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The Njiki’s Fundamental Theorem-Definition on Fractions in the Mathematical Set ℚ and by Extension in ℝ and ℂ, for the Purpose of Leading to the Construction of Some Algebraic Structures as Its Theoretical Applications and for the Practical Ones
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作者 Jean Claude Njiki 《American Journal of Computational Mathematics》 2024年第3期358-379,共22页
The purpose of the research in the NJIKI’s fundamental THEOREM-DEFINITION on fractions in the mathematical set ℚand by extension in ℝand ℂand in order to construct some algebraic structures is about the proved EXISTE... The purpose of the research in the NJIKI’s fundamental THEOREM-DEFINITION on fractions in the mathematical set ℚand by extension in ℝand ℂand in order to construct some algebraic structures is about the proved EXISTENCE and the DEFINITION by NJIKI of two INNOVATIVE, IMPORTANT and TEACHABLE operations of addition or additive operations, in ℚ, marked ⊕and +α,β, and taken as VECTORIAL, TRIANGULAR, of THREE or PROPORTIONAL operations and in order to make THEM not be different from the RATIONAL ONE, +, but to bring much more and new information on fractions, and, by extension in ℝand ℂ. And the very NJIKI’s fundamental THEOREM-DEFINITION having many APPLICATIONS in the everyday life of the HUMAN BEINGS and without talking about computer sciences, henceforth being supplied with very interesting new ALGORITHMS. And as for the work done in the research, it will be waiting for its extension to be done after publication and along with the research results concerned. 展开更多
关键词 Operations of Addition Additive Operations in Laws in THEOREM-definition External Multiplication
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Spatial Boundary Definition of Urban-rural Fringe in Beijing City
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作者 许新国 陈佑启 +3 位作者 姚艳敏 何英彬 李志斌 余强毅 《Journal of Landscape Research》 2009年第10期23-28,66,共7页
Through reviewing domestic and overseas literatures about the definition of urban-rural fringe,it can be found that the combination of qualitative and quantitative definition methods has become a dominant one.This pap... Through reviewing domestic and overseas literatures about the definition of urban-rural fringe,it can be found that the combination of qualitative and quantitative definition methods has become a dominant one.This paper makes out the principle and basis,uses the data of villages and towns,and establishes an index system from three angles:population,land use and landscape.And then the gravitational model is applied to define the urban-rural fringe with Beijing as an example. 展开更多
关键词 Urban-rural FRINGE definition GRAVITATIONAL MODEL BEIJING
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法舒地尔缓解β-淀粉样蛋白1-42诱导的SH-SY5Y细胞凋亡
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作者 郭敏芳 张慧宇 +3 位作者 章培军 苏琴 贾思玮 尉杰忠 《中国组织工程研究》 CAS 北大核心 2025年第23期4939-4946,共8页
背景:法舒地尔对阿尔茨海默病小鼠脑内的线粒体动力学有调节作用,并且可以抑制神经炎症,但能否调节线粒体自噬和NLRP3炎症小体进而减轻β-淀粉样蛋白毒性尚不清楚。目的:探究法舒地尔对β-淀粉样蛋白1-42诱导的人源神经母细胞瘤细胞株SH... 背景:法舒地尔对阿尔茨海默病小鼠脑内的线粒体动力学有调节作用,并且可以抑制神经炎症,但能否调节线粒体自噬和NLRP3炎症小体进而减轻β-淀粉样蛋白毒性尚不清楚。目的:探究法舒地尔对β-淀粉样蛋白1-42诱导的人源神经母细胞瘤细胞株SH-SY5Y凋亡和线粒体自噬以及NLRP3炎症小体的调节作用。方法:将SH-SY5Y细胞接种于孔板内,细胞贴壁后分3组干预:对照组不加入任何药物,模型组加入20μmol/L β-淀粉样蛋白1-42,法舒地尔组同时加入20μmol/L β-淀粉样蛋白1-42与15 mg/L法舒地尔,干预24 h后,采用MTT法检测细胞活性,TUNEL染色检测细胞凋亡,qRT-PCR和Western blot检测凋亡相关蛋白表达,免疫荧光染色和Western blot检测线粒体自噬相关蛋白表达,免疫荧光染色和Western blot检测NLRP3炎症小体相关蛋白表达。结果与结论:(1)与对照组比较,模型组细胞活性降低、凋亡率升高(P<0.05);与模型组比较,法舒地尔组细胞活性升高、凋亡率降低(P<0.05);(2)qRT-PCR和Western blot检测结果显示,与对照组比较,模型组细胞Bax mRNA与蛋白表达升高(P<0.05),Bcl-2 mRNA与蛋白表达降低(P<0.05);与模型组比较,法舒地尔组细胞Bax mRNA与蛋白表达降低(P<0.05),Bcl-2 mRNA与蛋白表达升高(P<0.05);(3)免疫荧光染色和Western blot检测结果显示,与对照组相比,模型组细胞PINK1、帕金森病蛋白和LC3蛋白表达降低(P<0.05),p62蛋白表达升高(P<0.05);与模型组相比,法舒地尔组细胞PINK1、帕金森病蛋白和LC3蛋白表达升高(P<0.05),p62蛋白表达降低(P<0.05);(4)免疫荧光染色和Western blot检测结果显示,与对照组相比,模型组细胞NLRP3、ASC、Caspase-1和白细胞介素1β蛋白表达升高(P<0.05);与模型组相比,法舒地尔组细胞NLRP3、ASC、Caspase-1和白细胞介素1β蛋白表达降低(P<0.05);(5)结果表明,法舒地尔可以减轻β-淀粉样蛋白1-42诱导的SH-SY5Y细胞凋亡,其机制可能与激活线粒体自噬且抑制NLRP3炎症小体激活有关。 展开更多
关键词 法舒地尔 Β-淀粉样蛋白 神经细胞 细胞凋亡 线粒体自噬 炎症小体
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Gait Definition and Successive Gait-transition Method Based on Energy Consumption for a Quadruped 被引量:6
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作者 ZHAO Danpu XU Jing +2 位作者 WU Dan CHEN Ken LI Chengrong 《Chinese Journal of Mechanical Engineering》 SCIE EI CAS CSCD 2012年第1期29-37,共9页
In nature, to realize the smooth motion for different speeds, the continuous gait transition is usually required for the quadrupeds. Thus, the gait simulation of quadrupeds is a requisite step to obtain the stable and... In nature, to realize the smooth motion for different speeds, the continuous gait transition is usually required for the quadrupeds. Thus, the gait simulation of quadrupeds is a requisite step to obtain the stable and energy-efficient gait for the walking machines. In this paper, the definitions of the two gait parameters, phasic difference and duty factor are presented, which can determine the gait of the quadrupeds. Then, several typical gaits of the quadrupeds are analyzed such that the seven standard gaits and corresponding parameters are summarized. Additionally, the variance law of the two parameters, which determine the relationship of gait transition, is analyzed. Furthermore, the quadruped gait derivative spectrum (QGDS) is proposed and the gait definition of the quadrupeds is presented. To minimize the power consumption, the choice criterion of gait, the optimal gait in terms of the motion speed, duty factory, and power consumption for the walking machines, is developed. Last, the continuous variance of the gait is implemented by the simulation of the gait transition from walk to trot, which evaluate the choice criterion and transition of gait. 展开更多
关键词 gait definition standard gaits QUADRUPED gait-transition
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Definition of a plant-based diet and overview of this special issue 被引量:4
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作者 Robert J Ostfeld 《Journal of Geriatric Cardiology》 SCIE CAS CSCD 2017年第5期315-315,共1页
A plant-based diet consists of all minimally processedfruits, vegetables, whole grains, legumes, nuts and seeds,herbs, and spices and excludes all animal products, includ-ing red meat, poultry, fish, eggs, and dairy p... A plant-based diet consists of all minimally processedfruits, vegetables, whole grains, legumes, nuts and seeds,herbs, and spices and excludes all animal products, includ-ing red meat, poultry, fish, eggs, and dairy products. 展开更多
关键词 definition OVERVIEW Plant-based DIET
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自旋-轨道耦合作用下极化激元凝聚中的调制不稳定性
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作者 陈海军 《原子与分子物理学报》 CAS 北大核心 2025年第6期136-143,共8页
利用线性稳定性分析方法,对存在自旋-轨道耦合(SOS)作用的二维极化激元玻色-爱因斯坦凝聚(BEC)系统中的调制不稳定性(MI)进行了研究.分析了组分内部,组分之间以及SOC相互作用对系统调制不稳定性的影响.结果显示,当系统内部不存在SOC作用... 利用线性稳定性分析方法,对存在自旋-轨道耦合(SOS)作用的二维极化激元玻色-爱因斯坦凝聚(BEC)系统中的调制不稳定性(MI)进行了研究.分析了组分内部,组分之间以及SOC相互作用对系统调制不稳定性的影响.结果显示,当系统内部不存在SOC作用,组分之间的相互作用为0,组分内部存在排斥作用时,不会出现调制不稳定性,组分内部存在吸引作用时,会出现调制不稳定性,并且调制不稳定性区间长度随吸引作用的增强而增加;组分之间相互作用不为0时,组分之间的相互作用以平方形式出现,其正负不会对调制不稳定性产生实质性影响.存在SOC相互作用时,SOC相互作用会引起增益谱曲线的不规则振荡,破坏原来的调制不稳定性区间. 展开更多
关键词 极化激元凝聚 调制不稳定性 自旋-轨道耦合 双分量
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双偶氮苯-二苯并[b,i]噻蒽-[2,3-b]苯-5,7,12,14-四酮衍生物分子的二阶非线性光学性质 被引量:1
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作者 张宇红 李博 +4 位作者 陈自然 李渊 徐友辉 张莉萍 何旭东 《原子与分子物理学报》 CAS 北大核心 2025年第2期15-23,共9页
使用密度泛函理论(DFT)M06-2X方法、采用6-311+g(d,p)基组,分别对26个双偶氮-二苯并[b,i]噻蒽-[2,3-b]苯-5,7,12,14-四酮衍生物分子进行结构优化与频率计算;使用含时密度泛函理论(TD-DFT)TD-M06-2X方法计算了a1~d6分子的前线分子轨道与... 使用密度泛函理论(DFT)M06-2X方法、采用6-311+g(d,p)基组,分别对26个双偶氮-二苯并[b,i]噻蒽-[2,3-b]苯-5,7,12,14-四酮衍生物分子进行结构优化与频率计算;使用含时密度泛函理论(TD-DFT)TD-M06-2X方法计算了a1~d6分子的前线分子轨道与电子吸收光谱,采用有效场FF方法研究了二阶非线性光学性质(NLO).研究结果表明,26个噻蒽四酮类衍生物分子的能隙在1.33—2.02 eV范围,归属于有机半导体;最低能量吸收峰波长在601.8~609.5nm范围;在增大分子的二阶非线性光学系数β_(μ)(或β_(0))值方面,含相同偶氮苯基团或含不同偶氮苯基团分别引入到二苯并[b,i]噻蒽-[2,3-b]苯-5,7,12,14-四酮分子两侧的2,10位优于2,9位,在2,10位分别端接含推、拉基团的偶氮苯优于含相同给电子基团的偶氮苯.在偶氮苯苯环对位分别端接强吸电子基(-NO_(2))与强供电子基(如-N(CH_(3))_(2)、-N(Ph)_(3)、-N-苯基咔唑等)可增强体系的二阶非线性光学性能,获得性能良好的非线性光学材料. 展开更多
关键词 双偶氮 二苯并[b i]噻蒽-[2 3-b]苯-5 7 12 14-四酮 密度泛函理论 电子吸收光谱 二阶非线性光学性质
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Poorly cohesive cells gastric carcinoma including signet-ring cell cancer:Updated review of definition,classification and therapeutic management 被引量:4
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作者 Vincent Drubay Frederiek Nuytens +3 位作者 Florence Renaud Antoine Adenis Clarisse Eveno Guillaume Piessen 《World Journal of Gastrointestinal Oncology》 SCIE 2022年第8期1406-1428,共23页
While the incidence of gastric cancer(GC)in general has decreased worldwide in recent decades,the incidence of diffuse cancer historically comprising poorly cohesive cells-GC(PCC-GC)and including signet ring cell canc... While the incidence of gastric cancer(GC)in general has decreased worldwide in recent decades,the incidence of diffuse cancer historically comprising poorly cohesive cells-GC(PCC-GC)and including signet ring cell cancer is rising.Literature concerning PCC-GC is scarce and unclear,mostly due to a large variety of historically used definitions and classifications.Compared to other histological subtypes of GC,PCC-GC is nevertheless characterized by a distinct set of epidemiological,histological and clinical features which require a specific diagnostic and therapeutic approach.The aim of this review was to provide an update on the definition,classification and therapeutic strategies of PCC-GC.We focus on the updated histological definition of PCC-GC,along with its implications on future treatment strategies and study design.Also,specific considerations in the diagnostic management are discussed.Finally,the impact of some recent developments in the therapeutic management of GC in general such as the recently validated taxane-based regimens(5-Fluorouracil,leucovorin,oxaliplatin and docetaxel),the use of hyperthermic intraperitoneal chemotherapy as well as pressurized intraperitoneal aerosol chemotherapy and targeted therapy have been reviewed in depth for their relative importance for PCC-GC in particular. 展开更多
关键词 Poorly cohesive cells gastric carcinoma Review definition CLASSIFICATION Therapeutic management
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Development and validation of a registry-based definition of eosinophilic esophagitis in Denmark
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作者 Evan S Dellon Rune Erichsen +4 位作者 Lars Pedersen Nicholas J Shaheen John A Baron Henrik T Sφrensen Mogens Vyberg 《World Journal of Gastroenterology》 SCIE CAS 2013年第4期503-510,共8页
AIM:To develop and validate a case definition of eosinophilic esophagitis(EoE) in the linked Danish health registries.METHODS:For case definition development,we queried the Danish medical registries from 2006-2007 to ... AIM:To develop and validate a case definition of eosinophilic esophagitis(EoE) in the linked Danish health registries.METHODS:For case definition development,we queried the Danish medical registries from 2006-2007 to identify candidate cases of EoE in Northern Denmark.All International Classification of Diseases-10(ICD-10) and prescription codes were obtained,and archived pathology slides were obtained and re-reviewed to determine case status.We used an iterative process to select inclusion/exclusion codes,refine the case definition,and optimize sensitivity and specificity.We then re-queried the registries from 2008-2009 to yield a validation set.The case definition algorithm was applied,and sensitivity and specificity were calculated.RESULTS:Of the 51 and 49 candidate cases identified in both the development and validation sets,21 and 24 had EoE,respectively.Characteristics of EoE cases in the development set [mean age 35 years;76% male;86% dysphagia;103 eosinophils per high-power field(eos/hpf)] were similar to those in the validation set(mean age 42 years;83% male;67% dysphagia;77 eos/hpf).Re-review of archived slides confirmed that the pathology coding for esophageal eosinophilia was correct in greater than 90% of cases.Two registrybased case algorithms based on pathology,ICD-10,and pharmacy codes were successfully generated in the development set,one that was sensitive(90%) and one that was specific(97%).When these algorithms were applied to the validation set,they remained sensitive(88%) and specific(96%).CONCLUSION:Two registry-based definitions,one highly sensitive and one highly specific,were developed and validated for the linked Danish national health databases,making future population-based studies feasible. 展开更多
关键词 EOSINOPHILIC ESOPHAGITIS Denmark EPIDEMIOLOGY Case definition Sensitivity SPECIFICITY
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The Prevalence of Metabolic Syndrome in an Apparently Healthy, Normotensive and Non-Diabetic Population in Saudi Arabia by Two Definitions: Implications for Local Practice
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作者 Suhad M. Bahijri Rajaa M. Al Raddadi +2 位作者 Hanan Jambi Mohammad-Nabeel A. Alaama Gordon Ferns 《Open Journal of Endocrine and Metabolic Diseases》 2013年第1期18-24,共7页
Objectives: We aimed to 1) investigate the prevalence of MS in apparently healthy, non-hypertensive non-diabetic individuals living in Jeddah using the IDF and the NCEP-ATP III criteria to test for agreement in classi... Objectives: We aimed to 1) investigate the prevalence of MS in apparently healthy, non-hypertensive non-diabetic individuals living in Jeddah using the IDF and the NCEP-ATP III criteria to test for agreement in classification, and to determine the characteristics of subjects identified by either definition, and 2) examine the significance of family medical history and life style habits. Methods: 557 apparently healthy individuals aged 18 - 50 y were randomly approached in Jeddah health centres. 412 agreed to participate, while 55 were excluded because they were found to be frankly hypertensive and/or diabetic. Finally, 357 apparently healthy subjects with no hypertension or diabetes were fully studied. Anthropometric and demographic information were collected. Insulin, glucose, and lipid profile were obtained in fasting blood samples. Individuals were identified using the two definitions of metabolic syndrome, and their characteristics were compared statistically to the rest of the population. Results: Of the 233 subjects fulfilling the inclusion criteria, 44 and 39 (18.9% and 16.7%) were identified as having MS by the IDF or ATPIII definitions, respectively. The most common characteristic was central obesity using the IDF definition, and low HDL-cholesterol using the NCEP-ATP III definition. As expected from our exclusion criteria, the least common feature was high blood pressure in both cases. There was no significant difference between subgroups with and without MS with regard to smoking, exercise, and family history of disease. Regression analysis indicated the strongest predictors of MS were: blood glucose, LDL-C/HDL-C ratio and plasma insulin using the NCEP-ATPIII definition, and blood glucose, Waist /Hip ratio and plasma atherogenic index (PAI) using the IDF definition. Conclusions: In the absence of local cut-off thresholds for waist circumference, subjects might escape diagnosis using the IDF definition. The use of waist/Hip ratio, LDL-C: HDL-C, PAI and circulating insulin help with the diagnosis. 展开更多
关键词 definitions Metabolic Syndrome PREVALENCE HEALTHY Subjects LIFESTYLE
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First Note on the Definition of s<i>1</i>-Convexity
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作者 I. M. R. Pinheiro 《Advances in Pure Mathematics》 2014年第12期674-679,共6页
In this note, we analyze a few major claims about . As a consequence, we rewrite a major theorem, nullify its proof and one remark of importance, and offer a valid proof for it. The most important gift of this paper i... In this note, we analyze a few major claims about . As a consequence, we rewrite a major theorem, nullify its proof and one remark of importance, and offer a valid proof for it. The most important gift of this paper is probably the reasoning involved in all: We observe that a constant, namely t, has been changed into a variable, and we then tell why such a move could not have been made, we observe the discrepancy between the claimed domain and the actual domain of a supposed function that is created and we then explain why such a function could not, or should not, have been created, along with others. 展开更多
关键词 Analysis CONVEXITY definition S-Convexity GEOMETRY
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Second Note on the Definition of S<sub>1</sub>-Convexity
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作者 I. M. R. Pinheiro 《Advances in Pure Mathematics》 2015年第3期127-130,共4页
In this note, we discuss the definition of the S1-convexity Phenomenon. We first make use of some results we have attained for?? in the past, such as those contained in [1], to refine the definition of the phenomenon.... In this note, we discuss the definition of the S1-convexity Phenomenon. We first make use of some results we have attained for?? in the past, such as those contained in [1], to refine the definition of the phenomenon. We then observe that easy counter-examples to the claim extends K0 are found. Finally, we make use of one theorem from [2] and a new theorem that appears to be a supplement to that one to infer that? does not properly extend K0 in both its original and its revised version. 展开更多
关键词 Analysis CONVEXITY definition s-Convexity Geometry Shape S-Convexity s-Convex FUNCTION S-Convex FUNCTION
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足部位置和座椅高度对脑瘫儿童坐-站转移下肢运动学和动力学参数的影响
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作者 李文静 高晓 +3 位作者 李爱华 倪燕 孙威 王疆娜 《中国组织工程研究》 CAS 北大核心 2025年第21期4469-4476,共8页
背景:足位和座椅高度是影响“坐-站转移”的重要因素,但目前对“坐-站转移”动作的研究多侧重于健康人群和帕金森患者,痉挛型脑瘫儿童在不同座椅高度和足部位置下执行“坐-站转移”任务中的下肢运动学和动力学特征尚未可知。目的:探究... 背景:足位和座椅高度是影响“坐-站转移”的重要因素,但目前对“坐-站转移”动作的研究多侧重于健康人群和帕金森患者,痉挛型脑瘫儿童在不同座椅高度和足部位置下执行“坐-站转移”任务中的下肢运动学和动力学特征尚未可知。目的:探究不同足部位置及座椅高度对脑瘫儿童执行“坐-站转移”任务过程中下肢运动学和动力学参数的影响。方法:选择7名痉挛型脑瘫儿童作为研究对象,对其进行6个任务即3种座椅高度(高、中、低凳)×2种足位(前、后足位)的“坐-站转移”动作测试,采集脑瘫儿童在不同足位和座椅高度下“坐-站转移”时的运动学和动力学数据。结果与结论:(1)时间特征结果表明,相较于低凳条件,脑瘫儿童在高凳条件下进行“坐-站转移”任务所需总时间显著减少(P=0.046);(2)动力学结果表明,抬离瞬间,双足后位条件下的膝关节屈曲力矩显著大于双足前位条件(P=0.049);相较于中凳条件,在高凳条件下膝关节屈曲力矩显著减小(P <0.001);(3)结果提示抬高座椅高度和改变足位条件均对痉挛型脑瘫儿童的“坐-站转移”表现有影响,在高凳双足后位条件下儿童使用较小的运动补偿就可以完成坐站动作;同时高座椅可作为痉挛型脑瘫儿童增强“坐-站转移”表现的辅助工具,高凳双足后位条件更有助于脑瘫儿童“坐-站转移”动作的完成。 展开更多
关键词 痉挛型脑瘫 足位 座椅高度 -站转移 姿势控制
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Partial Formalization: An Approach for Critical Analysis of Definitions and Methods Used in Bulk Extraction-Based Molecular Microbial Ecology
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作者 Donald A. Klein 《Open Journal of Ecology》 2015年第8期400-407,共8页
Partial formalization, which involves the development of deductive connections among statements, can be used to examine assumptions, definitions and related methodologies that are used in science. This approach has be... Partial formalization, which involves the development of deductive connections among statements, can be used to examine assumptions, definitions and related methodologies that are used in science. This approach has been applied to the study of nucleic acids recovered from natural microbial assemblages (NMA) by the use of bulk extraction. Six pools of bulk-extractable nucleic acids (BENA) are suggested to be present in a NMA: (pool 1) inactive microbes (abiotic-limited);(pool 2) inactive microbes (abiotic permissive, biotic-limited);(pool 3) dormant microbes (abiotic permissive, biotic-limited, but can become biotic permissive);(pool 4) in situ active microbes (the microbial community);(pool 5) viruses (virocells/virions/cryptic viral genomes);and (pool 6) extracellular nucleic acids including extracellular DNA (eDNA). Definitions for cells, the microbial community (in situ active cells), the rare biosphere, dormant cells (the microbial seed bank), viruses (virocells/virions/cryptic viral genomic), and diversity are presented, together with methodology suggested to allow their study. The word diversity will require at least 4 definitions, each involving a different methodology. These suggested definitions and methodologies should make it possible to make further advances in bulk extraction-based molecular microbial ecology. 展开更多
关键词 Abiotic ENVELOPE Baas Becking Biotic ENVELOPE BULK EXTRACTION Cells Community definitions Dormancy Methodology MICROBIAL Diversity MICROBIAL Seed Bank Natural MICROBIAL Assemblages PARTIAL FORMALIZATION Rare Biosphere
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2-26 Effect on Transverse Flow Definition from Different Reaction Mechanisms in AMD and CoMD — Semi-transparency
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作者 Liu Xingquan Wada Roy +9 位作者 Chen Zhiqiang Huang Meirong Lin Weiping Ren Peipei Zhang Suyalatu Jin Zengxue Jia Baolu Han Rui Liu Jianli Shi Fudong 《IMP & HIRFL Annual Report》 2014年第1期65-66,共2页
In general, the definition of the transverse flow can be classified into the slope flow[1] and the average flow[2]in the certain mid-rapidity region. For a given type of isotope with mass number A, these two definitio... In general, the definition of the transverse flow can be classified into the slope flow[1] and the average flow[2]in the certain mid-rapidity region. For a given type of isotope with mass number A, these two definitions are,respectively, expressed 展开更多
关键词 TRANSVERSE FLOW definition
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基于卡尔加里-剑桥指南的沙龙培训模式提升全科规培医师医患沟通技能的对照研究
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作者 彭涛 邹川 +2 位作者 曾欣 张焱 沈静 《中国全科医学》 CAS 北大核心 2025年第1期71-76,共6页
背景医患沟通技能是全科医生的核心岗位胜任力之一,高水平的医患沟通能力是创建和谐医患关系的基石,有助于提高患者就医获得感和满意度。而我国全科医生沟通能力普遍偏低,有待探索出一种适应我国国情、满足我国全科医生沟通需求的医患... 背景医患沟通技能是全科医生的核心岗位胜任力之一,高水平的医患沟通能力是创建和谐医患关系的基石,有助于提高患者就医获得感和满意度。而我国全科医生沟通能力普遍偏低,有待探索出一种适应我国国情、满足我国全科医生沟通需求的医患沟通培训模式来提高其医患沟通能力。目的探索基于卡尔加里-剑桥指南的沙龙培训模式在全科规培医师医患沟通技能培训中的应用效果,为构建适合我国国情的医患沟通培训体系提供参考依据。方法选取成都市第五人民医院2019—2020年度全科规培医师40名作为研究对象,按照随机数字表法分为沙龙组和对照组,每组20名,其中沙龙组使用基于卡尔加里-剑桥指南的沙龙培训模式进行医患沟通培训,对照组设置为空白对照,培训前、培训后1周分别对两组学员采用标准化病人(SP)模式进行接诊,使用医患沟通评价量表(SEGUE量表)进行现场观察评分,比较两组学员的医患沟通培训效果。结果最终纳入28名,其中沙龙组15名,对照组13名,培训后沙龙组规培医师SEGUE量表评分从(11.80±4.36)分提高至(18.07±4.11)分,对照组规培医师SEGUE量表评分从(12.15±4.63)分提高至(14.46±3.71)分。沙龙组培训后的SEGUE量表评分与培训前的比较,差异有统计学意义(t=3.250,P<0.001);对照组培训后的SEGUE量表评分与培训前比较,差异无统计学意义(t=2.582,P=0.624);培训后对SEGUE量表中的25个项目进行分析,沙龙组与对照组SEGUE量表评分比较,差异有统计学意义(P<0.05)。沙龙组以下5个项目结果优于对照组,准备阶段中的“建立个人信任关系”(93.3%比7.7%)、“保护患者的隐私/尊重患者选择权”(53.3%比15.4%);理解患者阶段中的“认同患者为疾病所付出的努力、改变及其遇到的困难”(33.3%比23.1%)、“表达关心,使患者感到温暖/树立信心”(100.0%比69.2%);结束问诊阶段中的“询问患者是否还有其他的问题需要探讨”(66.7%比23.1%)。结论基于卡尔加里-剑桥指南的沙龙培训模式对全科规培医师进行医患沟通技能培训可增强学员主动参加培训的兴趣和积极性,对于医患沟通能力的提升具有较好的培训效果,值得借鉴和推广。 展开更多
关键词 全科医学 全科医师 规范化培训 医患沟通 沟通培训 卡尔加里-剑桥指南
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运动疗法通过机械-化学偶联治疗慢性非特异性下背痛
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作者 张佳乐 王富森 +4 位作者 邱镇锐 樊鑫铭 邹吉龙 毕郑刚 孙佳冰 《中国组织工程研究》 CAS 北大核心 2025年第11期2377-2384,共8页
背景:目前运动疗法是非药物治疗腰痛的有效方法,运动疗法可通过骨骼和肌肉之间的机械-化学偶联维持腰椎的稳定,但目前尚无关于运动疗法通过机械-化学偶联缓解慢性非特异性下背痛之间研究进展及最佳治疗方案的明确阐述。目的:综述运动疗... 背景:目前运动疗法是非药物治疗腰痛的有效方法,运动疗法可通过骨骼和肌肉之间的机械-化学偶联维持腰椎的稳定,但目前尚无关于运动疗法通过机械-化学偶联缓解慢性非特异性下背痛之间研究进展及最佳治疗方案的明确阐述。目的:综述运动疗法时椎旁肌通过机械-化学偶联影响腰椎稳定性进而缓解慢性非特异性下背痛的相关研究进展,以及目前运动疗法治疗慢性非特异性下背痛的最佳方案。方法:在万方数据库、中国知网、维普、Web of Science和PubMed数据库进行文献检索,以“慢性非特异性下背痛,腰椎稳定,椎旁肌,运动疗法”为中文检索词,以“chronic nonspecific low back pain,lumbar stabilization,paravertebral muscle,exercise therapy”为英文检索词,检索各数据库建库至2024年1月发表的相关文献,最终纳入93篇文献进行归纳总结。结果与结论:运动疗法可以通过适当的机械刺激作用于椎旁肌和骨骼并使其产生相应的变化。运动疗法主要通过机械-化学偶联方式来提高椎旁肌的质量,进而维持腰椎稳定,从而更好地缓解慢性非特异性下背痛,是慢性非特异性下背痛的重要干预措施。但是,对于运动疗法通过腰椎稳定来治疗慢性非特异性下背痛的确切有效方案尚无明确报道。个体化运动方案的制定对于慢性非特异性下背痛的治疗和预后尤为重要。同一个体的肌肉质量与骨骼质量是密切相关的,影像学评估椎旁肌的质量和体积对于疾病的发现和干预具有重要意义。 展开更多
关键词 机械-化学偶联 运动疗法 慢性非特异性下背痛 腰椎稳定 椎旁肌
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强震区隧道洞口段新型墙-板抗减震措施的效果分析
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作者 韩健松 崔光耀 王道远 《太原学院学报(自然科学版)》 2025年第1期9-16,共8页
为了进一步提高强震区铁路隧道的安全以及抗震性能,依托包银铁路甘德尔山隧道,运用数值模拟软件FLAC 3D,针对强震区隧道洞口段墙-板和墙-板-减震层的抗减震作用效果进行研究。研究结果表明,与不采用抗减震措施相比较,采取墙-板抗震措施... 为了进一步提高强震区铁路隧道的安全以及抗震性能,依托包银铁路甘德尔山隧道,运用数值模拟软件FLAC 3D,针对强震区隧道洞口段墙-板和墙-板-减震层的抗减震作用效果进行研究。研究结果表明,与不采用抗减震措施相比较,采取墙-板抗震措施后,横向位移减小了5.95%,竖向位移减小了45.87%,最小安全系数增大了40.91%~49.25%,最大主应力的抗震作用效果达到了63.56%,最小主应力的抗震作用效果为4.04%,最大剪应力抗震作用效果为8.35%;采取墙-板-减震层减震措施后,横向位移减小了13.11%,竖向位移减小了43.88%,最小安全系数增大了65.82%~74.50%,最大主应力的减震作用效果达到了75.11%,最小主应力的减震作用效果为10.21%,最大剪应力减震作用效果为12.80%。采用墙-板-减震层的抗减震措施优于墙-板结构。推荐采用墙-板-减震层措施对甘德尔山隧道进行抗减震加固设计。 展开更多
关键词 隧道工程 强震区 洞口段 --减震层 抗减震措施
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流通式-时间分辨分析技术在地质领域的应用进展
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作者 许心宁 王朔 +2 位作者 徐娟 刘鹏飞 杨守业 《岩矿测试》 CAS 北大核心 2025年第1期1-18,共18页
流通式-时间分辨分析系统(简称FT-TRA)是二十一世纪初新发展起来的一种快速反应(溶解)-在线分析系统,由淋洗液混合单元、反应单元与分析单元组成,核心功能是通过特定流动相淋洗样品池中的微量样品,分离或去除样品中的特定组分,并监测样... 流通式-时间分辨分析系统(简称FT-TRA)是二十一世纪初新发展起来的一种快速反应(溶解)-在线分析系统,由淋洗液混合单元、反应单元与分析单元组成,核心功能是通过特定流动相淋洗样品池中的微量样品,分离或去除样品中的特定组分,并监测样品不同元素和矿物组分的出溶特征,实现高分辨的在线过程分析。本文综述了FT-TRA系统的技术原理与软硬件组成、实验方法与操作要点及地质应用发展过程,重点对该系统在地质应用过程中出现的争议点进行阐释与分析,并基于其发展现状展望其未来发展方向与潜力。FT-TRA系统目前主要的地质应用包括古海洋学与古环境学研究代用指标的验证(如有孔虫、介形虫淋洗)、矿物溶解过程与反应动力学研究、环境样品的元素相态分析等。FT-TRA系统以溶解并提取有孔虫/介形虫壳体的元素组成信号作为还原古海洋指标的重要手段,与传统批处理法相比,该方法被认为具有实时监测清洁程度、降低损失率并实现差异溶解的优势,能够获取更精细的壳体化学组成信息;测试矿物溶解态与溶解参数也是FT-TRA系统的重要功能之一,该系统的实验室模拟能够与模型结合探究不同类型矿物在稳态下的溶解动力学,为研究矿物在自然状态下的溶解过程提供启示;近些年来该系统还逐渐被用于矿物反应性测试,其中将气相CO_(2)作为淋滤液与矿物反应的研究可能在全球变暖及CO_(2)的人工捕捉课题上具有潜在应用价值。FT-TRA系统运行中涉及的不同组分的溶解机制是其应用过程中亟待解决的重要问题,进一步完善其溶解动力学原理必然将为该系统的未来发展提供更多如多类型地质样品溶解、矿物的模拟合成等新思路。 展开更多
关键词 流通式-时间分辨分析系统(FT-TRA) 在线地球化学分析 地质应用 环境研究
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电刺激诱导miR-741-3p调控Radil促进施万细胞的迁移
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作者 刘庆 高博 +2 位作者 杨霄 姜宇 王培 《中国组织工程研究》 CAS 北大核心 2025年第19期4038-4043,共6页
背景:越来越多的动物实验和临床研究证实电刺激可以促进周围神经损伤修复,具体的机制尚未完全明确。目的:探讨电刺激诱导miR-741-3p调控Radil对施万细胞迁移的影响。方法:①12只雄性SD大鼠,随机分为电刺激组和对照组,电刺激组在坐骨神... 背景:越来越多的动物实验和临床研究证实电刺激可以促进周围神经损伤修复,具体的机制尚未完全明确。目的:探讨电刺激诱导miR-741-3p调控Radil对施万细胞迁移的影响。方法:①12只雄性SD大鼠,随机分为电刺激组和对照组,电刺激组在坐骨神经挤压伤后连续电刺激7 d,对照组在坐骨神经挤压后不做任何处理。术后第7天取损伤处神经,利用荧光原位杂交技术检测两组miR-741-3p的表达差异。②通过miRDB、TargetScan和miRWalk数据库预测miR-741-3p靶基因。③将miR-741-3p模拟物及其对照、miR-741-3p抑制物及其对照、Radil siRNA及其对照、miR-741-3p抑制物+Radil siRNA及miR-741-3p抑制物+siRNA对照对施万细胞进行转染,采用RT-PCR检测转染效率,Transwell小室检测施万细胞的迁移能力。结果与结论:①电刺激组神经残端miR-741-3p荧光强度低于对照组;②数据库预测结果显示有69个基因可能是miR-741-3p靶基因,Radil是预测靶基因之一,主要参与细胞黏附和迁移;③与miR-741-3p抑制物对照组相比,miR-741-3p抑制物组施万细胞迁移数增多(P<0.05);与miR-741-3p模拟物对照组相比,miR-741-3p模拟物组施万细胞迁移数减少(P<0.05);与siRNA对照组相比,Radil siRNA组施万细胞迁移数减少(P<0.05);④与miR-741-3p抑制物对照组相比,miR-741-3p抑制物组Radil的表达水平升高;与miR-741-3p模拟物对照组相比,miR-741-3p模拟物组Radil的表达水平降低;⑤与miR-741-3p抑制物+siRNA对照组相比,miR-741-3p抑制物+Radil siRNA组施万细胞迁移数减少(P<0.05)。结果表明,电刺激通过下调miR-741-3p调控Radi的表达来促进施万细胞迁移。 展开更多
关键词 施万细胞 电刺激 miR-741-3p Radil 细胞迁移 神经再生
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