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加味人参养荣汤治疗正虚毒结型胃癌晚期患者的效果观察

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中医药学报 2024年第7期52卷 81-86页

作者：郭培朱尔春张玲淮安市第二人民医院江苏淮安223001 淮安市涟水县中医院江苏淮安223400

目的:探究加味人参养荣汤治疗正虚毒结型胃癌晚期患者的效果。方法:将淮安市第二人民医院2021年2月—2022年2月收诊的84例晚期胃癌患者随机分为研究组和对照组,每组42例,对照组采用奥沙利铂+替吉奥治疗,研究组在对照组基础上联合加味人... 详细信息

目的:探究加味人参养荣汤治疗正虚毒结型胃癌晚期患者的效果。方法:将淮安市第二人民医院2021年2月—2022年2月收诊的84例晚期胃癌患者随机分为研究组和对照组,每组42例,对照组采用奥沙利铂+替吉奥治疗,研究组在对照组基础上联合加味人参养荣汤治疗。治疗3个月后,比较两组患者的癌胚抗原(CEA)、组织多肽特异性抗原(TPS)、糖类抗原125(CA125)、中医证候、客观缓解率、疾病控制率及不良反应发生率,随访12个月,记录患者无进展生存(PFS)和总生存(OS)状况。结果:治疗后,两组患者的CEA、TPS及CA125水平均降低,研究组低于对照组(P0.05)。研究组患者的胃肠道反应发生率低于对照组(P0.05)。两组PFS曲线、OS曲线比较差异有统计学意义(P<0.05,P<0.01)。结论:加味人参养荣汤治疗正虚毒结型胃癌晚期患者,有助于改善患者的临床症状、胃肠道反应及免疫水平,降低肿瘤标志物及血管生长调节因子水平,延长无进展生存时间,具有一定的推广价值。

关键词：胃癌晚期正虚毒结加味人参养荣汤

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2型糖尿病患者卒中预防及血糖管理专家共识

中华内科杂志 2024年第7期63卷 649-659页

作者：《2型糖尿病患者卒中预防及血糖管理专家共识》编写委员会陈莉明母义明不详天津医科大学朱宪彝纪念医院内分泌科天津300134 解放军总医院第一医学中心内分泌科北京100853

糖代谢异常与卒中关系密切,对卒中的发生、发展及预后均有不良影响。良好的血糖控制对改善卒中预后具有重要意义。部分降糖药物能够减少2型糖尿病患者卒中的发生及复发风险。2型糖尿病合并卒中患者应控制血压、血脂,合理应用抗血小板药... 详细信息

糖代谢异常与卒中关系密切,对卒中的发生、发展及预后均有不良影响。良好的血糖控制对改善卒中预后具有重要意义。部分降糖药物能够减少2型糖尿病患者卒中的发生及复发风险。2型糖尿病合并卒中患者应控制血压、血脂,合理应用抗血小板药物。共识专家组基于循证医学证据和临床实践,并经过多次讨论最终形成本共识,以期为临床提供参考。

关键词：糖尿病 2型卒中预防血糖管理专家共识

Adherence to clinical guidelines for monitoring diabetes in primary care settings

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Family Medicine and Community Health 2018年第4期6卷 161-167页

作者： Mingliang Dai Michael RPeabody Lars EPeterson arch GMainous III American Board of Family Medicine 1648 McGrathiana ParkwaySuite 550LexingtonKY 40511USA University of Florida Department of Health Services ResearchManagement and Policy1225 Center DriveHPNP 3107GainesvilleFL 32611USA University of Florida Department of Community Health and Family Medicine1225 Center DriveHPNP 3107GainesvilleFL 32611USA

Objective:Adherence to clinical guidelines is key to improving diabetes *** knowledge of guideline adherence is *** study sought to produce a national snapshot of primary care physicians’(PCPs)adherence to the American Diabetes Association guidelines for monitoring diabetes and determine whether continuity of care promotes ***:Using the 2013 National Ambulatory Medical Care Survey,we examined adher-ence to ordering hemoglobin A1c(HbA1c)and lipid profile tests as recommended by the American Diabetes Association for monitoring diabetes in 2379 primary care visits of patient with ***:In the preceding 12 months,less than 60.0%of the patients were given a test rec-ommended for monitoring diabetes(58.0%for HbA1c and 57.0%for lipid profile).Continuity of care with PCPs increased the odds of adhering to diabetes monitoring guidelines by 36.0%for the HbA1c test(P=0.06)and by 76.0%for the lipid profile test(P=0.0006).Conclusion:A substantial gap exists in achieving optimal monitoring for diabetes in primary care settings in the United *** PCPs are ideally positioned to ensure that guidelines are closely followed,we found that even in primary care settings,patient-provider continuity of care was associated with guideline adherence.

关键词： Diabetes guideline adherence primary care continuity of care

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Dynamics of Sea Ice and Spectrum of Ice Force

丛书名： The IBM tools series

1994年

作者： Luther arch C.

来源：畅想之星图书光盘版（南... 评论

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畅想之星图书光盘版（南通市图书馆镜像）

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China Ocean Engineering 1995年第2期10卷 131-138页

作者： Shi Qingzeng and Chen Xing Professor, Dept. of Ocean Eng. and Naval arch, Tianjin Univ., Tianjin Lecturer, Dept. of Ocean Eng. and Naval arch., Tianjin Univ., Tianjin

Spectrum and self-excite characters are the two significant characters of the dynamics of sea ice. The spectrum character of sea ice is mainly shown by the spectrum of ice force. The spectrum character of the sea ice is its intrinsic attributes. When the spectrum of ice force from the dynamic response of ice and structure interaction are evaluated, the effect of dynamic character of the structure must be eliminated. In this paper, the ice force spectrum at Bohai Bay and Liaodong Bay is evaluated from the displacement and strain responses of a single degree and a multi-degree freedom structure. The evaluated ice force spectrum can be used to define the spectrum character of ice in the analysis of ice induced vibration.

关键词： dynamic ice force ice force spectrum frequency domain single degree of freedom multi-degree of freedom

宣白承气汤对痰热壅肺型慢性阻塞性肺疾病急性加重期患者肠道微生态及炎症因子的影响

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中国中医急症 2024年第1期33卷 123-126页

作者：徐倍琪黄辉陈晖王寒松姜斌贤毕闻远江苏省昆山市中医医院江苏昆山215300

目的观察宣白承气汤对慢性阻塞性肺疾病急性加重期(AECOPD)(痰热壅肺证)的临床疗效、肠道微生态、炎症指标及二氧化碳分压(PaCO_(2))的影响。方法将80例AECOPD(痰热壅肺证)患者随机分为两组,对照组实施西医的常规治疗,观察组则另外加... 详细信息

目的观察宣白承气汤对慢性阻塞性肺疾病急性加重期(AECOPD)(痰热壅肺证)的临床疗效、肠道微生态、炎症指标及二氧化碳分压(PaCO_(2))的影响。方法将80例AECOPD(痰热壅肺证)患者随机分为两组,对照组实施西医的常规治疗,观察组则另外加上宣白承气汤治疗,疗程均为7 d,观察并记录两组患者治疗前后中医证候积分、肠道微生物菌种丰度、C反应蛋白(CRP)、降钙素原(PCT)、中性粒细胞百分比(N%)及PaCO_(2)的变化。结果观察组临床疗效显著优于对照组(P<0.05)。治疗后,观察组咳嗽、喘息等中医证候积分显著低于对照组(P<0.05),两组患者乳杆菌、拟杆菌、双歧杆菌以及肠杆菌丰度均升高(P<0.05),且与对照组比较,观察组患者乳杆菌、拟杆菌、双歧杆菌以及肠杆菌丰度明显升高(P<0.05)。两组PaCO_(2)、CRP、PCT、N%较治疗前均降低(P<0.05),且低于同期对照组(P<0.05)。结论宣白承气汤可改善AECOPD(痰热壅肺证)患者的临床症状及肠道微生态,可一定程度改善患者二氧化碳潴留,并有效降低患者CRP、PCT、N%比水平。

关键词：慢性阻塞性肺疾病宣白承气汤肺肠同治痰热壅肺型肠道微生态

CALCULATION OF MILL RIGIDITY BY THREE DIMENSION CONTACT BOUNDARY ELEMENT METHOD

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Chinese Journal of Mechanical Engineering 2001年第1期14卷 82-85页

作者： Shu Xuedao Zhang Liandong Shen Gangxian Rolling Mill Institute,Yanshan University Gao Lihua Beiman Special type Steel Stock Corporation Ltd. 燕山大学轧机研究所河北秦皇岛北满特殊钢股份有限公司黑龙江

Vertical rigidity of the space self adaptive  530 high rigidity mill is calculated by applying the boundary element method (BEM) of three dimension elastic contact problem,which can update the existed deforming separation calculating theory and corresponding methods of material mechanics,elastic mechanics and finite element *** method has less hypotheses and stronger synthesis in contact type calculating *** advantages of the method are high calculating rate,high calculating accuracy,etc..

关键词： Mill rigidity Boundary element method Deforming separation Contact type

Estimation of Probability of Damage Detection in Offshore Structural Inspection

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China Ocean Engineering 1996年第3期11卷 261-268页

作者： Song Ruxin and Lu Xinsen Postdoctor, Dept. of Naval arch, and Ocean Engng. Shanghai Jiao Tong University, Shanghai 20030 . Professor, Dept. of Naval arch, and Ocean Engng. shanghai Jiao Tong University, Shanghai 20030 Dept. Naval arch. and Ocean Engng. Shanghai Jiao Tong University Shanghai 20030

To characterize the uncertainty and fuzziness in offshore structural inspection, probability of detection (POD) must be determined. This paper presents the expressions for the POD of four different damage forms mainly existing in offshore structures. The fuzzy-set theory is applied to estimate human errors through the definition of inspection quality. Expressions of inspection quality are achieved. To verify the validity and correctness of the expressions, the data from an offshore platform field inspection of evaluation results of human errors affecting inspection quality are used to estimate the parameters of the POD. The results show that the present models can provide basis for further study of ofTshore structural inspection reliability.

关键词： offshore structures probability of detection inspection reliability human error

Probabilistic Distribution of Ice Forces on a Solitary Pile in the Liaodong Bay

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China Ocean Engineering 1996年第1期11卷 65-70页

作者： Wang Yonggang Shi Qingzeng Postgraduate, Tianjin University, Tianjin 300072 Professor, Dept. of Ocean Eng. and Naval arch., Tianjin Univ., Tianjin 300072 Tianjin University Tianjin 300072 Dept. of Ocean Eng. and Naval arch. Tianjin Univ. Tianjin 300072

The level ice thickness and compressive strength at the four measuring stations in the Liaodong Bay are inferred according to the hydrologic and meteorologic data there, then the yearly extreme ice forces on a solitary pile are calculated by the use of appropriate formula of ice forces and its probabilistic distribution is determined. Generally, the yearly extreme ice force follows Weibull distribution best as compared with Normal, Lognormal, and Extreme Value I distribution. On the other hand, the short-term distribution of ice forces on a solitary pile is obtained from the model experiment data analysis: It does not refuse Extreme Value I distribution.

关键词： solitary pile ice forces yearly extreme value distribution short-term distribution