目的探讨超声监测脐动脉和大脑中动脉搏动指数(PI)、阻力指数(RI)、收缩期与舒张期流速比(S/D)和主动脉峡部收缩指数(ISI)、峡部血流指数(IFI)与胎儿生长受限(FGR)的关系及对不良围产结局的预测价值。方法选择120例孕晚期孕妇,年龄21~41...目的探讨超声监测脐动脉和大脑中动脉搏动指数(PI)、阻力指数(RI)、收缩期与舒张期流速比(S/D)和主动脉峡部收缩指数(ISI)、峡部血流指数(IFI)与胎儿生长受限(FGR)的关系及对不良围产结局的预测价值。方法选择120例孕晚期孕妇,年龄21~41岁,平均年龄27.20岁(标准差5.19岁);孕周32~41周,平均孕周35.33周(标准差1.69周);产次1~3次,平均产次1.41次(标准差0.29次);高血压54例,糖尿病62例。将超声确诊为FGR的孕妇作为研究组(n=58),宫内胎儿正常发育孕妇作为对照组(n=62)。应用彩色多普勒超声监测子宫动脉、脐动脉及主动脉峡部血流参数。统计两组孕妇的妊娠结局。根据不同妊娠结局再次将研究组分为正常结局组和异常结局组,比较两组大脑中动脉、脐动脉及主动脉血流参数,并分析以上血流参数与新生儿体质量及新生儿Apgar评分的相关性。运用受试者工作特性(ROC)曲线分析血流参数对不良围产结局的预测价值。结果研究组脐动脉参数PI、RI及S/D值均较对照组明显偏高(1.23±0.15 vs 0.71±0.11、0.89±0.14 vs 0.52±0.08、3.67±0.33 vs 2.73±0.26。P<0.05)。大脑中动脉参数PI、RI及S/D值和主动脉峡部血流参数IFI、ISI值均明显低于对照组(1.11±0.13 vs 1.72±0.18、0.53±0.12 vs 0.87±0.14、2.43±0.26 vs 4.67±0.15、0.23±1.03 vs 1.26±0.05,-0.39±0.03 vs-0.39±0.03。P<0.05);研究组主动脉峡部舒张血流消失或反向发生率为34.48%,高于对照组(4.84%)(P<0.05)。研究组根据不同妊娠结局分为正常结局组31例和异常结局组27例,异常结局组新生儿体质量及Apgar评分均较正常结局组明显偏低[(3.18±0.35)分vs(3.97±0.34)分、(7.21±0.34)分vs(8.67±0.65)分。P<0.05]。异常结局组新生儿大脑中动脉PI、RI、S/D及IFI和ISI等血流参数均较正常结局组明显偏低(1.02±0.1 vs 1.33±0.17、0.53±0.07 vs 0.64±0.15、2.42±0.23 vs 2.52±0.14、0.08±0.01 vs 1.12±0.04、1.12±0.14 vs-0.32±0.01。P<0.05);异常结局组新生儿脐动脉PI、RI及S/D等血流参数显著高于正常结局组(1.46±0.17 vs 1.18±0.12、0.86±0.11 vs 0.72±0.03、3.91±0.45 vs 3.43±0.26。P<0.05)。新生儿大脑中动脉PI、RI及S/D值及主动脉IFI、ISI均与新生儿体质量和新生儿Apgar评分呈正相关,脐动脉PI、RI、S/D值与新生儿体质量和Apgar评分呈负相关(P<0.05)。ROC曲线分析显示,子宫中动脉、脐动脉及主动脉峡部血流参数联合诊断的曲线下面积最高,为0.968(95%CI 0.917~1.000)。结论子宫动脉、脐动脉及主动脉峡部血流参数异常均与FGR的发生密切相关,可辅助临床诊断FGR,联合检测3项血流参数诊断FGR的效能最高。超声监测脐动脉和大脑中动脉PI、RI、S/D和主动脉ISI、IFI可有效提高临床预测FGR预后的准确度。展开更多
Salim Barakat is a Kurdish author, yet his works are highly regarded for their mastery of Arabic. To achieve his impossible goal of presenting a true picture of the dire condition of the Syrian Kurdish communities, sp...Salim Barakat is a Kurdish author, yet his works are highly regarded for their mastery of Arabic. To achieve his impossible goal of presenting a true picture of the dire condition of the Syrian Kurdish communities, specifically the Yazidis’ genocide in his novel The Captives of Sinjar, he resorts to Latin American magical realism and a convoluted writing style. Characters are not what they seem and every natural thing is a sentient being. The narrative traces the ghostly lives and deaths of five captive Yazidi girls and their five ISIS fighter-masters. The protagonist, Sarat, a fictional image of Barakat, is a painter, who lives and works by a secluded lakeside in Sweden. His work is influenced by the horrific imaginations of famous European artists. This paper accents the novel’s deep structure of collective memories of individuals and communities as addressed by the modern philosophers: Theodor Adorno, Maurice Blanchot, and Maurice Halbwachs.展开更多
结合国内图书馆普遍开展的论文引证检索服务的实际需求,在大量工作实践的基础上,设计并实现了一款基于ISI Web of Knowledge平台检索结果引证检索统计报告的软件,能够根据不同的统计指标,对检索结果进行快速统计。实践证明,该软件提高...结合国内图书馆普遍开展的论文引证检索服务的实际需求,在大量工作实践的基础上,设计并实现了一款基于ISI Web of Knowledge平台检索结果引证检索统计报告的软件,能够根据不同的统计指标,对检索结果进行快速统计。实践证明,该软件提高了工作效率的同时,保证了正确率。展开更多
The general situation of Web of Science,a new product of Institute for Scientific Information,USA,is introduced,including its coverage,characteristics and new collections.Its functions are also assessed.
基于ISI Web of Knowledge平台,对8所纺织背景高校在2001—2011年间的科技论文进行了多角度的统计和分析,探讨了8所纺织背景高校近年来的学科发展现状和趋势,客观评价其学科研究特点和学术影响力,为纺织背景高校增强自身自然科学基础研...基于ISI Web of Knowledge平台,对8所纺织背景高校在2001—2011年间的科技论文进行了多角度的统计和分析,探讨了8所纺织背景高校近年来的学科发展现状和趋势,客观评价其学科研究特点和学术影响力,为纺织背景高校增强自身自然科学基础研究提供参考和帮助,并为其进一步发展提供可参考的定量依据.展开更多
通过对DOAJ(Directory of Open Access Journals)及Open Science Directory两个开放存取期刊集成平台进行统计,对开放存取期刊的现状进行概述,同时介绍开放存取期刊被ISI数据库收录的情况,并从国家、学科分布两个方面对其进行了分析评述...通过对DOAJ(Directory of Open Access Journals)及Open Science Directory两个开放存取期刊集成平台进行统计,对开放存取期刊的现状进行概述,同时介绍开放存取期刊被ISI数据库收录的情况,并从国家、学科分布两个方面对其进行了分析评述,希望能够促进科研人员及图书管理人员对开放存取期刊的了解。展开更多
文摘目的探讨超声监测脐动脉和大脑中动脉搏动指数(PI)、阻力指数(RI)、收缩期与舒张期流速比(S/D)和主动脉峡部收缩指数(ISI)、峡部血流指数(IFI)与胎儿生长受限(FGR)的关系及对不良围产结局的预测价值。方法选择120例孕晚期孕妇,年龄21~41岁,平均年龄27.20岁(标准差5.19岁);孕周32~41周,平均孕周35.33周(标准差1.69周);产次1~3次,平均产次1.41次(标准差0.29次);高血压54例,糖尿病62例。将超声确诊为FGR的孕妇作为研究组(n=58),宫内胎儿正常发育孕妇作为对照组(n=62)。应用彩色多普勒超声监测子宫动脉、脐动脉及主动脉峡部血流参数。统计两组孕妇的妊娠结局。根据不同妊娠结局再次将研究组分为正常结局组和异常结局组,比较两组大脑中动脉、脐动脉及主动脉血流参数,并分析以上血流参数与新生儿体质量及新生儿Apgar评分的相关性。运用受试者工作特性(ROC)曲线分析血流参数对不良围产结局的预测价值。结果研究组脐动脉参数PI、RI及S/D值均较对照组明显偏高(1.23±0.15 vs 0.71±0.11、0.89±0.14 vs 0.52±0.08、3.67±0.33 vs 2.73±0.26。P<0.05)。大脑中动脉参数PI、RI及S/D值和主动脉峡部血流参数IFI、ISI值均明显低于对照组(1.11±0.13 vs 1.72±0.18、0.53±0.12 vs 0.87±0.14、2.43±0.26 vs 4.67±0.15、0.23±1.03 vs 1.26±0.05,-0.39±0.03 vs-0.39±0.03。P<0.05);研究组主动脉峡部舒张血流消失或反向发生率为34.48%,高于对照组(4.84%)(P<0.05)。研究组根据不同妊娠结局分为正常结局组31例和异常结局组27例,异常结局组新生儿体质量及Apgar评分均较正常结局组明显偏低[(3.18±0.35)分vs(3.97±0.34)分、(7.21±0.34)分vs(8.67±0.65)分。P<0.05]。异常结局组新生儿大脑中动脉PI、RI、S/D及IFI和ISI等血流参数均较正常结局组明显偏低(1.02±0.1 vs 1.33±0.17、0.53±0.07 vs 0.64±0.15、2.42±0.23 vs 2.52±0.14、0.08±0.01 vs 1.12±0.04、1.12±0.14 vs-0.32±0.01。P<0.05);异常结局组新生儿脐动脉PI、RI及S/D等血流参数显著高于正常结局组(1.46±0.17 vs 1.18±0.12、0.86±0.11 vs 0.72±0.03、3.91±0.45 vs 3.43±0.26。P<0.05)。新生儿大脑中动脉PI、RI及S/D值及主动脉IFI、ISI均与新生儿体质量和新生儿Apgar评分呈正相关,脐动脉PI、RI、S/D值与新生儿体质量和Apgar评分呈负相关(P<0.05)。ROC曲线分析显示,子宫中动脉、脐动脉及主动脉峡部血流参数联合诊断的曲线下面积最高,为0.968(95%CI 0.917~1.000)。结论子宫动脉、脐动脉及主动脉峡部血流参数异常均与FGR的发生密切相关,可辅助临床诊断FGR,联合检测3项血流参数诊断FGR的效能最高。超声监测脐动脉和大脑中动脉PI、RI、S/D和主动脉ISI、IFI可有效提高临床预测FGR预后的准确度。
文摘Salim Barakat is a Kurdish author, yet his works are highly regarded for their mastery of Arabic. To achieve his impossible goal of presenting a true picture of the dire condition of the Syrian Kurdish communities, specifically the Yazidis’ genocide in his novel The Captives of Sinjar, he resorts to Latin American magical realism and a convoluted writing style. Characters are not what they seem and every natural thing is a sentient being. The narrative traces the ghostly lives and deaths of five captive Yazidi girls and their five ISIS fighter-masters. The protagonist, Sarat, a fictional image of Barakat, is a painter, who lives and works by a secluded lakeside in Sweden. His work is influenced by the horrific imaginations of famous European artists. This paper accents the novel’s deep structure of collective memories of individuals and communities as addressed by the modern philosophers: Theodor Adorno, Maurice Blanchot, and Maurice Halbwachs.
文摘The general situation of Web of Science,a new product of Institute for Scientific Information,USA,is introduced,including its coverage,characteristics and new collections.Its functions are also assessed.
文摘基于ISI Web of Knowledge平台,对8所纺织背景高校在2001—2011年间的科技论文进行了多角度的统计和分析,探讨了8所纺织背景高校近年来的学科发展现状和趋势,客观评价其学科研究特点和学术影响力,为纺织背景高校增强自身自然科学基础研究提供参考和帮助,并为其进一步发展提供可参考的定量依据.
文摘通过对DOAJ(Directory of Open Access Journals)及Open Science Directory两个开放存取期刊集成平台进行统计,对开放存取期刊的现状进行概述,同时介绍开放存取期刊被ISI数据库收录的情况,并从国家、学科分布两个方面对其进行了分析评述,希望能够促进科研人员及图书管理人员对开放存取期刊的了解。
