检索结果-南通市图书馆

Risk of sedation for diagnostic esophagogastroduodenoscopy in obstructive sleep apnea patients

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastroenterology 2013年第29期19卷 4745-4751页

作者： Jae Myung Cha Jung Won Jeun Kwan Mi Pack Joung Il Lee Kwang ro Joo Hyun Phil Shin Won-Chul Shin Department of Internal Medicine Kyung Hee University Hospital at Gang Dong Seoul 134-727 South Korea Department of Neurology Kyung Hee University Hospital at Gang Dong Seoul 134-727 South Korea

AIM: To investigate whether patients with obstructive sleep apnea (OSA) are at risk of sedation-related complications during diagnostic esophagogastroduodenoscopy (EGD). METHODS: A prospective study was performed in consecutive patients with OSA, who were confirmed with full-night polysomnography between July 2010 and April 2011. The occurrence of cardiopulmonary complications related to sedation during diagnostic EGD was compared between OSA and control groups. RESULTS: During the study period, 31 patients with OSA and 65 controls were enrolled. Compared with the control group, a higher dosage of midazolam was administered (P = 0.000) and a higher proportion of deep sedation was performed (P = 0.024) in the OSA group. However, all adverse events, including sedation fail-ure, paradoxical responses, snoring or apnea, hypoxia, hypotension, oxygen or flumazenil administration, and other adverse events were not different between the two groups (all P > 0.1). Patients with OSA were not predisposed to hypoxia with multivariate logistic regression analysis (P = 0.068). CONCLUSION: In patients with OSA, this limited sized study did not disclose an increased risk of cardiopulmonary complications during diagnostic EGD under sedation.

关键词： Conscious sedation Obstructive sleep apnea Endoscopy Complications Safety

Prevalence of Noise-Induced Hearing Loss Related to the Mills in the Markets of the Municipality of Parakou in 2021

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

HEφTEГA3OHOCHOCTb 3Oh лABNHHON CEдNMEHTALINN B HEOKOME 3AлAПAдHON CNьNPN

International Journal of Otolaryngology and Head & Neck Surgery（耳鼻喉） 2024年第1期

作者： Fatiou Alabi Bouraïma Cocouvi Bruno Ametonou Ulrich Bidossèssi Vodouhe François Avakoudjo Jorelle Wafo Marius Claude Flatin Spéro H. R. Hounkpatin Wassi Adjibabi

来源：博看期刊评论

在线全文

博看期刊

学校读者我要写书评

暂无评论

新疆石油地质 2001年第2期22卷 172-176页

作者： ЕpШOBC.B. KaэаненkoвB.A. kароroдиню.H. ИHCTHTYTreoпrиннефтннraaaCибнpckoroOтдениБPoccийckoйAkaдemиинayk HoBocибHpck630090PoccиБ

在华日本企业人才本土化问题研究——以无印良品MUJI为例

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

在华日本企业人才本土化问题研究——以无印良品MUJI为例

作者： SHINYO ro 厦门大学

学位级别：硕士

本文研究的课题是在华日企人才本土化。随着中国改革开放的不断深入,尤其在中国加入WTO后,越来越多的跨国企业将目光投向中国这一新兴且快速发展的市场。日本企业由于地理位置和历史渊源,纷纷来华投资发展,企业人才适应策略是日本企业... 详细信息

本文研究的课题是在华日企人才本土化。随着中国改革开放的不断深入,尤其在中国加入WTO后,越来越多的跨国企业将目光投向中国这一新兴且快速发展的市场。日本企业由于地理位置和历史渊源,纷纷来华投资发展,企业人才适应策略是日本企业展开全球化业务非常重要的组成部分,在华日企的人才本土化必然是业务进程中不可回避的课题。本文从人才本土化的相关基础理论出发,阐述了文化与管理的辩证关系以及跨文化管理理论,总结当前跨国公司人才本土化研究成果,为摸索和实践人才本土化提供探讨框架,其中跨文化管理的研究是贯穿本文的核心理论。笔者基于霍氏文化五维度理论分析中日两国企业文化差异,阐述日本文化影响下传统的日本企业人力资源管理的方式,剖析在华日本企业人才本土化的面临的诸多挑战,比如在华日企对待人才本土化的态度、中高层管理人员人才本土化程度、薪酬设计、员工流失率以及中日企业文化冲突。然后,笔者选择了一家在中国推进人才本土化策略比较成功的日本企业:无印良品MUJI,具体分析其在华人才本土化的策略,包括积极挖掘和发展本地人才、层层递进的人才培养机制、以及日式人才评价制度的本地化等。通过对“无印良品MUJI”中国人才本土化策略的介绍和分析,拟为其他在华日企推行人才本地化进程提供参考和借鉴。最后,笔者针对在华日企人才本土化面临的挑战,结合案例分析,提出若干可行有效的人才本土化策略和建议,包括将人才本土化作为企业长期发展战略、促进跨文化融合、积极挖掘本土人才、提供宽阔的员工发展通道、改进薪酬设计、完善企业员工培训体系、尤其注重跨文化适应力培训,为在华日企跨文化管理建设提供建设性的看法。综上所述,在华日企推行人才本土化可以有效化解文化冲突、降低企业投资成本和促进企业在华经营目标的实现。

关键词：在华日企人才本土化跨文化管理

Pancreatic neuroendocrine tumors: biology, diagnosis, and treatment

同方学位论文库评论

在线全文

同方学位论文库

学校读者我要写书评

暂无评论

Chinese Journal of Cancer 2013年第6期32卷 312-324页

作者： Cynthia ro Wanxing Chai Victoria E.Yu Run Yu Cedars-Sinai Medical Center Los Angeles CA 90048 USA

Pancreatic neuroendocrine tumors (PNETs), a group of endocrine tumors arising in the pancreas, are among the most common neuroendocrine tumors. The genetic causes of familial and sporadic PNETs are somewhat understood, but their molecular pathogenesis remains unknown. Most PNETs are indolent but have malignant potential. The biological behavior of an individual PNET is unpredictable; higher tumor grade, lymph node and liver metastasis, and larger tumor size generally indicate a less favorable prognosis. Endocrine testing, imaging, and histological evidence are necessary to accurately diagnose PNETs. A 4-pronged aggressive treatment approach consisting of surgery, locoregional therapy, systemic therapy, and complication control has become popular in academic centers around the world. The optimal application of the multiple systemic therapeutic modalities is under development; efficacy, safety, availability, and cost should be considered when treating a specific patient. The clinical presentation, diagnosis, and treatment of specific types of PNETs and familial PNET syndromes, including the novel Mahvash disease, are summarized.

关键词：肿瘤生物学神经内分泌全身治疗胰腺诊断生物学行为发病机制学术中心

Two Dimensional Triptycene End-Capping and Its Influence on the Self-Assembly of Quinoxalinophenanthrophenazines

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Chinese Journal of Chemistry 2023年第10期41卷 1198-1208页

作者： Lisa ro■ Julius Reitemeier Farhad Ghalami Wen-Shan Zhang Jurgen H.Gross Frank rominger Sven M.Elbert Rasmus Schroder Marcus Elstner Michael Mastalerz Institute of Organic Chemistry Heidelberg UniversityIm Neuenheimer Feld 270D-69120HeidelbergGermany Institute of Physical Chemistry and Theoretical Chemical Chemistry Karlsruhe Institute of TechnologyKaiserstrae 12D-76131KarlsruheGermany BioQuant University HeidelbergIm Neuenheimer Feld 267D-69120HeidelbergGermany

In this report we investigated two-dimensionally triptycene end-capped QPPs in terms of their solution and solid-state *** this purpose,a triphenylene based ortho-diamine decorated with two triptycenyl units as well as a phenylene diamine with two non-annulated triptycene units have been *** of condensation reactions with a pyrene-based tetraketone and ortho-diamines yielded a series of QPPs and UV/Vis investigations of the corresponding compounds led to the conclusion,that the QPPs form dimers in solution,which was further supported by ***-crystal X-ray analysis of the triply and quadruply triptycene end-capped QPPs furthermore showed shortπ-π-distances of 3.3-3.4?and a perfect shape match during the dimerization of the triply triptycenyl end-capped QPP making it possible synthon for crystal engineering.

关键词： Triptycene Quinoxalinophenanthrophenazine N-Heteropolycycles Polycyclic aromatic compounds Aggregation

Proton pump inhibitor administration delays rebleeding after endoscopic gastric variceal obturation

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastroenterology 2014年第45期20卷 17127-17131页

作者： Won Seok Jang Hyun Phil Shin Joung Ⅱ Lee Kwang ro Joo Jae Myung Cha Jung Won Jeon Jun Uk Lim Department of Internal Medicine College of Medicine Kyung Hee University

AIM: To clarify the efficacy of proton pump inhibitors (PPIs) after endoscopic variceal obturation (EVO) with N-butyl-2-cyanoacrylate.

关键词： Cirrhosis Endoscopic variceal obturation N-butyl-2-cyanoacrylate Proton pump inhibitor Rebleeding interval

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

信息和文献编辑：研究与发展的现代媒介

国外情报科学 1990年第2期8卷 36-40页

作者：阿梅.,ro 由丽君

本文强调科技信息在一个国家中对科学技术的研究与发展起着重要的作用.信息和宜献编辑为学科和面向任务服务.它促进发展中国家知识与工韭的均衡发展,为研究与发展而进行数据与信息处理的、工技能地计算机技能也显示出来.实际上.信息的... 详细信息

本文强调科技信息在一个国家中对科学技术的研究与发展起着重要的作用.信息和宜献编辑为学科和面向任务服务.它促进发展中国家知识与工韭的均衡发展,为研究与发展而进行数据与信息处理的、工技能地计算机技能也显示出来.实际上.信息的文献犏辑非文献编辑的资晾和信息对社会经济发展有着非常田显的实际价值,其中也包括信息的成本峻益分析和成本效益.

关键词：情报学文献编辑科技信息

AGENT-BASED WORKFLOW COORDINATION FOR SUPPLY CHAIN MANAGEMENT

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Transactions of Nanjing University of Aeronautics and Astronautics 2003年第1期20卷 112-117页

作者：徐琪 QIU ro-bin 徐福缘上海理工大学管理学院上海200093中国宁夏大学计算中心银川750021中国 Department of Information Sciences Pennsylvania State University Malvern PA 19355 USA 上海理工大学管理学院上海200093中国

To align customer demand with suppliers for reducing work in process and supply costs and increasing re sp onsiveness to customer requirements, a real time collaborative supply chain mana gement system is essential. A solution to the realization of supply chain manage ment capable of timely responding to customer requirements is proposed. Workflow automation is used to manage process interaction across enterprises; Agents can be automatically invoked by supply chain workflow process and are used to pro mote the flexibility and reconfigurability by providing the mechanism in support of distributed compution in an enterprises to meet the requirements of performa nce and business dynamics. An approach that supports agent based workflow proce ss in a supply chain is proposed. And the coordination mechanism between agents is also discussed.

关键词： supply chain management workflow management multi agents coordination