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Estrogen rapid effects:a window of opportunity for the aging brain?
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作者 Ivanny Marchant Jana Stojanova +1 位作者 Lilian Acevedo Pablo Olivero 《Neural Regeneration Research》 SCIE CAS CSCD 2022年第8期1629-1632,共4页
Estrogen produces several beneficial effects in healthy neurological tissues and exhibits cardioprotective effects.Hormone therapy has been widely used to treat menopausal estrogen deficiency for more than 80 years.De... Estrogen produces several beneficial effects in healthy neurological tissues and exhibits cardioprotective effects.Hormone therapy has been widely used to treat menopausal estrogen deficiency for more than 80 years.Despite high initial expectations of cardioprotective effects,there has been substantial distrust following important randomized clinical trials,such as the Women’s Health Initiative.Subsequently,the timing of treatment in relation to the onset of menopause came under consideration and led to the proposal of the timing hypothesis,that early initial treatment is important,and benefits are lost as the timing since menopause becomes prolonged.Subsequent analyses of the Women’s Health Initiative data,together with more recent data from randomized and observational trials,consistently show reductions in coronary heart disease and mortality in younger menopausal women.Regarding cognitive function,the timing hypothesis is consistent with observations from basic and animal studies.There is some clinical evidence to support the benefits of hormonal therapy in this context,though skepticism remains due to the paucity of clinical trials of substantial length in younger menopausal women.It is likely that the effects of estrogens on cognitive performance are due to rapid mechanisms,including mechanisms that influence Ca2+homeostasis dynamics,provide protection in a hostile environment and reduce inflammatory signals from neural tissues.In the future,inflammatory profiles accounting for early signs of pathological inflammation might help identify the‘window of opportunity’to use estrogen therapy for successful cognitive protection. 展开更多
关键词 AGING cardiovascular prevention cognitive function ESTROGEN hormone treatment INFLAMMAGING rapid effects timing hypothesis TRPV1 window of opportunity
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Change in Urban Wetlands and Their Cold Island Effects in Response to Rapid Urbanization 被引量:6
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作者 ZHANG Wei JIANG Jingang ZHU Yubi 《Chinese Geographical Science》 SCIE CSCD 2015年第4期462-471,共10页
The cold-island effect of urban wetlands has received increasing attention in recent years due to its important role in the alleviation of urban heat islands.Hangzhou,a representative rapidly urbanizing city with rich... The cold-island effect of urban wetlands has received increasing attention in recent years due to its important role in the alleviation of urban heat islands.Hangzhou,a representative rapidly urbanizing city with rich wetlands in China,was selected as a case study for researching the changes that the urban wetlands have undergone and their impact on the urban thermal environment.Land surface temperature(LST) was acquired from the thermal infrared data of Landsat 5 Thematic Mapper(TM) images in 1990,1995,2000,2006,and 2010,using the single-channel method.The results are as follows:1) considering the changes in land use,the urban wetlands located to the west of Hangzhou have decreased significantly during 1990–2010 because of rapid urbanization.In the Xixi Wetland,the change in land use was relatively small and most of the water body and vegetation were preserved.However,to the east of the Xixi Wetland,large areas of water body and vegetation have been replaced by built-up land as a result of the urbanization process;2) considering the change in LST,it was found from land surface temperature retrieval that the changing spatial pattern of the thermal field was highly correlated with land use changes.Low temperature regions of the eastern Xixi Wetland were gradually eroded by high temperature regions,and the centroid of the heat island in East Xixi was found to be constantly shifting westward.In addition,the difference in LST between the Xixi Wetland and East Xixi has increased;3) considering the impact factors for this area,land use structure and patch shape were found to have a significant impact on LST,shown by the results of multiple linear stepwise regressions.Increasing the size of the wetlands in urban planning is considered to be the most effective measure in alleviating the urban heat island effect.Moreover,reducing the spatial complexity of landscape patches also contributes to the alleviation of the urban heat island effect. 展开更多
关键词 rapid urbanization cold island effect heat island effect Thematic Mapper(TM) Xixi Wetland Hangzhou
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Effects of rapid solidification on the microstructure and microhardness of a lead-free Sn-3.5Ag solder 被引量:1
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作者 SHEN Jun LIU Yongchang +1 位作者 Han Yajing GAO Houxiu 《Rare Metals》 SCIE EI CAS CSCD 2006年第4期365-370,共6页
A lead-free Sn-3.5Ag solder was prepared by rapid solidification technology. The high solidification rate, obtained by rapid cooling, promotes nucleation, and suppresses the growth of Ag3Sn intermetallic compounds (I... A lead-free Sn-3.5Ag solder was prepared by rapid solidification technology. The high solidification rate, obtained by rapid cooling, promotes nucleation, and suppresses the growth of Ag3Sn intermetallic compounds (IMCs) in Ag-rich zone, yielding fine Ag3Sn nanoparticulates with spherical morphology in the matrix of the solder. The large amount of tough homogeneously-dispersed IMCs helps to improve the surface area per unit volume and obstructs the dislocation lines passing through the solder, which fits with the dispersion-strengthening theory. Hence, the rapidly-solidified Sn-3.5Ag solder exhibits a higher rnicrohardness when compared with a slowly-solidified Sn-3.5Ag solder. 展开更多
关键词 lead-free solder nanoparticulate rapid solidification intermetallic compounds dispersion-strengthening effect
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Effect of Metal Contact and Rapid Thermal Annealing on Electrical Characteristics of Graphene Matrix
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作者 S, Fahad M. Ali +3 位作者 S. Ahmed S. Khan S. Alam S. Akhtar 《Chinese Physics Letters》 SCIE CAS CSCD 2017年第10期65-69,共5页
Development of graphene field effect transistors (GFETs) faces a serious challenge of graphene interface to the dielectric material. A single layer of intrinsic graphene has an average sheet resistance of the order ... Development of graphene field effect transistors (GFETs) faces a serious challenge of graphene interface to the dielectric material. A single layer of intrinsic graphene has an average sheet resistance of the order of 1-5 kΩ/□. The intrinsic nature of graphene leads to higher contact resistance yielding into the outstanding properties of the material. We design a graphene matrix with minimized sheet resistance of 0.185 kΩ/□ with Ag contacts. The developed matrices on silicon substrates provide a variety of transistor design options for subsequent fabrication. The graphene layer is developed over 400 nm nickel in such a way as to analyze hypersensitive electrical properties of the interface for exfoliation. This work identifies potential of the design in the applicability of few-layer GFETs with less process steps with the help of analyzing the effect of metal contact and post-process anneMing on its electrical fabrication. 展开更多
关键词 effect of Metal Contact and rapid Thermal Annealing on Electrical Characteristics of Graphene Matrix
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Effect of Unilateral Low-Frequency Stimulation of Hippocampus on Rapid Kindling—Induced Seizure Development in Rats
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作者 Lucas Toibaro Magdalena Pereyra +6 位作者 Julieta Pastorino Ariela Smigliani Florencia Ocariz Germán Ortmann María Milagros Galardi María Belén Gori Silvia Kochen 《Neuroscience & Medicine》 2012年第2期174-180,共7页
Since the last decade deep brain stimulation has been proposed as an alternative treatment for patients who do not become seizure-free with the current pharmacological treatments and cannot undergo resective surgical ... Since the last decade deep brain stimulation has been proposed as an alternative treatment for patients who do not become seizure-free with the current pharmacological treatments and cannot undergo resective surgical procedure. However, the optimal stimulation parameters remain undetermined and active research in humans and animals is necessary. The present study was designed to investigate the effect of unilateral Low Frequency Stimulation (LFS) of hippocampus on seizure development by using the hippocampal rapid kindling method (hRK) in rats. We used male Wistar rats implanted with electrodes in the ventral hippocampus. All rats underwent hRK (biphasic square wave pulses, 20 Hz for 10 seconds) during three consecutive days (twelve stimulations per day). The control group (hRK;n = 6) received only RK stimulus, while the treated group (LFS-hRK;n = 8) received also LFS (biphasic square wave pulses, 1 Hz for 30 seconds) immediately before the RK stimulus, during three consecutive days. At the end of behavioral testing on day 3, 62% (P < 0.05) of the animals receiving LFS treatment were still not fully kindled staying in stages 0-III (P < 0.01). The number of stimulations needed to achieve generalized seizures (stage IV-V of Racine scale) was significantly higher (P < 0.05) in the LFS group with respect to control group. No significant differences in the cumulative daily afterdischarge duration were observed between both groups. These findings suggest that preemptive LFS can significantly decrease the incidence of hippocampus-kindled seizures and delay the progression and secondary generalization of focal seizures. 展开更多
关键词 Hippocampal rapid KINDLING Epilepsy ELECTRICAL STIMULATION Low-Frequency STIMULATION ELECTRICAL STIMULATION Protective effect
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Effect of Rolled Leaf Gene Rl_(t) on Grain Quality in Hybrid Rice 被引量:1
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作者 SHAO Yuan-jian CHEN Zong-xiang +2 位作者 CHEN Hong-qi ZHANG Ya-fang PAN Xue-biao 《Rice science》 SCIE 2005年第3期168-172,共5页
Effects of rolled leaf gene Rl(t) on grain quality characters of hybrid rice were analyzed by using three pairs of rolled leaf near-isogenic lines under two fertilizer treatments. Under normal fertilizer level (e.g... Effects of rolled leaf gene Rl(t) on grain quality characters of hybrid rice were analyzed by using three pairs of rolled leaf near-isogenic lines under two fertilizer treatments. Under normal fertilizer level (e.g. 450 kg urea per ha), head rice rates and milled rice recovery of rolled leaf hybrids were significantly higher than those of corresponding non-rolled crosses, while the chalky rice rate and chalkiness were all lower. Of the RVA profiles, the peak viscosity, the hot paste viscosity and the breakdown viscosity of the rolled were all higher than those of the corresponding non-rolled ones to various degrees. Increasing fertilizer application for promoting panicle development increased the brown, milled and head rice rates except for Shanyou 63, furthermore, significant difference of head rice rates existed between the rolled leaf Shanyou 559 and Shanyou 559; while the peak viscosity, the hot paste viscosity and the breakdown viscosity all decreased to different levels; changes of values of other characters had no apparent regularity. It suggested that Rl(t) could improve rice quality under certain conditions. 展开更多
关键词 hybrid rice rice quality rolled leaf gene effect starch viscosity rapid visco analyzer
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乌司他丁治疗急性胰腺炎的快速卫生技术评估
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作者 郑子恢 赵紫楠 +5 位作者 高峰 李文英 原涵 张白歌 杨莉萍 金鹏飞 《中国药房》 CAS 北大核心 2024年第21期2676-2683,共8页
目的本文通过对乌司他丁(UTI)进行快速卫生技术评估(HTA),评价UTI治疗急性胰腺炎(AP)的有效性、安全性及经济性。方法计算机检索PubMed、Embase、the Cochrane Library、中国知网、万方数据库、中国生物医学文献数据库和HTA机构官方网站... 目的本文通过对乌司他丁(UTI)进行快速卫生技术评估(HTA),评价UTI治疗急性胰腺炎(AP)的有效性、安全性及经济性。方法计算机检索PubMed、Embase、the Cochrane Library、中国知网、万方数据库、中国生物医学文献数据库和HTA机构官方网站,收集UTI在AP方面的系统评价(SR)/Meta分析、经济学评价及HTA报告,检索时限为建库至2024年4月。由2名研究者根据纳排标准独立进行筛选、质量评价和数据提取,采取描述性分析方式对数据进行分析汇总。结果共纳入19篇研究,包括15篇SR/Meta分析和4篇经济学研究,未检索到HTA报告。UTI联合治疗AP较单独常规治疗在提高总有效率、缩短淀粉酶恢复时间、减少腹痛腹胀缓解时间、降低病死率及缩短平均住院天数等方面均具有明显优势,和其他阳性药物(甲磺酸加贝酯、奥曲肽、生长抑素)相比疗效相当或基本一致,安全性良好。就目前纳入的研究而言,UTI对比其他阳性药物具有明显经济学优势。结论UTI在治疗AP方面安全有效,具有经济学优势。 展开更多
关键词 乌司他丁 急性胰腺炎 有效性 安全性 经济性 快速卫生技术评估 循证学评价
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快速康复方案在继发性甲状旁腺功能亢进患者中的应用效果
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作者 冯文静 梁建璟 +3 位作者 李曼 李洁 房轩 金秋 《中国医药导报》 CAS 2024年第18期61-64,共4页
目的探讨快速康复方案在继发性甲状旁腺功能亢进患者中的应用效果。方法选取2020年1月至2023年6月于河北医科大学第三医院行甲状旁腺切除术治疗的200例继发性甲状旁腺功能亢进患者为研究对象,按照随机数字表法将其分为观察组与对照组,各... 目的探讨快速康复方案在继发性甲状旁腺功能亢进患者中的应用效果。方法选取2020年1月至2023年6月于河北医科大学第三医院行甲状旁腺切除术治疗的200例继发性甲状旁腺功能亢进患者为研究对象,按照随机数字表法将其分为观察组与对照组,各100例。观察组给予快速康复策略,对照组给予常规护理。比较两组手术时间、住院时间、术后卧床时间、住院费用。比较两组不同时间点C反应蛋白(CRP)、白细胞介素-1(IL-1)、转化生长因子-β_(1)(TGF-β_(1))、血钙、视觉模拟评分法(VAS)评分、医学研究理事会评估表(MRC)评分、体重指数。结果两组手术时间比较,差异无统计学意义(P>0.05);观察组住院时间、术后卧床时间短于对照组,住院费用低于对照组,差异有统计学意义(P<0.05)。两组术后1、3、5 d CRP、IL-1、TGF-β_(1)水平均高于术前,术后3、5 d CRP、IL-1、TGF-β_(1)水平低于术1 d,术后5 d CRP、IL-1、TGF-β_(1)水平低于术后3 d,差异有统计学意义(P<0.05);观察组术后3、5 d CRP、IL-1、TGF-β_(1)水平均低于对照组,差异有统计学意义(P<0.05)。两组术后1、3、5 d血钙水平均低于术前,差异有统计学意义(P<0.05);观察组术后1、3、5 d血钙水平均高于对照组,差异有统计学意义(P<0.05)。两组术后3、5 d VAS评分均低于术后1 d(P<0.05);观察组术后1、3、5 d VAS评分低于对照组,差异有统计学意义(P<0.05)。术前与术后,两组MRC评分、体重指数比较,差异无统计学意义(P>0.05)。观察组总并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论快速康复策略在继发性甲状旁腺功能亢进患者中有利于控制炎症和降低并发症发生率,对促进早期康复具有重要意义。 展开更多
关键词 继发性甲状旁腺功能亢进 快速康复策略 应用效果
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甘蓝型油菜高亚麻酸CMS的快速选育方法及效果研究
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作者 张耀文 董育红 +4 位作者 关周博 韦世豪 李殿荣 李少钦 梁峰志 《中国农学通报》 2024年第9期30-36,共7页
为了加速甘蓝型油菜高亚麻酸杂交育种进程。以高亚麻酸油菜种质为试验材料,采用快速选育方法进行油菜高亚麻酸CMS及保持系的选育。结果表明:选育周期从5~6年缩短为4年,亚麻酸含量由11.85%提升至16.96%,含油量由45.0%提升至48.8%,单株亚... 为了加速甘蓝型油菜高亚麻酸杂交育种进程。以高亚麻酸油菜种质为试验材料,采用快速选育方法进行油菜高亚麻酸CMS及保持系的选育。结果表明:选育周期从5~6年缩短为4年,亚麻酸含量由11.85%提升至16.96%,含油量由45.0%提升至48.8%,单株亚麻酸产出量由0.98 g提升至1.53 g。与原CMS(陕6A)相比,“YM-1A”的含油量、单株产量、亚麻酸含量、异交结实系数、单株亚麻酸产量分别提高8.45%、4.49%、59.43%、12.8%、80.65%;而自交结实系数降低56.86%。因不育性、农艺、品质等性状显著提高,YM-1A在甘蓝型油菜高亚麻酸杂交育种中具有较高的利用价值。 展开更多
关键词 甘蓝型油菜 高亚麻酸CMS 快速选育 选育效果
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地诺孕素治疗子宫内膜异位症的快速卫生技术评估
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作者 郭华 刘兰兰 +2 位作者 黄春芝 孙楠 任艳丽 《中国临床药理学与治疗学》 CAS CSCD 北大核心 2024年第5期512-519,共8页
目的:快速评价地诺孕素治疗子宫内膜异位症的有效性、安全性和经济性,旨在为临床药物选择和决策提供循证依据。方法:计算机检索PubMed、Embase、Cochrane Library、中国知网、SinoMed、万方数据、国内外卫生技术评估(HTA)机构官方网站... 目的:快速评价地诺孕素治疗子宫内膜异位症的有效性、安全性和经济性,旨在为临床药物选择和决策提供循证依据。方法:计算机检索PubMed、Embase、Cochrane Library、中国知网、SinoMed、万方数据、国内外卫生技术评估(HTA)机构官方网站及相关数据库,收集地诺孕素治疗子宫内膜异位症的HTA报告、系统评价/Meta分析和药物经济学研究,检索时限均为建库起至2023年9月。资料提取和质量评价后,对纳入研究的结果进行描述性分析。结果:共纳入9篇系统评价(Meta分析)、2篇药物经济学研究。Meta分析文献质量偏低,经济学研究质量较好。有效性方面,与无治疗相比,地诺孕素可以显著降低术后复发率、盆腔疼痛(VAS)评分,提高妊娠率及有效率;地诺孕素与促性腺激素释放激素激动剂(GnRHa)、复方口服避孕药(COC)在复发率方面疗效相当;在复发率、妊娠率方面,地诺孕素优于达那唑,孕三烯酮以及米非司酮。安全性方面,与安慰剂对比,地诺孕素阴道出血、头痛的发生率显著增高,骨质丢失情况无差异;地诺孕素阴道出血发生率显著高于GnRHa,但潮热、骨质丢失的发生率低于GnRHa。经济性方面,与GnRHa比较,地诺孕素更具有成本-效益优势;而与COC比较,地诺孕素不具有经济性。结论:地诺孕素治疗子宫内膜异位症具有良好的有效性和安全性;经济性优于GnRHa,但劣于COC。 展开更多
关键词 地诺孕素 子宫内膜异位症 有效性 安全性 经济性 快速卫生技术评估
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艾多沙班治疗癌症相关静脉血栓栓塞症的快速卫生技术评估
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作者 孟佳佳 王陈萍 +2 位作者 王丹丹 陈敏 窦志华 《中国药业》 CAS 2024年第17期122-126,共5页
目的评价艾多沙班治疗癌症相关静脉血栓栓塞症(CAVTE)的有效性、安全性及经济性。方法采用计算机检索PubMed、The Cochrane Library、CRD Web、中国知网(CNKI)、万方(WanFang)数据库及国内外卫生技术评估(HTA)机构的官方网站,检索时限... 目的评价艾多沙班治疗癌症相关静脉血栓栓塞症(CAVTE)的有效性、安全性及经济性。方法采用计算机检索PubMed、The Cochrane Library、CRD Web、中国知网(CNKI)、万方(WanFang)数据库及国内外卫生技术评估(HTA)机构的官方网站,检索时限为自建库起至2023年8月31日。由2名评价者根据纳入与排除标准独立筛选文献并提取数据,采用HTA checklist、AMSTAR2量表或CHEERS 2022量表对纳入文献进行质量评价,采用描述性分析法对提取的研究内容进行分析和总结。结果共检索到相关文献514篇,最终纳入9篇系统评价/Meta分析、4篇药物经济学研究。研究结果显示,在有效性方面,艾多沙班治疗CAVTE,减少静脉血栓栓塞症复发的疗效优于华法林(P<0.05),与低分子肝素(LMWH)、利伐沙班、阿哌沙班的疗效相当(P>0.05);减少肺栓塞复发的疗效与LMWH相当(P>0.05);减少深静脉血栓形成复发的疗效优于LMWH(P<0.05)。在安全性方面,艾多沙班发生大出血的风险高于LMWH(P<0.05),与华法林、阿哌沙班、利伐沙班相当(P>0.05);发生临床相关非大出血的风险低于华法林(P<0.05),与LMWH、阿哌沙班、利伐沙班相当(P>0.05);发生临床相关出血的风险高于LMWH(P<0.05),低于利伐沙班(P<0.05),与阿哌沙班相当(P>0.05)。在经济性方面,国外的研究结果显示,艾多沙班较LMWH治疗CAVTE具有成本-效用优势。结论艾多沙班治疗CAVTE的有效性和安全性均较好,国外的研究提示经济性良好,但缺乏国内的药物经济学研究。 展开更多
关键词 艾多沙班 癌症相关静脉血栓栓塞症 快速卫生技术评估 有效性 安全性 经济性
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The Influence of Aerodynamic Unsteady Effect on Maneuver Load of Aircraft Horizontal Tail
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作者 ZHANG Jian′gang 《International Journal of Plant Engineering and Management》 2019年第4期193-205,共13页
In this paper, the unsteady effect of airflow is introduced into the calculation of aircraft maneuver load, and the results are compared with those obtained by quasi-steady method. Taking the steep pitch maneuver of a... In this paper, the unsteady effect of airflow is introduced into the calculation of aircraft maneuver load, and the results are compared with those obtained by quasi-steady method. Taking the steep pitch maneuver of an aircraft as an example, two methods are used to calculate the aircraft response after the rudder input is given according to the specifications. The calculation results show that if the peak overload of the aircraft is the same, the horizontal tail load increases by about 1% when the unsteady effect of the airflow is taken into account. If the rudder input of the two methods is the same, the unsteady calculation method will increase more. At the same time, the calculation shows that the bigger the deflection speed of rudder surface is, the bigger the difference between them is. Therefore, in order to improve the design quality of aircraft, it is necessary to introduce the unsteady effect into the calculation of loads in the detailed design stage of aircraft. 展开更多
关键词 unsteady effect maneuver load rapid pitch linear systems load of horizontal tail
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地震灾情快速评估效果分析与改进措施
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作者 张玮晶 《中国应急救援》 2024年第1期38-43,48,共7页
在分析地震灾情快速评估技术发展现状的基础上,对中国地震应急搜救中心地震灾情快速评估系统工作进行梳理复盘,对快速评估结果的准确性、时效性进行对比分析,就进一步改进完善快速评估工作提出措施建议,以期在未来破坏性地震应急中更好... 在分析地震灾情快速评估技术发展现状的基础上,对中国地震应急搜救中心地震灾情快速评估系统工作进行梳理复盘,对快速评估结果的准确性、时效性进行对比分析,就进一步改进完善快速评估工作提出措施建议,以期在未来破坏性地震应急中更好地服务于抗震救灾工作,更好发挥信息支撑保障作用。 展开更多
关键词 地震灾情 快速评估 效果分析
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尿毒清颗粒治疗慢性肾脏病的快速卫生技术评估
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作者 陈世祺 段银银 +4 位作者 王洁 张晶晶 朱建国 顾冰 杭永付 《中国医院用药评价与分析》 2024年第9期1123-1126,共4页
目的:通过快速卫生技术评估(HTA)的方法,评价尿毒清颗粒治疗慢性肾脏病(CKD)的有效性、安全性和经济性,为临床提供循证依据。方法:检索PubMed、the Cochrane Library、中国生物医学文献数据库、中国知网、万方数据库和维普数据库等数据... 目的:通过快速卫生技术评估(HTA)的方法,评价尿毒清颗粒治疗慢性肾脏病(CKD)的有效性、安全性和经济性,为临床提供循证依据。方法:检索PubMed、the Cochrane Library、中国生物医学文献数据库、中国知网、万方数据库和维普数据库等数据库(检索时限至2024年2月1日),纳入有关尿毒清颗粒治疗慢性肾脏病的HTA报告、系统评价、Meta分析和药物经济学研究,评价纳入文献的质量,定性分析结果。结果:13篇Meta分析被纳入研究,未检索到HTA报告和药物经济学研究。结果显示,联合应用尿毒清颗粒治疗CKD,其临床有效率优于其他治疗方案(其中病例数最多的研究结果显示,RR=1.37,95%CI=1.24~1.51,P<0.001),可提高内生肌酐清除率、肾小球滤过率、血红蛋白水平,并在降低血清肌酐、血清尿素氮、尿白蛋白排泄率、24 h尿蛋白、血清总胆固醇、血清三酰甘油、胱抑素C等指标水平方面有优势,同时,安全性较好,不良反应发生率低。结论:联合应用尿毒清颗粒在CKD的治疗中具有较好的有效性和安全性,未来有必要进一步开展药物经济学研究,补充其治疗CKD的经济学评价证据。 展开更多
关键词 尿毒清颗粒 慢性肾脏病 有效性 安全性 经济性 快速卫生技术评估
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快速康复外科干预在喉癌手术患者中的应用效果
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作者 刘宁 卫伟 +1 位作者 李瑞 卜云云 《癌症进展》 2024年第14期1613-1616,共4页
目的探讨快速康复外科干预在喉癌手术患者中的应用效果。方法根据干预方式的不同将72例喉癌手术患者分为常规组(n=35)和快速康复外科干预组(n=37),常规组患者围手术期接受常规干预,快速康复外科干预组患者在常规组的基础上接受快速康复... 目的探讨快速康复外科干预在喉癌手术患者中的应用效果。方法根据干预方式的不同将72例喉癌手术患者分为常规组(n=35)和快速康复外科干预组(n=37),常规组患者围手术期接受常规干预,快速康复外科干预组患者在常规组的基础上接受快速康复外科干预。比较两组患者的术后恢复指标、营养指标、心理状态[抑郁自评量表(SDS)、焦虑自评量表(SAS)]及并发症发生情况。结果快速康复外科干预组患者胃管拔除时间、进食恢复时间及术后住院时间均短于常规组,并发症总发生率低于常规组,差异均有统计学意义(P﹤0.05)。干预第5天,两组患者血红蛋白、白蛋白水平均低于本组干预前,快速康复外科干预组患者血红蛋白、白蛋白水平均高于常规组,差异均有统计学意义(P﹤0.05)。干预后,两组患者SDS、SAS评分均低于本组干预前,快速康复外科干预组患者SDS、SAS评分均低于常规组,差异均有统计学意义(P﹤0.05)。结论快速康复外科干预可以缩短喉癌手术患者的住院时间,促进患者术后恢复,改善患者的营养状态和心理状态,并且降低并发症的发生率。 展开更多
关键词 喉癌 快速康复外科干预 手术 应用效果
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顾及有效角动量与IGS超快解数据的极移预报方法
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作者 魏娜 周雨欣 +3 位作者 许雪晴 楼益栋 戴小蕾 施闯 《地球物理学报》 SCIE EI CAS CSCD 北大核心 2024年第4期1356-1367,共12页
极移高精度预报对卫星实时定轨、深空探测器导航等应用至关重要.本文提出了一种联合有效角动量(Effective Angular Momentum,EAM)与国际全球卫星导航系统服务组织(International GNSS Service,IGS)提供的超快解数据进行极移预报的方法.... 极移高精度预报对卫星实时定轨、深空探测器导航等应用至关重要.本文提出了一种联合有效角动量(Effective Angular Momentum,EAM)与国际全球卫星导航系统服务组织(International GNSS Service,IGS)提供的超快解数据进行极移预报的方法.该方法基于IGS超快解数据得到的极移第1天预报值,对引入EAM得到的极移预报结果进行校正,获得联合预报值.首先,基于LS(Least Squares)+AR(Auto-Regressive)模型实现了引入EAM的极移预报,相对国际地球自转与参考系统服务组织(International Earth Rotation and Reference Systems Service,IERS)提供的公报A数据,在超短期(第1~10天)预报跨度可以得到更高精度的极移预报结果,其中大气和海洋角动量发挥了主要作用.其次,鉴于IGS超快解数据精度高、更新快的特点,以IGS超快解为基础数据,基于LS+AR模型可以得到极移第1天预报值,其精度显著优于IERS公报A的极移第1天预报值.最后,利用第1天预报值对顾及有效角动量的预报结果进行校正获得了联合预报值,进一步提高了超短期极移预报精度(尤其是第1~5天).2020年7月24日—2022年1月30日间的联合预报结果表明:第1~20天的预报值总体优于IERS公报A的预报值.其中,第1~10天的预报精度显著提升,在预报第1天,X、Y方向预报值相对公报A预报值的精度提升分别可达39.5%~62.3%和24.5%~51.9%;在预报第10天,相对公报A预报值的精度提升分别可达28.0%~28.9%和21.9%~23.4%. 展开更多
关键词 极移预报 有效角动量 IGS极移超快解 LS+AR模型
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区域多扇区耦合容量评估
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作者 彭瑛 孙钰 +1 位作者 王鹏 王婷婷 《航空计算技术》 2024年第5期43-47,52,共6页
明确空域单元内部交通流特性及其动态演变机制是评估区域多扇区耦合通行能力的基础,对于提升空中交通管理效率至关重要。基于改进的元胞传输模型(CTM),以实际飞行数据为基增量仿真推演分析了交通流流量、速度与密度间的宏观基本图(MFD)... 明确空域单元内部交通流特性及其动态演变机制是评估区域多扇区耦合通行能力的基础,对于提升空中交通管理效率至关重要。基于改进的元胞传输模型(CTM),以实际飞行数据为基增量仿真推演分析了交通流流量、速度与密度间的宏观基本图(MFD)。进一步表征区域多扇区之间的耦合作用,建立区域多扇区耦合快时仿真模型。通过分析区域多扇区需求平均延误关系对区域多扇区耦合容量进行评估,揭示区域运行瓶颈。以合肥区域管制扇区为例,评估了区域多扇区耦合容量,并依据各扇区的延误贡献识别了该区域多扇区运行瓶颈主要集中在ZSOFAR02扇区和ZSOFAR01扇区。研究成果可为提高区域多扇区航路航线网络通行能力提供科学的理论支撑。 展开更多
关键词 交通流特性 区域多扇区耦合容量评估 单扇区快时仿真模型 耦合作用 可接受延误水平
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Decomposition processing and precipitation hardening of rapidly solidified Al-Cr-Y-Zr alloy
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作者 李伟 李松瑞 +2 位作者 马正青 肖于德 黎文献 《中国有色金属学会会刊:英文版》 CSCD 2002年第1期16-20,共5页
Foil powders of Al 5.0 Cr 4.0 Y 1.5 Zr (%) were prepared by using a multi stage atomization rapid solidification powder making device. The obtained powders were exposed thermally at various temperatures. Variation of ... Foil powders of Al 5.0 Cr 4.0 Y 1.5 Zr (%) were prepared by using a multi stage atomization rapid solidification powder making device. The obtained powders were exposed thermally at various temperatures. Variation of microstructures and properties of the alloy powders was investigated by micro hardness measurement, X ray diffraction, differential thermal analysis, and transmission electron microscopy with energy disperse X ray analyses. The results show that cubic Al 20 Cr 2Y ( a = 1.437?nm) and metastable Ll 2 Al 3Zr (FCC, a = 0.405?1?nm) or equilibrium DO 23 Al 3Zr (tetragonal structure, a = 0.409?1?nm, b = 1.73?0?nm) are main second phases precipitated from supersaturated solid solution of the rapidly solidified foil powders during thermal exposure. The cubic dispersion precipitates prior to the two other Al 3Zr type intermetallic phases in the course of the decomposition. Precipitation of incoherent Al 20 Cr 2Y results in softening of foil powder, and coherent Ll 2 Al 3Zr has intensive precipitation strengthening effect. The Al 20 Cr 2Y phase is structurally stable, but it is prone to coarsen and polygonize above 450?℃. Both Al 3Zr type intermetallic phases have much smaller coarsening rate than Al 20 Cr 2Y at temperature higher than 450?℃. These two phases are able to keep their fine spherical morphologies up to 550?℃, but Al 3Zr transforms into DO 23 structure from Ll 2 structure during thermal exposure above 550?℃. 展开更多
关键词 快速凝固 耐热铝合金 分解 淀积硬化 铝铬钇锆合金
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快速时效管理模式在急诊科预检分诊中的应用 被引量:1
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作者 丁艳 华娜 王振盛 《河北医药》 CAS 2024年第3期474-476,480,共4页
目的探讨急诊科预检分诊中应用快速时效管理模式的效果。方法纳入2021年4月至2022年4月收治的急诊就诊患者170例为研究对象,随机分2组,每组85例。对照组给予常规预检分诊护理干预,观察组采用快速时效管理模式进行护理干预,比较2组的临... 目的探讨急诊科预检分诊中应用快速时效管理模式的效果。方法纳入2021年4月至2022年4月收治的急诊就诊患者170例为研究对象,随机分2组,每组85例。对照组给予常规预检分诊护理干预,观察组采用快速时效管理模式进行护理干预,比较2组的临床指标、分诊准确率、抢救成功率、候诊意外情况发生率和护理满意度。结果观察组的挂号时间、分诊评估时间、就诊至处置时间均短于对照组(P<0.05)。观察组的分诊准确率和抢救成功率分别为100.00%和97.65%,高于对照组的91.76%和89.41%(P<0.05)。观察组的候诊意外情况发生率为1.18%(1/85),低于对照组的9.41%(8/85)(P<0.05)。观察组的就诊次序、信息沟通、分诊环境、分诊服务态度等方面的护理满意度评分均高于对照组(P<0.05)。结论急诊科预检分诊中应用快速时效管理模式进行护理干预,可有效缩短挂号时间、分诊评估时间、就诊至处置时间,降低候诊意外情况发生率,提高分诊准确率、抢救成功率和护理满意度。 展开更多
关键词 快速时效管理模式 急诊科预检分诊 候诊意外情况 分诊准确率 抢救成功率
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维立西呱治疗心力衰竭有效性、安全性及经济性的快速卫生技术评估
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作者 柯义君 王威 +2 位作者 黄灿 金涌 齐腊梅 《中国药房》 CAS 北大核心 2024年第15期1818-1824,共7页
目的采用快速卫生技术评估方法,评价维立西呱治疗心力衰竭(HF)的有效性、安全性、经济性,为临床治疗方案的选择和决策提供参考依据。方法计算机检索中国知网、PubMed等中外数据库及相关卫生技术评估网站。相关研究人员独立筛选文献、提... 目的采用快速卫生技术评估方法,评价维立西呱治疗心力衰竭(HF)的有效性、安全性、经济性,为临床治疗方案的选择和决策提供参考依据。方法计算机检索中国知网、PubMed等中外数据库及相关卫生技术评估网站。相关研究人员独立筛选文献、提取资料,在文献质量评价的基础上,对纳入文献的结果进行综合分析。结果共纳入文献17篇,其中系统评价/Meta分析12篇,药物经济学研究5篇。有效性分析结果显示:对于HF患者,相比于安慰剂,维立西呱(10 mg/d)可显著改善欧洲五维生存质量量表(EQ-5D)指数和降低因HF住院发生率(P<0.05);对于射血分数降低的心力衰竭(HFrEF)患者,相比于钠-葡萄糖共转运蛋白2抑制剂(SGLT2i),维立西呱可显著降低因HF住院发生率(P<0.05),而相比于血管紧张素转化酶抑制剂,维立西呱可显著降低心血管死亡或因HF住院的复合终点事件的发生风险(P<0.05);对于HFrEF合并慢性肾脏病的患者,相比于神经激素抑制剂,维立西呱有降低心血管死亡或因HF住院的复合终点事件的发生风险的趋势。安全性分析结果显示:相比于安慰剂,维立西呱不会增加药物相关不良反应发生率(P>0.05)。经济学分析结果显示:国内研究表明维立西呱具有较高的增量成本-效果比。结论维立西呱治疗HF具有较好的安全性和有效性,但在中国人群中并不具有经济优势。 展开更多
关键词 维立西呱 心力衰竭 有效性 安全性 经济性 快速卫生技术评估
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