检索结果-南通市图书馆

Occupational Diseases and Environmental medicine 2024年第2期12卷 142-159页

作者： Adjobimey mênonli mikponhoué Rose Dégbey Cyriaque Hountohotègbé Esdras Guédou Alexandre Lawani Affousath Ayélo Paul Hinson Antoine Unité de Recherche et d&#8217Enseignement en Sant&#233 au Travail et Environnement FSS Cotonou Benin Service de Santé au Travail du Centre National Hospitalier Universitaire de Pneumo-Phtisiologie Cotonou Benin Occupational Health Service at the Referral Hospital Construction Site Abomey-Calavi Benin Inter-Faculty Center for Environmental Training and Research for Sustainable Development (CIFRED) Abomey-Calavi Benin

Introduction: Work-related accidents are frequent and serious in the construction sector. The aim of the study was to determine the frequency and factors associated with occupational accidents on the construction site of a referral hospital in Benin. methods: A cross-sectional study was carried out. The sample size was calculated using the Schwartz form adjusted for the number of workers on site and was 129 workers. Random sampling was used. The dependent variable was work-related accidents. The other variables were socio-demographic and occupational characteristics. Data were collected through a questionnaire survey. medians and proportions were calculated. An association was sought using Chi-square and Fisher tests with a threshold of p Results: A total of 132 workers were included. Their median age was 30 years with an ITQ of [27 - 38];men were the most represented 126 (95.45%) with a level of education higher than or equal to high school in 101 (76.52%) and in the majority with a permanent status 85 (64.39%). Seniority of more than 5 years was observed in 92 (69.7%). Workers working more than 8 hours of overtime per week numbered 57 (43.18%). Exposure to vibrating objects was 49 (37.12%). In terms of psychosocial constraints, 82.58% had high psychological demands;79.53% low decision-making latitude;50.76% low social support. The frequency of work-related accidents was 6.82%, and the only associated factor was the type of worker (p = 0.016). On the other hand, there were 10.2% accidents among workers handling vibrating objects versus 4.98% among those not using them. With regard to psychosocial constraints, the following frequencies were recorded respectively: 6.42% among those with high psychological demand versus 8.7% among those with low psychological demand;7.62% among those with low decision-making latitude versus 3.7% among those with high decision-making latitude;8.96% among those with low social support versus 4.62% among those with high support. Conclusi

关键词： Occupational Injury Building and Civil Engineering Construction Environment

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Association of acute glycemic parameters at admission with cardiovascular mortality in the oldest old with acute myocardial infarction

引用

Journal of Geriatric Cardiology 2024年第3期21卷 349-358页

作者： Hui-Hui LIU meng ZHANG Yuan-Lin GUO Cheng-Gang ZHU Na-Qiong WU Ying GAO Rui-Xia XU Jie QIAN Ke-Fei dou Jian-Jun LI Cardiometabolic Center State Key Laboratory of Cardiovascular DiseaseFuwai HospitalNational Center for Cardiovascular DiseasesNational Clinical Research Center for Cardiovascular DiseasesChinese Academy of Medical Sciences and Peking Union Medical CollegeBeijingChina

OBJECTIVES Stress-related glycemic indicators,including admission blood glucose(ABG),stress-hyperglycemia ratio(SHR),and glycemic gap(GG),have been associated with worse outcomes after acute myocardial infarction(AmI).However,data regarding their prognostic value in the oldest old with AmI are ***,this study aimed to investigate the association of stress-related glycemic indicators with short-and long-term cardiovascular mortality(CVm)in the oldest old(≥80 years)with *** In this prospective study,a total of 933 consecutive old patients with AmI admitted to FuWai hospital(Beijing,China)were *** admission,ABG,SHR,and GG were assessed and all participants were classified according to their ***-meier,restricted cubic splines(RCS),and multivariate Cox regression analyses were performed to evaluate the association between these glycemic indicators and CVm within 30 days and long-term *** During an average of 1954 patient-years of follow-up,a total of 250 cardiovascular deaths were ***-meier analyses showed the lowest CVm in quartile 1 of ABG and in quartile 2 of SHR and *** adjusting for potential covariates,patients in quartile 4 of ABG,SHR,and GG had a respective 1.67-fold(95%CI:1.03-2.69;P=0.036),1.80-fold(95%CI:1.16-2.79;P=0.009),and 1.78-fold(95%CI:1.14-2.79;P=0.011)higher risk of long-term CVm risk compared to those in the reference groups(quartile 1 of ABG and quartile 2 of SHR and GG).Furthermore,RCS suggested a J-shaped relationship of ABG and a Ushaped association of SHR and GG with long-term ***,we observed similar associations of these acute glycemic parameters with 30-day *** Our data first indicated that SHR and GG consistently had a U-shaped association with both 30-day and longterm CVm among the oldest old with AmI,suggesting that they may be useful for risk stratification in this special population.

关键词： admitted infarction shaped

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

舰艇水下腐蚀静电场计算及影响因素仿真分析

引用

哈尔滨工业大学学报 2024年第7期56卷 154-161页

作者：柳懿唐炜豪嵇斗海军工程大学电气工程学院武汉430033

为了进一步分析影响舰船电场的不同因素,提高舰艇水下静电场仿真分析中电偶极子建模方法的准确性,研究产生舰艇水下腐蚀静电场的腐蚀电化学原理和特性,从腐蚀电流密度的角度推导船体-螺旋桨电偶腐蚀电流表达式,并利用镜像法求解出了空气... 详细信息

为了进一步分析影响舰船电场的不同因素,提高舰艇水下静电场仿真分析中电偶极子建模方法的准确性,研究产生舰艇水下腐蚀静电场的腐蚀电化学原理和特性,从腐蚀电流密度的角度推导船体-螺旋桨电偶腐蚀电流表达式,并利用镜像法求解出了空气-海水二层模型下水平和垂直电偶极子电场解析式。建立基于舰艇腐蚀电流电偶极子的电场解析模型,在此基础上利用数值仿真对一中型舰艇水下50 m测线上的电场进行分析。结果表明:在设定变化范围内,船体腐蚀电位、螺旋桨腐蚀电位、船体浸水面积、螺旋桨浸水面积、海水温度、海水电导率对舰艇水下腐蚀静电场的影响程度分别约为29%、23%、53%、82%、30%和67%。仿真结果和电场解析模型可以为进一步研究舰艇水下腐蚀静电场特征及防护方法提供有力的理论支撑。

关键词：腐蚀静电场腐蚀电流密度电偶极子腐蚀电位海水电导率

来源：

维普期刊数据库

同方期刊数据库博看期刊评论

在线全文

学校读者我要写书评

暂无评论

Diagnostic performance of intravascular ultrasound-based fractional flow reserve in evaluating of intermediate left main stenosis

引用

Journal of Geriatric Cardiology 2024年第1期21卷 34-43页

作者： Yong-Gang SUI Cheng YANG Chang-Dong GUAN Yan-Lu XU Na-Qiong WU Wei-Xian YANG Yong-Jian WU Ke-Fei dou Yue-Jin YANG Shu-Bin QIAO Wei YU Bo XU Sheng-Xian TU Jie QIAN Department of Cardiology Fuwai HospitalNational Center for Cardiovascular DiseasesChinese Academy of Medical Sciences and Peking Union Medical CollegeBeijingChina Catheterization Laboratories Fuwai HospitalNational Center for Cardiovascular DiseasesChinese Academy of Medical Sciences and Peking Union Medical CollegeBeijingChina Biomedical Instrument Institute School of Biomedical EngineeringShanghai Jiao Tong UniversityShanghaiChina National Clinical Research Center for Cardiovascular Diseases BeijingChina

BACKGROUND The recently introduced ultrasonic flow ratio(UFR),is a novel fast computational method to derive fractional flow reserve(FFR)from intravascular ultrasound(IVUS)*** the present study,we evaluate the diagnostic performance of UFR in patients with intermediate left main(Lm)*** This is a prospective,single center study enrolling consecutive patients with presence of intermediated Lm lesions(diameter stenosis of 30%-80%by visual estimation)underwent IVUS and FFR *** independent core laboratory assessed offline UFR and IVUS-derived minimal lumen area(mLA)in a blinded *** Both UFR and FFR were successfully achieved in 41 Lm patients(mean age,62.0±9.9 years,46.3%diabetes).An acceptable correlation between UFR and FFR was identified(r=0.688,Pmerical difference of 0.03(standard difference:0.01).The area under the curve(AUC)in diagnosis of physiologically significant coronary stenosis for UFR was 0.94(95%CI:0.87-1.01),which was significantly higher than angiographic identified stenosis>50%(AUC=0.66,Pmerically higher than IVUS-derived mLA(AUC=0.82;P=0.09).Patient level diagnostic accuracy,sensitivity and specificity for UFR to identify FFR≤0.80 was 82.9%(95%CI:70.2-95.7),93.1%(95%CI:82.2-100.0),58.3%(95%CI:26.3-90.4),*** In patients with intermediate Lm diseases,UFR was proved to be associated with acceptable correlation and high accuracy with pressure wire-based FFR as standard *** present study supports the use of UFR for functional evaluation of intermediate Lm stenosis.

关键词： stenosis flow fractional

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

基于循环移位码元的m进制过调制无前导短包通信方案

引用

通信学报 2024年第8期45卷 75-83页

作者：修梦雷窦高奇王颢海军工程大学电子工程学院湖北武汉430033

为了解决短包结构中前导训练开销过大导致传输效率低的问题,提出了一种基于循环移位码元的m进制过调制无前导短包通信方案。该方案使用循环移位码元对伪随机序列进行调制,并采用m进制过调制序列对多个码元循环移位进行二次调制。接收端... 详细信息

为了解决短包结构中前导训练开销过大导致传输效率低的问题,提出了一种基于循环移位码元的m进制过调制无前导短包通信方案。该方案使用循环移位码元对伪随机序列进行调制,并采用m进制过调制序列对多个码元循环移位进行二次调制。接收端利用伪随机序列良好的自相关与互相关特性,实现无前导训练的检测和同步,有效降低了短包前导训练开销。而过调制的引入在携带额外信息的同时,可有效提高码元同步性能。另外,推导了循环移位和过调制后的短包码元同步评价函数,验证了m进制过调制加载信息的可行性。仿真结果表明,在加性白高斯噪声和瑞利衰落信道下,基于循环移位码元的m进制过调制无前导短包通信方案有效提高了码元同步性能,相比于单个过调制序列,该方案额外传输了lbm bit信息。

关键词：短包传输无前导循环移位码元 m进制过调制码元同步

来源：

维普期刊数据库

同方期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

红外成像技术在高分子材料表征中的应用

引用

北京化工大学学报（自然科学版） 2024年第3期51卷 1-21页

作者：窦彤彤张普敦中国石油石油化工研究院北京102206 北京化工大学化学学院分析测试中心北京100029

红外成像技术是基于官能团特征进行成像的一种先进的化学成像方法,集红外光谱和显微分析于一体,能够直接反映样品微区内(从微米到毫米)真实的化学组成信息和空间分布信息,从分子水平上可视化地识别样品精细结构,空间分辨率高,是多组分... 详细信息

红外成像技术是基于官能团特征进行成像的一种先进的化学成像方法,集红外光谱和显微分析于一体,能够直接反映样品微区内(从微米到毫米)真实的化学组成信息和空间分布信息,从分子水平上可视化地识别样品精细结构,空间分辨率高,是多组分体系样品显微分析强有力的工具。该技术自发展之初就在高分子材料分析和表征领域受到广泛关注。本文阐述了红外成像技术的基本原理,详细介绍了红外成像系统的仪器构造与工作模式,以及常用图像采集、图像预处理和图像分析的方法,总结了近年来红外成像技术在高分子材料表征领域中的一些典型应用,包括结晶和取向研究、共混物相容性研究、聚合反应及聚合物溶解、降解的可视化动力学研究、聚合物基组织工程材料的矿化研究、药物释放及微塑料分析的研究等。此外,还对红外成像在生命科学与临床诊断方面的研究进展作了简介。最后对红外成像技术的发展趋势进行展望。希望本文能够起到抛砖引玉的作用,帮助读者深刻理解红外成像这门先进的技术,进一步拓展其在聚合物材料领域中的应用。

关键词：聚合物红外成像结构表征图像分析

来源：

维普期刊数据库

同方期刊数据库博看期刊评论

在线全文

学校读者我要写书评

暂无评论

双流耦合构型混合动力拖拉机旋耕工况控制策略研究

引用

农业机械学报 2024年第2期55卷 393-400,414页

作者：窦海石魏洪乾艾强张幽彤北京理工大学机械与车辆学院北京100081 北京理工大学长三角研究院(嘉兴) 嘉兴314001

大功率拖拉机作业时载荷冲击会造成发动机的输出转矩大范围波动,为减小载荷冲击对拖拉机动力单元的影响,提出以发动机和双电机为动力源的拖拉机双流耦合动力系统构型,以减小载荷冲击引起的动力传动系统换挡频次。基于Haar小波分解提出... 详细信息

大功率拖拉机作业时载荷冲击会造成发动机的输出转矩大范围波动,为减小载荷冲击对拖拉机动力单元的影响,提出以发动机和双电机为动力源的拖拉机双流耦合动力系统构型,以减小载荷冲击引起的动力传动系统换挡频次。基于Haar小波分解提出了基于功率预测的转矩分配策略,首先记录拖拉机的作业参数,基于径向基神经网络对拖拉机旋耕作业时的功率需求进行预测,由Haar小波变换确定高频和低频转矩需求值的范围,并分别由电机和发动机提供。最后,通过硬件在环试验对提出的动态转矩分配进行了可行性验证,测试结果表明:提出的基于神经网络功率需求预测模型对行驶端和动力输出端(Power take-off,PTO)的功率进行预测,实际值和预测值均方根误差分别占最大功率的7.6%和7.9%;提出的转矩分配策略能够应对拖拉机旋耕时的载荷波动。发动机转矩波动与传统构型相比减小35.0%,有效地缩小了发动机转矩波动范围,缓解了拖拉机作业时载荷冲击对发动机的影响。

关键词：混合动力拖拉机双流耦合构型功率预测转矩分配 Haar小波变换

来源：

维普期刊数据库

同方期刊数据库博看期刊评论

在线全文

学校读者我要写书评

暂无评论

Efficacy and safety of human umbilical cord-derived mesenchymal stem cells in the treatment of refractory immune thrombocytopenia:a prospective,single arm,phase I trial

引用

Signal Transduction and Targeted Therapy 2024年第5期9卷 2250-2259页

作者： Yunfei Chen Yanmei Xu Ying Chi Ting Sun Yuchen Gao Xueqing dou Zhibo Han Feng Xue Huiyuan Li Wei Liu Xiaofan Liu Huan Dong Rongfeng Fu mankai Ju Xinyue Dai Wentian Wang Yueshen ma Zhen Song Jundong Gu Wei Gong Renchi Yang Lei Zhang State Key Laboratory of Experimental Hematology National Clinical Research Centre for Blood DiseasesHaihe Laboratory of Cell EcosystemTianjin Key Laboratory of Gene Therapy for Blood DiseasesCAMS Key Laboratory of Gene Therapy for Blood DiseasesInstitute of Hematology&Blood Diseases HospitalChinese Academy of Medical Sciences&Peking Union Medical CollegeTianjin 300020China Tianjin Institutes of Health Science Tianjin 301600China National Clinical Research Center for Hematologic Diseases Jiangsu Institute of HematologyThe First Affiliated Hospital of Soochow UniversitySuzhou 215006China National Engineering Research Centre of Cell Products Tianjin Key Laboratory of Engineering Technologies for Cell PharmaceuticalAmCellGene Engineering Co.LtdTianjin 300457China School of Population medicine and Public Health Chinese Academy of Medical Sciences and Peking Union Medical College100730 BeijingChina

Patients with refractory immune thrombocytopenia(ITP)frequently encounter substantial bleeding risks and demonstrate limited responsiveness to existing *** cord-derived mesenchymal stem cells(UC-mSCs)present a promising alternative,capitalizing on their low immunogenicity and potent immunomodulatory effects for treating diverse autoimmune *** prospective phase I trial enrolled eighteen eligible patients to explore the safety and efficacy of UC-mSCs in treating refractory *** research design included administering UC-mSCs at escalating doses of 0.5×10^(6)cells/kg,1.0×10^(6)cells/kg,and 2.0×10^(6)cells/kg weekly for four consecutive weeks across three cohorts during the dose-escalation phase,followed by a dose of 2.0×10^(6)cells/kg weekly for the dose-expansion *** events,platelet counts,and changes in peripheral blood immunity were monitored and recorded throughout the administration and follow-up ***,12(with an addition of three patients in the 2.0×10^(6)cells/kg group due to dose-limiting toxicity)and six patients were enrolled in the dose-escalation and dose-expansion phase,*** patients(13/18,72.2%)experienced one or more treatment emergent adverse *** adverse events occurred in four patients(4/18,22.2%),including gastrointestinal hemorrhage(2/4),profuse menstruation(1/4),and acute myocardial infarction(1/4).The response rates were 41.7%in the dose-escalation phase(5/12,two received 1.0×10^(6)cells/kg per week,and three received 2.0×10^(6)cells/kg per week)and 50.0%(3/6)in the dose-expansion *** overall response rate was 44.4%(8/18)among all enrolled *** sum up,UC-mSCs are effective and well tolerated in treating refractory ITP(*** ID:NCT04014166).

关键词： doses immunity treatment

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

PmA-ddPCR法检测活的非可培养状态高产乙醇肺炎克雷伯菌

引用

中华预防医学杂志 2024年第7期58卷 998-1003页

作者：赵硕窦晨镤张建袁静首都儿科研究所细菌学研究室北京100020 首都儿科研究所附属儿童医院神经外科北京100020

目的建立活的非可培养(VBNC)状态高产乙醇肺炎克雷伯菌的绝对定量方法。方法诱导高产乙醇肺炎克雷伯菌进入VBNC状态,评价乙醇产量。建立PmA-ddPCR方法通过单拷贝基因来计数高产乙醇肺炎克雷伯菌VBNC状态的活细胞基因拷贝数。进一步在VBN... 详细信息

目的建立活的非可培养(VBNC)状态高产乙醇肺炎克雷伯菌的绝对定量方法。方法诱导高产乙醇肺炎克雷伯菌进入VBNC状态,评价乙醇产量。建立PmA-ddPCR方法通过单拷贝基因来计数高产乙醇肺炎克雷伯菌VBNC状态的活细胞基因拷贝数。进一步在VBNC状态粪便模拟中,评价ddPCR对低浓度样品检测的灵敏度和适应性。结果对高产乙醇肺炎克雷伯菌梯度稀释液进行定量时ddPCR的检测下限是qPCR的10倍。在低温、低营养状态,高产乙醇肺炎克雷伯菌第45天进入VBNC状态,通过PmA-ddPCR对VBNC状态细胞进行定量结果为(5.46±0.05)log10 DNA 拷贝数/ml。VBNC状态的乙醇产量为mmol/L,复苏后恢复产乙醇能力。VBNC状态粪便模拟样品中ddPCR最低检测下限为3.2 log10 DNA拷贝数/ml。结论建立VBNC状态高产乙醇肺炎克雷伯菌的ddPCR检测方法灵敏度和适应性良好,可用于临床样品中VBNC状态细胞的检测。

关键词：叠氮溴化丙锭-微液滴数字聚合酶链反应活的非可培养状态高产乙醇肺炎克雷伯菌

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

LDL-C rebound after long-term evolocumab treatment and intravascular imaging evidence in a familial hypercholesterolemia patient with early-onset myocardial infarction

引用

Chronic Diseases and Translational medicine 2024年第1期10卷 69-74页

作者： Zhifan Li Shuang Zhang Zheng Yin Wenjia Zhang Yonggang Sui Jianjun Li Kefei dou Jie Qian Naqiong Wu Cardiometabolic Center National Center for Cardiovascular DiseasesFuwai HospitalChinese Academy of Medical Science and Peking Union Medical CollegeBeijingChina

Patients with familial hypercholesterolemia(FH)have elevated low-density lipoprotein cholesterol(LDL-C)levels and are at high risk of premature cardiovascular disease.1 Heterozygous FH(HeFH)is one of the commonest genetic disorders,and is more frequent among those with ischemic heart disease(IHD),atherosclerotic cardiovascular disease(ASCVD)and premature IHD.

关键词： cardiovascular familial elevated

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：