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Guardian喉罩联合七氟醚、丙泊酚—瑞芬太尼在全麻剖宫产术中的应用 被引量:21
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作者 鲍瑞军 张佩军 +1 位作者 王建波 张庆 《山东医药》 CAS 2012年第40期62-64,共3页
目的对Guardian喉罩联合七氟醚、丙泊酚—瑞芬太尼全麻在剖宫产中的应用进行临床观察。方法将60例ASAⅠ~Ⅱ级拟行择期剖宫产手术且椎管内麻醉禁忌的足月初产妇随机分为两组,每组30例,A组(全麻组)采用Guardian喉罩联合七氟醚、丙泊酚—... 目的对Guardian喉罩联合七氟醚、丙泊酚—瑞芬太尼全麻在剖宫产中的应用进行临床观察。方法将60例ASAⅠ~Ⅱ级拟行择期剖宫产手术且椎管内麻醉禁忌的足月初产妇随机分为两组,每组30例,A组(全麻组)采用Guardian喉罩联合七氟醚、丙泊酚—瑞芬太尼全麻;B组(局麻组)采用1%利多卡因行切口局部浸润麻醉,待胎儿娩出后,静脉注射咪唑安定0.03 mg/kg、芬太尼1~2μg/kg或氯胺酮1~1.5 mg/kg。两组麻醉前均开放上肢静脉通道,静注甲氧氯普胺10 mg、输注6%羟乙基淀粉500 mL,再以乳酸钠林格氏液维持。术中持续监测心电图(ECG)、血压(BP)、心率(HR)、脉搏血氧饱和度(SpO2)。观察两组产妇麻醉开始至手术开始时间、手术时间、术中失血量、术中低血压的发生例数及麻黄碱或去氧肾上腺素的使用次数,胎儿出生即刻、5 min、10 min的新生儿Apgar评分。结果两组产妇在年龄、体质量、孕龄、麻醉开始至手术开始时间、术中失血量等方面无统计学差异(P>0.05)。两组新生儿出生即刻、5 min、10 min Apgar评分均无统计学差异(P>0.05)。A组手术时间较B组明显缩短(P<0.05),并且患者具有较高的麻醉满意度。结论 Guardian喉罩联合七氟醚、丙泊酚—瑞芬太尼全麻用于择期剖宫产手术是一种安全、有效、舒适的麻醉方法,特别适用于椎管内麻醉禁忌拟行择期剖宫产术的产妇。 展开更多
关键词 guardian喉罩 丙泊酚 七氟醚 全身麻醉 剖宫产
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Guardian喉罩用于剖宫产术的临床研究 被引量:8
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作者 赵国胜 韩斌 刘野 《临床麻醉学杂志》 CAS CSCD 北大核心 2014年第2期157-159,共3页
目的观察Guardian喉罩静脉全麻在剖宫产术中应用的有效性和安全性。方法剖宫产术孕妇60例,其中择期手术35例,急诊手术25例,年龄26~38岁。随机分为Guardian喉罩组(G组)和气管插管组(T组)。G组喉罩置入成功后置入胃管引流胃液。观察记录... 目的观察Guardian喉罩静脉全麻在剖宫产术中应用的有效性和安全性。方法剖宫产术孕妇60例,其中择期手术35例,急诊手术25例,年龄26~38岁。随机分为Guardian喉罩组(G组)和气管插管组(T组)。G组喉罩置入成功后置入胃管引流胃液。观察记录两组患者插管(喉罩)前、插管(喉罩)后、拔管(喉罩)前、拔管(喉罩)后HR、MAP变化,麻醉诱导后移除面罩至插管(喉罩)成功时间(T1)、麻醉诱导后移除面罩至胎儿娩出时间(T2)、新生儿Apgar评分、气道峰压值、反流病例数、引流胃液量、插管(喉罩)失败率、术后咽痛等不良反应。结果与G组比较,T组在插管后、拔管前、拔管后HR明显增快,MAP明显升高(P<0.05),T组产妇T1明显延长(P<0.05)。两组产妇T2、气道峰压值和新生儿Apgar评分差异无统计学意义。两组均无反流病例发生。T组术后咽痛患者7例,明显多于G组的1例。G组引流出胃液量平均26ml。结论 Guardian喉罩插入和拔除操作对血流动力学无明显影响,方便置入胃管引流胃液、降低胃内压,术后不良反应少,可安全有效地用于剖宫产患者全麻气道管理。 展开更多
关键词 guardian喉罩 气管插管 剖宫产
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A Study of Information-packaging Constructions in the News and Sports Sections of The Guardian
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作者 白玛曲珍 琼达 白玛德吉 《海外英语》 2014年第14期281-282,共2页
The paper studies the use of information-packaging structures in newspaper from a pragmatic point of view. It is based on the 800 corpus examples randomly chosen from the news and sports sections of Guardian. The pape... The paper studies the use of information-packaging structures in newspaper from a pragmatic point of view. It is based on the 800 corpus examples randomly chosen from the news and sports sections of Guardian. The paper studies the structures preposing, postposing, inversion, extraposition, and dislocation, as well as existential, cleft and passive constructions. It shows that that the news and sports sections of The Guardian are not extensively marked by the use of information-packaging structures. 展开更多
关键词 information-packaging structure guardian
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Transition Stage Control of Tail Sitter Aircraft Based on Guardian Maps
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作者 ZHANG Yong CHEN Xinyi 《Transactions of Nanjing University of Aeronautics and Astronautics》 EI CSCD 2020年第2期322-331,共10页
To deal with the high nonlinearities and strong couplings in the transition stage of tailsitter aircraft,an adaptive gainscheduling controller is proposed by combining the guardian maps theory and H∞control theory.Th... To deal with the high nonlinearities and strong couplings in the transition stage of tailsitter aircraft,an adaptive gainscheduling controller is proposed by combining the guardian maps theory and H∞control theory.This method is applied to track the flightpath angle of the transition stage of tailsitter aircraft,and compared with the linear quadratic regulator(LQR)method based on traditional gain scheduling.Simulation results show that the controller based on the guardian maps theory can autonomously schedule the appropriate control parameters and accomplish the stable transition.Besides,the proposed method shows better tracking performance than the LQR method based on traditional gain scheduling. 展开更多
关键词 tailsitter aircraft transition stage guardian maps adaptive gainscheduling controller
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The Guardian,China Daily中特朗普访华报道的认知识解分析
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作者 朱文莉 徐筱帆 黄臣珍 《哈尔滨职业技术学院学报》 2020年第3期160-162,共3页
随着我国综合实力的不断增强,近年来我国与其他国家的外交活动也越来越频繁。2017年11月,美国总统特朗普首次访华受到中美两国乃至全世界的关注,中外媒体的报道就十分具有代表性,能够突出代表两国对中美关系及其他方面的观点与看法。通... 随着我国综合实力的不断增强,近年来我国与其他国家的外交活动也越来越频繁。2017年11月,美国总统特朗普首次访华受到中美两国乃至全世界的关注,中外媒体的报道就十分具有代表性,能够突出代表两国对中美关系及其他方面的观点与看法。通过运用认知社会语言学的理论知识,结合识解机制、批评话语分析理论来分析探究特朗普总统访华期间,The Guardian,China Daily两个具有权威性的报刊在对此次事件的报道中表达上的差异,以此来探索中外语篇所表达出的不同立场和政治态度,有助于分析隐藏在政治话语背后的意识形态侵入,揭示出语言表达与意识形态之间的深层次关系。 展开更多
关键词 特朗普访华 认知识解 认知社会语言学 The guardian China Daily
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Constitutional Court Dysfunction as a Guardian of Constitutional Rights of Religious Minorities in Indonesia
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作者 Manotar Tampubolon 《Sociology Study》 2014年第11期938-948,共11页
Right to freedom of religion and belief guaranteed by the constitution in the positive legal order, in practice, does not necessarily guarantee freedom. The Constitution of the Republic of Indonesia provides a guarant... Right to freedom of religion and belief guaranteed by the constitution in the positive legal order, in practice, does not necessarily guarantee freedom. The Constitution of the Republic of Indonesia provides a guarantee of religious freedom for every citizen under Article 28 E of the 1945 Constitution. The Constitutional Court, which is required to protect, maintain, and ensure religious freedom for religious minorities, is deemed to fail guarding the right of religious minorities, because in addition to providing a restrictive ruling on a judicial review of the rule of law which is contrary to the basic law, it also fails to interpret legal products under the laws as part of the constitution. The Constitutional Court dysfunction as a guardian of the constitutional rights of religious minorities occurs because of the vacuum of law (recht vacuum), a narrow interpretation of the constitution by the constitutional judges. The urgency that needs to be addressed is to provide the Constitutional Court with a more extensive authority, which is not limited only to review legal products under laws, but also includes production of Law on Freedom of Religion and Belief for protection in the application of Article 28 E of the 1945 Constitution. 展开更多
关键词 Constitutional Court right to freedom of religion guardian of human rights discriminatory rules interpretation ofconstitution
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Forest Guardian The four-decade old Green Great Wall program succeeds in keeping the Gobi Desert at bay
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作者 Li Qing 《ChinAfrica》 2019年第3期26-27,共2页
Wang Tianran,28,is no stranger to the long forest north of her hometown Tianjin Municipality in north China."When I was a primary school student,the .Three-North Shelterbelt Forest Program was always mentioned du... Wang Tianran,28,is no stranger to the long forest north of her hometown Tianjin Municipality in north China."When I was a primary school student,the .Three-North Shelterbelt Forest Program was always mentioned during school broadcasts,"shesaid.The program is part of an ecological project that covers northwest,north and northeast China. 展开更多
关键词 ECOLOGICAL project FOREST guardian
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Guge and Its Gate Guardian
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《China's Tibet》 1998年第3期14-15,共2页
GugeandItsGateGuardianeginningonthe29thdayofthe12thmonth,Lhasawasimmersedinhappines.TheTibetanswhohadbeenw... GugeandItsGateGuardianeginningonthe29thdayofthe12thmonth,Lhasawasimmersedinhappines.TheTibetanswhohadbeenworkingforawholeye... 展开更多
关键词 and ITS guardian
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Green Guardian
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作者 Yuan Yuan 《ChinAfrica》 2015年第3期24-25,共2页
A prominent mining company that discharged waste into a reservoir has recently felt the brunt of China's updated Environmental Protection Law, in a concerted commitment to clamp down hard on environmental polluters. ... A prominent mining company that discharged waste into a reservoir has recently felt the brunt of China's updated Environmental Protection Law, in a concerted commitment to clamp down hard on environmental polluters. In August 2014, the Huangchangping Mining Co. in central China's Hubei Province began trial production of pyrites without formal approval from the local environ- mental watchdog and dumped untreated waste water on nearby land. The toxic sewage seeped into groundwater that then flowed into the Oianzhangyan Reservoir, taint- ing the drinking water supplies for people living in Wushan and Fengjie counties in Chongqing Municipality neighbor- ing Hubei. 展开更多
关键词 CO Green guardian MLR
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Guardian Correspondent:China Is the “Greatest Place for Foreign Journalists”
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作者 FU QI 《The Journal of Human Rights》 2008年第3期7-9,共3页
"I have worked in ten countries as a reporter and been posted in two, China and Japan," said Jonathan Watts, correspondent of The Guardian in Beijing. "I think China is the greatest place for journalists."
关键词 guardian Correspondent Greatest Place for Foreign Journalists
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Dalai Disavows Guardian of Buddhist Doctrine
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作者 WEI SE 《China's Tibet》 1996年第6期6-7,共2页
Dalai Disavows Guardian of Buddhist DoctrineDalaiDisavowsGuardianofBuddhistDoctrine¥WEISEGyaiqenXudain,orDoj... Dalai Disavows Guardian of Buddhist DoctrineDalaiDisavowsGuardianofBuddhistDoctrine¥WEISEGyaiqenXudain,orDojeXudainwhichmeans... 展开更多
关键词 Dalai Disavows guardian of Buddhist Doctrine
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Tantric Guardian Dance of Tibetan Buddhism
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作者 BENDO 《China's Tibet》 1996年第1期36-37,共2页
TantricGuardianDanceofTibetanBuddhism¥//BENDOTantrismisauniquecomponentofTibetanBuddhism,andtheTantricGuardi... TantricGuardianDanceofTibetanBuddhism¥//BENDOTantrismisauniquecomponentofTibetanBuddhism,andtheTantricGuardianDancehasgainedg... 展开更多
关键词 Tantric guardian Dance of Tibetan Buddhism
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未成年人个人信息保护的现实困境与路径优化
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作者 刘永红 邓海霞 《成都大学学报(社会科学版)》 2024年第4期115-128,共14页
大数据时代,个人信息保护越来越为人们所关注。未成年人作为特殊主体,对其个人信息及隐私的保护具有重要现实价值。虽然我国已有了初步的立法规则构建,但是在实践中仍然存在对未成年人敏感信息的年龄划分界定不清、监护人同意规则不足... 大数据时代,个人信息保护越来越为人们所关注。未成年人作为特殊主体,对其个人信息及隐私的保护具有重要现实价值。虽然我国已有了初步的立法规则构建,但是在实践中仍然存在对未成年人敏感信息的年龄划分界定不清、监护人同意规则不足、未成年人被遗忘权本土化的现实困境。结合域外国家最新立法及我国相关司法实践,以坚持最有利于未成年人原则为基础,需要对未成年人年龄标准进行三阶段界分、提出监护人同意规则的未来出路、完善我国未成年人被遗忘权保护制度,以此优化我国未成年人个人信息的法律保护。 展开更多
关键词 未成年人 个人信息保护 年龄标准划分 监护人同意规则 被遗忘权
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基于“脾为之卫”理论探讨肠道微生态的失衡与心力衰竭的关系
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作者 刘长兴 郭心怡 +4 位作者 王博宇 时娜 陈秋涵 周亚滨 王贺 《中国动脉硬化杂志》 CAS 2024年第3期263-270,共8页
心力衰竭是心血管疾病终末期的致命阶段,因其死亡率和再住院率一直居高不下,故给社会带来了巨大的医疗负担。肠道微生态(IM)是人体最大、最复杂的微生态系统,它是由数以万计的微生物寄居在人体的胃肠道内,这些微生物被统称为肠道菌群(GM... 心力衰竭是心血管疾病终末期的致命阶段,因其死亡率和再住院率一直居高不下,故给社会带来了巨大的医疗负担。肠道微生态(IM)是人体最大、最复杂的微生态系统,它是由数以万计的微生物寄居在人体的胃肠道内,这些微生物被统称为肠道菌群(GM)。近些年来随着对肠道菌群研究的不断深入,越来越多的研究发现肠道菌群的失衡会改变心力衰竭患者体内基础代谢,促进全身炎症级联反应,是心力衰竭发生发展的关键诱因之一,因此以肠道微生物稳态作为治疗心力衰竭的新切入点将是医学研究的热点。然而中医理论“脾为之卫”涵盖了脾主运化、脾主升清、藏意主思等生理功能,肠道菌群与“脾为之卫”的职能有一定的相似性。文章从整体观念出发,以中医“脾为之卫”理论为切入,就肠道微生态失衡与心力衰竭发病机制进行阐述,为心力衰竭中医治疗或药物研究提供参考。 展开更多
关键词 脾为之卫 肠道微生态 心力衰竭
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宜宾市0 ~ 3 岁儿童血清维生素D 水平与其监护人营养知识、态度及行为的关系
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作者 邓茂文 向爱华 +2 位作者 杨显春 代涌 雷方芳 《发育医学电子杂志》 2024年第3期172-178,共7页
目的分析宜宾市0~3岁儿童血清维生素D水平与其监护人营养知识、态度及行为(knowledge,architecture and practice,KAP)的关系。方法采用方便抽样法,抽取2020年1月至12月于宜宾市中医医院等3所医疗机构进行儿童保健的510例0~3岁儿童为研... 目的分析宜宾市0~3岁儿童血清维生素D水平与其监护人营养知识、态度及行为(knowledge,architecture and practice,KAP)的关系。方法采用方便抽样法,抽取2020年1月至12月于宜宾市中医医院等3所医疗机构进行儿童保健的510例0~3岁儿童为研究对象,并按年龄段分类:0~<1岁363例,1~≤3岁147例。收集喂养情况、生长发育情况、生活方式等资料。检测血清25-羟维生素D(25-hydroxy vitamin D,25-OH-D)水平。问卷调查监护人营养KAP。统计学方法采用t检验、ANOVA方差分析、χ^(2)检验、秩和检验和Pearson相关性分析。结果0~<1岁组儿童血清25-OH-D水平高于1~≤3岁组,维生素D不足和缺乏的发生率低于1~≤3岁组;体型超重/肥胖儿童的血清25-OH-D水平低于体型正常和营养不良儿童,维生素D不足和缺乏的发生率高于体型正常和营养不良组;户外活动时间≥2 h/d儿童血清25-OH-D水平高于户外活动时间<2h/d儿童,维生素D不足和缺乏的发生率低于户外活动时间<2 h/d组;维生素D补充量≥300 IU/d儿童血清25-OH-D水平高于<300 IU/d儿童,维生素D不足和缺乏的发生率低于<300 IU/d儿童,差异均有统计学意义(P值均<0.05)。监护人为父母的营养KAP评分均高于其他监护人[知识:(81.9±10.1)分与(68.8±12.5)分;态度:(88.8±7.9)分与(86.1±8.3)分;行为:(79.7±11.2)分与(72.9±12.8)分,P值均<0.05]。Pearson相关性分析结果显示,监护人营养KAP评分与血清25-OH-D水平均呈正相关(r值分别为0.801、0.647和0.836,P值均<0.05)。监护人营养KAP评分与儿童维生素D不足和缺乏有关联性,其列联系数分别为0.469、0.604和0.425。结论宜宾市0~3岁儿童血清维生素D缺乏发生率高,维生素D营养状况与监护人营养KAP评分呈正相关,提高监护人营养KAP评分有利于更好地采取合理措施防控儿童维生素D缺乏。 展开更多
关键词 维生素D 儿童 知识、态度及行为 监护人 营养不良
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A Division of Labor Perspective on Mothers Who Accompany Their Children’s Study--A Case Study of Student Guardianship among M Town’s Working Families 被引量:4
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作者 Fan Yunxia Zheng Xinrong Shi Jing 《Social Sciences in China》 2020年第1期159-181,共23页
In modern society,female parents from different strata are involved in the process of constructing their motherhood through education.But mothers of different social classes have different ways of acting.Amid increasi... In modern society,female parents from different strata are involved in the process of constructing their motherhood through education.But mothers of different social classes have different ways of acting.Amid increasingly fierce educational competition,the mothers of ordinary working families move into the school neighborhood to look after their children as the college entrance examination(gaokao)approaches,and construct their“student guardian motherhood”status through their task of accompanying their children’s study.This paper takes as its subject mothers as student guardians in M Town,a typical gaokao community,providing a structural analysis of the features of such mothers’educational labor and production relations from the perspective of gender and class.Seen in the light of the family’s gendered division of labor,the educational work of student guardian mothers is a new form of housework.In terms of the content of its division of labor,the student guardian work of mothers dedicated to their children’s well-being counts as“low-end”work,an overflow from links in the division of labor in school education.On the one hand,due to their lack of cultural capital,the relationship between parents and schools is one of“accompanying”and“submission.”On the other,these parents consciously keep their distance from“quality education”and form an organic compound with the schools’efficient exam-centered education.The traditional Chinese idea of“hoping one’s sons become dragons”[achieve greatness]and the modern“child-centered”concept of nurturing jointly shape the image of student guardian mothers who work as service-oriented mothers in tandem with school education.The function of student guardians is not only the educational labor of“looking after the children”enjoined on middle-and lower-class female parents by the current division of education and social labor,but also an active and rational action strategy adopted by working class Chinese mothers striving for their children’s academic success. 展开更多
关键词 educational labor division of labor student guardian strata and gender
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《民法典》视域下监护人责任的解释论重构——以监护制度的辐射效应为视角
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作者 汪倪杰 《法治研究》 CSSCI 北大核心 2024年第3期85-99,共15页
我国《民法典》第1188条规定监护人对被监护人所致第三人损害承担无条件的替代责任,引发长久争议,应予反思。其症结在于忽视了监护制度对监护人责任的辐射效应,以及监护职责对于监护人责任构成的影响。为解决上述问题,首先,应充分顾及... 我国《民法典》第1188条规定监护人对被监护人所致第三人损害承担无条件的替代责任,引发长久争议,应予反思。其症结在于忽视了监护制度对监护人责任的辐射效应,以及监护职责对于监护人责任构成的影响。为解决上述问题,首先,应充分顾及监护制度对于被监护人责任能力的消解作用,重新挖掘被监护人承担自己责任的可能;其次,应明确监护人责任是以违反监护职责为前提的过错责任,并通过将监护人与被监护人角色类型化明确监护职责的内容及强度;最后,应在解释论层面确立被监护人与监护人自己责任的构成要件,并与《民法典》中无意思联络数人侵权责任的分配规则保持体系融贯。 展开更多
关键词 监护人责任 监护职责 抚养义务 责任能力 过错责任
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多参数监护仪检定装置测量不确定度分析
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作者 邝仕敏 《中国测试》 CAS 北大核心 2024年第S01期208-213,共6页
该文针对多参数监护仪的各个参数在日常检定时,能得到更加准确可靠的测量数据,从A类不确定度测量重复性及被检设备分辨力,与B类不确定度测量标准器准确度等不确定度分量去分析,结果得出各个相关参数的测量不确定度,电压2.6%、扫描速度1... 该文针对多参数监护仪的各个参数在日常检定时,能得到更加准确可靠的测量数据,从A类不确定度测量重复性及被检设备分辨力,与B类不确定度测量标准器准确度等不确定度分量去分析,结果得出各个相关参数的测量不确定度,电压2.6%、扫描速度1.3%、幅频特性2.9%、心率、脉率、呼吸率均为1.3次/min、压力1.2mmHg、呼末二氧化碳浓度1.1mmHg,可供从事多参数监护仪检定人员参考。 展开更多
关键词 多参数监护仪 测量不确定度 不确定度来源分析
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论被监护人侵权之诉的被告:兼评《民法典》侵权责任编解释征求意见稿第七条
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作者 包冰锋 郎莉 《河南财经政法大学学报》 CSSCI 2024年第1期145-154,共10页
根据《关于适用〈中华人民共和国民法典〉侵权责任编的解释(一)(征求意见稿)》第七条的规定,被监护人侵权之诉中应将监护人和被监护人列为共同被告。该内容与实体法和程序法规定相悖的同时,也背离了司法解释的制定规则。从立法出发,《... 根据《关于适用〈中华人民共和国民法典〉侵权责任编的解释(一)(征求意见稿)》第七条的规定,被监护人侵权之诉中应将监护人和被监护人列为共同被告。该内容与实体法和程序法规定相悖的同时,也背离了司法解释的制定规则。从立法出发,《民法典》第一千一百八十八条所确立的监护人责任应为严格的个人责任,受害人应以监护人为单独被告提起被监护人侵权之诉。但现行实体法规定存在监护人责任过重,各个主体之间权益不均衡的问题,不利于现代侵权法预防功能的实现。基于此,应当以年龄为形式标准确立未成年人民事责任制度,具备民事责任能力的未成年人有为其行为承担侵权责任的能力,应当作为侵权纠纷的适格被告。 展开更多
关键词 被监护人侵权 监护人责任 当事人适格 必要共同诉讼 民事责任能力
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符号学视角下纪录片《守护解放西》对长沙城市形象的建构与传播
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作者 石蒙蒙 曹巧 《城市学刊》 2024年第3期95-101,共7页
《守护解放西》作为新时代警务纪实类节目的创新表达,对塑造和传播长沙城市形象而言是一次成功的破圈之旅。本文以符号学框架探究《守护解放西》出圈的原因,显在层面从人情政府、繁华星城、友好市民、趣味长沙进行多方位符号建构,潜在... 《守护解放西》作为新时代警务纪实类节目的创新表达,对塑造和传播长沙城市形象而言是一次成功的破圈之旅。本文以符号学框架探究《守护解放西》出圈的原因,显在层面从人情政府、繁华星城、友好市民、趣味长沙进行多方位符号建构,潜在层面从花字、短镜头、弹幕等方面进行技术性符码建构。通过解析长沙城市形象“自诉”与“自塑”的内在逻辑,以期为城市形象管理者带来新启发,为城市形象的多维呈现提供新路径。 展开更多
关键词 符号学 城市形象传播 技术性符码 守护解放西
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