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Proton pump inhibitors and all-cause mortality risk among cancer patients
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作者 Arunkumar Krishnan Carolin Victoria Schneider Declan Walsh 《World Journal of Clinical Oncology》 2025年第1期34-42,共9页
BACKGROUND Proton pump inhibitors(PPIs)are widely used,including among cancer patients,to manage gastroesophageal reflux and other gastric acid-related disorders.Recent evidence suggests associations between long-term... BACKGROUND Proton pump inhibitors(PPIs)are widely used,including among cancer patients,to manage gastroesophageal reflux and other gastric acid-related disorders.Recent evidence suggests associations between long-term PPI use and higher risks for various adverse health outcomes,including greater mortality.AIM To investigate the association between PPI use and all-cause mortality among cancer patients by a comprehensive analysis after adjustment for various confounders and a robust methodological approach to minimize bias.METHODS This retrospective cohort study used data from the TriNetX research network,with electronic health records from multiple healthcare organizations.The study employed a new-user,active comparator design,which compared newly treated PPI users with non-users and newly treated histamine2 receptor antagonists(H2RA)users among adult cancer patients.Newly prescribed PPIs(esomeprazole,lansoprazole,omeprazole,pantoprazole,or rabeprazole)users were compared to non-users or newly prescribed H2RAs(cimetidine,famotidine,nizatidine,or ranitidine)users.The primary outcome was all-cause mortality.Each patient in the main group was matched to a patient in the control group using 1:1 propensity score matching to reduce confounding effects.Multivariable Cox regression models were used to estimate hazard ratios(HRs)and 95% confidence interval(CI).RESULTS During the follow-up period(median 5.4±1.8 years for PPI users and 6.5±1.0 years for non-users),PPI users demonstrated a higher all-cause mortality rate than non-users after 1 year,2 years,and at the end of follow up(HRs:2.34-2.72).Compared with H2RA users,PPI users demonstrated a higher rate of all-cause mortality HR:1.51(95%CI:1.41-1.69).Similar results were observed across sensitivity analyses by excluding deaths from the first 9 months and 1-year post-exposure,confirming the robustness of these findings.In a sensitivity analysis,we analyzed all-cause mortality outcomes between former PPI users and individuals who have never used PPIs,providing insights into the long-term effects of past PPI use.In addition,at 1-year follow-up,the analysis revealed a significant difference in mortality rates between former PPI users and non-users(HR:1.84;95%CI:1.82-1.96).CONCLUSION PPI use among cancer patients was associated with a higher risk of all-cause mortality compared to non-users or H2RA users.These findings emphasize the need for cautious use of PPIs in cancer patients and suggest that alternative treatments should be considered when clinically feasible.However,further studies are needed to corroborate our findings,given the significant adverse outcomes in cancer patients. 展开更多
关键词 All-cause mortality Cancer Histamine-2 receptor antagonists MORTALITY MALIGNANCY Proton pump inhibitors CARCINOMA OUTCOME
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Drosophila models used to simulate human ATP1A1 gene mutations that cause Charcot-Marie-Tooth type 2 disease and refractory seizures
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作者 Yao Yuan Lingqi Yu +8 位作者 Xudong Zhuang Dongjing Wen Jin He Jingmei Hong Jiayu Xie Shengan Ling Xiaoyue Du Wenfeng Chen Xinrui Wang 《Neural Regeneration Research》 SCIE CAS 2025年第1期265-276,共12页
Certain amino acids changes in the human Na^(+)/K^(+)-ATPase pump,ATPase Na^(+)/K^(+)transporting subunit alpha 1(ATP1A1),cause Charcot-Marie-Tooth disease type 2(CMT2)disease and refractory seizures.To develop in viv... Certain amino acids changes in the human Na^(+)/K^(+)-ATPase pump,ATPase Na^(+)/K^(+)transporting subunit alpha 1(ATP1A1),cause Charcot-Marie-Tooth disease type 2(CMT2)disease and refractory seizures.To develop in vivo models to study the role of Na^(+)/K^(+)-ATPase in these diseases,we modified the Drosophila gene homolog,Atpα,to mimic the human ATP1A1 gene mutations that cause CMT2.Mutations located within the helical linker region of human ATP1A1(I592T,A597T,P600T,and D601F)were simultaneously introduced into endogenous Drosophila Atpαby CRISPR/Cas9-mediated genome editing,generating the Atpα^(TTTF)model.In addition,the same strategy was used to generate the corresponding single point mutations in flies(Atpα^(I571T),Atpα^(A576T),Atpα^(P579T),and Atpα^(D580F)).Moreover,a deletion mutation(Atpα^(mut))that causes premature termination of translation was generated as a positive control.Of these alleles,we found two that could be maintained as homozygotes(Atpα^(I571T)and Atpα^(P579T)).Three alleles(Atpα^(A576T),Atpα^(P579)and Atpα^(D580F))can form heterozygotes with the Atpαmut allele.We found that the Atpαallele carrying these CMT2-associated mutations showed differential phenotypes in Drosophila.Flies heterozygous for Atpα^(TTTF)mutations have motor performance defects,a reduced lifespan,seizures,and an abnormal neuronal morphology.These Drosophila models will provide a new platform for studying the function and regulation of the sodium-potassium pump. 展开更多
关键词 ATP1A1 Atpα bang-sensitive paralysis Charcot-Marie-Tooth disease type 2 CRISPR/Cas9 homology-directed repair Na^(+)/K^(+)-ATPase point mutation seizures sodium pump
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胰岛素泵短期强化治疗2型糖尿病的疗效及影响因素分析 被引量:2
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作者 沈纪中 唐继发 《中国临床药理学与治疗学》 CAS CSCD 北大核心 2024年第2期171-176,共6页
目的:观察胰岛素泵持续皮下胰岛素输注(continuous subcataneous insulin infusion,CSII)短期强化治疗2型糖尿病(T2DM)患者的真实世界疗效并探讨疗效关联的影响因素。方法:对本院收治住院治疗的369例T2DM患者开展CSII短期强化治疗,依据... 目的:观察胰岛素泵持续皮下胰岛素输注(continuous subcataneous insulin infusion,CSII)短期强化治疗2型糖尿病(T2DM)患者的真实世界疗效并探讨疗效关联的影响因素。方法:对本院收治住院治疗的369例T2DM患者开展CSII短期强化治疗,依据治疗第5天的血糖水平,分组为血糖控制达标组和血糖控制不达标组。比较两组患者的糖代谢、生理、生化等方面指标的差异,采用回归统计方法,分析胰岛素泵疗效的影响因素。结果:经过4 d CSII短期治疗,225例(61%)患者血糖控制达标,144例(39%)血糖控制未达标。与达标组相比,未达标组年龄更大,每千克体重每日胰岛素总剂量(TDD)、空腹血糖(FBG)、空腹胰岛素、空腹C肽、胰岛素抵抗指数(HOMA-IR)水平更高,而血磷、胰岛素生长因子1(IGF1)水平则是显著低于达标组。生化指标方面,两组在血脂水平、肝功能、肾功能整体上无显著差异。单因素回归及多因素逐步回归分析结果表明,餐后2 h胰岛素、TDD、血磷是胰岛素泵疗效的关键影响因素。其中,血糖控制达标与血磷呈正相关,与餐后2 h胰岛素、TDD呈负相关。结论:使用胰岛素泵持续皮下输注胰岛素是短期强化治疗T2DM的理想方法,为了获得更满意的血糖控制达标率,临床使用时应更加关注患者的血磷、餐后2 h胰岛素指标水平及TDD。 展开更多
关键词 胰岛素泵 2型糖尿病 真实世界 临床疗效
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风机转速对CO_(2)空气源热泵热水器性能影响的试验研究 被引量:1
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作者 王栋 蒋天成 +3 位作者 邓森森 陶银双 李梦雪 鲁月红 《流体机械》 CSCD 北大核心 2024年第6期17-24,共8页
为了定量探究CO_(2)空气源热泵热水器系统性能随风机转速的变化规律,通过试验研究了不同工况下,改变风机转速对排气压力、过热度、CO_(2)质量流量、系统制热量、系统总功耗以及制热性能系数COP的影响;利用响应曲面法对试验进行了优化分... 为了定量探究CO_(2)空气源热泵热水器系统性能随风机转速的变化规律,通过试验研究了不同工况下,改变风机转速对排气压力、过热度、CO_(2)质量流量、系统制热量、系统总功耗以及制热性能系数COP的影响;利用响应曲面法对试验进行了优化分析,同时利用试验数据拟合了COP回归模型,并进行可信度分析;通过回归模型预测了系统的最优运行工况并进行试验验证。结果表明:在压缩机频率和电子膨胀阀(EEV)开度一定的情况下,存在着最佳风机转速;在45~85 Hz范围内,随着压缩机频率的提高,COP先增大后减小,增幅最高可达8.97%,各频率下COP最大时对应的最佳风机转速不断减小;随着EEV开度在35%~55%范围内不断增大,COP先增大后减小,增幅可达到6.6%,各EEV开度下COP最大时对应的最佳风机转速不断增大;当压缩机频率为65 Hz、EEV开度为50%时,对应的最佳风机转速为1000 r/min,系统COP达到峰值(4.09)。本文所拟合的COP回归模型最大误差为4.5%;预测系统最优运行工况为:压缩机频率68 Hz、EEV开度52%、风机转速956 r/min,此时系统COP最大,可达到4.29,预测误差为3.7%。本研究可为CO_(2)空气源热泵热水器系统保持高效运行提供理论指导。 展开更多
关键词 CO_(2)热泵热水器 风机转速 系统性能 试验研究
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南方先进光源研究测试平台2 K超流氦真空机组控制策略
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作者 李娜 丁美莹 +6 位作者 叶斌 蔡毅杰 曹菁 杨榆 周冬冬 张玙 何昆 《真空与低温》 2024年第6期705-711,共7页
南方先进光源研究测试平台低温系统为超导腔提供100 W@2 K的垂直和水平两种测试模式。采用三套机械泵与罗茨泵组成的减压降温真空机组,通过对测试装置抽真空为超导腔提供2 K测试环境。为了保证测试装置内满足2 K@31.3 mbar±0.1 mba... 南方先进光源研究测试平台低温系统为超导腔提供100 W@2 K的垂直和水平两种测试模式。采用三套机械泵与罗茨泵组成的减压降温真空机组,通过对测试装置抽真空为超导腔提供2 K测试环境。为了保证测试装置内满足2 K@31.3 mbar±0.1 mbar要求,保持一定液位高度,设计了一套对应的减压降温真空机组控制逻辑,通过真空机组入口蝶阀可控开度、罗茨泵变频控制、旁通阀参与调节相互配合,在多轮测试中,能够在2 h内实现4 K到2 K间的转化,极大地减小了测试等待时间,稳定实现了31.3 mbar±0.1 mbar的压力波动,保证了液位的稳定,为超导腔测试提供持续稳定的测试环境,稳定运行时间单次最长720 h。 展开更多
关键词 减压降温 真空机组 2 K超流氦 控制策略
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一种新型可调涡流管膨胀的跨临界CO_(2)热泵系统性能研究
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作者 刘业凤 俞羿 +1 位作者 张华 唐敏凯 《暖通空调》 2024年第12期128-133,共6页
在跨临界CO_(2)热泵循环中,采用涡流管膨胀替代常规节流阀的Maurer模型可减小节流损失、提高系统性能,但存在不能自动调节的难题。通过对Maurer模型进行改进,本文提出一种新型可调涡流管膨胀的跨临界CO_(2)热泵系统,通过建立理论模型模... 在跨临界CO_(2)热泵循环中,采用涡流管膨胀替代常规节流阀的Maurer模型可减小节流损失、提高系统性能,但存在不能自动调节的难题。通过对Maurer模型进行改进,本文提出一种新型可调涡流管膨胀的跨临界CO_(2)热泵系统,通过建立理论模型模拟分析了新型系统的性能特点,并与膨胀阀节流的常规系统和Maurer模型的性能进行了对比分析。研究结果表明:1)新型系统能实现对系统制热量与压缩机排气温度的自动控制。当蒸发温度改变时,新型系统可以通过改变电子流量调节阀开度实现对调节压缩机排气温度的控制,还可以通过改变调节压缩机频率实现对冷质量分数与涡流管热端出口温度的控制,进而调节系统制热量。新型系统保证了涡流管热端出口温度和压缩机排气温度不超过120℃警戒值的同时维持了较高的制热量,改善了系统性能。2)新型系统的性能优于常规系统和Maurer模型。通过将涡流管热端出口温度与调节压缩机排气温度控制在较高水平,新型系统能具有更高的制热量和更好的性能。当全年蒸发温度在-10~10℃间变化时,新型系统的COP和制热量较常规系统分别增大了13.1%和16.7%,较Maurer模型分别增大了2.7%和6.1%。新型系统对系统性能的改善效果会随着蒸发温度变化范围的扩大更加显著。 展开更多
关键词 CO_(2) 热泵 涡流管 Maurer模型 冷质量分数 蒸发温度 性能系数(COP)
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基于夹点的带喷射器CO_(2)热泵系统性能分析
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作者 杨俊兰 张鑫 +2 位作者 王林秀 韩一飞 杜雨帆 《暖通空调》 2024年第3期92-97,171,共7页
为了研究带喷射器的跨临界CO_(2)内部过冷热泵系统(TCISE),基于夹点建立了TCISE的热力学模型,分析了冷却水进出水温度及流量对系统性能的影响。研究表明:冷却水进水温度从25℃降低到15℃时,最优高压压力从9.3 MPa降至8.8 MPa,降低了5.4%... 为了研究带喷射器的跨临界CO_(2)内部过冷热泵系统(TCISE),基于夹点建立了TCISE的热力学模型,分析了冷却水进出水温度及流量对系统性能的影响。研究表明:冷却水进水温度从25℃降低到15℃时,最优高压压力从9.3 MPa降至8.8 MPa,降低了5.4%,最大COP从3.83提升至4.27,提高了11.49%;TCISE存在临界冷却水出水温度和临界冷却水质量流量,当冷却水进水温度一定时,在出水温度低于临界出水温度或质量流量高于临界质量流量时,系统COP保持不变。 展开更多
关键词 CO_(2)热泵 喷射器 夹点 内部过冷 冷却水 进水温度 出水温度 流量
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Efficient Preparation of D2 Molecules in v=2 by Stimulated Raman Pumping
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作者 杨天罡 黄龙 +3 位作者 汪涛 肖春雷 戴东旭 杨学明 《Chinese Journal of Chemical Physics》 SCIE CAS CSCD 2017年第6期614-618,I0001,共6页
We report the preparation of D2 molecules in v=2 level in molecular beam condition. A single longitudinal mode laser system was used for excitation of D2 from (v=0, j=0) to (v=2, j=0) with the scheme of stimulated... We report the preparation of D2 molecules in v=2 level in molecular beam condition. A single longitudinal mode laser system was used for excitation of D2 from (v=0, j=0) to (v=2, j=0) with the scheme of stimulated Raman pumping. An excitation efficiency of 25.2% has been achieved, which was determined by the scheme of resonance-enhanced multiphoton ion- ization. Dependence of relative excitation efficiency on laser energy has been measured. We found that the increasing rate of excitation efficiency became slower as pulse energy of Stokes laser increase, while the excitation efficiency still increases approximately linearly with pump pulse energies up to 60 mJ. The spectral line shapes of Raman transition was also measured at different laser energies and considerable dynamical Stark effect was observed. A single peak was found on the three dimension surface of relative excitation efficiency, indicating the process occurred in the present study is a process of stimulated Raman pumping instead of stimulated adiabatic Raman passage. 展开更多
关键词 Stimulated Raman pumping D2 Vibrational excitation Molecular beam
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T2DM合并冠心病介入治疗术后患者应用胰岛素泵强化降糖疗法的作用价值
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作者 张丹 李萌 吕研鹏 《糖尿病新世界》 2024年第10期34-36,40,共4页
目的探究胰岛素泵强化降糖疗法应用于2型糖尿病(type 2 diabetes mellitus,T2DM)合并冠状动脉粥样硬化性心脏病(简称冠心病)介入治疗术后的效果。方法回顾性选取2023年1—12月在四川大学华西厦门医院(研究院)就诊的130例T2DM合并冠心病... 目的探究胰岛素泵强化降糖疗法应用于2型糖尿病(type 2 diabetes mellitus,T2DM)合并冠状动脉粥样硬化性心脏病(简称冠心病)介入治疗术后的效果。方法回顾性选取2023年1—12月在四川大学华西厦门医院(研究院)就诊的130例T2DM合并冠心病患者的临床资料,全部患者均选择冠心病介入术治疗,按照术后选用的降糖疗法不同分为对照组(常规胰岛素注射)和研究组(胰岛素泵强化降糖),各65例。比较两组血脂及血糖水平(糖化血红蛋白、餐后2 h血糖、空腹血糖、总胆固醇、甘油三酯)、胰岛功能(胰岛β细胞功能指数、胰岛素抵抗指数)情况。结果治疗前两组血糖、血脂及胰岛功能对比,差异无统计学意义(P均>0.05)。治疗2周后,研究组血糖及血脂指标均低于对照组,差异有统计学意义(P均<0.05)。治疗2周后,与对照组比较,研究组胰岛β细胞功能指数更高,胰岛素抵抗指数更低,差异有统计学意义(P均<0.05)。结论接受介入术的T2DM合并冠心病患者术后降糖中选择胰岛素泵,能够改善患者血脂及血糖水平,提高胰岛功能。 展开更多
关键词 冠心病介入术 2型糖尿病 胰岛素泵 血糖 胰岛功能
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Proton pump inhibitors therapy vs H_2 receptor antagonists therapy for upper gastrointestinal bleeding after endoscopy: A meta-analysis 被引量:14
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作者 Ying-Shi Zhang Qing Li +2 位作者 Bo-Sai He Ran Liu Zuo-Jing Li 《World Journal of Gastroenterology》 SCIE CAS 2015年第20期6341-6351,共11页
AIM: To compare the therapeutic effects of proton pump inhibitors vs H2 receptor antagonists for upper gastrointestinal bleeding in patients after successful endoscopy.METHODS: We searched the Cochrane library, MEDLIN... AIM: To compare the therapeutic effects of proton pump inhibitors vs H2 receptor antagonists for upper gastrointestinal bleeding in patients after successful endoscopy.METHODS: We searched the Cochrane library, MEDLINE, EMBASE and Pub Med for randomized controlled trials until July 2014 for this study. The risk of bias was evaluated by the Cochrane Collaboration's tool and all of the studies had acceptable quality. The main outcomes included mortality, re-bleeding, received surgery rate, blood transfusion units and hospital stay time. These outcomes were estimated using odds ratios(OR) and mean difference with 95% confidence interval(CI). Rev Man 5.3.3 software and Stata 12.0 software were used for data analyses. RESULTS: Ten randomized controlled trials involving 1283 patients were included in this review; 678 subjects were in the proton pump inhibitors(PPI) group and the remaining 605 subjects were in the H2 receptor antagonists(H2RA) group. The meta-analysis results revealed that after successful endoscopic therapy, compared with H2 RA, PPI therapy had statistically significantly decreased the recurrent bleeding rate(OR = 0.36; 95%CI: 0.25-0.51) and receiving surgery rate(OR = 0.29; 95%CI: 0.09-0.96). There were no statistically significant differences in mortality(OR = 0.46; 95%CI: 0.17-1.23). However, significant heterogeneity was present in both the numbers of patients requiring blood transfusion after treatment [weighted mean difference(WMD),-0.70 unit; 95%CI:-1.64- 0.25] and the time that patients remained hospitalized [WMD,-0.77 d; 95%CI:-1.87- 0.34]. The Begg's test(P = 0.283) and Egger's test(P = 0.339) demonstrated that there was no publication bias in our meta-analysis.CONCLUSION: In patients with upper gastrointestinal bleeding after successful endoscopic therapy, compared with H2 RA, PPI may be a more effective therapy. 展开更多
关键词 H2 receptor ANTAGONIST Proton pump inhibitor Upper GASTROINTESTINAL BLEEDING Randomized controlledtrial META-ANALYSIS
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利拉鲁肽序贯联合胰岛素泵强化治疗对初诊肥胖T2DM疗效及对患者相关指标的影响
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作者 朱伟宏 黄珂珂 +2 位作者 张馨怡 邓宝珠 冯宝萍 《西部医学》 2024年第10期1456-1459,1464,共5页
目的探讨利拉鲁肽序贯联合胰岛素泵强化(CSⅡ)治疗初诊肥胖2型糖尿病(T2DM)疗效及对患者糖脂代谢、胰岛功能及体重相关指标的影响。方法选取我院内分泌科于2018年4月-2022年4月收治的合并肥胖[体重质量指数(BMI)≥28 kg/m 2]的T2DM患者... 目的探讨利拉鲁肽序贯联合胰岛素泵强化(CSⅡ)治疗初诊肥胖2型糖尿病(T2DM)疗效及对患者糖脂代谢、胰岛功能及体重相关指标的影响。方法选取我院内分泌科于2018年4月-2022年4月收治的合并肥胖[体重质量指数(BMI)≥28 kg/m 2]的T2DM患者104例,均空腹血糖(FPG)≥11.1 mmol/L和(或)糖化血红蛋白(HbA1c)≥9%,将患者分为常规组与GLP-1组,每组52例。两组均给予胰岛素泵强化治疗1周,血糖控制达标,撤泵后常规组给予二甲双胍,GLP-1组给予利拉鲁肽注射治疗,两组患者治疗10周。比较两组患者治疗前后体重相关指标(BMI、腰围)、糖代谢[FPG、餐后2 h血糖(2 hPG)及HbA1c]、脂代谢[载脂蛋白A1(ApoA1)、载脂蛋白B(ApoB)、总胆固醇(TC)及三酰甘油(TG)]、胰岛素抵抗情况[胰岛β细胞指数(HOMA-β)、胰岛素抵抗指数(HOMA-IR)]并统计药物不良反应。结果治疗后,两组患者BMI、腰围、FPG、2 hPG及HbA1c、ApoB、TC、TG及HOMA-IR均显著下降(P<0.05),且GLP-1组显著低于常规组(P<0.05);治疗后,两组患者ApoA1、HOMA-β均显著上升(P<0.05);GLP-1组与常规组总药物不良反应发生率差异无统计学意义(P>0.05)。结论利拉鲁肽序贯联合CSⅡ治疗可显著改善肥胖T2DM患者体脂情况、糖脂代谢以及胰岛素抵抗等情况,不良反应较小,安全有效,值得推广应用。 展开更多
关键词 利拉鲁肽 胰岛素泵 肥胖2型糖尿病 糖脂代谢 胰岛素抵抗
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超声左心室自动功能成像评估胰岛素泵输注治疗2型糖尿病合并肺结核左心室功能
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作者 杨丽萍 李小卉 +2 位作者 张晶 赵艳君 杨爱琼 《中国医学装备》 2024年第7期82-86,共5页
目的:探索超声左心室自动功能成像(AFI)评估胰岛素泵输注治疗2型糖尿病(T2DM)合并肺结核左心室功能的效果。方法:选取2020年12月至2022年10月新疆医科大学第一附属医院收治的108例T2DM合并肺结核老年患者纳入观察组,选取同期在本院接受... 目的:探索超声左心室自动功能成像(AFI)评估胰岛素泵输注治疗2型糖尿病(T2DM)合并肺结核左心室功能的效果。方法:选取2020年12月至2022年10月新疆医科大学第一附属医院收治的108例T2DM合并肺结核老年患者纳入观察组,选取同期在本院接受体检的90名健康体检者纳入健康对照组。观察组接受胰岛素泵的输注治疗,并于治疗前后采用超声左心室AFI评估左心室功能参数;健康对照组检查左心室指标及血糖指标。对比两组的临床指标以及超声参数上的差异性。结果:观察组治疗后与治疗前比较收缩压与空腹血糖水平均较低;观察组治疗后与治疗前分别与健康对照组相比长轴方向的全球纵向应变(GLPS-LAX)、四腔心切面的全球纵向应变(GLPS-A4C)及平均全球纵向应变(GLPS-AVG)比较均有所降低;观察组治疗后与治疗前相比GLPS-LAX、GLPS-AVG较高,差异有统计学意义(t=2.846、4.926,P<0.05)。结论:T2DM合并肺结核患者在经过胰岛素泵注射治疗后,通过采用超声左心室AFI对患者的左心室功能进行评估时发现,其左心室功能获得有效改善,采用超声左心室AFI评估T2DM合并肺结核左心室功能具有重要的临床意义。 展开更多
关键词 超声左心室自动功能成像(AFI) 胰岛素泵 2型糖尿病(T2DM) 肺结核 左心室功能
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2型糖尿病患者胰岛素泵强化治疗中标准化护理的应用效果
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作者 李晓静 黄翠萍 +2 位作者 雷永红 陈金梅 赖美锚 《中国医药指南》 2024年第21期158-160,共3页
目的探究标准化护理在2型糖尿病(T2DM)患者胰岛素泵强化治疗期间的应用效果。方法选取2022年12月至2023年12月在本院开展胰岛素泵强化治疗的90例T2DM患者为主要观察对象,按照随机数字表法分成两组,分别有45例。对照组采取常规护理,观察... 目的探究标准化护理在2型糖尿病(T2DM)患者胰岛素泵强化治疗期间的应用效果。方法选取2022年12月至2023年12月在本院开展胰岛素泵强化治疗的90例T2DM患者为主要观察对象,按照随机数字表法分成两组,分别有45例。对照组采取常规护理,观察组采取标准化护理。评估两组血糖值、糖尿病自我管理行为量表(SDSCA)评分、糖尿病特异性生存质量量表(A-DQOL)评分改善情况及不良事件控制效果。结果出院首日,两组空腹血糖(FBG)、餐后2 h血糖(2 hPG)均低于干预首日,且观察组FBG、2 hPG均低于对照组(P<0.05)。出院当日,观察组SDSCA总分高于对照组(P<0.05);A-DQOL总分比较,观察组比对照组低(P<0.05)。干预期间不良事件总发生率比较,观察组比对照组低(P<0.05)。结论于T2DM患者胰岛素泵强化治疗期间实施标准化护理,可使其主动改善不利于降糖的行为,提高降糖效果,规避可能影响降糖效果的不利因素,提升其生存质量。 展开更多
关键词 2型糖尿病 标准化护理 胰岛素泵强化治疗 血糖
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Tribological performance of MoS2 coating on slipper pair in axial piston pump 被引量:5
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作者 TANG He-sheng REN Yan ZHANG Xiang-lei 《Journal of Central South University》 SCIE EI CAS CSCD 2020年第5期1515-1529,共15页
This study investigates tribological performance of MoS2 coating on slipper pair in axial piston pump.Firstly,the MoS2 coating on the surface of slipper pair was prepared by atmospheric plasma spraying treatment techn... This study investigates tribological performance of MoS2 coating on slipper pair in axial piston pump.Firstly,the MoS2 coating on the surface of slipper pair was prepared by atmospheric plasma spraying treatment technology.Secondly,the tribological characteristics of slipper pair under various working conditions were evaluated on ring-on-block tester in oil lubrication.The original and worn surfaces of the specimens were analyzed with scanning electron microscope and energy dispersive spectrometer,and then the wear morphologies of the MoS2 coatings were imaged by X-ray photoelectron spectroscopy.The experimental results showed that the friction coefficients of Cu-based materials with MoS2 coating decreased by about 0.05 at 800 N.Especially,when the external load was set to 800 N,the wear rate of the ZY331608 decreased by about 16.4%after the substrates were treated by the MoS2 coating,which exhibited excellent anti-friction and wear resistance.The formation of the MoS2 lubricating film could be classified into four stages,including the initial friction stage,anchoring stage of MoS2 on friction surface,covering stage of the sliding surface by MoS2 and the formation stage of MoS2 film.The dominating wear mechanisms of Cu-based materials with MoS2 coating were adhesive wear and abrasive wear accompanied with oxidative wear. 展开更多
关键词 MoS2 coating FRICTION WEAR slipper pair axial piston pump
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Stronger inhibition of gastric acid secretion by lafutidine, a novel H_2 receptor antagonist, than by the proton pump inhibitor lansoprazole 被引量:3
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作者 Hatsushi Yamagishi Tomoyuki Koike +10 位作者 Shuichi Ohara Toru Horii Ryousuke Kikuchi Shigeyuki Kobayashi Yasuhiko Abe Katsunori Iijima Akira Imatani Kaori Suzuki Takanori Hishinuma Junichi Goto Tooru Shimosegawa 《World Journal of Gastroenterology》 SCIE CAS CSCD 2008年第15期2406-2410,共5页
AIM: To compare the antisecretory activity and plasma drug concentrations of a single oral dose of 10 mg lafutidine, a novel H2 receptor antagonist, with those of the proton pump inhibitor lansoprazole (LPZ) 30 mg. ME... AIM: To compare the antisecretory activity and plasma drug concentrations of a single oral dose of 10 mg lafutidine, a novel H2 receptor antagonist, with those of the proton pump inhibitor lansoprazole (LPZ) 30 mg. METHODS: Ten volunteers without H pylori infection participated in this crossover study comparing lafutidine 10 mg with LPZ 30 mg. Intragastric pH was monitored for 6 h in all participants, and blood samples were collected from four randomly selected individuals after single-dose administration of each drug. RESULTS: The median intragastric pH was significantly higher in individuals who received lafutidine 10 mg than in those who received LPZ 30 mg 2, 3, 4, 5, and 6 h after administration. Maximal plasma drug concentration was reached more promptly with lafutidine 10 mg than with LPZ 30 mg. CONCLUSION: In H pylori-negative individuals, gastric acid secretion is more markedly inhibited by lafutidinethan by LPZ. 展开更多
关键词 LAFUTIDINE LANSOPRAZOLE H2 receptor antagonists Proton pump inhibitors Antisecretory activity
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Investigation on pumping oxygen characteristics of (Bi_2O_3)_(0.73)(Y_2O_3)_(0.27) solid electrolyte 被引量:3
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作者 厉英 王常珍 《Journal of Rare Earths》 SCIE EI CAS CSCD 2008年第3期337-340,共4页
(Bi2O3)0.73(Y2O3)0.27 fine powders prepared by wet chemical precipitation method were cold isostatically pressed to form solid electrolyte tubes, and sintered at 900 ℃ for 10 h in the air. Their pumping oxygen ch... (Bi2O3)0.73(Y2O3)0.27 fine powders prepared by wet chemical precipitation method were cold isostatically pressed to form solid electrolyte tubes, and sintered at 900 ℃ for 10 h in the air. Their pumping oxygen characteristics in non-dehydrated Ar gas were investigated, where a ZrO2 (Y2O3 stabilized) oxygen sensor was used to measure the oxygen partial pressure Po2. The results showed that the Po2 value reached magnitudes of 1×10^-2-1×10^-10 Pa at the applied pumping oxygen voltage of 0.5 V, 1×10^-37-1×10^-27 Pa at 1.0 V and 1×10^-53-1×10^47 Pa at 2.0 V within the temperature range from 550 to 650 ℃. Moreover, no cracks were found in the tested solid electrolyte tubes. Thus, the Bi2O3-Y2O3 system might be used in solid electrolyte oxygen pump for purifying gases. 展开更多
关键词 (Bi2O3)0.73(Y2O3)0.27 solid electrolyte oxygen sensor oxygen pump rare earths
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Head-to-head comparison of H_2-receptor antagonists and proton pump inhibitors in the treatment of erosive esophagitis: A meta-analysis 被引量:1
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作者 Wei-HongWang Jia-QingHuang +4 位作者 Ge-FanZheng HarryHua-XiangXia Wai-ManWong Shiu-KumLam BenjaminChun-YuWong 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第26期4067-4077,共11页
AIM: To systematically evaluate the efficacy of H2-receptor antagonists (H2RAs) and proton pump inhibitors in healing erosive esophagitis (EE).METHODS: A meta-analysis was performed. A literature search was conducted ... AIM: To systematically evaluate the efficacy of H2-receptor antagonists (H2RAs) and proton pump inhibitors in healing erosive esophagitis (EE).METHODS: A meta-analysis was performed. A literature search was conducted in PubMed, Medline, Embase, and Cochrane databases to include randomized controlled head-to-head comparative trials evaluating the efficacy of H2RAs or proton pump inhibitors in healing EE. Relative risk (RR) and 95% confidence interval (CI) were calculated under a random-effects model.RESULTS: RRs of cumulative healing rates for each comparison at 8 wk were: high dose vs standard dose H2RAs,1.17 (95%CI, 1.02-1.33); standard dose proton pump inhibitors vsstandard dose H2RAs, 1.59 (95%CI, 1.44-1.75);standard dose other proton pump inhibitors vs standard dose omeprazole, 1.06 (95%CI, 0.98-1.06). Proton pump inhibitors produced consistently greater healing rates than H2RAs of all doses across all grades of esophagitis, including patients refractory to H2RAs. Healing rates achieved with standard dose omeprazole were similar to those with other proton pump inhibitors in all grades of esophagitis.CONCLUSION: H2RAS are less effective for treating patients with erosive esophagitis, especially in those with severe forms of esophagitis. Standard dose proton pump inhibitors are significantly more effective than H2RAs in healing esophagitis of all grades. Proton pump inhibitors given at the recommended dose are equally effective for healing esophagitis. 展开更多
关键词 Erosive esophagitis H2-receptor antagonists Proton pump inhibitors META-ANALYSIS
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Reaction Rate Characteristics of SrBr2 Hydration System for Chemical Heat Pump Cooling Mode 被引量:2
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作者 Takehiro Esaki Noriyuki Kobayashi 《Journal of Materials Science and Chemical Engineering》 2016年第2期106-115,共10页
Here, we propose a chemical heat pump chiller with a SrBr<sub>2</sub> hydration reaction system for utilization of waste heat. The SrBr<sub>2</sub> hydration reaction could recover waste heat i... Here, we propose a chemical heat pump chiller with a SrBr<sub>2</sub> hydration reaction system for utilization of waste heat. The SrBr<sub>2</sub> hydration reaction could recover waste heat in low temperatures ranging from 373 K to 353 K, and the system showed good potential in terms of the high cooling thermal-storage density. Previous studies have given little information on the reaction characteristics of the SrBr<sub>2</sub> hydration reaction. In this paper, we developed a measuring method for the hydration reaction equilibrium and reaction rate based on the volumetric method. We analyzed the hydration reaction rate with an unreacted-core shell model. In the experiments, the SrBr<sub>2</sub> equilibrium temperature observed was equal to the theoretical equilibrium temperature obtained from thermodynamic databases. In addition, the hysteresis gap between the hydration and dehydration values was 2.0 K. Thus, the hysteresis effect was negligible for the chemical heat pump cooling operation. The reaction fraction of the SrBr<sub>2</sub> hydration reached 0.7 within 20 s. By analyzing the hydration reaction rate with the unreacted-core shell model, the activation energy value was calculated to be56.6 kJ/mol. The calculation results showed good agreement with those of the experiment as the reaction fraction reached 0.7. 展开更多
关键词 Chemical Heat pump SrBr2 Hydration HYSTERESIS Unreacted-Core Shell Model
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Thermodynamic Simulation of CCP in Air-Cooled Heat Pump Unit with HFCs and CO<sub>2</sub>Trans-Critical 被引量:2
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作者 Feihu Chen Shuguang Liao Guangcai Gong 《Journal of Power and Energy Engineering》 2018年第9期141-164,共24页
The exergy analysis and finite time thermodynamic methods had been employed to analyze the compound condensation process (CCP). It was based on the air-cooling heat pump unit. The cooling capacity of the chiller unit ... The exergy analysis and finite time thermodynamic methods had been employed to analyze the compound condensation process (CCP). It was based on the air-cooling heat pump unit. The cooling capacity of the chiller unit is about 1 kW, and the work refrigerant is R22/R407C/R410A/CO2. The MATLAB/SIMULINK software was employed to build the simulation model. The thermodynamic simulation model is significant for the optimization of parameters of the unit, such as condensation and evaporation temperature and mass flow of the sanitary hot water and size of hot water storage tank. The COP of the CCP of R410A system is about 3% - 5% higher than the CCP of the R22 system, while CCP of the R407C system is a little lower than the CCP of R22 system. And the CCP of CO2 trans-critical system has advantage in the hot supply mode. The simulation method provided a theoretical reference for developing the production of CCP with substitute refrigerant R407C/R410A/CO2. 展开更多
关键词 Air-Cooled Heat pump Unit Compound Condensation Process (CCP) Exergy Analysis Method Sanitary Hot Water MATLAB/SIMULINK Software Fluorine SUBSTITUTE REFRIGERANT R407C/R410A Natural REFRIGERANT CO2
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跨临界CO_(2)热泵空间应用研究展望 被引量:1
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作者 牛子天 付振东 +3 位作者 苗建印 杨琦 吴琪 杨乐 《中国空间科学技术》 CSCD 北大核心 2024年第1期23-33,共11页
随着中国深空探测事业的发展,建立月球基地成为未来载人航天活动的趋势,采用基于跨临界CO_(2)热泵的热控系统可以实现高效散热,具备降低辐射器面积和热控系统重量的应用潜力。对跨临界CO_(2)热泵空间应用具备的优势进行了总结,包括实现... 随着中国深空探测事业的发展,建立月球基地成为未来载人航天活动的趋势,采用基于跨临界CO_(2)热泵的热控系统可以实现高效散热,具备降低辐射器面积和热控系统重量的应用潜力。对跨临界CO_(2)热泵空间应用具备的优势进行了总结,包括实现辐射器高效散热、热泵系统更高性能系数、压缩机体积更小等。同时指出了跨临界CO_(2)热泵空间应用存在的难题,包括现有热力学模型无法适应空间应用、热泵在低/微重力下油气分离效率低等。基于现存的难题,提出了未来的研究重点,以指导跨临界CO_(2)热泵的后续研究及空间应用。 展开更多
关键词 跨临界CO_(2)热泵 月球基地 COP 航天器热控制 油气分离 低/微重力
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