低密度脂蛋白胆固醇(low density lipoprotein cholesterol,LDL-C)是心血管病的危险因素,已经被流行病学和随机试验证实。鉴于LDL-C的重要性,国家心脏、肺和血液协会于30年前成立了国家胆固醇教育项目,教育内科医生和普通民众较低的...低密度脂蛋白胆固醇(low density lipoprotein cholesterol,LDL-C)是心血管病的危险因素,已经被流行病学和随机试验证实。鉴于LDL-C的重要性,国家心脏、肺和血液协会于30年前成立了国家胆固醇教育项目,教育内科医生和普通民众较低的血胆固醇可以减少严重血管事件的风险。尽管降低LDL-C的价值已经得到共识,但是随着时间的推移,推荐的方案也发生了变化。展开更多
随着神经或非神经I C U持续脑电图(electroencephalogram,EEG)应用越来越广泛,一些意义不明确的EEG表现被越来越多地检测到。在这些不明意义EEG表现中,周期性放电(periodic discharges,PDs)最常见。在内科和外科ICU昏迷患者中,即使...随着神经或非神经I C U持续脑电图(electroencephalogram,EEG)应用越来越广泛,一些意义不明确的EEG表现被越来越多地检测到。在这些不明意义EEG表现中,周期性放电(periodic discharges,PDs)最常见。在内科和外科ICU昏迷患者中,即使把神经系统异常者排除在外,PDs检出率仍高达17%~29%。在神经科ICU中持续EEG应用更加广泛,展开更多
The longitudinal profile of a river channel can be described in function of mathematical expressions. The logarithmic fit is the most used method to describe the relative equilibrium of a channel elevation profile. Ri...The longitudinal profile of a river channel can be described in function of mathematical expressions. The logarithmic fit is the most used method to describe the relative equilibrium of a channel elevation profile. Rivers showing zones of high channel gradient and convex-upward profiles can be evaluated in function of the offset distance with respect to the logarithmic curve. The Jama River profile has been constructed using differential GPS data for the downstream reach and 4-m-grid DEM data base for the remaining headward profile. The resulting longitudinal profile shows a prominent knickpoint of about 80 m in elevation characterized by sharp local convexity. The offset distance in vertical direction from the logarithmic plot is interpreted as the successive accumulation of multiple uplift episodes associated with the Jama Fault System activity. The horizontal offset is suggested to represent the remaining retreated distance for the upstream propagation of the Jama knickpoint. The highly resistant Cretaceous rocks outcropping along the Jama knickpoint reach acts as an inflection point between two subprofiles that show well-fitted logarithmic curves, thereby representing a temporary partitioned equilibrium along the Jama River profile.展开更多
2021年9月,上海交通大学医学院附属国际和平妇幼保健院麻醉科联合产科与新生儿科开展大样本临床研究,在JAMA Network Open在线发表题为“Evaluation of epidural analgesia use during labor and infection in term neonates delivered ...2021年9月,上海交通大学医学院附属国际和平妇幼保健院麻醉科联合产科与新生儿科开展大样本临床研究,在JAMA Network Open在线发表题为“Evaluation of epidural analgesia use during labor and infection in term neonates delivered vaginally”的论文,评估硬膜外分娩镇痛潜在的母婴风险。展开更多
在一个包含335名患者的多中心临床试验中,一项非侵入性的无创的呼吸测试能够以85%的准确率从良性疾病(benign diseases)中鉴定出癌症。相关成果于5月17日以"Assessment of a Noninvasive Exhaled Breath Test for the Diagnosis of O...在一个包含335名患者的多中心临床试验中,一项非侵入性的无创的呼吸测试能够以85%的准确率从良性疾病(benign diseases)中鉴定出癌症。相关成果于5月17日以"Assessment of a Noninvasive Exhaled Breath Test for the Diagnosis of Oesophagogastric Cancer"为题发表在JAMA Oncology杂志上。展开更多
1950年是确认吸烟与肺癌关系最重要的一年,在9个月里,欧美学者在包括《美国医师协会杂志》(Journal of the American Medical Association,JAMA)和《英国医学杂志》(British Medical Journal,BMJ)在内的杂志相继发表了5篇支持...1950年是确认吸烟与肺癌关系最重要的一年,在9个月里,欧美学者在包括《美国医师协会杂志》(Journal of the American Medical Association,JAMA)和《英国医学杂志》(British Medical Journal,BMJ)在内的杂志相继发表了5篇支持吸烟导致肺癌的研究。其中,JAMA在同一期里就发表了2篇相关研究。展开更多
文摘低密度脂蛋白胆固醇(low density lipoprotein cholesterol,LDL-C)是心血管病的危险因素,已经被流行病学和随机试验证实。鉴于LDL-C的重要性,国家心脏、肺和血液协会于30年前成立了国家胆固醇教育项目,教育内科医生和普通民众较低的血胆固醇可以减少严重血管事件的风险。尽管降低LDL-C的价值已经得到共识,但是随着时间的推移,推荐的方案也发生了变化。
文摘随着神经或非神经I C U持续脑电图(electroencephalogram,EEG)应用越来越广泛,一些意义不明确的EEG表现被越来越多地检测到。在这些不明意义EEG表现中,周期性放电(periodic discharges,PDs)最常见。在内科和外科ICU昏迷患者中,即使把神经系统异常者排除在外,PDs检出率仍高达17%~29%。在神经科ICU中持续EEG应用更加广泛,
基金supported by the Escuela Politécnica Nacional in the Project PIS-14-32the support of the French Agence National pour la Recherche through the ANR-REMAKE project (grant ANR-15-CE04-0004)+1 种基金the Institut de Recherche pour le Developement (IRD, France) for additional financial supporting in the early stages to this workthe Instituto Geofísico for providing the GPS equipment
文摘The longitudinal profile of a river channel can be described in function of mathematical expressions. The logarithmic fit is the most used method to describe the relative equilibrium of a channel elevation profile. Rivers showing zones of high channel gradient and convex-upward profiles can be evaluated in function of the offset distance with respect to the logarithmic curve. The Jama River profile has been constructed using differential GPS data for the downstream reach and 4-m-grid DEM data base for the remaining headward profile. The resulting longitudinal profile shows a prominent knickpoint of about 80 m in elevation characterized by sharp local convexity. The offset distance in vertical direction from the logarithmic plot is interpreted as the successive accumulation of multiple uplift episodes associated with the Jama Fault System activity. The horizontal offset is suggested to represent the remaining retreated distance for the upstream propagation of the Jama knickpoint. The highly resistant Cretaceous rocks outcropping along the Jama knickpoint reach acts as an inflection point between two subprofiles that show well-fitted logarithmic curves, thereby representing a temporary partitioned equilibrium along the Jama River profile.
文摘2021年9月,上海交通大学医学院附属国际和平妇幼保健院麻醉科联合产科与新生儿科开展大样本临床研究,在JAMA Network Open在线发表题为“Evaluation of epidural analgesia use during labor and infection in term neonates delivered vaginally”的论文,评估硬膜外分娩镇痛潜在的母婴风险。
文摘在一个包含335名患者的多中心临床试验中,一项非侵入性的无创的呼吸测试能够以85%的准确率从良性疾病(benign diseases)中鉴定出癌症。相关成果于5月17日以"Assessment of a Noninvasive Exhaled Breath Test for the Diagnosis of Oesophagogastric Cancer"为题发表在JAMA Oncology杂志上。
文摘1950年是确认吸烟与肺癌关系最重要的一年,在9个月里,欧美学者在包括《美国医师协会杂志》(Journal of the American Medical Association,JAMA)和《英国医学杂志》(British Medical Journal,BMJ)在内的杂志相继发表了5篇支持吸烟导致肺癌的研究。其中,JAMA在同一期里就发表了2篇相关研究。