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产教融合背景下基于MTS理论的金融知识学习及教学模式研究
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作者 闫举纲 牛心如 《财务管理研究》 2024年第9期150-157,共8页
在产教融合背景下,金融类课程的教学模式正向问题导向型转变。金融知识学习及教学通过产学协同,并匹配不同学生的学习特征和所要传授的知识特征,实现人才培养质量的提升。产教融合的模式中,混合型师资队伍建设是核心环节,通过案例研究,... 在产教融合背景下,金融类课程的教学模式正向问题导向型转变。金融知识学习及教学通过产学协同,并匹配不同学生的学习特征和所要传授的知识特征,实现人才培养质量的提升。产教融合的模式中,混合型师资队伍建设是核心环节,通过案例研究,基于多团队系统理论,探讨产教融合背景下如何构建由校内教师、行业专家和学生组成的多元化教学团队,并分析其运行机制和效果;同时,基于学习模型的教学支持与模式创新,结合学生学习特征,对主要教学方法进行体系化梳理,并优化教学方法,形成教学方案。 展开更多
关键词 多团队系统(mtS) 金融知识 学习模型 教学模式
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基于VTI介质海洋CSEM和MT数据联合反演的黄海海相残留盆地深部结构研究
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作者 罗鸣 裴建新 +1 位作者 段双敏 吴志强 《地球物理学报》 SCIE EI CAS CSCD 北大核心 2024年第5期1853-1865,共13页
黄海海相残留盆地因其地层结构和深部地质构造的复杂性,一直是我国海洋地球科学的一项研究重点,虽然针对该研究区已开展了一系列的地球物理调查,但由于高速碳酸盐岩层对地震波存在着一定的屏蔽作用,致使该海域深部地震资料品质受到较大... 黄海海相残留盆地因其地层结构和深部地质构造的复杂性,一直是我国海洋地球科学的一项研究重点,虽然针对该研究区已开展了一系列的地球物理调查,但由于高速碳酸盐岩层对地震波存在着一定的屏蔽作用,致使该海域深部地震资料品质受到较大影响.海洋电磁法不受高速屏蔽层影响,有利于获得高速屏蔽层内部及其下方的深部结构信息.海洋可控源电磁法(Controlled source electromagnetic method,CSEM)和海洋大地电磁测深(Magnetotelleric,MT)能够提供海底电性结构的互补信息,较于单一的电磁方法,二者联合可获得更为准确的海底电性分布.本文提出了基于乘积目标函数的层状垂直各向异性(Vertical anisotropic,VTI)介质海洋可控源电磁和大地电磁资料联合反演方法,该方法在迭代过程中根据数据的拟合情况自适应调整CSEM和MT数据的权重和正则化因子的权重,反演参数包括海底介质的横向电阻率、垂向电阻率和地层厚度.以南黄海地质地球物理资料为例,建立浅水环境地电模型,并结合浅水环境的高噪声背景特点进行合成数据模型测试及分析.将本文所提出算法应用于理论模型合成数据和南黄海实测资料反演,结果表明,较于单独的海洋CSEM和MT反演,联合反演方法能够较准确地重构海底地层的电性分布,提高对海底地层各向异性电阻率的分辨能力. 展开更多
关键词 电阻率各向异性 联合反演 CSEM mt 南黄海
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Safety and efficacy comparison of remimazolam and propofol for intravenous anesthesia during gastroenteroscopic surgery of older patients:A meta-analysis 被引量:1
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作者 Fang-Zhuo Li Cheng Zhao +1 位作者 Yi-Xun Tang Ji-Tong Liu 《World Journal of Clinical Cases》 SCIE 2024年第7期1272-1283,共12页
BACKGROUND Remimazolam is characterized by rapid action and inactive metabolites.It is used as the general anesthetic for many clinical surgeries.In this study,we performed a meta-analysis to evaluate whether remimazo... BACKGROUND Remimazolam is characterized by rapid action and inactive metabolites.It is used as the general anesthetic for many clinical surgeries.In this study,we performed a meta-analysis to evaluate whether remimazolam is superior to propofol for gastroenteroscopy in older patients.AIM To compare the adverse events and efficacy of remimazolam and propofol during gastroenteroscopy in older adults.METHODS The PubMed,Web of Science,the Cochrane Library databases were queried for the relevant key words"remimazolam,""and propofol,""and gastrointestinal endoscopy or gastroscopy."The search scope was"Title and Abstract,"and the search was limited to human studies and publications in English.Seven studies wherein remimazolam and propofol were compared were included for the metaanalysis.RESULTS We selected seven randomized controlled trials involving 1445 cases for the analysis.Remimazolam reduced the hypotension(relative risk,RR=0.44,95%CI:0.29-0.66,P=0.000),respiratory depression(RR=0.46,95%CI:0.30-0.70,P=0.000),injection pain(RR=0.12,95%CI:0.05-0.25,P=0.000),bradycardia(RR=0.37,95%CI:0.24-0.58,P=0.000),and time to discharge[weighted mean difference(WMD)=-0.58,95%CI:-0.97 to-0.18,P=0.005],compared to those after propofol administration.No obvious differences were observed for postoperative nausea and vomiting(RR=1.09,95%CI:0.97-1.24,P=0.151),dizziness(RR=0.77,95%CI:0.43-1.36,P=0.361),successful sedation rate(RR=0.96,95%CI:0.93-1.00,P=0.083),or the time to become fully alert(WMD=0.00,95%CI:-1.08-1.08,P=0.998).CONCLUSION Remimazolam appears to be safer than propofol for gastroenteroscopy in older adults.However,further studies are required to confirm these findings. 展开更多
关键词 Remimazolam PROPOFOL Gastroenteroscopy anesthesia Older adults SEDATION Adverse events
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基于调车工况的MT-2缓冲器容量需求仿真分析
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作者 孙林平 杨忠良 +2 位作者 马卫华 罗世辉 王波 《振动与冲击》 EI CSCD 北大核心 2024年第13期210-216,共7页
为了分析MT-2缓冲器在调车连挂作业时的容量需求问题,基于摩擦式缓冲器非线性力学特性及车辆调车冲击受力特点,建立了铁道货车纵向冲击动力学模型,对调车过程中不同车辆质量、不同速度、不同编组方式及不同车体刚度等工况下MT-2缓冲器... 为了分析MT-2缓冲器在调车连挂作业时的容量需求问题,基于摩擦式缓冲器非线性力学特性及车辆调车冲击受力特点,建立了铁道货车纵向冲击动力学模型,对调车过程中不同车辆质量、不同速度、不同编组方式及不同车体刚度等工况下MT-2缓冲器容量需求进行了分析。研究结果表明:缓冲器做功与车辆质量和连挂速度的平方成正比,冲击车和被冲击车数量都大于2辆时冲击面缓冲器的容量需求将与车辆数量无关。对同时考虑质量、速度、编组方式、车体刚度的缓冲器容量需求值进行了函数拟合,完成了比例系数κ、μ和λ的求解;不同车辆数量之间冲击时,不同车钩号的缓冲器做功值大小不一,在冲击面车钩号的缓冲器做功值均为最大,沿着冲击面前、后的车钩号逐渐递减,调车冲击时计算容量需求值时应不考虑车体刚度,以重车冲击重车模式时冲击面的缓冲器容量需求为准。 展开更多
关键词 调车冲击 mt-2缓冲器 车钩力 容量需求 做功值
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In vivo imaging reveals a synchronized correlation among neurotransmitter dynamics during propofol and sevoflurane anesthesia 被引量:1
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作者 Gao-Lin Qiu Li-Jun Peng +6 位作者 Peng Wang Zhi-Lai Yang Ji-Qian Zhang Hu Liu Xiao-Na Zhu Jin Rao Xue-Sheng Liu 《Zoological Research》 SCIE CSCD 2024年第3期679-690,共12页
General anesthesia is widely applied in clinical practice.However,the precise mechanism of loss of consciousness induced by general anesthetics remains unknown.Here,we measured the dynamics of five neurotransmitters,i... General anesthesia is widely applied in clinical practice.However,the precise mechanism of loss of consciousness induced by general anesthetics remains unknown.Here,we measured the dynamics of five neurotransmitters,includingγ-aminobutyric acid,glutamate,norepinephrine,acetylcholine,and dopamine,in the medial prefrontal cortex and primary visual cortex of C57BL/6 mice through in vivo fiber photometry and genetically encoded neurotransmitter sensors under anesthesia to reveal the mechanism of general anesthesia from a neurotransmitter perspective.Results revealed that the concentrations of γ-aminobutyric acid,glutamate,norepinephrine,and acetylcholine increased in the cortex during propofol-induced loss of consciousness.Dopamine levels did not change following the hypnotic dose of propofol but increased significantly following surgical doses of propofol anesthesia.Notably,the concentrations of the five neurotransmitters generally decreased during sevoflurane-induced loss of consciousness.Furthermore,the neurotransmitter dynamic networks were not synchronized in the non-anesthesia groups but were highly synchronized in the anesthetic groups.These findings suggest that neurotransmitter dynamic network synchronization may cause anesthetic-induced loss of consciousness. 展开更多
关键词 General anesthesia Loss of consciousness In vivo neurotransmitter imaging Medial prefrontal cortex Primary visual cortex
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基于MT-CNN的矿井带式输送机输煤量检测技术 被引量:2
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作者 张克亮 《中国矿业》 北大核心 2024年第6期137-142,共6页
为实现矿井带式输送机输煤量检测的信息化、智能化,提出基于MT-CNN的矿井带式输送机输煤量检测技术。为了全面提升输煤量检测技术,从而提高矿井效益,选取了多任务卷积神经网络(MT-CNN)对检测目标进行多核心识别检测,优化了图像直线信息... 为实现矿井带式输送机输煤量检测的信息化、智能化,提出基于MT-CNN的矿井带式输送机输煤量检测技术。为了全面提升输煤量检测技术,从而提高矿井效益,选取了多任务卷积神经网络(MT-CNN)对检测目标进行多核心识别检测,优化了图像直线信息和边缘信息的提取效率,构建了良好的网络层次结构,优化了信息连接通道,从而全面提高图像识别分析和数据检测处理的效果。通过MT-CNN技术对输煤量的轮廓形态和荷载状态进行分析运算,经过图像样本数据训练获取矿井带式输送机输煤量的相关数据。研究结果表明,该技术能够有效提高输煤量图像识别的真实性,而检测时间缩短49%,计算结果准确率提高到98%,有效提高了输煤量检测的效率和准确度,具有较好的应用性能和良好的使用效果。加强矿井带式输送机的输煤量检测,可以为后续研究提供依据,很大程度上推动了相关技术发展,实现矿井信息化、智能化、现代化发展。 展开更多
关键词 mt-CNN 卷积神经网络 带式输送机 激光测距 输煤量检测
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基于MT7620A的智慧监控网关设计
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作者 黄赟 朱金荣 +2 位作者 武忠鑫 金廷宇 李佳颖 《物联网技术》 2024年第5期52-56,共5页
针对网络摄像机不具备远程监控能力的问题,基于MT7620A设计了一种支持远程监控的智慧网关。网关使用MT7620A作为主控芯片,搭载OpenWrt系统。通过创建ONVIF客户端与同一局域网中支持ONVIF协议的监控设备进行通信,实现设备发现、信息获取... 针对网络摄像机不具备远程监控能力的问题,基于MT7620A设计了一种支持远程监控的智慧网关。网关使用MT7620A作为主控芯片,搭载OpenWrt系统。通过创建ONVIF客户端与同一局域网中支持ONVIF协议的监控设备进行通信,实现设备发现、信息获取、云台控制和视频流读取等功能;网关与云平台通过MQTT协议实现信令交互,云平台可以向网关发送设备管理、云台控制和视频流读取等命令;网关通过数据处理模块对命令进行解析和协议转换,实现对设备的管理,以及对监控设备云台的控制和视频流读取。网关在使用FFMPEG接口获取视频流之后,通过Socket TCP与云平台建立连接并发送视频流,保证视频流远程传输的稳定可靠。网关配有4G通信模块,避免了接入互联网受到有线网络通信的限制,双重通信方式更加有效地保障了网络传输。测试结果表明,所设计的网关能够支持云平台实现对设备的远程监控和控制。 展开更多
关键词 智慧监控网关 mt7620A OpenWrt ONVIF FFMPEG MQTT Socket TCP 4G模块
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Effectiveness and safety of rocuronium or nitroglycerin plus ropivacaine on pain during intravenous regional anesthesia:A double-blind randomized controlled trial
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作者 Shiva Alikhani Hesameddin Modir +2 位作者 Esmail Moshiri Alireza Kamali Seyed Yosef Shahtaheri 《Journal of Acute Disease》 2024年第4期142-149,共8页
Objective:To compare the effects of adding rocuronium and nitroglycerin to ropivacaine in intravenous regional anesthesia(IVRA)on pain and hemodynamic parameters.Methods:This randomized controlled trial was done in 20... Objective:To compare the effects of adding rocuronium and nitroglycerin to ropivacaine in intravenous regional anesthesia(IVRA)on pain and hemodynamic parameters.Methods:This randomized controlled trial was done in 2023.Participants were 177 candidates for forearm operation surgery under IVRA selected from Valiasr Hospital,Arak,Iran.They were allocated by block randomization to three different groups,namely nitroglycerin group,rocuronium group and control group.Hemodynamic parameters were recorded before tourniquet application up to postoperative recovery time.Sensory block and motor block onset and duration and pain were also evaluated.The data analysis was carried out by IMB SPSS software 20.0.Results:177 Eligible patients were included in study,with 59 in each group.Time to sensory and motor block onset in the nitroglycerin group was significantly less than the other groups and the time of motor block in the rocuronium group was statistically higher than the control and the nitroglycerin groups(P<0.001).Seven participants in the nitroglycerin group experienced headache and three from the rocuronium group experienced dizziness.The side effects occurrence in the nitroglycerin group was more prevalent than in the control and rocuronium groups(P=0.009).Conclusions:Nitroglycerin significantly reduces the time to sensory and motor block onset,while rocuronium is more effective in prolonging the time of motor block.Although there is no difference between nitroglycerin and rocuronium respecting the pain score and opioid need administration,nitroglycerin is associated with a higher prevalence of medication side effects.Therefore,both nitroglycerin and rocuronium can be used as adjuvant for IVRA.The final choice relies on patients’conditions and anesthesiologists’judgment. 展开更多
关键词 ROCURONIUM NITROGLYCERIN ROPIVACAINE PAIN HEMODYNAMIC Regional anesthesia Intravenous anesthesia
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The neuroscience of pain,addiction,and anesthesia
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作者 Ji Hu Ping Zheng 《Zoological Research》 SCIE CSCD 2024年第3期709-710,共2页
Researchers and clinicians have long been interested in the mechanisms of pain,anesthesia,and addiction.The International Association for the Study of Pain(IASP)defines pain as an unpleasant sensory and emotional expe... Researchers and clinicians have long been interested in the mechanisms of pain,anesthesia,and addiction.The International Association for the Study of Pain(IASP)defines pain as an unpleasant sensory and emotional experience associated with,or resembling that associated with,actual or potential tissue damage(Raja et al.,2020).Drug addiction refers to a condition of reliance that develops from regular drug consumption,which may lead to withdrawal symptoms when use is halted.Anesthesia involves the complete loss of consciousness induced by an inhaled or intravenous anesthetic(Tosello et al.,2022).In this special collection,Zoological Research presents research findings focused on pain,addiction,and anesthesia. 展开更多
关键词 anesthesia DAMAGE
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Anesthesia,Anesthetics,and Postoperative Cognitive Dysfunction in Elderly Patients
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作者 Hong-yu ZHU Jian-li YAN +3 位作者 Min ZHANG Tian-yun XU Chen CHEN Zhi-lin WU 《Current Medical Science》 SCIE CAS 2024年第2期291-297,共7页
Postoperative cognitive dysfunction(POCD)remains a major issue that worsens the prognosis of elderly surgery patients.This article reviews the current research on the effect of different anesthesia methods and commonl... Postoperative cognitive dysfunction(POCD)remains a major issue that worsens the prognosis of elderly surgery patients.This article reviews the current research on the effect of different anesthesia methods and commonly utilized anesthetics on the incidence of POCD in elderly patients,aiming to provide an understanding of the underlying mechanisms contributing to this condition and facilitate the development of more reasonable anesthesia protocols,ultimately reducing the incidence of POCD in elderly surgery patients. 展开更多
关键词 anesthesia ANESTHETICS postoperative cognitive dysfunction elderly patients
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Impact of dexmedetomidine-assisted anesthesia in elderly patients undergoing radical resection of colon cancer
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作者 Xiao-Peng Tian Hui-Min Bu +1 位作者 Hong-Yan Ma Min Zhao 《World Journal of Gastrointestinal Surgery》 SCIE 2024年第9期2925-2933,共9页
BACKGROUND Radical resection of colon cancer under general anesthesia is one of the main treatment methods for this malignancy.However,due to the physiological charac-teristics of elderly patients,the safety of periop... BACKGROUND Radical resection of colon cancer under general anesthesia is one of the main treatment methods for this malignancy.However,due to the physiological charac-teristics of elderly patients,the safety of perioperative anesthesia needs special attention.As anα2-adrenergic receptor agonist,dexmedetomidine(Dex)has attracted much attention from anesthesiologists due to its stabilizing effect on heart rate and blood pressure,inhibitory effect on inflammation,and sedative and analgesic effects.Its application in general anesthesia may have a positive impact on the quality of anesthesia and postoperative recovery in elderly patients undergoing radical resection of colon cancer.METHODS A total of 165 colon cancer patients who underwent radical surgery for colon cancer under general anesthesia at Qingdao University Affiliated Haici Hospital,Qingdao,China were recruited and divided into two groups:A and B.In group A,Dex was administered 30 min before surgery,while group B received an equivalent amount of normal saline.The hemodynamic changes,pulmonary compliance,airway pressure,inflammatory factors,confusion assessment method scores,Ramsay Sedation-Agitation Scale scores,and cellular immune function indicators were compared between the two groups.RESULTS Group A showed less intraoperative hemodynamic fluctuations,better pulmonary compliance,and lower airway resistance compared with group B.Twelve hours after the surgery,the serum levels of TLR-2,TLR-4,IL-6,and TNF-αin group A were significantly lower than those of group B(P<0.05).After extubation,the Ramsay Sedation-Agitation Scale score of group A patients was significantly higher than that of group B patients,indicating a higher level of sedation.The incidence of delirium was significantly lower in group A than in group B(P<0.05).CONCLUSION The use of Dex as an adjunct to general anesthesia for radical surgery in elderly patients with colon cancer results in better effectiveness of anesthesia. 展开更多
关键词 DEXMEDETOMIDINE General anesthesia ELDERLY Colon cancer radical surgery anesthesia effectiveness DELIRIUM Cellular immunity
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Comparison of Propofol and Fentanyl for Preventing Emergence Agitation Following Sevoflurane Anesthesia in Pediatric Patients: A Single-Center Study in Bangladesh
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作者 Md. Saiful Islam Khan Md. Abir Tazim Chowdhury +8 位作者 Farzana Fardousi Munama Magdum Md. Ahaduzzaman Taneem Mohammad Shamima Akter Suriya Akter Md. Saiful Islam Azad Md. Mozaffer Hossain M. Abdur Rahman 《Pharmacology & Pharmacy》 2024年第6期223-235,共13页
Background: Emergence agitation (EA) is a common phenomenon observed in pediatric patients following general anesthesia. This study aimed to assess the efficacy of propofol and fentanyl in preventing EA and to compare... Background: Emergence agitation (EA) is a common phenomenon observed in pediatric patients following general anesthesia. This study aimed to assess the efficacy of propofol and fentanyl in preventing EA and to compare their associated complications or side effects. Methods: This prospective randomized observational comparative study was conducted at Dhaka Medical College Hospital from July 2013 to June 2014. The study aimed to evaluate the effects of propofol and fentanyl on EA in children aged 18 to 72 months undergoing circumcision, herniotomy, and polypectomy operations. Ninety children were included in the study, with 45 in each group. Patients with psychological or neurological disorders were excluded. Various parameters including age, sex, weight, American Society of Anesthesiologists (ASA) class, duration of anesthesia, Saturation of Peripheral Oxygen (SPO2), heart rate (HR), respiratory rate (RR), Pediatric Anesthesia Emergence Delirium (PAED) score, duration of post-anesthesia care unit (PACU) stay, incidence of laryngospasm, nausea, vomiting, and rescue drug requirement were compared between the two groups. Results: Age, sex, weight, ASA class, and duration of anesthesia were comparable between the two groups. Perioperative SpO2 and HR were similar in both groups. However, the PAED score was significantly higher in the fentanyl group during all follow-ups except at 30 minutes postoperatively. The mean duration of PACU stay was significantly longer in the fentanyl group. Although the incidence of laryngospasm was higher in the fentanyl group, it was not statistically significant. Conversely, nausea or vomiting was significantly higher in the fentanyl group. The requirement for rescue drugs was significantly higher in the fentanyl group compared to the propofol group. Conclusion: Both propofol and fentanyl were effective in preventing emergence agitation in pediatric patients undergoing various surgical procedures under sevoflurane anesthesia. However, propofol demonstrated a better safety profile with fewer incidences of nausea, vomiting, and rescue drug requirements compared to fentanyl. 展开更多
关键词 Emergence Agitation (EA) General anesthesia PROPOFOL FENTANYL Pediatric Patients Pediatric anesthesia Emergence Delirium (PAED) Score BANGLADESH
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CSAMT、MT等电磁法在矿山地质勘探中技术参数研究
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作者 郭国强 《世界有色金属》 2024年第1期1-3,共3页
目前,在矿山地质勘探中广泛采用CSAMT、MT等电磁法,但该类电磁法均存在电磁干扰影响因素,都存在其所对应地质条件的最佳工作技术参数,为了降低野外数据采集工作过程中电磁干扰并达到最佳工作目标任务要求,本文通过作者十几年来积累的关... 目前,在矿山地质勘探中广泛采用CSAMT、MT等电磁法,但该类电磁法均存在电磁干扰影响因素,都存在其所对应地质条件的最佳工作技术参数,为了降低野外数据采集工作过程中电磁干扰并达到最佳工作目标任务要求,本文通过作者十几年来积累的关于CSAMT、MT在各种不同矿山地质条件下的工作经验及试验结论,总结得出该类电磁法在一定地质条件下的最佳工作技术参数,将为今后在不同矿山、不同地质条件下开展该相关方法提供参考示范。 展开更多
关键词 矿山 技术参数 试验 CSAmt mt
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Pharmacokinetic Characterization of Xylazine in Goats with Simultaneous Anesthesia Studies
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作者 Gao Tiantian Liu Yongti +4 位作者 Zhou Lulu Li Yanan Ruan Hongri Wei Chengwei Gao Xiang 《Journal of Northeast Agricultural University(English Edition)》 CAS 2024年第2期86-96,共11页
The aim was to study the pharmacokinetics of xylazine as a stable anesthetic in goats.In this study,goats were injected with xylazine at the rate of 0.3 mL·kg-1 intramusculally,and blood samples were collected at... The aim was to study the pharmacokinetics of xylazine as a stable anesthetic in goats.In this study,goats were injected with xylazine at the rate of 0.3 mL·kg-1 intramusculally,and blood samples were collected at 1,3,5,10,20,30,45,60,90,120,180,and 240 min after administration,respectively.Xylazine was extracted by liquid-liquid extraction and separation method,and blood concentration was determined by high performance liquid chromatography(HPLC).The pharmacokinetic characteristics of xylazine in healthy goats were analyzed by pharmacokinetic software.The results showed that the chromatographic peak time of xylazine chromatography was 9-11 min.The specificity of the method was good.The linear correlation coefficient R2 of the standard curve was 0.9982 when the concentration of xylazine was in the range of 10-1×1000 ng.The pharmacokinetic model of xylazine in goats was a one-chamber model with first-order rate absorption,distribution half-life t1/2Ka was(0.49±0.041)min,elimination half-life t1/2Ke was(23.3±2.5)min,and the peak time(Tp)of the highest concentration was(2.8±0.2)min.The total drug clearance CL/F was(0.00016±0.000016)mg·kg-1·min-1(ng·mL-1),and the minimum effective blood concentration was 56.6 ng·mL-1,which was consistent with the clinical anesthetic effect.The results showed that xylazine had the characteristics of rapid absorption,wide distribution,short peak time,slow clearance rate,and long anesthetic time in goats,which could be used as the basic drug for the development of goat complex anesthetic preparation. 展开更多
关键词 XYLAZINE anesthesia GOAT PHARMACOKINETICS
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Dosage Formula in Anesthesia for Manual Intrauterine Aspiration Post-Abortion in Resource-Limited Settings
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作者 Serge Ibula Rivain Iteke +6 位作者 Berthe Barhayiga Doddie Tsansya Roger Cishugi Jean Jacques Kalongo Sandra Sagboze Jean Paul Cikwanine Dieudonné Sengeyi 《Pharmacology & Pharmacy》 2024年第4期71-80,共10页
Setting: Provincial General Reference Hospital of Bukavu, General Reference Hospital of Panzi, General Reference Hospital of Ciriri, General Reference Hospital of Nyatende and Biopharm Hospital Center. Objective: Cont... Setting: Provincial General Reference Hospital of Bukavu, General Reference Hospital of Panzi, General Reference Hospital of Ciriri, General Reference Hospital of Nyatende and Biopharm Hospital Center. Objective: Contribute to the improvement of the anesthetic ECP of patients benefiting from MVA for incomplete abortion, Describe the methodology used for adoption of the dosage formula in Anesthesia for MVA, present the mathematical demonstration leading to the dosage formula in anesthesia for MVA. Materials and Methods: Our study was descriptive by mathematical demonstration of obtaining the equilibrium constant of the dosage formula of bipuvacaine 0.1% and Fentanyl 50 µg% adapted to the weight and specific size of patients treated anesthetically in MVA cases for incomplete abortion. We also carried out an operational research by first determining the interval where our equilibrium constant is included and secondly by means of the ends of the intervals found correlated to the ends of intervals of possible weights and sizes in the being normal human female of childbearing age to arrive at the real numerical value of the equilibrium constant of the BUKAVU Dosage Formula in the case of anesthesia for MVA during the management of incomplete abortions. Results: TWO-STAGE OPERATIONAL RESEARCH: • Determination of the interval where the equilibrium constant x = −0.95 x x by crossing the means between the extremes of volumes of anesthetic drugs giving a satisfactory sensory block without hemodynamic disturbance and the extremes of normal weight and height for women of childbearing age. We ended up with X = 0.37. Conclusion: At the end of our study which had the general objectives of contributing to the improvement of the anesthetic PEC of patients receiving MVA for incomplete abortion and specific objectives of describing the methodology used for adoption of the dosage formula in Anesthesia for MVA and present the mathematical demonstration which resulted in the dosage formula in nesthesia for MVA, it appears that the dosage formula of Bukavu, in case of intrathecal spinal analgesia of MVA for incomplete abortion provides precision on the specificity of the doses of bipuvacaine hypobarre 0.1% and Fentanyl 50 µg% reported to each patient according to her weight and height. Its application could therefore reduce morbidity and mortality and improve patient-practitioner comfort in the event of MVA for incomplete abortion following the dosage precision it provides. 展开更多
关键词 DOSAGE anesthesia Intrauterine Aspiration DR Congo
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Pain perception enhancement in consecutive secondeye phacoemulsification cataract surgeries under topical anesthesia
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作者 Jia-Wei Luo Yan-Hua Chen +3 位作者 Jian-Feng Yu Yi-Xun Chen Min Ji Huai-Jin Guan 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2024年第8期1510-1518,共9页
Cataract is the main cause of visual impairment and blindness worldwide while the only effective cure for cataract is still surgery.Consecutive phacoemulsification under topical anesthesia has been the routine procedu... Cataract is the main cause of visual impairment and blindness worldwide while the only effective cure for cataract is still surgery.Consecutive phacoemulsification under topical anesthesia has been the routine procedure for cataract surgery.However,patients often grumbled that they felt more painful during the second-eye surgery compared to the first-eye surgery.The intraoperative pain experience has negative influence on satisfaction and willingness for second-eye cataract surgery of patients with bilateral cataracts.Intraoperative ocular pain is a complicated process induced by the nociceptors activation in the peripheral nervous system.Immunological,neuropsychological,and pharmacological factors work together in the enhancement of intraoperative pain.Accumulating published literatures have focused on the pain enhancement during the secondeye phacoemulsification surgeries.In this review,we searched PubMed database for articles associated with pain perception differences between consecutive cataract surgeries published up to Feb.1,2024.We summarized the recent research progress in mechanisms and interventions for pain perception enhancement in consecutive secondeye phacoemulsification cataract surgeries.This review aimed to provide novel insights into strategies for improving patients’intraoperative experience in second-eye cataract surgeries. 展开更多
关键词 ocular pain cataract surgery topical anesthesia intraoperative experience second-eye phacoemulsification
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抗肿瘤肽Mt5对人肝癌细胞增殖和凋亡的影响及机制
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作者 曾晔 石艳萍 +2 位作者 吴胜花 张迎春 王涛 《贵州医科大学学报》 CAS 2024年第8期1141-1147,共7页
目的探讨抗肿瘤肽Mt5通过磷脂酰肌醇-3激酶(PI3K)/蛋白激酶B(AKT)信号通路对人肝癌细胞增殖与凋亡的影响。方法采用pymol构建Mt5的三维可视化结构示意图,Prot Param分析Mt5的正电荷和疏水性,NPS分析Mt5的α-螺旋所占比例;运用实时无标... 目的探讨抗肿瘤肽Mt5通过磷脂酰肌醇-3激酶(PI3K)/蛋白激酶B(AKT)信号通路对人肝癌细胞增殖与凋亡的影响。方法采用pymol构建Mt5的三维可视化结构示意图,Prot Param分析Mt5的正电荷和疏水性,NPS分析Mt5的α-螺旋所占比例;运用实时无标记细胞分析(RTCA)技术检测不同浓度Mt5(50 mg/L、100mg/L、200 mg/L、400 mg/L)作用后的HepG2细胞活力;通过实时荧光定量PCR法(qRT-PCR)法检测不同浓度Mt5(25 mg/L、50 mg/L、100 mg/L)作用后HepG2细胞中PI3K、AKT信使RNA(mRNA)表达;以Western blot法检测不同浓度Mt5(25 mg/L、50 mg/L、100 mg/L)作用后凋亡相关蛋白B细胞淋巴瘤-2蛋白(Bcl-2)、Bcl-2相关X蛋白(bax)和PI3K、AKT蛋白表达。结果生物学信息结果表明,Mt5的正电荷为+8,疏水性为0.588,α-螺旋度为84.62%;RTCA结果显示Mt5不同浓度处理组作用后,HepG2细胞指数随着Mt5浓度的增大和时间的延长逐渐降低至0以下;qPCR结果显示,Mt5组HepG2细胞中PI3K和AKT mRNA较阴性对照组表达降低(P<0.05),bax蛋白表达较阴性对照组升高(P<0.05),且呈浓度依赖性;Western blot结果显示,Mt5组HepG2细胞中Bcl-2、PI3K及AKT蛋白表达较阴性对照组降低(P<0.05),且呈浓度依赖性。结论Mt5可抑制人肝癌细胞增殖及诱导细胞凋亡,其机制可能与抑制PI3K/AKT信号通路有关。 展开更多
关键词 细胞增殖 细胞凋亡 抗肿瘤肽mt5 PI3K/AKT信号通路 HEPG2细胞 抗肿瘤活性
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Obstetric Anesthesia Practice Significantly Evolved: A Field for Cesarean Delivery Parturient for the Provision of Safe Anesthesia in Urgent Circumstances
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作者 Mustafa Zakaria Amal Haoudar +6 位作者 Said Makani Mariame Kabbour Oumaima Taoussi Karim Elaidaoui Yousra Rajaa Chafik El Kettani Adil Elghanmi 《Open Journal of Anesthesiology》 2024年第3期66-92,共27页
General anesthesia and Obstetric Anesthesia is the gold standard for a cesarean section but there are some cases where general anesthesia is unavoidable. The use of general anesthesia for cesarean delivery has decreas... General anesthesia and Obstetric Anesthesia is the gold standard for a cesarean section but there are some cases where general anesthesia is unavoidable. The use of general anesthesia for cesarean delivery has decreased in recent years due to the widespread use of neuraxial techniques. The choice of anesthesia techniques for cesarean delivery depends on several factors, including the patient’s psychology and the attending physician’s experience. It is chosen because of its safety profile and its benefits to the mother and fetus. It may be indicated due to emergency, maternal refusal of regional techniques, or regional contraindications. Major complications include failed intubation, gastric content aspiration, and increased bleeding risk. This study aims to evaluate the impact of a newly launched team on obstetric anesthesia practice. 展开更多
关键词 General anesthesia Cesarean Delivery INTUBATION Maternal Refusal Obstetric Anesthetists
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Regional Block Anesthesia in Breast Surgery: What Do We Know So Far?
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作者 Hao Wang Sharat Chopra Prit Anand Singh 《Open Journal of Anesthesiology》 2024年第9期185-195,共11页
Breast cancer is the most prevalent cancer in women worldwide, and pain following mastectomy is a major post-surgical complication. This paper highlights the risk factors for chronic pain in breast surgery and evaluat... Breast cancer is the most prevalent cancer in women worldwide, and pain following mastectomy is a major post-surgical complication. This paper highlights the risk factors for chronic pain in breast surgery and evaluates various regional block techniques used to reduce post-operative pain, and minimize hospital stays in high-risk patients. Further research is needed to evaluate the effectiveness of novel regional anaesthesia techniques in an enhanced recovery context, and to assess their role in preventing or reducing chronic pain. 展开更多
关键词 Chronic Pain Breast Surgery MASTECTOMY Regional anesthesia Nerve Blocks ULTRASOUND-GUIDED
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Current evidence on artificial intelligence in regional anesthesia
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作者 Bhanu Pratap Swain Deb Sanjay Nag +3 位作者 Rishi Anand Himanshu Kumar Pradip Kumar Ganguly Niharika Singh 《World Journal of Clinical Cases》 SCIE 2024年第33期6613-6619,共7页
The recent advancement in regional anesthesia(RA)has been largely attributed to ultrasound technology.However,the safety and efficiency of ultrasound-guided nerve blocks depend upon the skill and experience of the per... The recent advancement in regional anesthesia(RA)has been largely attributed to ultrasound technology.However,the safety and efficiency of ultrasound-guided nerve blocks depend upon the skill and experience of the performer.Even with adequate training,experience,and knowledge,human-related limitations such as fatigue,failure to recognize the correct anatomical structure,and unintentional needle or probe movement can hinder the overall effectiveness of RA.The amalgamation of artificial intelligence(AI)to RA practice has promised to override these human limitations.Machine learning,an integral part of AI can improve its performance through continuous learning and experience,like the human brain.It enables computers to recognize images and patterns specifically useful in anatomic structure identification during the performance of RA.AI can provide real-time guidance to clinicians by highlighting important anatomical structures on ultrasound images,and it can also assist in needle tracking and accurate deposition of local anesthetics.The future of RA with AI integration appears promising,yet obstacles such as device malfunction,data privacy,regulatory barriers,and cost concerns can deter its clinical implementation.The current mini review deliberates the current application,future direction,and barrier to the application of AI in RA practice. 展开更多
关键词 Artificial intelligence Regional anesthesia Machine learning ULTRASONOGRAPHY Nerve block
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