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Comparison between visual clinical examination and the replica method for assessments of sealant retention over a 2-year period
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作者 Xuan Hu Xi Chen +3 位作者 Lu Ye Ming-Wen Fan Marie-Charlotte Huysmans Jo E Frencken 《International Journal of Oral Science》 SCIE CAS CSCD 2014年第2期111-115,共5页
To compare the levels of agreement and the survival rates of sealant retention for different sealing materials over a 2-year period assessed using the visual clinical examination and replica methods,sealant retention ... To compare the levels of agreement and the survival rates of sealant retention for different sealing materials over a 2-year period assessed using the visual clinical examination and replica methods,sealant retention data were obtained by visual clinical examination and from replicas of the same sealed tooth at baseline and at 0.5-,1-and 2-year evaluation points in 407 children and were compared for agreement using kappa coefficients.Survival curves of retained sealants on occlusal surfaces were created using modified categorisation(fully retained sealants and those having all pits and fissures partly covered with the sealant material versus completely lost sealants that included pit and fissure systems that had o1 pit re-exposed)according to the Kaplan–Meier method.The kappa coefficient for the agreement between both assessment methods over the three evaluation time points combined was 0.38(95%confidence interval(CI):0.35–0.41).More sealant retention was observed from replicas than through visual clinical examination.Cumulative survival curves at the three evaluation times were not statistically significantly higher when assessed from replicas(P50.47).Using the replica method,more retained sealant material was observed than through visual clinical examination during the2-year period.This finding did not result in a difference in the survival rates of sealants assessed by the two assessment methods.When replicas cast in die stone are used for assessing sealant retention,the level of reliability of the data is higher than that of data obtained through the commonly used visual clinical examination,particularly if such assessments are conducted over time. 展开更多
关键词 密封材料 评估方法 临床检查 时间点 保存 视觉 复制 密封剂
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Assessment of Retention Ponds and Its Impacts on Health of Residents in Mogadishu, Somalia: Mixed Methods
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作者 Mohamed Ahmed Kullane Mohamed Ibrahim Abdi-Soojeede 《Journal of Water Resource and Protection》 CAS 2024年第4期293-307,共15页
The purpose of this study was to evaluate the effects of retention ponds on the environment and population health by analyzing water samples from various ponds in Mogadishu, to determine the prevalence of waterborne i... The purpose of this study was to evaluate the effects of retention ponds on the environment and population health by analyzing water samples from various ponds in Mogadishu, to determine the prevalence of waterborne illnesses that occur during the rainy season in Mogadishu, and to find out what experts thought about the effects of retention ponds on the environment as well as population health in Mogadishu. Methods: Mixed designs were used in the study. The first design is an exploratory study where samples are taken from different retention ponds in Mogadishu. The second design involves gathering secondary data from the online FSNAU Dashboard regarding the incidence of rainfall and waterborne illnesses including malaria and cholera. Additionally, a cross-sectional survey of expert opinions using questionnaires was the third design. The 10 water samples were taken from retention ponds in Mogadishu as part of the sample size. Data on the fourth month was also gathered using the FNSAU dashboard, and seventy sample sizes were used for the expert self-administered questionnaire for the third design. Excel was used for data analysis in the initial design. While BMI SPSS versions 22 were used to analyze the data from the Self-administered Questionnaire, additional methods were utilized to compute descriptive statistics, such as mean and standard deviation, and to analyze demographic data in a frequency table. Findings: The results show that three samples had unsatisfactory scores (Grade D): Yaqshid (Warshadda Bastada) had a WQI of 80.85, Boondheer (Bondher Pond) had a WQI of 80.64, and Wartanabad (Xamar Jadiid Pond) had a WQI of 80.89. The remaining samples were all rated as fair (grade), which indicates that they ranged from 50 to 75. The months with the largest rainfall already occurred in December, November, and October, when the prevalence of diseases during the rainy season was highest for cholera cases. Although October and December saw a significant number of malaria cases, November did not. Retention ponds’ overall effects on residential environments were evaluated, and the results showed that the standard deviation was 0.802 and the cumulative average mean scores were 4.41 overall. This indicates that the respondents were in agreement that retention ponds in Mogadishu, Somalia, had an effect on residential areas. Recommendation: The study suggested that in order to identify retention pond contamination and create treatment units for its management, the Ministry of Health forms a district-level public health committee. All districts must have a sewer system installed by the local government, and retention ponds must be made easier in order to move waste outside of the city. 展开更多
关键词 retention PONDS CONTAMINATION Water Quality Index Waterborne Diseases Mogadishu SOMALIA
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A systematic review of the efficacy of traditional Chinese medicine retention enema in the treatment of ulcerative colitis
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作者 Jiaji LI Ling TANG +2 位作者 Ye LI Jingjin XU Jing ZHANG 《Journal of Integrative Nursing》 2024年第1期55-61,共7页
The objective of this study is to summarize the efficacy and safety of traditional Chinese medicine(TCM)enema in the treatment of ulcerative colitis(UC).The randomized controlled trials on TCM enema intervention in th... The objective of this study is to summarize the efficacy and safety of traditional Chinese medicine(TCM)enema in the treatment of ulcerative colitis(UC).The randomized controlled trials on TCM enema intervention in the treatment of UC were searched in seven databases:PubMed,Embase,Web of Science,CBM,CNKI,Wanfang Database,and VIP Database from January 1,2013 to June 6,2022,and the data were analyzed using RevMan 5.3 software.A total of 18 studies involving 1514 UC patients were included.Meta analysis results showed that compared with conventional Western medicine,Chinese medicine enema had a significant effect on UC,and the clinical effective rate of the experimental group using Chinese medicine enema was 4.45 times that of the control group using conventional Western medicine(odds ratio=4.45,95%confidence interval[3.27,6.06]).Therefore,Chinese medicine enema is effective in the treatment of UC,and can significantly reduce related symptoms. 展开更多
关键词 Meta‑analysis retention enema systematic review traditional Chinese medicine ulcerative colitis
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High Urine Retention: Experience in a Series of Patients with Renal Failure Patients
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作者 Cyrille Ze Ondo Abdoulaye Ndiath +6 位作者 Amath Thiam Alioune Sarr Ndiaga Seck Ndour Ousmane Sow Babacar Sine Babacar Diao Alain Khassim Ndoye 《Open Journal of Urology》 2024年第1期1-10,共10页
Purpose: High urinary retention (HUR) can negatively impact renal function. Our study aimed to present the epidemiological, diagnostic, and therapeutic aspects of HUR in a Senegalese academic hospital. Patients and Me... Purpose: High urinary retention (HUR) can negatively impact renal function. Our study aimed to present the epidemiological, diagnostic, and therapeutic aspects of HUR in a Senegalese academic hospital. Patients and Methods: We conducted a retrospective study of 70 patients with HUR associated with renal failure from January 2017 to December 2020. Parameters examined included: age, sex, coexisting conditions affecting renal function, clinical symptoms, diagnostic tests, causes of HUR, urinary diversion, and patient outcomes. Results: The average age was 66, with a majority of male patients (87%). Twenty-three patients had pre-existing medical conditions. Oligo-anuria was the most common reason for detecting HUR (70%). Half of the patients had an ECOG score ≥ 2. The mean creatinine level was 50.7 mg/l. Nineteen patients exhibited hydroelectrolytic disorders. Bacterial colonization was observed in 25 patients. Ultrasound and computed tomography were the most frequently performed imaging tests (100% and 62.8%, respectively). Sixty-seven patients had ureterohydronephrosis (UHN), with bilateral UHN in 88.6% of cases. Pelvic cancers (47.1%) were the primary cause of HUR, primarily bladder cancers (27.1%). Nephrostomy was the most common urinary drainage method (50%), particularly for obstructions due to pelvic cancer (88.6%). The majority of patients (52.8%) regained normal renal function after drainage. Nineteen deaths occurred among elderly patients with compromised general health. Conclusion: Urinary drainage significantly improved renal function for most patients. Pelvic cancer emerged as the leading cause of HUR. Nephrostomy was the predominant drainage method. 展开更多
关键词 KIDNEY Urinary retention Renal Failure Urinary Diversions Senegal
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Petroleum Retention,Intraformational Migration and Segmented Accumulation within the Organic-rich Shale in the Cretaceous Qingshankou Formation of the Gulong Sag,Songliao Basin,Northeast China 被引量:1
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作者 HUANGFU Yuhui ZHANG Jinyou +6 位作者 ZHANG Shuichang WANG Xiaomei HE Kun GUAN Ping ZHANG Huanxu ZHANG Bin WANG Huajian 《Acta Geologica Sinica(English Edition)》 SCIE CAS CSCD 2023年第5期1568-1586,共19页
In this study,organic geochemical and petrological analyses were conducted on 111 shale samples from a well to understand the retention,intraformational migration and segmented accumulation(shale oil enrichment in dif... In this study,organic geochemical and petrological analyses were conducted on 111 shale samples from a well to understand the retention,intraformational migration and segmented accumulation(shale oil enrichment in different intervals is unconnected)features of shale oil within the organic-rich shale in the Qingshankou Formation of the Gulong Sag.Our study shows that retained petroleum characteristics in the investigated succession are mainly influenced by three factors:organic richness,intraformational migration and segmented accumulation.Organic matter richness primarily controls the amount of retained petroleum,especially the‘live’component indicated by the S_(2)value rather than the total organic carbon(TOC)figure alone.The negative expulsion efficiencies determined by mass-balance calculations of hydrocarbons reveal that petroleum from adjacent organic-rich intervals migrates into the interval of about 2386-2408 m,which is characterized by high free hydrocarbon(S_(1)),OSI and saturated hydrocarbons content,along with a greater difference inδ^(13)C values between polar compounds(including resins and asphaltenes)and saturated hydrocarbons.The depth-dependent heterogeneity of carbon isotope ratios(δ^(13)C)of mud methane gas,δ^(13)C of extracts gross composition(SARA),δ^(13)C of kerogen and SARA content of extracts suggest that the studied succession can be subdivided into four intervals.The shale oil sealing enrichment character in each interval is further corroborated by the distinctδ^(13)C values of mud methane gas in different intervals.Due to the migration of petroleum into the 2386-2408 m interval,the S_(1),OSI and saturated hydrocarbons content of the interval show higher relative values.The maturity of organic matter in the 2471-2500 m interval is at the highest with the smaller size molecular components of the retained petroleum.Thus,favorable‘sweet spots’may be found in the 2386-2408 m interval and the 2471-2500 m interval,according to the experiment results in this study. 展开更多
关键词 shale oil oil retention intraformational migration segmented accumulation Gulong Sag
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How can we increase attraction and retention of nurses? A research with young nurses
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作者 Diane-Gabrielle Tremblay Marie-Julie Lanoix 《Open Journal of Nursing》 2023年第11期763-785,共23页
The persistent challenges in attracting and retaining a diverse healthcare workforce, with a specific focus on nurses, have become increasingly pronounced in recent years. These hurdles have been exacerbated by a grow... The persistent challenges in attracting and retaining a diverse healthcare workforce, with a specific focus on nurses, have become increasingly pronounced in recent years. These hurdles have been exacerbated by a growing difficulty in retaining young nurses, thereby exacerbating labor shortages driven by demographic shifts and the retirement of experienced nursing professionals. While most research efforts have concentrated on the broader issue of nurse retention, our study is centered on a specific demographic—young nurses. Our research endeavors to shed light on the unique challenges faced by young nurses through a qualitative survey involving nursing students who are simultaneously employed. We seek to discern the multifaceted obstacles they encounter in both their academic environment and the healthcare organizations where they work. While certain challenges are linked to course organization, examinations, and the time required for studying, our respondents overwhelmingly emphasize the pivotal role of the work environment in facilitating the harmonization of work, family, and educational commitments. This reconciliation is achieved through measures such as flexible working arrangements and the efficient organization of nursing duties. The primary objective of our research is to provide insights into how these diverse challenges can be effectively addressed and how a range of measures can significantly contribute to the attraction and retention of nursing students, as well as the long-term retention of nurses within the healthcare system. Our recommendations are intended to be of practical use to a wide array of stakeholders, including academic institutions, particularly colleges and universities offering nursing programs, as well as hospitals, clinics, and other healthcare institutions that hire nurses. By collaboratively addressing these challenges and implementing the recommended measures, we aim to fortify the healthcare workforce and ensure the continued provision of quality care to patients. . 展开更多
关键词 ATTRACTION retention Nurses NURSING Wok-Life Balance
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The Influence of Fabric Structural Parameters on Dust Retention Using a Simple, Newly Constructed Device
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作者 Samia B. Hassan Mohamed A. Saad 《Journal of Textile Science and Technology》 2023年第1期101-114,共14页
This article has been directed to Environment Protection Technology with the purpose of providing a new instrument designed and developed to measure filtration efficiency through the relationship between clean cloth f... This article has been directed to Environment Protection Technology with the purpose of providing a new instrument designed and developed to measure filtration efficiency through the relationship between clean cloth fabric structural parameters, dust parameters, and test measuring variables. Fabric samples used throughout the present study were woven cotton 100%, polyester 100% and cotton/polyester 50/50%. The warp count: 30/2 for all fabric samples, the weft count is 9/1;12/1;and 20/1. The weave of satin, basket, and twill is 3/1 with four different picks/cm to produce the fabrics with the same cover factor. For dust separation fabrics range in weight from “300 - 450 g/m<sup>2</sup>” with an air permeability of “100 - 300 l/d m<sup>2</sup>·min” at “196.2 Pa” (20 mm WG) as specified in DIN 53887. Air permeability through fabrics depends entirely on the sieving percent of the surface of the fabric, which is partly the pores and partly the permeability through the yarns, which are the basic elements of a fabric. The results showed that dust capturing depends entirely on air permeability, which is related to fabric weave structure and fabric material at specified testing and measuring variables. 展开更多
关键词 Dust retention PERMEABILITY Fabric Structure YARN
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Intron Retention Fine-Tunes the Resistance of the Rice Mutant pls4 to Rice Sheath Blight(Rhizotonia solani AG I.1a)
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作者 Shaochun Liu Jiamin Hu +4 位作者 Haohua He Junru Fu Xu Jie Dahu Zhou Haihui Fu 《Phyton-International Journal of Experimental Botany》 SCIE 2023年第7期2035-2049,共15页
OsPLS4 encodes aβ-ketoacyl carrier protein reductase(KAR).The role of OsPLS4 in rice sheath blight(Rhizoctonia solani)remains unclear.Our preliminary studies showed that premature leaf senescence mutants(pls4)were hi... OsPLS4 encodes aβ-ketoacyl carrier protein reductase(KAR).The role of OsPLS4 in rice sheath blight(Rhizoctonia solani)remains unclear.Our preliminary studies showed that premature leaf senescence mutants(pls4)were highly susceptive to sheath blight in the early stage of rice development.To explore the role of this gene in the development of rice sheath blight,the transcriptome profiles of the rice pls4 mutant and wild type were compared by RNA-seq.The results revealed 2,569 differentially expressed genes(DEGs).The down-regulated genes were significantly enriched in the defense response-related biological processes.These down-regulated genes included the chitinase genes and WRKY genes,which were significantly changed in pls4 mutants.Furthermore,467 genes induced significant alternative splicing(AS)events.Among them,intron retention(IR)affected gene expression levels and functions of the vitamin B6(VB6)metabolism pathway related to sheath blight.This result suggests that IR plays an important role in the sheath blight resistance of mutant pls4.Together,these results indicate that pls4 could be involved in the biological process of sheath blight via DEGs and the fine-tuning of IR.The present study provides a molecular basis for further investigation of the resistance of rice to sheath blight. 展开更多
关键词 Alternative splicing intron retention RNA-sequencing rice sheath blight vitamin B6 metabolism
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不同助留体系对装饰原纸二氧化钛复合填料留着效果的影响
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作者 张妍 王慧乐 +3 位作者 乔文朴 王一凡 刘忠 吴海标 《中国造纸》 CAS 北大核心 2024年第1期131-140,共10页
本研究分别分析了单元助留体系阳离子聚酰胺环氧氯丙烷树脂(PAE),双元助留体系PAE/阴离子聚丙烯酰胺(APAM)、PAE/膨润土(MMT)、PAE/阳离子聚丙烯酰胺(CPAM),三元助留体系PAE/CPAM/APAM、PAE/CPAM/MMT对装饰原纸TiO_(2)/滑石粉复合填料... 本研究分别分析了单元助留体系阳离子聚酰胺环氧氯丙烷树脂(PAE),双元助留体系PAE/阴离子聚丙烯酰胺(APAM)、PAE/膨润土(MMT)、PAE/阳离子聚丙烯酰胺(CPAM),三元助留体系PAE/CPAM/APAM、PAE/CPAM/MMT对装饰原纸TiO_(2)/滑石粉复合填料留着效果的影响。确定了各个体系的最佳添加量,并筛选出助留效果最好的助留体系。结果表明,当PAE添加量2.0%、CPAM添加量0.08%、MMT添加量0.6%时,组成的PAE/CPAM/MMT三元助留体系留着效果最佳,此时,浆料和填料留着率分别为89.5%和65.0%,纸张的不透明度、白度及匀度分别为98.5%、86.6%和91。 展开更多
关键词 填料留着率 单元助留体系 双元助留体系 三元助留体系
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延髓外侧梗死致尿潴留1例并文献复习
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作者 孟庆芳 张征 +5 位作者 李霞 王蕾 张明庆 姬琳 赵婧 王兴臣 《中国医药导报》 CAS 2024年第6期189-192,共4页
延髓外侧梗死是常见的脑干梗死综合征之一,但在临床上其导致尿潴留的病例并不多见。本文回顾性分析山东中医药大学第二附属医院收治的延髓外侧梗死致尿潴留的患者1例,患者以头晕、行走不稳为主要症状,同时发现存在急性尿潴留的临床表现... 延髓外侧梗死是常见的脑干梗死综合征之一,但在临床上其导致尿潴留的病例并不多见。本文回顾性分析山东中医药大学第二附属医院收治的延髓外侧梗死致尿潴留的患者1例,患者以头晕、行走不稳为主要症状,同时发现存在急性尿潴留的临床表现,完善影像学检查后诊断为延髓外侧梗死;神经源性膀胱(尿潴留)。及时予以患者静脉溶栓、导尿及其他对症治疗,约1个月后其自主排尿功能完全恢复。尽管延髓外侧梗死导致尿潴留的病例不常见,但应充分了解并提高对此类情况的认知,做到全面预判,提前告知患者及其家属尿潴留的可能性及其预后,反之,在颅脑CT显示不佳、MRI完善不及时的情况下,对于眩晕症状明显而其他定位体征较少,同时又合并急性尿潴留的患者,也能给予脑干-延髓外侧部分-可能受损的提示,提高对后循环梗死的警惕和重视,给予及时、适当的处理,避免延治失治。 展开更多
关键词 延髓外侧梗死 临床表现 尿潴留 脑桥排尿中枢
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PEFT聚酯的制备及PEFT纳滤膜的截留性能
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作者 苏坤梅 赵冬生 +1 位作者 李振环 张马亮 《天津工业大学学报》 CAS 北大核心 2024年第1期1-9,共9页
为了解决聚对苯二甲酸乙二醇酯(PET)材料制品使用后降解缓慢和聚2,5-呋喃二甲酸二甲酯(PEF)韧性差的问题,开发一种新型嵌段共聚酯聚2,5-呋喃二甲酸-乙二醇-co-对苯二甲酸酯(PEFT),可通过酯交换-熔融缩聚法合成,且PEFT拥有与PEF相媲美的... 为了解决聚对苯二甲酸乙二醇酯(PET)材料制品使用后降解缓慢和聚2,5-呋喃二甲酸二甲酯(PEF)韧性差的问题,开发一种新型嵌段共聚酯聚2,5-呋喃二甲酸-乙二醇-co-对苯二甲酸酯(PEFT),可通过酯交换-熔融缩聚法合成,且PEFT拥有与PEF相媲美的热力学性能。利用FTIR及NMR等对聚酯结构进行表征,结果表明该方法成功制备了PEFT聚酯。通过TG、DSC和紫外光照表征,结果表明PEFT聚酯热学性能优良,且在紫外光照射下可快速降解。又将PEFT聚酯材料通过非溶剂致相分离法(NIPS)制备了不同铸膜液浓度的PEFT纳滤膜,用于对染料离子及金属盐溶液的截留,而后对其表面粗糙度、水接触角、荷电性、染料和金属盐离子的截留能力等方面进行了测试。结果表明:PEFT纳滤膜对甲基蓝(Mr=799.8)染料、酸性品红(Mr=585.4)染料都具有良好的截留性能,最高截留率可达99%和87.7%,并且纳滤膜经长期循环后仍具有较高的稳定性,但对金属盐(MgSO4)溶液截留性能不佳,截留率最高不超过35%。综合研究发现PEFT纳滤膜在染料截留方面性能突出。 展开更多
关键词 呋喃基聚酯 熔融缩聚 纳滤膜 染料截留 降解
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黄精多糖提取工艺优化及其吸湿、保湿性能研究
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作者 程茜菲 张玩涛 +5 位作者 王飞娟 李娟花 彭修娟 王静 韩文冬 刘峰 《中国野生植物资源》 CSCD 2024年第2期20-25,共6页
目的:优化黄精多糖提取工艺,并研究其吸湿保湿性能、探索其护肤功能。方法:采用热回流法结合正交进行黄精多糖提取工艺优化;以黄精多糖为实验对象,采用重量法进行吸湿性(相对湿度分别为43%和81%)、保湿性试验,并对吸湿曲线进行模型拟合... 目的:优化黄精多糖提取工艺,并研究其吸湿保湿性能、探索其护肤功能。方法:采用热回流法结合正交进行黄精多糖提取工艺优化;以黄精多糖为实验对象,采用重量法进行吸湿性(相对湿度分别为43%和81%)、保湿性试验,并对吸湿曲线进行模型拟合;将黄精多糖添加到市售面霜中进行皮肤水分测试。结果:实验表明黄精多糖最佳提取工艺条件为:料液比1∶25(g/mL),提取时间是150 min,提取次数为1次;黄精多糖在不同相对湿度下的吸湿均符合双指数模型;置于干硅胶环境下48 h,黄精多糖保湿率为14.00%。结论:黄精多糖具有良好的保湿性,在护肤品开发中具有一定的应用价值。 展开更多
关键词 黄精多糖 提取工艺优化 吸湿保湿性能
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持续质量改进管理对降低产妇自然分娩后尿潴留发生率的效果研究
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作者 曾丽玲 庄幼青 +1 位作者 饶金 李雪然 《国际医药卫生导报》 2024年第6期1043-1046,共4页
目的探讨持续质量改进对降低产妇自然分娩后尿潴留发生率的效果。方法本研究为临床观察研究,选取2021年1月至12月于广东省妇幼保健院自然分娩的产妇作为研究对象,其中将产一区3062例产妇作为试验组、产二区3112例产妇作为对照组。试验... 目的探讨持续质量改进对降低产妇自然分娩后尿潴留发生率的效果。方法本研究为临床观察研究,选取2021年1月至12月于广东省妇幼保健院自然分娩的产妇作为研究对象,其中将产一区3062例产妇作为试验组、产二区3112例产妇作为对照组。试验组产妇年龄(29.52±4.25)岁;会阴伤口情况:无伤口266例,Ⅰ度裂伤2152例,Ⅱ度裂伤、侧切644例。对照组产妇年龄(29.68±4.09)岁;会阴伤口情况:无伤口244例,Ⅰ度裂伤2179例,Ⅱ度裂伤、侧切689例。对照组实施常规尿潴留护理措施,试验组在常规护理基础上给予持续质量改进管理措施。观察试验组及对照组尿潴留发生率、留置尿管率、尿潴留产妇护理单使用规范率,对比改进前后尿潴留发生率、留置尿管率、尿潴留产妇护理单使用规范率。采用χ^(2)检验、秩和检验、独立样本t检验。结果试验组与对照组尿潴留发生率、留置尿管率、尿潴留产妇护理单使用规范率对比差异均有统计学意义[3.20%(98/3062)比4.45%(139/3112),1.40%(43/3062)比2.80%(87/3112),88.78%(87/98)比56.12%(78/139)](χ^(2)=6.702、14.354、29.988,均P<0.05)。改进前后对比发现,产妇尿潴留发生率、留置尿管率、尿潴留产妇护理单使用规范率对比差异均有统计学意义(均P<0.05)。结论持续质量改进能够有效降低产妇自然分娩后尿潴留发生率及提高护理质量水平。 展开更多
关键词 分娩 尿潴留 持续质量改进 管理 护理
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某院急诊患者滞留原因分析与对策
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作者 王彬翀 蒋玉梅 +4 位作者 李红霞 赵旸 陈阿鹏 徐妙 刘正稳 《中国卫生质量管理》 2024年第1期30-33,共4页
目的 分析某院急诊患者滞留情况,为缓解急诊患者滞留难题提供参考。方法 回顾性分析该院2022年1月-12月急诊科患者滞留情况和滞留原因。结果 2022年1月-12月该院共有949人次急诊患者滞留超过24 h。急诊患者滞留排名前5的内科科室是神经... 目的 分析某院急诊患者滞留情况,为缓解急诊患者滞留难题提供参考。方法 回顾性分析该院2022年1月-12月急诊科患者滞留情况和滞留原因。结果 2022年1月-12月该院共有949人次急诊患者滞留超过24 h。急诊患者滞留排名前5的内科科室是神经内科、消化内科、呼吸内科、肾脏内科和心血管内科,排名前5的外科科室是神经外科、肝胆外科、心血管外科、泌尿外科和普通外科,内科科室滞留人数明显多于外科科室;滞留原因主要为:医院重症监护床位设置不足,多学科会诊不及时和急诊患者病情特殊等。结论 医院应建立多学科立体交融的现代医学管理体系,以解决急诊患者滞留问题。 展开更多
关键词 急诊 患者滞留 多学科会诊 床位管理 急救通道
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Hawley保持器戴用后咬(牙合)变化的数字化分析
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作者 张杰 江静 +1 位作者 刘光俊 冯剑颖 《浙江临床医学》 2024年第3期370-372,共3页
目的 分析正畸完成后患者佩戴Hawley保持器前后的咬(牙合)状态,以评估在牙齿保持过程中Hawley保持器对咬(牙合)产生的变化。方法选取固定拔牙矫治结束,并拆除矫治器后即刻佩戴Hawley保持器的患者20例。应用iTero扫描仪记录正畸结束即刻(... 目的 分析正畸完成后患者佩戴Hawley保持器前后的咬(牙合)状态,以评估在牙齿保持过程中Hawley保持器对咬(牙合)产生的变化。方法选取固定拔牙矫治结束,并拆除矫治器后即刻佩戴Hawley保持器的患者20例。应用iTero扫描仪记录正畸结束即刻(T1)及正畸结束后6个月(T2)牙尖交错位的咬(牙合)接触。比较T1和T2期全牙弓、前后段和左右侧咬(牙合)接触面积、接触点数目的变化。结果 T2期后段牙弓、左右侧牙弓、总牙弓的咬(牙合)接触面积和接触点数目比T1期增加(P<0.05);前段牙弓的咬(牙合)接触面积和接触点数目在T1期与T2期差异无统计学意义(P>0.05)。T2期咬(牙合)接触间距范围0~0.2 mm时的咬(牙合)接触点均在T1期咬(牙合)接触间距范围0~1.0 mm,表明牙齿发生牙尖磨耗的生理性调整。结论 正畸固定治疗结束后佩戴Hawley保持器,有利于后牙合发生生理性调整,咬(牙合)稳定性和紧密性有明显的改善,但对前牙咬(牙合)影响较小。 展开更多
关键词 咬(牙合)接触 保持 HAWLEY保持器
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物理化学效应对膨胀土收缩特性的影响机制
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作者 马田田 于海文 +2 位作者 韦昌富 伊盼盼 姚传芹 《岩土力学》 EI CAS CSCD 北大核心 2024年第3期697-704,共8页
膨胀土由于其骨架带有较多的固定负电荷,层间存在与负电荷平衡的可交换阳离子,使得土体呈现较强的胀缩性。研究结果表明,膨胀土的胀缩性会受到孔隙溶液化学成分的影响。选用广西地区的强膨胀土作为研究对象,开展了不同浓度的NaCl溶液对... 膨胀土由于其骨架带有较多的固定负电荷,层间存在与负电荷平衡的可交换阳离子,使得土体呈现较强的胀缩性。研究结果表明,膨胀土的胀缩性会受到孔隙溶液化学成分的影响。选用广西地区的强膨胀土作为研究对象,开展了不同浓度的NaCl溶液对膨胀土土-水特征曲线和收缩曲线影响的试验研究,引入了粒间应力的概念对收缩曲线进行描述,该粒间应力考虑了渗透、毛细和吸附的影响。结果表明:孔隙盐溶液是通过渗透吸力对土-水特征曲线产生影响,对基质吸力的影响较小。土样在脱湿过程中的收缩变形是由粒间应力来控制的,类似于加压固结现象。大部分的收缩都发生在毛细阶段,为弹塑性变形;吸附阶段的收缩较少,为弹性变形。通过识别压缩曲线上的弹塑性分界点可以得出毛细和吸附作用的分界点,该分界点与独立测量的不同密实度下的持水曲线结果一致。结果表明,粒间应力能够更好地描述膨胀土的化学-力学行为,特别是在低含水率条件下。 展开更多
关键词 膨胀土 土-水特征曲线 收缩曲线 孔隙盐溶液 粒间应力
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滇中地区主要森林凋落物有效截留量及其影响因素
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作者 王平 李璐杉 +1 位作者 丁智强 李玉辉 《水土保持研究》 CSCD 北大核心 2024年第3期213-221,229,共10页
[目的]研究滇中地区主要森林类型凋落物有效截留量差异及其影响因素,为该地未来植被恢复和森林管理提供科学支撑。[方法]利用样方调查法、烘干法和浸泡法分析了昆明市双河—磨南德水源林自然保护区内的地带性次生常绿阔叶林(SF)、针阔... [目的]研究滇中地区主要森林类型凋落物有效截留量差异及其影响因素,为该地未来植被恢复和森林管理提供科学支撑。[方法]利用样方调查法、烘干法和浸泡法分析了昆明市双河—磨南德水源林自然保护区内的地带性次生常绿阔叶林(SF)、针阔混交林(TF)、旱冬瓜林(ACF)、华山松林(PA)、成熟云南松林(OPY)、幼龄云南松林(YPY)、银荆林(AD)7种主要森林类型凋落物未分解层(OL)和半分解层(OF)的有效截留量及其影响因素。[结果](1) 7种森林类型凋落物厚度为2.06~7.57 cm,其中OL层1.10~4.30 cm, OF层0.83~3.93 cm,凋落物层厚度排序为TF>ACF>PA>OPY>SF>AD>YPY,凋落物蓄积量为4.75~17.45 t/hm^(2),其中OL层占比为32.02%~62.48%,OF层占比为37.52%~67.98%,凋落物层蓄积量排序为TF>PA>SF>OPY>ACF>AD>YPY。(2)凋落物最大持水率为115.3%~170.7%,初始吸水速率为3.65~5.62 g/(g·h),凋落物持水率和浸水时间的关系可用对数函数y=aln(x)+b表示,吸水速率与浸水时间可用幂函数y=kt~n表示。(3)凋落物最大持水量为7.05~32.19 t/hm^(2),排序为PA>TF>SF>OPY>ACF>AD>YPY,有效截留量为5.45~25.34 t/hm^(2),以TF最高(25.34t/hm^(2)),PA(24.99 t/hm^(2))和SF(24.62 t/hm^(2))次之,YPY最低(5.45t/hm^(2)),影响有效截留量的场地特征主要为蓄积量、自然含水率、分解强度以及厚度,影响有效截留量的水动力过程主要是最大失水量、前6.0 h平均吸水速率和前2.0 h平均吸水速率。[结论]滇中地区未来植树造林应以针阔混交林为主,注重对地带性次生常绿阔叶林的保育,采取辅助自然更新的措施促进人工纯林向混交林演化,同时减少踩踏、收集凋落物等人类活动的干扰,从而增加森林生态系统凋落物的水源涵养能力。 展开更多
关键词 凋落物 主要森林类型 持水特性 有效截留量 滇中地区
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美国学术能力评估测试的存废之争及其启示
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作者 赵俊芳 李露 《黑龙江高教研究》 北大核心 2024年第1期83-88,共6页
鉴于“肯定性行动”取消导致弱势群体录取比例下降、学术能力评估测试筛选功能需求降低以及高等教育机构利益受到影响,美国众多院校不再强制要求学生提交标准化考试成绩。这一招生政策的调整引发学界和社会的广泛关注,美国学术能力评估... 鉴于“肯定性行动”取消导致弱势群体录取比例下降、学术能力评估测试筛选功能需求降低以及高等教育机构利益受到影响,美国众多院校不再强制要求学生提交标准化考试成绩。这一招生政策的调整引发学界和社会的广泛关注,美国学术能力评估测试存废问题成为争论焦点。持否定观点者质疑SAT的公平性和有效性,认为标准化考试成绩和考生的社会经济地位有着显著的相关性等;持肯定观点者认为,SAT成绩是美国绝大部分高校开展招生录取工作的重要依据,在维护弱势群体利益等方面发挥了重要作用。在回顾美国SAT存废之争的基础上,客观分析这一论争的深层原因,为我国高考改革提供一些启示。 展开更多
关键词 标准化考试 SAT 存废之争 高考改革
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《金匮要略》“支饮”病名含义考释
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作者 邱旭东 温佳雨 李良松 《长春中医药大学学报》 2024年第4期363-366,共4页
支饮病是《金匮要略》的重要组成部分。但对于其疾病命名含义,长期以来充满争议。后世医家或从医理角度、或从临床实践角度,对这一疾病命名含义作出训释,而基于文字学角度进行探讨者却较为罕见。通过对“支”字形字义之考证,同时结合对... 支饮病是《金匮要略》的重要组成部分。但对于其疾病命名含义,长期以来充满争议。后世医家或从医理角度、或从临床实践角度,对这一疾病命名含义作出训释,而基于文字学角度进行探讨者却较为罕见。通过对“支”字形字义之考证,同时结合对张仲景原文记载之分析,“支饮”之“支”当为“支撑”之义,“支饮”病名含义为“支撑于胸膈之水饮”。支撑于胸膈间之支饮,与位于人体腹部之痰饮、四肢之溢饮、胸胁之悬饮,涵盖了人体之大部,与“水在心”“水在肺”等“水在五脏”条文互为羽翼,从不同角度构建了仲景痰饮证治理论体系。 展开更多
关键词 《金匮要略》 支饮 病名 考证
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百会穴久留针法改善缺血性脑卒中小鼠神经功能的作用及机制
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作者 汪节 高婷 +2 位作者 朱婷婷 何其英 杨骏 《中华老年心脑血管病杂志》 CAS 北大核心 2024年第1期81-86,共6页
目的研究百会穴久留针法通过脑源性神经营养因子(BDNF)/酪氨酸受体激酶B(TrkB)通路改善缺血性脑卒中小鼠神经功能的作用及机制。方法选择雄性C57BL/6J小鼠48只,随机分为假手术1组、模型1组、久留针1组、普通留针组,每组12只。后3组采用... 目的研究百会穴久留针法通过脑源性神经营养因子(BDNF)/酪氨酸受体激酶B(TrkB)通路改善缺血性脑卒中小鼠神经功能的作用及机制。方法选择雄性C57BL/6J小鼠48只,随机分为假手术1组、模型1组、久留针1组、普通留针组,每组12只。后3组采用线栓法制备缺血性脑卒中模型,手术造模后第1天起久留针1组和普通留针组分别给予百会穴久留针和普通留针治疗,连续14 d。另选择雄性C57BL/6J小鼠40只,随机分为假手术2组、模型2组、久留针2组、久留针3组,每组10只。后3组采用线栓法制备缺血性脑卒中模型,针灸治疗前分别给予腺相关病毒100μl单次尾静脉注射。采用改良神经功能缺损评分(mNSS)及水迷宫实验的逃避潜伏期、目标象限停留时间、穿越原平台次数评价神经功能。结果与假手术1组比较,模型1组mNSS评分、目标象限停留时间、穿越原平台次数及缺血脑组织BDNF、TrkB表达明显降低,细胞凋亡率及裂解型半胱氨酸天冬氨酸蛋白酶3(Caspase-3)表达明显增加,差异有统计学意义(P<0.05);与模型1组比较,久留针1组和普通留针组mNSS评分、目标象限停留时间、穿越原平台次数及缺血脑组织BDNF、TrkB表达明显增加,细胞凋亡率及裂解型Caspase-3表达明显降低,且久留针1组上述变化较普通留针组更为显著,差异有统计学意义(P<0.05)。与久留针2组比较,久留针3组mNSS评分、目标象限停留时间、穿越原平台次数及缺血脑组织中BDNF表达明显降低(P<0.05),细胞凋亡率及裂解型Caspase-3表达明显增加[(16.41±2.25)%vs(7.59±1.09)%;1.46±0.16 vs 0.94±0.12,P<0.05]。结论百会穴久留针治疗对缺血性脑卒中小鼠神经功能的改善作用更为显著,激活BDNF/TrkB通路是其发挥神经保护作用的相关分子机制。 展开更多
关键词 缺血性卒中 百会 留针 神经保护 脑源性神经营养因子/酪氨酸受体激酶B通路
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