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序贯式健康教育对社区老年人群骨密度和骨代谢指标影响初探 被引量:2
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作者 方玲娜 张盼盼 +5 位作者 张文雅 郝彦明 李翀 何大伟 钟绍 陆荣柱 《江苏预防医学》 CAS 2020年第4期390-392,共3页
目的观察序贯式健康教育对社区老年人群的骨保护作用。方法随机选取昆山社区老年人80名,以骨质疏松防治为主题,进行2周1次的序贯式健康教育干预(共4次),观察干预前和干预后6个月随访跟骨超声骨密度、血清骨代谢指标的变化。结果干预老年... 目的观察序贯式健康教育对社区老年人群的骨保护作用。方法随机选取昆山社区老年人80名,以骨质疏松防治为主题,进行2周1次的序贯式健康教育干预(共4次),观察干预前和干预后6个月随访跟骨超声骨密度、血清骨代谢指标的变化。结果干预老年人80名,骨质疏松高危者占70.00%。干预后6个月随访,骨质疏松知识得分较干预前有所提高,在总分、危险因素知识、运动知识、钙知识等方面的差异均有统计意义(t=-14.410、-10.07、-5.529、-6.904,P值均<0.01);干预前跟骨骨密度T值为(-2.63±1.25),干预后随访6月为(-1.46±0.61),差异有统计学意义(t=-3.041,P<0.05)。结论序贯式健康教育可增加老年人群骨质疏松知识,增加骨密度,有预防骨质疏松的作用。 展开更多
关键词 序贯式骨质疏松健康教育 骨质疏松预防与自我管理课程 骨密度 骨代谢指标
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2型糖尿病患者甲状腺素及抗体与骨骼肌、骨密度的相关性 被引量:1
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作者 方玲娜 马丹 +5 位作者 钟绍 张莉 沈莉雯 郝彦明 陆轲 李翀 《中国骨质疏松杂志》 CAS CSCD 北大核心 2022年第12期1735-1739,共5页
目的探讨甲状腺素在正常范围内的2型糖尿病(type 2 diabetes mellitus,T2DM)患者的甲状腺素及甲状腺抗体与骨骼肌、骨密度之间的关系。方法选取在江苏大学附属昆山医院内分泌科住院的甲状腺素为正常范围内的T2DM患者389例。通过双能X射... 目的探讨甲状腺素在正常范围内的2型糖尿病(type 2 diabetes mellitus,T2DM)患者的甲状腺素及甲状腺抗体与骨骼肌、骨密度之间的关系。方法选取在江苏大学附属昆山医院内分泌科住院的甲状腺素为正常范围内的T2DM患者389例。通过双能X射线骨密度仪测定受试者的骨骼肌质量和骨密度(bone mineral density,BMD),分析甲状腺素与骨骼肌质量、骨密度的相关性。根据甲状腺过氧化物酶抗体(thyroid peroxidase antibody,TPOab)滴度,将受试者分为TPOab阳性组和TPOab阴性组,比较两组间骨骼肌质量和BMD的差异。结果在男性T2DM患者中,FT3与体质量指数(body mass index,BMI)、总体脂肪质量和躯干脂肪质量呈正相关,FT4与四肢骨骼肌质量(appendicular skeletal muscle mass,ASM)呈负相关(P<0.05)。在女性T2DM患者中,FT4与BMI、总体骨骼肌质量、躯干骨骼肌质量和ASM呈负相关(P<0.05)。结论甲状腺素在正常范围内的T2DM患者,其FT4与ASM具有一定的相关性。 展开更多
关键词 骨骼肌 骨密度 2型糖尿病 甲状腺素
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2型糖尿病周围神经病变患者缺氧诱导因子-1α及血管内皮生长因子的研究 被引量:13
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作者 唐枫燕 钟绍 +4 位作者 李全民 赵波 朱文华 卢冰 沈莉雯 《北京医学》 CAS 2020年第4期287-290,共4页
目的探讨2型糖尿病(type 2 diabetics,T2DM)周围神经病变患者血清缺氧诱导因子-1α(hypoxia-inducible factor-1α,HIF-1α)和血管内皮生长因子(vascular endothelial growth factor,VEGF)的变化及意义。方法选取2017年10月至2018年10... 目的探讨2型糖尿病(type 2 diabetics,T2DM)周围神经病变患者血清缺氧诱导因子-1α(hypoxia-inducible factor-1α,HIF-1α)和血管内皮生长因子(vascular endothelial growth factor,VEGF)的变化及意义。方法选取2017年10月至2018年10月昆山市第一人民医院T2DM患者108例,根据是否合并糖尿病周围神经病变(diabetes with peripheral neuropathy,DPN),将患者分为T2DM组(53例)和DPN组(55例),并设正常对照组(NC组,50例),采用酶联免疫吸附法(enzyme linked immunosorbent assay,ELISA)测定所有患者血清HIF-1α、VEGF,记录3组的年龄、病程,检测相关生化指标,并进行比较分析。结果T2DM组血清HIF-1α、VEGF浓度分别为(486.23±136.01)pg/ml、(36.12±19.34)pg/ml,DPN组分别为(635.26±180.56)pg/ml、(51.18±24.72)pg/ml,明显高于NC组的(165.85±61.30)pg/ml、(10.92±2.64)pg/ml,差异均有统计学意义(P<0.05);DPN组的血清HIF-1α、VEGF浓度较T2DM组明显升高(P<0.05)。血清HIF-1α水平与TG、空腹血糖(fasting plasma glucose,FPG)、糖化血红蛋白(glycosylated hemoglobin,HbA1c)、VEGF呈正相关(r值分别为0.354、0.512、0.546、0.502),与HDL-C呈负相关(r=-0.511)。多元逐步回归分析显示,糖尿病病程、HbA1c、HIF-1α及VEGF是DPN的影响因素。结论T2DM患者HIF-1α及VEGF水平的变化在DPN的发生发展过程中可能起重要作用。 展开更多
关键词 2型糖尿病 糖尿病周围神经病变 HIF-1Α VEGF
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县级医院建立急诊创伤团队的实践与成效 被引量:2
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作者 周守志 尹弘青 +5 位作者 汪强 金学勤 钟绍 陶娟 樊小朋 刘士方 《中国护理管理》 CSCD 北大核心 2019年第3期400-403,共4页
为了提高急诊创伤患者救治质量,我院2015年成立了院内创伤管理团队,包括创伤团队急救小组、创伤团队质量控制小组、创伤团队培训小组和创伤团队机动小组4个小组,依功能进行分组培训。经过2年的实践,明确了团队中各小组的管理职责、工作... 为了提高急诊创伤患者救治质量,我院2015年成立了院内创伤管理团队,包括创伤团队急救小组、创伤团队质量控制小组、创伤团队培训小组和创伤团队机动小组4个小组,依功能进行分组培训。经过2年的实践,明确了团队中各小组的管理职责、工作内容和主要任务,培训了创伤成员的专科能力与质量管理意识,提高了创伤团队的专科知识水平和处理应急事件的能力,规范了创伤患者救治专业化,提高了医院满意度,提升了创伤团队的整体素质,提高了创伤患者救治质量。 展开更多
关键词 创伤团队 急诊 医院 管理
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精细化管理结合分区管理在急诊质量管理中的实践与效果 被引量:3
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作者 周守志 尹弘青 +5 位作者 汪强 金学勤 钟绍 陶娟 樊小朋 刘士方 《江苏卫生事业管理》 2019年第6期736-740,共5页
目的:探讨精细化管理结合分区管理在急诊质量管理中的实践与效果,旨在推动急诊管理质量的提升。方法:通过实施精细化管理结合急诊患者分区管理,评价急诊护士专科能力,包括理论考核、操作考核、护士综合处置能力、团队配合、协调与应急... 目的:探讨精细化管理结合分区管理在急诊质量管理中的实践与效果,旨在推动急诊管理质量的提升。方法:通过实施精细化管理结合急诊患者分区管理,评价急诊护士专科能力,包括理论考核、操作考核、护士综合处置能力、团队配合、协调与应急能力、专业实践、评判性思维、人际沟通、护理质量、环境管理以及病人、医生对护理工作的满意度。结果:精细化管理结合分区管理前后急诊护士专科能力包括理论考核、操作考核、护士综合处置能力、团队配合能力、协调与应急能力、专业实践能力、评判性思维能力、人际沟通能力、护理质量、环境管理以及病人、医生对护理工作的满意度等差异性均有统计学意义(P<0.05)。结论:实施精细化管理结合分区管理对提高护理管理工作效果明显,值得更深入研究。 展开更多
关键词 精细化管理 护理质量 护理管理 急诊
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Latitudinal and longitudinal regulation of tissue macrophages in inflammatory diseases 被引量:1
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作者 XiaoYi He Stephanie Tan +1 位作者 zhong shao Xiao Wang 《Genes & Diseases》 SCIE 2022年第5期1194-1207,共14页
Macrophages are dominant innate immune cells.They demonstrate remarkable het-erogeneity and plasticity that are essential for homeostasis and host defense.The heterogeneity of tissue macrophages is shaped by the ontog... Macrophages are dominant innate immune cells.They demonstrate remarkable het-erogeneity and plasticity that are essential for homeostasis and host defense.The heterogeneity of tissue macrophages is shaped by the ontogeny,tissue factors,and environmental signals,a pattern in a tissue-associated latitudinal manner.At the same time,macrophages have long been considered as mainly plastic cells.These cells respond to stimulation quickly and in a stimulus-specific way by utilizing a longitudinal cascaded activation,including coordination of signal trans-ducer,epigenetic elements,and transcription factors,conclusively determine the macrophage phenotypes and functions.With the development of cutting-edge technologies,such as fate-mapping,single-cell transcriptomics,ipsc platform,nanotherapeutic materials,etc.,our under-standing of macrophage biology and the roles in the pathogenesis of diseases is much advanced.This review summarizes recent progress on the latitudinal and longitudinal regulation of tissue macrophages in inflammatory diseases.The latitudinal regulation covers the tissue macrophage or-igins,tissue factors,and environmental signals,reflecting the macrophage heterogeneity.The lon-gitudinal regulation focuses on how multiple factors shape the phenotypes and functions of macrophage subsets to gain plasticity in inflammatory diseases(i.e.,inflammatory bowel disease).In addition,how to target macrophages as a potential therapeutic approach and cutting edge-technologies for tissue macrophage study are also discussed in this review. 展开更多
关键词 Epigenetic regulation Inflammatory disease microRNA Macrophage origin Macrophage polarization Single-cell RNA-sequencing Tissue macrophage
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A new hierarchical software architecture towards safety-critical aspects of a drone system
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作者 Xiao-rui ZHU Chen LIANG +3 位作者 Zhen-guo YIN zhong shao Meng-qi LIU Hao CHEN 《Frontiers of Information Technology & Electronic Engineering》 SCIE EI CSCD 2019年第3期353-362,共10页
A new hierarchical software architecture is proposed to improve the safety and reliability of a safetycritical drone system from the perspective of its source code. The proposed architecture uses formal verification m... A new hierarchical software architecture is proposed to improve the safety and reliability of a safetycritical drone system from the perspective of its source code. The proposed architecture uses formal verification methods to ensure that the implementation of each module satisfies its expected design specification, so that it prevents a drone from crashing due to unexpected software failures. This study builds on top of a formally verified operating system kernel, certified kit operating system(CertiKOS). Since device drivers are considered the most important parts affecting the safety of the drone system, we focus mainly on verifying bus drivers such as the serial peripheral interface and the inter-integrated circuit drivers in a drone system using a rigorous formal verification method. Experiments have been carried out to demonstrate the improvement in reliability in case of device anomalies. 展开更多
关键词 Safety-critical DRONE Software architecture FORMAL VERIFICATION
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Modeling of high-temperature reforming reactor based on interactive thermal control with a tail gas combustor
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作者 Dan Zhang zhong shao +1 位作者 Ji-Ping Xin Ai-Jun Li 《Advances in Manufacturing》 SCIE CAS CSCD 2016年第1期47-54,共8页
This paper proposes a method to model hydrocarbon reforming by coupling detailed chemical kinetics with complex computational fluid dynamics. The entire chemistry of catalyzed reactions was confined within the geometr... This paper proposes a method to model hydrocarbon reforming by coupling detailed chemical kinetics with complex computational fluid dynamics. The entire chemistry of catalyzed reactions was confined within the geometrically simple channels and modeled using the low-dimensional plug model, into which the interactive thermal control of the multi-channel reforming reactor has been implemented with a tail-gas combustor around the external surface of these catalytic channels. The geomet- rically complex flow in the tail gas combustor was simu- lated using FLUENT without involving any chemical reactions. The influences of the conditions at the reactor inlet such as the inlet gas velocity, the inlet gas composi- tion and the variety of hydrocarbons of each channel on gas conversions were investigated numerically. The impact of the tail gas combustor setup on the efficiency of the reforming reactor was also analyzed. Methane catalytic partial oxidation (CPOx) and propane steam reforming (SR) were used to illustrate the approach reported in the present work. 展开更多
关键词 Computational fluid dynamics Reactionkinetics Catalytic partial oxidation Steam reforming
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