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医务人员对结核病患者筛查和管理肝炎病毒感染的认知调查 被引量:1
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作者 詹淑华 金小琳 +5 位作者 杨智彬 马万红 朱丹 殷水泽 彭劼 马世武 《右江医学》 2021年第11期801-808,共8页
目的了解国内医务人员为结核病患者进行诊疗时对肝炎病毒感染筛查和管理的认知意向。方法2019年6月,采用电子问卷的形式对国内参与结核病诊疗的医务人员进行抽样调查,分析被调查者的人口学特征、结核病诊疗经验、所在医院相关检验,以及... 目的了解国内医务人员为结核病患者进行诊疗时对肝炎病毒感染筛查和管理的认知意向。方法2019年6月,采用电子问卷的形式对国内参与结核病诊疗的医务人员进行抽样调查,分析被调查者的人口学特征、结核病诊疗经验、所在医院相关检验,以及对肝炎病毒筛查和管理的意向选择的情况。结果在纳入分析的2155份问卷中,被调查者对结核病患者肝炎病毒感染筛查和管理的认知总分为8分,平均得分(6.21±2.11)分,有21.1%的医务人员的认知总分低于5分。在抗结核治疗前,对抗-HCV筛查意向的比例明显低于HBsAg(52.8%VS 71.1%,P<0.001)。被调查者对结核病患者筛查和监测肝炎病毒的意向,与其所处地区、医院等级、科室类别及所在医院是否有相关检验项目存在相关性。结论从事结核病诊疗的医务人员对结核病患者肝炎病毒感染的筛查与监测的意向存在较大差异,提升医务人员在诊疗结核病患者的肝炎病毒筛查与管理认知,将有助于降低结核病患者严重肝损伤的发生。 展开更多
关键词 医务人员 结核病 乙型肝炎病毒 丙型肝炎病毒 认知调查 药物性肝损伤
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云南省综合性医院抗HBV药物可及性的调查研究(2018) 被引量:1
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作者 杨智彬 陈青 +5 位作者 申恩瑞 匡崇书 李国伟 侯文锋 马万红 马世武 《肝脏》 2018年第11期969-972,共4页
目的了解云南省各级医院抗HBV药物的可及性。方法以云南省16个州市的公立医院为研究对象,问卷调查综合医院感染科设置和抗HBV药物拥有率的状况,比较强效高耐药屏障和预防HBV母婴传播拥有率的抗病毒药物在各类医院的分布。结果 71.57%(73... 目的了解云南省各级医院抗HBV药物的可及性。方法以云南省16个州市的公立医院为研究对象,问卷调查综合医院感染科设置和抗HBV药物拥有率的状况,比较强效高耐药屏障和预防HBV母婴传播拥有率的抗病毒药物在各类医院的分布。结果 71.57%(73/102)县级医院拥有2种以下的抗HBV药物,拥有率高的前3位药物分别是恩替卡韦59.80%(61/102)、拉米夫定57.84%(59/102)和普通干扰素31.37%(32/102);县级医院强效高耐药屏障的抗病毒药物拥有率显著低于州市级医院(60.78%比93.75%,P=0.01),指南推荐的妊娠B级预防母婴传播抗HBV药物也显著低于州市级医院(11.76%比81.25%,P<0.01)。如果将拉米夫定纳入预防母婴传播药物,则拥有预防母婴传播药物的县级医院提升5.25倍(61.76%比11.76%;P<0.01)。结论云南省州市级与县级医院的抗HBV药物可及性差异大,县级医院抗HBV药物可及性低,可能影响HBV感染者就近获得规范化的诊疗。 展开更多
关键词 乙型肝炎病毒 慢性乙型肝炎 抗病毒药物 药物可及性 母婴传播
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Flow-Injection Microcolumn on-Line Preconcentration for theDetermination of Chromium(Ⅵ) 被引量:1
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作者 ma wanhong Cat Ruxiu Lin Zhixin(College of Chemistry, Wuhan University. Wuhan 430072, China) 《Wuhan University Journal of Natural Sciences》 CAS 1998年第4期464-468,共5页
A rapid and sensitive on-line preconcentration method for spectrophotometric determination of chromium (VI) in nature water is described. Preconcentration and determination are based on (i) the quantitative and fast a... A rapid and sensitive on-line preconcentration method for spectrophotometric determination of chromium (VI) in nature water is described. Preconcentration and determination are based on (i) the quantitative and fast adsorption of chromium (VI) on the high surface area nanometer-size TiO2 (anatase) powders, which prepared by a sol-gel method from hydrolysis of TiCI4 and (ii) the quantitative and reproducible elution of Cr (VI) by 2. 0 mol. L-1 HCI. A mini-column system for preconcentration is developed, Cr(VI)on the mini-column is eluted and merged with a stream water and DPCB (1, 5-diphenylcarbazide ) as the chromogenic reagent. The Proposed system permits throughputs of 6 sample h--l (0. 001 μg mL-1 Cr(VI) ) or 20 sample h-1 (0. 1 μg mL-1Cr (VI) . The preconcentration factor is 55. The detection limit is 0. 8 ng·mL-1 Cr(VI). The reproducibility is satisfactory with a relative standard deviation of less than 3. 35% (0. Of μg'mL-1Cr (VI), n = 5). 展开更多
关键词 anometer-size TiO2 Cr (Ⅵ) determination on-line preconcentration flow-injection spectrophotometric detection
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A new type of covalent-functional graphene donor-acceptor hybrid and its improved photoelectrochemical performance 被引量:1
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作者 LIU GuiLin YU CaiLan +3 位作者 CHEN ChunCheng ma wanhong JI HongWei ZHAO JinCai 《Science China Chemistry》 SCIE EI CAS 2011年第10期1622-1626,共5页
Graphene has lots of applications, such as field-effect transistors, solar cells and transparent electrodes. In this work, we developed a new donor-acceptor graphene hybrid by covalently bonding a donor phenanthrene-9... Graphene has lots of applications, such as field-effect transistors, solar cells and transparent electrodes. In this work, we developed a new donor-acceptor graphene hybrid by covalently bonding a donor phenanthrene-9-carboxaldehyde (PCA) onto the acceptor graphene (PCA-graphene) via 1,3-dipolar cycloaddition azomethine ylides. The resulting PCA-graphene is soluble in N,N-dimethyformamide (DMF). The optoelectronic device (photoanode) fabricated by spin-coating DMF solution of the hybrids exhibits an enhanced photocurrent under visible irradiation. 展开更多
关键词 混合体 电化学性能 石墨 受体 共价 场效应晶体管 二甲基甲酰胺 太阳能电池
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云南省3家综合医院感染科住院肝脏疾病患者流行情况的多中心回顾性分析 被引量:7
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作者 陈青 杨智彬 +6 位作者 苏慧勇 赵丽惠 张丽红 彭惠 殷水泽 马万红 马世武 《中华肝脏病杂志》 CAS CSCD 北大核心 2018年第11期819-823,共5页
目的研究综合医院感染科肝病住院患者疾病谱的构成特点,以期为感染科建设和临床资源配置提供参考。方法收集2010年1月至2015年12月在3家综合医院感染科第1次住院患者病例资料进行回顾性分析。进一步对住院患者中病毒性肝炎(甲、乙、... 目的研究综合医院感染科肝病住院患者疾病谱的构成特点,以期为感染科建设和临床资源配置提供参考。方法收集2010年1月至2015年12月在3家综合医院感染科第1次住院患者病例资料进行回顾性分析。进一步对住院患者中病毒性肝炎(甲、乙、丙、戊型)、重症肝病(重型肝炎、肝硬化、肝癌)患者的分布情况进行分析。计量资料采用方差分析,计数资料用率表示,采用χ^2检验。不同年份疾病构成比变化情况采用χ^2趋势检验。结果云南地区3家综合医院感染科住院患者中肝病、结核病、获得性免疫缺陷综合征3种疾病占58.61%,但肝病患者(17.25%,3555/20606,95%CI:16.73%-17.77%)显著低于结核病患者33.98%(7002/20606,95%CI:33.34%-34.62%),不同医院和不同时间点的观察结果均显示肝病患者比例低于结核病患者。肝病住院患者构成比呈现下降趋势(P〈0.01),其中乙型肝炎患者构成比呈下降趋势(P〈0.01),丙型肝炎和重症肝病患者构成比有逐年上升趋势(P值均〈0.01)。结论云南地区综合医院感染科住院肝病患者比例低于结核病患者,感染科的建设和医疗资源配置应该充分考虑这一疾病谱特点。 展开更多
关键词 肝疾病 肝炎 病毒性 流行病学 住院病人
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云南省医务人员对结核患者肝炎病毒感染筛查认知的横断面研究 被引量:4
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作者 詹淑华 杨智彬 +5 位作者 苏慧勇 匡崇书 李国伦 申恩瑞 马万红 马世武 《中华实验和临床感染病杂志(电子版)》 CAS 2020年第1期31-39,共9页
目的调查云南省从事结核病诊疗的医务人员对结核病患者筛查和监测乙型/丙型肝炎病毒(HBV/HCV)感染的认知。方法调查对象为云南省全部16个州、市综合医院中从事结核病诊疗的医务人员,通过问卷调查方式收集他们对抗结核治疗或应用糖皮质... 目的调查云南省从事结核病诊疗的医务人员对结核病患者筛查和监测乙型/丙型肝炎病毒(HBV/HCV)感染的认知。方法调查对象为云南省全部16个州、市综合医院中从事结核病诊疗的医务人员,通过问卷调查方式收集他们对抗结核治疗或应用糖皮质激素前对肝炎病毒筛查和管理的决定。结果共发出问卷1000份,回收问卷942份,剔除无效问卷52份。合格的890份问卷分别来自21家三级综合医院和64家二级综合医院。在抗结核治疗前,医务人员对抗-HCV筛查的比例(48.8%,434/890)低于对乙型肝炎病毒表面抗原(HBs Ag)筛查的比例(70.7%、629/890,χ^2=88.805、P<0.001)。在应用糖皮质激素前,对抗-HCV筛查的比例(72.1%,642/890)也低于对HBsAg筛查的比例(75.6%,673/890),但差异无统计学意义(χ^2=2.794、P=0.094)。Logistic回归多变量分析提示:使用糖皮质激素前,医务人员所在的科室类别和职称是筛查抗HCV的独立的影响因素,其中来自感染科(OR=1.834、95%CI:1.342~2.505、P=0.001)及高级职称(OR=1.745、95%CI:1.115~2.731、P=0.015)医务人员的诊疗认知优于非感染科及非高级职称医务人员,差异均有统计学意义;所在医院等级、科室类别和职称是筛查HBsAg的影响因素,其中来自三级医院(OR=1.735、95%CI:1.233~2.441、P=0.002)、感染科(OR=1.567、95%CI:1.133~2.167、P=0.007)及高级职称(OR=1.786、95%CI:1.104~2.888、P=0.018)医务人员的诊疗认知优于二级医院、非感染科及非高级职称医务人员,差异均有统计学意义。使用糖皮质激素时,医院等级和科室类别是医务人员对结核合并HCV感染者监测HCV RNA的影响因素,其中三级医院(OR=1.898、95%CI:1.285~2.802、P=0.001)、感染科(OR=2.039、95%CI:1.391~2.988、P<0.001)医务人员的诊疗认知优于二级医院及非感染科医务人员,差异均有统计学意义。医院等级、科室类别和职称为医务人员对结核合并HBV感染监测HBV DNA的影响因素,其中三级医院(OR=2.019、95%CI:1.385~2.943、P<0.001)、感染科(OR=2.269、95%CI:1.573~3.275、P<0.001)和高级职称(OR=2.435、95%CI:1.373~4.320、P=0.002)医务人员的诊疗认知优于二级医院、非感染科和非高级职称医务人员,差异均有统计学意义。结论从事结核病诊疗的医务人员对于结核病患者筛查和监测肝炎病毒认知差异较大,加强指导和培训将有益于提升医务人员对结核病合并肝炎病毒感染的认知,以降低肝功能损伤的发生。 展开更多
关键词 医务人员 结核病 肝炎病毒 乙型 肝炎病毒 丙型 认知调查
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Photocatalytic debromination of decabromodiphenyl ether by graphitic carbon nitride 被引量:8
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作者 SUN ChunYan CHEN ChunCheng +1 位作者 ma wanhong ZHAO JinCai 《Science China Chemistry》 SCIE EI CAS 2012年第12期2532-2536,共5页
The graphitic carbon nitride(g-C3N4) is found to be an efficient photocatalyst for the reductive degradation of decabromodiphenyl ether(BDE209) under UV irradiation(>360 nm).g-C3N4 was prepared by heating dicyandia... The graphitic carbon nitride(g-C3N4) is found to be an efficient photocatalyst for the reductive degradation of decabromodiphenyl ether(BDE209) under UV irradiation(>360 nm).g-C3N4 was prepared by heating dicyandiamide.X-ray diffraction,X-ray photoelectron spectroscopy,and UV-vis spectra were used to characterize the properties of as-prepared catalysts.The photoreductive degradation kinetics of BDE209 was further investigated under different reaction conditions.The degradation of BDE209 is a stepwise process,and the bromines at meta positions are much more susceptible to remove than those at the ortho and para positions.A possible photoreductive mechanism was also proposed. 展开更多
关键词 氮化碳薄膜 十溴联苯醚 光催化剂 脱溴 石墨 X射线光电子能谱 UV-VIS光谱 降解动力学
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Heterogeneous degradation of toxic organic pollutants by hydrophobic copper Schiff-base complex under visible irradiation 被引量:5
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作者 SONG Quan JIA manKe +2 位作者 ma wanhong FANG YanFen HUANG YingPing 《Science China Chemistry》 SCIE EI CAS 2013年第12期1775-1782,共8页
A hydrophobic complex of Cu2+[bis-salicylic aldehyde-o-phenylenediamine],Cu-SPA,was prepared and used as a heterogeneous photocatalyst to degrade organic pollutants in water under visible irradiation(420 nm)at neutral... A hydrophobic complex of Cu2+[bis-salicylic aldehyde-o-phenylenediamine],Cu-SPA,was prepared and used as a heterogeneous photocatalyst to degrade organic pollutants in water under visible irradiation(420 nm)at neutral pH.The structure of complex was characterized by using nuclear magnetic resonance(NMR),elemental analysis,IR and UV-vis spectrometries.Degradation of Rhodamine B(RhB),Sulforhodamine B(SRB)and Benzoic acid(BA)in water were used as model reactions to evaluate the photocatalytic activities of Cu-SPA.The results indicated that RhB and SRB were easily adsorbed on the hydrophobic surface of Cu-SPA from aqueous solution(the maximum adsorption amount:Qmax=11.09 and 8.05μmol/g,respectively).Under visible irradiation,RhB and SRB were decolorized completely after 210 and 240 min,respectively,and BA was removed completely after 5 h.The efficiency of H2O2was>95%,in contrast to that of the reaction without catalyst or light(<20%).In water soluble medium,the hydrophobic Cu-SPA can be used more than 6 cycles.ESR results and the behavior of cyclic voltammetry showed that,in the reaction process,Cu2+-SPA was reduced to intermediate state Cu+-SPA firstly,which was extremely unstable and reacted rapidly with H2O2,leading to high reactive oxygen species(·OH radical)to degrade the substrate. 展开更多
关键词 有毒有机污染物 可见光照射 疏水性 异构 希夫碱 罗丹明B 最大吸附量 退化
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Supported noble metal nanoparticles as photo/sono-catalysts for synthesis of chemicals and degradation of pollutants 被引量:3
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作者 WEN Bo ma JiaHai +3 位作者 CHEN ChunCheng ma wanhong ZHU HuaiYong ZHAO JinCai 《Science China Chemistry》 SCIE EI CAS 2011年第6期887-897,共11页
This review summarizes the utilization of supported noble metal nanoparticles (such as Au/TiO2, Au/ZrO2, Ag/AgCl) as efficient photo/sono-catalysts for the selective synthesis of chemicals and degradation of environme... This review summarizes the utilization of supported noble metal nanoparticles (such as Au/TiO2, Au/ZrO2, Ag/AgCl) as efficient photo/sono-catalysts for the selective synthesis of chemicals and degradation of environmental pollutants. Supported noble metal nanoparticles could efficiently catalyze the conversion of solar energy into chemical energy. Under UV/visible light irradiation, important chemical transformations such as the oxidation of alcohols to carbonyl compounds, the oxidation of thiol to disulfide, the oxidation of benzene to phenol, and the reduction of nitroaromatic compounds to form aromatic azo compounds, are effectively achieved by supported noble metal nanoparticles. Under ultrasound irradiation, supported noble metal nanoparticles could efficiently catalyze the production of hydrogen from water. Moreover, various pollutants, including aldehydes, alcohols, acids, phenolic compounds, and dyes, can be effectively decomposed over supported noble metal nanoparticles under UV/visible light irradiation. Under ultrasound irradiation, pollutant molecules can also be completely degraded with supported noble metal nanoparticles as catalysts. 展开更多
关键词 金属纳米粒子 环境污染物 选择性合成 催化剂 照片 降解 化学品 芳香族偶氮化合物
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Photo-electrochemical water splitting system with three-layer n-type organic semiconductor film as photoanode under visible irradiation
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作者 LIU GuiLin CHEN ChunCheng +2 位作者 JI HongWei ma wanhong ZHAO JinCai 《Science China Chemistry》 SCIE EI CAS 2012年第9期1953-1958,共6页
A three-layer structure of n-type organic semiconductors(PTCDA/PTCDA:PCBM/PCBM) is successfully identified as photoanode for photoelectrochemical water oxidation during the overall splitting of water into hydrogen/oxy... A three-layer structure of n-type organic semiconductors(PTCDA/PTCDA:PCBM/PCBM) is successfully identified as photoanode for photoelectrochemical water oxidation during the overall splitting of water into hydrogen/oxygen in a nearly stoichiometric ratio(H2:O2=2:1) under visible irradiation(λ > 420 nm).A possible charge separation mechanism under visible light illumination was also proposed. 展开更多
关键词 可见光照射 n-型 半导体膜 化学分解 光阳极 水系统 PTCDA 照片
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