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基于态势分析法与柯式四级评估法构建PIVAS药师岗位培训体系
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作者 费雯 蔺维维 +2 位作者 张慧 耿洲 潘杰 《中国医院药学杂志》 北大核心 2025年第15期1756-1763,共8页
目的:在中国医药教育协会静脉用药集中调配培训基地建设基础上,分析静脉用药调配中心(PIVAS)药师岗位培训要点,培养具有岗位胜任力的同质化、规范化、标准化的PIVAS药师。方法:运用态势分析法(threats,opportunities,weaknesses and str... 目的:在中国医药教育协会静脉用药集中调配培训基地建设基础上,分析静脉用药调配中心(PIVAS)药师岗位培训要点,培养具有岗位胜任力的同质化、规范化、标准化的PIVAS药师。方法:运用态势分析法(threats,opportunities,weaknesses and strengths,TOWS)分析苏州大学附属第二医院PIVAS药师培训体系建设的机遇与威胁,评估自身的优势及劣势,并制订相应的培训策略。最后基于柯式四级评估法构建包含学员满意度、培训考核效果、学员在岗反馈等在内的PIVAS药师岗位培训效果评价指标。结果:该研究建立了涵盖PIVAS信息化建设、质量控制、安全调配管理及绩效考核等在内的品牌培训课程,构建了PIVAS药师“三阶梯”培训流程和柯式四级培训效果评估体系。培训效果评价如下:(1)反应层面,学员培训满意率87.88%;(2)学习层面,培训后学员的PIVAS制度、环境卫生、清洁消毒知识与无菌操作技术等考核得分均较培训前显著提升(P<0.05);(3)行为层面,90%的工作单位负责人对学员培训后能力提升持正向反馈;(4)成果层面,建设周期内,第三期PIVAS培训报名人数较第一期增长1倍,PIVAS讲师团队较参与培训工作前绩效提升了982元/人/期。结论:基于态势分析法与柯式四级评估法构建的PIVAS药师培训体系成效显著,为应用型PIVAS药学人才的培养提供了可借鉴的培训管理模式。 展开更多
关键词 静脉用药集中调配中心 药师岗位培训 态势分析法 柯式四级评估法
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ROS-DRP1-mediated excessive mitochondrial fission and autophagic flux inhibition contribute to heat stress-induced apoptosis in goat Sertoli cells
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作者 fei wen Jiajing Gao +6 位作者 Guoyu Zhang Songmao Guo Xing Zhang Shuaiqi Han Xianzou Feng Xiaoxu Chen Jianhong Hu 《Journal of Animal Science and Biotechnology》 2025年第3期1107-1128,共22页
Background Heat stress(HS)poses a significant threat to male goat reproduction.Sertoli cells(SCs)provide both structural and nutritional support necessary for germ cells.HS induces physiological and biochemical change... Background Heat stress(HS)poses a significant threat to male goat reproduction.Sertoli cells(SCs)provide both structural and nutritional support necessary for germ cells.HS induces physiological and biochemical changes in SCs.Nevertheless,the molecular mechanisms involved are still not fully understood.Melatonin is a classic antioxidant that can alleviate HS-induced male reproductive damage.However,the underlying molecular mechanisms by which melatonin mitigates damage to goat testicular SCs remain unclear and require further investigation.Results In this study,an in vivo heat stress model was established in goats.The results showed that HS exposure led to testicular injury,abnormal spermatogenesis and apoptosis of SCs.To elucidate the mechanism of HS-induced SC apoptosis,primary SCs were isolated and cultured from goat testes,then exposed to HS.HS exposure increased the production of reactive oxygen species(ROS),decreased adenosine triphosphate(ATP)synthesis,and reduced mitochondrial membrane potential in SCs.Additionally,HS increased the expression of mitochondrial fission proteins 1(FIS1)and dynamin-related protein 1(DRP1)while decreasing the expression of mitochondrial fusion proteins Mitofusin 1(MFN1),Mitofusin 2(MFN2),and optic atrophy 1(OPA1).This resulted in excessive mitochondrial fission and mitochondria-dependent apoptosis.Mdivi-1(DRP1 inhibitor)reduces mitochondria-dependent apoptosis by inhibiting excessive mitochondrial fission.Mitochondrial fission is closely related to mitophagy.HS activated upstream mitophagy but inhibited autophagic flux,disrupting mitophagy and exacerbating mitochondria-dependent apoptosis.Finally,the classical antioxidant melatonin was shown to reduce mitochondria-dependent apoptosis in SCs exposed to HS by decreasing ROS levels,restoring mitochondrial homeostasis,and normalizing mitophagy.Conclusions In summary,these findings indicated that the mechanism of HS-induced mitochondria-dependent apoptosis in SCs is mediated by hyperactivation of the ROS-DRP1-mitochondrial fission axis and inhibition of mitochondrial autophagy.Melatonin inhibited HS-induced mitochondria-dependent apoptosis in SCs by restoring mitochondrial homeostasis.This study enhances the understanding of the mechanisms through which heat stress triggers apoptosis and provides a vision for the development of drugs against HS by targeting mitochondria in goats. 展开更多
关键词 Apoptosis Goat Sertoli cells Heat stress MELATONIN MITOCHONDRIA MITOPHAGY
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Upgrades and characteristics of the compact torus injector for central fueling of the EAST tokamak
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作者 Zhihao ZHAO Yang YE +15 位作者 Mingsheng TAN Xiaohui ZHANG Fubin ZHONG Chengming QU fei wen Yanqing HUANG Zheng ZI Zhihao CHEN Hengda JI Zhaoxuan LI Yahao WU Yuan YAO Lixiang YANG Xiaopeng WANG Defeng KONG Shoubiao ZHANGand Meibin QI 《Plasma Science and Technology》 2025年第6期137-146,共10页
The compact torus injector(CTI)for the central fueling of the EAST tokamak has undergone significant upgrades to enhance its injection capability.During the initial phase of the platform testing phase,EAST-CTI demonst... The compact torus injector(CTI)for the central fueling of the EAST tokamak has undergone significant upgrades to enhance its injection capability.During the initial phase of the platform testing phase,EAST-CTI demonstrated relatively low performance,with a maximum velocity of 150 km s^(−1) and a single compact torus(CT)plasma mass of 90μg[Kong D et al 2023 Plasma Sci.Technol.25065601].These parameters were insufficient for conducting central fueling experiments on the EAST tokamak.Consequently,extensive upgrades were carried out to improve the performance of the EAST-CTI system.The compression region was extended from 280 mm to 700 mm to prevent rapid compression and deceleration of the CT plasma,along with an extension of the acceleration region to further increase the plasma acceleration.The power supply system has also been upgraded.These improvements elevated the operating voltage from 8 kV to 15 kV,increased the discharge current from 120 kA to 300 kA and enabled repetitive operation at a maximum rate of 2 Hz.As a result,significant advances in EAST-CTI performance were achieved,with the maximum velocity increasing to 330 km s^(−1) and the CT plasma density reaching 1.5×10^(22) m^(−3),thereby enhancing the system capability for future fueling experiments on EAST.This study offers valuable insights into CTI modification and the improvement of central fueling systems for prospective fusion reactors. 展开更多
关键词 compact torus(CT) central fueling EAST tokamak SPHEROMAK
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基于数字景观技术的城市公共空间设计课程教学改革实施路径研究
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作者 费雯 杨潇涵 《艺术科技》 2025年第6期76-78,共3页
随着“数字中国”战略的推进和设计学科数字化转型的加速,传统高校环境设计专业课程体系已难以适应行业发展需求。文章以城市公共空间设计课程为研究对象,探讨基于数字景观技术的教学改革实施路径。针对传统教学中知识体系滞后、教学方... 随着“数字中国”战略的推进和设计学科数字化转型的加速,传统高校环境设计专业课程体系已难以适应行业发展需求。文章以城市公共空间设计课程为研究对象,探讨基于数字景观技术的教学改革实施路径。针对传统教学中知识体系滞后、教学方式单一、评价体系失衡等问题,创新性地提出“技术融入、项目驱动、动态评价”三阶段改革路径:在技术融入阶段,通过GIS空间分析验证可达性理论、SWMM模拟展示“海绵城市”原理,实现数字工具与设计理论的双向渗透;在项目驱动阶段,以成都市龙潭寺街区改造等真实项目为载体,构建“数据采集—模拟分析—方案设计—虚拟评审”的全流程实践链条,培养学生的技术整合能力;在动态评价阶段,建立“过程性+成果性”双维评价体系,通过数据日志分析、行业专家参与评审等方式,全面评估学生的数字化思维与技术应用能力。实践结果表明,学生的技术应用能力显著提升,行业竞赛获奖率提高,设计方案的科学性与创新性得到增强。研究成果不仅为城市公共空间设计课程提供了可操作的改革方案,更为设计类课程的数字化转型提供了可复制的范式,对推动“新文科”背景下的设计教育创新发展具有重要参考价值。 展开更多
关键词 数字景观技术 城市公共空间设计 教学改革
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基于“KSF+KPI”方法共创住院药房绩效管理体系 被引量:3
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作者 费雯 张慧 +3 位作者 耿洲 陆浩 陈庚 潘杰 《中国现代应用药学》 CAS CSCD 北大核心 2024年第11期1549-1556,共8页
目的建立住院药房药师岗位绩效指标评价体系,激励并引导药师实现自我职业成长与自身价值的重塑。方法依据江苏省省级临床重点专科建设评价标准,采用关键成功因素分析法(key success factors,KSF)进行部门学科建设关键指标设定,部门日常... 目的建立住院药房药师岗位绩效指标评价体系,激励并引导药师实现自我职业成长与自身价值的重塑。方法依据江苏省省级临床重点专科建设评价标准,采用关键成功因素分析法(key success factors,KSF)进行部门学科建设关键指标设定,部门日常工作采用关键绩效指标法(key process indication,KPI)进行考核指标的设置,基于KSF与KPI的结合共创住院药房绩效管理体系,并以员工与临床满意度、病区投诉、差错发生率、调配效率、科研产出指标评价绩效管理体系实施后的效果。结果“KSF+KPI”绩效体系构建并实施前后,员工平均满意度由57.75%提升至77.81%(P<0.05);病区投诉由每月(26.33±6.75)件下降至(7.17±3.61)件,差错发生件数由每月(30.33±5.50)件下降至(12.58±2.75)件,差异均具有统计学意义(P<0.05);临床总体满意度达到81.13%;PIVAS药品调配效率平均提升17%;文章撰写、录用、项目申报及员工科研参与度等创新性工作指标较绩效体系实施前显著提升。结论基于“KSF+KPI”方法建立的住院药房绩效管理体系为药学部调剂部门的转型发展提供了很好的绩效考评方案,在医院药师自我激励及职业发展、调剂部门高效运营、临床服务水平提升与药学学科发展方面做了积极的探索,并取得了良好的效果。 展开更多
关键词 关键成功因素分析法 关键绩效指标法 绩效管理 住院药房
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Analyze interleukin-1β,interleukin-6,and tumor necrosis factor-αlevels in dry eye and the therapeutic effect of cyclosporine A 被引量:2
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作者 Juan Wu Gui-Jun Li +2 位作者 Jie Niu fei wen Li Han 《World Journal of Clinical Cases》 SCIE 2024年第25期5665-5672,共8页
BACKGROUND Dry eye is a common eye disease.Artificial tears supplements are widely used for the treatment of dry eyes.However,multiple adverse effects have been observed in patients receiving long-term treatment with ... BACKGROUND Dry eye is a common eye disease.Artificial tears supplements are widely used for the treatment of dry eyes.However,multiple adverse effects have been observed in patients receiving long-term treatment with artificial tears,which may affect the therapeutic effect.AIM To analyze the characteristics of interleukin-1β(IL-1β),interleukin-6(IL-6),and tumor necrosis factor-alpha(TNF-α)levels in patients with dry eye and the therapeutic effect of artificial tears combined with cyclosporine A.METHODS A total of 124 dry eye patients treated at The First People’s Hospital of Xining from April 2020 to April 2022 were selected as the observation group,while 20 healthy individuals served as the control group during the same period.Levels of inflammatory markers,including IL-1β,IL-6,and TNF-α,were analyzed.The observation group was further divided into a study group and a control group,each consisting of 62 patients.The control group received artificial tears,whereas the study group received a combination of artificial tears and cyclosporine A.Inflammatory markers,Schirmer’s test(SIT),tear break-up time(TBUT),corneal fluorescein staining(CFS),National Eye Institute Visual Function Questionnaire-25(NEI-VFQ-25)scores,and adverse events(AEs)were compared between the two groups.RESULTS The observation group exhibited significantly elevated serum levels of IL-1β,IL-6,and TNF-αin comparison to the healthy group.Following treatment,the study group demonstrated substantial reductions in IL-1β,IL-6,and TNF-αlevels relative to the control group.Moreover,after treatment,the study group experienced a marked decrease in CFS scores and significant increases in both SIT and BUT levels when compared to the control group.Additionally,significant improvements were observed in the primary symptom of dry eye and secondary symptoms such as photophobia,foreign body sensation,fatigue,red eye,and burning sensation within the study group.Furthermore,post-treatment NEI-VFQ-25 scores across all dimensions exhibited significant enhancements in the study group compared to the control group(P<0.05).It is noteworthy that significant AEs were reported in both groups throughout the treatment period.CONCLUSION Cyclosporine A combined with artificial tears is effective in treating dry eye,yielding enhanced outcomes by improving SIT and TBUT levels,reducing CFS scores,and ameliorating vision-related quality of life. 展开更多
关键词 Artificial tears Dry eye syndrome CYCLOSPORINE Eye inflammation INTERLEUKIN-1Β INTERLEUKIN-6 Tumor necrosis factor-α Cyclosporine A
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Experimental study of core MHD behavior and a novel algorithm for rational surface detection based on profile reflectometry in EAST
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作者 叶凯萱 周振 +20 位作者 张涛 马九阳 王嵎民 李恭顺 耿康宁 吴茗甫 文斐 黄佳 张洋 邵林明 杨书琪 钟富彬 高善露 喻琳 周子强 向皓明 韩翔 张寿彪 李国强 高翔 the EAST Team 《Plasma Science and Technology》 SCIE EI CAS CSCD 2024年第3期66-75,共10页
Microwave reflectometry is a powerful diagnostic that can measure the density profile and localized turbulence with high spatial and temporal resolution and will be used in ITER,so understanding the influence of plasm... Microwave reflectometry is a powerful diagnostic that can measure the density profile and localized turbulence with high spatial and temporal resolution and will be used in ITER,so understanding the influence of plasma perturbations on the reflect signal is important.The characteristics of the reflect signal from profile reflectometry,the time-of-flight(TOF)signal associated with the MHD instabilities,are investigated in EAST.Using a 1D full-wave simulation code by the Finite-DifferenceTime-Domain(FDTD)method,it is well validated that the local density flattening could induce the discontinuity of the simulated TOF signal and an obvious change of reflect amplitude.Experimental TOF signals under different types of MHD instabilities(sawtooth,sawtooth precursors and tearing mode)are studied in detail and show agreement with the simulation.Two new improved algorithms for detecting and localizing the radial positions of the low-order rational surface,the cross-correlation and gradient threshold(CGT)method and the 2D convolutional neural network approach(CNN)are presented for the first time.It is concluded that TOF signal analysis from profile reflectometry can provide a straightforward and localized measurement of the plasma perturbation from the edge to the core simultaneously and may be a complement or correction to the q-profile control,which will be beneficial for the advanced tokamak operation. 展开更多
关键词 MHD instabilities profile reflectometry rational surface detection convolutional neural network(CNN) EAST tokamak
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Observation of Doppler shift f_(D) modulated by the internal kink mode using conventional reflectometry in the EAST tokamak
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作者 李恭顺 张涛 +18 位作者 耿康宁 文斐 叶凯萱 徐立清 朱翔 张学习 钟富彬 周振 杨书琪 周子强 喻琳 兰婷 王守信 提昂 张寿彪 刘海庆 李国强 高翔 the EAST Team 《Plasma Science and Technology》 SCIE EI CAS CSCD 2024年第3期1-9,共9页
In this paper we present a new experimental observation using a conventional reflectometry technique,poloidal correlation reflectometry(PCR),in the Experimental Advanced Superconducting Tokamak(EAST).The turbulence sp... In this paper we present a new experimental observation using a conventional reflectometry technique,poloidal correlation reflectometry(PCR),in the Experimental Advanced Superconducting Tokamak(EAST).The turbulence spectrum detected by the PCR system exhibits an asymmetry and induced Doppler shift f_(D)during the internal kink mode(IKM)rotation phase.This Doppler shift f_(D)is the target measurement of Doppler reflectometry,but captured by conventional reflectometry.Results show that the Doppler shift f_(D)is modulated by the periodic changes in the effective angle between the probing wave and cutoff layer normal,but not by plasma turbulence.The fishbone mode and saturated long-lived mode are typical IKMs,and this modulation phenomenon is observed in both cases.Moreover,the value of the Doppler shift f_(D)is positively correlated with the amplitude of the IKM,even when the latter is small.However,the positive and negative frequency components of the Doppler shift f_(D)can be asymmetric,which is related to the plasma configuration.A simulated analysis is performed by ray tracing to verify these observations.These results establish a clear link between f_(D)and IKM rotation,and are helpful for studying the characteristics of IKM and related physical phenomena. 展开更多
关键词 microwave reflectometry Doppler shift internal kink mode
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On the Normalized Laplacian Spectral Radius of Traceable Graphs
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作者 Yafei ZHANG fei wen Yonglei CHEN 《Journal of Mathematical Research with Applications》 CSCD 2024年第3期291-303,共13页
In this paper,we give some sufficient conditions for a graph to be traceable in terms of its order and size.As applications,the normalized Laplacian spectral conditions for a graph to be traceable are established.
关键词 traceable graphs normalized Laplacian spectral radius degree sequence
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ARIMA乘积季节模型在西藏自治区包虫病月发病人数中的预测应用 被引量:1
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作者 苑斌 石晓峰 +8 位作者 霍春青 赵晶 何世华 赵玉华 严静 费雯 栾晓婷 金海强 孙永安 《国际医药卫生导报》 2021年第7期957-959,1056,共4页
目的基于西藏自治区2013年8月至2018年7月包虫病的发病人数,采用X-12自回归移动平均(X-12-ARIMA)乘积模型拟合时间序列模型,对发病人数进行预测,为包虫病的防治提供科学的依据。方法采用X-12-ARIMA乘积季节模型对西藏自治区包虫病月度... 目的基于西藏自治区2013年8月至2018年7月包虫病的发病人数,采用X-12自回归移动平均(X-12-ARIMA)乘积模型拟合时间序列模型,对发病人数进行预测,为包虫病的防治提供科学的依据。方法采用X-12-ARIMA乘积季节模型对西藏自治区包虫病月度发病人数进行趋势分解,并自动选择ARIMA季节调整乘积模型,以赤池信息准则(AIC)和贝叶斯信息准则(BIC)值最小为最优模型选择标准。结果X-12选择的最优乘积季节模型为ARIMA(1,1,0)×(1,1,0)_(12);预测方程为,拟合模型结果显示2013至2018年包虫病的月发病人数不仅呈现季节性波动,而且呈现波动性下降的趋势。结论ARIMA(1,1,0)×(1,1,0)_(12)能够应用于西藏自治区包虫病发病人数的预测,西藏自治区包虫病的发病人数具有明显的季节性波动,并且呈现波动性下降趋势。 展开更多
关键词 包虫病 ARIMA乘积季节模型 发病人数 月份 预测
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西藏地区1172例包虫病患者临床流行病学分析 被引量:8
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作者 陈思霨 赵玉华 +6 位作者 费雯 刘媛 严静 陈路增 金海强 孙永安 魏智民 《解放军医学院学报》 CAS 北大核心 2022年第3期247-252,共6页
背景包虫病(Echinococcosis)是一种世界范围内流行的人畜共患疾病,我国西藏地区包虫病高发,但当地对该病的了解依然欠缺。目的分析近年来西藏地区包虫病住院患者的临床特点及影响其疾病转归的因素。方法回顾性分析2013年8月1日-2018年8... 背景包虫病(Echinococcosis)是一种世界范围内流行的人畜共患疾病,我国西藏地区包虫病高发,但当地对该病的了解依然欠缺。目的分析近年来西藏地区包虫病住院患者的临床特点及影响其疾病转归的因素。方法回顾性分析2013年8月1日-2018年8月1日在西藏自治区人民医院诊断为包虫病的1172例住院患者的病例资料,并对患者进行定期随访,分析其临床诊治特点及疾病转归。结果1172例患者中,男性484例,占41.3%,平均年龄(39.3±19.5)岁;女性688例,占58.7%,平均年龄为(41.3±17.7)岁。48.0%的患者来自那曲,职业分布中农牧民占71.5%。临床症状与包虫寄生部位相关,部分患者可无任何相关症状或体征。最常见的寄生部位为肝,亦发现一些罕见部位的包虫病,如纵隔、甲状腺、子宫、肌肉等,83.7%的患者仅有一个受累部位。除220例预后不详外,489例(41.7%)完全治愈,256例(21.8%)好转,205例(17.5%)未愈,2例死亡。年龄对于包虫病患者的预后存在影响(OR=0.992,95%CI:0.984~1.000),年龄越大,预后越差。与未治疗相比,手术联合药物治疗可显著改善患者预后(OR=216.618,95%CI:124.650~376.441)。结论针对西藏地区包虫病的科普教育及预防工作有待加强,年龄对于包虫病患者预后存在影响,手术联合药物治疗可显著改善患者预后。 展开更多
关键词 西藏地区 包虫病 临床特征 治疗 预后
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15种细胞毒性抗肿瘤药物在我院PIVAS中的环境残留检测及清洁方法 被引量:6
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作者 耿洲 王洋 +4 位作者 屈昱晨 陈浩 刘文秀 费雯 潘杰 《中国药房》 CAS 北大核心 2023年第2期217-222,共6页
目的为静脉用药集中调配中心(PIVAS)提供减少环境残留的方法,保障医护人员的职业健康。方法采用高效液相色谱-四极杆/静电场轨道阱高分辨质谱技术检测我院PIVAS环境中吉西他滨等15种细胞毒性抗肿瘤药物的残留量,并以残留量为指标优化清... 目的为静脉用药集中调配中心(PIVAS)提供减少环境残留的方法,保障医护人员的职业健康。方法采用高效液相色谱-四极杆/静电场轨道阱高分辨质谱技术检测我院PIVAS环境中吉西他滨等15种细胞毒性抗肿瘤药物的残留量,并以残留量为指标优化清洁流程;采用氮吹法进行酒精挥发试验;采用CCK-8法检测含氯消毒液对细胞毒性抗肿瘤药物毒性的影响。结果吉西他滨等15种药物的线性范围为0.5~1000 ng/mL;日内、日间精密度的RSD均不高于20.00%。我院PIVAS环境中检测到吉西他滨、异环磷酰胺、环磷酰胺等6种药物,以环磷酰胺的残留量较高。最优清洁程序为清水清洁1次+1000 mg/L含氯消毒液清洁1次+75%酒精清洁1次后,用干纱布擦拭。酒精挥发试验结果显示,对照组与75%酒精组各药物的残留量比较,差异无统计学意义(P>0.05)。CCK-8实验结果显示,与对照组比较,15种细胞毒性抗肿瘤药物组细胞生存率显著下降(P<0.01),15种细胞毒性抗肿瘤药物+含氯消毒液组细胞生存率显著高于15种细胞毒性抗肿瘤药物组(P<0.01)。结论成功建立了同时测定PIVAS环境中吉西他滨等15种细胞毒性抗肿瘤药物残留的方法;最优清洁程序能降低细胞毒性抗肿瘤药物的残留量,含氯消毒液能降低其毒性,且残留药物不会随酒精挥发而造成操作区域的二次污染。 展开更多
关键词 静脉用药集中调配中心 高效液相色谱-四极杆/静电场轨道阱高分辨质谱技术 细胞毒性抗肿瘤药物 环境残留检测 环境残留清洁
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基于失效模式和效应分析法的PIVAS输液调配不规范行为的风险评估和管理 被引量:12
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作者 费雯 韩俊萍 +1 位作者 耿洲 潘杰 《中国医院药学杂志》 CAS 北大核心 2023年第10期1154-1159,共6页
目的:通过失效模式与效应分析法(failure mode and effect analysis,FMEA)的实证性研究减少静脉用药集中调配中心(pharmacy intravenous admixture service,PIVAS)的输液调配不规范行为,提升PIVAS管理水平及患者用药安全。方法:采用FME... 目的:通过失效模式与效应分析法(failure mode and effect analysis,FMEA)的实证性研究减少静脉用药集中调配中心(pharmacy intravenous admixture service,PIVAS)的输液调配不规范行为,提升PIVAS管理水平及患者用药安全。方法:采用FMEA法识别PIVAS输液调配全流程的风险点并计算风险优先值(risk priority number,RPN),依据RPN值确定优先改善的风险点并制定干预措施,通过比较干预前后的RPN值及每月不规范行为发生件数来分析改进效果。结果:在苏州大学附属第二医院PIVAS输液调配过程中共找出净化系统、手卫生及职业防护、输液调配前准备、输液混合调配、成品复核与包装这五大环节中的40个风险点。其中药品未消毒或者消毒不充分、调配时手握溶药器针栓等5个风险点被纳入高风险管理,净化系统压差不达标、残留量超标等20个风险点被纳入中风险管理,本研究对这25个中高风险点采取干预措施并观察改善效果。经6个月干预,优先改善的25个中高风险失效模式被降为4个,共下降514个RPN值,下降幅度达55%,不规范行为由(36.67±1.80)件/月下降至(14.83±1.21)件/月,差异有统计学意义(P<0.05)。结论:基于FMEA法对PIVAS输液调配不规范行为进行风险识别及管理,建立了PIVAS输液调配管理的长效机制,提升了患者临床用药的安全性。 展开更多
关键词 失效模式与效应分析 风险评估 不规范行为 静脉用药集中调配中心
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TLR7/8 signalling affects X-sperm motility via the GSK3α/β-hexokinase pathway for the efficient production of sexed dairy goat embryos 被引量:5
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作者 Fa Ren Huaming Xi +8 位作者 Yijie Ren Yu Li fei wen Ming Xian Mengjie Zhao Dawei Zhu Liqiang Wang Anmin Lei Jianhong Hu 《Journal of Animal Science and Biotechnology》 SCIE CAS CSCD 2022年第2期401-417,共17页
Background:Goat milk is very similar to human milk in terms of its abundant nutrients and ease of digestion.To derive greater economic benefit,farmers require more female offspring(does);however,the buck-to-doe offspr... Background:Goat milk is very similar to human milk in terms of its abundant nutrients and ease of digestion.To derive greater economic benefit,farmers require more female offspring(does);however,the buck-to-doe offspring sex ratio is approximately 50%.At present,artificial insemination after the separation of X/Y sperm using flow cytometry is the primary means of controlling the sex of livestock offspring.However,flow cytometry has not been successfully utilised for the separation of X/Y sperm aimed at sexing control in dairy goats.Results:In this study,a novel,simple goat sperm sexing technology that activates the toll-like receptor 7/8(TLR7/8),thereby inhibiting X-sperm motility,was investigated.Our results showed that the TLR7/8 coding goat Xchromosome was expressed in approximately 50%of round spermatids in the testis and sperm,as measured from cross-sections of the epididymis and ejaculate,respectively.Importantly,TLR7/8 was located at the tail of the Xsperm.Upon TLR7/8 activation,phosphorylated forms of glycogen synthase kinaseα/β(GSK3α/β)and nuclear factor kappa-B(NF-κB)were detected in the X-sperm,causing reduced mitochondrial activity,ATP levels,and sperm motility.High-motility Y-sperm segregated to the upper layer and the low-motility X-sperm,to the lower layer.Following in vitro fertilisation using the TLR7/8-activated sperm from the lower layer,80.52±6.75%of the embryos were XX females.The TLR7/8-activated sperm were subsequently used for in vivo embryo production via the superovulatory response;nine embryos were collected from the uterus of two does that conceived.Eight of these were XX embryos,and one was an XY embryo.Conclusions:Our study reveals a novel TLR7/8 signalling mechanism that affects X-sperm motility via the GSK3α/β-hexokinase pathway;this technique could be used to facilitate the efficient production of sexed dairy goat embryos. 展开更多
关键词 Dairy goat Glycogen synthase kinaseα/β(GSK3α/β) Sexing control SPERM Toll-like receptor 7/8(TLR7/8)
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Achieving remarkable piezoelectric activity in Sb-Mn co-modified CaBi_(4)Ti_(4)O_(15) piezoelectric ceramics 被引量:3
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作者 Yang LIU Yang YU +6 位作者 Chen-yi YIN Liang ZHENG Peng ZHENG Wang-feng BAI Li-li LI fei wen Yang ZHANG 《Transactions of Nonferrous Metals Society of China》 SCIE EI CAS CSCD 2021年第8期2442-2453,共12页
CaBi_(4)Ti_(4)O_(15)(CBT)-based Aurivillius high-temperature piezoceramics with different Sb-Mn co-doping amounts were synthesized via the conventional sintering technique.The influences of doping amount on the produc... CaBi_(4)Ti_(4)O_(15)(CBT)-based Aurivillius high-temperature piezoceramics with different Sb-Mn co-doping amounts were synthesized via the conventional sintering technique.The influences of doping amount on the product were studied via their crystal structure,microstructure,and piezoelectric performance.It is found that an appropriate Sb-Mn co-doping amount can effectively optimize the crystal structure and decrease the oxygen vacancy concentration in CBT ceramics,leading to enhanced electrical properties.Optimized electrical performance with a high Curie temperature(TC)of 792℃and a remarkable piezoelectric coefficient(d33)of 25 p C/N were achieved at a doping amount(x)of 0.05.Furthermore,this ceramic is found to exhibit an excellent thermal stability,with d33 retaining 88%of its original value after annealing at 600℃for 2 h.Moreover,this ceramic shows a high electrical resistivity(ρ)of 1.35×10^(8)Ω·cm with a small dielectric loss(tanδ)of 1.7%at 400℃.Because of such outstanding piezoelectric performance,it is believed that these Sb-Mn co-doped CBT ceramics could be potential candidates for high-temperature piezoelectric applications. 展开更多
关键词 CaBi4Ti4O15 piezoelectric ceramics piezoelectric activity RESISTIVITY thermal stability
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Design and platform testing of the compact torus central fueling device for the EAST tokamak 被引量:3
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作者 孔德峰 庄革 +15 位作者 兰涛 张寿彪 叶扬 董期龙 陈晨 吴捷 张森 赵志豪 孟凡卫 张小辉 黄艳清 文斐 訾鹏飞 李磊 胡广海 宋云涛 《Plasma Science and Technology》 SCIE EI CAS CSCD 2023年第6期95-102,共8页
Compact torus(CT)injection is a highly promising technique for the central fueling of future reactor-grade fusion devices since it features extremely high injection velocity and relatively high plasma mass.Recently,a ... Compact torus(CT)injection is a highly promising technique for the central fueling of future reactor-grade fusion devices since it features extremely high injection velocity and relatively high plasma mass.Recently,a CT injector for the EAST tokamak,EAST-CTI,was developed and platform-tested.In the first round of experiments conducted with low parameter settings,the maximum velocity and mass of the CT plasma were 150 km·s^(-1)and 90μg,respectively.However,the parameters obtained by EAST-CTI were still very low and were far from the requirements of a device such as EAST that has a strong magnetic field.In future,we plan to solve the spark problem that EAST-CTI currently encounters(that mainly hinders the further development of experiments)through engineering methods,and use greater power to obtain a more stable and suitable CT plasma for EAST. 展开更多
关键词 compact torus(CT) central fueling EAST-CTI EAST tokamak
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Investigation of the compact torus plasma motion in the KTX-CTI device based on circuit analyses 被引量:2
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作者 Qilong DONG Defeng KONG +19 位作者 Xiaohe WU Yang YE Kun YANG Tao LAN Chen CHEN Jie WU Sen ZHANG wenzhe MAO Zhihao ZHAO Fanwei MENG Xiaohui ZHANG Yanqing HUANG Wei BAI Dezheng YANG fei wen Pengfei ZI Lei LI Guanghai HU Shoubiao ZHANG Ge ZHUANG 《Plasma Science and Technology》 SCIE EI CAS CSCD 2022年第2期36-44,共9页
Compact torus(CT)injection is one of the most promising methods for the central fuelling of next-generation reactor-grade fusion devices due to its high density,high velocity,and selfcontained magnetised structure.A n... Compact torus(CT)injection is one of the most promising methods for the central fuelling of next-generation reactor-grade fusion devices due to its high density,high velocity,and selfcontained magnetised structure.A newly compact torus injector(CTI)device in Keda Torus e Xperiment(KTX),named KTX-CTI,was successfully developed and tested at the University of Science and Technology in China.In this study,first,we briefly introduce the basic principles and structure of KTX-CTI,and then,present an accurate circuit model that relies on nonlinear regression analysis(NRA)for studying the current waveform of the formation region.The current waveform,displacement,and velocity of CT plasma in the acceleration region are calculated using this NRA-based one-dimensional point model.The model results were in good agreement with the experiments.The next-step upgrading reference scheme of the KTX-CTI device is preliminarily investigated using this NRA-based point model.This research can provide insights for the development of experiments and future upgrades of the device. 展开更多
关键词 compact torus(CT) circuit modelling nonlinear regression analysis(NRA) point model
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The Normalized Laplacian Spectrum of Subdivision Vertex-Edge Corona for Graphs 被引量:1
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作者 Muchun LI You ZHANG fei wen 《Journal of Mathematical Research with Applications》 CSCD 2019年第3期221-232,共12页
A subdivision vertex-edge corona G_1~S?(∪ G_3~E) is a graph that consists of S(G_1),|V(G_1)| copies of G_2 and |I(G_1)| copies of G_3 by joining the i-th vertex in V(G_1) to each vertex in the i-th copy of G_2 and i-... A subdivision vertex-edge corona G_1~S?(∪ G_3~E) is a graph that consists of S(G_1),|V(G_1)| copies of G_2 and |I(G_1)| copies of G_3 by joining the i-th vertex in V(G_1) to each vertex in the i-th copy of G_2 and i-th vertex of I(G_1) to each vertex in the i-th copy of G_3.In this paper, we determine the normalized Laplacian spectrum of G_1~S?(G_2~V∪ G_3~E) in terms of the corresponding normalized Laplacian spectra of three connected regular graphs G_1, G_2 and G_3. As applications, we construct some non-regular normalized Laplacian cospectral graphs. In addition, we also give the multiplicative degree-Kirchhoff index, the Kemeny's constant and the number of the spanning trees of G_1~S?(G_2~V∪ G_3~E) on three regular graphs. 展开更多
关键词 normalized Laplacian spectrum cospectral GRAPHS SPANNING trees SUBDIVISION vertex-edge CORONA
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Experimental study of double tearing mode on EAST tokamak 被引量:1
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作者 Mingfu WU Zixi LIU +14 位作者 Tao ZHANG Fubin ZHONG Gongshun LI Haoming XIANG Kangning GENG Kaixuan YE Jia HUANG fei wen Yumin WANG Xiang HAN Shoubiao ZHANG Haiqing LIU Guoqiang LI Ge ZHUANG Xiang GAO 《Plasma Science and Technology》 SCIE EI CAS CSCD 2020年第2期47-53,共7页
The double tearing mode(DTM)in a highβ_(N)(β_(N)>1.5)discharge with internal transport barrier on EAST was investigated.A 15 kHz tearing mode(TM)(m≥3,n=3)appears at outer q=2 surface at first,which is stable in ... The double tearing mode(DTM)in a highβ_(N)(β_(N)>1.5)discharge with internal transport barrier on EAST was investigated.A 15 kHz tearing mode(TM)(m≥3,n=3)appears at outer q=2 surface at first,which is stable in the highβ_(N)phase.Then a 2 kHz TM(m=2,n=1)occurs at inner q=2 surface.Soon after,highβ_(N)collapsed with the crash of ELM,and DTM formed during the collapse ofβ_(N).The positions of the two islands of the DTM are consistent with the q=2 surface.The temperature fluctuations are the strongest between the two magnetic islands.A statistical analysis of highβ_(N)discharges operating with the reversed magnetic shear configuration in the EAST 2015-2018 campaign revealed the existence of the DTM in many discharges.During the DTM phase,allβ_(N)are reduced by 10%-30%within 0.1 s.However,there are two differentβ_(N)behaviors thereafter-with and withoutβ_(N)recovery.Studying the physical mechanism ofβ_(N)recovery during the DTM phase will benefit steady-state operation with reversed shear configurations in the future. 展开更多
关键词 highβ_(N) β_(N)collapse EAST double tearing mode
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Influence of Rare-earth Elements on Mechanical Properties of Palladium 被引量:1
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作者 Yuantao NING+ fei wen +1 位作者 Huaizhi ZHOU Deguo DENG, Institute of Precious Metals Kunming, 650221, China 《Journal of Materials Science & Technology》 SCIE EI CAS CSCD 1993年第2期89-95,共7页
The influence of 0.1-0.6 at.-%RE additions (RE= La, Ce, Pr, Nd, Sm, Eu, Gd, Tb, Dy, Er, Yb) on the mechanical properties of Pd was studied. All above RE additions increased not only the strength properties at ambient ... The influence of 0.1-0.6 at.-%RE additions (RE= La, Ce, Pr, Nd, Sm, Eu, Gd, Tb, Dy, Er, Yb) on the mechanical properties of Pd was studied. All above RE additions increased not only the strength properties at ambient temperature but also the tensile strength, creep rupture time and activation en- ergy at high temperatures, simultaneously increased the elongation of Pd. In the range of dilute con- centration, the strength properties of Pd-RE alloy enhanced linearly with RE concentration. When the strength properties of Pd-RE alloys were normalized at 0.1 at.-%RE, it was found that light RE elements had stronger effect on the properties of Pd than heavy RE, whereas Eu, Yb, Ce had anoma- lous effect. In all Pd-RF alloys, Pd-Eu alloy had the highest strength properties, successively Pd-Yb and Pd-Ce alloy. The effect mechanisms of RE in alloy, such as purifying impurities, increasing recrystallization temperature, refining grain size. expanding crystal lattice, increasing dislocation den- sity and decreasing stacking fault energy, forming stable RE oxidation by internal oxidation, and so on, were observed. They were strengthening sensitive factors. The influence of the factors on strength properties and elongation of Pd was discussed. 展开更多
关键词 RE mechanical property PD
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