性。结果105株细菌经MLSA确认24株为假肺炎链球菌,其余81株为肺炎链球菌。MALDI-TOF-MS将6株假肺炎链球菌鉴定为肺炎链球菌,3株鉴定为缓症/口腔链球菌;6株肺炎链球菌被鉴定为假肺炎链球菌。全部菌株均对万古霉素、左氧氟沙星和莫西沙星敏感,肺炎链球菌与假肺炎链球菌对头孢呋辛(28.4%和58.4%)、氯霉素(39.5%和4.2%)、红霉素(77.8%和95.8%)和阿奇霉素(75.3%和95.8%)等抗生素不敏感率有明显不同。结论临床常规检测可能将部分假肺炎链球菌鉴定为肺炎链球菌,质谱分析也不能确保正确鉴定;荚膜肿胀试验阴性的肺炎链球菌分离株耐药性情况存在差异,鉴定失误可能影响病原菌及其耐药性的评估。 展开更多
关键词 肺炎链球菌 假肺炎链球菌 多位点序列分析 基质辅助激光解析电离飞行时间质谱 药物敏感性
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儿童细菌性肺炎的预防 被引量:7
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作者 贾举 姚开虎 《中国实用儿科杂志》 CSCD 北大核心 2018年第9期695-698,共4页
细菌是儿童肺炎、尤其是重症肺炎的重要病原。要减少肺炎对儿童健康的影响,必须做好保护(protect)、预防(prevent)和治疗(treat)3个方面的工作。要关注婴儿母乳喂养等问题,保证儿童营养摄入。要重视减少室内外空气污染;重视肺炎链球菌、... 细菌是儿童肺炎、尤其是重症肺炎的重要病原。要减少肺炎对儿童健康的影响,必须做好保护(protect)、预防(prevent)和治疗(treat)3个方面的工作。要关注婴儿母乳喂养等问题,保证儿童营养摄入。要重视减少室内外空气污染;重视肺炎链球菌、b型流感嗜血杆菌和百日咳疫苗的接种。对于有肺炎高危感染风险的儿童,有必要长期使用抗菌药物,积极预防细菌性肺炎。及时有效地治疗细菌性肺炎,可防止疾病传播,也可防止其他病原的继发感染。 展开更多
关键词 儿童 细菌性肺炎 保护 预防 疫苗
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2018年乌鲁木齐儿童医院分离的225株肺炎链球菌血清型和耐药性研究 被引量:6
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作者 田居灵 刘丹丹 +5 位作者 施兴海 高薇 袁林 贾举 张文利 姚开虎 《中华实用儿科临床杂志》 CSCD 北大核心 2020年第8期590-594,共5页
目的了解乌鲁木齐儿童医院分离的肺炎链球菌分离株的血清型分布和耐药状况,评估使用13价肺炎链球菌结合疫苗(PCV13)预防感染和控制耐药流行的潜在价值。方法复苏2018年1-12月乌鲁木齐儿童医院检验科分离的肺炎链球菌。采用荚膜肿胀试验... 目的了解乌鲁木齐儿童医院分离的肺炎链球菌分离株的血清型分布和耐药状况,评估使用13价肺炎链球菌结合疫苗(PCV13)预防感染和控制耐药流行的潜在价值。方法复苏2018年1-12月乌鲁木齐儿童医院检验科分离的肺炎链球菌。采用荚膜肿胀试验检测血清型,评估PCV13覆盖率。采用E-test法检测分离株对青霉素、阿莫西林、头孢噻肟、头孢曲松的最低抑菌浓度(MIC),并采用梅里埃VITEK 2 Compact全自动细菌鉴定及药敏分析系统检测美罗培南等其他9种抗菌药物的敏感性。结果共成功复苏225株肺炎链球菌。常见血清型为19F(32.9%)、23F(12.0%)、19A(10.7%)、6B(10.2%)和6A型(8.0%)。PCV13覆盖率为80.4%。<2岁和≥2岁患儿分离株之间,以及汉族和少数民族患儿分离株,血清型分布未见明显不同,PCV13覆盖率也相似。分离株对口服青霉素的中介率和耐药率分别为57.8%和31.7%。以脑膜炎界值判断,胃肠外青霉素耐药率高达89.4%,对头孢曲松和头孢噻肟不敏感率达47.5%和64.6%,以中介为主。菌株对红霉素、复方磺胺甲唑、四环素耐药率高,分别达98.1%、67.6%和89.6%,对阿莫西林、美罗培南、左氧氟沙星和莫西沙星敏感率均超过90%。PCV13型菌株对青霉素的耐药性较非PCV13型菌株更强。结论乌鲁木齐地区儿科肺炎链球菌分离株以19F、23F、19A、6B和6A型常见,PCV13型覆盖率约80%,汉族和少数民族儿童分离株血清型分布未见明显差异。菌株对红霉素普遍耐药,临床考虑肺炎链球菌脑膜炎时,应注意菌株对青霉素等耐药率高。推广使用PCV13可有效预防儿童肺炎链球菌感染和耐药菌株的播散。 展开更多
关键词 肺炎链球菌 血清型 耐药性 儿童
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Microstructure and Magnetic Property Variation with Addition of Rare Earth Element Dy in Co-Ni-Al Ferromagnetic Shape Memory Alloy 被引量:2
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作者 jia ju Feng XUE Hong LI 《Journal of Iron and Steel Research(International)》 SCIE EI CAS CSCD 2015年第9期858-863,共6页
The influence of rare earth element Dy on martensitic transformation and magnetic properties of Co-Ni-Al alloy was studied.The results showed that the microstructure of the sample has a dual-phase structure(γ-phase ... The influence of rare earth element Dy on martensitic transformation and magnetic properties of Co-Ni-Al alloy was studied.The results showed that the microstructure of the sample has a dual-phase structure(γ-phase and martensite).The rare earth element Dy was segregated in Co-richγ-phase and took the place of Co after its addition into the Co-Ni-Al alloy.As Dy content increased to over 0.5at.%,the grain was refined and the rare earth intermetallic compounds Co5 Dy were precipitated inγ-phase.Meanwhile,one-step thermo-elastic martensitic transformation occurred in the sample,wherein the phase transformation temperature significantly increased with rising Dy content.The martensite had a tetragonal L10 structure with a(111)twinning plane.Furthermore,the sample exhibited obvious hysteresis behaviors in the magnetic hysteresis loops.In addition,the saturation magnetization,coercivity,retentivity and magnetocrystalline anisotropy were significantly enhanced owing to the bigger radius of Dy which took the place of Co in the alloy. 展开更多
关键词 magnetic property martensitic transformation rare earth intermetallic compound hysteresis
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Structure and Performance Changes of Ni-Co-Al Shape Memory Alloys in Relation to Co/Al Atomic Ratio
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作者 jia ju Feng XUE Liu-xia SUN 《Journal of Iron and Steel Research(International)》 SCIE EI CAS CSCD 2015年第7期652-656,共5页
As a potential ferromagnetic shape memory alloy, Ni-Co-Al has excellent mechanical properties, large ma gentic-field-induced strain and high martensitic transformation temperature. The relationship between microstruct... As a potential ferromagnetic shape memory alloy, Ni-Co-Al has excellent mechanical properties, large ma gentic-field-induced strain and high martensitic transformation temperature. The relationship between microstructure and performance (mechanical and magnetic properties) of Ni-Co-Al with different Co/Al atomic ratios (RCo/Al) was investigated. Samples exhibit β and γ dual-phase structure. The γ phase grows coarse and the volume fraction of γ phase increases with the rise of RCo/Al. Besides, sample with high amount of γ phase content has smaller βgrains ow- ing to the pinning effect of γ phase. The martensite, transformed from β phase, is tetragonal L10 structure with a (111) twinning plane. The martensitic transformation temperature of samples ascends with increasing R co/Al owing to more Co embedded into the cell, which makes the valence electron concentration (e/a) of system rise. The satura- tion magnetization (Ms) of samples increases as Rco/Al rises because Co-rich 7 phase has excellent magnetic property. Meanwhile, both compressive and micro-hardness tests reveal that the samples containing more γ phase have excel- lent ductility due to the intrinsic good ductility nature of γ phase. 展开更多
关键词 microstructure Co/Al atomic ratio martensitic transformation magnetic property Ni-Co-Al
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