期刊文献+
共找到7,860篇文章
< 1 2 250 >
每页显示 20 50 100
LOCAL CHAOS CHARACTERISTICS IN A SELF ASPIRATED REVERSED FLOW JET LOOP REACTOR
1
作者 刘明言 闻建平 +1 位作者 秦秀云 胡宗定 《Transactions of Tianjin University》 EI CAS 1998年第1期58-61,共4页
The local chaos characteristics of the time series pressure fluctuations of gas liquid two phase flow in a self aspirated reversed flow jet loop reactor are studied by the deterministic chaos analysis technique. It... The local chaos characteristics of the time series pressure fluctuations of gas liquid two phase flow in a self aspirated reversed flow jet loop reactor are studied by the deterministic chaos analysis technique. It is found that the estimated local largest Lyapunov exponent is positive in all cases and the profile is similar to that of the local fractal dimension in this reactor. The positive largest Lyapunov exponent shows that the reactor is a nonlinear chaotic system. The obvious distribution indicates that the local nonlinear characteristic parameters such as the Lyapunov exponent and the fractal dimension could be applied to further study the flow characteristics such as the flow regine transitions and flow structures of the multi phase reactors. 展开更多
关键词 self aspirated reversed flow jet loop reactor the largest Lyapunov exponent chaos characteristic
下载PDF
LOCAL NONLINEAR CHARACTERISTICS OF GAS LIQUID SOLID THREE PHASE SELF ASPIRATED REVERSED FLOW JET LOOP REACTOR
2
作者 闻建平 梁岚 +2 位作者 刘明言 张金利 胡宗定 《Transactions of Tianjin University》 EI CAS 1998年第2期1-5,共5页
Hursts rescaled range (R/S) analysis and Wolfs attractor reconstruction technique have been adopted to estimate the local fractal dimensions and the local largest Lyapunov exponents in terms of the time series pressur... Hursts rescaled range (R/S) analysis and Wolfs attractor reconstruction technique have been adopted to estimate the local fractal dimensions and the local largest Lyapunov exponents in terms of the time series pressure fluctuations obtained from a gas liquid solid three phase self aspirated reversed flow jet loop reactor,respectively.The results indicate that the local fractal dimensions and the local largest Lyapunov exponents in both the jet region and the tubular region inside the draft tube increase with the increase in the jet liquid flowrates and the solid loadings,the local fractal dimension profiles are similar to those of the largest Lyapunov exponent,the local largest lyapunov exponents are positive for all cases,and the flow behavior of such a reactor is chaotic.The local nonlinear characteristic parameters such as the local fractal dimension and the local largest Lyapunov exponent could be applied to further study the flow properties such as the flow regime transitions and flow structures of this three phase jet loop reactor. 展开更多
关键词 three phase self aspirated reversed flow jet loop reactor local fractal dimension local largest Lyapunov exponent
下载PDF
Extraction of Aspirated Headscarf Pins with Fiberoptic Bronchoscopy
3
作者 Ahmed I. Al-Azzawi 《World Journal of Cardiovascular Surgery》 2017年第12期143-149,共7页
Background: Foreign body aspiration is a common yet preventable health problem. Headscarf pin aspiration is a unique example of aspirated foreign bodies in young Muslim women usually removed using the rigid bronchosco... Background: Foreign body aspiration is a common yet preventable health problem. Headscarf pin aspiration is a unique example of aspirated foreign bodies in young Muslim women usually removed using the rigid bronchoscope. However, the flexible bronchoscope is increasingly used for this purpose. This prospective study was conducted in Sulaimaniyah Teaching Hospital, Sulaimaniyah, Iraq and aimed to evaluate the usefulness of fiberoptic bronchoscope for removal of aspirated headscarf pins in view of the relevant literature. Methodology: Fifty female patients with headscarf pin aspiration were managed by fiberoptic bronchoscopy over an 8-year period (January 2008 to December 2015). The procedure was performed under local anesthesia and conscious sedation through the mouth. Results: The age ranged from 10 to 45 years with a mean of 27.5. All patients had cough, five had unilateral wheeze (10%) while haemoptysis occurred twice (4%). Fiberoptic bronchoscopy succeeded in 45 cases (90%). Rigid bronchoscopy under general anesthesia was necessary in (n = 4, 8%) while one patient (2%) required thoracotomy. ?Conclusion: Fiberoptic bronchoscopy is safe and effective in removal of aspirated headscarf pins and should be tried first. 展开更多
关键词 Fiberoptic BRONCHOSCOPY Headscarf PIN aspirATION
下载PDF
The use of fiberoptic bronchoscope to remove aspirated tracheobronchial foreign bodies: Our experience
4
作者 Abdulsalam Y. Taha 《Case Reports in Clinical Medicine》 2013年第5期285-290,共6页
Background: Foreign body (FB) aspiration is a common emergency in our practice. The routine method of removal is via rigid bronchoscopy (RB) under general anesthesia. This is the preferred procedure particularly in ch... Background: Foreign body (FB) aspiration is a common emergency in our practice. The routine method of removal is via rigid bronchoscopy (RB) under general anesthesia. This is the preferred procedure particularly in children who form the major affected population. Fiberoptic bronchoscopy (FOB) has also been used for FB removal in many countries, though in Iraq, the standard mean remains rigid bronchoscopy. Objective: Herein, we present 5 cases of FB inhalation in adults in whom FOB was used for removal. The aim is to test its feasibility with literature review. Setting: the department of thoracic surgery/Sulaimania Teaching Hospital/Sulaimania/Iraq. Study Design: a prospective study of 5 patients. Patients and methods: 5 patients (3 females and 2 males) with different bronchial or laryngeal FBs in whom FOB was used as a method for removal are presented. The age ranged from 16 to 71 years. The clinical and radiographic features are recorded. In all these patients, initial FOB examination under local anesthesia transorally or via tracheotomy stoma was done. When removed by this method failed, RB under GA was used and when this failed, thoracotomy was the last resort. Results and Conclusions: FBs encountered in this paper consisted of pins (n = 2), sewing needle (n = 1), speech valve (n = 1) and a medical leach (n = 1). Three FBs (medical leach, speech valve and one pin) were successfully removed by FOB. A pin in RMB was visualized but failed to be removed by FOB and therefore, RB was required for its retrieval, while a needle in left lower lobe was invisible by both FOB and RB and thus surgery was necessary to remove it. We conclude that in adolescent or adult patients with bronchial FBs, FOB should be tried first for removal. If this fails then RB can be used. To increase its success, FOB should be combined with certain accessories like special FB forceps and fluoroscopy. 展开更多
关键词 aspirated FOREIGN BODIES Fiberoptic BRONCHOSCOPY
下载PDF
FRACTAL STUDIES IN A SELF-ASPIRATED REVERSED FLOW JET LOOP REACTOR
5
作者 胡宗定 闻建平 《Chinese Journal of Chemical Engineering》 SCIE EI CAS CSCD 1996年第4期76-79,共4页
1 INTRODUCTIONSelf-aspirated reversed flow jet loop reactors,characterized by a well defined flow pat-tern,well better dispersing effects,relatively low power consumption and a high masstransfer coefficient,are widely... 1 INTRODUCTIONSelf-aspirated reversed flow jet loop reactors,characterized by a well defined flow pat-tern,well better dispersing effects,relatively low power consumption and a high masstransfer coefficient,are widely used in chemical engineering,especially in biochemicalengineering.The characteristics of such reactors are highly random or stochastic due tothe influence of a variety of phenomena such as jetting and bubbling of the 展开更多
关键词 self-aspirated reversed FLOW JET LOOP reactor fractals FRACTAL DIMENSION
下载PDF
Dosage Formula in Anesthesia for Manual Intrauterine Aspiration Post-Abortion in Resource-Limited Settings
6
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
下载PDF
Prediction model establishment and validation for enteral nutrition aspiration during hospitalization in patients with acute pancreatitis
7
作者 Ping Hou Hao-Jun Wu +4 位作者 Tang Li Jia-Bin Liu Quan-Qing Zhao Hong-Jiang Zhao Zi-Ming Liu 《World Journal of Gastrointestinal Surgery》 SCIE 2024年第8期2583-2591,共9页
BACKGROUND Acute pancreatitis(AP)is a disease caused by abnormal activation of pancreatic enzymes and can lead to self-digestion of pancreatic tissues and dysfunction of other organs.Enteral nutrition plays a vital ro... BACKGROUND Acute pancreatitis(AP)is a disease caused by abnormal activation of pancreatic enzymes and can lead to self-digestion of pancreatic tissues and dysfunction of other organs.Enteral nutrition plays a vital role in the treatment of AP because it can meet the nutritional needs of patients,promote the recovery of intestinal function,and maintain the barrier and immune functions of the intestine.However,the risk of aspiration during enteral nutrition is high;once aspiration occurs,it may cause serious complications,such as aspiration pneumonia,and suffocation,posing a threat to the patient’s life.This study aims to establish and validate a prediction model for enteral nutrition aspiration during hospitalization in patients with AP.AIM To establish and validate a predictive model for enteral nutrition aspiration during hospitalization in patients with AP.METHODS A retrospective review was conducted on 200 patients with AP admitted to Chengdu Shangjin Nanfu Hospital,West China Hospital of Sichuan University from January 2020 to February 2024.Clinical data were collected from the electronic medical record system.Patients were randomly divided into a validation group(n=40)and a modeling group(n=160)in a 1:4 ratio,matched with 200 patients from the same time period.The modeling group was further categorized into an aspiration group(n=25)and a non-aspiration group(n=175)based on the occurrence of enteral nutrition aspiration during hospitalization.Univariate and multivariate logistic regression analyses were performed to identify factors influencing enteral nutrition aspiration in patients with AP during hospitalization.A prediction model for enteral nutrition aspiration during hospitalization was constructed,and calibration curves were used for validation.Receiver operating characteristic curve analysis was conducted to evaluate the predictive value of the model.RESULTS There was no statistically significant difference in general data between the validation and modeling groups(P>0.05).The comparison of age,gender,body mass index,smoking history,hypertension history,and diabetes history showed no statistically significant difference between the two groups(P>0.05).However,patient position,consciousness status,nutritional risk,Acute Physiology and Chronic Health Evaluation(APACHE-II)score,and length of nasogastric tube placement showed statistically significant differences(P<0.05)between the two groups.Multivariate logistic regression analysis showed that patient position,consciousness status,nutritional risk,APACHE-II score,and length of nasogastric tube placement were independent factors influencing enteral nutrition aspiration in patients with AP during hospitalization(P<0.05).These factors were incorporated into the prediction model,which showed good consistency between the predicted and actual risks,as indicated by calibration curves with slopes close to 1 in the training and validation sets.Receiver operating characteristic analysis revealed an area under the curve(AUC)of 0.926(95%CI:0.8889-0.9675)in the training set.The optimal cutoff value is 0.73,with a sensitivity of 88.4 and specificity of 85.2.In the validation set,the AUC of the model for predicting enteral nutrition aspiration in patients with AP patients during hospitalization was 0.902,with a standard error of 0.040(95%CI:0.8284-0.9858),and the best cutoff value was 0.73,with a sensitivity of 91.9 and specificity of 81.8.CONCLUSION A prediction model for enteral nutrition aspiration during hospitalization in patients with AP was established and demonstrated high predictive value.Further clinical application of the model is warranted. 展开更多
关键词 Acute pancreatitis HOSPITALIZATION Enteral nutrition Predictive model aspirATION
下载PDF
Fine-needle aspiration technique under endoscopic ultrasound guidance:A technical approach for RNA profiling of pancreatic neoplasms
8
作者 Sabina Sherafedinovna Seyfedinova Olga Aleksandrovna Freylikhman +4 位作者 Polina Sergeevna Sokolnikova Konstantin Aleksandrovich Samochernykh Anna Aleksandrovna Kostareva Olga Viktorovna Kalinina Evgeniy Gennadievich Solonitsyn 《World Journal of Gastrointestinal Oncology》 SCIE 2024年第6期2663-2672,共10页
BACKGROUND Early diagnosis of pancreatic ductal adenocarcinoma(PDAC)has been a longstanding challenge.The prognosis of patients with PDAC depends on the stage at diagnosis.It is necessary to identify biomarkers for th... BACKGROUND Early diagnosis of pancreatic ductal adenocarcinoma(PDAC)has been a longstanding challenge.The prognosis of patients with PDAC depends on the stage at diagnosis.It is necessary to identify biomarkers for the detection and differentiation of pancreatic tumors and optimize PDAC sample preparation procedures for DNA and RNA analysis.Most molecular studies are done using paraffin-embedded blocks;however,the integrity of DNA and RNA is often compromised in this format.Moreover,RNA isolated from human pancreatic tissue samples is generally of low quality,in part,because of the high concentration of endogenous pancreatic RNAse activity present.AIM To assess the potential of endoscopic ultrasound-guided fine-needle aspiration(EUS-FNA)to obtain specimens from pancreatic neoplasms for subsequent RNA molecular profiling,including next-generation sequencing(NGS).METHODS Thirty-four EUS-FNA samples were included in this study:PDAC(n=15),chronic pancreatitis(n=5),pancreatic cysts(n=14),mucinous cysts(mucinous cystic neoplasia/intraductal papillary mucinous neoplasia)n=7,serous cystic neoplasms n=5,and pseudocysts n=2.Cyst material consisted of cyst fluid and cyst wall samples obtained by through-the-needle biopsy(TTNB).Samples were stored at -80℃ until analysis.RNA purity(A260/230,A260/280 ratios),concentration,and integrity(RIN)were assessed.Real-time polymerase chain reaction was conducted on all samples,and small RNA libraries were prepared from solid mass samples.RESULTS RNA was successfully extracted from 29/34(85%)EUS-FNA samples:100% pancreatic adenocarcinoma samples,100% chronic pancreatitis samples,70% pancreatic fluid cyst samples,and 50%TTNB samples.The relative expression of GAPDH and HPRT were obtained for all successfully extracted RNA samples(n=29)including lowquality RNA specimens.Low concentration and nonoptimal RIN values(no less than 3)of RNA extracted from EUS-FNA samples did not prevent NGS library preparation.The suitability of cyst fluid samples for RNA profiling varied.The quality of RNA extracted from mucinous cyst fluid had a median RIN of 7.7(5.0-8.2),which was compatible with that from solid neoplasms[6.2(0-7.8)],whereas the quality of the RNA extracted from all fluids of serous cystic neoplasms and TTNB samples had a RIN of 0.CONCLUSION The results demonstrate the high potential of EUS-FNA material for RNA profiling of various pancreatic lesions,including low-quality RNA specimens. 展开更多
关键词 Endoscopic ultrasound-guided fine-needle aspiration Pancreatic cancer Pancreatic cysts RNA extraction Through-the-needle biopsy Next-generation sequencing
下载PDF
Role of macroscopic on-site evaluation of endoscopic ultrasoundguided fine-needle aspiration/biopsy:Results of a multicentric prospective study
9
作者 Hussein H Okasha Hiwa A Hussein +24 位作者 Khaled M Ragab Omar Abdallah Fedoua Rouibaa Borahma Mohamed Fahd Ghalim Mahmoud Farouk Mohamed Lasheen Mohamed A Elbasiony Ahmed E Alzamzamy Ahmed El Deeb Hassan Atalla Mahmoud El-Ansary Sahar Mohamed Moaz Elshair Wafaa Khannoussi Mohamed Z Abu-Amer Amine Elmekkaoui Mohammed S Naguib Adil Ait Errami Ahmed El-Meligui Ahmed H El-Habashi Mahmoud G Ameen Dalia Abdelfatah Mona Kaddah Hanane Delsa 《World Journal of Gastrointestinal Endoscopy》 2024年第11期595-606,共12页
BACKGROUND The concept of macroscopic on-site evaluation(MOSE)was introduced in 2015 when the endoscopist observed better diagnostic yield when the macroscopically visible core on MOSE was superior to 4 mm.Recent stud... BACKGROUND The concept of macroscopic on-site evaluation(MOSE)was introduced in 2015 when the endoscopist observed better diagnostic yield when the macroscopically visible core on MOSE was superior to 4 mm.Recent studies suggest that MOSE by the endoscopist may be an excellent alternative to rapid on-site evaluation,and some classi-fications have been published.Few studies have assessed the adequacy of histologic cores in MOSE during endoscopic ultrasound-guided fine-needle aspiration/biopsy(EUS-FNA/FNB).AIM To evaluate the performance of MOSE during EUS-FNA/FNB.METHODS This multicentric prospective study was conducted in 16 centers in 3 countries(Egypt,Iraq,and Morocco)and included 1108 patients with pancreatic,biliary,or gastrointestinal pathology who were referred for EUS examination.We prospectively analyzed the MOSE in 1008 patients with available histopathological reports according to 2 classifications to determine the adequacy of the histological core samples.Data management and analysis were performed using a Statistical Package for Social Sciences(SPSS)version 27.RESULTS A total of 1074 solid lesions were biopsied in 1008 patients with available cytopathological reports.Mean age was 59 years,and 509 patients(50.5%)were male.The mean lesion size was 38 mm.The most frequently utilized needles were FNB-Franseen(74.5%)and 22 G(93.4%),with a median of 2 passes.According to 2 classifications,618 non-bloody cores(61.3%)and 964 good samples(95.6%)were adequate for histological evaluation.The overall diagnostic yield of cytopathology was 95.5%.The cytological examination confirmed the diagnosis of malignancy in 861 patients(85.4%),while 45 samples(4.5%)were inconclusive.Post-procedural adverse events occurred in 33 patients(3.3%).Statistical analysis showed a difference between needle types(P=0.035)with a high sensitivity of FNB(97%).The analysis of the relationship between the MOSE-score and the final diagnosis showed a significant difference between the different scores of the MOSE(P<0.001).CONCLUSION MOSE is a simple method that allows endoscopists to increase needle passes to improve sample quality.There is significantly higher FNB sensitivity and cytopathology diagnostic yield with good MOSE cores. 展开更多
关键词 Macroscopic on-site evaluation Fine-needle aspiration Fine-needle biopsy Endoscopic ultrasound SPECIMEN
下载PDF
Flexible bronchoscopy for foreign body aspiration in children:A single-centre experience
10
作者 Aleh Sautin Kirjl Marakhouski +1 位作者 Aleh Pataleta Kirill Sanfirau 《World Journal of Clinical Pediatrics》 2024年第2期127-134,共8页
BACKGROUND The technological evolution of bronchoscopy has led to the widespread adoption of flexible techniques and their use for both diagnostic and therapeutic purposes.Currently,there is an active debate regarding... BACKGROUND The technological evolution of bronchoscopy has led to the widespread adoption of flexible techniques and their use for both diagnostic and therapeutic purposes.Currently,there is an active debate regarding the comparative efficacy and safety of rigid vs flexible bronchoscopy in the treatment of foreign body aspiration.AIM To evaluate our experience with tracheobronchial foreign body extraction using flexible bronchoscopy and provide a literature overview.METHODS This was a single-centre retrospective study.Twenty-four patients were enrolled between January 2017 and January 2023.Medical records of patients aged below 18 years who were admitted to authors’affiliated institution with a suspected diagnosis of foreign body aspiration were collected from hospital’s database to Microsoft Excel 2019.Data were analysed using MedCalc Statistical Software.RESULTS Patient ages varied from 9 months to 11 years.The median age was 23.5 months,95%confidence interval(CI)19.49-44.77.We observed age clustering in children with foreign body aspiration at our institution with three age subgroups:(1)0-25 months;(2)40-60 months;and(3)120-140 months.We expectancy of an organic tracheobronchial foreign body was significantly higher in 0-25 months subgroup than that in older ones when subgroups 40-60 and 120-140 months were combined together(odds ratio=10.0,95%CI:1.44-29.26,P=0.0197).Successful foreign body extraction was performed in all cases.Conversion to a rigid bronchoscope was not required in any of the cases.No major complications(massive bleeding,tracheobronchial tree perforation,or asphyxia)were observed.CONCLUSION Flexible bronchoscopy is an effective and safe method for tracheobronchial foreign body extraction in children. 展开更多
关键词 Foreign body aspiration Tracheobronchial foreign body Paediatric bronchoscopy Flexible bronchoscopy Rigid bronchoscopy
下载PDF
Application Effect of Stratified Nursing Intervention for ICU Mechanically Ventilated Patients in the Context of Aspiration Risk Assessment
11
作者 Caisu Qin Yong Gao +1 位作者 Yanchi Zheng Wenjuan Wang 《Journal of Clinical and Nursing Research》 2024年第6期226-231,共6页
Objective:To explore the application effect of stratified nursing intervention based on the background of misinspiration risk assessment in mechanically ventilated patients in intensive care unit(ICU).Methods:100 case... Objective:To explore the application effect of stratified nursing intervention based on the background of misinspiration risk assessment in mechanically ventilated patients in intensive care unit(ICU).Methods:100 cases of mechanically ventilated patients who were admitted to the ICU of our hospital from March 2022 to March 2023 were selected and divided into an observation group and a control group according to the random number table method,with 50 cases in each of the two groups.The control group was given routine care in ICU,and the observation group was given stratified nursing interventions based on the background of the risk of aspiration assessment on the basis of the control group,and both groups were cared for until they were transferred out of the ICU,and the mechanical ventilation time,ICU stay time,muscle strength score,complication rate,adherence,and satisfaction were observed and compared between the two groups.Results:The mechanical ventilation time and ICU stay time of the observation group were shorter than that of the control group after the intervention;the muscle strength score,compliance and satisfaction of the observation group were higher than that of the control group after the intervention;and the complication rate of the observation group was lower than that of the control group after the intervention,all of which were P<0.05.Conclusion:The application of stratified nursing intervention based on the background of misaspiration risk assessment in ICU mechanically ventilated patients can improve the patient's muscle strength,shorten the time of mechanical ventilation,promote the patient's recovery,reduce the occurrence of complications,and improve the patient's compliance and satisfaction. 展开更多
关键词 Mechanical ventilation aspiration risk assessment Stratified care Muscle strength COMPLICATION
下载PDF
混合学习的ASPIRE模式探究 被引量:3
12
作者 徐寒 印海辰 +1 位作者 董金慧 王君豪 《湖北成人教育学院学报》 2012年第6期1-3,共3页
混合学习模式能将面对面的学习和网络学习的优势集于一身,取长补短,同时实现资源混合和教学手段混合,最大程度实现教学的最优化。本文在对混合学习模式的基本要素简要分析基础上,提出了混合学习的ASPIRE模式,并对ASPIRE模型的基本原理... 混合学习模式能将面对面的学习和网络学习的优势集于一身,取长补短,同时实现资源混合和教学手段混合,最大程度实现教学的最优化。本文在对混合学习模式的基本要素简要分析基础上,提出了混合学习的ASPIRE模式,并对ASPIRE模型的基本原理和过程设计等问题进行了探讨。 展开更多
关键词 传统教学 自主学习 混合学习 aspirE模式
下载PDF
“游戏教学法”在网络课程教学中的实施——网络技术教育游戏软件Aspire推广调研
13
作者 杨春花 姜锐 《新疆职业教育研究》 2013年第2期47-49,共3页
"游戏教学法"的宗旨是让学生在轻松、愉快的游戏环境中,激发学习兴趣,从而积极主动地获取知识和技能。近几年来,乌鲁木齐职业大学信息工程学院在网络技术相关专业中探讨并逐步实施游戏教学法,根据当前大部分高职学生数字控、... "游戏教学法"的宗旨是让学生在轻松、愉快的游戏环境中,激发学习兴趣,从而积极主动地获取知识和技能。近几年来,乌鲁木齐职业大学信息工程学院在网络技术相关专业中探讨并逐步实施游戏教学法,根据当前大部分高职学生数字控、游戏控的特点,在学生中推广思科教育游戏软件Aspire,取得了很好的教学效果。通过对使用该软件学生的调研展示了"游戏教学法"的效果。 展开更多
关键词 游戏教学法 教育游戏软件aspire 网络课程 推广 调研
下载PDF
基于ASPIRE混合学习理论的大学物理实验教学案例研究
14
作者 徐寒 董金慧 +2 位作者 范富春 印海辰 王泽平 《科教导刊》 2012年第27期139-140,148,共3页
针对大学物理实验课程特点、网络教学平台和学生的学习状态,文章从混合学习理论的ASPIRE模式入手,对大学物理实验课程的实施了具体的案例教学,并对实施效果与存在问题进行了分析。
关键词 大学物理实验 混合学习 aspirE模式
下载PDF
The minglement of sense and sensibility, he combination of ambition and aspiration ——Comment on A biography of Napoleon
15
作者 刘昱君 《Sino-US English Teaching》 2009年第7期63-65,共3页
A Biography of Napoleon, which is based on historical events, presents the readers a complicated, confident and imaginative Napoleon by depicting his mental progression, during which he works his miracle with his aspi... A Biography of Napoleon, which is based on historical events, presents the readers a complicated, confident and imaginative Napoleon by depicting his mental progression, during which he works his miracle with his aspiration, ambition and personal charm in the military history. 展开更多
关键词 NAPOLEON mental progression aspirATION AMBITION personal charm
下载PDF
ASPIRE:减少事件发生的干预措施在二级预防中的作用
16
作者 刘彦波 《岭南心血管病杂志》 2003年第5期365-365,共1页
关键词 aspirE 冠心病 二级预防 危险因素 干预措施
下载PDF
Aspire软件在计算机网络专业实验教学中的探索与实践
17
作者 陈晓红 《电脑与电信》 2022年第12期44-48,57,共6页
为了使网络专业的实验教学更有趣味性,让学生有真实工程的体验,激发学生的积极性与创造性,研究将教育游戏软件Aspire应用于计算机网络专业7个班的教学实践中,通过观察效果、与学生交流、设计问卷调查,对软件的应用效果进行评价,为网络... 为了使网络专业的实验教学更有趣味性,让学生有真实工程的体验,激发学生的积极性与创造性,研究将教育游戏软件Aspire应用于计算机网络专业7个班的教学实践中,通过观察效果、与学生交流、设计问卷调查,对软件的应用效果进行评价,为网络专业游戏化教学提出可行性建议。实践表明,学生对游戏教学的模式高度认可,该模式提高了学生的参与意识和对专业课程的学习兴趣,提高了学生解决专业问题的能力,对教学效果起到了积极的作用,也为网络专业课程引入游戏教学提供了可借鉴的模式。 展开更多
关键词 aspirE 教学游戏 实验教学 角色扮演
下载PDF
Ultrasound-guided vs endoscopic ultrasound-guided fine-needle aspiration for pancreatic cancer diagnosis 被引量:5
18
作者 Masato Matsuyama Hiroshi Ishii +7 位作者 Kensuke Kuraoka Seigo Yukisawa Akiyoshi Kasuga Masato Ozaka Sho Suzuki Kouichi Takano Yuko Sugiyama Takao Itoi 《World Journal of Gastroenterology》 SCIE CAS 2013年第15期2368-2373,共6页
AIM: To clarify the effectiveness and safety of endo- scopic ultrasound-guided fine-needle aspiration (EUS-FNA) for the diagnosis of pancreatic cancer (PC). METHODS: Patients who were diagnosed with unresectable, loca... AIM: To clarify the effectiveness and safety of endo- scopic ultrasound-guided fine-needle aspiration (EUS-FNA) for the diagnosis of pancreatic cancer (PC). METHODS: Patients who were diagnosed with unresectable, locally advanced or metastatic PC between February 2006 and September 2011 were selected for this retrospective study. FNA biopsy for pancreatic tumors had been performed percutaneously under extracorporeal ultrasound guidance until October 2009; then, beginning in November 2009, EUS-FNA has been performed. We reviewed the complete medical records of all patients who met the selection criteria for the following data: sex, age, location and size of the targeted tumor, histological and/or cytological findings, details of puncture procedures, time from day of puncture until day of definitive diagnosis, and details of severe adverse events. RESULTS: Of the 121 patients who met the selection criteria, 46 had a percutaneous biopsy (Group A) and 75 had an EUS-FNA biopsy (Group B). Adequate cytological specimens were obtained in 42 Group A patients (91.3%) and all 75 Group B patients (P=0.0192), and histological specimens were obtained in 41 Group A patients (89.1%) and 65 Group B patients (86.7%). Diagnosis of malignancy by cytology was positive in 33 Group A patients (78.6%) and 72 Group B patients (94.6%) (P=0.0079). Malignancy by both cytology and pathology was found in 43 Group A (93.5%) and 73 Group B (97.3%) patients. The mean period from the puncture until the cytological diagnosis in Group B was 1.7 d, which was significantly shorter than that in Group A (4.1 d) (P < 0.0001). Severe adverse events were experienced in two Group A patients (4.3%) and in one Group B patient (1.3%). CONCLUSION: EUS-FNA, as well as percutaneous needle aspiration, is an effective modality to obtain cytopathological confirmation in patients with advanced PC. 展开更多
关键词 ENDOSCOPIC ULTRASOUND-GUIDED fine NEEDLE aspirATION PERCUTANEOUS NEEDLE aspirATION PANCREATIC cancer
下载PDF
Can inhibin-B predict the outcome of microsurgical epididymal sperm aspiration in patients with suspected primary obstructive azoospermia? 被引量:12
19
作者 Marij Smit Gert R. Dohle +1 位作者 Mark F. Wildhagen Rob F. A. Weber 《Asian Journal of Andrology》 SCIE CAS CSCD 2007年第3期382-387,共6页
Aim: To evaluate whether inhibin-B can predict the outcome of a microsurgical epidymal sperm aspiration (MESA) procedure in patients with suspected primary obstructive azoospermia (OA) and if inhibin-B can replac... Aim: To evaluate whether inhibin-B can predict the outcome of a microsurgical epidymal sperm aspiration (MESA) procedure in patients with suspected primary obstructive azoospermia (OA) and if inhibin-B can replace testicular biopsy in the diagnostic work-up of these patients. Methods: Inhibin-B levels and testicular biopsy scores were related to the outcome of MESA in 43 patients with suspected primary OA. MESA was considered to be successful when epididymal sperm could be identified during the procedure. Results: Spermatozoa were present in the epididymal aspirate in 28 out of the 43 patients (65%). lnhibin-B values were not significantly different in patients with successful or unsuccessful MESA. The modified Johnsen score, however, was significantly lower in patients with unsuccessful MESA (P = 0.003). A rete testis obstruction or epididymal malfunctioning was found in 15% of patients with suspected primary OA, reflected by unsuccessful MESA despite normal inhibin-B levels and normal testicular histology. Conclusion: Inhibin-B cannot replace testicular biopsy as a diagnostic tool in the work-up of patients with suspected primary OA. Testicular biopsy is useful in identifying patients with spermatogenic arrest, who might have normal inhibin-B values. 展开更多
关键词 Inhibin B male infertility microsurgical epididymal sperm aspiration primary obstructive azoospermia
下载PDF
Aspiration therapy for acute embolic occlusion of the superior mesenteric artery 被引量:9
20
作者 Yi-Ren Liu Zhu Tong +6 位作者 Cheng-Bei Hou Shi-Jun Cui Lian-Rui Guo Yi-Xia Qi Li-Xing Qi Jian-Ming Guo Yong-Quan Gu 《World Journal of Gastroenterology》 SCIE CAS 2019年第7期848-858,共11页
BACKGROUND Embolic superior mesenteric artery(SMA) occlusion is associated with high mortality rates. Delayed treatment often leads to serious consequences, including intestinal necrosis, resection, and even patient d... BACKGROUND Embolic superior mesenteric artery(SMA) occlusion is associated with high mortality rates. Delayed treatment often leads to serious consequences, including intestinal necrosis, resection, and even patient death. Endovascular repair is being introduced, which can improve clinical symptoms and prognosis and decrease the incidence of exploratory laparotomy. Many reports have described successful endovascular revascularization of embolic SMA occlusion. However,most of those reports are case reports, and there are few reports on Chinese patients. In this paper, we describe the technical and clinical outcomes of aspiration therapy using a guiding catheter and long sheath technique which facilitates the endovascular repair procedure.AIM To evaluate the complications, feasibility, effectiveness, and safety of endovascular treatment for the acute embolic occlusion of the SMA.METHODS This retrospective study reviewed eight patients(six males and two females)from August 2013 to October 2018 at Xuanwu Hospital, Capital Medical University. The patients presented with acute embolic occlusion of the SMA on admission and were initially diagnosed by computed tomography angiography(CTA). The patients who underwent endovascular treatment with a guiding catheter had no obvious evidence of bowel infarct. No intestinal necrosis was identified by gastrointestinal surgeons through peritoneal puncture or CTA. The complications, feasibility, effectiveness, safety, and mortality were assessed.RESULTS Six(75%) patients were male, and the mean patient age was 70.00 ± 8.43 years(range, 60-84 years). The acute embolic occlusion of the SMA was initially diagnosed by CTA. All patients had undertaken anticoagulation primarily, and percutaneous aspiration using a guiding catheter was then undertaken because the emboli had large amounts of thrombus residue. No death occurred among the patients. Complete patency of the suffering artery trunk was achieved in six patients, and defect filling was accomplished in two patients. The in-hospital mortality was 0%. The overall 12-mo survival rate was 100%. All patients survived, and two of the eight patients had complications(the clot broke off during aspiration).CONCLUSION Aspiration therapy is feasible, safe, and beneficial for acute embolic SMA occlusion. Aspiration therapy has many benefits for reducing patients' death,resolving thrombi, and improving symptoms. 展开更多
关键词 Superior MESENTERIC artery ACUTE EMBOLIC OCCLUSION aspiration EMBOLECTOMY TRANSCATHETER thrombolysis Endovascular repair
下载PDF
上一页 1 2 250 下一页 到第
使用帮助 返回顶部