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Anion gap as bio-diagnostic index in prediction of dystocia, retained placenta and delayed uterine involution of Baladi goat (Field study)
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作者 Mohamed El-Raey Heba M El-Khaiat 《Asian pacific Journal of Reproduction》 2017年第5期231-237,共7页
Objective:To assess the anion gap (AG) validity in prediction the goat's fertility before parturition.Methods: This study was carried out on two groups (20/20, aged 4–6 years and weighted 30–43 kg) of pluriparou... Objective:To assess the anion gap (AG) validity in prediction the goat's fertility before parturition.Methods: This study was carried out on two groups (20/20, aged 4–6 years and weighted 30–43 kg) of pluriparous pregnant Baladi goats. Animals were subjected to clinical examination, blood sampling to assess serum biochemical parameters in correlation with utrasonographic assessment of uterine horn involution (UTI) and placental dropping time after kidding. Unpaired studentt–test was used to detect the significance of differences (P<0.05). Correlation coefficient was used to study the relationships among the different assessed parameters, analysis (r) was assigned atP<0.05 using the same statistics program.Results:Results revealed that there were highly significant differences (P<0.05) between normally and abnormally parturated goats concerning Cl–, K+, Na+, P, Mg2+, Total/Ca2+, albumin, glucose and AG. Goats suffered from dystocia having high levels of HCO3–, cortisol and lactate. Additionally, there were significant differences (P<0.05) between normally and abnormally parturated goat does regarding the process of UTI starting from 3rd to 10th wk after parturition. Furthermore, there was a highly significant difference (P<0.05) between normally and abnormally parturated goat does concerning their placental dropping time;where, distressed/abnormally parturated goat having the longest time. Furthermore, there were highly strong correlation coefficient between Mg2+, K+, Na+, HCO3–, glucose, albumin, AG and corrected AG concentrations during goat's prepartum period and UTI, placental dropping time.Conclusions:Reporting serum bio-chemical changes and AG during goat's prepartum period could be used as diagnostic tool to judge the normality of parturition process, placental dropping, UTI and genital health, in other word, could be used as predictor for goat's fertility prior to parturition. 展开更多
关键词 Goats FERTILITY anion gap UTERUS PLACENTA
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The serum anion gap is associated with disease severity and all-cause mortality in coronary artery disease 被引量:6
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作者 Shi-Wei YANG Yu-Jie ZHOU +15 位作者 Ying-Xin ZHAO Yu-Yang LIU Xiao-Fang TIAN Zhi-Jian WANG De-An JIA Hong-Ya HAN Bin HU Hua SHEN Fei GAO Lu-Ya WANG Jie LIN Guo-Zhong PAN Jian ZHANG Zhen-Feng GUO Jie DU Da-Yi HU 《Journal of Geriatric Cardiology》 SCIE CAS CSCD 2017年第6期392-400,共9页
Objective To evaluate the associations between the serum anion gap (AG) with the severity and prognosis of coronary artery disease (CAD). Methods We measured serum electrolytes in 18,115 CAD patients indicated by ... Objective To evaluate the associations between the serum anion gap (AG) with the severity and prognosis of coronary artery disease (CAD). Methods We measured serum electrolytes in 18,115 CAD patients indicated by coronary angiography. The serum AG was calculated according to the equation: AG = Na^+ [(mmol/L) + K^+ (mmol/L)] - [Cl^- (mmol/L) + HCO3^- (mmol/L)]. Results A total of 4510 (24.9%) participants had their AG levels greater than 16 mmol/L. The serum AG was independently associated with measures of CAD severity, including more severe clinical types of CAD (P 〈 0.001) and worse cardiac function (P = 0.004). Patients in the 4th quartile of serum AG (≥ 15.92 mmol/L) had a 5.171-fold increased risk of 30 days all-cause death (P 〈 0.001). This association was robust, even after adjustment for age, sex, evaluated glomerular filtration rate [hazard ratio (HR): 4.861, 95% confidence interval (CI): 2.150–10.993, P 〈 0.001], clinical diagnosis, severity of coronary artery stenosis, cardiac function grades, and other confounders (HR: 3.318, 95% CI: 1.76–2.27, P = 0.009). Conclusion In this large population-based study, our findings reveal a high percentage of increased serum AG in CAD. Higher AG is associated with more severe clinical types of CAD and worse cardiac function. Furthermore, the increased serum AG is an independent, significant, and strong predictor of all-cause mortality. These findings support a role for the serum AG in the risk-stratification of CAD. 展开更多
关键词 All-cause death anion gap Coronary artery disease
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Relationship between Serum Anion Gap and Diabetes Mellitus 被引量:1
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作者 Agoro Eni-Yimini Solomon Mieebi M. Wankasi Ogregade Ileimokumo 《Journal of Diabetes Mellitus》 2015年第4期199-205,共7页
Diabetes mellitus is the most common metabolic disorder occasioned by derangement in glucose equilibration between the ECF and ICF. The derangement is known to affect the appropriate balance of electrolytes that serve... Diabetes mellitus is the most common metabolic disorder occasioned by derangement in glucose equilibration between the ECF and ICF. The derangement is known to affect the appropriate balance of electrolytes that serves as a buffer in the body. In this study anion gap was evaluated among outpatient diabetics as compared to non-diabetics control group. The categorization into the study or control groups was done by serum glucose estimation using glucose oxidase method. The study group mean age was 51 ±14 as against control group of 47 ± 10. One hundred and fifty subjects were divided in two groups based on serum glucose concentration. Group A (control group) consisted of 50 subjects with mean serum glucose concentration 4.3 ±1.7 mmol/l and anion gap 13.8 ± 2.6, group B (diabetics) consisted of 100 subjects that had serum glucose concentration 15.0 ± 3.9 and anion gap 18.4 ± 2.5. The glucose was estimation by glucose oxidase method, whereas the anion gap was calculated by subtracting the concentrations of sodium and potassium from the concentrations of chloride and bicarbonate. The concentrations of the electrolytes where assayed using ion selective electrodes (ISE). A statistical significant difference P was observed between group A and B glucose concentrations and the anion gap. The abnormal anion gap was created by the insufficiency of bicarbonate used for the buffering of the electrolytes variability occasioned by derangement in glucose metabolism and distorted hormonal secretion. Hence metabolic acidosis is strongly linked with diabetics as a result of distorted anion gap. Healthcare providers and takers should ensure that anion gap estimation is factored into investigations for the management of diabetics. Also, patients with deranged anion gap should be placed as an emergency case for proper management. Clinicians should ensure that patient’s anion gap is within the reference anion gap range so as to prevent development into metabolic acidosis and subsequent ketoacidosis. 展开更多
关键词 anion gap Diabetes MELLITUS SERUM anion SERUM CATION SERUM BUFFERS
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Gap-plasmon of Fe3O4@Ag Core-shell Nanostructures for Highly Enhanced Fluorescence Detection of Rhodamine B 被引量:4
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作者 王运佳 俎喜红 +2 位作者 易国斌 LUO Hongsheng HUANG Hailiang 《Journal of Wuhan University of Technology(Materials Science)》 SCIE EI CAS 2017年第2期264-271,共8页
A novel gap-plasmon of Fe3O4@Ag core-shell nanoparticles for surface enhanced fluorescence detection of Rhodamine B(RB) was developed. Fe3O4@Ag core-shell nanostructures with Ag shell and Fe3O4 core were synthetized... A novel gap-plasmon of Fe3O4@Ag core-shell nanoparticles for surface enhanced fluorescence detection of Rhodamine B(RB) was developed. Fe3O4@Ag core-shell nanostructures with Ag shell and Fe3O4 core were synthetized by self-assembled method with the assistance of 3-mercaptopropyl trimethoxy silane(MPTS). To study the RB fluorescence enhanced by gap-plasmon, the fluorescence properties of RB on the substrates with different nanogap densities were systematically investigated, and the results showed that the fluorescence intensity of RB on Fe3O4@Ag core-shell NPs substrate was much stronger than that on bare glass substrate, and the fluorescence intensity was further improved by using multilayer Fe3O4@Ag core-shell NPs substrate which had higher nanogap density. Different from the mechanism that is based on the maximum overlap of the surface plasmon resonance(SPR) band and emission band, the mechanism of the fluorescence enhancement in our work is based on the localized surface plasmon(LSP) and the gap plasmon near-field coupling with the Fe3O4@Ag core-shell NPs. Besides, the detection limit obtained was as low as 1×10^(-7) mol/L, and the Fe3O4@Ag core-shell NPs substrate had high selectivity for RB fluorophores. It was demonstrated that the Fe3O4@Ag core-shell NPs substrate had activity, good stability, and selectivity for fluorescence detection of RB. And the detection of RB by the surface plasmon enhanced fluorescence was more convenient and rapid than the traditional detection methods in previous works. 展开更多
关键词 gap-plasmon self-assembled Fe3O4@ag nanoparticles core-shell fluorescence enhancement
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Exploring the Gap:the Influence of Chair-CEO Age Dissimilarity on CEO Monitoring and Incentives
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作者 ZHU Jiajun GAO Jing TAN Hongping 《Journal of Donghua University(English Edition)》 EI CAS 2019年第3期315-324,共10页
This paper investigates how the chair-CEO age dissimilarity and CEO power affect the dispersion and change of chair-CEO pay gap from both static and dynamic perspectives.The substantial age dissimilarity between the c... This paper investigates how the chair-CEO age dissimilarity and CEO power affect the dispersion and change of chair-CEO pay gap from both static and dynamic perspectives.The substantial age dissimilarity between the chairman and the CEO gives rise to cognitive conflict,thereby increasing board monitoring for firms with greater monitoring needs.Using data of China s listed firms from 2009 to 2017,we find a significant negative effect of CEO power on pay gap between the chairman and the CEO.In addition,when CEO is a member of the board or compensation committee,the power of CEO has different influences on the compensation,but the cognitive conflicts caused by chair-CEO age dissimilarity always inhibit the CEO s power.Thus,age dissimilarity has become an important complement to the board s regulatory mechanisms. 展开更多
关键词 age DISSIMILARITY pay gap CEO power chair-CEO relation MONITORING
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Catalpol Upregulates Hippocampal GAP-43 Level of Aged Rats with Enhanced Spatial Memory and Behavior Response
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作者 Jing Liu Yang Liu +2 位作者 Wei Zou Lin Song Lijia An 《Journal of Behavioral and Brain Science》 2012年第4期495-504,共10页
Rehmannia glutinosa is a traditional Chinese medical herb and has a long history in cognitive deficits therapy. Its ther-apeutic efficacy has been confirmed by clinical studies. In this study, we attempted to investig... Rehmannia glutinosa is a traditional Chinese medical herb and has a long history in cognitive deficits therapy. Its ther-apeutic efficacy has been confirmed by clinical studies. In this study, we attempted to investigate the effects of catalpol, an iridoid from Rehmannia glutinosa, on cognitive and behavioral function of aged rats with memory loss. 22 - 24 month Sprague-Dawley spontaneous rats of memory loss with aging were selected by step-down type passive avoidance test and randomly allocated to two groups: the aged rats with memory loss (control group) and the catal- pol-treated (5 mg/kg) group. We performed open-field and Y-maze test to evaluate special performance and behavior response before and after catalpol treatment for 5 and 10 days. Growth-associated protein (GAP-43) in hippocampus and frontal cortex was measured using immunohistochemistry and quantitative Western Blotting. The results showed that catalpol could significantly improve not only spatial learning and memory but also locomotor activity and ex-plora- tory behavior of aged rats with memory loss. GAP-43 protein in hippocampal CA3 region and dentate granule of catal- pol-treated rats was significantly enhanced than that of control group. Western blot analysis demonstrated a catal- pol-associated increase of GAP-43 in hippocampus of catalpol-treated rats and correlated with spatial memory, loco- motor activity and exploratory behavior. However, there was no difference in GAP-43 protein in frontal cortex between two groups. These results indicated that catalpol could enhance spatial performance and behavioral responses in aged rats with memory loss, and the mechanism may involve up-regulation of GAP-43 level of hippocampus in the brain. It also suggested that catalpol may be a useful natural drug for Alzheimer’s disease (AD) treatment by modulating hippo- campal neuroplasticity. 展开更多
关键词 CATALPOL gap-43 Protein NEUROPLASTICITY Behavior Memory LOSS with agING
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心源性休克患者住院期间死亡风险与ACAG的关系
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作者 施秋凌 姬晓伟 +2 位作者 钟磊 原梦 谢波 《中国现代医生》 2023年第23期12-15,共4页
目的 探讨白蛋白校正阴离子间隙(albumin corrected anion gap,ACAG)值的高低与心源性休克(cardiogenic shock,CS)患者预后的关系。方法 回顾性分析2001年6月至2012年10月美国重症监护数据库Ⅲ(Medical Information Mart for Intensive ... 目的 探讨白蛋白校正阴离子间隙(albumin corrected anion gap,ACAG)值的高低与心源性休克(cardiogenic shock,CS)患者预后的关系。方法 回顾性分析2001年6月至2012年10月美国重症监护数据库Ⅲ(Medical Information Mart for Intensive CareⅢ,MIMIC-Ⅲ)中在重症监护室(intensive care unit,ICU)住院的成人CS患者528例。根据住院期间(≤30d)预后情况将其分为存活组(n=316)和死亡组(n=212),比较两组性别、年龄、住院期间临床结局等临床资料。根据ACAG水平将患者分为正常ACAG组(12~20mmol/L,n=289)和高ACAG组(>20mmol/L,n=239),采用Kaplan-Meier生存曲线和log-rank检验评价生存风险,采用Cox比例风险回归模型评价危险因素。结果 与存活组相比,死亡组的年龄、序贯器官衰竭评分(sequential organ failure assessment,SOFA评分)、阴离子间隙(anion gap,AG)、红细胞分布宽度(red blood cell distribution width,RDW)、肌酐、国际标准化比值(international normalized ratio,INR)更高,白蛋白值更低,合并心脏骤停及慢性阻塞性肺疾病者更多,ACAG值更高,总体住院时间更短(P<0.05)。Kaplan-Meier生存曲线结果显示,高ACAG组CS患者30d累积生存率显著低于正常ACAG组(log-rank χ2=15.120,P<0.05)。多因素Cox比例风险回归分析结果表明高ACAG是影响ICU的CS患者住院期间全因死亡率的独立危险因素[(风险比(hazard ratio,HR)=1.444,95%置信区间(confidence interval,CI):1.077~1.935,P<0.05]。结论 ICU住院患者中,ACAG增高是CS患者住院期间(≤30d)全因死亡率的独立危险因素,在临床工作可利用其早期预警作用帮助临床医生进行适时干预,从而达到降低CS患者死亡率的目的。 展开更多
关键词 白蛋白校正阴离子间隙 心源性休克 死亡率 预后
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跨越鸿沟重返舞台:积极老龄化视角下“银发网红”平台参与模式研究 被引量:1
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作者 曹书乐 王心路 《苏州大学学报(哲学社会科学版)》 北大核心 2024年第4期162-171,共10页
平台技术在重构公众日常生活的同时,也给老年群体的晚年生活带来了新的可能性和挑战。一方面,老年人积极使用数字媒体,借助平台实现一定程度的社会参与;另一方面,当数字技术拓宽老年群体的社会活动范围,他们也面临除接入、技能和素养之... 平台技术在重构公众日常生活的同时,也给老年群体的晚年生活带来了新的可能性和挑战。一方面,老年人积极使用数字媒体,借助平台实现一定程度的社会参与;另一方面,当数字技术拓宽老年群体的社会活动范围,他们也面临除接入、技能和素养之外的参与性鸿沟。本文采用参与式观察和深度访谈法,聚焦深度参与平台内容生产活动的“银发网红”接入平台社会的模式,考察其在此过程中如何实现积极老龄化。研究发现,以老年人为中心的多层次、嵌入性、创造性平台参与结构正在形成,“银发网红”在多维平台参与的过程中获得了积极体验和暮年生活新意义。在“自我接入”模式中,他们将平台视为自我展示的空间、日常生活的延伸、拓展社会关系和满足自我需求的工具,在内容创作中获得技术自我效能感和重塑第二人生的机会。“家庭作坊”模式中,他们与家人合作参与平台社会,在获得代际反哺的同时形成代际互惠,也获得了更多情感联结与自我身份认同。“机构辅助”模式中,他们适应自我商品化,跻身银发经济,获得了个人价值的放大,实现了更大范围的社会融入。 展开更多
关键词 平台参与 积极老龄化 老年网红 数字融入 参与性鸿沟
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“快速社会化”:数字时代青少年社会化趋向、困境与纾解 被引量:1
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作者 夏当英 张雨豪 《重庆邮电大学学报(社会科学版)》 2024年第4期110-120,共11页
数字与信息技术重塑了青少年的知识空间、生活方式与成长空间,数字社会中的“缺场”交往扩大了青少年的社会交往范围,超时空经验提升了青少年的学习能力,网络集群促进了青少年的角色认同。青少年由此具备了主动快速筛选与汇通信息的能力... 数字与信息技术重塑了青少年的知识空间、生活方式与成长空间,数字社会中的“缺场”交往扩大了青少年的社会交往范围,超时空经验提升了青少年的学习能力,网络集群促进了青少年的角色认同。青少年由此具备了主动快速筛选与汇通信息的能力,同时对数字知识与现实经验的双重把控与“反向社会化”的趋势也成为青少年成长的显著特征,青少年成长形成“快速社会化”的趋向。青少年的加速成长促使青少年提前掌握信息控制权、过早接触“成人的秘密”以及更快形成理性的思维方式,由此带来了教化权力转变、两性关系早熟、个性化强调等非预期后果。在此基础上,青少年的成长易陷入数字代沟、不良信息危害和孤独心境影响等现实困境,甚至催生出代际冲突、未成年人犯罪等社会问题。故而实现青少年社会化的全面健康发展,需要青少年自身、家庭、学校乃至全体社会在理解并配合“快速社会化”的基础上采取相应的措施,青少年主动加强现实实践能力,家长主动构建良好的亲子关系,学校乃至社会积极营造健康的数字社会环境,激发“快速社会化”内蕴的积极价值。 展开更多
关键词 “快速社会化” 青少年 数字时代 数字代沟 “反向社会化”
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白蛋白校正阴离子间隙对脓毒症休克患者预后的预测价值
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作者 汪永斌 叶莉莉 +1 位作者 姬晓伟 谢波 《浙江医学》 CAS 2024年第17期1812-1817,共6页
目的探讨白蛋白校正阴离子间隙(ACAG)对脓毒症休克(SS)患者预后的预测价值。方法从美国重症监护医学信息数据库中获取2008年至2019年入住ICU的2511例成人SS患者的数据。根据90 d预后情况,将患者分为存活组和死亡组;根据ACAG水平,将患者... 目的探讨白蛋白校正阴离子间隙(ACAG)对脓毒症休克(SS)患者预后的预测价值。方法从美国重症监护医学信息数据库中获取2008年至2019年入住ICU的2511例成人SS患者的数据。根据90 d预后情况,将患者分为存活组和死亡组;根据ACAG水平,将患者分为低ACAG组(12~20 mmol/L)和高ACAG组(>20 mmol/L)。绘制Kaplan-Meier生存曲线,并使用log-rank检验比较低ACAG组和高ACAG组患者30和90 d累积生存率。采用限制性立方样条(RCS)分析SS患者ACAG水平与90 d全因死亡风险的关系。采用多因素Cox回归分析ACAG水平与SS患者30、90 d全因死亡的关系。结果2511例SS患者,90 d全因死亡率为45.56%。存活组和死亡组患者年龄、序贯器官衰竭评估评分、简化的急性生理评分Ⅱ、乳酸、阴离子间隙、白蛋白、ACAG、RBC、PLT、TBil、尿素氮、肌酐、血总钙、血磷、使用血浆比例、合并恶性肿瘤、心脏骤停、急性肾损伤、慢性肾脏病比例、使用去甲肾上腺素比例、机械通气比例、连续性肾脏替代治疗比例比较,差异均有统计学意义(均P<0.05)。高ACAG组患者30和90 d全因死亡率分别为42.10%和51.05%,均明显高于低ACAG组的29.73%和37.74%,差异均有统计学意义(均P<0.01)。Kaplan-Meier生存曲线显示,低ACAG组患者30和90 d累积生存率均高于高ACAG组,差异均有统计学意义(均P<0.01)。RCS分析显示,ACAG与患者90 d全因死亡风险整体呈非线性趋势关系(P=0.004)。多因素Cox回归分析显示,入ICU时高ACAG水平(>20 mmol/L)是SS患者30和90 d全因死亡的独立危险因素[HR=1.169(95%CI:1.001~1.365)和HR=1.181(95%CI:1.029~1.357)]。结论入ICU时高ACAG水平(>20 mmol/L)对SS患者预后不良具有一定的预测价值,有助于临床医生对SS患者进行预后评估,以便及时、准确地救治,提高存活率。 展开更多
关键词 白蛋白校正阴离子间隙 脓毒症休克 预后
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血清Cx43、Gal-9水平对老年急性脑梗死患者超早期静脉溶栓治疗预后的评估价值
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作者 蒋召芹 穆永芳 +1 位作者 刘宇鹏 聂亚冬 《国际检验医学杂志》 CAS 2024年第14期1715-1719,共5页
目的探讨血清间隙连接蛋白43(Cx43)、半乳糖凝集素-9(Gal-9)水平对老年急性脑梗死(ACI)患者超早期静脉溶栓治疗预后的评估价值。方法选取2020年9月至2022年9月在该院行超早期静脉溶栓治疗的106例老年ACI患者作为研究组,另外选取同期来... 目的探讨血清间隙连接蛋白43(Cx43)、半乳糖凝集素-9(Gal-9)水平对老年急性脑梗死(ACI)患者超早期静脉溶栓治疗预后的评估价值。方法选取2020年9月至2022年9月在该院行超早期静脉溶栓治疗的106例老年ACI患者作为研究组,另外选取同期来该院体检的100例体检健康者作为健康组。采用酶联免疫吸附试验(ELISA)检测所有研究对象的血清Cx43、Gal-9水平。治疗2周后参考美国国立卫生院卒中量表(NIHSS)评分将106例老年ACI患者分为预后良好组(81例)与预后不良组(25例)。采用受试者工作特征(ROC)曲线分析血清Cx43、Gal-9水平对老年ACI患者超早期静脉溶栓治疗预后的评估价值,采用多因素Logistic回归分析探讨老年ACI患者超早期静脉溶栓治疗预后不良的影响因素。结果研究组血清Cx43、Gal-9水平高于健康组(P<0.05);预后不良组血清Cx43、Gal-9水平高于预后良好组(P<0.05);血清Cx43、Gal-9预测老年ACI患者预后不良的曲线下面积(AUC)分别为0.721(95%CI:0.673~0.758)、0.837(95%CI:0.787~0.886),二者联合预测的AUC为0.901(95%CI:0.857~0.946)。预后不良组高血压占比高于预后良好组(P<0.05);多因素Logistic回归分析显示,高血压(OR=3.487,95%CI:1.564~7.773),血清Cx43≥106.53 pg/mL(OR=4.586,95%CI:1.982~10.611),血清Gal-9≥11.84 ng/mL(OR=4.345,95%CI:1.957~9.648)是老年ACI患者超早期静脉溶栓治疗预后不良的危险因素(P<0.05)。结论血清Cx43、Gal-9在老年ACI患者中均呈高表达,可用于评估老年ACI患者超早期静脉溶栓治疗的预后,二者联合检测的评估价值更高。 展开更多
关键词 间隙连接蛋白43 半乳糖凝集素-9 老年 急性脑梗死 静脉溶栓治疗 预后
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慢性呼衰酸碱失衡的特征及AG和潜在HCO_3^-的应用价值 被引量:2
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作者 刘升明 吴义 黄志宏 《暨南大学学报(自然科学与医学版)》 CAS CSCD 2002年第6期44-47,共4页
 目的:探讨慢性肺心病呼吸衰竭急性加重期酸碱失衡类型,及阴离子隙(AG)和潜在HCO3-的应用价值。方法:同步测定动脉血气和电解质,以酸碱失衡预计代偿公式,结合AG值和潜在HCO3-对329例次慢性肺心病呼吸衰竭患者进行酸碱失衡类型的判断。...  目的:探讨慢性肺心病呼吸衰竭急性加重期酸碱失衡类型,及阴离子隙(AG)和潜在HCO3-的应用价值。方法:同步测定动脉血气和电解质,以酸碱失衡预计代偿公式,结合AG值和潜在HCO3-对329例次慢性肺心病呼吸衰竭患者进行酸碱失衡类型的判断。结果:①单纯性酸碱失衡180例次,二重性酸碱失衡100例次,三重性酸碱失衡(TABD)16例次(其中呼酸型10例次,呼碱型6例次);②呼酸共182例次(其中单纯性呼酸91例次),代酸共102例次(其中单纯性代酸26例,AG增高型代酸95例次,AG正常型代酸7例次,如不测定AG将有75例次代酸漏检。);③代碱116例次(其中单纯性代碱50例次,合并低血钾的代碱46例次),呼碱28例次(其中单纯性呼碱13例次);④呼酸并代酸43例次,呼酸并代碱38例次,呼碱并代酸7例次,呼碱并代碱2例次,代酸并代碱10例次;⑤应用AG后,TABD从0增至16例次,如不应用潜在HCO3-将有5例次漏检。结论:①慢性肺心病急性加重期呼吸衰竭出现多种类型的酸碱失衡;②AG和潜在HCO3-在提高代酸和TABD诊断率方面发挥了重要作用;③AG的影响因素很多,应注意AG正常型代酸的判断;④代碱时低血钾发生率较高,应注意补钾和避免医源性所致的低血钾。 展开更多
关键词 呼吸衰竭 酸碱失衡 肺心病 阴离子隙 潜在HCO3^-
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Hydroxyl radical production by abiotic oxidation of pyrite under estuarine conditions:The effects of aging,seawater anions and illumination 被引量:1
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作者 Ruixue Liu Yinshun Dai +4 位作者 Yucheng Feng Shiwen Sun Xiaodong Zhang Chunjiang An Shan Zhao 《Journal of Environmental Sciences》 SCIE EI CAS CSCD 2024年第1期715-727,共13页
Pyrite is widely distributed in estuarine sediments as an inexpensive natural Fenton-like reagent,however,the mechanism on the hydroxyl radical(HO^(·))production by pyrite under estuarine environmental conditions... Pyrite is widely distributed in estuarine sediments as an inexpensive natural Fenton-like reagent,however,the mechanism on the hydroxyl radical(HO^(·))production by pyrite under estuarine environmental conditions is still poorly understood.The batch experiments were performed to investigate the effects of estuarine conditions including aging(in air,in water),seawater anions(Cl^(-),Br^(-)and HCO_(3)^(-))and light on the HO^(·)production by pyrite oxidation.The one-electron transfer dominated the process from O_(2) to HO^(·)induced by oxidation of pyrite.The Fe(oxyhydr)oxide coatings on the surface of pyrite aged in air and water consumed hydrogen peroxide while mediating the electron transfer,and the combined effect of the two resulted in a suppression of HO^(·)production in the early stage of aging and a promotion of HO^(·)production in the later stage of aging.Corrosion of the surface oxide layers by aggressive anions was the main reason for the inhibition of HO^(·)production by Cl^(-)and Br^(-),and the generation of Cl^(·)and Br^(·)may also play a role in the scavenging of HO^(·).HCO_(3)^(-)increased the average rate of HO^(·)production through surface-CO_(2) complexes formed by adsorption on the surface of pyrite.The significant enhancement of HO^(·)production under light was attributed to the formation of photoelectrons induced by photochemical reactions on pyrite and its surface oxide layers.These findings provide new insights into the environmental chemical behavior of pyrite in the estuary and enrich the understanding of natural remediation of estuarine environments. 展开更多
关键词 Hydroxyl radical Pyrite oxidation agING anionS IRRADIATION
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AECOPD患者发生低钠血症风险列线图预测模型的构建
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作者 房华 高锋 +2 位作者 钱文霞 陈丽秀 徐春明 《中国急救复苏与灾害医学杂志》 2024年第7期922-925,930,共5页
目的 调查分析慢性阻塞性肺疾病急性加重期(AECOPD)患者低钠血症的发生率和危险因素,并构建风险列线图预测模型以指导临床实践。方法 回顾性总结2020年1月1日—2023年7月31日张家港市第一人民医院诊断为AECOPD的患者401例为研究对象,住... 目的 调查分析慢性阻塞性肺疾病急性加重期(AECOPD)患者低钠血症的发生率和危险因素,并构建风险列线图预测模型以指导临床实践。方法 回顾性总结2020年1月1日—2023年7月31日张家港市第一人民医院诊断为AECOPD的患者401例为研究对象,住院期间将其分为低钠血症组95例和正常血钠组306例。比较两组的临床资料和血生化,采用LASSO回归模型和多因素Logistic回归分析危险因素,并构建列线图。受试者工作特征(ROC)曲线评估预测能力,Bootstrap法计算模型一致性指数(C-index)评估区分度;校准曲线评估校准度。结果 单因素比较发现,两组吸烟率、胸腔积液和社区获得性肺炎(CAP)、发热、白细胞计数、中性粒细胞和淋巴细胞百分比、中性粒细胞与淋巴细胞比值(NLR)、降钙素原(PCT)、红细胞沉降率(ESR)、pH值、阴离子间隙(AG)、血钙和血镁、白蛋白存在显著差异(P<0.05)。LASSO回归和Logistic回归显示,CAP(OR=2.790,95%CI=2.101~3.236,P<0.001)和ESR(OR=1.266,95%CI=1.001~1.524,P<0.001)是AECOPD患者发生低钠血症的危险因素,而AG(OR=0.444,95%CI=0.121~0.768,P<0.001)和血镁(OR=0.373,95%CI=0.096~0.865,P<0.001)是保护因素。构建的列线图模型总分为200分。ROC显示,列线图预测低钠血症的曲线下面积(AUC)为0.886(95%CI=0.823~0.936,P<0.001)。内部验证C-index为0.924,校准曲线显示一致性良好。结论 AECOPD患者有较高的低钠血症发生率,CAP、ESR、AG和血镁与低钠血症的发生密切相关。构建的列线图模型对指导临床早期、准确筛选低钠血症的高危患者有较好的应用潜能。 展开更多
关键词 慢性阻塞性肺疾病急性加重期 低钠血症 列线图 社区获得性肺炎 红细胞沉降率 阴离子间隙 血镁
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巯基/氧化纤维素的制备及氯化体系中Ag(Ⅰ)的选择性吸附 被引量:1
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作者 张莹莹 李心雨 +4 位作者 万丽 张鹏 娄振宁 单炜军 熊英 《应用化学》 CAS CSCD 北大核心 2017年第1期90-97,共8页
以废纸纤维素为原料,将纤维素氧化开环胺化后再进行巯基化反应,制备得到了一系列巯基修饰的纤维素类吸附剂。研究发现,无论是单一氯化体系还是高铜高镍氯化混合体系,基于氨基硫脲修饰戊二醛交联的氧化纤维素吸附剂对配阴离子AgCl_4^(3-... 以废纸纤维素为原料,将纤维素氧化开环胺化后再进行巯基化反应,制备得到了一系列巯基修饰的纤维素类吸附剂。研究发现,无论是单一氯化体系还是高铜高镍氯化混合体系,基于氨基硫脲修饰戊二醛交联的氧化纤维素吸附剂对配阴离子AgCl_4^(3-)的吸附效果最好,最大吸附量可达到171.16 mg/g。通过红外、X射线光电子能谱、热力学等技术手段分析探讨了其不同吸附效果的原因及该吸附剂对配阴离子Ag(Ⅰ)的静电引力吸附机理。 展开更多
关键词 银氯络离子 纤维素 氯化液 选择性吸附
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新型1,6-二(1,2,4-三唑-1-基)己烷的Ag(Ⅰ)配合物合成及其对阴离子污染物吸附性能的表征 被引量:1
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作者 丁斌 谢晶晶 +2 位作者 刘世欣 吴洁 刘媛媛 《天津师范大学学报(自然科学版)》 CAS 2016年第5期51-54,共4页
为了获得高效去除阴离子污染物的新型金属有机框架材料,首先制备1个具有良好柔韧性的1,2,4-三唑类多齿衍生物功能配体1,6-二(1,2,4-三唑-1-基)己烷(L),在此基础上采用水热合成法制备了1个结构新颖的Ag(Ⅰ)配合物,即{[Ag(H_2O)(L)]·... 为了获得高效去除阴离子污染物的新型金属有机框架材料,首先制备1个具有良好柔韧性的1,2,4-三唑类多齿衍生物功能配体1,6-二(1,2,4-三唑-1-基)己烷(L),在此基础上采用水热合成法制备了1个结构新颖的Ag(Ⅰ)配合物,即{[Ag(H_2O)(L)]·NO_3}n,产率为53%.对该配合物的晶体学结构进行表征,并且使其与Cr_2O_7^(2-)和MnO_4^-发生阴离子交换,考查配合物去除阴离子污染物的性能.研究结果表明,配合物{[Ag(H_2O)(L)]·NO_3}n具有新颖的一维链状结构.吸附2种阴离子后配合物的颜色变深,而对应的阴离子溶液颜色变浅.吸附24 h后Cr_2O_7^(2-)和MnO_4^-浓度分别下降了53%和67%,配合物的NO_3^-离子浓度也出现降低.这一结果证实了该配合物确实能够通过离子交换反应有效捕获溶液中的Cr_2O_7^(2-)和MnO_4^-阴离子污染物. 展开更多
关键词 1 6-二(1 2 4-三唑-1-基)己烷 ag(Ⅰ) 晶体学结构 阴离子污染物 离子交换反应
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硝酸酯增塑GAP推进剂网络结构断键薄弱点表征 被引量:1
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作者 聂海英 安百强 +3 位作者 黄志萍 白杰 刘治国 周明川 《固体火箭技术》 EI CAS CSCD 北大核心 2020年第3期280-284,共5页
硝酸酯增塑的叠氮聚醚(GAP)推进剂是固体推进剂的重点发展方向之一,研究其网络结构的特性,可为推进剂配方研制提供理论依据和技术支持。为弄清硝酸酯增塑的GAP推进剂网络结构老化过程中的化学组成变化及其断键薄弱点,采用索氏提取法和... 硝酸酯增塑的叠氮聚醚(GAP)推进剂是固体推进剂的重点发展方向之一,研究其网络结构的特性,可为推进剂配方研制提供理论依据和技术支持。为弄清硝酸酯增塑的GAP推进剂网络结构老化过程中的化学组成变化及其断键薄弱点,采用索氏提取法和酸溶解法,制备出了纯的GAP推进剂凝胶。通过采用红外光谱、元素分析、热重差示扫描量热同步热分析、热重红外联用和环境扫描电子显微镜等分析技术,表征出了推进剂老化前后网络结构的化学组成及其断键薄弱点。结果表明,推进剂网络结构的化学组成为叠氮聚醚聚氨酯,老化后网络结构羟基量增多,叠氮基量减弱,且网络结构颜色由米白色变为红色,网络链易被氧化断裂,网络中的空洞变大,断裂部位首先发生在叠氮基上,其次发生在高分子主链上的氨基甲酸酯键和碳氧碳键。 展开更多
关键词 叠氮聚醚推进剂 老化性能 网络结构 断键薄弱点 硝酸酯
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数字经济背景下老龄社会的挑战、机遇及策略 被引量:1
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作者 王佳璇 赵丽 《继续教育研究》 2024年第1期61-66,共6页
当前,我国数字化进程与人口老龄化进程加速融合,助推银发经济发展,释放数字发展红利成为推动中国实现高质量发展的关键点。“数字鸿沟”既给老年人带来不同方面的风险挑战,同时数字经济也为老龄社会带来新的机遇。在弥合“数字鸿沟”的... 当前,我国数字化进程与人口老龄化进程加速融合,助推银发经济发展,释放数字发展红利成为推动中国实现高质量发展的关键点。“数字鸿沟”既给老年人带来不同方面的风险挑战,同时数字经济也为老龄社会带来新的机遇。在弥合“数字鸿沟”的过程中,政府、社会、家庭等主体应协同发挥作用,坚持“积极老龄化”发展理念,在帮助老年人跨越“数字鸿沟”的同时,老年人自身也应破除传统观念,积极学习数字信息新知识,为应对世界人口老龄化问题贡献中国智慧。 展开更多
关键词 老龄社会 数字经济 数字鸿沟 高质量发展
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清蛋白校正阴离子间隙评估急性心肌梗死病人预后的价值
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作者 倪伟智 邵紫欣 袁丁 《中西医结合心脑血管病杂志》 2024年第20期3754-3758,共5页
目的:探讨清蛋白校正阴离子间隙(ACAG)对急性心肌梗死(AMI)病人预后的预测价值,为ACAG用于该人群的危险分层提供依据。方法:从重症监护医学信息数据库(MIMIC-Ⅳ)中提取符合标准的AMI病人的临床资料,以病人30 d全因死亡为主要结局指标。... 目的:探讨清蛋白校正阴离子间隙(ACAG)对急性心肌梗死(AMI)病人预后的预测价值,为ACAG用于该人群的危险分层提供依据。方法:从重症监护医学信息数据库(MIMIC-Ⅳ)中提取符合标准的AMI病人的临床资料,以病人30 d全因死亡为主要结局指标。所有病人依据ACAG数值以三分位间距分成3组,使用Kaplan-Meier法构建生存曲线,并使用Cox风险比例回归模型探索ACAG与主要结局指标的关系,利用多因素回归分析校正混杂因素。运用受试者工作特征(ROC)曲线下面积(AUC)评估ACAG对AMI病人的预测价值。结果:共入组1838例AMI病人,构建生存曲线后发现3组不同ACAG病人的生存率差异有统计学意义(P<0.001)。使用Cox风险比例回归模型进行多因素分析后发现,无论作为定量还是分组变量,ACAG升高对生存结局的影响都具有统计学意义(均P<0.001)。ROC曲线显示,相比于阴离子间隙(AG)和清蛋白,ACAG对30 d死亡的预测价值更高,差异均有统计学意义(均P<0.001)。结论:ACAG升高是AMI病人30 d全因死亡的独立危险因素。 展开更多
关键词 急性心肌梗死 清蛋白校正阴离子间隙 重症监护医学信息数据库 预后
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Ag-SiO_2多层薄膜对光子带隙的影响(英文) 被引量:1
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作者 宋志棠 陈苏 +1 位作者 汪扬 封松林 《光子学报》 EI CAS CSCD 北大核心 2005年第11期1736-1739,共4页
采用超高真空电子束蒸发制备了一维紫外、可见光波段光子晶体.研究了在石英衬底上不同周期Ag/SiO2体系对光子带隙的影响.带隙位置与理论计算结果符合.发现二氧化硅层的厚度对带隙位置和银层的透过率有较大影响,厚度的增加降低了反射率,... 采用超高真空电子束蒸发制备了一维紫外、可见光波段光子晶体.研究了在石英衬底上不同周期Ag/SiO2体系对光子带隙的影响.带隙位置与理论计算结果符合.发现二氧化硅层的厚度对带隙位置和银层的透过率有较大影响,厚度的增加降低了反射率,从而使光子带隙更加明显,当厚度达到12层时观察到清晰的光子带隙. 展开更多
关键词 光子晶体 光子带隙 超高真空电子束蒸发 银/二氧化硅多层结构
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