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Intravenous morphine self-administration alters accumbal microRNA profiles in the mouse brain 被引量:1
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作者 Juhwan Kim Heh-In Im Changjong Moon 《Neural Regeneration Research》 SCIE CAS CSCD 2018年第1期77-85,共9页
A significant amount of evidence indicates that microRNAs (miRNAs) play an important role in drug addiction. The nucleus accumbens (NAc) is a critical part of the brain’s reward circuit and is involved in a varie... A significant amount of evidence indicates that microRNAs (miRNAs) play an important role in drug addiction. The nucleus accumbens (NAc) is a critical part of the brain’s reward circuit and is involved in a variety of psychiatric disorders, including depression, anxiety, and drug addiction. However, few studies have examined the expression of miRNAs and their functional roles in the NAc under conditions of morphine addiction. In this study, mice were intravenously infused with morphine (0.01, 0.03, 0.3, 1 and 3 mg/kg/infusion) and showed inverted U-shaped response. After morphine self-administration, NAc was used to analyze the functional networks of altered miRNAs and their putative target mRNAs in the NAc following intravenous self-administration of morphine. We utilized several bioinformatics tools, including Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway mapping and CyTargetLinker. We found that 62 miRNAs were altered and exhibited differential expression patterns. The putative targets were related to diverse regulatory functions, such as neurogenesis, neurodegeneration, and synaptic plasticity, as well as the pharmacological effects of morphine (receptor internalization/endocytosis). The present findings provide novel insights into the regulatory mechanisms of accumbal molecules under conditions of morphine addiction and identify several novel biomarkers associated with morphine addiction. 展开更多
关键词 nerve regeneration nucleus accumbens MICRORNA MORPHINE self-administration BIOINFORMATICS neural regeneration
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Impact of Pharmaceutical Care on Self-Administration of Outpatient Low-Molecular-Weight Heparin Therapy
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作者 Seraina Mengiardi Dimitrios A. Tsakiris +4 位作者 Viviane Molnar Urs Kohlhaas-Styk Michael Mittag Stephan Kraehenbuehl Kurt E. Hersberger 《Pharmacology & Pharmacy》 2014年第4期372-385,共14页
Outpatient subcutaneous (s.c.) therapies are becoming more and more common in the treatment of different diseases. The effectiveness of community-pharmacy-based interventions in preventing problems that arise during s... Outpatient subcutaneous (s.c.) therapies are becoming more and more common in the treatment of different diseases. The effectiveness of community-pharmacy-based interventions in preventing problems that arise during s.c. self-injections of low-molecular-weight heparins (LMWH) is unknown. Our objective was to provide a standard operating procedure (SOP) for community pharmacists and to compare pharmaceutical vs. standard care in both clinical and daily life settings. We hypothesized that: pharmaceutical care results in improved adherence, safety, and satisfaction, and in fewer complications;the interventions used are feasible in daily life;and the results achieved in clinical and daily life settings are comparable. In the clinical setting (randomized controlled trial), patients were recruited sequentially in hospital wards;in the daily life setting (quasi-experimental design with a comparison group), recruitment took place in community pharmacies by pharmacists and trained master students during their internship. Interventions were offered according to patient needs. Data were collected by means of a monitored self-injection at home and structured questionnaire-based telephone interviews at the beginning and the end of the LMWH treatment. The main outcome measures were: scores to assess patient’s skills;syringe count to assess adherence;and frequency, effectiveness, and patient’s assessment of received interventions. The results show a median age of the 139 patients of 54 years. Interventions resulted in improved application quality (p p = 0.03). Oral instructions were pivotal for improving patients’ application quality. We found no significant score differences between the intervention groups in the clinical and daily life settings. Patients’ baseline skills were high, with the lowest score being 0.86 (score range ?2.00 to +2.00). Adherence rate was high (95.8%). In conclusion, our SOP for pharmacist interventions was of good quality, adequate, appreciated, and feasible in daily life. Patients are capable of managing s.c. injection therapies if adequate assistance is provided. 展开更多
关键词 LOW-MOLECULAR-WEIGHT Heparin OUTPATIENTS SUBCUTANEOUS Injections self administration Pharmaceutical Care Community PHARMACY Switzerland
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Biogenic Amine Neurotransmitter Response to Morphine in the Anterior Cingulate Cortex Predicts Propensity for Acquiring Self-Administration and the Intensity of the Withdrawal Syndrome 被引量:1
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作者 Maria Trigub Vladinir Kudrin +2 位作者 Valentina Bashkatova Petr Klodt Sergey Sudakov 《Pharmacology & Pharmacy》 2014年第11期1006-1014,共9页
Individual differences in behavioral characteristics or initial responses to abused drugs had been recently demonstrated to have predictive value in the propensity of later abuse. The research described here was initi... Individual differences in behavioral characteristics or initial responses to abused drugs had been recently demonstrated to have predictive value in the propensity of later abuse. The research described here was initiated to determine the initial response of rats to administration of morphine if the physiological response has predictive value for the propensity of the animals to later self-administration. The initial response of extracellular fluid levels of the biogenic monoamine neurotransmitters in the anterior cingulate cortex (aCC) was assessed in drug rats with in vivo microdialysis following administration of morphine. Rats that did not acquire morphine self-administration (NSA) had higher baseline levels of aCC extracellular fluid levels of dopamine (DA) and 3,4-dihydroxyphenylacetic acid (DOPAC) than animals that developed stable morphine self-administration (SA). However, the response independent administration of morphine resulted in a dramatic increase in (DA) in aCC in the SA group, while the morphine injection in the NSA rats increased extracellular fluid levels of noradrenaline (NA). It is possible that these differences might be related to the development of physical dependence. Therefore, the development of physical dependence was observed in these animals. There was no relationship between the propensity to self-administration morphine and the development of physical dependence. Rats that showed the highest withdrawal scores had lower extracellular fluid levels of serotonin (5-HT) compared to rats showing low withdrawal scores. Thus, monoamine neuronal innervations of the aCC respond to an initial dose of morphine that is predictive of the later propensity to self-administration and the resistance and predisposition to the formation of opiate dependence, but there is no relationship between these two indices in individual animals. These data add to a growing body of evidence for the involvement of neuronal systems in the aCC in the actions of opiates. 展开更多
关键词 Anterior CINGULATE Cortex Dopamine Serotonin In Vivo MICRODIALYSIS Intravenous self-administration of MORPHINE
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Anti -addiction effects of agmatine against heroin self-administration in rats
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作者 Fuqiang Zhang Jin Li +6 位作者 Wenhua Zhou Huifen Liu Shuaien Tang Miaojun Lai Huaqiang Zhu Ruibin Su Guodong Yang 《中国药理通讯》 2005年第4期55-56,共2页
关键词 自我管理 吗啡依赖 药物治疗 小鼠 动物实验
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Parameter Self - Learning of Generalized Predictive Control Using BP Neural Network
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作者 陈增强 袁著祉 王群仙 《Journal of China Textile University(English Edition)》 EI CAS 2000年第3期54-56,共3页
This paper describes the self—adjustment of some tuning-knobs of the generalized predictive controller(GPC).A three feedforward neural network was utilized to on line learn two key tuning-knobs of GPC,and BP algorith... This paper describes the self—adjustment of some tuning-knobs of the generalized predictive controller(GPC).A three feedforward neural network was utilized to on line learn two key tuning-knobs of GPC,and BP algorithm was used for the training of the linking-weights of the neural network.Hence it gets rid of the difficulty of choosing these tuning-knobs manually and provides easier condition for the wide applications of GPC on industrial plants.Simulation results illustrated the effectiveness of the method. 展开更多
关键词 generalized PREDICTIVE CONTROL self - tuning CONTROL self - LEARNING CONTROL neural networks BP algorithm .
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Self - Crosslinking Behavior of Self - Emulsion Water - Based Polyure-thane Coating Agents
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作者 林萍 《Journal of China Textile University(English Edition)》 EI CAS 2000年第3期50-53,共4页
The relation between structures and properties of polyurethane are investigated by modern physical and chemical methods.The results obtained are as follows:the effects of the content of self-crosslinking agent on the ... The relation between structures and properties of polyurethane are investigated by modern physical and chemical methods.The results obtained are as follows:the effects of the content of self-crosslinking agent on the properties of polyurethane,i.e.,dispersion stability,dynamical viscoelasticity and mechanical properties are discussed.It is found that the optimum molar ratio of epichlorohydrin and diethylenetriamine is 1:2.A mois- 展开更多
关键词 POLYURETHANE self - CROSSLINKING dynamical VISCOELASTICITY coated FABRICS .
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Culture Self- Consciousness in Transmission of Chinese Philosophy from the Perspective of English Globalization -- Taking the Belt and Road Initiative for Example
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作者 Wang Yan Shi Wenjun 《学术界》 CSSCI 北大核心 2018年第3期273-282,共10页
The Belt and Road Initiative contains the aspiration of Chinese nation to pursue ideological freedom and desire of strengthening international exchanges and cooperation. This paper takes the Belt and Road Initiative f... The Belt and Road Initiative contains the aspiration of Chinese nation to pursue ideological freedom and desire of strengthening international exchanges and cooperation. This paper takes the Belt and Road Initiative for example,emphasizing the interpretation of the inheritance and development of Chinese culture so as to study the importance of Culture Self-Consciousness in Chinese Philosophy,in the context of English globalization. That is to say,this paper stresses the spirits and the stand of nation 's demonstration on pursuing peace,cooperation and sustainable development in the civilization continuity from traditional China to the contemporary China,with practical philosophic view. 展开更多
关键词 English globalization Chinese PHILOSOPHY CULTURE self - CONSCIOUSNESS thebelt and ROAD INITIATIVE
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On the Current Situation of Basic - level Administrative Law Enforcement in China
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作者 Xiaoxing Xie 《International Journal of Technology Management》 2016年第11期36-37,共2页
With the development of economy and society, our country is on the road of rule by law, the legal system is progressing constantly. At the same time, we should also see that the administration according to law is not ... With the development of economy and society, our country is on the road of rule by law, the legal system is progressing constantly. At the same time, we should also see that the administration according to law is not perfect, and its shortcomings exist in different degree and need to be further improved. Based on the analysis of the status quo of grass-roots administrative law enforcement in China, this paper tries to put forward corresponding countermeasures, so as to promote the work of law-based administration for the corresponding study. 展开更多
关键词 grass - roots level administrative law enforcement present situation
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如何持续激发村民自治活力?--基于浙江黄岩“三化十二制”的考察
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作者 徐畅 韩威 丁庆龙 《安徽乡村振兴研究》 2024年第4期21-29,共9页
充满活力的村民自治是乡村振兴的重要推动力,但实践中却受到行政化问题的负面影响。理论分析表明,中央试图缓解国家治理逻辑的内在张力,实现决策一统性与治理有效性的有机统一。然而,这一国家治理逻辑转换非但未能达到预期效果,反而引... 充满活力的村民自治是乡村振兴的重要推动力,但实践中却受到行政化问题的负面影响。理论分析表明,中央试图缓解国家治理逻辑的内在张力,实现决策一统性与治理有效性的有机统一。然而,这一国家治理逻辑转换非但未能达到预期效果,反而引发了压力型体制的嬗变:上级党政机关层级控制强度不断加强,进而导致了非预期后果的形成与延续,即村民自治的行政化问题。浙江省台州市黄岩区“三化十二制”的实践展现出了破解这一难题的有效途径——基层党组织领导的制度化与数字化。 展开更多
关键词 村民自治行政化 基层党组织 自我革命 民主集中制
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电针对吗啡成瘾大鼠戒断-复吸行为影响的初步观察 被引量:5
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作者 邓宏勇 胡军 梁艳 《上海针灸杂志》 2004年第8期31-34,共4页
目的 观察针刺对实验动物戒断及复吸期间操作行为的影响。方法 建立大鼠吗啡自身给药模型 ,随机分模型对照组、绑缚对照组、针刺治疗组。熄灭期 (3d)做相应处理 ,d4吗啡引燃 (2 m g/kg体重 ) ,观察动物熄灭踏板数 (L PE)、复吸踏板数(... 目的 观察针刺对实验动物戒断及复吸期间操作行为的影响。方法 建立大鼠吗啡自身给药模型 ,随机分模型对照组、绑缚对照组、针刺治疗组。熄灭期 (3d)做相应处理 ,d4吗啡引燃 (2 m g/kg体重 ) ,观察动物熄灭踏板数 (L PE)、复吸踏板数(L PR)。结果 模型对照组观察到典型熄灭 -复吸曲线 (ERC) ;绑缚对照组该曲线发生变异 ,主要是缩短了熄灭的过程 ;针刺治疗组彻底改变了熄灭 -复吸曲线的形状 ,使熄灭反跳现象消失 ,但复吸值变大。以吗啡平台期平均踏板数 (AL PP)为基准值 ,各组间熄灭平均踏板数 (AL PE)和复吸踏板数 (L PR)无明显差异。结论 相对于自然戒断 ,针刺及绑缚在熄灭期间均具有较明显的抑制渴求效果 ,且针刺比绑缚作用更快 ,效果更明显 ;短期 (3d)的针刺治疗未达到抗短期复吸 (d 4 )效果。更多结果有待后续观察和进一步验证。 展开更多
关键词 电针 吗啡成瘾 大鼠 戒断-复吸行为 吗啡依赖 药理学
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一场对“大学自治、学者治校”的深入反思:2004-2006年牛津大学治理改革案例分析 被引量:6
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作者 钟周 《复旦教育论坛》 CSSCI 北大核心 2010年第2期73-78,92,共7页
近四十多年来,为了在激烈的国际竞争和广泛的社会变革中保持世界一流,牛津深入反思了大学的宗旨和原则——"学术卓越"和"民主自治",并对治理体制进行了一系列的改革探索。2004-2006年的牛津治理改革大讨论是现代大... 近四十多年来,为了在激烈的国际竞争和广泛的社会变革中保持世界一流,牛津深入反思了大学的宗旨和原则——"学术卓越"和"民主自治",并对治理体制进行了一系列的改革探索。2004-2006年的牛津治理改革大讨论是现代大学治理模式在学术与行政权力之间的一场激烈冲突。牛津的改革努力激励着世界的其他大学反思自身的办学之道,反思大学的本质和未来。本文系统分析了这场改革的背景、过程、特点和影响。 展开更多
关键词 牛津大学 治理 自治 学术权力 行政权力
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行为公共管理学视角下群体性事件的“输入-输出”机制:冰山模型 被引量:2
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作者 张书维 《贵州省党校学报》 2019年第5期67-76,共10页
文章从行为公共管理学视角出发,探索群体性事件的“输入-输出”机制,据此提出“冰山模型”。冰山模型的理论意义体现在实现群体性事件两大主体的有机互动,打通过去割裂分化的群体性事件研究路径,串联群体性事件从酝酿到爆发的全过程;实... 文章从行为公共管理学视角出发,探索群体性事件的“输入-输出”机制,据此提出“冰山模型”。冰山模型的理论意义体现在实现群体性事件两大主体的有机互动,打通过去割裂分化的群体性事件研究路径,串联群体性事件从酝酿到爆发的全过程;实践价值凸显为对输入环节的探讨将服务于群体性事件的预防,对输出环节的探讨将服务于群体性事件的化解,合起来必将有利于基层风险治理体系的构建。 展开更多
关键词 行为公共管理学 群体性事件 冰山模型 政府管理 自组织化 集体行动
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1927-1937年国民政府在安徽的基层行政改革 被引量:1
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作者 黄昊 《安庆师范学院学报(社会科学版)》 2010年第4期47-52,共6页
1928年至1937年抗战爆发前,国民政府对安徽的县以下基层行政组织进行了一系列的改革。在地方自治试办阶采取的主要措施是重新厘定县等,改订县政经费;编查户口,划定县以下自治区域;加强自治地方官员选拔考核,查处贪污腐化;成立指导自治... 1928年至1937年抗战爆发前,国民政府对安徽的县以下基层行政组织进行了一系列的改革。在地方自治试办阶采取的主要措施是重新厘定县等,改订县政经费;编查户口,划定县以下自治区域;加强自治地方官员选拔考核,查处贪污腐化;成立指导自治的专门机关,开展自治事项。在保甲制推行阶段,安徽省基层行政发生了一些变化:一是重新划分基层行政区划,编制保甲;二是县府工作重心由筹备自治转为"保甲"、"自卫";三是分区设署的推行。从总的来看,国民政府在安徽的基层行政改革并未实现预期的目的。 展开更多
关键词 安徽省 地方自治 保甲制 基层行政改革
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中国地方政府创新的类型学:基于“控制-嵌入-规范”框架的分析 被引量:15
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作者 王猛 《求实》 CSSCI 北大核心 2020年第3期42-56,M0004,M0005,共17页
府际结构、政社关系与行政文化是理解地方政府创新的关键变量,并构成了地方政府创新的"控制-嵌入-规范"框架。基于此框架,区分了三种典型的地方政府创新模式:中央主导型创新、地方回应型创新和地方自发型创新,并对三种地方政... 府际结构、政社关系与行政文化是理解地方政府创新的关键变量,并构成了地方政府创新的"控制-嵌入-规范"框架。基于此框架,区分了三种典型的地方政府创新模式:中央主导型创新、地方回应型创新和地方自发型创新,并对三种地方政府创新的特征、优势及局限等进行了对比。创新类型的差异实则是地方政府创新核心机制和关键变量的区别。分析表明,控制、嵌入和规范机制对地方政府创新的内在逻辑有较强的解释力。而该类型学划分在理论上部分回应了当前有关中国地方治理模式的讨论,在经验上为进一步通过地方政府创新推动地方治理现代化提供了参考。 展开更多
关键词 地方政府创新 中央主导型创新 地方回应型创新 地方自发型创新 政治支持 社会嵌入 行政文化
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Cannabinoid receptor antagonist SR141716A decreases operant ethanol self administration in rats exposed to ethanol-vapor chambers
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作者 Feinando RODRIGUEZ DE FONSECA Amanda J ROBERTS +2 位作者 Ainhoa BILBAO George F KOOB Miguel NAVARRO 《中国药理学报》 CSCD 1999年第12期1109-1114,共6页
AIM:To study the potential role of dependence statuson CB_(1)-mediated blockade of ethanol self-administra-tion.METHODS:We examined the effects of thecannabinoid antagonist SR141716A(0,0.03,0.3,and 3 mg/kg)on pperant ... AIM:To study the potential role of dependence statuson CB_(1)-mediated blockade of ethanol self-administra-tion.METHODS:We examined the effects of thecannabinoid antagonist SR141716A(0,0.03,0.3,and 3 mg/kg)on pperant ethanol(10%v/v)self-administration in male Wistar rats that were madeethanol-dependent by chronic(14 d)exposure toethanol vapor-chambers or exposed to air in identicalvapor chambers.RESULTS:Dependent animalsresponded more for ethanol than did air controlnondependent tats.The acute administration of a 3mg/kg dose of SR141716A almost suppressed ethanolself-administration ouly in ethanol dependent animals.However,operant responses for food were not afected by the administration of SR141716A.CONCLU.SION:These results further support that cannabinoid CB_(1) receptor blockade may have a potential utility for the treatment of alcobolism. 展开更多
关键词 ETHANOL self administration cannabinoid rcceptors SR141716A
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乡村治理中的制度举措失焦化:特征、生成与优化--以中部地区C县“三治结合”实践为例 被引量:7
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作者 余泓波 《求实》 CSSCI 北大核心 2022年第3期75-86,M0005,共13页
相较于内卷化、制度失灵、制度失准,制度举措失焦化更为精准地概括了乡村治理中的此类问题:某些制度举措虽然表现出一定程度的工具性绩效,但却未能聚焦于制度本身的核心载体与价值要求。这种失焦化体现在“三治分离”、自治民生化、法... 相较于内卷化、制度失灵、制度失准,制度举措失焦化更为精准地概括了乡村治理中的此类问题:某些制度举措虽然表现出一定程度的工具性绩效,但却未能聚焦于制度本身的核心载体与价值要求。这种失焦化体现在“三治分离”、自治民生化、法治秩序化、德治行政化等方面。从基层治理实践看,干部价值观念错位、现有考评机制压力、群众需求异化是这一现象产生的主要原因。而制度举措的失焦化,又将进一步强化行政依赖、经费依赖,带来治理理念的错位。新制度主义中的制度规范与理性选择有助于揭示其生成机制,而治理过程的价值融入、制度创新的科学评价、群众主体性与乡村内生性的凸显,有助于改善失焦化这一现象。 展开更多
关键词 乡村治理 “三治结合” 制度举措失焦化 自治民生化 法治秩序化 德治行政化 新制度主义
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Abuse-related effects of synthetic cathinones:importance of DAT/SERT relationships
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作者 Brenda M GANNON Michael H BAUMANN +1 位作者 Kenner C RICE Gregory T COLLINS 《中国药理学与毒理学杂志》 CSCD 北大核心 2017年第10期951-951,共1页
OBJECTIVE Wide spread abuse of synthetic cathinones found in bath salts preparations has resulted in regulation of some cathinones internationally.Chemists skirt these laws by altering the chemical structures of first... OBJECTIVE Wide spread abuse of synthetic cathinones found in bath salts preparations has resulted in regulation of some cathinones internationally.Chemists skirt these laws by altering the chemical structures of first-generation cathinones(ie,MDPV,methylone,and mephedrone),resulting in second-generation cathinones(eg,α-PVP,α-PPP,MDPPP,and MDPBP).Although MDPV is a more effective reinforcer than cocaine,little is known about the reinforcing effectiveness of secondgeneration cathinones.To test the hypothesis that synthetic cathinones with higher selectivity for DAT relative to SERT are more effective reinforcers.METHODS Monoamine transporter inhibition was determined using synaptosomes prepared from rat brains.The relative reinforcing effectiveness of intravenously self-administered MDPV,MDPBP,MDPPP,α-PVP,α-PPP,and cocaine were directly compared through evaluations of (1)dose-response curves under a progressive ratio(PR)schedule of reinforcement and (2)demand curves obtained for each drug in male Sprague-Dawley rats.RESULTS Rank order selectivity for DAT/SERT wasα-PVP>MDPV>α-PPP≈MDPBP>MDPPP>cocaine.Comparisons of the maximum number of infusions obtained under a PR schedule of reinforcement(α-PVP>MDPV>α-PPP>MDPBP≈MDPPP>cocaine)and the essential value obtained for each drug in demand analyses(α-PVP>MDPV>α-PPP≈MDPBP≈MDPPP>cocaine)suggest relative reinforcing effectiveness is related to DAT/SERT selectivity.CONCLUSION These data provide evidence that DAT/SERT selectivity accounts for select synthetic cathinones functioning as more effective reinforcers than cocaine and may predict the abuse-related effects of novel synthetic cathinones in humans. 展开更多
关键词 synthetic cathinones bath salts self-administration dopamine transporter serotonin transporter
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日本“新安保三文件”下的强军计划论析 被引量:3
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作者 王瑞 《太平洋学报》 CSSCI 北大核心 2024年第2期29-42,共14页
随着岸田政府在2022年12月出台“新安保三文件”,日本的军力建设迎来重大转变。日本打破了国防预算“GDP 1%”原则以及“专守防卫”原则,试图大幅提升国防预算并全面强化军力,以期成为“能战”的军事强国。“新安保三文件”的出台动因... 随着岸田政府在2022年12月出台“新安保三文件”,日本的军力建设迎来重大转变。日本打破了国防预算“GDP 1%”原则以及“专守防卫”原则,试图大幅提升国防预算并全面强化军力,以期成为“能战”的军事强国。“新安保三文件”的出台动因有多方面,包括日本对周边国家“威胁认知”的偏差,日本配合美国的军事战略、加强日美安全合作的需要,以及日本国内更加重视国家安全问题。在发展前景上,日本强军计划并非完全乐观,其国防预算增长计划有可能无法得到全面落实、“和平主义”思潮以及“募兵难”问题也会对日本的“军事大国化”起到一定程度的制约作用。 展开更多
关键词 岸田政府 “新安保三文件” 自卫队 强军
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Acetylcholine Transmission in Nucleus Accumbens and VTA on Heroin- Seeking Elicited by Contextual and Conditioned Cues
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作者 Wenhua Zhou Huifen Liu +5 位作者 Fuqiang Zhang Suien Tang Huaqiang Zhu Miaojun Lai Peter W. Kalivas Guodong Yang 《中国药理通讯》 2005年第4期56-57,共2页
关键词 乙酰胆碱 VTA 吗啡依赖 血管疾病 药物治疗
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“三师共管”诊疗模式对不同病程糖尿病患者的临床疗效研究 被引量:1
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作者 刘添娇 朴春丽 +2 位作者 赵能江 李津 杨叔禹 《中国全科医学》 CAS 北大核心 2024年第25期3121-3128,共8页
背景糖尿病发病率高、并发症多,已成为亟待解决的公共卫生问题,但临床防治管理水平仍不理想。目的观察“三师共管”诊疗模式对不同病程糖尿病患者代谢指标和自我管理水平的影响。方法选取2021年4月—2022年4月在广州中医药大学深圳医院... 背景糖尿病发病率高、并发症多,已成为亟待解决的公共卫生问题,但临床防治管理水平仍不理想。目的观察“三师共管”诊疗模式对不同病程糖尿病患者代谢指标和自我管理水平的影响。方法选取2021年4月—2022年4月在广州中医药大学深圳医院(福田)内分泌科接受“三师共管”诊疗模式管理并随访6个月以上的181例2型糖尿病患者,依据病程将患者分组(A组:病程<1年;B组:病程1~5年;C组:病程>5~10年;D组:病程>10年);患者在线下门诊由中医师、内分泌专科医师、健康照护师组成的“三师”团队进行体质辨识、并发症筛查、“药、食、功、识”、中医适宜技术等综合干预;患者居家时,由健康照护师通过智能血糖仪设备和手机APP进行线上管理。在管理6个月后收集不同病程患者血糖、体质量指标的变化;并采用问卷收集患者自我管理中的常见问题,填写糖尿病自我管理行为量表6(SDSCA-6)。结果通过“三师共管”诊疗模式的管理,A组患者在干预后降低空腹血糖和餐后2 h血糖方面的疗效较好(P<0.05);A组、B组、C组、D组的BMI、腰围与干预前比较均降低(P<0.05);患者自我管理中较常见的饮食问题为饮食结构不合理(38.12%),较常见的运动问题为运动量或运动强度不足(36.46%),较常见的监测问题为监测不足(37.02%);A组、B组、C组、D组在“健康饮食”“自我监测”“医嘱依从”“教育交流”4个维度的自我管理水平与干预前比较均升高(P<0.001)。结论“三师共管”诊疗模式能够提升糖尿病患者的自我管理能力,从而改善代谢指标,起到良好的综合干预作用,临床应尤其重视对糖尿病病程<1年患者的管理。 展开更多
关键词 糖尿病 2型 三师共管 糖尿病管理 中医药管理 自我管理 临床研究
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