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肿瘤患者食欲评价和调节的专家共识

肿瘤代谢与营养电子杂志 2020年第2期7卷 169-177页

作者：李增宁李晓玲陈伟齐玉梅胡雯葛声周春凌杨雪锋张片红赖建强焦广宇胡怀东高淑清王晓琳张勇胜胡小翠周莉周岚刘晓军李莉施万英杨勤兵郑锦锋韩磊夏羽菡刘庆春方玉李苏宜李薇许红霞李勇王昆华骆彬谢颖杜红珍胡环宇缪明永李涛陈俊强刘明陈立勇刘兰贾珊珊冯玲石汉平中国抗癌协会肿瘤营养专业委员会中国医师协会营养医师专业委员会中国医疗保健国际交流促进会营养与代谢管理专业委员会

食欲下降是肿瘤患者常见症状,癌性厌食/恶液质综合征在晚期肿瘤患者中发病率较高。肿瘤患者因营养摄入不足,会出现全血细胞减少、体重下降、脂肪组织和骨骼肌减少,导致患者免疫力降低,治疗耐受性下降,治疗机会减少,并发症增加,不利于抗... 详细信息

食欲下降是肿瘤患者常见症状,癌性厌食/恶液质综合征在晚期肿瘤患者中发病率较高。肿瘤患者因营养摄入不足,会出现全血细胞减少、体重下降、脂肪组织和骨骼肌减少,导致患者免疫力降低,治疗耐受性下降,治疗机会减少,并发症增加,不利于抗肿瘤治疗措施的实施。准确评估癌性厌食的过程,无论对研究还是临床救治都极为重要,科学的食欲评价方法和技术不仅是营养工作者客观评价食欲的工具,也是进一步认识和预测营养不良的基础,对改善肿瘤患者营养不良具有积极意义。本共识根据国内外现有研究证据,对该领域的研究结果进行系统总结。从肿瘤、营养与食欲的关系出发,分析癌性厌食的发生发展机制,总结不同情况下肿瘤患者的食欲评价方法,并给出专家推荐意见。结合我国膳食现状和特点,从临床、营养、护理、中医的角度提出调节食欲的方法,科学规范癌性厌食管理策略,以便临床医师、临床营养专业人员、护士等医疗保健人员应用,更好地为肿瘤患者服务。

关键词：肿瘤食欲厌食评价干预

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上图藏《金匮要略方》抄写者吴迁续考

中医药文化 2020年第1期15卷 18-22页

作者：郭家兴张承坤南京中医药大学中医药文献研究所 210023

从上海图书馆馆藏吴迁抄写《金匮要略方》(简称“吴迁本”)的跋语、印记、纸背文献等角度对吴迁的形象进行推测,在《明代小字本〈金匮要略〉抄写者吴迁生平考》一文的基础上进行新的史料检索,于《复初斋诗集》和《古书画过眼要录》中找... 详细信息

从上海图书馆馆藏吴迁抄写《金匮要略方》(简称“吴迁本”)的跋语、印记、纸背文献等角度对吴迁的形象进行推测,在《明代小字本〈金匮要略〉抄写者吴迁生平考》一文的基础上进行新的史料检索,于《复初斋诗集》和《古书画过眼要录》中找到了新的线索,将这些线索与之前的推测进行验证,最终得到新的结论:吴迁为嘉兴檇李人,后为避战乱迁居苏州之洪里,他同父亲吴子才皆为隐士,能诗善画,与元末明初李升、崔永汶等多位名士大夫为友。

关键词：吴迁《金匮要略方》吴迁本生平考证

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《摄生要语》养生箴言解析与版本考证

中国中医药图书情报杂志 2020年第6期44卷 47-50页

作者：张伟娜包蕾卢鹤王蕊中国中医科学院中医药信息研究所北京100700

明代息斋居士依据《吕氏春秋》《道林摄生论》《备急千金要方》等各类书籍,摘录、整理古人摄生论述,编撰养生著作《摄生要语》,该书共一卷,千余字,收录调摄养生名言要语16条,内容涉及劳作、饮食、起居、房室、情志、语言、行为等多个方... 详细信息

明代息斋居士依据《吕氏春秋》《道林摄生论》《备急千金要方》等各类书籍,摘录、整理古人摄生论述,编撰养生著作《摄生要语》,该书共一卷,千余字,收录调摄养生名言要语16条,内容涉及劳作、饮食、起居、房室、情志、语言、行为等多个方面。通过对该书进行条文解析与版本考证,发现该书选材精要、实用,具有一定的文献参考价值。

关键词：《摄生要语》明代息斋居士养生箴言版本考证

Flux variations of cosmic ray air showers detected by LHAASO-KM2A during a thunderstorm on June 10,2021

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Chinese Physics C 2023年第1期47卷 193-203页

作者： F.Aharonian 安琪阿西克古白立新白云翔包逸炜 D.Bastieri 毕效军毕玉江蔡金庭曹喆曹臻常进常劲帆陈恩生陈良陈亮陈龙陈明君陈玛丽陈素弘陈松战陈天禄陈学健陈阳程皓麟程宁程耀东崔树旺崔晓红崔昱东戴本忠代洪亮戴子高单增罗布 D.della Volpe 段凯凯樊军辉范一中范志香方军方堃冯存峰封莉冯少辉丰晓婷冯有亮高博高川东高林青高启高卫高伟康葛茂茂耿利斯龚光华苟全补顾旻皓郭福来郭俊广郭晓磊郭义庆郭莹莹韩毅昂何会海贺昊宁何思乐何新波何钰 M.Heller 贺远强侯超侯贤胡红波胡铨胡森胡世聪呼晓军黄代绘黄文昊黄性涛黄晓渊黄勇黄志成季筱璐贾焕玉贾康江琨姜泽军金敏康明铭柯通 D.Kuleshov 李兵兵李澄李骢李飞李海波李会财李华阳李军李剑李捷李凯李文龙李秀荣李昕李新李一卓李哲黎卓梁恩维梁云峰林苏杰刘冰刘成刘栋刘虎刘海东刘佳刘江来刘佳松刘金艳刘茂元柳若愚刘四明刘伟刘怡刘以农龙文杰鲁睿罗晴吕洪魁马伯强马玲玲马欣华毛基荣 A.Masood 闵振 W.Mitthumsiri 南云程区子维庞彬宇 P.Pattarakijwanich 裴致远齐孟尧祁业情乔冰强秦家军 D.Ruffolo A.Sáiz 邵澄宇邵琅 O.Shchegolev 盛祥东石京燕宋慧超 Yu.V.Stenkin V.Stepanov 苏扬孙秦宁孙晓娜孙志斌谭柏轩唐泽波田文武王博东王超王辉王洪光王建成王界双王利苹王玲玉王冉王润娜王为王祥高王祥玉王阳王玉东王岩谨王亚平王忠海王仲翔王振王铮韦大明魏俊杰魏永健文韬吴超勇吴含荣武莎吴雪峰吴雨生席邵强夏捷夏君集项光漫肖迪泫肖刚辛广广辛玉良邢祎熊峥徐东莲徐仁新薛良闫大海颜景志杨朝文杨冯帆杨何文杨佳盈杨莉莉杨明洁杨睿智杨深邦姚玉华姚志国叶一锰尹丽巧尹娜游晓浩游智勇于艳红袁强岳华曾厚敦曾婷轩曾玮曾宗康查敏翟徐徐张彬彬张丰张海明张恒英张建立张丽霞张力张路张鹏飞张佩佩张瑞张少博张少如张寿山张潇张笑鹏张云峰张月雷张毅张勇赵兵赵静赵雷赵立志赵世平郑福郑应周斌周浩周佳能周平周荣周勋秀祝成光祝凤荣朱辉朱科军左雄 Key Laboratory of Particle Astrophyics&Experimental Physics Division&Computing Center of Sciences Beijing 100049China University of Chinese Academy of Sciences Beijing 100049China TIANFU Cosmic Ray Research Center ChengduSichuanChina Dublin Institute for Advanced Studies 31 Fitzwilliam Place2 DublinIreland Max-Planck-Institut for Nuclear Physics P.O.Box 10398069029 HeidelbergGermany State Key Laboratory of Particle Detection and Electronics China University of Science and Technology of China Hefei 230026China School of Physical Science and Technology&School of Information Science and Technology Southwest Jiaotong UniversityChengdu 610031China College of Physics Sichuan UniversityChengdu 610065China School of Astronomy and Space Science Nanjing UniversityNanjing 210023China Center for Astrophysics Guangzhou UniversityGuangzhou 510006China Key Laboratory of Dark Matter and Space Astronomy&Key Laboratory of Radio Astronomy Purple Mountain ObservatoryChinese Academy of SciencesNanjing 210023China Key Laboratory for Research in Galaxies and Cosmology Shanghai Astronomical ObservatoryChinese Academy of SciencesShanghai 200030China Key Laboratory of Cosmic Rays(Tibet University) Ministry of Education850000 LhasaTibetChina National Astronomical Observatories Chinese Academy of SciencesBeijing 100101China Hebei Normal University Shijiazhuang 050024China School of Physics and Astronomy(Zhuhai)&School of Physics(Guangzhou)&Sino-French Institute of Nuclear Engineering and Technology(Zhuhai) Sun Yat-sen University519000 Zhuhai&510275 GuangzhouGuangdongChina Dipartimento di Fisica dell’Universitàdi Napoli"Federico II" Complesso Universitario di Monte Sant’Angelovia Cinthia80126 NapoliItaly School of Physics and Astronomy Yunnan UniversityKunming 650091China D´epartement de Physique Nucléaire et Corpusculaire Facultéde SciencesUniversitéde Genève24 Quai Ernest Ansermet1211 GenevaSwitzerland Institute of Frontier and Interdisciplinary Science Shandong UniversityQingdao 266237China Depar

The Large High Altitude Air Shower Observatory(LHAASO)has three sub-arrays,KM2A,WCDA,and *** flux variations of cosmic ray air showers were studied by analyzing the KM2A data during a thunderstorm on June 10,*** number of shower events that meet the trigger conditions increases significantly in atmospheric electric fields,with a maximum fractional increase of 20%.The variations in trigger rates(increases or decreases)were found to be strongly dependent on the primary zenith *** flux of secondary particles increased significantly,following a trend similar to that of shower *** better understand the observed behavior,Monte Carlo simulations were performed with CORSIKA and G4KM2A(a code based on GEANT4).We found that the experimental data(in saturated negative fields)were in good agreement with the simulations,assuming the presence of a uniform electric field of-700 V/cm with a thickness of 1500 m in the atmosphere above the observation *** to the acceleration/deceleration by the atmospheric electric field,the number of secondary particles with energy above the detector threshold was modified,resulting in the changes in shower detection rate.

关键词： thunderstorm cosmic rays extensive air showers LHAASO-KM2A