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早期肺康复联合ESCAPE集束化护理对ICU有创机械通气患者呼吸机相关膈肌功能障碍的影响
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作者 刘红伟 倪平娟 +3 位作者 李丽 黄来刚 王建扬 王玉辉 《齐鲁护理杂志》 2024年第10期20-23,共4页
目的:探讨早期肺康复联合ESCAPE集束化护理对ICU有创机械通气患者呼吸机相关膈肌功能障碍(VIDD)的影响。方法:将2023年2月1日~12月31日综合ICU收治的41例成人有创机械通气患者随机分为实验组20例和对照组21例,其中实验组3例、对照组4例... 目的:探讨早期肺康复联合ESCAPE集束化护理对ICU有创机械通气患者呼吸机相关膈肌功能障碍(VIDD)的影响。方法:将2023年2月1日~12月31日综合ICU收治的41例成人有创机械通气患者随机分为实验组20例和对照组21例,其中实验组3例、对照组4例因转出ICU而脱落,最终纳入实验组和对照组各17例。实验组给予早期肺康复训练联合ESCAPE集束化护理,对照组给予ESCAPE集束化护理。比较两组膈肌移动度及增厚率、临床肺部感染评分(CPIS)、急性生理学与慢性健康状况评分(APACHEⅡ)。结果:实验组治疗后膈肌移动度高于治疗前(P<0.05),膈肌增厚率比较差异无统计学意义(P>0.05);实验组治疗后CPIS、APACHEⅡ评分均低于治疗前(P<0.05)。结论:早期肺康复联合ESCAPE集束化护理可改善ICU有创机械通气患者的膈肌移动度,降低肺部感染发生风险、改善健康状况,减轻膈肌萎缩,控制ICU呼吸机相关性肺炎。 展开更多
关键词 有创机械通气 早期肺康复 ESCAPE集束化护理管理 呼吸机相关膈肌功能障碍 呼吸训练
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Present-day Upper-crustal Strain Rate Field in Southeastern Tibet and its Geodynamic Implications:Constraints from GPS Measurements with ABIC Method 被引量:1
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作者 YANG Shaohua PAN Jiawei +1 位作者 LI Haibing SHI Yaolin 《Acta Geologica Sinica(English Edition)》 SCIE CAS CSCD 2024年第1期265-275,共11页
The Earth’s surface kinematics and deformation are fundamental to understanding crustal evolution.An effective research approach is to estimate regional motion field and deformation fields based on modern geodetic ne... The Earth’s surface kinematics and deformation are fundamental to understanding crustal evolution.An effective research approach is to estimate regional motion field and deformation fields based on modern geodetic networks.If the discrete observed velocity field is obtained,the velocity related fields,such as dilatation rate and maximum shear strain rate,can be estimated by applying varied mathematical approaches.This study applied Akaike's Bayesian Information Criterion(ABIC)method to calculate strain rate fields constrained by GPS observations in the southeast Tibetan Plateau.Comparison with results derived from other three methods revealed that our ABIC-derived strain rate fields were more precise.The maximum shear strain rate highlighted the Xianshuihe–Xiaojiang fault system as the main boundary for the outward migration of material in southeastern Tibet,indicating rotation of eastern Tibet material around the eastern Himalaya rather than whole extrusion along a fixed channel.Additionally,distinct dilatation rate patterns in the northeast and southwest regions of the fault system were observed.The northeast region,represented by the Longmenshan area,exhibited negative dilatational anomalies;while the southwest region,represented by the Jinsha River area north of 29°N,displayed positive dilatational anomalies.This indicates compression in the former and extension in the latter.Combined with deep geophysical observations,we believe that the upper and lower crusts of the Jinsha River area north of 29°N are in an entire expanding state,probably caused by the escape-drag effect of material.The presence of a large,low-viscosity region south of 29°N may not enable the entire escape of the crust,but instead result in a differential escape of the lower crust faster than the upper crust. 展开更多
关键词 strain rate differential escape ABIC GPS southeastern Tibet
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Escape room游戏宣教对阴道分娩初产妇分娩恐惧及产程进展的影响
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作者 陈丽云 尹婷 李春华 《当代护士(上旬刊)》 2024年第1期39-42,共4页
目的探究Escape room游戏宣教对阴道分娩初产妇分娩恐惧及产程进展的影响。方法采用便利抽样法,选取本院2021年1月—2022年6月收治的140例阴道分娩初产妇为研究对象,按随机数字表法将其分为对照组和观察组,每组各70例。对照组采取常规... 目的探究Escape room游戏宣教对阴道分娩初产妇分娩恐惧及产程进展的影响。方法采用便利抽样法,选取本院2021年1月—2022年6月收治的140例阴道分娩初产妇为研究对象,按随机数字表法将其分为对照组和观察组,每组各70例。对照组采取常规教育模式,观察组在常规护理基础上应用Escape room游戏宣教,比较两组初产妇分娩恐惧水平、产程进展。结果观察组分娩恐惧中高水平初产妇占比为57.14%小于对照组的80.00%,差异有统计学意义(P<0.05);观察组初产妇第一产程时间、第二产程时间均短于对照组,差异有统计学意义(P<0.05),两组第三产程时间比较差异无统计学意义(P>0.05)。结论Escape room游戏宣教在阴道分娩初产妇中的应用,能缓解产妇分娩恐惧情绪,可一定程度上加快产程进展。 展开更多
关键词 阴道分娩 初产妇 分娩恐惧 产程进展 Escape room游戏宣教
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Aryl hydrocarbon receptor dynamics in esophageal squamous cell carcinoma:From immune modulation to therapeutic opportunities 被引量:1
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作者 Mina Rahmati Hassan Moghtaderi +1 位作者 Saeed Mohammadi Ahmed Al-Harrasi 《World Journal of Experimental Medicine》 2024年第3期48-56,共9页
Esophageal squamous cell carcinoma(ESCC)is a substantial global health burden.Immune escape mechanisms are important in ESCC progression,enabling cancer cells to escape the surveillance of the host immune system.One k... Esophageal squamous cell carcinoma(ESCC)is a substantial global health burden.Immune escape mechanisms are important in ESCC progression,enabling cancer cells to escape the surveillance of the host immune system.One key player in this process is the Aryl Hydrocarbon Receptor(AhR),which influences multiple cellular processes,including proliferation,differentiation,metabolism,and immune regulation.Dysregulated AhR signaling participates in ESCC development by stimulating carcinogenesis,epithelial-mesenchymal transition,and immune escape.Targeting AhR signaling is a potential therapeutic approach for ESCC,with AhR ligands showing efficacy in preclinical studies.Additionally,modification of AhR ligands and combination therapies present new opportunities for therapeutic intervention.This review aims to address the knowledge gap related to the role of AhR signaling in ESCC pathogenesis and immune escape. 展开更多
关键词 Esophageal squamous cell carcinoma Aryl hydrocarbon receptor Immune escape Tumor microenvironment IMMUNOSUPPRESSION Therapeutic targeting
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优化ESCAPE集束化策略对ICU亚临床谵妄患者的效果评价
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作者 倪海莲 袁薇 《云南医药》 CAS 2024年第3期98-100,共3页
目的 分析优化ESCAPE集束化策略对ICU亚临床谵妄患者的效果。方法 选取本院入住ICU超过24h的亚临床谵妄患者,对照组予常规护理,观察组在常规护理上给优化ESCAPE集束化策略。比较2组睡眠质量、认知水平、谵妄发生率及48h内亚临床谵妄持... 目的 分析优化ESCAPE集束化策略对ICU亚临床谵妄患者的效果。方法 选取本院入住ICU超过24h的亚临床谵妄患者,对照组予常规护理,观察组在常规护理上给优化ESCAPE集束化策略。比较2组睡眠质量、认知水平、谵妄发生率及48h内亚临床谵妄持续时间。结果 观察组睡眠质量、认知水平、谵妄发生率、亚临床谵妄持续时间低于对照组,差异有统计学意义(P<0.05)。结论 优化ESCAPE集束化策略可提高患者睡眠质量,改善亚临床谵妄患者认知水平,缩短亚临床谵妄持续时间,降低谵妄发生率。 展开更多
关键词 优化ESCAPE集束化策略 重症监护室 亚临床谵妄
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Physical mechanism of secondary-electron emission in Si wafers
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作者 赵亚楠 孟祥兆 +5 位作者 彭淑婷 苗光辉 高玉强 彭斌 崔万照 胡忠强 《Chinese Physics B》 SCIE EI CAS CSCD 2024年第4期677-681,共5页
CMOS-compatible RF/microwave devices,such as filters and amplifiers,have been widely used in wireless communication systems.However,secondary-electron emission phenomena often occur in RF/microwave devices based on si... CMOS-compatible RF/microwave devices,such as filters and amplifiers,have been widely used in wireless communication systems.However,secondary-electron emission phenomena often occur in RF/microwave devices based on silicon(Si)wafers,especially in the high-frequency range.In this paper,we have studied the major factors that influence the secondary-electron yield(SEY)in commercial Si wafers with different doping concentrations.We show that the SEY is suppressed as the doping concentration increases,corresponding to a relatively short effective escape depthλ.Meanwhile,the reduced narrow band gap is beneficial in suppressing the SEY,in which the absence of a shallow energy band below the conduction band will easily capture electrons,as revealed by first-principles calculations.Thus,the new physical mechanism combined with the effective escape depth and band gap can provide useful guidance for the design of integrated RF/microwave devices based on Si wafers. 展开更多
关键词 secondary-electron yield doping concentration escape depth Si wafer
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Correction:The escape mechanisms of the proto-atmosphere on terrestrial planets:“boil-off”escape,hydrodynamic escape and impact erosion
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作者 Ziqi Wang You Zhou Yun Liu 《Acta Geochimica》 EI CAS CSCD 2024年第3期623-623,共1页
In the original publication of the article,the affiliation“College of Earth and Planetary Sciences,University of Chinese Academy of Sciences,Beijing,People’s Republic of China”for author Ziqi Wang was missing and i... In the original publication of the article,the affiliation“College of Earth and Planetary Sciences,University of Chinese Academy of Sciences,Beijing,People’s Republic of China”for author Ziqi Wang was missing and included in this correction article. 展开更多
关键词 ESCAPE PLANET COLLEGE
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When Fleeing Matters:Differences in Escape Behaviours of Three Northeast Asian Anurans
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作者 Yoonjung YI Zoljargal PUREVDORJ +2 位作者 Irina MASLOVA Yikweon JANG Amaël BORZÉE 《Asian Herpetological Research》 SCIE CSCD 2024年第1期41-48,共8页
Prey species may have their own optimal escape strategy to balance predation risks and the energetic cost of fleeing.Some species have an advantage when maintaining a short fleeing distance,while others may favour an ... Prey species may have their own optimal escape strategy to balance predation risks and the energetic cost of fleeing.Some species have an advantage when maintaining a short fleeing distance,while others may favour an earlier escape based on microhabitat,size,or body condition.Here,we examined the escape behaviour of the three syntopic Northeast Asian anuran species:Mongolian toads(Strauchbufo raddei),Amur brown frogs(Rana amurensis),and Japanese treefrogs(Dryophytes japonicus)in Mongolia,Russia,China and DPR Korea.We examined flight initiation distance(FID;the distance from a potential predator to the point when the individual starts to flee)and distance fled(DF;distance between flight initiation and flight termination points)of each species and the effects of microhabitat,sex,and body size.Strauchbufo raddei and R.amurensis had a longer FID than D.japonicus,and S.raddei also had a longer DF than D.japonicus.These trends remained similar when dividing FID and DF by a size proxy(snout-vent length)for all individuals.This suggests that the treefrog D.japonicus used a strategy to stay immobile even when they were detected,and the toad S.raddei reacted quicker and more sensitively to predators despite the presence of toxin.Female S.raddei had a significantly longer FID than males suggesting that females are more sensitive to predation risk in this species,but body size was not significant for any of the three species.Our results indicate that the three sympatric species have different escaping strategies,likely related to differences in physiology and crypticity. 展开更多
关键词 AMPHIBIAN distance fled escape behaviour flight initiation distance PREDATION
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MAVEN observation of magnetosonic waves in the Martian magnetotail region
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作者 ShangChun Teng JiCheng Sun +3 位作者 JiaWei Gao Y.Harada Markus Fraenz DeSheng Han 《Earth and Planetary Physics》 EI CAS CSCD 2024年第2期317-325,共9页
Magnetosonic waves are an important medium for energy transfer in collisionless space plasma.Magnetosonic waves have been widely investigated in the upstream of the bow shock at Mars.These waves are believed to origin... Magnetosonic waves are an important medium for energy transfer in collisionless space plasma.Magnetosonic waves have been widely investigated in the upstream of the bow shock at Mars.These waves are believed to originate from pickup ions or reflected particles.By utilizing MAVEN spacecraft data,we have observed the occurrence of quasi-perpendicularly propagating magnetosonic emissions near the proton gyrofrequency in the Martian magnetotail region.These plasma waves are associated with a significant enhancement of proton and oxygen flux.The excited magnetosonic waves could possibly heat the protons through resonance and facilitate the ionospheric plasma escape.Our results could be helpful to better understand the Mars’magnetospheric dynamics and offer insights into possible energy redistribution between waves and plasma in the Martian nightside magnetosphere. 展开更多
关键词 Martian magnetotail region magnetosonic waves proton escape
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Generalized Newton’s Theory of Universal Gravitation and Black Holes
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作者 Lenser Aghalovyan 《Journal of High Energy Physics, Gravitation and Cosmology》 CAS 2024年第1期126-137,共12页
The Newton’s theory of universal gravitation is generalized. Significantly strong at short distances central interaction of bodies and particles is established in comparison with Newtonian. A connection is found with... The Newton’s theory of universal gravitation is generalized. Significantly strong at short distances central interaction of bodies and particles is established in comparison with Newtonian. A connection is found with Black Holes, with the horizon of events. Possibility of systematization of all Black Holes is shown. An illustration is given on the example of Black Hole S<sub>gr</sub>A*. 展开更多
关键词 GRAVITATION Central Interaction Escape Velocity Black Hole Horizon of Events
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Chase,Pounce,and Escape Optimization Algorithm
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作者 Adel Sabry Eesa 《Intelligent Automation & Soft Computing》 2024年第4期697-723,共27页
While many metaheuristic optimization algorithms strive to address optimization challenges,they often grapple with the delicate balance between exploration and exploitation,leading to issues such as premature converge... While many metaheuristic optimization algorithms strive to address optimization challenges,they often grapple with the delicate balance between exploration and exploitation,leading to issues such as premature convergence,sensitivity to parameter settings,and difficulty in maintaining population diversity.In response to these challenges,this study introduces the Chase,Pounce,and Escape(CPE)algorithm,drawing inspiration from predator-prey dynamics.Unlike traditional optimization approaches,the CPE algorithm divides the population into two groups,each independently exploring the search space to efficiently navigate complex problem domains and avoid local optima.By incorporating a unique search mechanism that integrates both the average of the best solution and the current solution,the CPE algorithm demonstrates superior convergence properties.Additionally,the inclusion of a pouncing process facilitates rapid movement towards optimal solutions.Through comprehensive evaluations across various optimization scenarios,including standard test functions,Congress on Evolutionary Computation(CEC)-2017 benchmarks,and real-world engineering challenges,the effectiveness of the CPE algorithm is demonstrated.Results consistently highlight the algorithm’s performance,surpassing that of other well-known optimization techniques,and achieving remarkable outcomes in terms of mean,best,and standard deviation values across different problem domains,underscoring its robustness and versatility. 展开更多
关键词 Bio-inspired optimization METAHEURISTIC chase pounce and escape optimizer collective behavior engineering design problems
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Coating tetrahedral DNA framework with endosomolytic peptides for improved stability and cytosolic delivery
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作者 Jinjun He Xiang Ji +4 位作者 Zihui Xu Wei He Yan Zhao Lele Sun Lan Ma 《Advanced Sensor and Energy Materials》 2024年第2期1-5,共5页
DNA nanostructures have emerged as promising carriers for drug delivery.However,challenges such as low stability,poor cellular uptake efficiency,and vulnerability to lysosomal degradation still hinder their therapeuti... DNA nanostructures have emerged as promising carriers for drug delivery.However,challenges such as low stability,poor cellular uptake efficiency,and vulnerability to lysosomal degradation still hinder their therapeutic potential.In this study,we demonstrate the coating of tetrahedral DNA frameworks(TDF)with the endosomolytic peptide L17E through electrostatic interactions to address these issues.Our findings highlight that L17E coating substantially enhances the stability of TDFs and improves their uptake efficiency into RAW264.7 cells through endocytosis and macropinocytosis.Moreover,L17E coating enables efficient endosomal release of TDFs.Finally,we employed L17E-coated TDF to deliver osteogenic growth peptide and demonstrated its potential applications in inhibiting periodontitis both in vitro and in vivo.This straightforward and cost-effective strategy holds promise for advancing the biomedical applications of DNA nanostructures. 展开更多
关键词 Tetrahedral DNA framework Endosomolytic peptides STABILITY Endosomal escape Efficient delivery
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ESCAPE策略在机械通气患者谵妄管理的应用 被引量:17
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作者 骆艳妮 王秀莹 +3 位作者 王小闯 吴媛 苏丹 刘佳 《护理学杂志》 CSCD 北大核心 2019年第19期37-40,共4页
目的评价ESCAPE策略用于机械通气患者谵妄管理的效果。方法将165例机械通气患者采用随机数字软件分为干预组(n=86)、对照组(n=79)。对照组采用ICU常规护理,包括观察患者生命体征、呼吸机及循环监测、常规镇痛镇静护理、药物不良反应及... 目的评价ESCAPE策略用于机械通气患者谵妄管理的效果。方法将165例机械通气患者采用随机数字软件分为干预组(n=86)、对照组(n=79)。对照组采用ICU常规护理,包括观察患者生命体征、呼吸机及循环监测、常规镇痛镇静护理、药物不良反应及脏器功能监测。干预组采用ICU常规护理的同时应用ESCAPE策略,包括早期活动、睡眠管理、每日唤醒及自主呼吸试验、精神状态评估、情感支持、镇痛镇静管理。比较两组患者谵妄发生率、谵妄持续时间、镇痛镇静药物使用量、机械通气时间、ICU住院时间。结果干预组患者谵妄发生率、谵妄持续时间、镇痛镇静药物使用量、机械通气时间、ICU住院时间显著低于/短于对照组(P<0.05,P<0.01)。结论实施ESCAPE策略可有效降低ICU机械通气患者谵妄发生率,缩短谵妄持续时间,提高临床护理质量。 展开更多
关键词 机械通气 谵妄 ESCAPE策略 ICU住院时间 镇痛 镇静
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并发Java程序同步操作的有效删除 被引量:2
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作者 吴萍 陈意云 张健 《软件学报》 EI CSCD 北大核心 2005年第10期1708-1716,共9页
同步操作是并发Java程序非常大的一部分开销.在现有程序分析方法的基础上,提出了一种精确而有效的冗余同步操作的静态删除方法.该方法分为基本处理和线程间时序分析两个阶段,充分考虑了控制流结构和线程交互时序对同步删除的影响.构造... 同步操作是并发Java程序非常大的一部分开销.在现有程序分析方法的基础上,提出了一种精确而有效的冗余同步操作的静态删除方法.该方法分为基本处理和线程间时序分析两个阶段,充分考虑了控制流结构和线程交互时序对同步删除的影响.构造了一个Java编译器JTool,并在其上实现了同步删除算法.对于确定的单线程程序,同步删除率达到100%;对于多线程程序,同步删除率高于现有的分析工具. 展开更多
关键词 并发程序 程序分析 escape分析 同步删除
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集值映射的Nash平衡点的存在定理 被引量:3
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作者 罗群 《运筹学学报》 CSCD 北大核心 2003年第2期77-83,共7页
本文引入了集值映射的Nash平衡点的概念,它以通常的Nash平衡点及Loose Nash平衡点为特例,并在紧和非紧的假设下,得到集值映射的Nash平衡点的存在定理,其中在非紧的情况下使用escaping序列的定义。
关键词 集值映射 NASH平衡点 存在定理 LooseNash平衡点 紧性 escaping序列 存在定理 非合作对策论 尖锥 拓扑空间 对策系统 广义拟凹
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拓扑半格上的向量Ky Fan不等式 被引量:2
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作者 罗群 《河南师范大学学报(自然科学版)》 CAS CSCD 2004年第1期7-11,共5页
在拓扑半格的框架下,得到了一类向量KyFan不等式(它以通常的KyFan不等式,向量平衡为特例)问题的解的存在定理,其中在空间非紧情况下,使用了escaping序列的概念.
关键词 拓扑半格 向量Ky Fan不等式 △-凸 集值映射 escaping序列 拓扑空间
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High-Integrated-Photosensitivity Negative-Electron-Affinity GaAs Photocathodes with Multilayer Be-Doping Structures
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作者 王晓峰 曾一平 +4 位作者 王保强 朱占平 杜晓晴 李敏 常本康 《Journal of Semiconductors》 EI CAS CSCD 北大核心 2005年第9期1692-1698,共7页
The effect of changing Be doping concentration in GaAs layer on the integrated photosensitivity for nega- tive-electron-affinity GaAs photocathodes is investigated. Two GaAs samples with the monolayer structure and th... The effect of changing Be doping concentration in GaAs layer on the integrated photosensitivity for nega- tive-electron-affinity GaAs photocathodes is investigated. Two GaAs samples with the monolayer structure and the muhilayer structure are grown by molecular beam epitaxy. The former has a constant Be concentration of 1 × 10^19 cm^-3, while the latter includes four layers with Be doping concentrations of 1 × 10^19, 7 × 10^18, 4 × 10^18, and 1 × 10^18 cm^-3 from the bottom to the surface. Negative-electron-affinity GaAs photocathodes are fabricated by exciting the sample surfaces with alternating input of Cs and O in the high vacuum system. The spectral response results measured by the on-line spectral response measurement system show that the integrated photosensitivity of the photocathode with the muhilayer structure enhanced by at least 50% as compared to that of the monolayer structure. This attributes to the improvement in the crystal quality and the increase in the surface escape probability. Different stress situations are observed on GaAs samples with monolayer structure and muhilayer structure, respectively. 展开更多
关键词 integrated photosensitivity muhilayer structure NEA photocathode diffusion length surface escape probability
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Initial Study on Immune Escape Mechanism of Mouse Acute Myelomonocytic Leukemic Cell Line WEHI-3
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作者 黎纬明 刘凌波 +1 位作者 何伟 邹萍 《The Chinese-German Journal of Clinical Oncology》 CAS 2006年第4期291-293,共3页
Objective: To investigate the expression of Fas, Fas ligand (FasL) and CD80 on the cell surface of mouse acute myelomonocytic leukemia cell line WEHI-3 and the function of FasL. Methods: The expression of Fas, Fas... Objective: To investigate the expression of Fas, Fas ligand (FasL) and CD80 on the cell surface of mouse acute myelomonocytic leukemia cell line WEHI-3 and the function of FasL. Methods: The expression of Fas, FasL and CD80 was detected on WEHI-3 cell surface by flow cytometry. Simultaneously the function of FasL was determined by Thymidine (^3H-TdR) Incorporation. Results: The expression of CD80 and Fas on WEHI-3 cell surface was 5.06%±0.41% and 6.75%±2.31% (n=5) respectively, and the expression of FasL was up to 63.73%±5.23% (n=5). The apoptotic rate of YAC-1 cells was 26%±4.5%, 35%±3.2% and 43%±2.7% (n=5) respectively when WEHI-3 (effector cell, E) and Fas^+ YAC-1 cells (target cell, T) were cultured in the ratio of 3:1, 10:1 and 30:1. Conclusion: WEHI-3 cells express high FasL, low Fas and CD80, and can induce apoptosis of Fas^+ YAC-1 cells. 展开更多
关键词 acute myelomonocytic leukemia FASL FAS CD80 immune escape
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改良ESCAPE集束化策略在急性呼吸衰竭有创机械通气脱机患者中的应用价值
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作者 陈新龙 赵宏胜 +3 位作者 陆舒 许惠芬 王乃学 王林华 《交通医学》 2023年第6期582-585,共4页
目的:探讨改良ESCAPE集束化策略在急性呼吸衰竭有创机械通气脱机患者中的应用价值。方法:接受有创机械通气治疗的急性呼吸衰竭患者116例,随机分为观察组60例和对照组56例。对照组由主管医师制定整体治疗方案,采用常规治疗护理。观察组... 目的:探讨改良ESCAPE集束化策略在急性呼吸衰竭有创机械通气脱机患者中的应用价值。方法:接受有创机械通气治疗的急性呼吸衰竭患者116例,随机分为观察组60例和对照组56例。对照组由主管医师制定整体治疗方案,采用常规治疗护理。观察组在常规治疗护理基础上,实施改良ESCAPE集束化策略。结果:观察组脱机后1 h、12 h、24 h时SaO_(2)分别为(96.7±3.7)%、(97.3±3.8)%和(97.4±3.3)%,高于对照组的(92.1±4.3)%、(92.5±2.1)%和(93.3±3.9)%,观察组脱机后1 h、12 h、24 h时PaO_(2)/FiO_(2)分别为255.5±33.5 mmHg、257.5±28.7 mmHg和271.3±32.6 mmHg,高于对照组的213.4±30.7 mmHg、218.1±30.4 mmHg和225.5±30.3 mmHg,差异均有统计学意义(P<0.05);观察组患者脱机后1 h RR 20.5±3.7次/min,低于对照组的25.6±4.1次/min,差异有统计学意义(P<0.05)。观察组机械通时间5.9±2.7 d,短于对照组的8.6±3.1 d,差异有统计学意义(P<0.05);观察组48 h内再插管5例(8.3%),对照组48 h内再插管6例(10.7%),两组再插管率的差异无统计学意义(P>0.05)。观察组谵妄发生率18.3%,低于对照组的35.7%,观察组ICU-AW发生率16.7%,低于对照组的25.0%,差异均有统计学意义(P<0.05);观察组ICU住院时间8.3±3.7 d,短于对照组的11.2±4.1 d,差异有统计学意义(P<0.05)。结论:改良ESCAPE策略可改善急性呼吸衰竭患者呼吸机撤机后的氧合指标,降低谵妄及ICU获得性衰弱的发生率,缩短机械通气时间和ICU住院时间。 展开更多
关键词 改良ESCAPE集束化策略 急性呼吸衰竭 机械通气 脱机
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Fan-Browder不动点定理的一个推广及其应用
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作者 叶明武 杨彦龙 彭定涛 《贵州工业大学学报(自然科学版)》 CAS 2005年第6期1-3,共3页
利用escaping序列的概念及FanKy不等式的推广形式对Fan-Browder不动点定理进行了一个推广,且应用Fan-Browder不动点定理的推广证明了一个新的FanKy截口定理。
关键词 escaping序列 FanKy截口定理 Fan-Browder不动点定理
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