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急性脑梗死患者并发认知功能障碍的风险预测Nomogram模型构建 被引量:3
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作者 顾福一 黄维英 +3 位作者 熊长贵 卢金虎 朱卫星 刘芳 《神经损伤与功能重建》 2025年第1期12-16,56,共6页
目的:构建急性脑梗死(acute cerebralinfarction,ACI)患者并发认知功能障碍的风险预测Nomogram模型。方法:回顾性分析2020年9月至2023年3月本院收治的279例ACI患者的临床资料,按照2∶1比例将其分为建模组(n=186)和验证组(n=93),并根据... 目的:构建急性脑梗死(acute cerebralinfarction,ACI)患者并发认知功能障碍的风险预测Nomogram模型。方法:回顾性分析2020年9月至2023年3月本院收治的279例ACI患者的临床资料,按照2∶1比例将其分为建模组(n=186)和验证组(n=93),并根据蒙特利尔认知评估量表评分将其分为认知功能障碍亚组和认知功能正常亚组。采用多因素Logistic回归分析法分析ACI患者并发认知功能障碍的危险因素,并基于此构建风险预测列线图。采用Bootstrap法对列线图模型进行验证,并绘制校准曲线评价列线图模型的校准度,绘制受试者工作特征(ROC)曲线分析列线图模型的预测效能,绘制决策曲线验证模型的临床净获益率。结果:高血压、糖尿病、大动脉粥样硬化性脑卒中、多发性脑梗死、脑白质疏松、入院时美国国立卫生研究院卒中量表(NIHSS)评分>10分、入院时高水平同型半胱氨酸(Hcy)、高水平C反应蛋白(CRP)均为ACI患者并发认知功能障碍的危险因素(P<0.05)。根据上述影响因素构建的列线图模型,运用Bootstrap法进行验证,建模组和验证组的一致性指数分别为0.833、0.821,校准曲线和理想曲线拟合度均较好;ROC曲线结果显示,建模组、验证组列线图预测ACI患者并发认知功能障碍的曲线下面积分别为0.898、0.852;决策曲线显示,建模组风险阈值概率在1%~74%时、验证组风险阈值概率在1%~80%时有较高的净获益值。结论:高血压、糖尿病、大动脉粥样硬化性脑卒中、多发性脑梗死、脑白质疏松、入院时NIHSS评分>10分、入院时高水平Hcy、CRP均为影响ACI患者并发认知功能障碍的因素,据此构建的列线图预测模型具有良好的校准度、预测效能和临床应用效果。 展开更多
关键词 急性脑梗死 认知功能障碍 危险因素 列线图模型
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Technique for Advanced Electrochemical Oxidation Treatment of Nanofiltration Concentrate of Landfill Leachate 被引量:4
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作者 xiong changgui LI Guang +3 位作者 ZHANG Zhiliang XIA Zhengwu LI Jian YE Hongji 《Wuhan University Journal of Natural Sciences》 CAS 2014年第4期355-360,共6页
Landfill leachate treated with combined process of "pretreatment +biological treatment +advanced treatment (NF)" to produce nanofiltration concentrate, which bio-chemical ratio (B/C) is less than 0.1 and CODer... Landfill leachate treated with combined process of "pretreatment +biological treatment +advanced treatment (NF)" to produce nanofiltration concentrate, which bio-chemical ratio (B/C) is less than 0.1 and CODer concentration is 2 000-2 500 mg/L, high salt content. Which cannot be discharged under existing environ- mental standards. According to analysis based on electrochemical advanced oxidation mechanism, a two-step electrochemical tech- nique was recommended. In the first step, a pulse electrochemical technique was adopted. With Fe as consumption electrode and current density of 10 mA/cm2, the pollutants were removed by means of Fenton reaction, electroflotation and electrocoagulation. In the second step, a double function electrode was used to per- form electrocatalytic oxidation by means of titanium metallic oxi- dates. In the condition that current density being 12.5 mA/cm2, the pollutants were further removed by oxidation and electrolytic deposition. Result shows that the removing rate of CODer, NH3-N and CI were 70%-85%, 90% and 25%, respectively; average value of B/C ratio increased from 0.09 to 0.38 and conductivity reduced by 10%. 展开更多
关键词 nanofiltration concentrate of landfill leachate elec-trochemistry advanced oxidation pulse ELECTRODE POLLUTANTS
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