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CT术前预测甲状腺乳头状癌颈部淋巴结转移的价值及危险因素分析
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作者 张联合 曾炳亮 +1 位作者 李虹璐 李滋聪 《实用临床医学(江西)》 CAS 2023年第1期63-66,共4页
目的分析术前CT对甲状腺乳头状癌(PTC)患者颈部淋巴结转移的预测价值。方法选取2017年5月至2021年9月收治的100例PTC患者,均经手术病理确诊。根据术后转移情况将其分为转移组(n=30)和未转移组(n=70)。术前均行平扫期、动脉期和静脉期增... 目的分析术前CT对甲状腺乳头状癌(PTC)患者颈部淋巴结转移的预测价值。方法选取2017年5月至2021年9月收治的100例PTC患者,均经手术病理确诊。根据术后转移情况将其分为转移组(n=30)和未转移组(n=70)。术前均行平扫期、动脉期和静脉期增强CT扫描,计算原发病灶CT值、净增CT值与标准化CT值,并对患者颈部淋巴结转移危险因素进行分析。结果转移组患者CT值、净增CT值和标准化CT值均高于未转移组(P<0.05);单因素分析结果显示,转移组患者年龄≥50岁、多发灶、被膜侵犯、外侵犯所占比均明显高于未转移组(P<0.05);多因素分析结果显示:年龄≥50岁、被膜侵犯、外侵犯为PTC颈部淋巴结转移的危险因素(P<0.05)。结论PTC患者原发病灶静脉期CT值对颈部淋巴结转移有预测作用;年龄≥50岁、被膜侵犯、外侵犯与PTC颈部淋巴结转移密切相关。 展开更多
关键词 甲状腺乳头状癌 电子计算机断层扫描 颈部淋巴结转移 CT值 年龄 被膜侵犯 外侵犯
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高等医学专业实验技术队伍的现状与发展思路 被引量:7
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作者 张敬华 席小平 +3 位作者 韩蓓 雷义明 张联合 闫思琪 《医学教育研究与实践》 2020年第5期758-760,839,共4页
高等医学专业实验技术队伍在新时期实验室建设中举足轻重,是保障医学相关专业及生命科学类可持续人才培养、科研成果产出的重要环节之一。医学实验技术团队也需要适应国家高校改革发展的要求。本文针对目前实验技术队伍存在的人员结构... 高等医学专业实验技术队伍在新时期实验室建设中举足轻重,是保障医学相关专业及生命科学类可持续人才培养、科研成果产出的重要环节之一。医学实验技术团队也需要适应国家高校改革发展的要求。本文针对目前实验技术队伍存在的人员结构断层、知识结构不足、管理理念有待提升、实验技术人员职称晋升及工作待遇有待完善等问题,分析成因,并逐一探讨实验室人员培养模式,让更多高素质实验技术人员更高效地为教学、科研及实验室管理服务。 展开更多
关键词 实验技术人员 队伍建设 实验室管理
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Difference in Selenium Accumulation in Shoots of Two Rice Cultivars 被引量:21
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作者 zhang lian-he SHI Wei-Ming WANG Xiao-Chang 《Pedosphere》 SCIE CAS CSCD 2006年第5期646-653,共8页
Two japonica rice (Oryza sativa L.) cultivars, Xiushui 48 and S. Andrea, differing in their ability to accumulate Se in the grain (as high as a three-fold difference), were compared for selenium (Se) accumulatio... Two japonica rice (Oryza sativa L.) cultivars, Xiushui 48 and S. Andrea, differing in their ability to accumulate Se in the grain (as high as a three-fold difference), were compared for selenium (Se) accumulation in their shoots when their growth media was supplied with different forms of Se. Results indicated that when treated with 0.25μmol L^-1 Na2SeO3, Xiushui 48 accumulation of Se in the shoots was significantly more rapid (P〈0.05) than S. Andrea, probably because of greater Se uptake and transport in Xiushui 48. Xiushui 48 rice seedlings had a higher shoot-Se accumulation rate and absorbed selenocysteine (Se-Cys) more rapidly than S. Andrea seedlings. However, when treated with Se as 0.25μmol L^-1 selenomethionine (Se-Met), the S. Andrea seedlings' accumulation rate was significantly greater (P〈0.05) than that of Xiushui 48. Possibly, the high Se accumulation rate of Xiushui 48 seedling shoots compared to S. Andrea shoots was the result of a higher capacity of Xiushui 48 to transform selenite to organic Se compounds and a higher selenite uptake rate. 展开更多
关键词 rice cultivars Se accumulation SELENITE transport uptake rate
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Dynamics of microbial diversity during the composting of agricultural straw 被引量:10
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作者 CHANG Hui-qing ZHU Xiao-hui +3 位作者 WU Jie GUO Da-yong zhang lian-he FENG Yao 《Journal of Integrative Agriculture》 SCIE CAS CSCD 2021年第5期1121-1136,共16页
The dynamic changes in microbial diversity during the aerobic composting of agricultural crop straw with additives were evaluated using high-throughput sequencing at four phases of composting(mesophilic,thermophilic,c... The dynamic changes in microbial diversity during the aerobic composting of agricultural crop straw with additives were evaluated using high-throughput sequencing at four phases of composting(mesophilic,thermophilic,cooling and maturation phases).In addition,the physicochemical parameters of the composting system were determined in this study.The fermentation time of the thermophilic period was prolonged with the addition of urea or urea combined with a microbial agent.The ratio of C/N and germination index variation indicated that the additives were favorable for composting,because the additives directly changed the physicochemical properties of the compost and had effects on the diversity and abundance of bacteria and fungi.The abundance of operational taxonomic units(OTUs),diversity index(Shannon)and richness index(Chao1)of fungi and bacteria were found to significantly increase when urea+microbial agents were added to straw in the thermophilic phase.The relative abundance of the predominant bacteria and fungi at the phylum and genus levels differed during different composting phases.The abundance of the phyla Firmicutes and Proteobacteria declined in the order of treatments SNW>SN>S(S is straw only compost;SN is straw+5 kg t^(–1) urea compost;and SNW is straw+5 kg t^(–1) urea+1 kg t^(–1) microbial agent compost)in the thermophilic phase.The abundance of the genera Staphylococcus,Bacillus and Thermobifida followed the same order in the mesophilic phase.Ascomycota accounted for more than 92%of the total fungal sequences.With the progression of the composting process,the abundance of Ascomycota decreased gradually.The abundance of Ascomycota followed the order of S>SN>SNW during the thermophilic phase.The abundance of Aspergillus accounted for 4–59%of the total abundance of fungi and increased during the first two sampling periods.Aspergillus abundance followed the order of SNW>SN>S.Additionally,principal component analysis(PCA)revealed that the community compositions in the straw and straw+urea treatments were similar,and that the bacterial communities in treatments S,SN and SNW in the mesophilic phase(at day 1)were different from those observed in three other phases(at days 5,11,and19,respectively),while the fungal communities showed only slight variations in their structure in response to changes in the composting process.Canonical correlation analysis(CCA)and redundancy analysis(RDA)showed that total carbon(TC),NO_(3)^(–)-N(NN),electrical conductivity(EC)and p H were highly correlated with community composition.Therefore,this study highlights that the additives are beneficial to straw composting and result in good quality compost. 展开更多
关键词 crop straws microbial diversity community composition dynamic characteristics high-throughput sequencing
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Effects of Water Stress on Reactive Oxygen Species Generation and Protection System in Rice During Grain-Filling Stage 被引量:9
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作者 WANG He-zheng zhang lian-he +4 位作者 MA Jun LI Xu-yi LI Yan zhang Rong-ping WANG Ren-quan 《Agricultural Sciences in China》 CAS CSCD 2010年第5期633-641,共9页
Rice is one of the main staple food crops in the world, but it may suffer serious water stress during growth period. Water stress during grain filling results in decreased grain yeild, but its mechanism generating and... Rice is one of the main staple food crops in the world, but it may suffer serious water stress during growth period. Water stress during grain filling results in decreased grain yeild, but its mechanism generating and scavenging the active oxygen is unclear under continuance of the water stress. The experiment was carried out in growth chamber to investigate the effects of water stress on the production of superoxide free radical (O2), hydrogen peroxide (H202), malondialdehyde (MDA), reduced glutathione (GSH), ascorbic acid (AsA), and antioxidative enzyme activities in three rice hybrids with differing drought resistant under both normal and drought conditions during grain-filling stage. The results showed that water stress aggravated the membrane lipid peroxidation in rice leaves, which was more severe in less drought resistant hybrids than that in more tolerant ones. Also O2' and H2O2 accumulated more rapidly in less drought resistant hybrids than that in more tolerant ones. During water stress, decreases of GSH, AsA, chlorophyll, and relative water contents in more drought resistant hybrids were obvious less than those in less tolerant ones. Activities of superoxide dismutase (SOD), catalase (CAT) and peroxidase (POD) in/eaves increased obviously in 0-14 d after heading and subsequently decreased rapidly, and those in more drought resistant hybrids were more than those in less tolerant ones. The results showed that changes of O2, H2O2, MDA, GSH, and AsA contents and antioxidative enzyme activities correlated significantly to drought resistance of rice hybrids, and more drought resistant hybrids possessed high ant oxidation capacity. 展开更多
关键词 RICE water stress reactive oxygen species protection system
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基于ADL能力训练方案对老年维持性血液透析患者自理能力及并发症的影响 被引量:2
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作者 张莲荷 李秀梅 周巧玲 《中国当代医药》 CAS 2021年第26期251-254,共4页
目的探讨日常生活能力(ADL)训练干预方案在老年维持性血液透析(MHD)患者中的应用价值。方法选取2018年1月至2021年1月甘肃中医药大学附属医院收治的64例老年MHD患者作为研究对象,按随机数字表法分为对照组(32例)和观察组(32例)。对照组... 目的探讨日常生活能力(ADL)训练干预方案在老年维持性血液透析(MHD)患者中的应用价值。方法选取2018年1月至2021年1月甘肃中医药大学附属医院收治的64例老年MHD患者作为研究对象,按随机数字表法分为对照组(32例)和观察组(32例)。对照组采用常规护理,观察组采用ADL能力训练干预。比较两组的负面情绪抑郁自评量表(SDS)、生活自理能力Barther指数(BI)、护理满意度及并发症发生情况。结果干预前,两组的SDS、BI评分比较,差异无统计学意义(P>0.05);干预后,观察组的SDS评分低于对照组,BI评分高于对照组,差异均有统计学意义(P<0.05)。观察组的护理总满意度高于对照组,观察组的并发症总发生率低于对照组,差异均有统计学意义(P<0.05)。结论ADL能力训练干预方案能减轻老年MHD患者的抑郁情绪,提高其生活自理能力,降低并发症的发生,提高护理满意度。 展开更多
关键词 老年维持性血液透析 日常生活能力训练 生活自理能力 护理满意度
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ADL自理能力训练早期干预对老年维持性血液透析患者的效果分析 被引量:1
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作者 周巧玲 李秀梅 +1 位作者 张莲荷 卢凯利 《中外医疗》 2020年第28期166-170,共5页
目的探讨ADL(日常生活能力)自理能力训练早期干预对老年维持性血液透析(MHD)患者的效果。方法便利选择2019年1—12月在该院血液透析中心收治的ADL评分≤60分的老年MHD患者41例,随机分为两组,对照组21例,观察组20例。对照组给予常规护理... 目的探讨ADL(日常生活能力)自理能力训练早期干预对老年维持性血液透析(MHD)患者的效果。方法便利选择2019年1—12月在该院血液透析中心收治的ADL评分≤60分的老年MHD患者41例,随机分为两组,对照组21例,观察组20例。对照组给予常规护理和健康指导,观察组在对照组基础上采用ADL自理能力训练干预方案,实施干预措施12周后,采用Barthel指数(日常生活能力评定量表)、MRC(肌力分级)、SDS(抑郁自评量表)、血液透析患者自我管理行为问卷评估两组患者自理能力、心理状况和自我管理能力及两组患者干预前后生理指标。结果两组患者干预前Barthel指数、MRC和SDS差异无统计学意义(P>0.05),干预后观察组Barthel指数、MRC和SDS评分分别为(80.4±12.0)、(53.7±1.1)分、(11.4±2.0)分,优于对照组的(45.4±10.0)、(42.7±1.0)分、(18.0±2.2)分,组间差异有统计学意义(t=6.569、4.771、4.565,P<0.05);观察组干预后自我管理能力及部分生理指标优于对照组,差异有统计学意义(t=5.437、4.045、3.528、3.821、5.011、3.124、1.765,P<0.05)。结论ADL自理能力训练早期干预能有效改善老年维持性血液透析患者的生活自理能力和自我管理能力。 展开更多
关键词 ADL自理能力训练 早期干预 老年维持性血液透析患者
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肾盏憩室的CT表现
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作者 张联合 朱国辉 《医学信息(医学与计算机应用)》 2014年第21期574-574,共1页
目的:探讨肾盏憩室的CT表现。方法对我院因季肋部胀痛或弥漫性腹部疼痛、高血压及扭伤腰部而就诊的30例肾盏憩室患者进行回顾性分析。结果30例患者平扫均为圆形、囊性低密度病灶,约1~4cm,19例合并结石;增强扫描呈轻度“强化”,内见少量... 目的:探讨肾盏憩室的CT表现。方法对我院因季肋部胀痛或弥漫性腹部疼痛、高血压及扭伤腰部而就诊的30例肾盏憩室患者进行回顾性分析。结果30例患者平扫均为圆形、囊性低密度病灶,约1~4cm,19例合并结石;增强扫描呈轻度“强化”,内见少量造影剂充填;延时扫描造影剂充填明显。延时扫描根据时间,呈先慢慢充盈,充盈后再慢慢消失,一般72h后复查,造影剂完全消失,肾盏憩室有典型的CT表现。结论 CT可以对肾盏憩室做出诊断。 展开更多
关键词 肾盏憩室 CT 表现
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落压比对航空发动机涡轮叶片流量特性的影响
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作者 曹智顺 王洪斌 +4 位作者 张树林 张联合 王小蒙 刘旭 葛宏志 《航空发动机》 北大核心 2021年第S01期32-39,共8页
为了探明落压比对航空发动机涡轮叶片流量特性的影响,对试验坐标压比选择和气膜孔分布2个主要影响因素进行了研究。忽略燃气及冷却空气温度的影响,依据涡轮叶片气膜孔出口静压将其分为3类。当涡轮叶片气膜孔以第1类或第2类为主时,通过... 为了探明落压比对航空发动机涡轮叶片流量特性的影响,对试验坐标压比选择和气膜孔分布2个主要影响因素进行了研究。忽略燃气及冷却空气温度的影响,依据涡轮叶片气膜孔出口静压将其分为3类。当涡轮叶片气膜孔以第1类或第2类为主时,通过试验坐标压比的选择消除落压比对流量特性的影响;当涡轮叶片气膜孔以第3类或复合型为主时,利用2个不同落压比下的流量特性,采用影响因子分析法可以获得任意落压比下的流量特性关系式。选用某型涡轮导向叶片进行不同落压比下的流量特性试验,结果表明:理论分析结果与试验结果相差3%,二者具有较好的一致性。 展开更多
关键词 落压比 涡轮叶片 流量特性 气膜孔 影响因子 航空发动机
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铸轧供坯生产5052-H32产品退火工艺的研究
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作者 李彦勤 张联合 +1 位作者 王小刚 胡岳 《甘肃冶金》 2021年第1期47-49,52,共4页
阐述了铸轧供坯5052-H32状态铝合金均匀化退火、中间退火以及低温热处理的机理,并从退火温度、退火时间、退火后材料性能等方面确定了铸轧供坯生产5052-H32铝合金产品的退火工艺制度。
关键词 AL-MG合金 均匀化退火 中间退火 低温热处理 性能
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