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瑞马唑仑联合米库氯铵对声带息肉切除术后患者恢复质量的影响

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中国临床研究 2024年第4期37卷 534-539页

作者：焦钟雨王培山孟瑞霞王凯肖燃袁梦依新乡医学院第四临床学院河南新乡453000 新乡医学院河南新乡453000

目的采用15项恢复质量评分量表(QoR-15)评估对比瑞马唑仑与丙泊酚对支撑喉镜下声带息肉切除术患者术后恢复质量的影响。方法选择2022年12月至2023年10月新乡医学院第四临床学院行支撑喉镜下声带息肉切除术患者90例,采用随机区组设计法... 详细信息

目的采用15项恢复质量评分量表(QoR-15)评估对比瑞马唑仑与丙泊酚对支撑喉镜下声带息肉切除术患者术后恢复质量的影响。方法选择2022年12月至2023年10月新乡医学院第四临床学院行支撑喉镜下声带息肉切除术患者90例,采用随机区组设计法随机分为瑞马唑仑联合米库氯铵组(R组)和丙泊酚联合米库氯铵组(P组),每组45例。通过静脉给药,R组患者给予瑞马唑仑0.2~0.3 mg/kg,P组患者给予丙泊酚1.5~2.0 mg/kg,待患者睫毛反射消失后,均给予舒芬太尼0.3μg/kg、米库氯铵0.25 mg/kg。于手术前1 d、术后第1天、术后第2天,采用QoR-15量表评估患者术后恢复质量。记录两组患者不同时间点的平均动脉压、心率、脉搏血氧饱和度、改良警觉/镇静量表(MOAA/S)评分;记录各项所需时间[包括手术、术后自主呼吸恢复、气管导管拔除以及麻醉后监测治疗室(PACU)停留];记录术中及术后不良反应发生情况。结果R组患者术后1 d的QoR-15量表评分低于P组(P0.05);R组患者低血压、注射部位疼痛发生率低于P组(24.4%vs 64.4%,χ^(2)=14.580,P0.05)。结论在支撑喉镜下声带息肉切除术麻醉中,使用瑞马唑仑的患者术后恢复质量与丙泊酚相当,在满足围术期需要的同时,能够维持更加稳定的血流动力学,且无明显的注射部位疼痛情况,能提高患者围术期的舒适度。

关键词：声带息肉切除术后恢复质量瑞马唑仑米库氯铵丙泊酚 15项恢复质量量表

标准化早期康复理疗联合手法松解治疗肩周炎的效果分析

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中国标准化 2024年第20期 295-298页

作者：冉小兰杨丽蓉南充市中医医院

目的:研究标准化早期康复理疗联合手法松解治疗肩周炎的效果。方法:选择2020年1月—2023年6月南充市中医医院收治的肩周炎患者104例,均分为对照组与试验组,对照组(52例)实施常规药物治疗,试验组(52例)在对照组的基础上,实施标准化早期... 详细信息

目的:研究标准化早期康复理疗联合手法松解治疗肩周炎的效果。方法:选择2020年1月—2023年6月南充市中医医院收治的肩周炎患者104例,均分为对照组与试验组,对照组(52例)实施常规药物治疗,试验组(52例)在对照组的基础上,实施标准化早期康复理疗+手法松解治疗,对比两组治疗效果。结果:治疗10 d后,试验组日常生活能力水平、肩关节综合功能评分、临床疗效优良率,对比对照组均更高(P﹤0.05)。治疗10 d后,试验组疼痛评分、并发症发生率,对比对照组更低(P﹤0.05)。结论:对肩周炎患者实施标准化早期康复理疗+手法松解治疗,疗效更佳。

关键词：标准化早期康复理疗手法松解肩周炎疗效

维普期刊数据库博看期刊

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变系数的强反射分离技术及应用

科学技术与工程 2024年第13期24卷 5358-5363页

作者：陈科王鹏燕郑连弟向坤肖仁睿伍国勇王潇然中石化石油物探技术研究院有限公司南京211103

基于地震多子波分解的强反射识别与分离技术已广泛应用于地震解释性处理环节中,该技术能够去除强屏蔽影响,提高隐蔽储层的识别精度。针对多子波分解技术在分解效率和分解精度上的问题,引入地震信号的瞬时特性作为初始值,根据小波参数之... 详细信息

基于地震多子波分解的强反射识别与分离技术已广泛应用于地震解释性处理环节中,该技术能够去除强屏蔽影响,提高隐蔽储层的识别精度。针对多子波分解技术在分解效率和分解精度上的问题,引入地震信号的瞬时特性作为初始值,根据小波参数之间的关系减少局部扫描参数,提出了一种三参数快速子波分解技术提高了子波分解精度和效率。通过模型正演分析了地层厚度与强屏蔽能量的关系,建立了地层厚度与分离系数的关系,探索了一种变系数的强反射分离应用思路。将新技术和新思路应用于实际地震数据,分离结果削弱了强屏蔽的影响,突出了隐蔽储层的有效信号,提高了储层预测精度;由于强反射分离过程充分考虑了不同厚度的煤层与分离系数的关系,分离结果更加符合实际地质情况。

关键词：三参数多子波分解强反射分离变分离系数储层预测

A segmented conical electric lens for optimization of the beam spot of the low-energy muon facility at PSI: a Geant4 simulation analysis

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Nuclear Science and Techniques 2017年第3期28卷 13-22页

作者： ran xiao Elvezio Morenzoni Zaher Salman Bang-Jiao Ye Thomas Prokscha State Key Laboratory of Particle Detection and Electronics University of Science and Technology of ChinaHefei 230026 China Department of Modern Physics University of Science and Technology of China Hefei 230026 China Laboratory for Muon Spin Spectroscopy Paul Scherrer Institut (PSI) 5232 Villigen Switzerland

The low-energy muon facility at PSI provides nearly fully polarized positive muons with tunable energies in the ke V range to carry out muon spin rotation(LE-μSR)experiments with nanometer depth resolution on thin films,heterostructures, and near-surface regions. The low-energy muon beam is focused and transported to the sample by electrostatic lenses. In order to achieve a minimum beam spot size at the sample position and to enable the steering of the beam in the horizontal and vertical direction, a special electrostatic device has been implemented close to the sample position. It consists of a cylinder at ground potential followed by four conically shaped electrodes,which can be operated at different electric potential. In LE-μSR experiments, an electric field at the sample along the beam direction can be applied to accelerate/decelerate muons to different energies(0.5–30 keV). Additionally, a horizontal or vertical magnetic field can be superimposed for transverse or longitudinal field μSR experiments. The focusing properties of the conical lens in the presence of these additional electric and magnetic fields have been investigated and optimized by Geant4 simulations. Some experimental tests were also performed and show that the simulation well describes the experimental setup.

关键词： Muon beam Muon spin rotation Low-energy muon Beam size Geant4

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虚拟仿真课程结构化学实验教学设计与实践

化学教育（中英文） 2024年第20期45卷 95-101页

作者：李光跃刘栋李跃华刘利孙晓然华北理工大学化学工程学院河北唐山063210

虚拟仿真教学具有展示度高、易于共享等突出优势,近年来广泛运用于教学各环节中。论述了结构化学实验的虚拟仿真教学实践过程,讨论了教学设计、实施细节和在化学专业核心素养培养中的价值。基于ORCA软件的基础量子化学计算任务,内容包... 详细信息

虚拟仿真教学具有展示度高、易于共享等突出优势,近年来广泛运用于教学各环节中。论述了结构化学实验的虚拟仿真教学实践过程,讨论了教学设计、实施细节和在化学专业核心素养培养中的价值。基于ORCA软件的基础量子化学计算任务,内容包括进阶模式及任务驱动的7个实验项目。调查评估结果显示,虚拟仿真实验对学生模型思维的树立、量子化学计算技术的应用、相关专业基础课的学习和化学专业素养的培养等方面均有明显的促进作用。

关键词：结构化学虚拟仿真实验教学量子化学模型思维

Synthetic biology of microbes synthesizing polyhydroxyalkanoates (PHA)

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Synthetic and Systems Biotechnology 2016年第4期1卷 236-242页

作者： Guo-Qiang Chen xiao-ran Jiang Yingying Guo School of Life Sciences Tsinghua UniversityBeijing 100084China Center for Synthetic and Systems Biology Tsinghua UniversityBeijing 100084China Tsinghua-Peking Center for Life Sciences Tsinghua UniversityBeijing 100084China Center for Nano and Micro Mechanics Tsinghua UniversityBeijing 100084China MOE Key Lab of Industrial Biocatalysis Dept Chemical EngineeringTsinghua UniversityBeijing 100084China

Microbial polyhydroxyalkanoates(PHA)have been produced as bioplastics for various *** the support of China National Basic Research 973 Project,we developed synthetic biology methods to diversify the PHA structures into homo-,random,block polymers with improved properties to better meet various application *** the same time,various pathways were assembled to produce various PHA from glucose as a simple carbon *** the end,Halomonas bacteria were reconstructed to produce PHA in changing morphology for low cost production under unsterile and continuous *** synthetic biology will advance the PHA into a bio-and material industry.

关键词： Polyhydroxyalkanoates 973 Bioprocesses Pathways

Triangular Halogen Bond and Hydrogen Bond Supramolecular Complex Consisting of Carbon Tetrabromide, Halide, and Solvent Molecule： A Theoretical and Spectroscopic Study

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Chinese Journal of Chemical Physics 2014年第3期27卷 265-273页

作者： Yu-jie Wu xiao-ran Zhao Hai-yue Gao Wei-jun Jin College of Chemistry Beijing Normal University Beijing 100875 China

The theoretical calculation and spectroscopic experiments indicate a kind of triangular three bonding supramolecular complexes CBr4…X^-…-H-C, which consist of carbon tetrabromide, halide, and protic solvent molecule （referring to dichloromethane, chloroform and acetonitrile）, can be formed in solution. The strength of halogen and hydrogen bonds in the triangular complexes using halide as common acceptor obeys the order of iodide〉bromide〉chloride. The halogen and hydrogen bonds work weak-cooperatively. Charge transfer bands of halogen bonding complexes between CBra and halide are observed in UV-Vis absorption spectroscopy in three solvents, and then the stoichiometry of 1：1, formation constants K and molar extinction coefficients ε of the halogen bonding complexes are obtained by Benesi-Hildebrand method. The K and ε show a dependence on the solvent dielectric constant and, on the whole, obey an order of iodide〉bromide〉chloride in the same solvents. Furthermore, the C-H vibrational frequencies of solvent molecules vary obviously with the addition of halide, which indicates the C-H…X- interaction. The experimental data indicate that the halogen bond and hydrogen bond coexist by sharing a common halide acceptor as predicted by calculation.

关键词： Halogen bond Hydrogen bond Halide Carbon tetrabromide Charge transfer

Chinese Society of Cardiology guidelines on the diagnosis and treatment of adult fulminant myocarditis

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Science China(Life Sciences) 2024年第5期67卷 913-939页

作者： Chinese Society of Cardiology,Chinese Medical Association,Writing Group Jiangang Jiang Hongyang Shu Dao Wen Wang Rutai Hui Chenze Li xiao ran Hong Wang Jing Zhang Shaoping Nie Guanglin Cui Dingcheng Xiang Qun Shao Shengyong Xu Discussion experts:Ning Zhou Yuming Li Wei Gao Yuguo Chen Yuan Bian Guoping Wang Liming Xia Yan Wang Chunxia Zhao Zhiren Zhang Yuhua Zhao Jianan Wang Shaoliang Chen Hong Jiang Jing Chen Xianjin Du Mao Chen Yinxian Sun Sheng Li Hu Ding Xueping Ma Hesong Zeng Li Lin Shenghua Zhou Likun Ma Ling Tao Juan Chen Yiwu Zhou xiaomei Guo 不详 Tongji Hospital Tongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430030China Fuwai Hospital National Center for Cardiovascular DiseasesChinese Academy of Medical Sciences and Peking Union Medical CollegeBeijing 100037China Zhongnan Hospital of Wuhan University Wuhan 430062China Fuwai Huazhong Cardiovascular Hospital Zhengzhou 450003China Beijing Anzhen Hospital Capital Medical UniversityBeijing 100029China Guangzhou General Hospital of Guangzhou Military Command Guangzhou 510010China Harbin Medical University Cancer Hospital Harbin 150081China Union Hospital Chinese Academy of Medical Sciences and Peking Union Medical CollegeBeijing 100730China Taida Hospital Tianjin 300457China Peking University Third Hospital Beijing 100191China Qilu Hospital of Shandong University Jinan 250012China Kanghua Hospital DongguanGuangzhou 523080China Second Affiliated Hospital Zhejiang University School of Medicine Hangzhou 310003China Nanjing First Hospital Nanjing Medical UniversityNanjing 210006China Renmin Hospital of Wuhan University Wuhan 430060Wuhan West China Hospital Sichuan UniversityChengdu 610044China First Hospital of China Medical University Shenyang 110002China General Hospital of Ningxia Medical University Yinchuan 750003China The Second Xiangya Hospital Central South UniversityChangsha 410012China The First Affiliated Hospital of USTC University of Science and Technology of ChinaHefei 230002China The First Affiliated Hospital of Air Force Medical University Xi’an 710032China Central Hospital of Wuhan City Wuhan 430014China Tongji Medical College Huazhong University of Science and TechnologyWuhan 430030China

Fulminant myocarditis is an acute diffuse inflammatory disease of *** is characterized by acute onset,rapid progress and high risk of *** pathogenesis involves excessive immune activation of the innate immune system and formation of inflammatory *** to China’s practical experience,the adoption of the“life support-based comprehensive treatment regimen”(with mechanical circulation support and immunomodulation therapy as the core)can significantly improve the survival rate and long-term *** emphasis is placed on very early identification,very early diagnosis,very early prediction and very early treatment.

关键词： fulminant myocarditis guidelines life support-based comprehensive treatment regimen diagnosis treatment cytokine storm overactivation of immunity

以学科竞赛促进商科大学生能力培养--四届浙江省大学生经济管理案例竞赛一等奖作品分析

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江苏商论 2024年第5期 117-122页

作者：常晓然廖红王洪涛中国计量大学经济与管理学院浙江杭州310018

在深入实施创新驱动发展的战略背景下,商科大学生作为“双创”的生力军,学科竞赛的开展对于提升他们创新创业能力、增强创新活力具有重要意义。本文以浙江省大学生经济管理案例竞赛2018—2021年间120篇一等奖作品为研究对象,通过文本和... 详细信息

在深入实施创新驱动发展的战略背景下,商科大学生作为“双创”的生力军,学科竞赛的开展对于提升他们创新创业能力、增强创新活力具有重要意义。本文以浙江省大学生经济管理案例竞赛2018—2021年间120篇一等奖作品为研究对象,通过文本和共词分析,探讨获奖高校、案例企业、研究主体和研究理论的分布情况,总结竞赛现状及发展趋势,并从院校支持、案例选题、学生培养等角度提出建议与启示。

关键词：商科大学生能力培养案例竞赛一等奖作品文本分析共词分析