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基于美国FDA MADUE和国家医疗器械不良事件监测信息系统数据库输血输液加温器不良事件分析
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作者 牟宗峰 厉彦卓 +4 位作者 牛惠芳 时培军 牟强善 王连朋 张彦芹 《中国医疗设备》 2024年第7期79-83,共5页
目的挖掘输血输液加温器使用风险,为国家“十四五”输血输液加温器重点监测及医疗机构正确和安全使用输血输液加温器提供信息和参考。方法对2018—2022年美国FDA MADUE和2019—2022年国家医疗器械不良事件监测信息系统数据库中1303条输... 目的挖掘输血输液加温器使用风险,为国家“十四五”输血输液加温器重点监测及医疗机构正确和安全使用输血输液加温器提供信息和参考。方法对2018—2022年美国FDA MADUE和2019—2022年国家医疗器械不良事件监测信息系统数据库中1303条输血输液加温器不良事件报告进行整理,就涉及的产品品牌、型号、上报人对不良事件的陈述、医疗器械上市许可持有人对不良事件可能原因的反馈信息进行分析,并结合不同品牌输血输液加温器的设计原理,对输血输液加温器的使用风险进行初步探讨。结果1303条医疗器械不良事件报告中,事件后果主要是设备故障、患者严重伤害、患者死亡。其中设备故障1280条,占98.23%;患者严重伤害10条,占0.77%;患者死亡13条,约占1.00%。主要现象有死亡、心脏骤停、低血压、电击、低体温、皮肤烧伤、无法开机、黑屏、不加温、加温效果差、过热或超温报警、输液管内出现气泡、液体漏液、焦糊味、输血输液流量不足、报警失效或无报警等。结论生产企业要加强输血输液加温器产品的研发升级,完善产品功能,提高其性能及安全性;医疗机构等使用单位要加强输血输液加温器的使用和维护保养培训,并加强输血输液加温器的临床使用效果研究,为医院安全用械和生产企业产品研发升级提供参考和信息。 展开更多
关键词 输血输液加温器 不良事件 风险分析 FDA madue 国家医疗器械不良事件监测信息系统数据库
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Application of Spatially Distributed Calibrated Hydrological Model in Evapotranspiration Simulation of Three Gorges Reservoir Area of China:A Case Study in the Madu River Basin
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作者 CHEN Junhong ZHANG Lihua +1 位作者 CHEN Peipei MA Yongming 《Chinese Geographical Science》 SCIE CSCD 2022年第6期1083-1098,共16页
Evapotranspiration(ET)is the key to the water cycle process and an important factor for studying near-surface water and heat balance.Accurately estimating ET is significant for hydrology,meteorology,ecology,agricultur... Evapotranspiration(ET)is the key to the water cycle process and an important factor for studying near-surface water and heat balance.Accurately estimating ET is significant for hydrology,meteorology,ecology,agriculture,etc..This paper simulates ET in the Madu River Basin of Three Gorges Reservoir Area of China during 2009-2018 based on the Soil and Water Assessment Tool(SWAT)model,which was calibrated and validated using the MODIS(Moderate-resolution Imaging Spectroradiometer)/Terra Net ET 8-Day L4 Global 500 m SIN Grid(MOD16A2)dataset and measured ET.Two calibration strategies(lumped calibration(LC)and spatially distributed calibration(SDC))were used.The basin was divided into 34 sub-basins,and the coefficient of determination(R^(2))and NashSutcliffe efficiency coefficient(NSE)of each sub-basin were greater than 0.6 in both the calibration and validation periods.The R2 and NSE were higher in the validation period than those in the calibration period.Compared with the measured ET,the accuracy of the model on the daily scale is:R^(2)=0.704 and NSE=0.759(SDC results).The model simulation accuracy of LC and SDC for the sub-basin scale was R^(2)=0.857,R^(2)=0.862(monthly)and R^(2)=0.227,R^(2)=0.404(annually),respectively;for the whole basin scale was R^(2)=0.902,R^(2)=0.900(monthly)and R^(2)=0.507 and R^(2)=0.519(annually),respectively.The model performed acceptably,and SDC performed the best,indicating that remote sensing data can be used for SWAT model calibration.During 2009-2018,ET generally increased in the Madu River Basin(SDC results,7.21 mm/yr),with a multiyear average value of 734.37 mm/yr.The annual ET change rate for the sub-basin was relatively low upstream and downstream.The linear correlation analysis between ET and meteorological factors shows that on the monthly scale,precipitation,solar radiation and daily maximum and minimum temperature were significantly correlated with ET;annually,solar radiation and wind speed had a moderate correlation with ET.The correlation between maximum temperature and ET is best on the monthly scale(Pearson correlation coefficient R=0.945),which may means that the increasing ET originating from increasing temperature(global warming).However,the sub-basins near Shennongjia Nature Reserve that are in upstream have a negative ET change rate,which means that ET decreases in these sub-basins,indicating that the’Evaporation Paradox’exists in these sub-basins.This study explored the potential of remote-sensing-based ET data for hydrological model calibration and provides a decision-making reference for water resource management in the Madu River Basin. 展开更多
关键词 soil and water assessment tool distributed simulation for evapotranspiration model calibration remote sensing evapotranspiration products Madu River Basin
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大阪Roll Madu咖啡店
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《中国建筑装饰装修》 2011年第10期50-55,共6页
关键词 咖啡店 大阪 日本 Roll Madu
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