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缺血性卒中患者心房颤动筛查及相关二级预防研究进展

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中国脑血管病杂志 2024年第6期21卷 412-418页

作者：孔文程白雪松石万达焦力群赵彦新山东第一医科大学附属中心医院(济南市中心医院)神经内科济南250013 首都医科大学宣武医院神经外科

缺血性卒中具有高患病率、病死率、复发率的特点。心房颤动(简称“房颤”)是成人最常见的心律失常,可显著增加缺血性卒中发生及复发风险。作者对缺血性卒中患者房颤筛查及房颤负荷、房颤标志物与缺血性卒中的关系进行综述,阐述了相关的... 详细信息

缺血性卒中具有高患病率、病死率、复发率的特点。心房颤动(简称“房颤”)是成人最常见的心律失常,可显著增加缺血性卒中发生及复发风险。作者对缺血性卒中患者房颤筛查及房颤负荷、房颤标志物与缺血性卒中的关系进行综述,阐述了相关的二级预防策略,以期为临床医师早期筛查房颤,预防患者卒中复发提供一定帮助。

关键词：心房颤动缺血性卒中筛查标记物二级预防综述

比较钢板和髓内钉治疗成人肱骨骨折骨不连疗效的meta分析

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现代医药卫生 2024年第1期40卷 94-99,106页

作者：李奥赢詹万达董辉孙浩大连医科大学扬州临床医学院骨科江苏扬州225001 扬州大学临床医学院骨科江苏扬州225001 江苏省苏北人民医院骨科江苏扬州225001

目的比较钢板和髓内钉2种手术方式治疗成人肱骨骨折骨不连的效果。方法检索中国知网、万方、维普、中国生物医学文献数据库、PubMed数据库、Embase数据库和Cochrane Library中有关钢板和髓内钉治疗成人肱骨骨折骨不连的文献。时限为各... 详细信息

目的比较钢板和髓内钉2种手术方式治疗成人肱骨骨折骨不连的效果。方法检索中国知网、万方、维普、中国生物医学文献数据库、PubMed数据库、Embase数据库和Cochrane Library中有关钢板和髓内钉治疗成人肱骨骨折骨不连的文献。时限为各库建库至2023年2月7日,通过文献筛选、质量评价、提取数据后,运用RevMan 5.4.1软件进行meta分析。结果共纳入10项临床对照研究,共668例患者,其中用钢板进行治疗的患者为336例,用髓内钉进行治疗的患者为332例。Meta分析结果表明,运用髓内钉治疗肱骨骨折骨不连在术中出血量(MD=5.51,95%CI 3.17~7.85,P<0.00001)、骨折时间愈合(MD=32.22,95%CI 11.32~53.12,P=0.003)、术后并发症(MD=2.96,95%CI 1.71~5.12,P=0.0001)、术后感染(OR=4.10,95%CI 1.84~9.13,P=0.0005)优于运用钢板治疗,差异有统计学意义;而在手术时间、术后桡神经损伤、术后关节活动受限及术后再次骨折方面,两组之间比较差异无统计学意义。结论在临床实践中,髓内钉内固定治疗成人肱骨骨折骨不连比钢板治疗治疗成人肱骨骨折骨不连具有一定的优势,但仍需要更多的临床试验数据提供更充分的证据。

关键词：钢板髓内钉内固定肱骨骨折骨不连 meta分析

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‘龙秋’苹果优质丰产栽培技术

中国林副特产 2024年第5期 48-49,52页

作者：刘万达王天鹤王禹黑龙江省农业科学院园艺分院哈尔滨150069

黑龙江省农业科学院杂交选育的寒地苹果品种‘龙秋’,以其抗寒性强、果实品质高、丰产、耐贮藏等特性在我国东北地区广泛种植。随着市场需求的不断增加,助力果农科学种植,基于多年栽培管理实践,将‘龙秋’苹果的建园与定植、田间管理、... 详细信息

黑龙江省农业科学院杂交选育的寒地苹果品种‘龙秋’,以其抗寒性强、果实品质高、丰产、耐贮藏等特性在我国东北地区广泛种植。随着市场需求的不断增加,助力果农科学种植,基于多年栽培管理实践,将‘龙秋’苹果的建园与定植、田间管理、整形修剪、花果管理、病虫害防控、采收与贮藏、越冬防寒等丰产栽培技术要点做以详细介绍,为促进苹果产业可持续发展提供技术支持。

关键词：寒地苹果龙秋栽培技术

A combination of climate,tree diversity and local human disturbance determine the stability of dry Afromontane forests

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Forest Ecosystems 2021年第2期8卷 207-222页

作者： Hadgu Hishe Louis Oosterlynck Kidane Giday wanda De Keersmaecker Ben Somers Bart Muys KU Leuven Department of Earth and Environmental SciencesDivision ForestNature and LandscapeCelestijnenlaan 200EP.O.Box 24113001 LeuvenBelgium Department of Land Resource Management and Environmental Protection Mekelle UniversityCollege of Dryland Agriculture and Natural ResourcesP.O.Box 231MekelleTigrayEthiopia Laboratory of Geo-Information Science and Remote Sensing Wageningen University6708 PB WageningenThe Netherlands

Background:Anthropogenic disturbances are increasingly affecting the vitality of tropical dry *** future condition of this important biome will depend on its capability to resist and recover from these *** far,the temporal stability of dryland forests is rarely studied,even though identifying the important factors associated with the stability of the dryland forests could serve as a basis for forest management and ***:In a degraded dry Afromontane forest in northern Ethiopia,we explored remote sensing derived indicators of forest stability,using MODIS satellite derived NDVI time series from 2001 to *** and resistance were measured using the anomalies(remainders)after time series decomposition into seasonality,trend and remainder *** stability was calculated using the integral of the undecomposed NDVI *** NDVI derived stability indicators were then related to environmental factors of climate,topography,soil,tree species diversity,and local human disturbance,obtained from a systematic grid of field inventory plots,using boosted regression trees in ***:Resilience and resistance were adequately predicted by these factors with an R^(2) of 0.67 and 0.48,respectively,but the model for growth stability was *** of the wettest month,distance from settlements and slope were the most important factors associated with resilience,explaining 51%of the ***,temperature seasonality and humus accumulation were the significant factors associated with the resistance of the forest,explaining 61%of the overall effect.A positive effect of tree diversity on resilience was also important,except that the impact of species evenness declined above a threshold value of 0.70,indicating that perfect evenness reduced the resilience of the *** of the wettest month was the most important factor explaining 43.52%of the growth stability ***:A combination of clima

关键词： Climate Dryland Disturbance Restoration Tigray Growth stability Biodiversity function

G protein-coupled estrogen receptor in colon function, immune regulation and carcinogenesis

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World Journal of Gastroenterology 2019年第30期25卷 4092-4104页

作者： Damian Jacenik Ellen J Beswick wanda M Krajewska Eric R Prossnitz Department of Cytobiochemistry Faculty of Biology and Environmental ProtectionUniversity of LodzLodz 90-236Poland Department of Internal Medicine School of Medicineand UNM Comprehensive Cancer CenterUniversity of New MexicoAlbuquerqueNM 87131United States Division of Gastroenterology Hepatology and NutritionDepartment of Internal MedicineSchool of MedicineUniversity of UtahSalt Lake CityUT 84132United States

Estrogens play important roles in the development and progression of multiple tumor *** evidence points to the significance of estrogen action not only in tumors of hormonally regulated tissues such as the breast,endometrium and ovary,but also in the development of colorectal cancer(CRC).The effects of estrogens in physiological and pathophysiological conditions are mediated by the nuclear estrogen receptorsαandβ,as well as the membranebound G protein-coupled estrogen receptor(GPER).The roles of GPER in CRC development and progression,however,remain poorly *** on the functions of GPER in the colon have shown that this estrogen receptor regulates colonic motility as well as immune responses in CRC-associated diseases,such as Crohn’s disease and ulcerative *** is also involved in cell cycle regulation,endoplasmic reticulum stress,proliferation,apoptosis,vascularization,cell migration,and the regulation of fatty acid and estrogen metabolism in CRC ***,multiple lines of evidence suggest that GPER may play an important role in colorectal *** this review,we present the current state of knowledge regarding the contribution of GPER to colon function and CRC.

关键词： G protein-coupled estrogen receptor Colorectal cancer Proliferation Migration Colonic motility Inflammatory bowel disease

Clinical effect of traditional Chinese spinal orthopedic manipulation in treatment of chondromalacia patellae

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Journal of Traditional Chinese Medicine 2016年第6期36卷 718-723页

作者： Qu Liuxin Xing Liyang wanda Norman Li Mingju Guo Yi Gao Song Li Ping Department of Chinese Orthopedics and Traumatology Zhongda Hospital School of Medicine Southeast University Nanjing 210009 China Department of Acupuncture and Moxibustion Zhongda Hospital School of Medicine Southeast University Nanjing 210009 China Acupuncturist at Gateway Sports Medicine Portland 97216 USA

OBJECTIVE: To evaluate the clinical effect of traditional Chinese spinal orthopedic manipulation(TCSOM) in treating chondromalacia patellae(CP).METHODS: Sixty cases of CP patients were randomly assigned to a TCSOM group and a Celecoxib group according to the random number table method. All patients in the TCSOM group were treated with a maximum of 10 spinal manipulations and rehabilitation training of quadriceps femoris. The symptoms before and after treatment were assessed with visual analog scale(VAS) and Kujala functional knee scoring system(KFKSS). A symptom improvement rate(SIR) was implemented in order to evaluate the effects of the ***: The symptoms of 16 patients in the TC-SOM group quickly resolved after the first spinal manipulation and 8 cases were significantly improved. The VAS scores in the TCSOM group after 4weeks of treatment were significantly lower than those in the Celecoxib group. The KFKSS scores in the TCSOM group after 4 weeks of treatment were significantly higher than those in the Celecoxib group. Side effects of the treatment were not reported. Symptom improvement rate based on the VAS in the TCSOM group indicated more significant improvements than the Celecoxib ***: TCSOM has greater efficacy than Celecoxib capsules for relief of the symptoms of CP.

关键词： Chondromalacia patellae Manipulation,spinal Orthopedics Point EX B2(Jiaji) Visual analog scale

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预约式通学公交发展模式研究

交通与运输 2024年第3期40卷 65-70页

作者：江勇东马万达李晋徐辉谢耀漩悉地(苏州)勘察设计顾问有限公司苏州215123 上海交通大学上海200240 苏州市交通运输综合行政执法支队苏州215000

早、晚高峰期间,中小学校周边道路交通拥堵一直是国内大部分城市的通病,如何通过集约化的公交出行方式改善交通环境显得尤为重要。以苏州景城学校为例,提出一种预约式通学公交发展模式,基于K均值聚类算法设计站点和Dijkstra算法设计线路... 详细信息

早、晚高峰期间,中小学校周边道路交通拥堵一直是国内大部分城市的通病,如何通过集约化的公交出行方式改善交通环境显得尤为重要。以苏州景城学校为例,提出一种预约式通学公交发展模式,基于K均值聚类算法设计站点和Dijkstra算法设计线路,对预约式通学公交开行前期、中期、后期全流程工作、多主体协同进行系统设计。针对该模式的实施效果展开定量分析,结果表明,预约式通学公交在缓解交通拥堵、优化资源配置、保障出行安全,减轻家长接送压力具有良好效果。

关键词：预约式通学公交 K均值聚类算法 Dijkstra算法儿童友好

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制药废水处理设施的改造实践与分析

煤化工 2024年第1期52卷 40-43页

作者：邓猛涂晓红杨万达张海芹苏州天瑞环境科技有限公司江苏昆山215300 武汉净澜检测有限公司湖北武汉430000 湖北中锦环境有限公司湖北黄冈438000

针对某制药企业废水处理站原工艺流程缺少厌氧、缺氧处理单元等问题导致的装置无法按原有设计处理能力正常运行、无法达标排放,进行了相应的技术改造。在原有处理工艺“预处理+水解酸化+好氧处理”的基础上,新增了升流式厌氧污泥反应器(... 详细信息

针对某制药企业废水处理站原工艺流程缺少厌氧、缺氧处理单元等问题导致的装置无法按原有设计处理能力正常运行、无法达标排放,进行了相应的技术改造。在原有处理工艺“预处理+水解酸化+好氧处理”的基础上,新增了升流式厌氧污泥反应器(UASB)单元和芬顿氧化处理单元等流程。改造后的现场运行效果良好,出水水质远优于GB 8978—1996《污水综合排放标准》中的相关指标要求。

关键词：制药废水工艺改造芬顿氧化 UASB

Collembola associated with edible mushrooms in China

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Zoological Systematics 2021年第1期46卷 1-15页

作者： Xin Sun Zhijing Xie Haifeng Yao wanda Maria Weiner Yu Li Feng Zhang Key Laboratory of Urban Environment and Health Institute of Urban EnvironmentChinese Academy of SciencesXiamen 361021China Engineering Research Center of Chinese Ministry of Education for Edible and Medicinal Fungi Jilin Agricultural UniversityChangchun 130118China Key Laboratory of Wetland Ecology and Environment Northeast Institute of Geography and AgroecologyChinese Academy of SciencesChangchun 130102China University of Chinese Academy of Sciences Beijing 100049China J.F.Blumenbach Institute of Zoology and Anthropology University of GöttingenGöttingen 37073Germany Institute of Systematics and Evolution of Animals Polish Academy of SciencesSławkowska 17Kraków 31016Poland Department of Entomology College of Plant ProtectionNanjing Agricultural UniversityNanjing 210095China

Collembola,a common pest of mushrooms,could reduce the yield and quantity of edible mushroom and causes great economic losses in their *** the investigation of Collembola in the main edible mushroom production areas in China,27 species belonging to five families and 16 genera,hosted by more than ten species of edible mushrooms have been revealed by morphological and molecular *** most diverse genus was the genus Ceratophysella with five species *** of the 27 species were distributed only in China,while others were widely distributed all over the *** species on mushrooms have been barcoded;the results of the species delimitation by mitochondrial COI marker confirmed the results by morphology,with low intra-specific divergences(0-8%).Two Thalassaphorura species,with the only difference being in the presence of parapseudocelli on the anterior ventral head,were clearly differentiated by the molecular markers.

关键词： Distribution edible fungi list of species mitochondrial maker springtails