检索结果-南通市图书馆

High-risk factors for delirium in severely ill patients and the application of emotional nursing combined with pain nursing

引用

World Journal of Psychiatry 2024年第7期14卷 1027-1033页

作者： hong-ru li Yu Guo Emergency Intensive Care Unit The Fourth Affiliated Hospital of Soochow University(Suzhou Dushu Lake Hospital)Suzhou 215000Jiangsu ProvinceChina

BACKGROUND Delirium is a neuropsychiatric syndrome characterized by acute disturbances of consciousness with rapid onset,rapid progression,obvious fluctuations,and preventable,reversible,and other *** with delirium in the intensive care unit(ICU)are often missed or misdiagnosed and do not receive adequate *** To analyze the risk factors for delirium in ICU patients and explore the applica-tion of emotional nursing with pain nursing in the management of *** General data of 301 critically ill patients were retrospectively collected,including histories(cardiovascular and cerebrovascular diseases,hypertension,smoking,alcoholism,and diabetes),age,sex,diagnosis,whether surgery was performed,and patient origin(emergency/clinic).Additionally,the duration of sedation,Richmond Agitation Sedation Scale score,combined emotional and pain care,ven-tilator use duration,vasoactive drug use,drainage tube retention,ICU stay du-ration,C-reactive protein,procalcitonin,white blood cell count,body tempe-rature,Acute Physiology and Chronic Health Evaluation II(APACHE II)score,and Sequential Organ Failure Assessment score were recorded within 24 h after ICU *** were assessed for delirium according to confusion assessment method for the ICU,and univariate and multivariate logistic regre-ssion analyses were performed to identify the risk factors for delirium in the *** Univariate logistic regression analysis was performed on the 24 potential risk factors associated with delirium in ICU *** results showed that 16 risk factors were closely related to delirium,including combined emotional and pain care,history of diabetes,and patient *** logistic regression analysis revealed that no combined emotional and pain care,history of diabetes,emergency source,surgery,long stay in the ICU,smoking history,and high APACHE II score were independent risk factors for de-lirium in ICU *** Patients

关键词： Critical illness Delirium Risk factor Intensive care unit Emotional nursing Pain nursing

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Protic ionic liquid-promoted synthesis of dimethyl carbonate from ethylene carbonate and methanol

引用

Chinese Chemical Letters 2020年第3期31卷 667-672页

作者： Yu Song Xing He Bing Yu hong-ru li liang-Nian He State Key Laboratory and Institute of Elemento-Organic Chemistry Nankai UniversityTianjin 300071China College of Chemistry and Molecular Engineering Zhengzhou UniversityZhengzhou 450001China College of Pharmacy Nankai UniversityTianjin 300353China

In this work,the protic ionic liquid[DBUH][Im](1,8-diazabicyclo[5.4.0]-7-undeceniumimidazolide)was developed as an efficient catalyst for the transesterification of ethylene carbonate with methanol to produce dimethyl *** 70℃,up to 97%conversion of ethylene carbonate and 91%yield of dimethyl ca rbonate were obtained with 1 mol%[DBUH][Im](relative to ethylene carbonate)as catalyst in 2 *** at room temperature,the conversion of ethylene carbonate can reach 94%and the yield of dimethyl carbonate can approach 81%for 6 *** mechanism investigation showed the high catalytic efficiency of this ionic liquid results from the synergistic activation effect,wherein the cation can activate ethylene carbonate and the anion can activate methanol through hydrogen bond formatio *** the reusability of the ionic liquid need to be further improved,high efficiency and comme rcial availability of[DBUH][Im]render it a promising catalyst for the preparation of dimethyl carbonate.

关键词： Dimethyl carbonate Transesterification Protic ionic liquid Synergistic effect Sustainable chemistry

来源：

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

Photochemical and Electrochemical Carbon Dioxide Utilization with Organic Compounds

引用

Chinese Journal of Chemistry 2018年第7期36卷 644-659页

作者： Yu Cao Xing He Ning Wang hong-ru li liang-Nian He State Key Laboratory and Institute of Elemento-Organic Chemistry College of Chemistry Collaborative Innovation Center of Chemical Science and Engineering Nankai University Tianjin 300071 China State Key Laboratory of Medicinal Chemical Biology and Tianjin Key Laboratory of Molecular Drug Research College of Pharmacy Nankai University Tianjin 300071 China

In the last few years, photochemical and electrochemical CO2 transformations have attracted increasing attention in response to topical interest in renewable energy and green chemistry. The present minireview offers an overview about the current approaches for the photochemical and electrochemical carbon dioxide fixation with organic compounds. Valuable products, including carboxylic acids and heterocyclic compounds, are accessible through carboxylation and carboxylative cyclization, respectively. In photochemical and electrochemical processes, photo- or electro-induced radical ions or other high-energy organic compounds are considered as key intermediates to react with CO2. Besides, activation of CO2 to produce radical anion has also been reported.

关键词： carbon dioxide carboxylative cyclization electrochemistry photocatalysis sustainable chemistry

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Novel triphenylamine-based two-photon absorption dyes including benzophenone parts

引用

Chinese Chemical Letters 2009年第11期20卷 1279-1282页

作者： Fang Gao Nv Dan Hu hong ru li Sheng Tao Zhang College of Chemistry and Chemical Engineering Chongqing University Chongqing 400044 China

New two-photon absorption dyes including benzophenone parts, p-N,N-diphenylamino-p＇-phenacylstilbene （C1）, 4,4-di-（4- benzoylstyrene）yltriphenylamine （C2） and 4,4＇,4＇-tri（4-benzoylstyrene）yltriphenylamine （C3）, were synthesized and characterized by ^1H NMR and elemental analysis. The ratio of the molar extinction coefficients of compounds was approximately equal to the ratio of the branch amount of the compounds, namely, C1：C2：C3 was 1：2：3. Extremely high fluorescence quantum yields were detected for these compounds. These molecules exhibited obvious two-photon upconcerted fluorescence as excited by 800 nm Ti：sapphire femtosecond laser.

关键词： Synthesis Spectroscopy Two-photon absorption Benzophenone

来源：

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

CO_(2) capture and utilization with solid waste

引用

Green Chemical Engineering 2022年第3期3卷 199-209页

作者： Wei-Hang Xie Heng li Meng Yang liang-Nian He hong-ru li State Key Laboratory and Institute of Elemento-Organic Chemistry College of ChemistryNankai UniversityTianjin300071China College of Pharmacy Nankai UniversityTianjin300350China

Nowadays,the massive consumption of fossil fuels and the resulting excessive emission of carbon dioxide(CO_(2))have broken the original carbon balance of nature,resulting in global warming and the consequent detrimental environmental *** address these issues,various initiatives have been proposed,among which CO_(2) cap-ture and utilization(CCU)is considered as the direct way to mitigate the accumulation of CO_(2) in the *** a plethora of CO_(2) capture reagents and utilization routes have been developed,the cost of CO_(2) capture reagents as well as the amount of CO_(2) utilization still encounters ***,CCU with solid wastes have attracted sustained attention due to its ability to synchronize CO_(2) fixation with solid wastes ***,the huge amount and low cost of the solid wastes can promote the economic fixation of CO_(2) and thus contribute significantly to the carbon *** the tremendous utility of this strategy,this review article summarizes the state-of-the-art of CO_(2) capture and utilization with solid wastes such as steel slag,concrete waste,fly ash,red mud,calcium carbide residue,and biomass *** three parts including CO_(2) mineralization,solid waste-based catalyst promoted CO_(2) transformation,and collaborative transformation of CO_(2) and solid waste are introduced according to the roles of solid waste in CO_(2) *** hope this review can arouse broad concern and spur further development in this field.

关键词： Carbon capture CO_(2)utilization Solid waste Sustainable chemistry Value-added product

来源：

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

Excited state intramolecular proton transfer of novel conjugated derivatives containing hydroxy and imino groups

引用

Chinese Chemical Letters 2010年第10期21卷 1195-1198页

作者： Xiao lin Zhong Fang Gao Qi Wang hong ru li Sheng Tao Zhang College of Chemistry and Chemical Engineering Chongqing UniversityChongqing 400044China

This letter presents excited state intramolecular proton transfer (ESIPT) of new conjugated derivatives containing hydroxy and imino groups. ESIPT occurrence in one photon process is confirmed by well-separated emission band for the derivatives. Two- photon absorption (TPA) induced ESIPT emission has been determined by Ti:sapphire femtosecond laser tuning from 700 nrn to 800 nm at the internals of 20 nm.

关键词： ESIPT Stokes shift Conjugated derivatives

来源：

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

Synthesis and photochemistry of novel bromo substituted stilbene derivatives as triplet state sensitizers for the generation of singlet oxygen

引用

Chinese Chemical Letters 2009年第12期20卷 1415-1418页

作者： hong ru li Qin Yuan Guo Ting Xie Fang Gao Sheng Tao Zhang College of Chemistry and Chemical Engineering Chongqing University Chongqing 400044 China

We have presented the synthesis and characterization of three new bromo substituted stilbene derivatives, p-3,4,5-trimethoxy-p′- 2,3,4,5,6-pentabromostilbene （C1）, p-N,N-dimethylamino-p′-2,3,4,5,6-pentabromostilbene （C2） and p-N,N-diphenylamino-p′- 2,3,4,5,6-pentabromostilbene （C3） in this letter. The UV/vis absorption and photoluminescence were investigated in various solvents. The maximal absorption wavelength of C1 exhibited blue-shift to those of C2 and C3 in different solvents. No florescence emission could be detected for these compounds at room temperature. Singlet oxygen could be efficiently produced with these sensitizers under near-ultraviolet and visible light irradiation.

关键词： Synthesis Photochemistry Triplet state Bromo substitution Singlet oxygen

来源：

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

Green process for hydrogenation of methyl ricinoleate to methyl 12-hydroxystearate over diatomite supported Cu/Ni bimetallic catalyst

引用

Green Chemical Engineering 2021年第2期2卷 187-196页

作者： Xiao Zhang hong-ru li Feng-Ge Zhao Xiao-Ying Cui Feng Ye liang-Nian He State Key Laboratory and Institute of Elemento-Organic Chemistry College of ChemistryNankai UniversityTianjin300071China College of Pharmacy Nankai UniversityTianjin300353China Nankai University Engineering Research Center for Castor Tianjin300071China

A series of diatomite supported Cu/Ni bimetallic catalysts were prepared using the co-impregnation method to improve the efficiency and selectivity toward methyl 12-hydroxystearate in the hydrogenation of methyl *** catalysts were characterized using X-ray diffraction(XRD),transmission electron microscopy(TEM),scanning electron microscopy and energy dispersive X-ray spectroscopy(SEM-EDS),X-ray photoelectron spectroscopy(XPS)and temperature programmed reduction(H2-TPR).All the characterization results verified the formation of highly dispersed Cu/Ni alloy on ***,by subtly regulating the Ni/Cu molar ratio as well as the reaction parameters,the hydrogenation of methyl ricinoleate to methyl 12-hydroxystearate proceeded efficiently and selectively,affording 97%yield of methyl 12-hydroxystearate and nearly equivalent conversion of methyl ricinoleate under 2 MPa H2 pressure and at 130 C in 4 h with only 1 wt%of the catalyst Ni7Cu1/diatomite(based on methyl ricinoleate).Besides,the supported Cu–Ni bimetallic catalyst is stable during recycle and *** five cycles of reuse,much catalytic activity is still ***,this low-cost and stable bimetallic catalyst would be promising for the hydrogenation of methyl ricinoleate to methyl 12-hydroxystearate,representing an example of green catalysis for efficiently conversion of biomass to value-added chemicals and materials.

关键词： Biomass Green process Hydrogenation Methyl 12-hydroxystearate Supported bimetallic catalyst Sustainable chemistry

来源：

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

psk1 virulence gene-induced pulmonary and systemic tuberculosis in a young woman with normal immune function:A case report

引用

World Journal of Clinical Cases 2024年第35期12卷 6826-6833页

作者： Fan Wu Bin Yang Yan Xiao li-li Ren hong-Yi Chen Xin-Lan Hu Yan-Yu Pan Yu-Sheng Chen hong-ru li Department of Respiratory and Critical Care Medicine Shengli Clinical College of Fujian Medical UniversityFujian Provincial HospitalFuzhou University Affiliated Provincial HospitalFuzhou 350001Fujian ProvinceChina NHC Key Laboratory of Systems Biology of Pathogens and Christophe Mérieux Laboratory Institute of Pathogen BiologyChinese Academy of Medical Sciences and Peking Union Medical CollegeBeijing 100730China Emergency Department Shengli Clinical College of Fujian Medical UniversityFujian Provincial HospitalFuzhou University Affiliated Provincial HospitalFuzhou 350001Fujian ProvinceChina Clinical Microbiology Laboratory Shengli Clinical College of Fujian Medical UniversityFujian Provincial HospitalFuzhou University Affiliated Provincial HospitalFuzhou 350001Fujian ProvinceChina Infection Department The 900th Hospital of the PLA Joint Support ForceFuzhou 350001Fujian ProvinceChina Department of Infectious Diseases Shengli Clinical College of Fujian Medical UniversityFujian Provincial HospitalFuzhou University Affiliated Provincial HospitalFuzhou 350001Fujian ProvinceChina

BACKGROUND Tuberculosis is a chronic infectious disease and an important public health *** progress in controlling tuberculosis,the incidence of tuberculosis in China is still very high,with 895000 new cases *** case report des-cribes the investigation of a case of severe disseminated tuberculosis in a young adult with normal immune function,conducted to ascertain why a Mycobacterium tuberculosis(***)strain caused such severe *** SUMMARY A previously healthy 28-year-old woman presented to our hospital with a 1-mo-nth history of fever and *** was diagnosed with severe disseminated pulmonary tuberculosis,spinal tuberculosis with paravertebral abscesses,and tuberculous *** was isolated from bronchoal-veolar lavage *** was treated with standard antituberculous therapy and underwent debridement,bone graft,and internal fixation surgery for spinal *** responded to therapy and regained her ability to walk following the *** analysed the whole-genome sequence of the strain and designated it *** *** genomes were selected from the Virulence Factor Database(http://***/cgi-bin/VFs/***?Genus=Mycobacterium)for *** evolutionary tree of the BLM-A21 strain was built using PhyML maximum likelihood *** gene analysis revealed that,except for the pks1 gene,BLM-A21 had similar virulence genes to the CDC 1551 and H37Rv strains,which have lower *** We speculate that the pks1 virulence gene in BLM-A21 may be the key virulence gene responsible for the wide-spread dissemination of *** infection in this previously healthy adult with normal immune function.

关键词： Mycobacterium tuberculosis Disseminated tuberculosis Spinal tuberculosis Tuberculous meningitis Virulence gene Whole-genome sequencing Case report

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Comparison of Talaromyces marneffei Infection in Human Immunodeficiency Virus-positive and Human Immunodeficiency Virus-negative Patients from Fujian, China

引用

Chinese Medical Journal 2016年第9期129卷 1059-1065页

作者： hong-ru li Shao-Xi Cai Yu-Sheng Chen Mei-E Yu Neng-Luan Xu Bao-Song Xie Ming lin Xin-Lan Hu Department of Respiratory and Critical Care Medicine Nanfang Hospital of Southern Medical University Guangzhou Guangdong 510515 China Department of Respiratory and Critical Care Medicine Fujian Provincial Hospital Provincial Clinical MedicalCollege of Fujian M~edical Universi'ty Fuzhou Fujian 350001 China Department of Clinical Laboratory Laboratory of Bacteriology Fujian Provincial Hospital Provincial Clinical Medical College of Fujian Medical University Fuzhou Fujian 350001 China

Background： Talaromyces （Penicillium） marneffei （TIM） is an emerging dimorphic human pathogenic fungus that is endemic to Southeast Asia. TM mostly occurs as an opportunistic infection in patients with human immunodeficiency virus （HIV）. The objective of this study was to compare the clinical and laboratory parameters of patients with TM infections who were HIV-positive and HIV-negative and to assess therapies and outcomes. Methods： This was a retrospective analysis of 26 patients diagnosed with disseminated TM infection from September 2005 to April 2014 at Fujian Provincial Hospital, China. Results： Patients with TM infection tend to present with fever, weight loss, and anemia. The time from symptom onset to confirmed diagnosis was greater for HlV-negative patients （n 7; median： 60 days, range： 14-365 days） than for HIV-positive patients （n = 19; median： 30 days, range： 3-90 days, Mann-Whitney U= 31.50, P = 0.041）. HIV-negative patients were more likely to have dyspnea （57.1% vs. 5.3%, Z： = 8.86, P = 0.010）, low neutrophil count （Mann-Whitney U = 27.00, P = 0.029）, high CD4 count （Mann-Whitney U= 0.00, P 0.009）, and high lymphocyte count （Mann-Whitney U = 21.00, P = 0.009）. There were no significant differences in other demographic, clinical, or biochemical characteristics. Among all the patients, 12 HIV-positive patient and 1 HlV-negative patient received amphotericin and fluconazole treatment, 9 of whom improved, l died, 2 had kidney damage, 1 had hypokalemia due to exceeded doses. Conclusions： HIV-negative patients with TM infections tend to have a longer diagnostic interval, a higher percentage of dyspnea, higher levels of CD4 and lymphocytes, and lower neutrophil counts than TM infection in HIV-positive patients. Treatment programs with amphotericin and fluconazole are mostly effective.

关键词： Clinical Characteristics Human lmmunodeficiency Virus Talaromyces marneffei

来源：

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

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：