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Diagnostic Study of Apparent Heat Sources and Moisture Sinks in the South China Sea and its Adjacent Areas during the Onset of 1998 SCS Monsoon 被引量:7
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作者 王世玉 钱永甫 《Advances in Atmospheric Sciences》 SCIE CAS CSCD 2000年第2期285-298,共14页
The apparent heat sources (?Q1 ?) and moisture sinks (?Q2 ?) are calculated based on the reanalyzed data of the South China Sea Monsoon Experiment (SCSMEX) from May 1 to August 31, 1998. It is found that the formation... The apparent heat sources (?Q1 ?) and moisture sinks (?Q2 ?) are calculated based on the reanalyzed data of the South China Sea Monsoon Experiment (SCSMEX) from May 1 to August 31, 1998. It is found that the formation and distribution of the atmospheric heat sources are important for the monsoon onset. The earlier onset of the SCS monsoon is the result of enduring atmospheric heating in the Indo–China Peninsula and South China areas. The atmospheric heating firstly appears in the Indo–China Peninsula area and the sensible heat is the major one. The 30–50 day periodic oscillation of atmospheric heat sources between the SCS area and the western Pacific warm pool has a reverse phase distribution before the middle of July and the low frequency oscillation of heat sources in SCS area has an obvious longitudinal propagation. The 30–50 day low frequency oscillation has vital modificatory effects on the summer monsoon evolution during 1998. Key words Apparent heat sources - Apparent moisture sinks - The South China Sea monsoon - Diagnostic Study Sponsored by the National Key Project of Fundamental Research “ SCSMEX” and the Research Fund for the Doctoral Program of Higher Education: “ Study of the Air-sea Interaction in the SCS Monsoon Region”. 展开更多
关键词 Apparent heat sources Apparent moisture sinks The South China Sea monsoon diagnostic study
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Diagnostic value of interleukin-8 in colorectal cancer:A case-control study and meta-analysis 被引量:4
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作者 Wen-Jun Jin Jin-Ming Xu +2 位作者 Wen-Li Xu Dong-Hua Gu Pei-Wei Li 《World Journal of Gastroenterology》 SCIE CAS 2014年第43期16334-16342,共9页
AIM: To assess the diagnostic value of serum interleukin-8 (IL-8) in the detection of colorectal cancer (CRC).
关键词 INTERLEUKIN-8 Colorectal cancer diagnostic value Case-control study META-ANALYSIS
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DIAGNOSTIC STUDY OF INTRASEASONAL ANOMALOUS PROGRESSION & RETROGRESSION OF SUBTROPICAL HIGH OVER WESTERN PACIFIC
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作者 喻世华 杨维武 《Journal of Tropical Meteorology》 SCIE 1997年第1期42-51,共10页
Diagnostic study on two intraseasonal progressive and retrogressive progress of anomalous subtropical high in western Pacific is carried out with the aid of daily 2. 5°×2.5° grid point data of ECMWF inJ... Diagnostic study on two intraseasonal progressive and retrogressive progress of anomalous subtropical high in western Pacific is carried out with the aid of daily 2. 5°×2.5° grid point data of ECMWF inJuly and August of 1980 and 1983. It is revealed that the anomalous progression and retrosression ofthis high is intraseasonally teleconnected with that in the eastern Pacific, shown as low-ftequency wavespropagating westward along a latitudinal wave train across the northern Pacific i the same oscillatory displacement of eastern subtropical high is again triggered off by the variation of convergent sink of uppertropospheric divergent wind field in eastern Pacific, being resulted from anomalous heating from monsoon area in South Asia through trade wind zone in the Pacific Ocean. 展开更多
关键词 SUBTROPICAL high ANOMALOUS PROGRESSION & RETROGRESSION TELECONNECTION diagnostic study
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Diagnostic study of the summer thermocline depth in the Huanghai Sea and the East China Sea
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作者 Yang Dianrong, Kuang Guorui, Zhang Yulin and Zhou Dejian Institute of Physical Oceanography, Ocean University of Qingdao, Qingdao, China 《Acta Oceanologica Sinica》 SCIE CAS CSCD 1990年第3期331-342,共12页
In this paper, the depth of the summer thermocline of the South Huanghai Sea and the East China Sea is calculated with two kinds of one-dimentional models, and the formation reasons are explained for the summer thermo... In this paper, the depth of the summer thermocline of the South Huanghai Sea and the East China Sea is calculated with two kinds of one-dimentional models, and the formation reasons are explained for the summer thermocline depth distribution characteristics in the study area. It is proved that in the shelf area of the East China Sea, tidal mixing has an important impact on the thermocline depth. And a new explanation for certain phenomena of the so-called coastal upwelling in the East China Sea is proposed. 展开更多
关键词 diagnostic study of the summer thermocline depth in the Huanghai Sea and the East China Sea
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Regular Observation of De-Acclimatization and Randomized Controlled Research of Diagnostic Criteria of High Altitude De-Acclimatization Syndrome among Different Plateau Migrants Crowd after Their Return to the Plain 被引量:2
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作者 Qiquan Zhou Shengyue Yang +9 位作者 Zhencai Yuan Yinhu Wang Xuefeng Zhang Wei Gao Zifu Shi Youli Yang Yunhong Wu Yong Fan Fuling Wang Guansong Wang 《Occupational Diseases and Environmental Medicine》 2014年第4期86-100,共15页
Objective: The objective of this study was to investigate the diagnostic methods of high altitude de-acclimatization syndrome and to formulate diagnostic criteria. Methods: This study was conducted using epidemiologic... Objective: The objective of this study was to investigate the diagnostic methods of high altitude de-acclimatization syndrome and to formulate diagnostic criteria. Methods: This study was conducted using epidemiological surveys and a multi-center randomized controlled clinical trial. A total of 3011 subjects were studied, and the following indices were collected after their return to low altitude areas from the plateau: general health status, blood, urine and stool samples, myo-cardial enzyme levels, liver and kidney function, nerve function, sex hormone levels, microalbuminuria, electrocardiogram (ECG), echocardiography, pulmonary function, and hemorheological markers. These data were compared to those of randomized healthy subjects in the same age range who lived at the same altitude to determine the characteristics of high altitude de-acclimatization syndrome. Based on these characteristics, diagnostic criteria for high altitude de-acclimatization syndrome were formulated. Results: This study demonstrated that the incidence of high altitude de-acclimatization syndrome was 84.36%. Sixty percent of the cases were mild, 30% were medium, and 10% were severe. The incidence was higher among those who returned to a place of lower altitude, resided at a high altitude for a longer period of time, or engaged in heavy labor while at high altitude. Patients with high altitude de-acclimatization syndrome manifested hematological abnormalities and abnormal ventricular function, notably a right ventricular diastolic function, which recovered to baseline function after one to five years. Exposure to long-term hypoxia often caused obvious changes in cardiac morphology, i.e., left and right ventricular hypertrophy, particularly within the right ventricle. In addition, patients with high altitude de-acclimatization syndrome often presented with low blood pressure, low pulse pressure, and microalbuminuria. A few patients presented with occult blood in their feces. The diagnosis of high altitude de-acclimatization syndrome can be made if a patient who recently returns to the plain from the plateau complains of dizziness, weakness, sleepiness, chest tightness, edema, memory loss, and other symptoms and signs that do not alleviate under short-term rehabilitation or symptomatic treatment, and if organic diseases of the heart, lung, kidney, and other organs have been excluded. Conclusion: The diagnosis of high altitude de-acclimatization syndrome should be made after a comprehensive analysis of the patient’s clinical symptoms and signs. 展开更多
关键词 PLATEAU MIGRANTS Low ALTITUDE High ALTITUDE De-Acclimatization SYNDROME diagnostic Criteria Multi-Center study
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Diagnostic criteria of high altitude de-acclimatization syndrome among plateau migrants after their return to the plain: a multi-center randomized controlled trial
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作者 Qi-quan Zhou Sheng-yue Yang +9 位作者 Zhen-cai Yuan Yin-hu Wang Xue-feng Zhang Wei Gao Zi-fu Shi You-li Yang Yun-hong Wu Yong Fan Fu-ling Wang Guan-song Wang 《Journal of Medical Colleges of PLA(China)》 CAS 2015年第1期35-45,共11页
Objective: The objective of this study was to investigate the diagnostic methods of high altitude de-acclimatization syndrome and to formulate diagnostic criteria.Methods: This study was conducted using epidemiologica... Objective: The objective of this study was to investigate the diagnostic methods of high altitude de-acclimatization syndrome and to formulate diagnostic criteria.Methods: This study was conducted using epidemiological surveys and a multi-center randomized controlled clinical trial. A total of 3,011 subjects were studied, and the following indices were collected after their return to low altitude areas from the plateau: general health status, blood, urine and stool samples, myocardial enzyme levels, liver and kidney function, nerve function, sex hormone levels, microalbuminuria, electrocardiogram(ECG), echocardiography, pulmonary function, and hemorheological markers. These data were compared to those of randomized healthy subjects in the same age range who lived at the same altitude to determine the characteristics of high altitude deacclimatization syndrome. Based on these characteristics, diagnostic criteria for high altitude de-acclimatization syndrome were formulated.Results: This study demonstrated that the incidence of high altitude de-acclimatization syndrome was 84.36%. Sixty percent of the cases were mild, 30% were medium, and 10% were severe. The incidence was higher among those who returned to a place of lower altitude, resided at a high altitude for a longer period of time, or engaged in heavy labor while at high altitude. Patients with high altitude de-acclimatization syndrome manifested hematological abnormalities and abnormal ventricular function, notably a right ventricular diastolic function, which recovered to baseline function after one to five years. Exposure to long-term hypoxia often caused obvious changes in cardiac morphology, i.e., left and right ventricular hypertrophy, particularly within the right ventricle. In addition, patients with high altitude de-acclimatization syndrome often presented with low blood pressure, low pulse pressure, and microalbuminuria. A few patients presented with occult blood in their feces. The diagnosis of high altitude deacclimatization syndrome can be made if a patient who recently returns to the plain from the plateau complains of dizziness, weakness, sleepiness, chest tightness, edema, memory loss, and other symptoms and signs that do not alleviate under short-term rehabilitation or symptomatic treatment, and if organic diseases of the heart, lung, kidney, and other organs have been excluded.Conclusion: The diagnosis of high altitude de-acclimatization syndrome should be made after a comprehensive analysis of the patient's clinical symptoms and signs. 展开更多
关键词 PLATEAU MIGRANTS Low ALTITUDE High ALTITUDE de-acclimatization SYNDROME diagnostic criteria Multicenter study
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Extremely Early Diagnostic Test for Prostate Cancer
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作者 Veronica Jean James 《Journal of Cancer Therapy》 2011年第3期377-380,共4页
Purpose: This article reports the results of a blinded fibre diffraction study of skin samples taken from TRAMP mice and age-matched controls to determine whether changes noted in fibre diffraction studies of human sk... Purpose: This article reports the results of a blinded fibre diffraction study of skin samples taken from TRAMP mice and age-matched controls to determine whether changes noted in fibre diffraction studies of human skin were present in these TRAMP mice studies. These mice are bred to progress to Gleeson Type 3 to Type 5 prostate cancer. Methods: Small strips, 1 mm × 5 mm, cut from the mouse skin samples were loaded into cells in the same way as human samples and slightly stretched to remove the crimp. They remained fully hydrated throughout exposure to the synchrotron beam. Results: The added change that was reported for prostate cancer in 2009 was obtained for all TRAMP mice samples, indicating that this change can be read as High Grade Cancer in human diagnostic tests. Discussion: These changes were evident for all 3 and 7 week old TRAMP mice samples but not for any of the control samples. This indicates that the changes in the fibre diffraction patterns appear much earlier than in any other available prostate cancer diagnostic test, as none of these can verify the presence of prostate cancer in the TRAMP mice before 10 weeks of age. The fibre diffraction test is therefore the most accurate and earliest test for high grade prostate cancer. 展开更多
关键词 PROSTATE Cancer EARLY diagnostic Test MURINE study
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全科医学和初级保健横断面研究的基本设计和实施步骤 被引量:1
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作者 李雪迎 康晓平 +5 位作者 迟春花 王熙诚 尚美霞 周国鹏 高畅 潘子涵 《中国全科医学》 CAS 北大核心 2024年第13期1584-1593,共10页
横断面研究是经典的研究设计方法之一,在临床各个专业中均有广泛的应用。在全科医学研究中大量科学问题的解答采用了横断面研究设计。这其中不仅包括了对人群健康特征,疾病特征或卫生服务现状的调查研究,还包括了面向社区人群的疾病筛... 横断面研究是经典的研究设计方法之一,在临床各个专业中均有广泛的应用。在全科医学研究中大量科学问题的解答采用了横断面研究设计。这其中不仅包括了对人群健康特征,疾病特征或卫生服务现状的调查研究,还包括了面向社区人群的疾病筛查诊断方法构建等多种研究场景。在全科医学领域中,横断面研究可以做现况描述和比较分析,关联因素分析以及社区筛查诊断方法探索。开展横断面研究应包括研究设计和研究实施两个阶段,研究设计包括准确提炼研究目标,明确研究人群,研究因素及结局指标等临床要素以及确定样本获取方式,明确样本量的确定依据及合理的统计分析策略等方法学要素。研究实施,则需要通过完备的研究方案和病例报告表呈现研究设计思路,在伦理批准的前提下开展数据收集工作,同时注重数据管理工作质量并严格执行方案中的统计分析方法,求证医学问题。横断面研究的特点是相比于随访观察研究所需要的研究周期相对较短,不同基础的研究团队都能找到适合的研究方向,通过了解健康医疗现状,从探讨关联因素创建筛查方法等角度,服务社区医疗。 展开更多
关键词 全科医学 初级卫生保健 横断面研究 调查研究 关联性分析 诊断能力评价 研究设计
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分子生物学方法在提高综合医院传染性肺结核发现率中的作用
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作者 马樱子 代晓琦 +5 位作者 李仁忠 池水晶 高建国 刘新儒 闫晓伟 徐岩 《河北医药》 CAS 2024年第12期1890-1893,共4页
目的 了解综合医院使用Xpert技术诊断传染性肺结核和耐药肺结核的现状和问题,以便更好地发挥综合医院在肺结核发现中的前哨作用。方法 采用自身前后对照的研究方法,对比分析综合医院使用Xpert检查和未使用Xpert检查患者2组之间的病原学... 目的 了解综合医院使用Xpert技术诊断传染性肺结核和耐药肺结核的现状和问题,以便更好地发挥综合医院在肺结核发现中的前哨作用。方法 采用自身前后对照的研究方法,对比分析综合医院使用Xpert检查和未使用Xpert检查患者2组之间的病原学阳性患者比例、利福平耐药肺结核患者发现、肺结核和利福平耐药肺结核患者诊断时间等指标。共有171例肺结核患者纳入本次研究,其中研究组为使用Xpert检查的52例患者,对照组为未使用Xpert检查的119例患者。采用Wilcoxon秩和检验和χ^(2)检验(Fisher精确检验)分析组间差异。结果 研究组中综合医院诊断的病原阳性肺结核比例(41/52,78.85%)明显高于对照组(65/119,54.62%),差异有统计学意义(P<0.05)。研究组中综合医院诊断的疑似病例比例(2/52,3.85%)明显低于对照组(24/119,20.17%)。研究组中肺结核诊断时间为1 d,明显短于对照组(4 d)差异有统计学意义(P<0.05)。研究组共有3例利福平耐药肺结核患者,在综合医院就诊时全部得到明确诊断,利福平耐药诊断时间为1 d;对照组中有1例利福平耐药患者,综合医院未能发现。研究组同时接受痰涂片和Xpert检查的52例患者中,Xpert检出结核分枝杆菌比例(40/52,76.92%)明显高于痰涂片检查(25/52,48.07%),差异有统计学意义(P<0.05)。结论 Xpert技术能够显著提高肺结核病的诊断率、早期发现传染性肺结核和利福平耐药肺结核患者,建议将其纳入医保报销范围,加快在综合医院推广应用。 展开更多
关键词 结核 抗药性 诊断技术 自身对照研究
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内蒙古自治区社区5类精神障碍患者精神卫生服务利用现状
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作者 白银霞 仝璐 +12 位作者 刘肇瑞 严洁 王瑞琪 张婷婷 丁华 陈丽霞 姚佳慧 高晓娟 吕东升 白志坚 李紫聿 隋晓杰 黄悦勤 《中国心理卫生杂志》 CSCD 北大核心 2024年第5期419-425,共7页
目的:描述内蒙古自治区社区5类精神障碍终生患者精神卫生服务利用现况,为健康教育和制定相关政策提供参考。方法:采用分层多阶段不等概率抽样方法抽取内蒙古自治区18岁及以上常住居民共12 315名,采用复合性国际诊断交谈表调查心境障碍... 目的:描述内蒙古自治区社区5类精神障碍终生患者精神卫生服务利用现况,为健康教育和制定相关政策提供参考。方法:采用分层多阶段不等概率抽样方法抽取内蒙古自治区18岁及以上常住居民共12 315名,采用复合性国际诊断交谈表调查心境障碍、焦虑障碍、物质使用障碍、间歇爆发性障碍、进食障碍等5类精神障碍及精神卫生服务利用现况,以单因素分析方法进行描述性统计。结果:5类精神障碍中,任何一种精神障碍终生患者咨询率为18.7%,治疗率为10.2%,患者接受非医务工作者治疗的比例最高(31.4%),其次是接受精神科或心理科医生治疗;患者中有1.1%的患者接受药物治疗,有2.5%的患者接受心理治疗。结论:内蒙古自治区精神障碍患者精神卫生服务利用率较低,要广泛开展正确求医的健康教育。 展开更多
关键词 精神障碍 卫生服务 咨询率 治疗率 现况调查 复合性国际诊断交谈表
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二代测序技术在骨关节结核临床诊断中的应用价值
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作者 姚晓伟 刘树仁 +1 位作者 景艳色 贾晨光 《结核与肺部疾病杂志》 2024年第1期37-43,共7页
目的:评估二代测序技术(next generation sequencing,NGS)在骨关节结核诊断中的应用价值。方法:采用回顾性研究方法,参照入组标准收集2019年12月至2022年12月河北省胸科医院骨科收治的185例疑似骨关节结核患者临床资料,根据最终临床诊... 目的:评估二代测序技术(next generation sequencing,NGS)在骨关节结核诊断中的应用价值。方法:采用回顾性研究方法,参照入组标准收集2019年12月至2022年12月河北省胸科医院骨科收治的185例疑似骨关节结核患者临床资料,根据最终临床诊断将患者分为结核组(骨关节结核155例)和非结核组(非骨关节结核30例)。所有患者病灶标本均经手术或穿刺途径获取(包括51份脓液、89份肉芽组织和45份骨组织标本),且均同时送检NGS、BACTEC MGIT 960分枝杆菌液体培养(简称“培养”)及利福平耐药实时荧光定量核酸扩增(GeneXpert MTB/R1F,简称“Xpert”)检测。以最终临床诊断为参照标准,比较3种检测方法诊断骨关节结核的检测效能,并分析3种方法检测脓液、肉芽组织和骨组织标本的阳性检出情况。结果:185例疑似骨关节结核患者中,NGS检测骨关节结核的阳性率[63.24%(117/185)]明显高于Xpert[54.05%(100/185)]和分枝杆菌培养[35.68%(66/185)],差异均有统计学意义(χ^(2)=24.982,P<0.001;χ^(2)=37.934,P<0.001)。以最终临床诊断为参照标准,NGS、Xpert和培养法诊断骨关节结核的敏感度分别为74.84%(116/155)、64.52%(100/155)和42.58%(66/155),特异度分别为96.67%(29/30)、100.00%(30/30)和100.00%(30/30),诊断符合率分别为78.38%(145/185)、70.27%(130/185)和51.89%(96/185),Kappa值分别为0.799、0.590和0.504,AUC(95%CI)值分别为0.867(0.693~0.941)、0.703(0.612~0.784)和0.623(0.529~0.717)。NGS检测脓液的阳性率[80.39%(41/51)]明显高于检测肉芽组织[62.92%(56/89)]和骨组织[44.44%(20/45)],差异均有统计学意义(χ^(2)=4.560,P=0.031;χ^(2)=13.335,P<0.001)。结论:NGS技术可明显提高骨关节结核患者病原学阳性检出率,具有较高的检测效能,并以脓液标本的检测诊断价值最高。 展开更多
关键词 结核 骨关节 宏基因组二代测序 诊断技术和方法 对比研究
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糖尿病性冠心病湿热证诊断标准的量化诊断研究 被引量:2
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作者 王海谦 黄思瑞 +4 位作者 黄晓强 朴胜华 荣向路 王超 郭姣 《中国中医基础医学杂志》 CAS CSCD 2024年第2期263-268,共6页
目的建立糖尿病性冠心病湿热证的量化诊断标准,为临床实践和证候量化诊断研究提供依据。方法通过检索中国知网(CNKI)、万方数据、维普(VIP)数据库、中国生物医学文献服务系统(SinoMed)等与糖尿病性冠心病湿热证相关文献数据库,同时补充... 目的建立糖尿病性冠心病湿热证的量化诊断标准,为临床实践和证候量化诊断研究提供依据。方法通过检索中国知网(CNKI)、万方数据、维普(VIP)数据库、中国生物医学文献服务系统(SinoMed)等与糖尿病性冠心病湿热证相关文献数据库,同时补充以图书形式出版的标准和医案专著,对文献进行提取分析并建立症状条目池。构建德尔菲问卷,进行德尔菲法专家调查,从条目池中筛选出诊断糖尿病性冠心病的关键条目并确定其权重赋值。开展多中心的横断面调查,采用诊断性试验方式确定诊断阈值。结果共纳入各类文献24篇,经过对术语的提取、拆分和归并后,建立了包含52个症状和13条舌脉象的症状条目池。经两轮德尔菲法专家调查后确定核心条目17个,并按条目不同的均数区间分别赋予3分、2分、1分的权重。由广东、陕西等地的医院收集了376例糖尿病性冠心病患者的临床资料,通过计算约登指数确定16分是本标准最佳诊断阈值,此时的敏感度为0.809,特异度为0.958,受试者工作特征曲线(Receiver Operator Characteristic Curve,ROC)下面积为0.943。结论本研究确定了首个糖尿病性冠心病湿热证的量化诊断标准,可为临床诊断糖尿病性冠心病湿热证提供依据,研制过程对中医证候规范研究具有借鉴意义。 展开更多
关键词 糖尿病性冠心病 湿热证 诊断标准 德尔菲法 横断面研究
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我国结核病定点医疗机构实验室检测能力调查分析
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作者 王彪 刘宇红 +3 位作者 孙玙贤 张立杰 李志丽 舒薇 《中国防痨杂志》 CAS CSCD 北大核心 2024年第9期1089-1097,共9页
目的:了解我国结核病定点医疗机构实验室检测技术的开展能力和质量。方法:本研究基于中国疾病预防控制中心结核病防治临床中心2023年开展的“全国结核病医疗机构防治体系和运行机制研究”收集的结核病医疗机构相关数据,通过与2015年结... 目的:了解我国结核病定点医疗机构实验室检测技术的开展能力和质量。方法:本研究基于中国疾病预防控制中心结核病防治临床中心2023年开展的“全国结核病医疗机构防治体系和运行机制研究”收集的结核病医疗机构相关数据,通过与2015年结核病定点医疗机构调查数据进行比较,以分析结核病实验室检测技术开展的情况和趋势。两次调查同时覆盖单位共46家,包括综合性医院、传染病院、院所合一的结核病防治机构、公共卫生中心和结核病专科医院。结果:纳入的46家结核病定点医疗机构中包括省级机构19家(41.3%)和地市级机构27家(58.7%)。调查机构2022年平均门诊人次为16424例次,其中耐多药/利福平耐药结核病门诊185例次;平均收治结核病患者1460例,其中收治耐多药/利福平耐药结核病患者131例。在实验室检测开展方面,调查机构2022年实验室检测主要以涂片、培养和药物敏感性试验三大常规检测技术为主。从不同机构类型来看,三级甲等医疗机构在PCR检测(70.8%,17/24)、基因芯片检测(37.5%,9/24)、分子菌种鉴定(58.3%,14/24)的开展率方面明显高于其他等级医疗机构[分别为27.3%(6/22)、4.5%(1/22)和22.7%(5/22);χ^(2)=8.712、5.518和6.002,P=0.003、0.019和0.014],且在传统结核病实验室检测技术(痰涂片、痰培养、传统药物敏感性试验)开展的总体工作量[分别为19825(11253,38363)、13266(4164,24213)和1264(534,2523)例次]均明显高于其他等级医疗机构[分别为8072(2132,17239)、2292(1076,10075)和323(101,1572)例次;Z=-2.452、-2.702和-2.225,P=0.014、0.007和0.026]。从地区分布来看,仅高分辨率熔解曲线开展率检测东部地区(35.3%,6/17)略低于中部地区(76.5%,13/17),差异有统计学意义(χ^(2)=6.494,P=0.039)。从历年变化来看,2022年GeneXpert MTB/RIF检测(93.5%,43/46)、基因芯片检测(21.7%,10/46)等简便、快速的诊断技术较2014年[开展比例分别为41.3%(19/46)和8.7%(4/46)]应用更为广泛,且GeneXpert MTB/RIF检测[2014年诊断38(11,150)例次;2022年诊断2485(856,8349)例次;Z=-3.724,P<0.001]、抗体检测[2014年诊断500(200,1010)例次;2022年诊断3401(1066,7275)例次;Z=-4.235,P<0.001]等技术的诊断工作量呈上升趋势。在实验室质控方面,培养技术的质量控制仍然是需要重点关注的领域,2022年仅有76.1%(35/46)的医疗机构被室间质控,且参与最多的为第三方机构质控[74.3%(26/35)]。结论:2014年以来,我国结核病定点医疗机构的实验室检测能力有了不同程度的提升,特别是分子生物学检测能力有了显著的发展,在关注结核病实验室检测能力建设的基础上,实验室工作质量是未来重点关注领域。 展开更多
关键词 结核 实验室 医院 诊断技术和方法 评价研究
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直立倾斜试验操作医师累计工作量对血管迷走性晕厥诊断结果的影响性分析
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作者 陈晓胜 何佳 +2 位作者 苏艳东 杨海涛 樊晓寒 《中国循环杂志》 CSCD 北大核心 2024年第11期1103-1109,共7页
目的:探讨直立倾斜试验操作医师累计工作量对诊断报告结果的影响。方法:回顾性连续纳入中国医学科学院阜外医院自2016年1月1日至2022年12月31日进行直立倾斜试验检查的操作医师和患者资料。根据从本院开展倾斜试验至研究结束这一阶段医... 目的:探讨直立倾斜试验操作医师累计工作量对诊断报告结果的影响。方法:回顾性连续纳入中国医学科学院阜外医院自2016年1月1日至2022年12月31日进行直立倾斜试验检查的操作医师和患者资料。根据从本院开展倾斜试验至研究结束这一阶段医师的累计工作量,将医师分为低累计工作量组(累计50~100例)、中等累计工作量组(累计101~350例)、高累计工作量组(累计1000~4000例;无医师累计工作量在351~999例),以及按医师的的性别、学历、职称分别进行分组,分析不同分组内和不同分组间医师倾斜试验报告诊断率的差异。结果:共纳入22名医师操作的6122例患者,22名医师个体之间的阳性、可疑阳性和阴性报告率差异均具有统计学意义(P均<0.001)。中等累计工作量组平均可疑阳性报告率显著高于低累计工作量组和高累计工作量组(3.21%vs.1.09%vs.1.62%,P=0.001),女性医师可疑阳性报告率高于男性医师(2.25%vs.1.07%,P=0.017),本科学历医师可疑阳性报告率高于研究生学历医师(2.46%vs.1.52%,P=0.013),初级职称医师可疑阳性报告率高于中级和高级职称医师(3.40%vs.1.75%vs.2.53%,P=0.024)。多因素Logistic回归分析显示,不论以阴性还是阳性作参照,中等累计工作量均是可疑阳性报告的影响因素(P均<0.05)。结论:不同操作医师个体之间的倾斜试验诊断报告率存在一定差异,中等累计工作量组操作医师更易出具可疑阳性诊断报告。 展开更多
关键词 直立倾斜试验 血管迷走性晕厥 诊断结果 累计工作量 回顾性研究
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Exploring the Role of Serum Cystatin C in Early Detection of Acute Kidney Injury among On-Pump Cardiac Surgery Patients: A Single-Center Investigation in Bangladesh
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作者 Md. Ahaduzzaman Md. Abir Tazim Chowdhury +8 位作者 Munama Magdum Md. Saiful Islam Khan Satyajit Sharma Monoj Tiwari Md. Abul Bashar Maruf Md. Alauddin Omar Sadeque Khan Md. Mostafizur Rahman Mirza Md. Nazmus Saquib 《World Journal of Cardiovascular Diseases》 CAS 2024年第6期363-373,共11页
Background: Acute Kidney Injury (AKI) stands as a prominent postoperative complication in on-pump cardiac surgery, with repercussions on morbidity, mortality, and hospitalization duration. Current diagnostic criteria ... Background: Acute Kidney Injury (AKI) stands as a prominent postoperative complication in on-pump cardiac surgery, with repercussions on morbidity, mortality, and hospitalization duration. Current diagnostic criteria relying on serum creatinine levels exhibit a delayed identification of AKI, prompting an exploration of alternative biomarkers. Aims and Objectives: This study is designed to overcome diagnostic constraints and explore the viability of serum Cystatin C as an early predictor of Acute Kidney Injury (AKI) in individuals undergoing on-pump cardiac surgery. The investigation aims to establish the relationship between serum Cystatin C levels and the onset of AKI in patients subjected to on-pump cardiac surgery. Primary objectives involve the assessment of the diagnostic effectiveness of serum Cystatin C, its comparison with serum creatinine, and the exploration of its potential for the early identification and treatment of AKI. Methodology: Conducted as a single-center study at the cardiac surgery department of BSMMU in Bangladesh from September 2020 to August 2022, a comparative cross-sectional analysis involved 31 participants categorized into No AKI and AKI groups based on Kidney Disease: Improving Global Outcomes (KDIGO) criteria. Data collection encompassed preoperative, post-CBP (cardiopulmonary bypass) conclusion at 2 hours, postoperative day 1, and postoperative day 2 intervals. Statistical analyses included Chi-squared tests, independent Student’s t-tests, and one-sample t-tests. Significance was set at P Results: The study revealed no significant differences in baseline characteristics between the No AKI and AKI groups, except for CPB time and cross-clamp time. Serum Cystatin C levels in the AKI group exhibited statistical significance at various time points, highlighting its potential as an early detector. Conversely, Serum Creatinine levels in the AKI group showed no statistical significance. The Receiver Operating Characteristic (ROC) curve analysis further supported the efficacy of serum Cystatin C, with an Area under the ROC Curve of 0.864 and a cut-off value of 0.55 (p Conclusion: This study supports the superior utility of serum Cystatin C as an early detector of AKI in on-pump cardiac surgery patients compared to serum creatinine. Its ability to identify AKI several hours earlier may contribute to reduced morbidity, mortality, and healthcare costs. The findings underscore the significance of exploring novel biomarkers for improved post-cardiac surgery renal function assessment. 展开更多
关键词 Acute Kidney Injury (AKI) On-Pump Cardiac Surgery Serum Cystatin C Serum Creatinine diagnostic Biomarkers Early Detection Cardiopulmonary Bypass Single-Center study BANGLADESH
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基于案例引导式的自我学习联合情景教学在五年制本科生妇产超声教学中的应用
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作者 宋文君 《中国卫生产业》 2024年第4期175-178,共4页
目的探究基于案例引导式的自我学习联合情景教学在五年制本科生妇产超声教学中的应用效果。方法将2021年1月—2022年1月在新疆石河子大学第一附属医院超声医学科妇产超声教学时接受传统教学的40名五年制本科生纳入对照组,将2022年2月—2... 目的探究基于案例引导式的自我学习联合情景教学在五年制本科生妇产超声教学中的应用效果。方法将2021年1月—2022年1月在新疆石河子大学第一附属医院超声医学科妇产超声教学时接受传统教学的40名五年制本科生纳入对照组,将2022年2月—2023年2月在妇产超声教学时接受基于案例引导式的自我学习联合情景教学的40名五年制本科生纳入观察组。比较两组本科生的理论和技能考试成绩、教学效果、教学满意度。结果观察组的理论和技能考试成绩、教学效果各项评分、教学总满意度均高于对照组,差异有统计学意义(P均<0.05)。结论基于案例引导式的自我学习联合情景教学可提高五年制本科生妇产超声教学效果,提高其教学满意度。 展开更多
关键词 本科生 妇产科 超声诊断学 案例引导 自我学习 情景教学
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抗肿瘤药物伴随诊断试剂临床试验设计探究及案例分析
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作者 徐超 方丽 +1 位作者 李冉 吕允凤 《中国药事》 CAS 2024年第1期66-70,共5页
目的:系统阐述我国伴随诊断试剂临床试验设计原则,为相关伴随诊断试剂产品临床试验提供参考。方法:基于不同伴随诊断试剂的开发模式,介绍我国与抗肿瘤药物同步开发的原研伴随诊断试剂及非原研伴随诊断试剂的临床试验设计,结合相关产品... 目的:系统阐述我国伴随诊断试剂临床试验设计原则,为相关伴随诊断试剂产品临床试验提供参考。方法:基于不同伴随诊断试剂的开发模式,介绍我国与抗肿瘤药物同步开发的原研伴随诊断试剂及非原研伴随诊断试剂的临床试验设计,结合相关产品技术审评过程中的考虑,深入分析伴随诊断试剂临床试验设计的科学性与合理性。结果与结论:伴随诊断试剂在抗肿瘤药物临床应用中具有非常重要的作用,伴随诊断试剂的临床试验与抗肿瘤药物的临床试验息息相关,该类产品临床试验有多种设计类型,临床试验主要研究者应结合产品开发模式、产品检测的标志物等具体情况,选择合适的临床试验设计,能够更加科学合理地评价产品临床意义,促进产品尽快上市。 展开更多
关键词 伴随诊断试剂 开发模式 临床试验设计 桥接试验 案例分析
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体外诊断试剂样本稳定性评价要求及关注要点
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作者 吴昊楠 熊宇婷 《分子诊断与治疗杂志》 2024年第11期2009-2011,2020,共4页
如何评价体外诊断试剂样本稳定性是制造商应当关注的问题。本文根据《体外诊断试剂注册申报资料要求及说明》,结合已发布的各项注册申报审查指导原则及共性问题,阐述样本稳定性研究的要求,以及评价方案应当考虑在“最差条件下”选取不... 如何评价体外诊断试剂样本稳定性是制造商应当关注的问题。本文根据《体外诊断试剂注册申报资料要求及说明》,结合已发布的各项注册申报审查指导原则及共性问题,阐述样本稳定性研究的要求,以及评价方案应当考虑在“最差条件下”选取不同时间点进行正确度结果比对,同时尽量使用同批次、效期内试剂及避免其他因素导致的随机误差,并在不同的样本类型、样本浓度及数量上选择的科学、合理。 展开更多
关键词 体外诊断试剂 样本 稳定性 评价研究
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《诸病源候论》腹诊探析
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作者 俞丹丹 裴静波 《浙江中医药大学学报》 CAS 2024年第9期1168-1172,共5页
[目的]探析《诸病源候论》之中医腹诊的学术特色。[方法]通过筛选整理《诸病源候论》中有关腹诊条文,结合历代医家研究成果,试从历史溯源、腹诊手法、诊察要点、现代发展四方面,回顾腹诊发展过程,分析腹诊具体手法要领,探析腹诊诊察及... [目的]探析《诸病源候论》之中医腹诊的学术特色。[方法]通过筛选整理《诸病源候论》中有关腹诊条文,结合历代医家研究成果,试从历史溯源、腹诊手法、诊察要点、现代发展四方面,回顾腹诊发展过程,分析腹诊具体手法要领,探析腹诊诊察及鉴别关键,并探究《诸病源候论》腹诊的现代医学新进展。[结果]从《黄帝内经》开创到《伤寒论》辨证时期,腹诊手法长期以按、扪为主,直至隋代腹诊手法才进入一个新的发展阶段。手法方面,《诸病源候论》创新了抑按、切按、推移、揣摩、动摇、转动等腹诊手法,并详细阐述其动作要领和特点。诊察方面,《诸病源候论》描述了腹力、腹温、拘急、动悸、疼痛、包块等诊察要点,对掌握病因病机,判断虚实寒热、缓急预后有重要指导意义。现代学者基于《诸病源候论》腹诊手法,结合临床经验,拓宽腹诊应用范围,并在疾病诊疗过程中获得可观的疗效。[结论]隋·巢元方《诸病源候论》不仅创新了腹诊手法,还详细地描述了腹诊的诊察要点,同时将腹诊延用至内外妇儿多科,具有重要的学术价值。 展开更多
关键词 《诸病源候论》 腹诊 诊法 手法 中医诊断学 文献研究 理论研究 历史溯源
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浅析表热里寒证
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作者 王若诗 李夙奕 姜心禅 《中国中医药现代远程教育》 2024年第6期42-44,共3页
国家“十四五”规划教材《中医诊断学》对表热里寒证的论述较为简略,历代中医药学家对这一证型也争议颇多,导致医者对此类证候在理论和临床上有一些困惑和混淆,使得提取和界定证候要素存在一定的问题。文章从“表里”含义的不同角度“... 国家“十四五”规划教材《中医诊断学》对表热里寒证的论述较为简略,历代中医药学家对这一证型也争议颇多,导致医者对此类证候在理论和临床上有一些困惑和混淆,使得提取和界定证候要素存在一定的问题。文章从“表里”含义的不同角度“、寒热”概念中的不同界定等方面,结合古籍和历代医家对于表热里寒的理解,分析“表”和“里”的定义,浅析表热里寒证产生歧义的原因,以期加深在理论和临床上对本证型的理解。 展开更多
关键词 表热里寒证 中医诊断学 理论研究
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