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山地建筑和步行空间的共生

重庆建筑大学学报 2006年第4期28卷 17-19,23页

作者：黄光宇何昕重庆大学建筑城规学院重庆400045

山地城市建筑和步行交通路径通过合理的方式结合成为共同的机体。着重论述了这一山地城市特有的空间文化,并总结了其共生的六种方式,为山地城市步行空间的设计提供了依据。

关键词：共生地形条件建筑步行空间

Postoperative neuropsychological change and its underlying mechanism in patients undergoing coronary artery bypass grafting

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Chinese Medical Journal 2007年第22期120卷 1951-1957页

作者： YIN Yi-qing LUO Ai-lun GUO Xiang-yang LI Li-huan huang yu-guang Department of Anesthesiology China-Japan Friendship HosptialBeijing 100029 China Department of Anesthesiology Peking Union Medical CollegeHospital Beijing 100730 China Department of Anesthesiology Fuwai Hospital Chinese Academy of Medical Sciences and Peking Union Medical. College Cardiovascular Institute Beijing 100037 China

Background The high incidence of neuropsychologic deficits after cardiac surgery, including cognitive dysfunction and mood status, has significantly influenced the prognosis, outcome of treatment and long-term quality of life of patients. With a circadian secretion pattern, melatonin and cortisol are capable of modulating the human physiological processes and neuropsychological status, whereas disorder of their secretion pattern may lead to many diseases. However, it is unclear whether neuroendocrine variations are related to the neuropsychologic status in patients undergoing coronary artery bypass grafting （CABG）. Methods Forty male patients scheduled for CABG with hypothermic cardiopulmonary bypass （CPB）（n=20） or off-pump coronary artery bypass （OPCAB）（n=20） were studied. Blood samples were taken intraoperatively at specific time-points and every 3 hours within the first postoperative 24 hours to determine plasma concentrations of melatonin and cortisol. A neuropsychologic test battery including depression and anxiety was administered preoperatively and 7 to 10 days postoperatively. Statistical methods included the nonparametric analysis, multiple linear regression and cosinor analysis. Results The patients in the CPB group exhibited more severe neuropsychologic deficits and more anxious than those in the OPCAB group after surgery. In both groups, patients were more depressed postoperatively than preoperatively and recovered 3 months after surgery. Depression and anxiety were correlated with some factors of cognitive dysfunctions. In the postoperative 24 hours, 2 patients in the CPB group, and 6 patients in the OPCAB group showed a circadian rhythm of melatonin secretion. As for cortisol secretion, there were 3 patients in the CPB group and 7 in the OPCAB group respectively. Parameters of circadian rhythm of melatonin in the CPB group and those of secretion rhythm of cortisol in both groups were correlated with depression and some neuropsychologic tests. C

关键词： neuropsychology melatonin cortisol circadian rhythm coronary artery bypass grafting anesthesia

Dynamic Regulation of Hydrogen Bonding Networks and Solvation Structures for Synergistic Solar‑Thermal Desalination of Seawater and Catalytic Degradation of Organic Pollutants

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Nano-Micro Letters 2025年第2期17卷 548-565页

作者： Ming‑yuan yu Jing Wu guang Yin Fan‑Zhen Jiao Zhong‑Zhen yu Jin Qu Beijing Key Laboratory of Advanced Functional Polymer Composites Beijing University of Chemical TechnologyBeijing 100029People’s Republic of China State Key Laboratory of Organic‑Inorganic Composites College of Materials Science and EngineeringBeijing University of Chemical TechnologyBeijing 100029People’s Republic of China

Although solar steam generation strategy is efficient in desalinating seawater,it is still challenging to achieve continuous solar-thermal desalination of seawater and catalytic degradation of organic ***,dynamic regulations of hydrogen bonding networks and solvation structures are realized by designing an asymmetric bilayer membrane consisting of a bacterial cellulose/carbon nanotube/Co_(2)(OH)_(2)CO_(3)nanorod top layer and a bacterial cellulose/Co_(2)(OH)_(2)CO_(3)nanorod(BCH)bottom ***,the hydrogen bonding networks inside the membrane can be tuned by the rich surface–OH groups of the bacterial cellulose and Co_(2)(OH)_(2)CO_(3)as well as the ions and radicals in situ generated during the catalysis ***,both SO_(4)^(2−)and HSO_(5)−can regulate the solvation structure of Na^(+)and be adsorbed more preferentially on the evaporation surface than Cl^(−),thus hindering the de-solvation of the solvated Na^(+)and subsequent nucleation/growth of ***,the heat generated by the solar-thermal energy conversion can accelerate the reaction kinetics and enhance the catalytic degradation *** work provides a flow-bed water purification system with an asymmetric solar-thermal and catalytic membrane for synergistic solar thermal desalination of seawater/brine and catalytic degradation of organic pollutants.

关键词： Solar steam generation Seawater desalination Catalytic degradation Bacterial cellulose Cobalt hydroxycarbonate nanorods

海南自贸港对接粤港澳大湾区:协调机制创新与实施路径

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经济体制改革 2020年第5期 52-58页

作者：裴广一黄光于海南师范大学经济与管理学院(马克思主义学院) 海南海口571158 华南理工大学工商管理学院广东广州510641

构建区域协调发展新机制是化解我国社会主要矛盾、解决发展不平衡不充分问题、实现区域高质量发展的根本途径。海南自贸港与粤港澳大湾区地缘相近、合作互补性强,探索推进两地全方位、深层次合作共赢,是形成基于优势互补的区域经济格局... 详细信息

构建区域协调发展新机制是化解我国社会主要矛盾、解决发展不平衡不充分问题、实现区域高质量发展的根本途径。海南自贸港与粤港澳大湾区地缘相近、合作互补性强,探索推进两地全方位、深层次合作共赢,是形成基于优势互补的区域经济格局的重要举措。本文在深入论证海南自贸港对接粤港澳大湾区理论依据的基础上,探索性地分析了构建"海南自贸港-粤港澳大湾区"区域协调发展机制的战略构想,并提出了促进总部经济合作、打造辐射空间格局、共建产业园区、搭建共治共享信息平台、共建生态文明城市以及进行飞地合作等实施路径。

关键词：海南自贸港粤港澳大湾区协调机制创新实施路径

规范化术后多模式镇痛治疗对加速腹盆部手术后康复的意义

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中国医学科学院学报 2016年第4期38卷 458-463页

作者：申乐黄宇光中国医学科学院北京协和医学院北京协和医院麻醉科北京100730

加速术后康复(ERAS)旨在通过围术期多学科联合的临床路径干预管理,改善并加速手术患者的术后康复。术后镇痛治疗是ERAS的重要组成部分之一。2012年至今,国际ERAS学会先后发布了7部关于腹盆部手术的ERAS指南,所有这些指南均指出规范化术... 详细信息

加速术后康复(ERAS)旨在通过围术期多学科联合的临床路径干预管理,改善并加速手术患者的术后康复。术后镇痛治疗是ERAS的重要组成部分之一。2012年至今,国际ERAS学会先后发布了7部关于腹盆部手术的ERAS指南,所有这些指南均指出规范化术后多模式镇痛治疗可以显著改善术后镇痛效果、加速术后康复。胸段硬膜外镇痛是腹盆部手术后镇痛治疗的基础方案。此外,多模式镇痛治疗还需要综合应用多种辅助镇痛方式和药物共同达到ERAS目的。本文主要综述这7部ERAS指南中与术后镇痛治疗相关的推荐意见,为实施规范化术后多模式镇痛治疗提供参考依据。

关键词：加速术后康复术后多模式镇痛指南

Anesthetic considerations of an emergency decompressive craniotomy complicated with Ebstein＇s anomaly and atrial septal defect

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Chinese Medical Journal 2011年第4期124卷 615-617页

作者： XIN Xin TANG Shuai WANG Ling ZHAO Jing LI Gui-lin GUO Li-lin huang yu-guang Department of Anesthesiology Peking Union Medical College HospitalChinese Academy of Medical Sciences & Peking Union Medical College Beijing 100730 China Department of Neurosurgery Peking Union Medical College HospitalChinese Academy of Medical Sciences & Peking Union Medical College Beijing 100730 China Department of Cardiology Peking Union Medical College HospitalChinese Academy of Medical Sciences & Peking Union Medical College Beijing 100730 China

Despite considerable published papers regarding Ebstein＇s anomaly （EA） patients receiving open-heart tricuspid valve replacement, non-cardiac emergency surgeries were rarely reported. We report a case of emergency decormpressive craniotormy in a patient with EA. Anesthesiologists should pay special attention to the complications and anesthetic management during the non-cardiac surgeries performed in EA *** papers regarding Ebstein＇s anomaly （EA）patients receiving open-heart tricuspid valve replacement are numerous, the reports of non-cardiac emergency surgeries have not been to the same *** report a case of emergency decompressive craniotomy in a patient with EA. This case report describes the symptoms and anesthetic management during the surgery.

关键词： Ebstein 's anomaly atrial septal defect intraoperative complications complications anesthetic management

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临床麻醉在快速康复外科方面新进展

中国医学科学院学报 2015年第6期37卷 750-754页

作者：刘子嘉黄宇光中国医学科学院北京协和医学院北京协和医院麻醉科北京100730

快速康复外科(ERAS)是指依据一系列循证医学证据而采取围手术期处理的优化措施,强调临床多学科合作,以改善患者预后,减少并发症,缩短术后住院时间。麻醉在ERAS的各个环节中,包括患者术前宣教、评估与优化、麻醉方式及用药、液体治疗、... 详细信息

快速康复外科(ERAS)是指依据一系列循证医学证据而采取围手术期处理的优化措施,强调临床多学科合作,以改善患者预后,减少并发症,缩短术后住院时间。麻醉在ERAS的各个环节中,包括患者术前宣教、评估与优化、麻醉方式及用药、液体治疗、体温监控、术后镇痛等方面发挥重要作用,本文主要综述临床麻醉在ERAS管理中的新理念和新认识。

关键词：快速康复外科麻醉方式液体治疗术后镇痛

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脑部缺血预适应的诱发因素、机制及应用前景

中国医学科学院学报 2013年第5期35卷 567-570页

作者：张雪虞雪融黄宇光中国医学科学院北京协和医学院北京协和医院麻醉科北京100730

缺血预适应现象可见于机体多种脏器中,其中尤其以脑部缺血预适应现象和可能的临床应用价值最引人关注。随着多种脑部缺血预适应诱发因素的发现,相关机制研究也在不断深入。远处缺血预处理及药物诱导(如促红细胞生成素)由于其较强的临床... 详细信息

缺血预适应现象可见于机体多种脏器中,其中尤其以脑部缺血预适应现象和可能的临床应用价值最引人关注。随着多种脑部缺血预适应诱发因素的发现,相关机制研究也在不断深入。远处缺血预处理及药物诱导(如促红细胞生成素)由于其较强的临床应用可行性及安全性,可能成为未来脑部缺血预适应在人体中研究和应用的重要突破口。

关键词：脑缺血预适应远处缺血预处理促红细胞生成素

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病态肥胖症患者围手术期气道管理

中国医学科学院学报 2011年第3期33卷 224-227页

作者：龚亚红虞雪融黄宇光中国医学科学院北京协和医学院北京协和医院麻醉科北京100730

病态肥胖患者头颈部和胸腹部脂肪组织异常堆积可导致上气道梗阻和呼吸功能受损,且患者往往存在阻塞性睡眠呼吸暂停、低通气综合征,慢性阻塞性肺疾病或哮喘等合并症,因此围手术期出现困难气道、术中通气不足、术后呼吸抑制等呼吸系统并... 详细信息

病态肥胖患者头颈部和胸腹部脂肪组织异常堆积可导致上气道梗阻和呼吸功能受损,且患者往往存在阻塞性睡眠呼吸暂停、低通气综合征,慢性阻塞性肺疾病或哮喘等合并症,因此围手术期出现困难气道、术中通气不足、术后呼吸抑制等呼吸系统并发症的风险明显升高,给围手术期气道管理带来巨大挑战。麻醉医生深刻理解肥胖患者呼吸系统的病理生理特点,掌握合适的处理原则,对于提高重度肥胖患者围手术期麻醉管理的安全性和有效性,改善患者的临床预后至关重要。

关键词：病态肥胖麻醉围手术期气道管理