目的采用网状Meta分析系统评价A2DS2、ISAN、AIS-APS评分对缺血性脑卒中患者脑卒中相关性肺炎(SAP)的预测价值。方法计算机检索中国知网(CNKI)、维普数据库(VIP)、万方数据(WanFang Data)、美国国立医学图书馆PubMed数据库、Web of Scie...目的采用网状Meta分析系统评价A2DS2、ISAN、AIS-APS评分对缺血性脑卒中患者脑卒中相关性肺炎(SAP)的预测价值。方法计算机检索中国知网(CNKI)、维普数据库(VIP)、万方数据(WanFang Data)、美国国立医学图书馆PubMed数据库、Web of Science和荷兰医学文摘Embase数据库,检索时间均从建库至2021年10月,并对已检出文献进行追踪,收集关于比较A2DS2、ISAN、AIS-APS评分中两种或两种以上对缺血性脑卒中患者SAP预测价值的观察性研究,使用R4.1.2软件及Stata17.0软件对数据进行贝叶斯网状Meta分析。累积排名曲线下面积(SUCRA)被用于对所研究的评分系统进行排名。结果共纳入19篇文献,包括26208例研究对象。网状Meta分析结果显示A2DS2 SUCRA为17.3%、ISAN为33.2%、AIS-APS为99.5%,根据SUCRA值,AIS-APS评分对缺血性脑卒中患者SAP预测价值更优。结论AIS-APS评分在缺血性脑卒中患者脑卒中相关性肺炎预测准确性方面表现更佳,对早期识别脑卒中相关性肺炎高风险患者,并进行及时医疗干预,改善其预后具更高价值。展开更多
Foliation inflexion/intersection axes （FIAs） preserved within porphyroblasts that grew throughout Isan orogenesis reveal significant anticlockwise changes in the direction of bulk horizontal shortening between 1670 ...Foliation inflexion/intersection axes （FIAs） preserved within porphyroblasts that grew throughout Isan orogenesis reveal significant anticlockwise changes in the direction of bulk horizontal shortening between 1670 and 1500 Ma from NE-SW, N-S, E-W to NW-SE. This implies an anticlockwise shift in relative plate motion with time during the Isan orogeny. Dating monazite grains amongst the axial planar foliations defining three of the four FIAs enabled an age for the periods of relative plate motion that produced these structures to be determined. Averaging the ages from monazite grains defining each FIA set revealed 1649^-12 Ma for NE-SW shortening, 1645±7 Ma for N-S shortening, and 1591±10 Ma for that directed E-W. Inclusion trail asymmetries indicate shear senses of top to the SW for NW-SE FIAs and dominantly top to the N for E-W FIAs, reflecting thrusting towards the SW and N. No evidence for tectonism related to early NE-SW bulk horizontal shortening has previously been detected in the Mount Isa Inlier. Amalgamation of the Broken Hill and possibly the Gawler provinces with the Mount Isa province may have taken place during these periods of NE-SW and N-S-directed thrusting as the ages of tectonism are similar. Overlapping dates, tectonic, metamorphic, and metallogenic similarities between eastern Australia （Mount Isa and Broken Hill terranes） and the southwest part of Laurentia imply a most probable connection between both continental masses. Putting Australia in such position with respect to North America during the Late-Paleo-to-Mesoproterozoic time is consistent with the AUSWUS model of the Rodinia supercontinent.展开更多
文摘目的采用网状Meta分析系统评价A2DS2、ISAN、AIS-APS评分对缺血性脑卒中患者脑卒中相关性肺炎(SAP)的预测价值。方法计算机检索中国知网(CNKI)、维普数据库(VIP)、万方数据(WanFang Data)、美国国立医学图书馆PubMed数据库、Web of Science和荷兰医学文摘Embase数据库,检索时间均从建库至2021年10月,并对已检出文献进行追踪,收集关于比较A2DS2、ISAN、AIS-APS评分中两种或两种以上对缺血性脑卒中患者SAP预测价值的观察性研究,使用R4.1.2软件及Stata17.0软件对数据进行贝叶斯网状Meta分析。累积排名曲线下面积(SUCRA)被用于对所研究的评分系统进行排名。结果共纳入19篇文献,包括26208例研究对象。网状Meta分析结果显示A2DS2 SUCRA为17.3%、ISAN为33.2%、AIS-APS为99.5%,根据SUCRA值,AIS-APS评分对缺血性脑卒中患者SAP预测价值更优。结论AIS-APS评分在缺血性脑卒中患者脑卒中相关性肺炎预测准确性方面表现更佳,对早期识别脑卒中相关性肺炎高风险患者,并进行及时医疗干预,改善其预后具更高价值。
基金part of the author's PhD project funded by the Australian government and the ministry of higher education of Egypt
文摘Foliation inflexion/intersection axes （FIAs） preserved within porphyroblasts that grew throughout Isan orogenesis reveal significant anticlockwise changes in the direction of bulk horizontal shortening between 1670 and 1500 Ma from NE-SW, N-S, E-W to NW-SE. This implies an anticlockwise shift in relative plate motion with time during the Isan orogeny. Dating monazite grains amongst the axial planar foliations defining three of the four FIAs enabled an age for the periods of relative plate motion that produced these structures to be determined. Averaging the ages from monazite grains defining each FIA set revealed 1649^-12 Ma for NE-SW shortening, 1645±7 Ma for N-S shortening, and 1591±10 Ma for that directed E-W. Inclusion trail asymmetries indicate shear senses of top to the SW for NW-SE FIAs and dominantly top to the N for E-W FIAs, reflecting thrusting towards the SW and N. No evidence for tectonism related to early NE-SW bulk horizontal shortening has previously been detected in the Mount Isa Inlier. Amalgamation of the Broken Hill and possibly the Gawler provinces with the Mount Isa province may have taken place during these periods of NE-SW and N-S-directed thrusting as the ages of tectonism are similar. Overlapping dates, tectonic, metamorphic, and metallogenic similarities between eastern Australia （Mount Isa and Broken Hill terranes） and the southwest part of Laurentia imply a most probable connection between both continental masses. Putting Australia in such position with respect to North America during the Late-Paleo-to-Mesoproterozoic time is consistent with the AUSWUS model of the Rodinia supercontinent.
