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医患沟通能力G因素与S因素分析 被引量:6
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作者 林安 刘虹 《医学与哲学(A)》 北大核心 2015年第6期52-54,共3页
采用定量研究和定性研究相结合的方法研究医患沟通能力结构。依据英国心理学家斯皮尔曼的能力结构理论可知,医患沟通能力结构中既有G因素的成分,又有S因素的成分。其中G因素是一般智力因素;S因素与教育有关,属于医患沟通活动的专有属性... 采用定量研究和定性研究相结合的方法研究医患沟通能力结构。依据英国心理学家斯皮尔曼的能力结构理论可知,医患沟通能力结构中既有G因素的成分,又有S因素的成分。其中G因素是一般智力因素;S因素与教育有关,属于医患沟通活动的专有属性。两种因素成因不同,但都是医患沟通能力的重要组成部分,尤其是S因素,是医务人员在后天学习与实践过程中形成的,在医患沟通中发挥关键作用,是形成良好医患关系的基本能力构成。建议优化医患沟通能力结构,重视对S能力因素的培养,形成良好的医患沟通能力培养模式。 展开更多
关键词 医患沟通 医患沟通能力结构 斯皮尔曼 G因素 s因素
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急性CO中毒迟发性脑病的危险因素及血清S100B蛋白水平变化研究 被引量:2
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作者 农媛 肖海 +2 位作者 冼莹 曾灏 梁妙玲 《中国实用神经疾病杂志》 2015年第17期68-69,共2页
目的 探讨影响急性一氧化碳中毒迟发性脑病(DEACMP)发生的危险因素及DEACMP患者血清S100B蛋白变化的规律。方法 75例急性一氧化碳(CO)中毒患者根据有无发生迟发性脑病分为DEACMP组和非DEACMP组,所有患者均行血清S100B蛋白检测,比较... 目的 探讨影响急性一氧化碳中毒迟发性脑病(DEACMP)发生的危险因素及DEACMP患者血清S100B蛋白变化的规律。方法 75例急性一氧化碳(CO)中毒患者根据有无发生迟发性脑病分为DEACMP组和非DEACMP组,所有患者均行血清S100B蛋白检测,比较2组患者的年龄、性别等10项临床资料,对经单因素分析有意义的变量进一步采用多因素Logistic回归分析法,分析影响DEACMP发生的危险因素及DEACMP患者血清S100B蛋白变化的规律。结果 DEACMP组平均年龄、中毒后意识障碍持续时间、恢复期精神刺激比例和首次血清S100B蛋白水平均显著高于非DEACMP组,而高压氧治疗次数及24h内开始高压氧治疗率则明显低于非DEACMP组(P〈0.05),多因素Logistic回归分析表明中毒后意识障碍持续时间、高压氧治疗次数及首次血清S100B蛋白水平是影响急性CO中毒后发生迟发性脑病的独立危险因素,动态监测显示DEACMP组急性CO中毒恢复期血清S100B蛋白下降缓慢且再度升高。结论 意识障碍持续时间、高压氧治疗次数及首次血清S100B蛋白水平是发生DEACMP的独立危险因素,急性CO中毒患者恢复期如血清S100B蛋白下降缓慢或再度出现升高则提示有发生DEACMP可能。 展开更多
关键词 急性一氧化碳中毒 迟发性脑病 危险因素 s100B蛋白
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采动力学与岩层控制关键理论及工程应用 被引量:5
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作者 宋振骐 文志杰 +2 位作者 蒋宇静 蒋金泉 石永奎 《煤炭学报》 EI CAS CSCD 北大核心 2024年第1期16-35,共20页
研究岩体采动力学响应和岩层控制技术对促进煤炭安全高效开采、保障能源稳定供给具有重要意义,是实现煤炭资源科学开采的理论基础。矿山岩体灾害(围岩变形、冲击地压等)频发,其形成-演化-发生全过程与采动力演化分布、岩层运动、开采扰... 研究岩体采动力学响应和岩层控制技术对促进煤炭安全高效开采、保障能源稳定供给具有重要意义,是实现煤炭资源科学开采的理论基础。矿山岩体灾害(围岩变形、冲击地压等)频发,其形成-演化-发生全过程与采动力演化分布、岩层运动、开采扰动和能量演化密切相关。基于实用矿山压力控制理论,提出并阐述了采场岩层控制进展与控制准则,建立了定量分析的力学模型和设计方法,发展了针对性的岩体灾害控制技术,并创新研制了配套试验研究装备。采动力学与岩层控制理论将岩层控制分为采场岩层控制和巷道围岩控制;提出控制或利用采动岩层运动改变致灾条件,给出“给定变形”和“限定变形”准则;调控“3S”因素准则(围岩应力环境、围岩结构属性、围岩支护结构)改变围岩自稳能力。以岩体灾害控制为目标,提出了以“应力主控”为核心的释能主控技术;建立了岩体灾害控制大小原理和弱面判据(安全系数K、冲击危险性系数U);研发了采场矿压机械模拟试验系统、采动力试验系统和蠕变及动力扰动冲击加载试验系统,实现了实验室尺度还原采动力作用下岩体变形-破裂-运动过程,为研究采动力作用下岩体力学响应提供了试验装备;分别从采场岩层控制、地质软岩巷道控制、工程软岩巷道控制及冲击地压控制4个方向进行了工程案例研究,相关研究成果在工程应用中得到了验证。 展开更多
关键词 采动力学 岩层控制 岩体灾害 “3s因素 弱面判据 试验系统研发
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海上油气田CO_2/H_2S腐蚀控制 被引量:3
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作者 张强 李家锋 孙爱平 《石油化工腐蚀与防护》 CAS 2010年第2期1-6,共6页
根据中国海洋石油南海西部各油气田的实际情况,结合水质特点分析了采油平台、输油管道、水处理系统和生产管汇腐蚀的原因以及影响因素。阐述了海上油气田腐蚀机理,提出了海上油气田开采的防腐蚀措施。
关键词 海上油气田 水质 CO2腐蚀CO2/H2s腐蚀影响因素防护方法
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Trefoil factor-3 is not a useful marker of mucosal healing in Crohn's disease treated with anti-TNF-α antibodies 被引量:3
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作者 Piotr Eder Kamila Stawczyk-Eder +6 位作者 Katarzyna Korybalska Natasza Czepulis Joanna Luczak Liliana Lykowska-Szuber Iwona Krela-Kazmierczak Krzysztof Linke Janusz Witowski 《World Journal of Gastroenterology》 SCIE CAS 2017年第1期135-140,共6页
AIMTo evaluate whether repeated serum measurements of trefoil factor-3 (TFF-3) can reliably reflect mucosal healing (MH) in Crohn&#x02019;s disease (CD) patients treated with anti-tumor necrosis factor-&#x003b... AIMTo evaluate whether repeated serum measurements of trefoil factor-3 (TFF-3) can reliably reflect mucosal healing (MH) in Crohn&#x02019;s disease (CD) patients treated with anti-tumor necrosis factor-&#x003b1; (anti-TNF-&#x003b1;) antibodies.METHODSSerum TFF-3 was measured before and after anti-TNF-&#x003b1; induction therapy in 30 CD patients. The results were related to clinical, biochemical and endoscopic parameters. MH was defined as a &#x02265; 50% decrease in Simple Endoscopic Score for Crohn&#x02019;s disease (SES-CD).RESULTSSES-CD correlated significantly with CD clinical activity and several standard biochemical parameters (albumin, leukocyte and platelet counts, C-reactive protein, erythrocyte sedimentation rate, fibrinogen). In contrast, SES-CD did not correlate with TFF-3 (P = 0.54). Moreover, TFF-3 levels did not change significantly after therapy irrespectively of whether the patients achieved MH or not. Likewise, TFF-3 did not correlate with changes in fecal calprotectin, which has been proposed as another biochemical marker of mucosal damage in CD.CONCLUSIONSerum TFF-3 is not a convenient and reliable surrogate marker of MH during therapy with TNF-&#x003b1; antagonists in CD. 展开更多
关键词 ADALIMUMAB Crohn’ s disease INFLIXIMAB Mucosal healing Trefoil factors
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EFFECT OF INTERLEUKIN-1β ON GROWTH HORMONE GENE EXPRESSION AND ITS POSSIBLE MOLECULAR MECHANISM IN RAT MtT/S SOMATOTROPH CELLS 被引量:3
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作者 Feng-ying Gong Jie-ying Deng Yi-fan Shi 《Chinese Medical Sciences Journal》 CAS CSCD 2008年第4期193-201,共9页
Objective To elucidate the effect of interleukin-1β (IL- 1β) on human growth hormone (hGH) gene expression in a rat somatotropic pituitary cell line MtT/S. Methods Stably transfected MtT/S cells were firstly es... Objective To elucidate the effect of interleukin-1β (IL- 1β) on human growth hormone (hGH) gene expression in a rat somatotropic pituitary cell line MtT/S. Methods Stably transfected MtT/S cells were firstly established by transfecting 484-Lucl plasmid which contained hGH gene promoter --484 to +30 bp and luciferase reporter gene. The effect of IL-1β on hGH gene expression was determined by assaying the luciferase activities. RT-PCR method was also used to determine whether IL-1 recepor mRNA was expressed in MtT/S cells. Results The 10^3 U/mL IL-1β stimulated secretion and synthesis of GH, and promoted the 5'-promoter activity of GH gene in stably transfected MtT/SGL cells with the action of 1.38 times above the control. Among inhibitors of signaling transduction pathways, mitogen-activated protein kinase kinase (MAPKK/MEK) inhibitor PD98059 (40 μmol/L) and p38 mitogen-activated protein kinase (MAPK) inhibitor SB203580 (5 μmol/L) completely blocked the stimulatory effect of IL-1μ, and phosphatidylinositol-3-kinase (PI3-K) inhibitor LY294002 partly abolished the effect of IL-1μ. Western blot analysis further confirmed the activation of phosphorylated MEK and p38 MAPK in MtT/SGL cells. Neither over-expression of Pit- 1 nor inhibition of Pit- 1 expression affected induction of hGH promoter activity by IL-1μ. A series of deletion constructs of hGH promoter were created to identify the DNA sequence that mediated the effect of IL-1β, and results showed that the stimulatory effect of IL-1β was abolished following deletion of the --196 to -- 132 bp fragment. Conclusions IL-1β promotes GH secretion and synthesis in rat MtT/S somatotroph cells. The stimulatory effect of IL-1β on hGH gene promoter appears to require the activation of MEK, p38 MAPK, PI3-K, and a fragment of promoter sequence that spans the -196 to -132 bp of the gene, but it may be unlinked with Pit-1 protein. 展开更多
关键词 INTERLEUKIN-1Β growth hormone gene promoter MtT/s cells Pit-1 protein mitogen-activated protein kinase
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Glutathione-S-transferase M1 polymorphisms on the susceptibility to esophageal cancer among three Chinese minorities:Kazakh,Tajik and Uygur 被引量:1
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作者 Xiao-Mei Lu Ting Yang +5 位作者 Shu-Yong Xu Hao Wen Xing Wang Zhi-Hui Ren Yan Zhang Wei Wang 《World Journal of Gastroenterology》 SCIE CAS CSCD 2006年第48期7758-7761,共4页
AIM: To investigate the glutathione-S-transferase M1 (GSTM1) polymorphisms in three Chinese minorities, Kazakh, Uygur, and Tajik; and the pathological significance of GSTM1 polymorphisms in esophageal carcinogenesi... AIM: To investigate the glutathione-S-transferase M1 (GSTM1) polymorphisms in three Chinese minorities, Kazakh, Uygur, and Tajik; and the pathological significance of GSTM1 polymorphisms in esophageal carcinogenesis in Kazakh.METHODS: A total of 1121 blood samples (442 males and 679 females) were obtained from healthy Kazakh (654), Uygur (412) and Tajik (55). Primary esophageal squamous cell cancer (ESCC) tissues from Kazakh were obtained from 116 patients who underwent surgery. GSTM1 polymorphisms were analyzed by a combined approach of PCR and electrophoresis techniques.RESULTS: GSTM1 null genotype was found in 62.63% Uygur, 50.91% Tajik and 47.40% Kazakh. A significantly higher frequency of GSTM1 null genotype in Uygur was observed compared with Kazakh (OR: 1.859, 95% CI: 1.445 -2.391, χ^2 = 23.71, P = 0.000). In addition, GSTM1 null genotype was found in 23.53% of welldifferentiated ESCC in Kazakh, in 49.23% of poorly differentiated ESCC, with a significant difference (OR: 3.152, 95% CI: 1.403-7.080, χ^2 = 8.018, P = 0.007).CONCLUSION: There is a marked difference in the frequency of common GSTM1 null genotype between Uygur and Kazakh. GSTM1 null genotype is associated with differentiation of ESCC in Kazakh. 展开更多
关键词 Glutathione-s-transferase M1 KAZAKH UYGUR TAJIK Esophageal cancer
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MEK AND p38 MAPK-DEPENDANT PATHWAYS ARE INVOLOVED IN THE POSITIVE EFFECT OF INTERLEUKIN-6 ON HUMAN GROWTH HORMONE GENE EXPRESSION IN RAT MtT/S SOMATOTROPH CELLS 被引量:3
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作者 Feng-ying Gong Jie-ying Deng Yi-fan Shi 《Chinese Medical Sciences Journal》 CAS CSCD 2008年第2期73-80,共8页
Objective To investigate the effect of interleukin-6(IL-6)on the human growth hormone(hGH)gene expression in a rat somatotropic pituitary cell line MtT/S.Methods The plasmids containing various lengths of hGH gene 5&#... Objective To investigate the effect of interleukin-6(IL-6)on the human growth hormone(hGH)gene expression in a rat somatotropic pituitary cell line MtT/S.Methods The plasmids containing various lengths of hGH gene 5'-promoter fragments were constructed.Stably transfected MtT/S cells were created by cotransfecting the above plasmids and pcDNA3.1(+)with DMRIE-C transfection reagent.After the administration of these cells with IL-6 and/or various inhibitors of signaling transduction pathways,the luciferase activities in MtT/S cells lysis were assayed to demonstrate the effects of IL-6 on hGH gene promoter activity and possibly involved mechanism.Results The 103 U/mL IL-6 stimulated GH secretion and synthesis,and promoted the 5'-promoter activity of GH gene in stably transfected MtT/SGL cells with the action of 1.69 times above the control.Among inhibitors of signaling transduction pathways,mitogen-activated protein kinase kinase(MAPKK/MEK)inhibitor PD98059(40 μmol/L)and p38 mitogen-activated protein kinase(MAPK)inhibitor SB203580(5 μmol/L)completely blocked the stimulatory effect of IL-6.Western blot analysis further confirmed the activation of phosphorylated MEK and p38 MAPK in MtT/SGL cells.Neither over-expression of Pit-1 nor inhibition of Pit-1 expression affected IL-6 induction of hGH promoter activity.A series of deletion constructs of hGH promoter were created to identify the DNA sequence that mediated the effect of IL-6.The results showed that the stimulatory effect of IL-6 was abolished following deletion of the-196 to-132 bp fragment.Conclusions IL-6 promotes GH secretion and synthesis by rat MtT/S somatotroph cells.The stimulatory effect of IL-6 on hGH gene promoter appears to require the activation of MEK and p38 MAPK,and a fragment of promoter sequence that spans the-196 to-132 bp of the gene,but may be unlinked with Pit-1 protein. 展开更多
关键词 INTERLEUKIN-6 growth hormone gene promoter MtT/s cells Pit-1 protein mitogen-activated protein kinase
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车间绩效管理度量尺
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作者 翟志柏 《中国石油企业》 2003年第6期58-59,共2页
中国石化扬子石化热电厂汽机车间在实际工作中积极应对不断发展的新形势,结合车间实际,于2002年初成立了“车间综合管理绩效的R、S因素评价方法”课题小组,充分运用系统工程这一现代化管理手段,逐步实现了基层单位党建、思想工作与生产... 中国石化扬子石化热电厂汽机车间在实际工作中积极应对不断发展的新形势,结合车间实际,于2002年初成立了“车间综合管理绩效的R、S因素评价方法”课题小组,充分运用系统工程这一现代化管理手段,逐步实现了基层单位党建、思想工作与生产经营管理的交融,促进了二者的良性互动,推动了企业管理状态的有序化发展。 展开更多
关键词 车间绩效管理 中国石化扬子石化热电厂 “R、s因素评价方法” 管理因素 管理行为
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