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社区2型糖尿病患者健康管理依从性与血糖控制达标关系研究

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现代预防医学 2024年第2期51卷 273-278页

作者：李殿江潘恩春孙中明文进博武鸣樊宏苏健周金意沈冲南京医科大学公共卫生学院淮安市疾病预防控制中心江苏省疾病预防控制中心

目的探究社区2型糖尿病患者健康管理依从性与血糖控制达标的关系。方法以淮安区2 171例纳入社区健康管理的2型糖尿病患者为研究对象。采用《糖尿病治疗依从性问卷》综合评估药物治疗、饮食、运动、自我监测及定期复查等维度依从性，... 详细信息

目的探究社区2型糖尿病患者健康管理依从性与血糖控制达标的关系。方法以淮安区2 171例纳入社区健康管理的2型糖尿病患者为研究对象。采用《糖尿病治疗依从性问卷》综合评估药物治疗、饮食、运动、自我监测及定期复查等维度依从性，并以得分的中位数作为依从性好\差的分界点；将HbAlc<7.0%定义为血糖控制达标；采用logistic回归评估依从性与血糖控制达标关系。结果调整混杂因素后，相对于依从性差组，具有良好药物治疗、饮食、运动、自我监测、复查及总体依从性组的血糖控制达标OR分别为1.402(95%CI:1.173～1.677)、1.231(95%CI:1.030～1.471)、0.985(95%CI:0.821～1.183)、0.968(95%CI:0.806～1.162)、1.107(95%CI:0.924～1.326)和1.050(95%CI:0.880～1.252)。进一步剔除合并高血压、冠心病、脑卒中及肿瘤的患者后显示，相对于依从性差组，具有良好药物治疗、饮食、运动、自我监测、复查及总体依从性组的血糖控制达标OR分别为1.987(95%CI:1.321～2.990)、1.606(95%CI:1.077～2.397)、1.282(95%CI:0.867～1.895)、1.378(95%CI:0.910～2.085)、1.663(95%CI:1.126～2.456)和1.593(95%CI:1.077～2.354)。结论提高社区2型糖尿病健康管理依从性有助于改善患者血糖控制达标率，其中坚持药物治疗及饮食控制的血糖控制效果明显。

关键词： 2型糖尿病健康管理依从性血糖控制社区

The Perturbed Compound Poisson Risk Model with Proportional Investment

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Acta Mathematicae Applicatae Sinica 2024年第1期40卷 109-128页

作者： Nai-dan Deng chun-wei Wang Jia-en Xu School of Mathematics and Statistics Henan University of Science and TechnologyLuoyang471023China

In this paper, the insurance company considers venture capital and risk-free investment in a constant proportion. The surplus process is perturbed by diffusion. At first, the integro-differential equations satisfied by the expected discounted dividend payments and the Gerber-Shiu function are derived. Then, the approximate solutions of the integro-differential equations are obtained through the sinc method. Finally, the numerical examples are given when the claim sizes follow different distributions. Furthermore, the errors between the explicit solution and the numerical solution are discussed in a special case.

关键词： expected discounted dividend payments lognormal distribution proportional investment perturbed risk model sinc numerical method

ensemble projections of climate and streamflow in a typical basin of semi-arid steppes in Mongolian Plateau of 2021-2100

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Advances in Climate Change Research 2024年第2期15卷 230-243页

作者： Hang pan Jian-Ping TANG Liang CHenG Man-chun LI Jiangsu Provincial Key Laboratory of Geographic Information Science and Technology Nanjing UniversityNanjing 210023China School of Geography and Ocean Science Nanjing UniversityNanjing 210023China Key Laboratory of Mesoscale Severe Weather/Ministry of Education Nanjing UniversityNanjing 210023China School of Atmospheric Sciences Nanjing UniversityNanjing 210023China

The Kherlen River is the main water source for Hulun Lake,the largest lake in northern *** to reduced inflow from the Kherlen River,Hulun Lake experienced rapid shrinkage at the beginning of the 21st century,posing a serious threat to the ecological security of northern ***,there is still a significant lack of projections regarding future climate change and its hydrological response in the Kherlen River *** study analyzed the projected climate and streamflow changes in the Kherlen River basin,a vital yet vulnerable international semi-arid steppes type basin.A combination of multi-model ensemble projection techniques,and the soil and water assessment tool(SWAT)model was employed to examine the spatio-temporal changes in precipitation,temperature,streamflow,and the associated uncertainties in the *** temperature(an increase of 1.84-6.42℃)and the precipitation(an increase of 15.0-46.0 mm)of Kherlen River basin are projected to increase by 2100,leading to a rise in streamflow(1.08-4.78 m^(3) s^(-1)).The upstream of the Kherlen River exhibits remarkable increasing trends in precipitation,which has a dominant influence on streamflow of Kherlen *** increases in streamflow are observed in April,August,September,and October compared to the reference period(1971-2000).These findings suggest a partial alleviation of water scarcity in the Kherlen River,but also an increased likelihood of hydrological extreme *** projected temperature increase in the Kherlen River basin exhibits the smallest uncertainty,while more pronounced uncertainties are found in precipitation and *** spread among the results of CMIP6 models is greater than that of CMIP5 models,with lower signal-to-noise ratio(SNR)values for temperature,precipitation,and streamflow.

关键词： Climate change Flow projection Uncertainty SWAT Mongolian Plateau

Aggressive fibromatosis of the sigmoid colon:A case report

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World Journal of Gastrointestinal Oncology 2024年第8期16卷 3716-3722页

作者： pan-pan Yu Xin-chun Liu Lu Yin Guang Yin Department of Gastrointestinal and Anal Surgery The Affiliated Hangzhou First People's HospitalSchool of MedicineWestlake UniversityHangzhou 310006Zhejiang ProvinceChina Department of Gastric Surgery Zhejiang Cancer HospitalHangzhou 310022Zhejiang ProvinceChina Department of Pathology The Affiliated Hangzhou First People's HospitalSchool of MedicineWestlake UniversityHangzhou 310006Zhejiang ProvinceChina

BACKGROUND Aggressive fibromatosis(AF),also known as desmoid tumor or desmoid-type fibromatosis,is a rare soft tissue neoplasm that can occur in almost any part of the *** it is a benign disease,AF is aggressive and infiltrative and has a high recurrence rate after *** sites for intra-abdominal AF are the small bowel mesentery,retroperitoneum,and *** in the colon is extremely *** SUMMARY Here,we report the first case of sigmoid colon AF,which was accidentally discovered in a 27-year-old woman during laparoscopic *** tomography confirmed a slightly enhanced mass in the sigmoid *** colonoscopy did not reveal a mass in the colonic lumen,but a suspected external compress was found in the sigmoid *** disease involving a gastrointestinal stromal tumor was *** patient underwent laparoscopic exploration,and sigmoidectomy with a negative margin was performed to excise the *** immunohistochemistry revealed that the mass was an *** patient recovered well and was recurrence-free at the 30-month follow-up without adjuvant *** AF should be considered in the differential diagnosis of subepithelial colon *** resection alone can achieve good outcomes.

关键词： Aggressive fibromatosis Desmoid tumor Sigmoid mass Subepithelial tumor Case report

Ascophyllum nodosum and Fucus vesiculosus ameliorate restenosis via improving inflammation and regulating the PTen/PI3K/AKT signaling pathway

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Food Science and Human Wellness 2024年第3期13卷 1711-1728页

作者： Crystal Ngofi Zumbi chun-Hsu pan Hui-Yu Huang Chieh-Hsi Wu Program in Clinical Drug Development from Herbal Medicine College of PharmacyTaipei Medical UniversityTaipei 11031China Program in Drug Discovery and Development Industry College of PharmacyTaipei Medical UniversityTaipei 11031China School of Pharmacy Taipei Medical UniversityTaipei 11031China Graduate Institute of Metabolism and Obesity Sciences Taipei Medical UniversityTaipei 11031China

Restenosis is a common complication following coronary *** traditional use of seaweeds for health benefits has increasingly been explored,however few studies exist reporting its protective effects on the development of restenosis and gut *** aim of this study was to investigate the potential of seaweed extracts(SE) of Ascophyllum nodosum and Fucus vesiculosus in inhibiting intimal hyperplasia in a rat model of restenosis and its underlying mechanisms in macrophages and vascular smooth muscle cells(vSMCs).16S rRNA sequencing was done to investigate the regulatory effect of SE on the gut microbiome of injured *** indicated by the results,SE significantly inhibited the progression of intimal hyperplasia in vivo,attenuated inflammation in macrophages and could inhibit the proliferation,dedifferentiation and migration of *** was observed through immunoblotting assays that treatment with SE significantly upregulated PTen expression in macrophages and inhibited the upregulation of PI3K and AKT expression in ***,according to the 16S rRNA gene sequencing analysis,supplementation with SE modulated gut microbiota composition in injured *** conclusion,SE could ameliorate intimal hyperplasia by inhibiting inflammation and vSMCs proliferation through the regulation of the PTen/PI3K/AKT pathway and modulating the gut microbiome.

关键词： Ascophyllum nodosum Fucus vesiculosus PTen/PI3K/AKT Restenosis Macrophage Vascular smooth muscle cells Gut microbiota

Hemichorea in patients with temporal lobe infarcts: Two case reports

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World Journal of Clinical Cases 2024年第4期12卷 806-813页

作者： Xu-Dong Wang Xing Li chun-Lian pan Department of Neurology Puren Hospital Affiliated to Wuhan University of Science and TechnologyWuhan 430081Hubei ProvinceChina School of Medicine Wuhan University of Science and TechnologyWuhan 430065Hubei ProvinceChina

BACKGROUND Hemichorea and other hyperkinetic movement disorders are uncommon present-ations of stroke and are usually secondary to deep infarctions affecting the basal ganglia and ***,temporal ischemic lesions causing hemichorea are *** report the cases of two patients with acute ischemic temporal lobe infarct strokes that presented as *** SUMMARY Patient 1:An 82-year-old woman presented with a 1-mo history of involuntary movement of the left extremity,which was consistent with *** diffusion-weighted imaging(DWI)revealed an acute ischemic stroke that predominantly affected the right temporal cortex,and magnetic resonance angiography of the head showed significant stenosis of the right middle cerebral artery(MCA).Treatment with 2.5 mg of olanzapine per day was *** she was discharged from the hospital,her symptoms appeared to have improved compared with those previously ***-seven days after the first admission,she was readmitted due to acute ischemic *** tomogra-phy perfusion showed marked hypoperfusion in the right MCA *** emergency transfemoral cerebral angiogram was performed and showed severe stenosis in the M1 segment of the right *** percutaneous transluminal angioplasty was successfully performed,abnormal movements or other neuro-logic problems did not *** 2:A 76-year-old man was admitted to our hospital for a 7-d history of right-upper-sided involuntary *** showed an acute patchy ischemic stroke in the left temporal lobe without basal ganglia *** diffusion tensor imaging confirmed fewer white matter fiber tracts on the left side than on the opposite *** with 2.5 mg of olanzapine per day improved his condition,and he was *** When acute hemichorea suddenly appears,temporal cortical ischemic stroke should be considered a possible *** addition,hemichorea may be a sign of impending cerebral infarcti

关键词： Acute ischemic stroke Temporal ischemic stroke Movement disorders Cortical hemichorea Case report

Mechanism of local solidification time variations with melt rate during vacuum arc remelting process of 8Cr4Mo4V high-strength steel

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Journal of Iron and Steel Research International 2024年第2期31卷 377-388页

作者： Tao pan Hong-chun Zhu Zhou-hua Jiang Hua-bing Li Rui Zhang Hao Feng School of Metallurgy Northeastern UniversityShenyang110819LiaoningChina State Key Laboratory of Rolling and Automation Northeastern UniversityShenyang110819LiaoningChina

A 2D axisymmetric numerical model was established to investigate the variations of molten pool with different melt rates during the vacuum arc remelting of 8Cr4Mo4V high-strength steel,and the ingot growth was simulated by dynamic mesh *** results show that as the ingot grows,the molten pool profile changes from shallow and flat to V-shaped,and both the molten pool depth and the mushy width ***,the variation of both the molten pool shape and the mushy width melt rate is clarified by the thermal equilibrium *** melt rate increases,both the molten pool depth and the mushy width *** is caused by the increment in sensible heat stored in the ingot due to the limitation of the cooling capacity of the *** nonlinear increment in sensible heat leads to a nonlinear increase in the mushy *** addition,as melt rate increases,the local solidification time(LST)of ingot decreases obviously at first and then *** melt rate is controlled in a suitable range,LST is the lowest and the secondary dendrite arm spacing of the ingot is the smallest,which can effectively improve the compactness degree of 8Cr4Mo4V high-strength steel.

关键词： 8Cr4Mo4V high-strength steel Vacuum arc remelting process Melt rate Molten pool Local solidification time

Efficient piezo-catalytic dye degradation using piezoelectric 6H-SiC under harsh conditions

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Rare Metals 2024年第7期43卷 3173-3184页

作者： Lin-Lin Zhou Tao Yang Kang Wang Lai-pan Zhu en-Hui Wang Kuo-Chih Chou Hai-Long Wang Xin-Mei Hou Institute for Carbon Neutrality University of Science and Technology BeijingBeijing 100083China Institute of Steel Sustainable Technology Liaoning Academy of MaterialsShenyang 110000China Beijing Institute of Nanoenergy and Nanosystems Chinese Academy of SciencesBeijing 101400China School of Materials Science engineering Zhengzhou UniversityZhengzhou 450001China Beijing Advanced Innovation Center for Materials Genome engineering Beijing University of Science and TechnologyBeijing 100083China

The development of novel piezoelectric catalysts against harsh conditions is indeed crucial for improving the piezo-catalytic degradation efficiency of colored organic dyes in *** this work,6H-SiC nanoparticles(NPs)are utilized to piezo-catalytic degrade rhodamine B(RhB)and methylene blue(MB)under ultrasonic vibration for the first *** degradation efficiency of RhB and MB reaches 98.8%and 98.7%within 80 *** piezoelectricity of 6H-SiC is comprehensively analyzed by the piezoresponse force microscope(PFM)and finite element method(FEM).The strong oxidizing active free radicals generated by the continuous piezoelectric polarized electric field of 6H-SiC,i.e.,·O_(2)^(-)and·OH,induce the decomposition reactions of colored organic dyes in *** the dyes are proven to degrade to harmless or less-harmful products gradually during the piezo-catalysis process by high-performance liquid chromatography tandem mass spectrometry(HPLC-MS).Moreover,RhB is also decomposed efficiently by 6HSiC NPs under acidic and alkaline *** results prove the feasibility of 6H-SiC for decomposing common water pollutants under harsh conditions and provide a new perspective for water purification.

关键词： Piezo-catalytic degradation 6H-SiC Rhodamine B(RhB) Methylene blue(MB) Harsh conditions

碘盐标准调整后淮安市居民户碘盐监测结果分析

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中国地方病防治 2017年第2期32卷 134-135,142页

作者：余群潘恩春淮安市疾病预防控制中心检验科江苏223001

目的通过分析淮安市盐碘标准调整后居民户碘盐的监测结果,适时了解并且掌握本市居民户食用盐的含碘状况,也是及时提供科学的调整干预策略并且采取针对性防治措施的依据。方法根据"《淮安市碘盐监测方案》"对本市2012-2016年的居民户食... 详细信息

目的通过分析淮安市盐碘标准调整后居民户碘盐的监测结果,适时了解并且掌握本市居民户食用盐的含碘状况,也是及时提供科学的调整干预策略并且采取针对性防治措施的依据。方法根据"《淮安市碘盐监测方案》"对本市2012-2016年的居民户食用盐进行采样,用(GB/T 13025.7-2012)中的直接滴定法和仲裁法等方法进行检测,根据GB26878-2001的标准进行结果判断。结果 2012~2016年累计监测盐样12000份,我市碘盐覆盖率全部高于99%,碘盐合格率、合格碘盐食用率均高于98%,盐碘中位数在28.8~24.1mg/kg区间呈下降趋势。每年不同水平的盐碘构成差异有统计学意义(χ~2=452.64,P<0.001)。结论淮安市近5年盐碘质量较稳定、含量总体上是适宜和安全的,政策落实比较好。

关键词：合格碘盐食用率加碘盐碘盐合格率碘盐覆盖率