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Clinical Observation of Non-Staining Circular Capsulorhexis for Hypermature Cataract
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作者 lizhao wang Rong Li 《Journal of Clinical and Nursing Research》 2023年第3期130-137,共8页
Objective:To explore the circular capsulorhexis method and its clinical effect in phacoemulsification of hypermature cataract without staining.Methods:In this prospective randomized case-control study,22 patients(22 e... Objective:To explore the circular capsulorhexis method and its clinical effect in phacoemulsification of hypermature cataract without staining.Methods:In this prospective randomized case-control study,22 patients(22 eyes)with hypermature cataract were randomly divided into a staining agent group(10 cases,10 eyes)and a non-staining agent group(12 cases,12 eyes).Both groups underwent phacoemulsification with foldable intraocular lens implantation under topical anesthesia.In the staining agent group,0.5%indocyanine green was used to stain the anterior lens capsule to assist in circular capsulorhexis;in the non-staining agent group,after puncturing the anterior lens capsule and aspirating the liquefied cortical material,the capsular bag was filled with viscoelastic agent to increase the contrast prior to circular capsulorhexis.The operability of the anterior capsule without staining in capsulorhexis was observed,and the effect of capsulorhexis,diameter of capsulorhexis opening,and operative time were compared and analyzed between the two groups.Results:Both groups successfully underwent circular capsulorhexis,with a success rate of 100%.The diameters of capsulorhexis opening in the staining agent group and non-staining agent group were 5.68±0.15 mm and 5.54±0.16 mm,respectively,without any statistical difference between the groups(P>0.05);the operative time of the staining agent group(40.40±5.42 s)was shorter than that of the non-staining agent group(50.92±3.97 s),and the difference was statistically significant(P<0.001).In both groups,phacoemulsification was successful,and intraocular lens were implanted into the capsular bags;their visual acuity showed significant improvement during the 1-month follow-up period after surgery,without any surgical complications.Conclusion:In hypermature cataract,injecting viscoelastic agent into the capsular bag for volume replacement,given a lack of capsule staining agent,can increase the contrast for capsulorhexis and reduce the risk of large capsular bag collapse on the zonular ligament.Thus,it is considered safe and effective.Circular capsulorhexis is conducive to a smooth phacoemulsification procedure. 展开更多
关键词 Hypermature cataract CAPSULORHEXIS PHACOEMULSIFICATION
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肺部经皮穿刺活检术后气胸发生的风险因素及其风险应对方案分析
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作者 吴瑾文 王利昭 +1 位作者 周丹 任红 《中华介入放射学电子杂志》 2024年第2期150-154,共5页
目的分析肺部经皮穿刺活检(percutaneous transthoracic needle biopsy,PTNB)术后气胸发生的风险因素并探讨其风险应对方案。方法回顾性分析2021年1月至2022年12月绵阳市中心医院收治的1246例PTNB患者的基本资料、病灶特征及穿刺程序等... 目的分析肺部经皮穿刺活检(percutaneous transthoracic needle biopsy,PTNB)术后气胸发生的风险因素并探讨其风险应对方案。方法回顾性分析2021年1月至2022年12月绵阳市中心医院收治的1246例PTNB患者的基本资料、病灶特征及穿刺程序等。统计患者有无气胸的发生情况,采用单因素及Logistic回归分析筛选出PTNB术后气胸发生的危险因素,并据此制定出有效的风险干预方案。结果1246例PTNB患者中无气胸1108例(88.92%),并发气胸138例(11.08%);其中,少量气胸98例(7.87%),中等量气胸38例(3.05%),大量气胸2例(0.16%)。单因素分析显示,年龄、病灶长径、病灶位置、胸膜凹陷征、毛刺征、分叶征、病灶周围肺气肿、穿刺深度、穿刺时间、穿刺距胸膜距离均是肺部PTNB术后气胸发生的相关因素(P<0.05)。Logistic回归分析显示,年龄>65岁、病灶长径≤3 cm、病灶位于中下叶、病灶周围肺气肿、穿刺深度>4 cm、穿刺距胸膜距离>2 cm均是肺部PTNB术后气胸发生的独立危险因素(P<0.05)。结论年龄>65岁、病灶长径≤3 cm、病灶位于中下叶、病灶周围肺气肿、穿刺深度>4 cm、穿刺距胸膜距离>2 cm均是肺部PTNB术后气胸发生的独立危险因素,临床据此建立规范的PTNB流程及应对气胸的风险干预方案,对提升临床医疗安全意识、减少气胸发生,并确保PTNB的顺利进行至关重要。 展开更多
关键词 肺穿刺活检术 气胸 风险因素 风险干预方案
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可移动式实物培训教室在安全培训中的实践与开发
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作者 王立召 王彭石 +1 位作者 李强 田莉琳 《工程设计与施工》 2020年第11期53-55,共3页
为了提高安全培训质量,有效降低因安全培训不到位导致的风险,可移动式实物培训教室应运而生。可移动式实物培训教室有别于传统授听课学习的方式,采用实物展示和教师讲解相结合的教学方式,增强其互动性,按模块设置培训课程,配备模拟作业... 为了提高安全培训质量,有效降低因安全培训不到位导致的风险,可移动式实物培训教室应运而生。可移动式实物培训教室有别于传统授听课学习的方式,采用实物展示和教师讲解相结合的教学方式,增强其互动性,按模块设置培训课程,配备模拟作业风险场景的设施,可满足不同行业,如制造业、炼化企业、建筑及信息技术等行业技术工人安全培训的需求。论文介绍了可移动式实物培训教室的培训特点、功能及实物教室配套模块的实用性产品开发。 展开更多
关键词 可移动 实物培训教室 安全培训 实用性产品开发
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Preliminary evaluation of the long-term GLASS albedo product 被引量:15
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作者 Qiang Liua lizhao wang +4 位作者 Ying Qu Nanfeng Liu Suhong Liu Hairong Tang Shunlin Liang 《International Journal of Digital Earth》 SCIE EI 2013年第S01期69-95,共27页
Land surface albedo is an important parameter to describe the radiant forcing in the climate system.A long-time series of global albedo products is needed to understand the mechanism of climate change.Aiming to suppor... Land surface albedo is an important parameter to describe the radiant forcing in the climate system.A long-time series of global albedo products is needed to understand the mechanism of climate change.Aiming to support global change and Earth system studies,GLASS(Global LAnd Surface Satellites)provides long-term global land surface albedo product from 1981 to 2010,which are generated from multisource remote sensing data and newly developed algorithms.It is critical to assess the quality of the GLASS product when it is released to the public.This paper first introduced the algorithms and then analyzed the integrity,accuracy,and robustness of the GLASS albedo product.The results show that the GLASS albedo product is a gapless,long-term continuous,and self-consistent data-set with an accuracy similar to that of the widely acknowledged MODIS MCD43 product.The quality flag,which is provided along with the black-sky and white-sky albedo,gives a pertinent indication of the expected uncertainty in the product. 展开更多
关键词 land surface broadband albedo validation GLASS MODIS
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