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水灌注高分辨率食管测压正常值多中心研究

中华消化杂志 2022年第2期42卷 89-94页

作者：段超凡段志军马俊骥宁北芳向雪莲肖英莲余跃张建国张妮娜张小昊陈畅刘杰李玲李亚旋石亮亮田慧谭年娣王东珂杨冬袁宗丽侯晓华华中科技大学同济医学院附属协和医院消化内科武汉430074 大连医科大学附属第一医院消化内科大连116000 河北医科大学第二医院消化内科石家庄050000 海军军医大学第二附属医院消化内科上海200003 中山大学附属第一医院消化内科广州510080 中国科学技术大学附属第一医院消化内科合肥230001 中国医科大学航空总医院消化内科北京100012 南京大学医学院附属鼓楼医院消化内科南京210008 宜昌市第一人民医院消化内科宜昌443000

目的建立中国人群迈达水灌注高分辨率食管测压(HREM)系统(GAP-36A)静息期、水吞咽、黏胶吞咽和固体吞咽的正常值标准。方法2019年9月1日至2020年6月30日,在华中科技大学同济医学院附属协和医院、大连医科大学附属第一医院、河北医科大... 详细信息

目的建立中国人群迈达水灌注高分辨率食管测压(HREM)系统(GAP-36A)静息期、水吞咽、黏胶吞咽和固体吞咽的正常值标准。方法2019年9月1日至2020年6月30日,在华中科技大学同济医学院附属协和医院、大连医科大学附属第一医院、河北医科大学第二医院、海军军医大学第二附属医院、中山大学附属第一医院、中国科学技术大学附属第一医院、中国医科大学航空总医院、南京大学医学院附属鼓楼医院、宜昌市第一人民医院9家医院招募91名健康志愿者,应用迈达水灌注HREM系统(GAP-36A)于静息期、水吞咽、黏胶吞咽和固体吞咽时进行食管测压。食管测压参数包括食管上括约肌(UES)和食管下括约肌(LES)上缘、下缘位置和长度,呼吸反转点(PIP)的位置,UES和LES静息压,以及吞咽相关参数如远端收缩积分(dCI)、4 s完整松弛压(IRP)、远端收缩延迟时间(dL)和UES残余压。统计学方法采用单因素方差分析、事后多重比较t检验和非参数秩和检验。结果最终纳入87名健康志愿者,男40名,女47名,年龄(范围)为(38.5±14.2)岁(19~65岁)。LES上缘、下缘位置分别为(42.7±2.8)、(45.6±2.8)cm,LES长度为(2.9±0.4)cm,PIP位置为(43.3±2.8)cm,UES上缘、下缘位置分别为(18.1±3.0)、(22.6±2.0)cm,UES长度为(4.8±1.0)cm。LES和UES静息压分别为(17.4±10.7)、(84.1±61.1)mmHg(1 mmHg=0.133 kPa)。固体吞咽的dCI高于水吞咽和黏胶吞咽[(2512.4±1448.0)mmHg·s·cm比(2183.2±1441.2)、(2150.8±1244.8)mmHg·s·cm],差异均有统计学意义(t=-4.30、-3.74,均PdL短于黏胶吞咽和固体吞咽[(8.5±1.8)s比(9.8±2.2)、(10.6±2.8)s],黏胶吞咽的dL短于固体吞咽,差异均有统计学意义(t=-10.21、-13.91、-4.68,均P<0.001)。水吞咽的UES残余压高于黏胶吞咽和固体吞咽[9.5 mmHg(6.5 mmHg,12.3 mmHg)比8.0 mmHg(4.5 mmHg,11.7 mmHg)、5.5 mmHg(2.0 mmHg,9.3 mmHg)],黏胶吞咽的UES残余压高于固体吞咽,差异均有统计学意义(t=3.48、10.30、6.35,均P<0.001)。结论中国人群迈达水灌注HREM(GAP-36A)系统在静息期、水吞咽、黏胶吞咽和固体吞咽的正常值标准可为国内接受迈达水灌注HREM食管测压检查患者的临床诊疗提供依据。

关键词：高分辨率食管测压水灌注正常值多中心研究

IAPY2018:—年一度的天文摄影界的“奥斯卡”

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中国国家天文 2018年第12期12卷 40-55页

作者：张敬宜(摄影) 刘景鹏(摄影) 韩冬(摄影) 苏川津(摄影) 李天泓(摄影) 章佳杰(摄影) 江润泽(摄影) 杨苏铁(摄影) Tianyuan Xiao(摄影) 叶梓颐(摄影) 卢书培(摄影) 张修铨(摄影) 蔡尔谦(摄影) 赵其其格(nina)(摄影) 廖俊元(摄影) 刘潇潇(摄影) 不详

Insight Astronomy Photographer ofthe Year(IAPY),即年度天文摄影师大赛,由英国格林尼治皇家天文台主办,是国际上规模最大的年度天文主题摄影大赛。大赛的组别和奖项很多,吸引着世界各地的优秀天文摄影师参加。2018年的IAPY2017四位... 详细信息

Insight Astronomy Photographer ofthe Year(IAPY),即年度天文摄影师大赛,由英国格林尼治皇家天文台主办,是国际上规模最大的年度天文主题摄影大赛。大赛的组别和奖项很多,吸引着世界各地的优秀天文摄影师参加。2018年的IAPY2017四位中国摄影师榜上有名,现在,2018年IAPY公布获奖作品!越来越多的中国摄影师入围并获得奖项,在向他们表示祝贺的同时,也与你分享这些美丽的星空影像!来一睹天文摄影的年度盛宴吧!

关键词：天文台摄影界奥斯卡摄影师获奖作品天文摄影中国影像

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机器人手术在困难子宫切除术中的应用

中华腔镜外科杂志（电子版） 2023年第5期16卷 283-287页

作者：顾成磊徐佳张妮娜赵路阳范文生解放军总医院第七医学中心妇产医学部北京100700

目的探讨机器人手术在困难子宫切除术中的应用价值与手术技巧。方法回顾性.分析2021年4月至2023年6月于解放军总医院第七医学中心由同一术者实施的困难子宫切除术病例资料,描述患者的人口统计学特征、切除子宫参数、术中术后情况等临床... 详细信息

目的探讨机器人手术在困难子宫切除术中的应用价值与手术技巧。方法回顾性.分析2021年4月至2023年6月于解放军总医院第七医学中心由同一术者实施的困难子宫切除术病例资料,描述患者的人口统计学特征、切除子宫参数、术中术后情况等临床数据。结果纳入的24例患者平均年龄为47.50岁,平均体质量指数(body mass index,BMI)为24.62 kg/m^(2),11例有腹部手术史,5例有肌瘤剔除史。术前评估子宫大小超出孕16周的患者占66.67%,术后测量子宫平均重量为752.58g,最重者达2650g。全部患者中位手术时间136.50min,中位出血量150ml,1例患者中转开腹,患者术后均1~2 d排气,术后平均住院5.63 d。4例患者出现术后并发症,分别为阴道残端出血、气胸、下肢肌间血栓和残余卵巢综合征,无泌尿系和肠道损伤。结论机器人手术具有清晰放大的3d视野、灵活有力的机械臂和滤过震颤功能,在视野放大效果、操作的灵活性和稳定性上带来了革新,有助于降低出血量、减少并发症、加速术后恢复,因此在困难子宫切除中具有一定优势。

关键词：机器人手术微创手术子宫切除术子宫腺肌症子宫肌瘤

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厄洛替尼致严重甲沟炎

药物不良反应杂志 2008年第4期10卷 296-296页

作者：邓笑伟徐铭宝陕海丽王妮娜杨彦文武警总医院干二科北京100039

1例55岁女性肺腺癌患者在停用紫杉醇、卡铂及吉非替尼后开始服用厄洛替尼150 mg,1次/d。2周后,患者前额和后背出现皮疹,双手、双足出现甲沟炎,双足趾出现甲下脓肿。行甲根部分切除,厄洛替尼剂量减为120 mg,1次/d,并外用表皮生长因子凝... 详细信息

1例55岁女性肺腺癌患者在停用紫杉醇、卡铂及吉非替尼后开始服用厄洛替尼150 mg,1次/d。2周后,患者前额和后背出现皮疹,双手、双足出现甲沟炎,双足趾出现甲下脓肿。行甲根部分切除,厄洛替尼剂量减为120 mg,1次/d,并外用表皮生长因子凝胶。约3周后,甲沟炎治愈,但其前额和躯干部皮疹仍存在。

关键词：厄洛替尼甲沟炎不良反应

1例糖尿病合并阿尔兹海默症患者压疮护理体会

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中西医结合护理 2022年第4期8卷 106-109页

作者：张艺璇王春红侯妮娜徐卫红赵欣刘欢唐玲北京中医药大学东方医院内分泌科北京100078 北京中医药大学东方医院护理部北京100078

总结1例糖尿病合并阿尔茨海默症患者的压疮护理措施。在完善常规压疮护理的基础上,护理人员加强受压部位皮肤清洁和伤口护理,嘱患者规律运动,同时开展健康宣教,增加患者及其家属压疮预防相关知识。针对阿尔茨海默症合并糖尿病的压疮患者... 详细信息

总结1例糖尿病合并阿尔茨海默症患者的压疮护理措施。在完善常规压疮护理的基础上,护理人员加强受压部位皮肤清洁和伤口护理,嘱患者规律运动,同时开展健康宣教,增加患者及其家属压疮预防相关知识。针对阿尔茨海默症合并糖尿病的压疮患者,规律运动、减少卧床以及重视皮肤护理对促进压疮创面愈合具有积极意义。

关键词：阿尔茨海默症糖尿病压疮伤口护理健康宣教

基于新工科建设的《食品安全学》课程教学改革探索

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广东化工 2021年第4期48卷 229-229,236页

作者：蒋变玲赵亮陈琼段红韩方凯鲍妮娜袁维风宿州学院安徽宿州234000

为培养适合时代发展的食品专业人才,以《食品安全学》课程教学改革为例,剖析传统教学中该课程存在的不足,探索新工科建设背景下该课程的教学新方式,提高教学效果。

关键词：食品安全学教学改革新工科

三实理论在耳鼻咽喉头颈外科教学中的应用研究

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重庆医学 2021年第S1期50卷 1-3页

作者：邓泽海后群邹乙菱崔振英陈妮娜李靖马显琼杨润普文梅云南省红河哈尼族彝族自治州第三人民医院耳鼻咽喉头颈外科个旧661000 云南省红河哈尼族彝族自治州第三人民医院教学科个旧661000

目的探索突出实用理念、实用技能、实用技术的三实理论在耳鼻咽喉头颈外科教学中的应用效果。方法选取2018-2019年在该院耳鼻咽喉头颈外科实习的临床医学生86人,随机分为观察组和对照组,每组43人。对照组采用在教学大纲的直接指导下完... 详细信息

目的探索突出实用理念、实用技能、实用技术的三实理论在耳鼻咽喉头颈外科教学中的应用效果。方法选取2018-2019年在该院耳鼻咽喉头颈外科实习的临床医学生86人,随机分为观察组和对照组,每组43人。对照组采用在教学大纲的直接指导下完成耳鼻咽喉头颈外科教学任务,观察组运用根据教学大纲提炼后的三实理论指导下进行带教,完成教学任务;比较2种教学模式的应用效果。结果观察组学生理论及;临床操作考核分数均明显高于对照组,且学生满意度明显优于对照组,差异均有统计学意义(P﹤0.05)。结论应用在教学大纲上提炼的实用理念、实用技能、实用技术的三实理论教学能明显提高学生的专科理论及临床操作成绩,且能明显提高学生的满意度,对耳鼻咽喉头颈外科专科教学具有积极促进作用。

关键词：耳鼻咽喉头颈外科三实理论教学

Feasibility and physics potential of detecting ^(8)B solar neutrinos at JUNO

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Chinese Physics C 2021年第2期45卷 93-110页

作者： Angel Abusleme Thomas Adam Shakeel Ahmad Sebastiano Aiello Muhammad Akram Nawab Ali Fengpeng An Guangpeng An Qi An Giuseppe Andronico Nikolay Anfimov Vito Antonelli Tatiana Antoshkina Burin Asavapibhop João Pedro Athayde Marcondes de André didier Auguste Andrej Babic Wander Baldini Andrea Barresi Eric Baussan Marco Bellato Antonio Bergnoli Enrico Bernieri david Biare Thilo Birkenfeld Sylvie Blin david Blum Simon Blyth Anastasia Bolshakova Mathieu Bongrand Clément Bordereau dominique Breton Augusto Brigatti Riccardo Brugnera Riccardo Bruno Antonio Budano Max Buesken Mario Buscemi Jose Busto Ilya Butorov Anatael Cabrera Hao Cai Xiao Cai Yanke Cai Zhiyan Cai Antonio Cammi Agustin Campeny Chuanya Cao Guofu Cao Jun Cao Rossella Caruso Cédric Cerna Jinfan Chang Yun Chang Pingping Chen Po-An Chen Shaomin Chen Shenjian Chen Xurong Chen Yi-Wen Chen Yixue Chen Yu Chen Zhang Chen Jie Cheng Yaping Cheng Alexander Chepurnov davide Chiesa Pietro Chimenti Artem Chukanov Anna Chuvashova Gérard Claverie Catia Clementi Barbara Clerbaux Selma Conforti di Lorenzo daniele Corti Salvatore Costa Flavio dal Corso Christophe de La Taille Jiawei deng Zhi deng Ziyan deng Wilfried depnering Marco diaz Xuefeng ding Yayun ding Bayu dirgantara Sergey dmitrievsky Tadeas dohnal Georgy donchenko Jianmeng dong damien dornic Evgeny doroshkevich Marcos dracos Frédéric druillole Shuxian du Stefano dusini Martin dvorak Timo Enqvist Heike Enzmann Andrea Fabbri Lukas Fajt donghua Fan Lei Fan Can Fang Jian Fang Marco Fargetta Anna Fatkina dmitry Fedoseev Vladko Fekete Li-Cheng Feng Qichun Feng Richard Ford Andrey Formozov Amélie Fournier Haonan Gan Feng Gao Alberto Garfagnini Alexandre Göttel Christoph Genster Marco Giammarchi Agnese Giaz Nunzio Giudice Franco Giuliani Maxim Gonchar Guanghua Gong Hui Gong Oleg Gorchakov Yuri Gornushkin Marco Grassi Christian Grewing Maxim Gromov Vasily Gromov Minghao Gu Xiaofei Gu Yu Gu Mengyun Guan Nunzio Guardone Maria Gul Cong Guo Jingyuan Guo Wanlei Guo Xinheng Guo Yuhang Guo Paul Hackspacher Caren Hagner Ran Han Yan Yerevan Physics Institute YerevanArmenia UniversitéLibre de Bruxelles BrusselsBelgium Universidade Estadual de Londrina LondrinaBrazil Pontificia Universidade Catolica do Rio de Janeiro RioBrazil Pontificia Universidad Católica de Chile SantiagoChile Universidad Tecnica Federico Santa Maria ValparaisoChile Beijing Institute of Spacecraft Environment Engineering BeijingChina Beijing Normal University BeijingChina China Institute of Atomic Energy BeijingChina Institute of High Energy Physics BeijingChina North China Electric Power University BeijingChina School of Physics Peking UniversityBeijingChina Tsinghua University BeijingChina University of Chinese Academy of Sciences BeijingChina Jilin University ChangchunChina College of Electronic Science and Engineering National University of Defense TechnologyChangshaChina Chongqing University ChongqingChina dongguan University of Technology DongguanChina Jinan University GuangzhouChina Sun Yat-Sen University GuangzhouChina Harbin Institute of Technology HarbinChina University of Science and Technology of China HefeiChina The Radiochemistry and Nuclear Chemistry Group in University of South China HengyangChina Wuyi University JiangmenChina Shandong University JinanChina Institute of Modern Physics Chinese Academy of SciencesLanzhouChina Nanjing University NanjingChina Guangxi University NanningChina East China University of Science and Technology ShanghaiChina School of Physics and Astronomy Shanghai Jiao Tong UniversityShanghaiChina Tsung-dao Lee Institute Shanghai Jiao Tong UniversityShanghaiChina Institute of Hydrogeology and Environmental Geology Chinese Academy of Geological SciencesShijiazhuangChina Nankai University TianjinChina Wuhan University WuhanChina Xi’an Jiaotong University Xi’anChina Xiamen University XiamenChina School of Physics and Microelectronics Zhengzhou UniversityZhengzhouChina Institute of Physics National Chiao-Tung University Hsinchu National United University Miao-Li department of Physics National T

The Jiangmen Underground Neutrino Observatory(JUNO)features a 20 kt multi-purpose underground liquid scintillator sphere as its main *** of JUNO's features make it an excellent location for^8B solar neutrino measurements,such as its low-energy threshold,high energy resolution compared with water Cherenkov detectors,and much larger target mass compared with previous liquid scintillator *** this paper,we present a comprehensive assessment of JUNO's potential for detecting^8B solar neutrinos via the neutrino-electron elastic scattering process.A reduced 2 MeV threshold for the recoil electron energy is found to be achievable,assuming that the intrinsic radioactive background^(238)U and^(232)Th in the liquid scintillator can be controlled to 10^(-17)g/*** ten years of data acquisition,approximately 60,000 signal and 30,000 background events are *** large sample will enable an examination of the distortion of the recoil electron spectrum that is dominated by the neutrino flavor transformation in the dense solar matter,which will shed new light on the inconsistency between the measured electron spectra and the predictions of the standard three-flavor neutrino oscillation *** m^(2)_(21)=4.8times10^(-5);(7.5times10^(-5))eV^(2),JUNO can provide evidence of neutrino oscillation in the Earth at approximately the 3sigma(2sigma)level by measuring the non-zero signal rate variation with respect to the solar zenith ***,JUNO can simultaneously measuredelta m^2_(21)using^8B solar neutrinos to a precision of 20% or better,depending on the central value,and to sub-percent precision using reactor antineutrinos.A comparison of these two measurements from the same detector will help understand the current mild inconsistency between the value of delta m^2_(21)reported by solar neutrino experiments and the KamLANd experiment.

关键词： neutrino oscillation solar neutrino JUNO

Fungal diversity notes 1277-1386:taxonomic and phylogenetic contributions to fungal taxa

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Fungal diversity 2020年第5期104卷 1-266页

作者： Hai-Sheng Yuan Xu Lu Yu-Cheng dai Kevin d.Hyde Yu-He Kan Ivana Kušan Shuang-Hui He Ning-Guo Liu V.Venkateswara Sarma Chang-Lin Zhao Bao-Kai Cui Nousheen Yousaf Guangyu Sun Shu-Yan Liu Fang Wu Chuan-Gen Lin Monika C.dayarathne Tatiana Baptista Gibertoni Lucas B.Conceição Roberto Garibay-Orijel Margarita Villegas-Ríos Rodolfo Salas-Lizana Tie-Zheng Wei Jun-Zhi Qiu Ze-Fen Yu Rungtiwa Phookamsak Ming Zeng Soumitra Paloi dan-Feng Bao Pranami dAbeywickrama de-Ping Wei Jing Yang Ishara S.Manawasinghe dulanjalee Harishchandra Rashika S.Brahmanage Nimali Ide Silva danushka S.Tennakoon Anuruddha Karunarathna Yusufjon Gafforov dhandevi Pem Sheng-Nan Zhang AndréL.C.Mde Azevedo Santiago Jadson diogo Pereira Bezerra Bálint dima Krishnendu Acharya Julieta Alvarez-Manjarrez Ali H.Bahkali Vinod K.Bhatt Tor Erik Brandrud Timur S.Bulgakov E.Camporesi Ting Cao Yu-Xi Chen Yuan-Yuan Chen Bandarupalli devadatha Abdallah M.Elgorban Long-Fei Fan Xing du Liu Gao Camila Melo Gonçalves Luis F.P.Gusmão Naruemon Huanraluek Margita Jadan Ruvishika S.Jayawardena Abdul Nasir Khalid Ewald Langer diogo X.Lima Nelson Correia de Lima-Júnior Carla Rejane Sousa de Lira Jian-Kui(Jack)Liu Shun Liu Saisamorn Lumyong Zong-Long Luo Neven Matočec M.Niranjan JoséRibamar Costa Oliveira-Filho Viktor Papp Eduardo Pérez-Pazos Alan J.L.Phillips Peng-Lei Qiu Yihua Ren Rafael F.Castañeda Ruiz Kamal C.Semwal Karl Soop Carlos A.Fde Souza Cristina Maria Souza-Motta Li-Hua Sun Meng-Le Xie Yi-Jian Yao Qi Zhao Li-Wei Zhou CAS Key Laboratory of Forest Ecology and Management Institute of Applied EcologyChinese Academy of SciencesShenyang 110164People’s Republic of China University of the Chinese Academy of Sciences Beijing 100049People’s Republic of China School of Ecology and Nature Conservation Beijing Advanced Innovation Center for Tree Breeding By Molecular DesignBeijing Forestry UniversityBeijing 100083People’s Republic of China CAS Key Laboratory for Plant diversity and Biogeography of East Asia Kunming Institute of BotanyChinese Academy of ScienceKunming 650201YunnanPeople’s Republic of China Centre of Excellence in Fungal Research Mae Fah Luang UniversityChiang Rai 57100Thailand School of Science Mae Fah Luang UniversityChiang Rai 57100Thailand Mushroom Research Foundation 128 M.3 Ban Pa Deng T.Pa PaeA.Mae TaengChiang Mai 50150Thailand East and Central Asia Regional Office World Agroforestry Centre(ICRAF)Kunming 650201YunnanChina Ruđer BoškovićInstitute Bijenička cesta 5410000 ZagrebCroatia Faculty of Agriculture Natural Resources and EnvironmentNaresuan UniversityPhitsanulok 65000Thailand department of Biotechnology School of Life SciencesPondicherry UniversityR.V.NagarKalapetPondicherry 605014India College of Biodiversity Conservation Southwest Forestry UniversityKunming 650224People’s Republic of China department of Botany Govt.College UniversityKatchery RoadLahorePakistan State Key Laboratory of Crop Stress Biology in Arid Areas and College of Plant Protection Northwest A&F UniversityYanglingShaanxiPeople’s Republic of China Laboratory of Plant Pathology College of Plant ProtectionJilin Agricultural UniversityChangchun 130118Jilin ProvincePeople’s Republic of China Centro de Biociências Departamento de MicologiaUniversidade Federal de PernambucoCidade UniversitáriaAvenida da Engenharia s/nRecifePernambuco 50740-600Brazil departamento de Ciências Biológicas Universidade Estadual de Feira de SantanaAv.Transnordestina s/nNovo HorizonteFeira de SantanaBA 44036-900Brazil L

This is the twelfth contribution to the Fungal diversity Notes series on fungal taxonomy,based on materials collected from many countries which were examined and described using the methods of morphology,anatomy,and strain culture,combined with dNA sequence analyses.110 taxa are described and illustrated,including five new genera,92 new species,eight new combinations and other taxonomic contributions(one new sequenced species,one new host and three new records)which are accommodated in 40 families and 1 incertae sedis in *** new genera are Amyloceraceomyces,Catenuliconidia,Hansenopezia,Ionopezia and *** new species are Amyloceraceomyces angustisporus,Amylocorticium ellipsosporum,Arthrinium sorghi,Catenuliconidia uniseptata,Clavulina sphaeropedunculata,Colletotrichum parthenocissicola,Coniothyrium triseptatum,Cortinarius indorusseus,***,***,***,***,diaporthe pimpinel-lae,dictyosporella guizhouensis,diplodia torilicola,Fuscoporia marquesiana,***,Hansenopezia decora,Helicoarcta-tus thailandicus,Hirsutella hongheensis,Humidicutis brunneovinacea,Lentaria gossypina,***,Lycoperdon lahorense,***,Magnopulchromyces scorpiophorus,Moelleriella gracilispora,Neodevriesia manglicola,Neodidymelliopsis salvia,***,Neoroussoella magnoliae,Neottiella gigaspora,Ophiosphaerella chiangraiensis,Phaeotremella yunnanensis,Podosphaera yulii,Rigidoporus juniperinus,Rhodofomitopsis pseudofeei,Russula benghalensis,Scleroramularia vermispora,Scytinopogon minisporus,Sporormurispora paulsenii,Thaxteriellopsis obliqus,Tomentella asiae-orientalis,***,***,***,***,***,***,***,***,***-nocystidiata,***,***,***,***,***,***,***,***,***,***,***,***,***,***,***,

关键词： 110 taxa Agaricomycetes Ascomycota Basidiomycota Mucoromycota New combinations New genera New species Phylogeny Taxonomy