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Outcomes of endoscopic sclerotherapy for jejunal varices at the site of choledochojejunostomy (with video): Three case reports

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World Journal of Gastroenterology 2024年第14期30卷 2059-2067页

作者： Jun Liu Peng Wang Li-Mei Wang Jing Guo ning zhong Department of Gastroenterology Qilu Hospital of Shandong UniversityJinan 250012Shandong ProvinceChina

BACKGROUND Hemorrhage associated with varices at the site of choledochojejunostomy is an unusual,difficult to treat,and often fatal manifestation of portal *** far,no treatment guidelines have been *** SUMMARY We reported three patients with jejunal varices at the site of choledochojejun-ostomy managed by endoscopic sclerotherapy with lauromacrogol/α-butyl cyanoacrylate injection at our institution between June 2021 and August *** reviewed all patient records,clinical presentation,endoscopic findings and treatment,outcomes and *** patients who underwent pancre-aticoduodenectomy with a Whipple anastomosis were examined using conven-tional upper gastrointestinal endoscopy for suspected hemorrhage from the afferent jejunal *** with stigmata of recent hemorrhage or active he-morrhage were observed around the choledochojejunostomy site in all three *** injection of lauromacrogol/α-butyl cyanoacrylate was carried out at jejunal varices for all three *** bleeding ceased and patency was observed for 26 and 2 months in two *** one patient with multiorgan failure and internal environment disturbance,rebleeding occurred 1 month after endoscopic sclerotherapy,and despite a second endoscopic sclero-therapy,repeated episodes of bleeding and multiorgan failure resulted in eventual *** We conclude that endoscopic sclerotherapy with lauromacrogol/α-butyl cyanoac-rylate injection can be an easy,effective,safe and low-cost treatment option for jejunal varicose bleeding at the site of choledochojejunostomy.

关键词： Endoscopic sclerotherapy Jejunal varices Choledochojejunostomy Portal vein hypertension Case report

Characterization and spatial analysis of coseismic landslides triggered by the Luding Ms 6.8 earthquake in the Xianshuihe fault zone, Southwest China

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Journal of Mountain Science 2024年第1期21卷 160-181页

作者： GUO Changbao LI Caihong YANG Zhihua NI Jiawei zhong ning WANG Meng YAN Yiqiu SONG Deguang ZHANG Yanan ZHANG Xianbing WU Ruian CAO Shichao SHAO Weiwei Institute of Geomechanics Chinese Academy of Geological SciencesBeijing 100081China Key Laboratory of Active Tectonics and Geological Safety Ministry of Natural ResourcesBeijing 100081China Research Center of Neotectonism and Crustal Stability China Geological SurveyBeijing 100081China School of Earth Sciences and Resources China University of GeosciencesBeijing 100083China Sichuan Institute of Geological Survey Chengdu 610081China

On September 5, 2022, a magnitude Ms 6.8 earthquake occurred along the Moxi fault in the southern part of the Xianshuihe fault zone located in the southeastern margin of the Tibetan Plateau,resulting in severe damage and substantial economic loss. In this study, we established a coseismic landslide database triggered by Luding Ms 6.8 earthquake, which includes 4794 landslides with a total area of 46.79 km^(2). The coseismic landslides primarily consisted of medium and small-sized landslides, characterized by shallow surface sliding. Some exhibited characteristics of high-position initiation resulted in the obstruction or partial obstruction of rivers, leading to the formation of dammed lakes. Our research found that the coseismic landslides were predominantly observed on slopes ranging from 30° to 50°, occurring at between 1000 m and 2500 m, with slope aspects varying from 90° to 180°. Landslides were also highly developed in granitic bodies that had experienced structural fracturing and strong-tomoderate weathering. Coseismic landslides concentrated within a 6 km range on both sides of the Xianshuihe and Daduhe fault zones. The area and number of coseismic landslides exhibited a negative correlation with the distance to fault lines, road networks, and river systems, as they were influenced by fault activity, road excavation, and river erosion. The coseismic landslides were mainly distributed in the southeastern region of the epicenter, exhibiting relatively concentrated patterns within the IX-degree zones such as Moxi Town, Wandong River basin, Detuo Town to Wanggangping Township. Our research findings provide important data on the coseismic landslides triggered by the Luding Ms 6.8 earthquake and reveal the spatial distribution patterns of these landslides. These findings can serve as important references for risk mitigation, reconstruction planning, and regional earthquake disaster research in the earthquake-affected area.

关键词： Luding earthquake Coseismic landslides Remote sensing interpretation Spatial distribution Xianshuihe fault Earthquake fault

Sampling efficiency of a polyurethane foam air sampler:Effect of temperature

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Environmental Science and Ecotechnology 2024年第2期18卷 43-52页

作者： Qiu-Liang Cai Cen-Yan Huang Lei Tong ning zhong Xiao-Rong Dai Jian-Rong Li Jie Zheng Meng-Meng He Hang Xiao Key Laboratory of Urban Environment and Health Ningbo Observation and Research StationInstitute of Urban EnvironmentChinese Academy of SciencesXiamen361021China Key Laboratory of Ecological Environment Analysis and Pollution Control in Western Guangxi Region College of Agriculture and Food EngineeringBaise UniversityBaise533000China College of Biological and Environmental Sciences Zhejiang Wanli UniversityNingbo315100China Zhejiang Key Laboratory of Urban Environmental Processes and Pollution Control CAS Haixi Industrial Technology Innovation Center in BeilunNingbo315830China Minnan Normal University Zhangzhou363000China

Effective monitoring of atmospheric concentrations is vital for assessing the Stockholm Convention's effectiveness on persistent organic pollutants(POPs).This task,particularly challenging in polar regions due to low air concentrations and temperature fluctuations,requires robust sampling ***,the influence of temperature on the sampling efficiency of polyurethane foam discs remains *** we employ a flow-through sampling(FTS)column coupled with an active pump to collect air samples at varying *** delved into breakthrough profiles of key pollutants,such as polycyclic aromatic hydrocarbons(PAHs),polychlorobiphenyls(PCBs),and organochlorine pesticides(OCPs),and examined the temperature-dependent behaviors of the theoretical plate number(N)and breakthrough volume(VB)using frontal chromatography *** findings reveal a significant relationship between temperature dependence coefficients(KTN,KTV)and compound volatility,with decreasing values as volatility *** distinct trends are noted for PAHs,PCBs,and OCPs in KTN,KTV values exhibit similar patterns across all ***,we establish a binary linear correlation between log(VB/m3),1/(T/K),and N,simplifying breakthrough level estimation by enabling easy conversion between N and ***,an empirical linear solvation energy relationship incorporating a temperature term is developed,yielding satisfactory results for N at various *** approach holds the potential to rectify temperature-related effects and loss rates in historical data from long-term monitoring networks,benefiting polar and remote regions.

关键词： Temperature Theoretical plate number Breakthrough volume Frontal chromatographic theory LSER

中国式现代化与铸牢中华民族共同体意识的契合互动

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中南民族大学学报（人文社会科学版） 2024年第5期44卷 43-52,218页

作者：杨丽王中凝新疆大学马克思主义学院新疆乌鲁木齐830046

中国式现代化与铸牢中华民族共同体意识在发展源流、根本遵循、生成方式和目标导向等方面具有高度契合性。在此基础上,二者构成双向互动的关系:一方面,中国式现代化为铸牢中华民族共同体意识提供发展基础、提升推进力度和提增工作效果,... 详细信息

中国式现代化与铸牢中华民族共同体意识在发展源流、根本遵循、生成方式和目标导向等方面具有高度契合性。在此基础上,二者构成双向互动的关系:一方面,中国式现代化为铸牢中华民族共同体意识提供发展基础、提升推进力度和提增工作效果,彰显其社会主义现代化的助推功效和独特优势;另一方面,铸牢中华民族共同体意识为推进中国式现代化集合了以物质性聚能和精神性聚能的结合为形态、以内在稳定性与外在辐射性的统一为特征、以共同目标引领与理想信念指引的兼顾为路径的支撑。二者契合互动、同向同行,共同推进中华民族复兴和人类文明进步的历史进程。

关键词：中国式现代化铸牢中华民族共同体意识两个结合

中药调控PI3K-AKT信号通路改善心房颤动研究进展

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中国中西医结合杂志 2024年第2期44卷 238-244页

作者：纪雅琼宁忠平上海中医药大学上海健康医学院上海201203 上海健康医学院附属周浦医院心血管内科上海201318

心房颤动(atrial fibrillation,AF)是由心房中异常的电活动模式取代正常窦性心律导致的室上性快速性心律失常[1]。AF的易感性与年龄[2]、高血压病[3]、糖尿病、肥胖[4]、睡眠呼吸暂停[5]以及遗传变异[6]具有高度密切性。AF发作次数的增... 详细信息

心房颤动(atrial fibrillation,AF)是由心房中异常的电活动模式取代正常窦性心律导致的室上性快速性心律失常[1]。AF的易感性与年龄[2]、高血压病[3]、糖尿病、肥胖[4]、睡眠呼吸暂停[5]以及遗传变异[6]具有高度密切性。AF发作次数的增加可以明显改变血流动力学,降低心功能[7]。2021年,Lancet的一项研究发现,AF患者发生缺血性中风的风险显著增加,近30%中风患者患有AF[8]。此外,AF还与全身血栓、心肌梗死(心梗)和心力衰竭(心衰)的风险增加相关[9]。

关键词：缺血性中风中风患者正常窦性心律心房颤动睡眠呼吸暂停 PI3K 血流动力学密切性

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岭南古籍文献出版的回顾与展望

岭南文史 2024年第3期 51-54页

作者：钟永宁不详

岭南古籍文献出版是岭南文化传播的重要手段,其发展深受传统文化观念和岭南地域文化意识影响。本文梳理岭南古籍文献出版发展历程,总结了其历史经验与不足,并对未来发展提出了一些建设性意见。主张立足岭南古籍文献资源优势,尊重已成出... 详细信息

岭南古籍文献出版是岭南文化传播的重要手段,其发展深受传统文化观念和岭南地域文化意识影响。本文梳理岭南古籍文献出版发展历程,总结了其历史经验与不足,并对未来发展提出了一些建设性意见。主张立足岭南古籍文献资源优势,尊重已成出版格局,在古籍深度整理出版、影印出版、普及利用和古籍整理促进上,创新思路和工作方式,提升岭南古籍文献出版的权威性、系统性及整体效率与规模,增强岭南文化的传播力。

关键词：岭南古籍文献出版回顾展望

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碳达峰背景下中国物流业碳排放效率时空演化

物流技术 2024年第8期43卷 37-47页

作者：张积林钟宁福建理工大学交通运输学院福建福州350118

为了深入分析中国各地区在物流业碳排放效率方面的表现及其空间关联性,采用非期望产出的超效率SBM模型,并结合莫兰指数与空间杜宾模型,选取中国30个省份,对其2015-2020年的物流业碳排放效率进行了计算,分析了不同地区物流业碳排放效率... 详细信息

为了深入分析中国各地区在物流业碳排放效率方面的表现及其空间关联性,采用非期望产出的超效率SBM模型,并结合莫兰指数与空间杜宾模型,选取中国30个省份,对其2015-2020年的物流业碳排放效率进行了计算,分析了不同地区物流业碳排放效率之间的相似性或差异性,并揭示其在空间上的联系及背后的影响因素。研究结果显示,30个省份的物流业碳排放效率在空间上存在显著相关性,呈现出一定的空间集聚特征。具体表现为东部地区的物流业碳排放效率高于西部地区,南部地区高于北部地区,而中部地区则优于其他地区,这种空间分布特征可能与各地区的从业人数、经济水平、基础设施建设、能源消费结构等因素有关。虽然近年来我国物流业碳排放效率总体呈现上升趋势,但在推进碳达峰的过程中,各地区仍面临着诸多挑战和困难。最后提出了一系列建议和意见,以进一步提高物流业碳排放效率,实现碳达峰目标。

关键词：物流业碳排放效率碳达峰时空演化 SBM模型空间杜宾模型

高校“教师、辅导员、家长”协同育人机制建设研究

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长春理工大学学报（社会科学版） 2024年第4期37卷 152-155,168页

作者：齐丹钟宁王涵长春理工大学外国语学院吉林长春130022 长春理工大学马克思主义学院吉林长春130022

高校肩负着“为党育人、为国育才”的重大使命,建设全面高效的“教师、辅导员、家长”协同育人机制是新时代高校面临的重要课题。当前协同育人机制存在顶层设计不到位、职责定位不清晰、育人平台建设不完善等突出问题,要充分发挥高校教... 详细信息

高校肩负着“为党育人、为国育才”的重大使命,建设全面高效的“教师、辅导员、家长”协同育人机制是新时代高校面临的重要课题。当前协同育人机制存在顶层设计不到位、职责定位不清晰、育人平台建设不完善等突出问题,要充分发挥高校教师、辅导员育人的主体作用,紧密联系学生家长,通过发挥高校育人的主导作用、树立协同育人的理念目标,完善联动反馈的沟通机制、搭建信息共享的交流平台,建立科学合理的考核评价、提升育人主体的能力素养等,来构建全方位、多角度的协同育人工作机制,从而科学有效地做好大学生思想政治教育工作,培养有理想有本领有担当的时代新人。

关键词：高校教师辅导员家长协同育人

CGA专科护理结合家庭同步健康教育对老年冠心病患者应对方式及自我效能的影响

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中国医药指南 2024年第25期22卷 167-170页

作者：钟凝李树蕙厦门大学附属第一医院老年医学一科厦门361000

目的探究老年冠心病患者采用综合老年评估(comprehensive elderly assessment,CGA)专科护理结合家庭同步健康教育的应用效果。方法择取2022年1月至2023年12月本院100例老年冠心病患者作为研究对象,依据随机数字表法分组(对照组:常规护理... 详细信息

目的探究老年冠心病患者采用综合老年评估(comprehensive elderly assessment,CGA)专科护理结合家庭同步健康教育的应用效果。方法择取2022年1月至2023年12月本院100例老年冠心病患者作为研究对象,依据随机数字表法分组(对照组:常规护理,观察组:常规护理+CGA专科护理+家庭同步健康宣教),各组50例,对比两组医学应对方式问卷量表(MCMQ)、疾病认知度、自我效能评分、不良事件发生率、冠心病自我管理量表(CSMS)评分。结果两组MCMQ评估对比,观察组更优,观察组回避、屈服评分更低,且面对项评分更高(P<0.05)。观察组疾病认知度高于对照组(P<0.05)。干预后3个月,观察组自我效能评分、CSMS评分高于对照组,不良事件发生率低于对照组(均P<0.05)。结论在对老年冠心病患者干预时,CGA专科护理结合家庭同步健康教育可改善患者自我效能,促使应对方式改变,临床应用价值高。

关键词：老年冠心病家庭同步健康教育应对方式自我效能疾病认知度