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血清同型半胱氨酸检测联合Wells评分对慢性阻塞性肺疾病急性加重期患者发生静脉血栓栓塞症的预测价值研究
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作者 谢忠莲 唐铭 +1 位作者 龚世维 陈蓉 《临床肺科杂志》 2024年第3期342-346,共5页
目的探究血清同型半胱氨酸(Hcy)检测联合Wells评分对慢性阻塞性肺疾病急性加重期患者发生静脉血栓栓塞症(VTE)的预测价值。方法选取2021年4月-2023年4月我院收治的94例慢性阻塞性肺疾病急性加重期患者,根据是否发生VTE分为VTE组20例和非... 目的探究血清同型半胱氨酸(Hcy)检测联合Wells评分对慢性阻塞性肺疾病急性加重期患者发生静脉血栓栓塞症(VTE)的预测价值。方法选取2021年4月-2023年4月我院收治的94例慢性阻塞性肺疾病急性加重期患者,根据是否发生VTE分为VTE组20例和非VTE组74例。采用酶联免疫吸附测定(ELISA)法检测血清中Hcy水平。对全部患者进行Wells评分。Spearman相关性分析Hcy表达水平与Wells评分的关系;ROC曲线分析血清Hcy检测联合Wells评分对慢性阻塞性肺疾病急性加重期患者发生VTE的预测价值;Logistic回归分析影响慢性阻塞性肺疾病急性加重期患者VTE发生的因素。结果与非VTE组相比,VTE组患者C-反应蛋白(CRP)、D-二聚体(D-D)、Hcy水平以及Wells评分水平显著升高,动脉血氧分压(PaO_(2))水平显著降低(P<0.05)。Pearson相关性分析显示,慢性阻塞性肺疾病急性加重期患者Hcy表达水平与Wells评分呈正相关关系(r=0.491,P<0.05)。二者联合预测慢性阻塞性肺疾病急性加重期患者发生VTE的AUC高于血清Hcy表达水平与Wells评分单独预测的AUC值(Z=5.303,P<0.001;Z=9.151,P<0.001)。Logistic回归分析结果显示Hcy、Wells评分为VTE发生的影响因素(P<0.05)。结论慢性阻塞性肺疾病急性加重期发生VTE患者血清Hcy水平和Wells评分显著上升,二者联合检测对慢性阻塞性肺疾病急性加重期发生VTE的预测价值优于单一指标检测。 展开更多
关键词 同型半胱氨酸 wellS评分 慢性阻塞性肺疾病急性加重期 静脉血栓栓塞症 预测
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微小RNA物质、血栓标志物、Wells评分系统联合预测高龄髋部骨折DVT风险价值
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作者 赵亚茹 张磊 王铭震 《临床输血与检验》 CAS 2024年第1期110-116,共7页
目的探究微小RNA物质、血栓标志物、下肢深静脉栓塞评分(Wells评分)系统联合对高龄髋部骨折深静脉血栓形成(DVT)风险的预测价值,为减少DVT发生提供诊断依据。方法选取2020年10月—2022年10月我院收治的105例高龄髋部骨折患者,根据术后1... 目的探究微小RNA物质、血栓标志物、下肢深静脉栓塞评分(Wells评分)系统联合对高龄髋部骨折深静脉血栓形成(DVT)风险的预测价值,为减少DVT发生提供诊断依据。方法选取2020年10月—2022年10月我院收治的105例高龄髋部骨折患者,根据术后1周是否发生DVT分为DVT组(34例)、未DVT组(71例)。比较两组临床资料,于入院后术前进行Wells评分评估,并检测两组微小RNA物质[微小RNA-374b-5p(miR-374b-5p)、微小RNA-664b-3p(miR-664b-3p)]、血栓标志物[凝血酶-抗凝血酶复合物(TAT)、可溶性血栓调节蛋白(sTM)、纤溶酶α2抗纤溶酶复合物(PIC)、组织型纤溶酶原激活物-抑制剂复合物(t-PAIC)],分析DVT发生的影响因素,通过受试者工作特征曲线(ROC)、决策曲线分析(DCA)Wells评分、miR-374b-5p、miR-664b-3p、sTM、PIc、TAT、t-PAIC联合对高龄髋部骨折DVT风险的预测价值及临床效用。结果DVT组术前血浆FDP水平及Wells评分高度可能占比高于未DVT组(P<0.05);DVT组miR-374b-5p相对表达量高于未DVT组,miR-664b-3p相对表达量低于未DVT组(P<0.05);DVT组血浆sTM、PIC、TAT、t-PAIC水平均高于未DVT组(P<0.05);FDP、Wells评分、miR-374b-5p、miR-664b-3p、sTM、PIC、TAT、t-PAIC均为高龄髋部骨折患者发生DVT的影响因素(P<0.05);Wells评分、miR-374b-5p、miR-664b-3p、sTM、PIC、TAT、t-PAIC预测高龄髋部骨折DVT风险的AUC值分别为0.666、0.734、0.750、0.730、0.764、0.761、0.800,各指标联合预测高龄髋部骨折患者发生DVT的AUC最大,为0.921,且具有良好临床效用(P<0.05)。结论miR-374b-5p、miR-664b-3p、sTM、PIC、TAT、t-PAIC、Wells评分系统联合预测高龄髋部骨折DVT风险的预测效能较高,临床效用良好。 展开更多
关键词 髋部骨折 深静脉血栓 wellS评分 miR-374b-5p miR-664b-3p
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Study on Horizontal Well Layout Boundary Considering Wellbore Pressure Loss
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作者 Xinwei Jin Yong Hu +2 位作者 Juan Du Fengyu Yan Xiaoning Ren 《Open Journal of Yangtze Oil and Gas》 CAS 2023年第1期11-17,共7页
Based on the Dikken analytical calculation method of wellbore pressure loss under single-phase fluid and turbulent flow conditions, the correlation model between horizontal well output and horizontal section length an... Based on the Dikken analytical calculation method of wellbore pressure loss under single-phase fluid and turbulent flow conditions, the correlation model between horizontal well output and horizontal section length and horizontal section distributed pressure difference is constructed. The influence degree of wellbore pressure loss on daily oil production of horizontal well, horizontal section pressure and production effect of horizontal well under different horizontal well lengths is analyzed, which provides certain reference for the design of horizontal well length and well layout. 展开更多
关键词 Horizontal well wellbore Pressure Loss Length of Horizontal Section
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Wells评分联合D-二聚体水平对重症肺血栓栓塞患者近期预后不良的预测分析
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作者 杜敏 黄红娟 +2 位作者 徐西楚 李燕 高永霞 《中国急救复苏与灾害医学杂志》 2023年第12期1610-1614,共5页
目的分析Wells评分联合血浆D-二聚体(D-D)水平对重症肺血栓栓塞(PTE)患者近期预后不良的预测价值。方法选取2016年1月—2020年11月江苏省人民医院收治的127例重症PTE患者,均随访至出院后6个月,根据近期预后将其分为预后良好组与预后不... 目的分析Wells评分联合血浆D-二聚体(D-D)水平对重症肺血栓栓塞(PTE)患者近期预后不良的预测价值。方法选取2016年1月—2020年11月江苏省人民医院收治的127例重症PTE患者,均随访至出院后6个月,根据近期预后将其分为预后良好组与预后不良。对比两组Wells评分、血浆D-D水平,比较出院护理满意度;采用多因素Logistic回归性分析法分析重症PTE患者近期预后不良的影响因素;以受试者工作特征(ROC)曲线评估Wells评分与血浆D-D水平对重症PTE患者近期预后不良的预测作用。结果127例重症PTE患者Wells评分为6~9(8.01±1.16)分,血浆D-D水平为7.65~8.88(8.35±0.66)μg/mL;经Pearson相关系数分析,患者Wells评分、血浆D-D水平均与肺栓塞严重程度指数(PESI评分)呈正相关(r=0.825、0.613,P<0.05);近期预后不良率为25.20%;预后良好组Wells评分、血浆D-D水平均显著低于预后不良组(P<0.05),两组出院护理满意度无差异(P>0.05);经多因素Logistic回归分析,PESI评分、B型钠尿肽(BNP)、Wells评分、血浆D-D均是重症PTE患者预后不良的危险因素(P<0.05);Wells评分联合血浆D-D水平联合预测重症PTE患者近期预后不良的灵敏度、曲线下面积(AUC)均高于单独预测(P<0.01)。结论重症PTE近期预后不良者Wells评分及血浆D-D水平均显著高于预后良好者,此二项指标均与患者近期预后不良关系密切,并均对患者近期预后不良具有一定的预测价值,但二者联合应用时的预测价值更高,可作为临床评估重症PTE患者近期预后的重要指标。 展开更多
关键词 wellS评分 D-二聚体水平 重症肺血栓栓塞 预后
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急诊中不明原因的呼吸困难患者应用Wells评分及D-二聚体变化对肺栓塞的诊断和风险评估的价值分析 被引量:1
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作者 张楼炜 张育苗 郦巧莲 《中国全科医学》 北大核心 2023年第S01期18-20,共3页
目的探究急诊中不明原因的呼吸困难患者应用Wells评分及D-二聚体(D-D)对肺栓塞的诊断和风险评估的价值。方法纳入2019年1月至2021年7月因不明原因呼吸困难到诸暨市人民医院就诊的74例急性肺栓塞患者、91例非肺栓塞患者为研究对象,分析We... 目的探究急诊中不明原因的呼吸困难患者应用Wells评分及D-二聚体(D-D)对肺栓塞的诊断和风险评估的价值。方法纳入2019年1月至2021年7月因不明原因呼吸困难到诸暨市人民医院就诊的74例急性肺栓塞患者、91例非肺栓塞患者为研究对象,分析Wells评分及D-D水平变化对肺栓塞的诊断价值及对预后的预测价值。结果Wells评分及D-D水平联合检测诊断肺栓塞及预测患者预后的AUC均>0.85,D-D≥534.40μg/L是影响急性肺栓塞预后的危险因素(P<0.05)。结论Wells评分及D-D水平检测对肺栓塞具有诊断价值,对肺栓塞患者死亡风险有一定的预测价值。 展开更多
关键词 肺栓塞 急诊 呼吸困难 wellS评分 D-二聚体 诊断价值 风险评估
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D-D、Fib联合WELLS评分对下肢骨折术后深静脉血栓形成的预测价值 被引量:3
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作者 陆敏 《中国医药科学》 2023年第11期149-152,163,共5页
目的探讨D-二聚体(D-D)、纤维蛋白原(Fib)联合WELLS评分对下肢骨折术后深静脉血栓形成(DVT)的预测价值。方法选取2020年1月至2022年1月陆军第七十三集团军医院收治的80例下肢骨折术后患者为研究对象,根据下肢血管超声检查结果[是否形成D... 目的探讨D-二聚体(D-D)、纤维蛋白原(Fib)联合WELLS评分对下肢骨折术后深静脉血栓形成(DVT)的预测价值。方法选取2020年1月至2022年1月陆军第七十三集团军医院收治的80例下肢骨折术后患者为研究对象,根据下肢血管超声检查结果[是否形成DVT]分为DVT组(n=17)和非DVT组(n=63),比较两组一般资料、凝血功能指标[活化部分凝血活酶时间(APTT)、凝血酶原时间(PT)、国际标准化比值(INR)、D-D、Fib]及WELLS评分,采用多因素logistic回归分析下肢骨折术后患者发生DVT的独立影响因素,并通过受试工作者特征(ROC)曲线分析D-D、Fib、WELLS评分及三者联合预测DVT的价值。结果DVT组PT、INR、D-D、Fib水平及WELLS评分显著高于非DVT组,差异有统计学意义(P<0.05);两组APTT水平比较,差异无统计学意义(P>0.05)。多因素logistic回归分析显示,D-D、Fib、WELLS评分是发生DVT的独立危险因素(P<0.05)。D-D、Fib、WELLS评分及三者联合诊断DVT的曲线下面积(AUC)分别为0.831、0.793、0.872、0.974,三者联合诊断DVT的效能高于单一指标(P<0.05)。结论D-D、Fib联合WELLS评分可以提高下肢骨折术后DVT发生的预测价值,值得临床推广应用。 展开更多
关键词 下肢深静脉血栓 D-二聚体 纤维蛋白原 wellS评分 预测价值
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Tp-Te间期、D-二聚体、简化的Wells评分对肺栓塞的诊断价值 被引量:2
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作者 周捷 高波 操传斌 《湖北医药学院学报》 CAS 2023年第1期28-34,共7页
目的:探讨Tp-Te间期、D-二聚体、简化的Wells评分对肺栓塞的预测价值,以期发现更适合临床疑诊肺栓塞的评估模型。方法:回顾性分析2021年6月-2022年9月于随州市中心医院就诊的可疑肺栓塞患者69例。以CT肺动脉血管成像作为诊断金标准,分... 目的:探讨Tp-Te间期、D-二聚体、简化的Wells评分对肺栓塞的预测价值,以期发现更适合临床疑诊肺栓塞的评估模型。方法:回顾性分析2021年6月-2022年9月于随州市中心医院就诊的可疑肺栓塞患者69例。以CT肺动脉血管成像作为诊断金标准,分为肺栓塞组与对照组。收集所有患者详细资料,完成常规心电图、D-二聚体检测。记录心电图一般指标及胸导联QT间期、Tp-Te间期,完成Wells评分。比较Tp-Te间期、D-二聚体、Wells评分对肺栓塞的预测价值。结果:心电图V1导联诊断价值最高;V1导联Tp-Te间期、D-二聚体、简化的Wells评分联合诊断与单一手段相比差异有统计学意义(P<0.05);D-二聚体≥0.5 mg/L联合简化Wells评分优势比最高(8.05)。结论:Tp-Te间期、D-二聚体、简化的Wells评分可用于肺栓塞早期评估。 展开更多
关键词 肺栓塞 诊断 TP-TE间期 wellS评分 D-二聚体
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简化Wells评分、修订版Geneva评分和4PEPS评分对肺栓塞的诊断价值
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作者 叶春雨 吴玉枝 《临床肺科杂志》 2023年第6期886-891,共6页
目的探讨传统临床评分模型(简化Wells评分、修订版Geneva评分)及其联合D-二聚体对肺栓塞(PE)的诊断价值,并与新提出的4PEPS评分相对比。方法回顾分析2020年5月至2022年5月山西省人民医院收治的疑似PE患者219人,以CT肺血管造影(CTPA)结... 目的探讨传统临床评分模型(简化Wells评分、修订版Geneva评分)及其联合D-二聚体对肺栓塞(PE)的诊断价值,并与新提出的4PEPS评分相对比。方法回顾分析2020年5月至2022年5月山西省人民医院收治的疑似PE患者219人,以CT肺血管造影(CTPA)结果为金标准,将患者分为PE组和非PE组,并利用临床评分模型进行评分,分析简化Wells评分、修订版Geneva评分及其联合D-二聚体、4PEPS评分预测PE的效果。结果219例患者中CTPA确诊为PE的79例,简化Wells评分、修订版Geneva评分及其联合D-二聚体、4PEPS诊断PE的敏感度分别为62.0%、55.7%、55.7%、49.4%、68.4%;特异度分别为78.6%、71.4%、85.0%、80.7%、68.6%;准确度分别为72.6%、65.8%、74.4%、69.4%、68.5%;Youden指数分别为0.41、0.27、0.41、0.30、0.37;Kappa值分别为0.406、0.268、0.423、0.312、0.312;AUC分别为0.735、0.688、0.790、0.743、0.683。D-二聚体联合简化Wells评分与简化Wells评分、修订版Geneva评分、4PEPS、D-二聚体联合修订版Geneva评分的AUC差异均有统计学意义(P<0.05),D-二聚体联合修订版Geneva评分与修订版Geneva评分的AUC差异有统计学意义(P<0.05),其它两两对比差异均无统计学意义(P>0.05)。结论D-二聚体联合简化Wells评分诊断价值最高,简化Wells评分优于其它两种评分,修订版Geneva评分、4PEPS评分诊断效果不理想。 展开更多
关键词 简化wells评分 修订版Geneva评分 4级肺栓塞概率评分 联合诊断 肺栓塞 D-二聚体
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基于WELL社区标准的乡村社区人居环境健康化评价体系构建研究——以扬州四庄村为例
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作者 徐燕青 《华中建筑》 2023年第9期168-173,共6页
要“健康中国”的战略已经明确了乡村社区健康的重要性。然而,目前对乡村社区的人居环境的健康性评判仍缺乏一套基于健康角度出发的科学完整的标准。因此,该文基于美国IWBI开发的WELL社区标准,采用模糊德尔菲法、层次分析法和模糊综合... 要“健康中国”的战略已经明确了乡村社区健康的重要性。然而,目前对乡村社区的人居环境的健康性评判仍缺乏一套基于健康角度出发的科学完整的标准。因此,该文基于美国IWBI开发的WELL社区标准,采用模糊德尔菲法、层次分析法和模糊综合评价法提出了一套适用于中国乡村社区的人居环境健康化评价体系,并以扬州四庄村为例,分析影响其健康化水平提升的主要因素及其形成原因。研究成果可为乡村社区人居环境更新提供参考和指导。 展开更多
关键词 well社区标准 乡村社区 人居环境 健康评价体系
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Correlates of Self-Assessed Wellness
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作者 Adrian Furnham Charlotte Robinson 《Health》 CAS 2023年第2期134-146,共13页
Background: This study was concerned with correlates of self-assessed health and wellness on ten dimensions including emotional, financial and physical health. All 10 self-ratings loaded on one factor with high intern... Background: This study was concerned with correlates of self-assessed health and wellness on ten dimensions including emotional, financial and physical health. All 10 self-ratings loaded on one factor with high internal reliability. Method: In all 506 adult participants, completed short measures of the bright side, Big Five traits (TIPI) and a short measure of the dark side, personality disorders (PID-5-BF). Results: Correlations and regressions suggested that wellness was related to sex, education and religious beliefs as well as four of five bright- and dark-side traits. Being Sanguine was most positively, and Choleric most negatively, associated with subjective wellness. Detachment and Negative Affect were the highest dark-side correlates. The final regression suggested that over a third of the variance in subjective wellness could be explained by four bright- and two dark-side factors. Conclusions: Personality factors, especially instability and negative affectivity, play a crucial role in all aspects of wellness. Implications and limitations are acknowledged. 展开更多
关键词 HEATH Personality Disorders TRAITS wellNESS DEMOGRAPHY IDEOLOGY
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Children and Workers Well-Being in Belgian French-Speaking Primary Schools during the COVID-19 Pandemic
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作者 Kelly Cremer Julie Frère +6 位作者 Olga Chatzis Benoît Kabamba Florence Renard Mathilde De Keukeleire Ricardo De Mendonca Dimitri Van der Linden Annie Robert 《Health》 2023年第6期676-694,共19页
Purpose: During the COVID-19 pandemic, a significant number of measures were taken worldwide to limit the transmission of SARS-CoV-2, and in many ways, changed human life. All these measures had harmful consequences a... Purpose: During the COVID-19 pandemic, a significant number of measures were taken worldwide to limit the transmission of SARS-CoV-2, and in many ways, changed human life. All these measures had harmful consequences and impacted the well-being of many people. Children were one of the most vulnerable groups. We conducted the present study to assess children’s and staff’s well-being in French-speaking primary schools in Belgium during the COVID-19 pandemic. Methods: A 37-question questionnaire for each child based on the Revised Children’s Manifest Anxiety Scale (RCMAS), and a 14-question questionnaire for each staff based on the Hospital Anxiety and Depression (HAD) scale was undertaken in order to assess the well-being. Multiple logistic regressions were performed to assess the relationship between RCMAS or HAD and other explanatory variables. Staff reported their perception of their current life and their future life in 5 years on a Visual Analogue Scale (VAS). Results: A total of 231 children and 221 staff in 11 primary schools answered the well-being questionnaire between January and May 2021. 53% (122/231) of children had symptoms of anxiety. Girls reported more anxiety symptoms than boys (≥10: 59%;Adj OR = 2.25;95% CI [1.28;4.03]). 52% (120/231) of children had a definite state of social desirability. According to age, the youngest (6 - 7 years) children were more likely to have social desirability (≥5: 71%;Adj OR = 3.44;95% CI [1.53;8.09]) compared to the oldest (10 - 12 years). Children who did not practice outdoor/street activities were more likely to have social desirability (≥5: 60%;Adj OR = 2.59;95% CI [1.38;4.99]). In schools with a higher local incidence of SARS-CoV-2, children were more likely to have social desirability (≥5: 64%;Adj OR = 2.15;95% CI [1.13;4.17]). In schools with a lower socioeconomic status, children were more likely to have social desirability (≥5: 72%;Adj OR = 2.74;95% CI [1.23;6.37]). Higher RCMAS anxiety (r = −0.18;p −0.23;p −0.20;p Conclusion: Our results showed that the well-being of children was impacted during the COVID-19 pandemic. Special attention must be focused on the most vulnerable groups, as the consequences can be catastrophic in the long term. 展开更多
关键词 COVID-19 well-BEING CHILDREN SCHOOLS
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血小板体积分布宽度对Wells评分低中危患者发生肺栓塞的预测价值
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作者 钱悦 陈卫香 +2 位作者 顾立华 赵增艳 韦彩雯 《中国医刊》 CAS 2023年第10期1071-1074,共4页
目的 探讨血小板体积分布宽度(platelet distribution width,PDW)对Wells评分低中危患者发生肺栓塞的预测价值。方法 选择上海健康医学院附属崇明分院2020年1月至2022年1月收治的100例Wells评分为低中危的可疑肺栓塞患者,按照肺栓塞发... 目的 探讨血小板体积分布宽度(platelet distribution width,PDW)对Wells评分低中危患者发生肺栓塞的预测价值。方法 选择上海健康医学院附属崇明分院2020年1月至2022年1月收治的100例Wells评分为低中危的可疑肺栓塞患者,按照肺栓塞发生情况分为肺栓塞组和非肺栓塞组。比较两组患者的PDW、血小板计数(platelet count,PLT)、血小板平均容积(mean platelet volume,MPV)等血小板相关参数及年龄、性别、体重指数(body mass index,BMI)等临床资料。应用受试者工作特征曲线(receiver operating characteristic,ROC)曲线分析PDW预测Wells评分低中危患者发生肺栓塞的效能及曲线下面积(area under the curve,AUC)。结果 100例患者中42例(42.00%)明确肺栓塞的诊断。肺栓塞组与非肺栓塞组患者的年龄、BMI、性别、Wells评分比较差异无显著性(P>0.05);肺栓塞组患者的PDW、MPV及右心室内径、肺动脉收缩压高于非肺栓塞组,PLT低于非肺栓塞组,差异有显著性(P<0.05)。PDW单独预测Wells评分低中危患者发生肺栓塞的敏感度与特异度分别为83.33%、84.48%,AUC为0.875;PDW联合PLT、MPV预测患者发生肺栓塞的敏感度与特异度分别为92.86%、94.83%,AUC为0.948。结论 Wells评分低中危患者存在较高的肺栓塞风险,PDW单独及联合PLT、MPV均有助于预测该类患者是否会发生肺栓塞。 展开更多
关键词 血小板体积分布宽度 wellS评分 肺栓塞 预测
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A Study of Hie and LBP: The First Step to Improve Subjective Well-Being
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作者 Mayumi Watanabe Chikako Tomiyama +4 位作者 Takuya Nikaido Masae Ryufuku Nozom Mandai Tokimasa Takeda Tsutomu Komine 《Health》 2023年第10期1013-1023,共11页
Backgrounds: Health does not only physical health, therefore, we need to study it from various viewpoints. Many Japanese female complain of a Hie or a low back pain (LBP), which they reduce their subjective well-being... Backgrounds: Health does not only physical health, therefore, we need to study it from various viewpoints. Many Japanese female complain of a Hie or a low back pain (LBP), which they reduce their subjective well-being. We analyze. Those patients often have acupuncture therapy. In this study, we analyze the characteristics of Hie and LBP, the satisfaction level of alternative therapy and we pursue a tip to improve subjective well-being. Methods: Of 1000 women, Hie (+)/Hie (−) or LBP (+)/LBP (−), we compared their body temperature (BT) (axilla) and body mass index (BMI). Furthermore, the Chi test identified ten factors of “body” and seven “mind” information. Results: In the result of BT (axilla) while LBP indicated a significant difference. Both Hie and LBP showed difference in the opposite direction. Hie did now show such clear differences in “body” information. However, interestingly, all seven questions in the “mind” information showed statistical difference. Discussion and conclusion: One reason why those patients have acupuncture therapy may acupuncture therapy traditionally has not separate “mind” and “body” and it has the concept of “mind-body unity”. To improve subjective well-being, first we need to focus on “Mind” as well as “mind-body unity”. Mental-health support is important for patients with Hie or LBP to reduce physiological stress. 展开更多
关键词 HIE Low Back Pain (LBP) Subjective well-Being Body Temperature (BT)
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以Wells评分为指导的护理干预对腰椎间盘突出症患者术后深静脉血栓形成的影响
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作者 高海芳 《河南医学研究》 CAS 2023年第7期1311-1314,共4页
目的分析以Wells评分为指导的护理干预模式对预防腰椎间盘突出症患者手术治疗后深静脉血栓形成的影响。方法以2021年1―12月安阳市安钢总医院骨六科拟行手术治疗的83例腰椎间盘突出症患者作为研究对象进行前瞻性分析。采用随机数字表法... 目的分析以Wells评分为指导的护理干预模式对预防腰椎间盘突出症患者手术治疗后深静脉血栓形成的影响。方法以2021年1―12月安阳市安钢总医院骨六科拟行手术治疗的83例腰椎间盘突出症患者作为研究对象进行前瞻性分析。采用随机数字表法将其分为观察组与对照组。其中对照组接受常规术后护理,观察组在此基础上加用基于Wells评分为指导的护理模式。比较两组患者护理期间深静脉血栓发生率、临床指标、实验室指标。结果试验期间观察组因未完成相应指标检查脱落2例,因个人原因申请退出试验脱落1例;对照组无脱落,最终观察组39例,对照组41例。干预后观察组患者深静脉血栓发生率低于对照组,腿围增长低于对照组,住院时间短于对照组,活化部分凝血活酶时间(APTT)、凝血酶原时间(PT)长于对照组(P<0.05)。结论基于Wells评分的护理模式可有效降低腰椎间盘突出症患者术后深静脉血栓的发生率。 展开更多
关键词 腰椎间盘突出症 wellS评分 深静脉血栓 护理
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Establishment of Unstable Flow Model and Well Testing Analysis for Viscoelastic Polymer Flooding
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作者 Zheng Lv Meinan Wang 《World Journal of Engineering and Technology》 2023年第2期273-280,共8页
At present, the polymer solution is usually assumed to be Newtonian fluid or pseudoplastic fluid, and its elasticity is not considered on the study of polymer flooding well testing model. A large number of experiments... At present, the polymer solution is usually assumed to be Newtonian fluid or pseudoplastic fluid, and its elasticity is not considered on the study of polymer flooding well testing model. A large number of experiments have shown that polymer solutions have viscoelasticity, and disregarding the elasticity will cause certain errors in the analysis of polymer solution seepage law. Based on the percolation theory, this paper describes the polymer flooding mechanism from the two aspects of viscous effect and elastic effect, the mathematical model of oil water two-phase three components unsteady flow in viscoelastic polymer flooding was established, and solved by finite difference method, and the well-test curve was drawn to analyze the rule of well test curve in polymer flooding. The results show that, the degree of upward warping in the radial flow section of the pressure recovery curve when considering polymer elasticity is greater than the curve which not considering polymer elasticity. The relaxation time, power-law index, polymer injection concentration mainly affect the radial flow stage of the well testing curve. The relaxation time, power-law index, polymer injection concentration and other polymer flooding parameters mainly affect the radial flow stage of the well testing curve. The larger the polymer flooding parameters, the greater the degree of upwarping of the radial flow derivative curve. This model has important reference significance for well-testing research in polymer flooding oilfields. 展开更多
关键词 Polymer Flooding VISCOELASTICITY well Testing Mathematical Model Seepage Law
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Caprini、Wells、 Autar评估量表对人工全膝关节置换患者术后下肢深静脉血栓的预测价值
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作者 柴充 王浩磊 《河南医学研究》 CAS 2023年第18期3316-3319,共4页
目的 探讨Caprini、Wells、 Autar评估量表对人工全膝关节置换患者术后形成下肢深静脉血栓(DVT)的预测价值。方法 选取2022年1月至2023年1月平煤神马集团总医院收治的120例TKA术后患者作为研究对象。分为对照组(术后未合并DVT,76例)和... 目的 探讨Caprini、Wells、 Autar评估量表对人工全膝关节置换患者术后形成下肢深静脉血栓(DVT)的预测价值。方法 选取2022年1月至2023年1月平煤神马集团总医院收治的120例TKA术后患者作为研究对象。分为对照组(术后未合并DVT,76例)和研究组(术后合并DVT,44例)。采用Caprini、Wells、 Autar量表评估两组患者发生DVT风险,采用Pearson分析Caprini、Wells、 Autar量表相关性,同时运用受试者工作特征(ROC)曲线评估Caprini、Wells、 Autar量表对DVT发生的诊断价值。结果 在Caprini、Wells、Autar量表评分中研究组患者高风险及极高风险占比高,对照组患者低风险及中风险的占比较高(P<0.05)。研究组患者的Caprini、Wells、Autar量表评分均高于对照组(P<0.05)。Caprini、Wells、Autar量表对DVT的发生均有诊断价值,Wells量表的灵敏度、特异性及AUC均高于Caprini及Autar量表。结论 Caprini、Wells、 Autar量表对人工全膝关节置换患者术后形成下肢DVT的发生均有一定诊断价值,其中Wells量表的诊断价值最高。 展开更多
关键词 下肢深静脉血栓 人工全膝关节置换 Caprini量表 wells量表 Autar量表 诊断价值
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血管彩超、血清D-二聚体检测、Wells评分对下肢深静脉血栓的诊断价值分析
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作者 彭红艳 孙雪莲 《中国现代药物应用》 2023年第22期88-90,共3页
目的评价血管彩超、血清D-二聚体检测、Wells评分对下肢深静脉血栓(DVT)的诊断价值。方法选择骨科创伤骨折术后合并下肢DVT患者为观察组,未发生下肢DVT创伤骨折患者为对照组,每组20例。两组均进行血管彩超、血清D-二聚体检测及Wells评分... 目的评价血管彩超、血清D-二聚体检测、Wells评分对下肢深静脉血栓(DVT)的诊断价值。方法选择骨科创伤骨折术后合并下肢DVT患者为观察组,未发生下肢DVT创伤骨折患者为对照组,每组20例。两组均进行血管彩超、血清D-二聚体检测及Wells评分,以静脉造影检查为金标准,比较两组血管彩超检查结果、D-二聚体水平及Wells评分。结果血管彩超检查显示,观察组检出下肢DVT 19例,检出率为95.00%;对照组未检出下肢DVT。观察组血清D-二聚体水平(0.60±0.20)mg/L、Wells评分(0.70±0.20)分均高于对照组的(0.20±0.10)mg/L、(0.20±0.10)分,差异具有统计学意义(P<0.05)。结论血管彩超、血清D-二聚体检测、Wells评分对创伤骨折下肢DVT具有诊断价值。 展开更多
关键词 下肢深静脉血栓 血管彩超 血清D-二聚体 wellS评分 诊断价值
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Experimental Study on the Attenuation Law of Vibration Wave Propagation in Natural Gas Wells in Coal-Gas Cross-Mining Area
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作者 Junqi Lei Wen Wang +3 位作者 Kun Yang Tong Zhang Runsheng Guo Yihe Yu 《World Journal of Engineering and Technology》 2023年第4期775-792,共18页
Aiming at the safety distance between coal mining working face and natural gas wells in the cross-mining area of multiple mineral resources, the cross- mining area of gas and coal resources in the Ordos Basin is taken... Aiming at the safety distance between coal mining working face and natural gas wells in the cross-mining area of multiple mineral resources, the cross- mining area of gas and coal resources in the Ordos Basin is taken as the engineering background. An anti-collision early warning technology method based on vibration wave propagation attenuation monitoring is proposed to prevent collision accidents between road headers and natural gas wells. Through the steel pipe and steel pipe concrete knocking vibration test and underground digging vibration test, the research results show that: The exponential decay coefficients of the vibration wave in steel pipe, steel pipe concrete and coal rock respectively are 0.1, 0.1140 and 0.03, which are all in accordance with the exponential decay law, and the vibration wave firstly decays sharply and then decays slowly;the formula for the distance from the road header to the natural gas well was derived based on the vibration attenuation formula, to provide a new method for realizing the problem of precise and coordinated extraction by surface monitoring of the distance from down hole road headers to gas wells, collision prevention prediction and warning and prevention of collision of extraction equipment with gas wells. 展开更多
关键词 Cross-Mining Natural Gas wells Vibration Waves Attenuation Patterns Col-lision Monitoring
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Optimization of the Algorithm for Increasing Injection Rate in Water Injection Wells for Pressure Optimization in P Oilfield
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作者 Lingyu Li 《World Journal of Engineering and Technology》 2023年第2期246-251,共6页
In today’s society, with the continuous growth of energy demand, Bohai Oilfield, as an important offshore oil resource base in China, is facing increasingly severe challenges while contributing to national energy sec... In today’s society, with the continuous growth of energy demand, Bohai Oilfield, as an important offshore oil resource base in China, is facing increasingly severe challenges while contributing to national energy security. In order to improve the quality of water injection in the oilfield and gradually achieve efficient and stable production, Bohai Oilfield has launched a water injection well pressure optimization project, focusing on improving the efficiency and quality of water injection in the water injection wells, in order to achieve the optimal water injection plan. In practical work, P Oilfield continues to promote the development of water injection well pressure optimization projects, emphasizing practical exploration and continuous optimization of work plans. However, during the project implementation process, there were some problems, one of which was that the statistics of cumulative injection volume were not scientific enough, resulting in a more comprehensive and accurate presentation of the actual results of pressure optimization work. In the context of continuous improvement work, after careful analysis and research, P Oilfield has decided to optimize the cumulative injection rate algorithm to guide the oilfield’s water injection work in a more refined way, ensuring sufficient and good water injection, and enhancing the oilfield’s production efficiency and comprehensive competitiveness. 展开更多
关键词 Offshore Oil Fields Water Injection wells Pressure Optimization Water Injection Volume Calculation Method
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Diagnostic Method and Adaptability Analysis of Multiple Water Breakthroughs in Horizontal Well in Combined Well Pattern
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作者 Zheng Lv Meinan Wang +2 位作者 Guohao Zhang Rui Zhang Jianguo Liu 《Journal of Geoscience and Environment Protection》 2023年第5期150-158,共9页
The combined well pattern has been widely used in reservoir development, with a common pattern being a horizontal well in the center for oil production and multiple vertical wells around for water injection. For this ... The combined well pattern has been widely used in reservoir development, with a common pattern being a horizontal well in the center for oil production and multiple vertical wells around for water injection. For this type of well pattern, determining the horizontal well is affected by which injection wells, especially when the injecting water breaks through, accurately determining the direction of water inflow will provide an important basis for targeted water well measures. Based on the production performance data of horizontal wells, the semi logarithmic relationship curves of water-oil ratio, derivative water-oil ratio, and cumulative production were used for the first time to determine the breakthrough problem of water injection in the surrounding water injection wells of horizontal wells based on their response characteristics. The adaptability of this method under different influencing factors was analyzed. Introducing the parameter of cumulative production not only preserves the variation trend of the derivative of water-oil ratio with time, but also facilitates the processing of actual production data. 展开更多
关键词 Combined well Pattern Multiple Water Breakthroughs in Horizontal Derivative of Water-Oil Ratio
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