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基于彩虹模型的家庭医生签约服务模式比较研究

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卫生经济研究 2019年第3期36卷 26-28页

作者：刘园园范转转姚东明江西中医药大学江西南昌330004

家庭医生是我国居民健康的"守门人",当前我国家庭医生签约服务模式主要有:杭州模式、上海模式、盐城模式、厦门模式、定远模式。本文以彩虹模型为理论框架,从宏观、中观、微观及支持要素四个层次以及系统、专业、组织、临床、功能及规... 详细信息

家庭医生是我国居民健康的"守门人",当前我国家庭医生签约服务模式主要有:杭州模式、上海模式、盐城模式、厦门模式、定远模式。本文以彩虹模型为理论框架,从宏观、中观、微观及支持要素四个层次以及系统、专业、组织、临床、功能及规范六个维度,对五种模式进行对比分析,为我国推进家庭医生签约服务提供建议。

关键词：家庭医生签约服务彩虹模型

Nutrition support in surgical patients with colorectal cancer

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World Journal of Gastroenterology 2011年第13期17卷 1779-1786页

作者： Yang Chen Bao-Lin Liu Bin Shang Ai-Shan Chen Shi-Qing Liu Wei Sun Hong-zhuan Yin Jian-Qiao Yin Qi su Department of Surgery Shengjing Hospital China Medical UniversityShenyang 110004 Liaoning Province China

AIM: To review the application of nutrition support in patients after surgery for colorectal cancer, and to propose appropriate nutrition strategies. METHODS: A total of 202 consecutive surgical patients admitted to our hospital with a diagnosis of colon cancer or rectal cancer from January 2010 to July 2010, meeting the requirements of Nutrition Risk Screening 2002, were enrolled in our study. Laboratory tests were performed to analyze the nutrition status of each patient, and the clinical outcome variables, including postoperative complications, hospital stay, cost of hospitalization and postoperative outcome, were analyzed. RESULTS: The "non-risk" patients who did not receive postoperative nutrition support had a higher rate of postoperative complications than patients who received postoperative nutrition support (2.40 ± 1.51 vs 1.23 ± 0.60, P = 0.000), and had a longer postoperative hospital stay (23.00 ± 15.84 d vs 15.27 ± 5.89 d, P = 0.009). There was higher cost of hospitalization for patients who received preoperative total parenteral nutrition (TPN)than for patients who did not receive preoperative TPN (62 713.50 ± 5070.66 RMB yuan vs 43178.00 ± 3596.68 RMB yuan, P = 0.014). Applying postoperative enteral nutrition significantly shortened postoperative fasting time (5.16 ± 1.21 d vs 6.40 ± 1.84 d, P = 0.001) and postoperative hospital stay (11.92 ± 4.34 d vs 15.77 ± 6.03 d, P = 0.002). The patients who received postoperative TPN for no less than 7 d had increased serum glucose levels (7.59 ± 3.57 mmol/L vs 6.48 ± 1.32 mmol/L, P = 0.006) and cost of hospitalization (47 724.14 ± 16 945.17 yuan vs 38 598.73 ± 8349.79 yuan, P = 0.000). The patients who received postoperative omega-3 fatty acids had a higher rate of postoperative complications than the patients who did not (1.33 ± 0.64 vs 1.13 ± 0.49, P = 0.041). High level of serum glucose was associated with a high risk of postoperative complications of infection. CONCLUSION: Appropriate and moderate nutrition

关键词： Nutritional support Nutrition assessment Colorectal cancer Surgery Prognosis

基于氢能的风-火耦合多能系统设计与综合评估

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电力自动化设备 2021年第10期41卷 227-233,255页

作者：袁铁江高玲玉谢永胜周专大连理工大学电气工程学院辽宁大连116024 国网新疆电力有限公司新疆乌鲁木齐830011

为了提高火电机组深度调峰极限,挖掘其提升新能源消纳能力的潜力,构建了基于氢能的风-火耦合多能系统。建立了风-火耦合多能系统的设计框架,包括设计原则、系统组成及评价指标体系等,提出了富裕风电制氢支撑的风-火耦合多能系统的总体结... 详细信息

为了提高火电机组深度调峰极限,挖掘其提升新能源消纳能力的潜力,构建了基于氢能的风-火耦合多能系统。建立了风-火耦合多能系统的设计框架,包括设计原则、系统组成及评价指标体系等,提出了富裕风电制氢支撑的风-火耦合多能系统的总体结构;考虑经济性、能源利用、"双碳"目标、可靠性这4个方面的影响因素,提出了风-火耦合多能系统的多尺度评价指标及其数学模型,并基于模糊层次分析-熵权法确定各指标的权重占比;以某地区拟建的风-火耦合多能系统结构设计为例,验证了所提方法的有效性,可为实际工程建设提供了一定的参考。

关键词：风-火耦合多能系统调峰氢能系统设计综合评估

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面向统一能源系统的氢能规划框架

中国电机工程学报 2022年第1期42卷 83-93页

作者：张红袁铁江谭捷开赛江周专大连理工大学电气工程学院辽宁省大连市116024 国网新疆电力有限公司新疆维吾尔自治区乌鲁木齐市830000

统一能源系统该如何考虑新能源随机性对供能可靠性的影响,利用多能互补与季节性储能技术,提高能源利用率,确保中长时间尺度上电/热/气/油化产品的可靠供应。首先,提出氢能系统的基本结构(电制氢–储氢–氢转X)及其支撑统一能源系统的运... 详细信息

统一能源系统该如何考虑新能源随机性对供能可靠性的影响,利用多能互补与季节性储能技术,提高能源利用率,确保中长时间尺度上电/热/气/油化产品的可靠供应。首先,提出氢能系统的基本结构(电制氢–储氢–氢转X)及其支撑统一能源系统的运行模式。其次,提出季节性氢储能规划框架,根据季节性氢储能的关键特征,建立其运行分析与能量调控模型;考虑统一能源系统对储能功能的不同需求,建立储能互补机制,以短时储能调节时间的上限作为季节性储能能量调节的时间分辨率,基于此提出季节性氢储能的配置方法,确保季节性氢储能配置后系统无长时能量缺失;再对季节性氢储能规划方案进行综合评估。最后,在统一能源系统背景下,验证所提氢能规划框架的有效性。

关键词：统一能源系统可靠性储能互补机制季节性氢储能规划

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我国铁路货车滚动轴承的发展历程

铁道车辆 2005年第10期43卷 1-8页

作者：刘吉远柴小转铁道部运输局装备部货车处北京100844 郑州铁路局月山车辆段河南焦作454493

从轴承结构的变化、保持架材质的变化、轴承密封装置的改进、轴承润滑脂的优化、检修技术标准的不断完善5个方面阐述了我国铁路货车滚动轴承的发展历程。

关键词：滚动轴承试验发展技术标准

低温制备具有强荧光性能三氧化钼纳米带水溶胶

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影像科学与光化学 2012年第5期30卷 384-389页

作者：张源吴良专余愿李豫珍只金芳中国科学院理化技术研究所光化学转换与功能材料重点实验室北京100190 中国科学院研究生院北京100049

通过过氧化途径,在低温(100℃)且不使用模板和有机溶剂的条件下,成功制备了具有良好荧光性能的三氧化钼(MoO3)纳米带水溶胶.利用X射线衍射仪(XRD)、透射电子显微镜(TEM)、高分辨透射电子显微镜(HRTEM)、荧光光谱仪、荧光显微镜等表征手... 详细信息

通过过氧化途径,在低温(100℃)且不使用模板和有机溶剂的条件下,成功制备了具有良好荧光性能的三氧化钼(MoO3)纳米带水溶胶.利用X射线衍射仪(XRD)、透射电子显微镜(TEM)、高分辨透射电子显微镜(HRTEM)、荧光光谱仪、荧光显微镜等表征手段对所制备溶胶的结构及性能进行了表征.结果显示,溶胶是由长度约为100μm,宽度为50nm到100nm,厚度小于10nm的MoO3纳米带组成.所制备的溶胶烘干后可以得到大面积的MoO3纳米带薄膜,薄膜具有很好的韧性.荧光光谱图及荧光显微镜照片显示,纳米带溶胶及干燥后所得到的自支撑(free standing)纳米带薄膜均具有良好的荧光性能,表明其在光学成像、传感及LED等方面具有很好的应用前景.

关键词：三氧化钼溶胶纳米带薄膜荧光

Diagnosis and treatment of autoimmune pancreatitis: experience with 100 patients

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Hepatobiliary & Pancreatic Diseases International 2014年第6期13卷 642-648页

作者： Lei Xin yuan-Xiang He Xiao-Fei Zhu Qun-Hua Zhang Liang-Hao Hu Duo-Wu Zou Zhen-Dong Jin Xue-Jiao Chang Jian-Ming Zheng Changhai Hospital Second Military Medical University Chang-Jing Zuo Cheng-Wei Shao Gang Jin zhuan Liao Zhao-Shen Li Department of Gastroenterology Changhai Hospital Second Military Medical University Department of Surgical Oncology Chinese PLA General Hospital Department of General Surgery Huashan Hospital Fudan University Department of Pathology Changhai Hospital Second Military Medical University Department of Nuclear Medicine Changhai Hospital Second Military Medical University Department of Radiology Changhai Hospital Second Military Medical University Department of General Surgery Changhai Hospital Second Military Medical University

BACKGROUND： Autoimmune pancreatitis （ALP） is increasingly recognized as a unique subtype of pancreatitis. This study aimed to analyze the diagnosis and treatment of AIP patients from a tertiary care center in China. METHODS： One hundred patients with AIP who had been treated from January 2005 to December 2012 in our hospital were enrolled in this study. We retrospectively reviewed the data of clinical manifestations, laboratory tests, imaging examinations, pathological examinations, treatment and outcomes of the patients. RESULTS： The median age of the patients at onset was 57 years （range 23-82） with a male to female ratio of 8.1：1. The common manifestations of the patients included obstructive jaundice （49 patients, 49.0%）, abdominal pain （30, 30.0%）, and acute pancreatitis （11, 11.0%）. Biliary involvement was one of the most extrapancreatic manifestations （64, 64.0%）. Fifty-six （56.0%） and 43 （43.0%） patients were classified into focal- type and diffuse-type respectively according to the imaging examinations. The levels of serum IgG and IgG4 were elevated in 69.4% （43/62） and 92.0% （69/75） patients. Pathological analysis of specimens from 27 patients supported the diagnosis of lymphoplasmacytic sclerosing pancreatitis, and marked （〉10 ceUs/HPF） IgG4 positive cells were found in 20 （74.1%） *** treatment and surgery as the main initial treatments were given to 41 （41.0%） and 28 （28.0%） patients, respectively. The remission rate after the initial treatment was 85.0%. Steroid was given as the treatment after relapse in most of the patients and the total remission rate at the end of follow-up was 96.0%. CONCLUSIONS： Clinical manifestations, laboratory tests, imaging and pathology examinations in combination could increase the diagnostic accuracy of AIP. Steroid treatment with an initial dose of 30 or 40 mg prednisone is effective and safe in most patients with AIP.

关键词： autoimmune pancreatitis immunoglobulin G4 steroid treatment

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活性干酵母流加培养的动力学研究

河南农业大学学报 2005年第3期39卷 287-289页

作者：徐桂转袁超常春河南农业大学河南郑州450002 郑州大学化工学院河南郑州450002

研究了活性干酵母(ADY)流加培养的动力学,前期主要采用分批培养的形式,当总糖降至10 g.L-1时,进入补料流加阶段.通过动力学分析得到了2个不同阶段的模型方程,通过理论计算与试验数据的比较,表明该模型能较好地对培养过程进行描述.在流... 详细信息

研究了活性干酵母(ADY)流加培养的动力学,前期主要采用分批培养的形式,当总糖降至10 g.L-1时,进入补料流加阶段.通过动力学分析得到了2个不同阶段的模型方程,通过理论计算与试验数据的比较,表明该模型能较好地对培养过程进行描述.在流加培养的动力学模型的基础上,确定了优化补料的方程,在实际应用中可采取指数逼近的方法实现补料的优化流加.

关键词：活性干酵母培养流加

Synthesis and Crystal Structure of Dinuclear Copper(Ⅱ)Complex Cu_2(μ-PhCOO)_4(amet)_2·2CH_3COCH_3

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Chinese Journal of Structural Chemistry 1997年第5期16卷 349-354页

作者： GUO Sheng-Li ZHAO zhuan-Yun WANG Guo-Jun YIN yuan-Qi(Lanzhou Institute of Chemical Physics, the Chinese Academy of Scicnces, Lanzhou 730000)YU KAIBEI(Chengdu Institute of Organic Chemistry, the Chinese Academy of Sciences, Chengdu 610041 )

Reaction of copper powder, dibenzoyl peroxide and 2-amino-4methyl-5-ethoxycarbonyl thiazole (amet) by refluxing in acetone yielded the dinuclearcopper(Ⅱ) complex Cu2 (μ-PhCOO)4 (amet)2- 2CH3COCH3. Crystal structure determination showed that each copper atom is coordinated by four bridged benzoxy and oneamet molecule with an M-M bond (Cu-Cu (A) = 2.6899 (7 ) ), therefore the coor-dination environment around the copper center is a distorted square pyramid with N(1)at the apical position. Blocks of Cu2 (μ-PhCOO)4 (amet)2·2CH3COCH3 crystallize inthe triclinic space group Ph, with Mr= 1100.14, a= 9. 631 (1), b=10. 446 (2), c=12. 758(2) ; a=91. 31 (1), β=95. 50(1),γ= 94. 87(1)°, V=1272. 4(3), Z=1, Dc= 1. 436 g/cm3, F(000) = 570, μ=0. 986 mm-1 and R=0.033, Rw=*** IR spectra, which are of great interest since the molecule has ketone, ester andcarboxylate group simultaneously, are also discussed.

关键词： copper (Ⅱ) complex,crystal structure 2-amino-4-methyl-5-ethoxycarbonyl thiazole (amet)