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院前严重创伤患者救治效果的影响因素分析

检验医学与临床 2023年第20期20卷 2955-2958页

作者：彭永福潘丽娟袁磊林建平阮小莲江西省新余市紧急救援中心急救科江西新余338000 江西省新余市人民医院心胸外科江西新余338000 江西省新余市人民医院创伤中心江西新余338000 江西省新余市紧急救援中心培训科江西新余338000

目的探讨院前严重创伤患者救治效果的影响因素。方法选取2018年1月至2022年12月新余市紧急救援中心收治的205例严重创伤患者作为研究对象,根据院前救治效果分为救治成功组(175例)和救治失败组(30例)。比较两组临床资料;分析救治效果的... 详细信息

目的探讨院前严重创伤患者救治效果的影响因素。方法选取2018年1月至2022年12月新余市紧急救援中心收治的205例严重创伤患者作为研究对象,根据院前救治效果分为救治成功组(175例)和救治失败组(30例)。比较两组临床资料;分析救治效果的影响因素,建立多因素Logistic回归模型并进行评价。结果两组受伤部位、院前指数(PHI)评分、格拉斯哥昏迷量表(GCS)评分、失血性休克比例、救援到达时间、院前急救措施比较,差异均有统计学意义(P<0.05)。多发伤、PHI评分、失血性休克、救援到达时间≥10 min是救治失败危险因素(P<0.05);而GCS评分、院前实施急救措施(如包扎固定,开放气道,补液、吸氧)是救治成功的保护因素(P<0.05)。建立多因素Logistic回归模型:Logit(P)=-1.764+0.998×X_(多发伤)+0.999×X_(PHI评分)-0.812×X_(GCS评分)+0.709×X_(失血性休克)+1.060×X_(救援到达时间≥10 min)-0.997×X_(包扎固定)-1.065×X_(开放气道)-1.015×X_(补液、吸氧);拟合度较好。结论院前严重创伤患者救治效果主要受多发伤、失血性休克、救援到达时间等因素影响,及时实施院前急救措施有助于提升院前救治效果。

关键词：院前严重创伤救治效果影响因素

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Toward practical gas sensing with rapid recovery semiconducting carbon nanotube film sensors

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Science China(Information Sciences) 2022年第6期65卷 226-233页

作者： Fangfang LIU Mengmeng XIAO Yongkai NING Shaoyuan ZHOU jianping HE Yanxia lin Zhiyong ZHANG Hunan Institute of Advanced Sensing and Information Technology Xiangtan University Institute of Microelectronics of Chinese Academy of Sciences and University of Chinese Academy of Sciences Key Laboratory for the Physics and Chemistry of Nanodevices and Center for Carbon-based Electronics Department of Electronics Peking University

Nanomaterials have been considered as promising materials to construct highly sensitive and miniaturized gas sensors due to their high ratio of surface to volume, but almost all of the reported nanomaterials based resistive gas sensors are difficult to use in the practical system mainly owing to the long recovery time and non-equilibrium state at room temperature. Here, we demonstrate a gate assistant technology to realize the rapid recovery to an equilibrium state in semiconducting carbon nanotube(CNT) thin-film gas sensors and promote the CNT-based gas sensors to reach the practical application level. Specifically, we construct highly uniform gas sensors based on semiconducting solution-derived CNT film and accelerate the gas molecules desorption by applying a voltage on the back gate(substrate), which is named gate-assistant recovery technology. By combining the gate-assistant recovery technology and a modified concentration calculation method, highly reproducible detection systems have been realized by using a custom-built printed circuit board(PCB) based data acquisition circuits to execute a real-time rapid detection of H2 in the air at room temperature, and especially exhibits a record response time of 9 s and recovery time of 50 s under a resolution of 10 ppm, which outperformed previous low dimensional nanomaterials based portable H2 detection systems. The gate-assistant rapid recovery and related concentration calculation technologies are helpful to promote the nanomaterials-based gas sensors to practical application for highly sensitive online gas detection.

关键词： carbon nanotube gas sensor thin-film transistors rapid recovery

心血管疾病患者护理质量管理中应用路径式质量检查模式的研究

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中外医学研究 2020年第4期18卷 172-174页

作者：王丽娜林剑平陈巧巧卢粤潘广娣湛江中心人民医院

目的:观察路径式质量检查模式在心血管疾病患者护理质量管理中的应用效果。方法:选取笔者所在医院2017年1月-2018年12月收治的120例心血管疾病患者,其中2017年1-12月收治的60例患者采用常规护理,2018年1-12月收治的60例患者在护理管理... 详细信息

目的:观察路径式质量检查模式在心血管疾病患者护理质量管理中的应用效果。方法:选取笔者所在医院2017年1月-2018年12月收治的120例心血管疾病患者,其中2017年1-12月收治的60例患者采用常规护理,2018年1-12月收治的60例患者在护理管理中实施路径式质量检查模式,比较实施前后护理质量、患者满意度。结果:实施后护士护理质量评分均高于实施前,差异均有统计学意义(P<0.05);实施后患者护理总满意度(95.00%)高于对照组(75.00%),差异有统计学意义(P<0.05)。结论:心血管疾病患者护理管理中应用路径式质量检查模式效果显著,能提升护理质量,并提高患者满意度。

关键词：心血管疾病护理质量护理管理路径式质量检查满意度

Comparative analysis of mitochondrial genome of a deepsea crab Chaceon granulates reveals positive selection and novel genetic features

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Journal of Oceanology and Limnology 2020年第2期38卷 427-437页

作者： ZHANG Bo WU Yingying WANG Xin JIANG Wei YIN jianping lin Qiang Key Laboratory of Tropical Marine Bio-Resources and Ecology South China Sea Institute of OceanologyChinese Academy of SciencesGuangzhou 510275China Institution of South China Sea Ecology and Environmental Engineering Chinese Academy of SciencesGuangzhou 510275China University of Chinese Academy of Sciences Beijing 100049China Beijing Advanced Sciences and Innovation Center of Chinese Academy of Sciences Beijing 100049China Institute of Oceanology Chinese Academy of SciencesQingdao 266071China

Deep-sea organisms survive in an extremely harsh *** must be some genetic adaptation mechanisms for *** systematically characterized and compared the complete mitochondrial genome(mitogenome)of a deep-sea crab(Chaceon granulates)with those of shallow *** mitogenome of the crab was 16126 bp in length,and encoded 37 genes as most of a metazoan mitogenome,including 13 protein-coding genes(PCGs),22 transfer RNA(tRNA)genes,and 2 ribosomal RNA(rRNA)*** gene arrangement and orientation was conserved in the ***,a unique mitogenome element regulator,the origin of light-strand replication(O L),was firstly predicted in the present crab *** addition,further positive selection analysis showed that two residues(33 S in ND3 and 502 I in ND5)in *** mitogenome were positively selected,indicated the selective evolution of the deep-sea ***,the mitogenome of deep-sea *** showed a unique OL element and positive *** special features would influence the mitochondrial energy metabolism,and be involved in the adaptation of deepsea environment,such as oxygen deficits and low temperatures.

关键词： deep-sea organisms mitochondrial genome adaptation Chaceon granulates

延续性营养护理对食管癌术后患者营养状况的改善效果

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中国医药指南 2024年第26期22卷 155-157页

作者：廖建萍许丽敏林阿兰厦门医学院附属海沧医院普外二科厦门361026 厦门医学院附属海沧医院胸心外科厦门361026

目的探究延续性营养护理对食管癌术后患者营养状况的改善效果。方法选取厦门医学院附属海沧医院2021年5月至2023年8月收治的共84例食管癌术后患者。随机数字表法分为对照组42例(常规护理)和观察组42例(延续性营养护理)。比较两组生存质... 详细信息

目的探究延续性营养护理对食管癌术后患者营养状况的改善效果。方法选取厦门医学院附属海沧医院2021年5月至2023年8月收治的共84例食管癌术后患者。随机数字表法分为对照组42例(常规护理)和观察组42例(延续性营养护理)。比较两组生存质量、营养状况、护理满意度、术后并发症发生情况。结果经护理干预后,观察组生理领域、心理领域、社会关系领域和环境领域评分均高于对照组(均P<0.05)。护理干预后,观察组总蛋白(TP)、体重指数(BMI)以及护理满意度水平均高于对照组,并发症发生率低于对照组(均P<0.05)。结论延续性营养护理可明显降低食管癌术后并发症发生率,提高护理满意度,改善生存质量和营养情况。

关键词：食管癌延续性营养护理营养状况并发症护理满意度

The structures of floral organs and reproductive characteristics of an ornamental bamboo species,Pleioblastus pygmaeus

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Horticultural Plant Journal 2023年第3期9卷 589-601页

作者： Wenjing Yao Chuanzhe Li Shuyan lin jianping Wang Tingting Fan Wanqi Zhao Co-Innovation Center for Sustainable Forestry in Southern China/Bamboo Research Institute Nanjing Forestry UniversityNanjingJiangsu 210037China Huaiyin Institute of Agricultural Sciences of Xuhuai Region Jiangsu Academy of Agricultural SciencesHuaianJiangsu 223001China Department of Agronomy University of FloridaGainesville FL 32610USA

As a woody grass,bamboo has special reproductive habits with an extremely long vegetative *** pygmaeus is a kind of ornamental dwarf bamboo species with high ecological and economic value in *** was no documentary record of the flowering of *** until 2015,which bloomed in the Bamboo Garden of Nanjing Forestry ***,bamboo plants rarely bear fruit or have a low seed setting rate,but this species has a high seed *** study explores developmental reasons using anatomical *** process of flower bud differentiation and a series of important reproductive development processes including anther wall development,microsporogenesis,megasporogenesis,male and female gametophyte development,and embryonic development were investigated *** stamen contained three tetrasporangiate anthers and the development of anther wall was of Monocotyledonous *** microspores finally matured into 3-celled pollen grains by two successive *** pistil was composed of three carpels,with an anatropous,tenuinucellate and bitegmic ovule in a single *** formation of embryo sac belonged to Polygonum *** three mitoses,functional megaspore developed into the embryo sac with eight nuclei within seven *** development of stamen and pistil was synchronous in the same *** development of embryo followed Grass type and the development of endosperm belonged to Nuclear *** development of endosperm was earlier than that of *** study enriches basic knowledge of reproductive biology of bamboo plants and is of great fundamental significance to furtherly explore flowering mechanism of *** and to cultivate bamboo plants sustainably.

关键词： Pleioblastus pygmaeus Flower bud differentiation Reproductive biology Morphology Anatomy

骨质疏松性胸腰椎压缩骨折PVP或PKP术后残余背痛相关因素

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全科医学临床与教育 2024年第9期22卷 851-853页

作者：戴嘉洪林江娟盛剑萍绍兴市中西医结合医院骨科浙江绍兴312030

骨质疏松症发病率随人口老龄化呈增长趋势,成为全球化的社会问题^[1]。目前,骨质疏松性椎体压缩性骨折(osteoporotic vertebral compressionfracture,OVCF)治疗广泛应用经皮椎体成形术(percutaneous vertebroplasty,PVP)和经皮椎体后凸... 详细信息

骨质疏松症发病率随人口老龄化呈增长趋势,成为全球化的社会问题^[1]。目前,骨质疏松性椎体压缩性骨折(osteoporotic vertebral compressionfracture,OVCF)治疗广泛应用经皮椎体成形术(percutaneous vertebroplasty,PVP)和经皮椎体后凸成形术(percutaneous kyphoplasty,PKP),二者都能重建椎体高度缓解躯体疼痛,具备创伤性小、术后并发症少等优势^([2,3])。

关键词：经皮椎体后凸成形术经皮椎体成形术骨质疏松性椎体压缩性骨折背痛躯体疼痛骨质疏松症椎体高度术后并发症

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自血穴位注射治疗痤疮43例

中国民间疗法 2000年第1期8卷 18-18页

作者：林建萍重庆市万州区中医学校附属医院!404000

笔者采用自血穴位注射治疗痤疮43例,获得较为满意的疗效,现报告如下.

关键词：自血穴位注射痤疮粉刺皮脂腺疾病

High-voltage output triboelectric nanogenerator with DC/AC optimal combination method

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Nano Research 2022年第4期15卷 3239-3245页

作者： Yuqi Wang Tian Huang Qi Gao jianping Li Jianming Wen Zhong lin Wang Tinghai Cheng Beijing Institute of Nanoenergy and Nanosystems Chinese Academy of SciencesBeijing 101400China School of Mechatronic Engineering Changchun University of TechnologyChangchun 130012China The Institute of Precision Machinery and Smart Structure Key Laboratory of Intelligent Operation and Maintenance Technology&Equipment for Urban Rail Transit of Zhejiang ProvinceCollege of EngineeringZhejiang Normal UniversityJinhua 321004China CUSTech Institute of Technology Wenzhou 325024China School of Materials Science and Engineering Georgia Institute of TechnologyAtlantaGA 30332-0245USA

The high-voltage power source is one of the important research directions of triboelectric nanogenerator(TENG).In this paper,a high-voltage output TENG(HVO-TENG)is proposed with direct current/alternating current(DC/AC)optimal combination method for wind energy *** the optimal design of a direct current generation unit(DCGU)and an alternating current generation unit(ACGU),the HVO-TENG can produce DC voltage of 21.5 kV and AC voltage of 200 V,*** HVOTENG can continuously illuminate more than 6,000 light emitting diodes(LEDs),which is enough to drive more possible applications of ***,this paper explored application experiments on *** experiments indicate that the high-voltage DC output is used for producing ozone,while the AC output can light up ultraviolet(UV)*** HVOTENG can increase the ozone concentration(C)in an airtight container to 3 parts per million(ppm)after 7 h and continuously light up UV *** these demonstrations verify that the HVO-TENG has important guiding significance for designing high performance TENG.

关键词： triboelectric nanogenerator high voltage direct current/alternating current(DC/AC)optimal combination wind energy harvesting