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曲卡直接穿刺法建立后腹膜腔气腹行腹腔镜泌尿外科手术的体会 被引量:5
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作者 王剑松 左毅刚 +3 位作者 陈戬 杨德林 方克伟 刘靖宇 《昆明医学院学报》 2003年第3期89-91,共3页
目的 :评价用曲卡直接穿刺法建立腹膜后腔气腹 ,行腹腔镜肾上腺肿瘤切除术及肾脏手术的临床价值 .方法 :对 2 0 0 2年 3月以来开展的 6 4例后腹腔镜泌尿系手术进行分析 .本组患者全部采用曲卡直接穿刺法建立后腹膜腔气腹 ,用后腹腔镜技... 目的 :评价用曲卡直接穿刺法建立腹膜后腔气腹 ,行腹腔镜肾上腺肿瘤切除术及肾脏手术的临床价值 .方法 :对 2 0 0 2年 3月以来开展的 6 4例后腹腔镜泌尿系手术进行分析 .本组患者全部采用曲卡直接穿刺法建立后腹膜腔气腹 ,用后腹腔镜技术完成所有病例 ,其中肾囊肿去顶减压术 4 5例、肾上腺肿瘤切除术 18例、肾切除术 1例 .结果 :除 1例肾囊肿去顶减压术因后腹膜腔制备失败改行开放手术外 ,其余 6 3例手术均获成功 ,手术时间 :肾囊肿 30~ 12 0min ,肾上腺 70~ 14 0min ,1例肾切除 2 10min ;失血量 2 0~ 10 0mL ,平均 5 0mL ,术中及术后均未输血 ,全部患者均无并发症 .结论 :曲卡直接穿刺法建立后腹膜腔行腹腔镜肾脏及肾上腺手术具有创伤小、进路直接、易于掌握、几乎无皮下气肿发生、出血少、对腹腔干扰小、术后恢复快等优点 。 展开更多
关键词 肾上腺肿瘤 曲卡直接穿刺法 腹膜腔气腹 腹腔镜 泌尿系疾病 临床应用 手术方法
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曲卡直接穿刺法在制备后腹腔气腹中的应用(附46例报告)
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作者 涂仁泉 张龙 +2 位作者 肖跃林 胡平生 张晓春 《中国医药》 2008年第1期53-54,共2页
目的探讨曲卡直接穿刺法在制备后腹腔气腹中的临床可行性。方法对2002年6月以来开展的46例后腹腔镜手术制备后腹腔气腹所需要的时间、有无穿刺误伤腹膜、是否转开放手术、有无术后并发皮下气肿进行分析。19例为传统小切口进入组,采用... 目的探讨曲卡直接穿刺法在制备后腹腔气腹中的临床可行性。方法对2002年6月以来开展的46例后腹腔镜手术制备后腹腔气腹所需要的时间、有无穿刺误伤腹膜、是否转开放手术、有无术后并发皮下气肿进行分析。19例为传统小切口进入组,采用传统小切口进入法建立后腹腔气腹,27例为曲卡直接穿刺组,采用曲卡直接穿刺法建立后腹腔气腹。结果传统小切口进入组所需要的时间为25-35min(平均为30min),6例有不同程度皮下气肿,有1例误伤腹膜,无转开放手术;曲卡直接穿刺组需要时间为10-20min(平均为15min),有1例皮下气肿,有2例误伤腹膜,无转开放手术。结论曲卡直接穿刺法建立后腹腔气腹具有安全系系数高、创伤小、进路直接、皮下气肿发生少的特点,可作为建立后腹腔气腹的主要方法。 展开更多
关键词 泌尿外科手术 曲卡直接穿刺法 后腹腔
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联用“曲卡混悬液”与复方甘草酸酐片治疗斑秃的效果观察
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作者 孙学东 尚书耀 姜胜男 《当代医药论丛》 2016年第21期58-59,共2页
目的:观察联用"曲卡混悬液"与复方甘草酸酐片治疗斑秃的临床效果。方法:将近年来我院收治的67例斑秃患者分为对照组与治疗组。为对照组30例患者采用我院自配的米诺地尔液与复方甘草酸酐片进行治疗,为治疗组患者联用复方甘草... 目的:观察联用"曲卡混悬液"与复方甘草酸酐片治疗斑秃的临床效果。方法:将近年来我院收治的67例斑秃患者分为对照组与治疗组。为对照组30例患者采用我院自配的米诺地尔液与复方甘草酸酐片进行治疗,为治疗组患者联用复方甘草酸酐片与我院自配的"曲卡混悬液"进行治疗,然后对比分析两组患者的临床疗效。结果:与对照组患者相比,治疗组患者病情的痊愈率、显效率均较高,差异有统计学意义(P<O.05)。治疗组患者在进行治疗后均发生注射部位轻微疼痛的症状,但均未发生严重的不良反应。结论:联用曲卡混悬液与复方甘草酸酐片治疗斑秃的疗效确切,安全性较高,此法值得在临床上推广应用。 展开更多
关键词 斑秃 曲卡混悬液 复方甘草酸酐片
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双通道曲卡在肾盂、输尿管疾病后腹腔镜术中的应用 被引量:4
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作者 代光成 杨金辉 +4 位作者 孙晓飞 许立军 崔勇 单玉喜 薛波新 《中华腔镜泌尿外科杂志(电子版)》 2016年第2期34-37,共4页
目的总结利用双通道曲卡放置双J管在肾盂、输尿管疾病后腹腔镜术中应用的体会。方法回顾性分析苏州大学附属第二医院泌尿外科2007年05月至2014年06月住院的因肾盂输尿管疾病行上尿路后腹腔镜手术的666例患者的临床资料,其中行肾盂切开... 目的总结利用双通道曲卡放置双J管在肾盂、输尿管疾病后腹腔镜术中应用的体会。方法回顾性分析苏州大学附属第二医院泌尿外科2007年05月至2014年06月住院的因肾盂输尿管疾病行上尿路后腹腔镜手术的666例患者的临床资料,其中行肾盂切开取石术50例、输尿管切开取石术520例、肾盂-输尿管成形术92例和腔静脉后输尿管矫形术4例,术中均应用双通道曲卡放置双J管。结果 666例手术均获成功,手术时间45~260 min,平均(112±29)min。术中通过双通道曲卡放置双J管,操作时间在1~8 min,平均(2±1)min,所有患者术中、术后均未输血。术后恢复顺利,术后住院4~9 d,平均(6±1)d。术后行超声或X线检查提示双J管均位置良好,4~8周后拔除患侧输尿管内双J管。结论肾盂、输尿管疾病后腹腔镜手术中通过双通道曲卡放置双J管安全、简便、快捷,效果确切,值得在临床上推广应用。 展开更多
关键词 腹腔镜 肾盂结石 输尿管结石 肾盂-输尿管连接部梗阻 曲卡
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曲卡直接穿刺镜身扩张法建立后腹膜腔121例 被引量:2
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作者 李国栋 周文定 +3 位作者 张二峰 李万峰 黄枫 陈光哲 《中国实用医刊》 2014年第3期99-100,共2页
目的探讨后腹膜腔用曲卡直接穿刺镜身扩张(IUPU)法的建立及其简单性、可靠性及实用性。方法自2005年10月至2012年10月采用IUPU法建立后腹膜腔121例。结果121例全部顺利完成后腹膜腔建立,无损伤腹膜及周围脏器。结论IUPU法为套管直接... 目的探讨后腹膜腔用曲卡直接穿刺镜身扩张(IUPU)法的建立及其简单性、可靠性及实用性。方法自2005年10月至2012年10月采用IUPU法建立后腹膜腔121例。结果121例全部顺利完成后腹膜腔建立,无损伤腹膜及周围脏器。结论IUPU法为套管直接穿刺、镜身自身扩张、腹腔镜直视下建立后腹膜腔,无需特殊器械,简单、可靠、实用,是建立后腹膜腔一种理想的方法。 展开更多
关键词 曲卡直接穿刺镜身扩张法 直接穿刺 后腹膜腔
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分析手术室优质化护理在成人单孔三曲卡腹腔镜阑尾切除术中的效果
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作者 毕研玲 《中文科技期刊数据库(全文版)医药卫生》 2020年第11期167-168,共2页
探讨手术室优质化护理在成人单孔三曲卡腹腔镜阑尾切除术中的效果。方法:以50例行单孔三曲卡腹腔镜阑尾切除术治疗的患者为研究对象,并以患者2019年11月—2020年11月就诊单双日分成A组与B组各25例。予以A组手术室常规护理,B组手术室优... 探讨手术室优质化护理在成人单孔三曲卡腹腔镜阑尾切除术中的效果。方法:以50例行单孔三曲卡腹腔镜阑尾切除术治疗的患者为研究对象,并以患者2019年11月—2020年11月就诊单双日分成A组与B组各25例。予以A组手术室常规护理,B组手术室优质护理,对比两组护理效果。结果:在护理满意度对比上A组为80.00%,B组为100.00%;在术后并发症发生率对比上A组为24.00%,B组为4.00%;在相关手术指标对比上A组手术、住院、抗生素使用、首次下床、排气时间分别为(41.32±3.34)min、(4.24±1.20)d、(3.41±0.54)d、(0.98±0.19)d、(2.34±0.39)d,B组分别为(34.21±3.87)min、(3.08±1.14)d、(2.19±0.37)d、(0.53±0.08)d、(1.97±0.28)d;组间对比存在统计学意义(P〈0.05)。结论:在成人单孔三曲卡腹腔镜阑尾切除术中对患者展开手术室优质化护理,不仅能提升手术安全性,同时还可减少术后并发症发生率及康复时长,有助于患者护理满意度及预后质量的提升。 展开更多
关键词 手术室 优质化护理 成人单孔三曲卡腹腔镜阑尾切除术 效果
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自制腹腔镜穿刺模拟器在外科基本操作教学中的应用研究 被引量:4
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作者 陈元贵 施敏凤 周铁 《继续医学教育》 2021年第6期27-28,共2页
目的探讨自制腹腔镜穿刺模拟器在外科基本操作教学中应用的可行性。方法2017年12月选择刚完成外科基本操作教程的6个学员,完成以下教学内容:1)手术操作步骤的讲解结合视频观看;2)进一步在自制模拟器上完成操作。随后完成动物实验手术操... 目的探讨自制腹腔镜穿刺模拟器在外科基本操作教学中应用的可行性。方法2017年12月选择刚完成外科基本操作教程的6个学员,完成以下教学内容:1)手术操作步骤的讲解结合视频观看;2)进一步在自制模拟器上完成操作。随后完成动物实验手术操作,记录完成操作的时间和并发症。教学结束后对本次教学后效果进行评价。结果通过模拟器训练,由最初的平均操作时间(24.7±2.9)min,减少为(13.8±1.5)min,P<0.05,差异有统计学意义。后者和动物实验手术中平均手术时间(15.0±1.2)min相近,P>0.05,差异无统计学意义。另外在动物实验操作过程中没有发生内脏或血管损伤并发症。问卷调查显示学生对模拟训练器辅助教学方法、提高腹腔镜学习兴趣以及操作能力的满意度均为100%。结论自制的腹腔镜穿刺模拟器可激发学生腹腔镜学习的积极性,提高腹腔镜曲卡置入的操作技能,在外科学基本操作教学中具有积极的作用。 展开更多
关键词 腹腔镜 模拟器 外科基本操作教学 动物实验 曲卡 并发症
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Characteristics and Transdermal Drug Delivery of Triamcinolone-Acetonide-Acetate-Loaded Solid Lipid Nanoparticles Carbomer Gel 被引量:3
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作者 刘卫 朱姚亮 +1 位作者 陈华兵 杨祥良 《Journal of Chinese Pharmaceutical Sciences》 CAS 2005年第1期18-24,共7页
Aim To prepare triamcinolone-acetonide-acetate (TAA)-loaded solid lipidnanoparticles (SLN) carbomer gel with tripalmitin glyceride (TPG), and investigate theircharacteristics and transdermal drug delivery. Methods SLN... Aim To prepare triamcinolone-acetonide-acetate (TAA)-loaded solid lipidnanoparticles (SLN) carbomer gel with tripalmitin glyceride (TPG), and investigate theircharacteristics and transdermal drug delivery. Methods SLN suspension was prepared by high-pressurehomogenization technique, and then mixed with carbomer gel matrix to get SLN gel. The morphology,particle size with polydispersi-ty index (PI) and zeta potential were examined by atomic forcemicroscopy (AFM) and photon correlation spectroscopy (PCS). The entrapment efficiency, stability andin vitro drug release were also studied. The transdermal drug delivery through porcine ear skin wasevaluated using modified Franz diffusion cells. Results The SLN had a spherical shape with theaverage size of (95.5 - 186.2) nm, the zeta potential of (-26.3- -15.7) mV and the entrapmentefficiency of 67.4%-90.3% for different TAA encapsulated compounds. TAA-SLN carbomer gel had goodstability, the release profile in vitro fitted Higuchi equation. In comparison with conventionalhydrogels, TAA-SLN carbomer gel resulted in higher drug permeation amount and drug deposition withinporcine ear skin after 24 h penetration experiment. Conclusion TAA-SLN carbomer gel is preparedwith stable physicochemical properties. The release profile and improved drug permeation into skinmake it be a promising vehicle for transdermal drug delivery. 展开更多
关键词 solid lipid nanoparticles carbomer gel triarnconolone-acetonide-acetate characterization transdermal drug delivery
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A blind, randomized comparison of racecadotril and loperamide for stopping acute diarrhea in adults 被引量:13
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作者 Hwang-Huei Wang Ming-Jium Shieh Kuan-Fu Liao 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第10期1540-1543,共4页
AIM: Racecadotril is a specific enkephalinase inhibitor that exhibits intestinal antisecretory activity without affecting intestinal transit. Loperamide is an effective anti-diarrheal agent, but it usually induces con... AIM: Racecadotril is a specific enkephalinase inhibitor that exhibits intestinal antisecretory activity without affecting intestinal transit. Loperamide is an effective anti-diarrheal agent, but it usually induces constipation. This study is to compare the efficacy, safety, and tolerability of racecadotril versus loperamide in the outpatient treatment of acute diarrhea in adults. METHODS: A two-center, randomized, parallel-group, single-blind study was carried out to compare the efficacy, tolerability, and safety of racecadotril (100 mg thrics daily) and loperamide (2.0 mg 2 twics daily) in 62 adult patients suffering from acute diarrhea. The main efficacy criterion used was the duration of diarrhea after beginning the treatment (in hours). Other signs and symptoms were also evaluated. RESULTS: The clinical success rates for these anti-diarrheal treatments were 95.7% and 92.0% for racecadotril and loperamide respectively. Patients on racecadotril had a median duration of diarrhea of 19.5 h compared with a median of 13 h for patients on loperamide. Rapid improvement in anal burn and nausea was found for each drug. However, more patients on loperamide suffered from reactive constipation (29.0% vs 12.9%). Itching, another adverse event was notably higher in the racecadotril group (28.6% vs 0%). With regard to other adverse events, the two medications showed similar occurrence rates and similar concomitant medication usage rates. CONCLUSION: Racecadotril and loperamide are rapid, equally effective treatments for acute diarrhea in adults, but loperamide treatment is associated with a higher incidence of treatment-related constipation. 展开更多
关键词 RACECADOTRIL LOPERAMIDE Acute diarrhea
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Coronary heart disease incidence and competing risks: an important issue 被引量:3
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作者 Paolo Emilio Puddu Peter Louis Amaduzzi Beatrice Ricci 《Journal of Geriatric Cardiology》 SCIE CAS CSCD 2017年第7期425-429,共5页
The estimation of lifetime morbid events is not a rare presentation of relatively old and of more recent epidemi- ological investigations, accompanied by evaluating rates, risks and predictors (more in general determ... The estimation of lifetime morbid events is not a rare presentation of relatively old and of more recent epidemi- ological investigations, accompanied by evaluating rates, risks and predictors (more in general determinants or risk factors). However, when the follow-up period is very long and Kaplan-Meier survival curves are adopted, or Kaplan- Meier-based more complex models such as Cox's analysis are used, clinical (or epidemiological) reality may well be distorted since by these survival methods risks tend to be overestimated, whereas survival tends to be reduced. 展开更多
关键词 Coronary heart disease Competing risks The elderly
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Ecological risk assessment of heavy metals in surface seawater and sediment near the outlet of a zinc factory in Huludao City, Liaoning Province, China 被引量:3
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作者 冯永亮 陈燕珍 +4 位作者 王静 宫玉峰 刘希刚 牟刚 田华 《Chinese Journal of Oceanology and Limnology》 SCIE CAS CSCD 2016年第6期1320-1331,共12页
At present, the methods widely applied to assess ecological risk of heavy metals are essentially single-point estimates in which exposure and toxicity data cannot be fully used and probabilities of adverse biological ... At present, the methods widely applied to assess ecological risk of heavy metals are essentially single-point estimates in which exposure and toxicity data cannot be fully used and probabilities of adverse biological effects cannot be achieved. In this study, based on investigation of concentrations of six heavy metals(As, Hg, Pb, Cd, Cu, and Zn) in the surface seawater and sediment near the outlet of a zinc factory, located in Huludao City, Liaoning Province, China, a tiered approach consisting of several probabilistic options was used to refi ne ecological risk assessment for the individuals. A mixture of various heavy metals was detected in the surface seawater, and potential ecological risk index(PERI) was adopted to assess the potential ecological risk of heavy metals in the surface sediment. The results from all levels of aquatic ecological risk assessment in the tiered framework, ranging from comparison of single effects and exposure values to the use of distribution-based Hazard Quotient obtained through Monte Carlo simulation, are consistent with each other. Briefl y, aquatic Zn and Cu posed a clear ecological risk, while Cd, Pb, Hg, and As in the water column posed potential risk. As expected, combined ecological risk of heavy metal mixture in the surface seawater was proved signifi cantly higher than the risk caused by any individual heavy metal, calculated using the concept of total equivalent concentration. According to PERI, the severity of pollution by the six heavy metals in the surface sediment decreased in the following sequence: Cd>Hg>As>Pb>Cu>Zn, and the total heavy metals in the sediment posed a very high risk to the marine environment. This study provides a useful mathematical framework for ecological risk assessment of heavy metals. 展开更多
关键词 heavy metal ecological risk assessment zinc factory joint probability curve Monte Carlo potential ecological risk index
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The First Eigenvalue of a Compact Manifold
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作者 ZHAODi YANGJian-an 《Chinese Quarterly Journal of Mathematics》 CSCD 北大核心 2005年第2期200-205,共6页
This paper discusses the first eigenvalue on a compact Riemann manifold with the negative lower bound Ricci curvature. Let M be a compact Riemann manifold with the Ricci curvature≥-R, R=const. ≥0 and d is the diamet... This paper discusses the first eigenvalue on a compact Riemann manifold with the negative lower bound Ricci curvature. Let M be a compact Riemann manifold with the Ricci curvature≥-R, R=const. ≥0 and d is the diameter of M. Our main result is that the first eigenvalue λ1 of M satisfies λ1≥π^2/d^2-0.518R. 展开更多
关键词 Ricci curvature first eigenvalue
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Target reliability index for serviceability limit state of single piles 被引量:3
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作者 边晓亚 郑俊杰 +1 位作者 徐志军 章荣军 《Journal of Central South University》 SCIE EI CAS CSCD 2015年第1期310-316,共7页
The objective is to develop an approach for the determination of the target reliability index for serviceability limit state(SLS) of single piles. This contributes to conducting the SLS reliability-based design(RBD) o... The objective is to develop an approach for the determination of the target reliability index for serviceability limit state(SLS) of single piles. This contributes to conducting the SLS reliability-based design(RBD) of piles. Based on a two-parameter,hyperbolic curve-fitting equation describing the load-settlement relation of piles, the SLS model factor is defined. Then, taking into account the uncertainties of load-settlement model, load and bearing capacity of piles, the formula for computing the SLS reliability index(βsls) is obtained using the mean value first order second moment(MVFOSM) method. Meanwhile, the limit state function for conducting the SLS reliability analysis by the Monte Carlo simulation(MCS) method is established. These two methods are finally applied to determine the SLS target reliability index. Herein, the limiting tolerable settlement(slt) is treated as a random variable. For illustration, four load test databases from South Africa are compiled again to conduct reliability analysis and present the recommended target reliability indices. The results indicate that the MVFOSM method overestimates βsls compared to that computed by the MCS method. Besides, both factor of safety(FS) and slt are key factors influencing βsls, so the combination of FS and βsls is welcome to be used for the SLS reliability analysis of piles when slt is determined. For smaller slt, pile types and soils conditions have significant influence on the SLS target reliability indices; for larger slt, slt is the major factor having influence on the SLS target reliability indices. This proves that slt is the most key parameter for the determination of the SLS target reliability index. 展开更多
关键词 single pile serviceability limit state target reliability index mean value first order second moment method Monte Carlo simulation
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Evaluation of ceftriaxone dosing regimens based on PK/PD models and Monte Carlo simulations 被引量:1
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作者 Ye Yuan Yanan Li +2 位作者 Qing Zhao Bo Yu Xiuling Yang 《Journal of Chinese Pharmaceutical Sciences》 CAS CSCD 2022年第5期382-388,共7页
In the present study,we optimized the ceftriaxone dosing regimens based on pharmacokinetic/pharmacodynamic(PK/PD)principles using Monte Carlo simulation(MCS).Based on PK/PD theory,MCS was performed using Crystal Ball ... In the present study,we optimized the ceftriaxone dosing regimens based on pharmacokinetic/pharmacodynamic(PK/PD)principles using Monte Carlo simulation(MCS).Based on PK/PD theory,MCS was performed using Crystal Ball software combining PK and PD parameters with 10000 simulation runs to calculate the probability of target attainment(PTA)and cumulative fraction of response(CFR)for the seven clinically common dosing regimens of ceftriaxone(1 g qd,1.5 g qd,1 g bid,2 g qd,1 g tid,1.5 g bid,and 2 g bid).A%fT≥50 as the target value expected to achieve satisfactory clinical efficacy and a dosing regimen with an obtained CFR≥90%or the ability to achieve the highest PTA was used as a reasonable choice for empirical antimicrobial therapy,i.e.the clinically optimal regimen.All eight pathogenic bacteria had a CFR>90%when the dosing regimen was 2 g bid and 1 g tid,seven pathogenic bacteria had a CFR>90%when the dosing regimen was 1 g bid and 1.5 g bid,except for Pseudomonas aeruginosa,and all pathogenic bacteria had a CFR<90%when the dosing regimen was 1 g qd and 1.5 g qd.The dosing regimens of 2 g bid and 1 g tid were effective against all eight pathogenic bacteria infections,and 1 g bid and 1.5 g bid dosing regimens were effective against the other seven pathogenic bacteria except for Pseudomonas aeruginosa. 展开更多
关键词 CEFTRIAXONE PK/PD Monte Carlo simulation Antibacterial drugs Clinical efficacy
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ON A CONJECTURE OF K. OGIUE FOR KAEHLER HYPERSURFACES
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作者 SHANG WEIMING 《Chinese Annals of Mathematics,Series B》 SCIE CSCD 1994年第1期69-74,共6页
An affirmative answer to a conjecture of K. Ogiue formulated in [2] is given, namely, thefollowing result is proved:Let Ma (n ≥ 2) be a complete Kaehler hypersurface immersed in a complex projective spaceCPn+1. Ifeve... An affirmative answer to a conjecture of K. Ogiue formulated in [2] is given, namely, thefollowing result is proved:Let Ma (n ≥ 2) be a complete Kaehler hypersurface immersed in a complex projective spaceCPn+1. Ifevery sectional curvature of Mn is positive, then Mn is totally geodesic in CPn+1. 展开更多
关键词 Kaehler hypersurfaces Conjecture of K. Ogiue Sectional curvature.
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Reversal of Magnetisation in Ising Ferromagnet by the Field Having Gradient
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作者 Abyaya Dhar Muktish Acharyya 《Communications in Theoretical Physics》 SCIE CAS CSCD 2016年第11期563-570,共8页
We have studied the reversal of magnetisation in Ising ferromagnet by the field having gradient along a particular direction. We employed the Monte Carlo simulation with Metropolis single spin nip algorithm. The avera... We have studied the reversal of magnetisation in Ising ferromagnet by the field having gradient along a particular direction. We employed the Monte Carlo simulation with Metropolis single spin nip algorithm. The average lifetime of the metastable state was observed to increase with the magnitude of the gradient of applied field. In the high gradient regime, the system was observed to show two distinct region of up and down spins. The interface or the domain wall was observed to move as one increases the gradient. The displacement of the mean position of the interface was observed to increase with the gradient as hyperbolic tangent function. The roughness of the interface was observed to decay exponentially as the gradient increases. The number of spin flip per site was observed to show a discontinuity in the vicinity of the domain wall. The amount of the discontinuity was found to diverge with the system size as a power law fashion with an exponent 5/3. 展开更多
关键词 Ising ferromagnet metastable lifetime Monte Carlo simulation metropolis algorithm
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