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Optimization of nursing interventions for postoperative mental status recovery in patients with cerebral hemorrhage

World Journal of Psychiatry 2024年第3期14卷 434-444页

作者： Jin-Li Tang wei-wei yang Xiao-yang yang Neurosurgery Ward 2 Affiliated hospital of Nantong UniversityNantong 226100Jiangsu ProvinceChina Department of Anesthesiology and Surgery The Affiliated Hospital of Nantong UniversityNantong 226100Jiangsu ProvinceChina Department of Neurosurgery Suzhou Kowloon HospitalSchool of MedicineShanghai Jiao Tong UniversitySuzhou 215000Jiangsu ProvinceChina

BACKGROUND Hypertensive cerebral hemorrhage(HCH),the most common chronic diseases,has become a topic of global public health discussions.AIM To investigate the role of rehabilitative nursing interventions in optimizing the postoperative mental status recovery phase and to provide clinical value for future rehabilitation of patients with HCH.METHODS This randomized controlled study included 120 patients with cerebral HCH who were contained to our neurosurgery department between May 2021–May 2023 as the participants.The participants have randomly sampled and grouped into the observation and control groups.The observation group received the rehabilitation nursing model,whereas the control group have given conventional nursing.The conscious state of the patients was assessed at 7,14,21,and 30 d postoperatively.After one month of care,sleep quality,anxiety,and depression were compared between the two groups.Patient and family satisfaction were assessed using a nursing care model.RESULTS The results showed that the state of consciousness scores of the patients in both groups significantly increased(P<0.05)after surgical treatment.From the 14th day onwards,differences in the state of consciousness scores between the two groups of patients began to appear(P<0.05).After one month of care,the sleep quality,anxiety state,and depression state of patients were significantly better in the observation group than in the control group(P<0.05).Satisfaction with nursing care was higher in the observation group than in the control group(P<0.05).CONCLUSION The rehabilitation nursing model has a more complete system compared to conventional nursing,which can effectively improve the postoperative quality of life of patients with cerebral hemorrhage and improve the efficiency of mental state recovery;however,further analysis and research are needed to provide more scientific evidence.

关键词： Cerebral hemorrhage Nursing interventions Mental status Optimization Rehabilitation nursing model Quality of life

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Evolution of the ErbB gene family and analysis of regulators of Egfr expression during development of the rat spinal cord

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Neural Regeneration Research 2022年第11期17卷 2484-2490页

作者： Yu Zhang Tao Zhang Lian Xu Ye Zhu Li-Li Zhao Xiao-Di Li wei-wei yang Jing Chen Miao Gu Xiao-Song Gu Jian yang School of Medicine&Holistic Integrative Medicine Nanjing University of Chinese MedicineNanjingJiangsu ProvinceChina Key Laboratory of Neuroregeneration of Jiangsu Province and Ministry of Education Co-innovation Center of NeuroregenerationNMPA Key Laboratory for Research and Evaluation of Tissue Engineering Technology ProductsNantong UniversityNantongJiangsu ProvinceChina

Egfr,a member of the ErbB gene family,plays a critical role in tissue development and homeostasis,wound healing,and disease.However,expression and regulators of Egfr during spinal cord development remain poorly understood.In this study,we investigated ErbB evolution and analyzed co-expression modules,miRNAs,and transcription factors that may regulate Egfr expression in rats.We found that ErbB family members formed via Egfr duplication in the ancient ve rtebrates but dive rged after speciation of gnathostomes.We identified a module that was co-expressed with Egfr,which involved cell proliferation and blood vessel development.We predicted 25 miRNAs and nine transcription factors that may regulate Egfr expression.Dual-luciferase reporter assays showed six out of nine transcription factors significantly affected Egfr promoter reporter activity.Two of these transcription factors(KLF1 and STAT3)inhibited the Egfr promoter repo rter,whereas four transcription factors(including FOXA2)activated the Egfr promoter reporter.Real-time PCR and immunofluorescence expe riments showed high expression of FOXA2 during the embryonic period and FOXA2 was expressed in the floor plate of the spinal cord,suggesting the importance of FOXA2 during embryonic spinal cord development.Considering the importance of Egfr in embryonic spinal cord development,wound healing,and disease(specifically in cancer),regulatory elements identified in this study may provide candidate targets for nerve regeneration and disease treatment in the future.

关键词： co-expression Egfr evolution FOXA2 gene expression miRNA spinal cord transcription factor

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Design of a multi-inlet solar thermochemical reactor for steam methane reforming with improved performance

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Energy Storage and Saving 2023年第2期2卷 403-414页

作者： Pei-Yuan Dou Xin-Yuan Tang wei-wei yang Ya-Ling He Key Laboratory of Thermo-Fluid Science and Engineering of MOE School of Energy and Power EngineeringXi’an Jiaotong UniversityXi’an710049China

Reactor structure design plays an important role in the performance of solar-thermal methane reforming reactors.Based on a conventional preheating reactor,this study proposed a cylindrical solar methane reforming reactor with multiple inlets to vary the temperature field distribution,which improved the temperature of the reaction region in the reactor,thereby improving the reactor performance.A multi-physical model that considers mass,momentum,species,energy conservation,as well as thermochemical reaction kinetics of methane reforming,was applied to numerically investigate the reactor performance and analyze the factors that affect performance improvement.It was found that compared with a conventional preheating reactor,the proposed cylindrical reac-tor with inner and external inlets for gas feeding enhanced heat recovery from the exhausted gas and provided a more suitable temperature field for the reaction in the reactor.Under different operating conditions,the methane conversion in the cylindrical reactor with multi-inlet increased by 9.5%to 19.1%,and the hydrogen production was enhanced by 12.1%to 40.3%in comparison with the conventional design,even though the total reaction catalyst volume was reduced.

关键词： Methane reforming reaction Solar reactor Heat transfer enhancement Waste heat recovery

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World Journal of Gastroenterology 2012年第48期18卷 7175-7183页

作者： Yu-Rong Tang wei-wei yang Mei-Lan Liang Xin-Yu Xu Mei-Feng Wang Lin Lin Department of Gastroenterology the First Affiliated Hospital of Nanjing Medical University Department of Gastroenterology Nanjing Jiangbei People's HospitalMedical SchoolSoutheast University

AIM:To explore age-related changes in symptoms and quality of life(QoL) of women with irritable bowel syndrome(IBS).METHODS:Two-hundred and fifty-four female adult outpatients with IBS attending the Department of Gastroenterology at the First Affiliated Hospital of Nanjing Medical University between January,2008 and October,2008 were approached.Patients with a history of abdominal surgery,mental illness or those who had recently taken psychotropic drugs were excluded.A physician obtained demographic and abdominal symptom data.All patients were asked to complete the Zung Self-Rated Anxiety and Depression Scale(SDS/SAS) and the IBS-specific QoL questionnaire.The patients were divided into six groups according to age,in 10-year increments:18-27 years,28-37 years,38-47 years,48-57 years,58-67 years and 68-75 years(maximum 75 years).Age-related differences of abdominal pain or discomfort were analyzed using ranksum tests.Differences in SDS/SAS and IBS-QoL scores between age groups were analyzed using one-way analysis of variance.Pearson's correlations evaluated potential associations between IBS symptoms,psychological factors and QoL in each age group.RESULTS:There were no differences in the distribution of IBS subtypes between age groups(χ2 = 20.516,P = 0.153).Differences in the severity of abdominal pain/discomfort with age were statistically significant(χ2 = 25.638,P < 0.001);patients aged 48-57 years,58-67 years or 68-75 years had milder abdominal pain/discomfort than those in the younger age groups.The severity of anxiety or depressive symptoms did not differ between age groups(SDS,χ2 = 390.845,P = 0.110;SAS,χ 2 = 360.071,P = 0.220).Differences of IBSQoL scores were statistically significant between age groups(χ2 = 1098.458,P = 0.011).The scores of patients in the 48-57-year group were lower than those in the 18-27-year and 28-37-year groups(48-57-year group vs 18-27-year group,74.88 ± 8.76 vs 79.76 ± 8.63,P = 0.021;48-57-year group vs 28-37-year group,74.88 ± 8.76 vs 79.04 ± 8.32,P = 0.014).The scores in the 68-

关键词：生活质量年龄相关综合征症状精神病患者南京中医药大学腹部手术妇女

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Clinical efficacy of integral theory–guided laparoscopic integral pelvic floor/ligament repair in the treatment of internal rectal prolapse in females

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World Journal of Clinical Cases 2020年第23期8卷 5876-5886页

作者： yang yang Yong-Li Cao Yuan-Yao Zhang Shou-Sen Shi wei-wei yang Nan Zhao Bing-Bing Lyu Wen-Li Zhang Dong wei Institute of Anal-Colorectal Surgery the 989 Hospital of The Joint Logistics Support Force of PLALuoyang 471031Henan ProvinceChina

BACKGROUND Internal rectal prolapse(IRP)is one of the most common causes of obstructive constipation.The incidence of IRP in women is approximately three times that in men.IRP is mainly treated by surgery,which can be divided into two categories:Abdominal procedures and perineal procedures.This study offers a better procedure for the treatment of IRP.AIM To compare the clinical efficacy of laparoscopic integral pelvic floor/ligament repair(IPFLR)combined with a procedure for prolapse and hemorrhoids(PPH)and the laparoscopic IPFLR alone in the treatment of IRP in women.METHODS This study collected the clinical data of 130 female patients with IRP who underwent surgery from January 2012 to October 2014.The patients were divided into groups A and B.Group A had 63 patients who underwent laparoscopic IPFLR alone,and group B had 67 patients who underwent the laparoscopic IPFLR combined with PPH.The degree of internal rectal prolapse(DIRP),Wexner constipation scale(WCS)score,Wexner incontinence scale(WIS)score,and Gastrointestinal Quality of Life Index(GIQLI)score were compared between groups and within groups before surgery and 6 mo and 2 years after surgery.RESULTS All laparoscopic surgeries were successful.The general information,number of bowel movements before surgery,DIRP,GIQLI score,WIS score,and WCS score before surgery were not significantly different between the two groups(all P>0.05).The WCS score,WIS score,GIQLI score,and DIRP in each group 6 mo,and 2 years after surgery were significantly better than before surgery(P<0.001).In group A,the DIRP and WCS score gradually improved from 6 mo to 2 years after surgery(P<0.001),and the GIQLI score progressively improved from 6 mo to 2 years after surgery(P<0.05).In group B,the DIRP,WCS score and WIS score significantly improved from 6 mo to 2 years after surgery(P<0.05),and the GIQLI score 2 years after surgery was significantly higher than that 6 mo after surgery(P<0.05).The WCS score,WIS score,GIQLI score,and DIRP of group B were significantly better than those of

关键词： Internal rectal prolapse Integral theory Integral pelvic floor/Ligament repair Procedure for prolapse and hemorrhoids Clinical efficacy Minimally invasive surgery for treatment of constipation

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Schiff-base-rich g-C_(x)N_(4) supported PdAg nanowires as an efficient Mott-Schottky catalyst boosting photocatalytic dehydrogenation of formic acid

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Rare Metals 2021年第4期40卷 808-816页

作者： Hu Liu Xue-Xiang Li Xin-yang Liu Zhen-Hui Ma Zhou-yang Yin wei-wei yang Yong-Sheng Yu School of Chemistry and Chemical Engineering Xi’an University of Architecture and TechnologyXi'an 710055China School of Chemistry and Chemical Engineering Northwestern Polytechnical UniversityXi'an 710072China MIIT Key Laboratory of Critical Materials Technology for New Energy Conversion and Storage School of Chemistry and Chemical EngineeringHarbin Institute of TechnologyHarbin 150001China Department of Chemistry Brown UniversityRI 02912USA

Developing an efficient photocatalyst,catalyzing formic acid(FA) dehydrogenation,can satisfy the demand of the H_(2) energy.Herein,a graphitic carbon nitride(gC_(x)N_(4))-based nanosheet(x=3.2,3.6 or 3.8) with melem rings conjugated by Schiff-base bond(N=C-C=N) was synthesized,tuning the bandgaps(Eg) of graphitic carbon nitride(g-C_(3) N_(4)) in the range of 1.8 400 nm) without any additive at 25℃,which is the best value among ever-reported ones.This work provides a new strategy to boost dehydrogenation photocatalysis of FA,which will be promising for practical application of H2 in future energy field.

关键词： Dehydrogenation of formic acid Graphitic carbon nitride Schiff base PdAg nanowires Mott-Schottky heterojunction

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Microstructural evolution and mechanical properties of in situ TiB_2/Al composites under high-intensity ultrasound

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Rare Metals 2015年第3期34卷 168-172页

作者： Cun-Guang Chen Ji Luo Zhi-Meng Guo wei-wei yang Jun Chen Institute of Advanced Materials and Technology University of Science and Technology Beijing

Microstructural evolution and mechanical properties of in situ TiB2/A1 composites fabricated with exothermic reaction process under high-intensity ultra- sound produced by the magnetostrictive transducer were investigated. In this method, the microstructure and grain refining performance of the TiB2/A1 composites were characterized by optical morphology （OM）, scanning electron microscopy （SEM）, energy-dispersive spec- trometer （EDS）, and X-ray diffraction （XRD） analysis. Microstructural observations show a decreasing trend in the grain size of the composites due to the ultrasound and the content of TiB2 particles in the composites. Compared with the process without ultrasound, the morphology and ag- glomeration of TiB2 particles are improved by high-in- tensity ultrasound. Meanwhile, it is proposed that the formation of TiBz particles occurs via the transformation from TiA13, and at the optimal amount of the reactants, the conversion efficiency of TiA13 into TiB2 almost reaches up to 100 %. Finally, the effects of high-intensity ultrasound and TiB2 particles on the mechanical properties of the TiB2/A1 composites were also discussed.

关键词： Microstructural evolution Mechanicalproperties In situ High-intensity ultrasound Magnetostrictive transducer

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Fabrication and mechanical properties of high-performance aluminum alloy

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Rare Metals 2014年第4期33卷 400-403页

作者： wei-wei yang Zhi-Meng Guo Hui-Qin Cao Ji Luo An-Ping Ye Institute of Advanced Materials and Technology University of Science and Technology Beijing

High-performance Al-Cu-Mg alloy was fabri- cated by high-energy ball milling, sintering, and hot extrusion. The microstructure and mechanical properties of the material were preliminarily investigated. Results show that the formation of liquid phase during sintering pro- motes the densification of the aluminum powders. A 97.1% theoretical density is achieved in this alloy after sintering. The material shows excellent mechanical prop- erties after extrusion and heat treatment. The ultimate tensile strength and yield strength of the extruded samples with heat treatment are 613 and 465 MPa, respectively.

关键词： Aluminum alloys Ball mill Sintering Extrusion Mechanical properties

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Titanium nitride nanorod array/carbon cloth as flexible integrated host for highly stable lithium-sulfur batteries

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Rare Metals 2023年第12期42卷 4115-4127页

作者： Rui-Qing Liu Feng Jin Min Gu Dong-Wen Zhang Lu-Lu He Wen-Xiu Liu Wen-Feng Zhu Kun Xie Jing-Yi Wu Yi-Ran Liu wei-wei yang Xiu-Jing Lin Li Shi Xiao-Miao Feng Zhen Hou Ji-Gang Zhou Yan-Wen Ma State Key Laboratory of Organic Electronics and Information Displays and Institute of Advanced Materials(IAM) Jiangsu National Synergetic Innovation Center for Advanced Materials(SICAM)Nanjing University of Posts and TelecommunicationsNanjing 210023China Department of Applied Physics The Hong Kong Polytechnic UniversityHung Hom 1000872Hong KongChina Canadian Light Source Inc. University of SaskatchewanSaskatoonSK S7N 2V3Canada Suzhou Vocational Institute of Industrial Technology Suzhou 215104China

Lithium-sulfur(Li-S)batteries have been regarded as promising energy-storage systems,due to their high theoretical capacity and energy density.However,the carbonaceous sulfur hosts suffer from weak binding force between the hosts and polysulfides,restricting the cyclic stability of sulfur electrode.Meantime,the presence of binder and conductive agent in the traditional electrode reduces its energy density.This study demonstrates that titanium nitride(TiN)nanorod array on carbon cloth(CC)is employed as a flexible host for highly stable Li-S batteries via solvothermal synthesis-nitridation strategy.On the one hand,the flexible integrated network composed of three-dimensional TiN nanorod array and CC significantly improves the conductivity,increases the electron transport and electrolyte penetration of cathode.On the other hand,the 3D structure of TiN/CC and the enhanced polarity of TiN effectively strengthen the physical and chemical double adsorption for polysulfides.As a result,the combination of TiN nanorod array and CC synergistic ally promotes sulfur utilization and electrochemical performances of S@TiN/CC cathode.A discharge capacity of1015.2 mAh·g^(-1)at 0.5C after 250 cycles and 604.1mAh·g^(-1)at 3C after 250 cycles is realized.Under a larger current density of 5C,the resulting S@TiN/CC cathode maintains a high discharge capacity of 666.6 mAh·g^(-1)and the Coulombic efficiency of about 100%.

关键词： Titanium nitride Nanorod array Integrated structure Chemical adsorption Lithium-sulfur batteries

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Magnetic properties and microstructure of nanocomposite(Nd,Pr)–Fe–B ribbons by doping Nb element

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Rare Metals 2014年第2期33卷 171-175页

作者： wei-wei yang Ji Luo Hai-Jun Peng Yan-Li Sui Xue-Xu Gao Advanced Materials and Technology Institute University of Science and Technology Beijing State Key Laboratory for Advanced Metals and Materials University of Science and Technology Beijing

Effects of Nb addition and annealing treatmen on magnetic properties and microstructure of（Nd0.4Pr0.6）9Fe76–xNbxB15（x = 0–4） ribbons were systematically investigated by means of vibrating sample magnetometer（VSM） and X-ray diffraction（XRD）. The extra phases with nonmagnetic（Nd,Pr）1.1Fe4B4phase and metastable compound（Nd,Pr）2Fe23B3 crystallized during quenching the Nb-free alloy. Moreover, the nonmagnetic（Nd,Pr）1.1Fe4B4phase does not diminish during the following annealing treatment. The addition of Nb to（Nd,Pr）–Fe–B alloy suppresses metastable（Nd,Pr）2Fe23B3 and nonmagnetic（Nd,Pr）1.1Fe4B4phases. The intrinsic coercivity increases from 397 kA m-1for the Nb-free sample to1,091 kA m-1for the 4 at% Nb-doped sample optimally annealed. The Nb-free sample has the magnetic properties with Js= 1.04 T, Jr= 0.66 T, and（BH）max= 43.5 kJ m-3By comparison, the magnetic properties of the 4 at% Nbdoped sample were 0.97 T, 0.68 T, and 65.7 kJ m-3respectively. The significant improvement of magnetic properties mainly originates from the finer grains of the ribbons by introducing Nb.

关键词： Nanocomposite magnets Microstructure Magnetic properties

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