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BMC Family Practice论文摘要汇编——大城市和乡村地区基层医疗机构进行AF-SMART心房颤动筛查项目的实施效果评估

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中国全科医学 2020年第8期23卷 979-979页

作者： orchard j LI j GALLAGHER R 本刊编辑部 Heart Research Institute/Charles Perkins Centre University of Sydney Sydney Australia Susan Wakil School of Nursing Faculty of Medicine and Health/Charles Perkins Centre University of Sydney Sydney Australia Edinburgh Napier University Edinburgh UK

背景国际指南建议对65岁及以上人群进行心房颤动筛查。本研究组于2016年11月—2019年6月在16个大城市和农村地区进行了机会性心房颤动筛查以进行心房颤动筛查、管理和指南推荐治疗研究(AF-SMART)。在这些研究中试用了定制的电子健康工... 详细信息

背景国际指南建议对65岁及以上人群进行心房颤动筛查。本研究组于2016年11月—2019年6月在16个大城市和农村地区进行了机会性心房颤动筛查以进行心房颤动筛查、管理和指南推荐治疗研究(AF-SMART)。在这些研究中试用了定制的电子健康工具支持各个阶段的心房颤动筛查。方法对AF-SMART项目的实施效果进行评价,并以此为依据决定是否需要扩大筛查人口比例。项目实施的最初理论是基于本研究组以前的研究结果、政策文件和其他相关筛查研究。在本研究中,本研究组对所选诊所的全科医生、护士和管理者进行了45场半结构式访谈。通过访谈收集了观察数据和定量数据,并进行分析和阐释以完善AF-SMART项目理论。结果全科医生和护士均喜欢使用这些电子健康工具,尽管有时候出现了技术性问题会使筛查过程中断。但是筛查耗时较久,因此筛查系统需要改进变得更加有效。由资深全科医生尤其是来自护理团队的资深全科医生领导的筛查小组的筛查范围更大。定期反馈筛查数据有助于提高筛查质量和激励筛查的进行。在分级诊疗过程中,筛查效果较好的以护士为主导的小组需要对筛查结果异常的人群制定明确的随访方案。参与实施AF-SMART项目能获得更多益处,比如增加对心房颤动的了解、更多了解心血管疾病预防范畴等。在诊所能有效安排职员工作时间的情况下,对目标人群进行短期集中筛查(工作模式类似在短期内集中接种流感疫苗)能获得较好的效果。结论当筛查小组由资深全科医生领导,有为异常筛查结果人群制定的随访方案并且筛查人群可定期向医务人员反馈随访数据的情况下,心房颤动筛查能够比较成功的实施。而这些与筛查成功相关的因素和激励机制、领导权、护士授权和有效的筛查系统相关。这些因素和机制有助于长期提高心房颤动筛查和治疗比例,被指南推荐为预防心房颤动相关脑卒中的关键策略。

关键词：全科医生基层医疗机构电子健康国际指南分级诊疗筛查结果心房颤动定量数据

A detailed Lower Triassic conodont biostratigraphy and its implications for the GSSP candidate of the Induan–Olenekian boundary in Chaohu,Anhui Province

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Progress in Natural Science:Materials International 2008年第1期18卷 79-90页

作者： Michael j.orchard Canada V6B5j3 Geological Survey of Canada 101-605 Robson Street Vancouver

Chaohu is located in a deep part of carbonate ramp on the Lower Yangtze Block,which belonged to the low-latitude eastern Tethyan archipelago during the Early Triassic.Fossils were very rich in the Lower Triassic of Chaohu.Bivalves,ammonoids,conodonts were very common throughout the Lower Triassic,while fish fossils were generally rich in some beds of the upper part.It is one of the most typical sections for the Early Triassic chronostratigraphy in the world.Although various fossils had been studied in the 1980s and 1990s,recent studies based upon new and more detailed collections from the Lower Triassic of Chaohu showed that the conodont zonation needs revision.We collected Lower Triassic conodont fossils from continuous sections of the West Pingdingshan,North Pingdingshan and South Majiashan,Chaohu,Anhui Province,and updated zonations were made for each section.Eight conodont zones have been dis- tinguished.They are,in ascending order,Hindeodus typicalis zone,Neogondolella krystyni zone,Neospathodus kummeli zone,Neospath- odus dieneri zone,Neospathodus waageni zone,Neospathodus pingdingshanensis zone,Neospathodus homeri zone,and Neospathodus anhuinensis zone.The first occurrence of Neospathodus waageni eowaageni of the N.w.eowaageni subzone(i.***.the base of the N.waageni zone)is suggested as the marker to define the Induan–Olenekian boundary.

关键词： Conodont biostratigraphy Conodont zonation Lower Triassic Induan–Olenekian Chaohu in Anhui Province

Morphological Variation of Conodonts Platyvillosus from Yinkeng Formation in Chaohu,Anhui Province,China

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journal of Earth Science 2003年第4期 17-24页

作者： Michael j orchard Geological Survey of Canada Vancouver V6B 5j3

A preciously undescribed Lower Triassic sequence of a series of multiple cycles of mud-lime rocks, with the argillaceous content decreasing upward while limestone becomes the dominant lithology in the upper part, contains abundant fossils such as conodonts, ammonoids and bivalves. The Yinkeng Formation is the oldest Triassic unit represented, and it conformably overlies dark-gray thin-bedded argillaceous silicalite and intercalated grayish illite clay interbeds of the Upper Permian of Dalong Formation. Conodont samples collected from west Pingdingshan Section, one of four measured sections in Chaohu, yielded abundant Lower Triassic conodonts from the middle part of the Yinkeng Formation. Most interesting and unusual is the abundant occurrence of Platyvillosus in seven samples from the Flemingites-Euflemingites bearing (Smithian) mudstone, rhyolitic clay and limestone part of the section. The associated conodonts are Neospathodus dieneri type 1, N. dieneri type 2, N. dieneri type 3, N. cristagalli, N. waageni eowaageni (nov. subsp.), N. waageni elongata (nov. subsp.), N. waageni waageni, N. sp. G (nov. sp.), N . sp. L (nov. sp.), N . sp. H (nov. sp.), N. alberti, N. novaehollandiae, N. peculiaris, N . aff. discretus, N. conservativus, Parachirognathodus sp. and ramiform elements. The species Platyvillosus , which is restricted to a 1.32 m interval, reveals great variety in shape and denticle ornamentation pattern on the platform. The morphological study of the samples indicates that all speciemens with denticles on the upper surface can be included in intraspecific variation in Platyvillosus costatus (Staesche). Platyvillosus hamadai (Koike), marked by smooth upper surface, also appears to be connected by transitional forms in some samples. The fauna corresponds closely with that of the Taho limestone in japan, although the depositional environments differ. The associated lithologies of the Yinkeng Formation within Chaohu area reflect a deeper and low energy remaining basin of the northern edge of the Lower Yangtz

关键词： Platyvillosus morphological variation conodont Chaohu

Statin use and cognitive function in middle-aged adults with type 1 diabetes

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World journal of Diabetes 2017年第6期8卷 286-296页

作者： Karen A Nunley Trevor j orchard Christopher M Ryan Rachel Miller Tina Costacou Caterina Rosano Department of Epidemiology University of PittsburghPA 15213United States

AIM To test associations between statin use and cognitive impairment in adults with childhood-onset type 1 diabetes(T1D).METHODS In 2010-13, n = 108 middle-aged participants from ongoing observational Pittsburgh Epidemiology of Diabetes Complications Study underwent neurocognitive assessment(mean age and T1 D duration of 49 and 41 years, respectively). All were diagnosed with childhoodonset(i.e., prior to age 18) T1 D between 1950 and 1980 and were seen within one year of diagnosis at Children's Hospital of Pittsburgh. Self-reported statin use(yes/no and if yes, name of statin) was collected biennially from parent study baseline(1986-1988) to time of neurocognitive testing. Logistic regression models tested associations between statin use groups and cognitive impairment(defined as having two or more cognitive test scores 1.5SD or worse than published norms) while linear regression models tested associations between statin use groups and cognitive domain z-scores(domains: Verbal IQ, memory, executive function, psychomotor speed, and visuo-construction). All models controlled for education and age. To address confounding by indication, models were repeated using a propensity score for statin use.RESULTS Of the 108 participants, 51 reported never using statins. Median duration of statin use among the 57 ever users was 6 years. These 57 ever statin users were split to create two groups(≤ or > median years of statin use): 1-6 years(n = 25), and 7-12 years(n = 32). Compared with never users, using statins 1-6 years tripled the odds of cognitive impairment(OR = 3.16; 95%CI: 0.93-10.72; P = 0.06) and using statins 7-12 years almost quintupled the odds of cognitive impairment(OR = 4.84; 95%CI: 1.63-14.44; P = 0.005). Compared with never users, using statins 1-6 or 7-12 years was related to worse performance in the memory domain(β =-0.52; P = 0.003, and-0.39; P = 0.014, respectively). Adjusting for coronary artery disease, low density lipoprotein cholesterol, and Apo E4 status did not substantially alter results, and none

关键词：打 1 糖尿病认知缺陷记忆 Statin 使用队学习

A Taxonomic Re-Assessment of the Novispathodus waageni Group and Its Role in Defining the Base of the Olenekian (Lower Triassic)

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journal of Earth Science 2018年第4期29卷 824-836页

作者： Zhengyi Lyu Michael j orchard Zhong-Qiang Chen Laishi Zhao Lei Zhang Xiumei Zhang State Key Laboratory of Geological Processes and Mineral Resources China University of Geosciences Wuhan 430074 China State Key Laboratory of Biogeology and Environmental Geology China University of Geosciences Wuhan 430074 China Natural Resources Canada Geological Survey of Canada Vancouver BC V6E4S6 Canada

Lower Triassic conodont biostratigraphy has been well studied around the world in the past decades, but the Induan-Olenekian boundary （IOB） remains undecided. The Novispathodus waageni group has been taxonomically re-assessed based on abundant new materials from the jianshi and Chaohu sections, South China. New study shows that Nv. waageni typically possesses：（1） an approximately equi-dimentional P1 blade element, （2） an accurate upper profile with denticle height descending in both directions, （3） a denticulated posterior edge （lower denticles posterior of the highest denticle）, and （4） a round basal cavity outline. Of the three proposed subspecies of the waageni species, both Nv. waageni waageni （Sweet, 1970） and Nv. w. eowaageni （Zhao and orchard, 2005） are valid, and the former differs clearly from Nv. w. eowaageni in having （1） a slightly higher length/height ratio （holotype=1.30 ： 1.23）, （2） a thicker blade, sometimes with medial thickening, （3） fewer （broader） denticles per unit length, （4） generally recurved denticles, not straight and upright, （5） highest denticles closer to posterior, （6） common differentiation of a posterior cusp, and （7） more sinuous basal profile, with increased posterior upturning. A third subspecies illustrated as Nv. waageni n. subsp. A sensu Goudemand, 2014 is not conspecific with older individuals of Nv. w. eowaageni, and also cannot be as- signed to the Nv. waageni group. Abundant new materials demonstrate a clear ontogenic process for Nv. w. eowaageni, indicating that Nv. w. eowaageni occurring in the Induan-Olenekian boundary （IOB） succession is rather stable. Small, earlier individuals （i.e., those from Bed 225 in jianshi） are referred to as Nv. w. eowaageni Morphotype A, and are thought to have likely evolved from Ns. dieneri Morphotype 3, and to be the precursor of mature elements ofNv. w. eowaageni. The first appearance datum of Nv. w. eowaageni therefore is an ideal mark defining the IOB.

关键词： Lower Triassic evolutionary lineage Novispathodus waageni eowaageni InduanOlenekian boundary South China.

安徽巢湖地区下三叠统牙形石生物地层分带及其全球对比

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地球科学（中国地质大学学报） 2005年第5期30卷 623-634页

作者：赵来时童金南 orchard M.j. 左景勋中国地质大学地质过程与矿产资源国家重点实验室湖北武汉430074 加拿大地质调查局中国科学院南京地质古生物研究所江苏南京210018

安徽巢湖地区早三叠世处于下扬子碳酸盐岩缓坡较深水区域,地层序列完整、清晰,各类化石是区域乃至全球最为丰富、序列最为完整的,是研究国际早三叠世年代地层最经典地区之一.对安徽巢湖平顶山西坡剖面、平顶山北坡剖面、马家山南剖面系... 详细信息

安徽巢湖地区早三叠世处于下扬子碳酸盐岩缓坡较深水区域,地层序列完整、清晰,各类化石是区域乃至全球最为丰富、序列最为完整的,是研究国际早三叠世年代地层最经典地区之一.对安徽巢湖平顶山西坡剖面、平顶山北坡剖面、马家山南剖面系统采样和精细的牙形石生物地层研究结果表明,下三叠统至少可以划分为8个牙形石带,建立了在华南具有代表性的下三叠统牙形石生物地层序列,自下而上为(1)Hindeodustypicalis带;(2)Neogondolellakrystyni-Neogondolellaplanata带;(3)Neospathoduskummeli带;(4)Neospathodusdieneri带;(5)Neospathoduswaageni带;(6)Neospathoduspingdingshanensis带;(7)Neospathodushomeri带;(8)Neospathodusanhuinensis带.并与世界其他地区同期地层进行精确对比,为建立下三叠统印度阶与奥伦尼克阶界线的全球层型(GSSP)提供可靠依据.

关键词：生物地层牙形石带下三叠统全球对比安徽巢湖

Error field penetration in j-TEXT tokamak based on two-fluid drift-MHD model

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Chinese Physics B 2024年第4期33卷 545-551页

作者：王文徐涛张仪 the j-TEXT team State Key Laboratory of Advanced Electromagnetic Technology International Joint Research Laboratory of Magnetic Confinement Fusion and Plasma PhysicsSchool of Electrical and Electronic EngineeringHuazhong University of Science and TechnologyWuhan 430074China

An externally generated resonant magnetic perturbation can induce complex non-ideal MHD responses in their resonant surfaces.We have studied the plasma responses using Fitzpatrick's improved two-fluid model and program LAYER.We calculated the error field penetration threshold for j-TEXT.In addition,we find that the island width increases slightly as the error field amplitude increases when the error field amplitude is below the critical penetration value.However,the island width suddenly jumps to a large value because the shielding effect of the plasma against the error field disappears after the penetration.By scanning the natural mode frequency,we find that the shielding effect of the plasma decreases as the natural mode frequency decreases.Finally,we obtain the m/n=2/1 penetration threshold scaling on density and temperature.

关键词： plasma responses drift-MHD model error field penetration

安徽巢湖平顶山西坡剖面印度阶与奥伦尼克阶界线层高分辨率牙形石生物地层

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地球科学（中国地质大学学报） 2007年第3期32卷 291-302页

作者：赵来时童金南孙知明常德峰张克信张素新 Mike j.orchard 中国地质大学地质过程与矿产资源国家重点实验室湖北武汉430074 山东水利职业学院建筑工程系山东日照276826 Geological Survey of Canada 101-605 Robson St.VancouverB.C.V6B5J3Canada

下三叠统印度阶与奥伦尼克阶全球候选层型剖面之一的中国安徽省巢湖市平顶山西坡剖面界线层,经连续不间断采样获得大量牙形石化石并进行详细的分带工作,建立了该界线层牙形石生物地层.由下往上划分为:1.Neospathodus dieneri带;2.N.waag... 详细信息

下三叠统印度阶与奥伦尼克阶全球候选层型剖面之一的中国安徽省巢湖市平顶山西坡剖面界线层,经连续不间断采样获得大量牙形石化石并进行详细的分带工作,建立了该界线层牙形石生物地层.由下往上划分为:1.Neospathodus dieneri带;2.N.waageni带.前者依次分为3个亚带:N.dieneri Morphotype1亚带,N.dieneri Morphotype2亚带和N.dieneri Morphotype3亚带.牙形石带可与该界线层的菊石带进行很好的对比;在详细区分牙形石Neospathodus属内各种特征的基础上,结合地层分布情况,跨越印度阶与奥伦尼克阶界线,演化谱系十分明显,牙形石N.dieneri Morphotype3在奥伦尼克阶之底即Smithian初期演化为:N.dieneri Morphotype3→N.waageni→N.pingdingshanensis、Neos-pathodus dieneri Morphotype3→N.waageni(细齿直立型)→N.n.sp.R和Neospathodus dieneri Morphotype3→N.pakistanensis.从谱系演化的观点出发认为:N.waageni的首现点作为奥伦尼克阶底界是合理的,并在该剖面确定了印度阶与奥伦尼克阶界线位于第24-16层,距剖面大隆组与殷坑组界线40.49m处.

关键词：牙形石演化谱系下三叠统印度阶与奥伦尼克阶界线安徽巢湖

A candidate of the Induan-Olenekian boundary stratotype in the Tethyan region

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Science China Earth Sciences 2003年第11期46卷 1182-1200页

作者：童金南 Yuri D.Zakharov Michael j.orchard 殷鸿福 Hans j.Hansen Faculty of Earth Science China University of Geosciences Wuhan 430074 China Far Eastern Geological Institute Russian Academy of Sciences Vladivostok 690022Russia Geological Survey of Canada 101-605 Robson Street Vancouver B. C. V6B 5J3 Canada Geological Institute Copenhagen University Oster Voldgade 10 DK-1350 CopenhagenDenmark

The Olenekian Stage of the Lower Triassic is named from the Boreal Realm, but the stage has never been properly defined, nor has it been applied in the low-latitude Tethyan Realm, with exception of North Caucasus and Mangyshlak. This paper proposes a stratotype for the In-duan-Olenekian boundary in the low-latitude Tethyan Realm. South China is one of the main re-gions in the Tethyan Realm with well-developed Lower Triassic sequences and abundant fossils. According to the basic stratigraphic records and various accumulated data, we believe that the West Pingdingshan Section in Chaohu, Anhui Province is one of the best sequences to define the Induan-Olenekian boundary. The first appearance datum (FAD) of conodont Neospathodus waageni is the preferred index to define the boundary. This datum lies 26 cm below the FAD of the ammon-oids Flemingites and Euflemingites, and is located slightly prior to the top of the second Triassic normal magnetozone, and the peak of the first Triassic positive excursion of carbon isotope d 13C.

关键词： proposal, GSSP, Induan-Olenekian boundary, Lower Triassic, Chaohu of China.