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新型冠状病毒肺炎药物预防、诊断、治疗与出院管理循证临床实践指南(更新版) 被引量:16
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作者 靳英辉 詹庆元 +59 位作者 彭志勇 任学群 尹训涛 蔡林 袁玉峰 岳冀蓉 张笑春 杨启文 纪建光 夏剑 李一荣 周福祥 高亚东 余追 徐峰 涂明利 谭力铭 杨旻 陈芳 张晓菊 曾玫 朱渝 刘新灿 杨简 赵东赤 丁玉峰 侯宁 汪付兵 陈昊 张永刚 李玮 陈文 施月仙 杨秀芝 王学军 钟燕军 赵明娟 李柄辉 马琳璐 訾豪 王娜 王云云 余绍福 李路遥 黄桥 翁鸿 任相颖 罗丽莎 范曼如 黄笛 薛竑飏 余临心 高锦萍 邓通 曾宪涛 李宏军 程真顺 姚晓梅 王行环 《解放军医学杂志》 CAS CSCD 北大核心 2020年第10期1003-1031,共29页
严重急性呼吸综合征冠状病毒2(SARS-CoV-2)导致的新型冠状病毒肺炎(COVID-19)自暴发以来迅速在全球蔓延,造成数以千万人感染及数十万患者死亡。基于研究证据的临床实践指南是诊治COVID-19的有力武器。在疫情早期阶段,该团队制定并发布... 严重急性呼吸综合征冠状病毒2(SARS-CoV-2)导致的新型冠状病毒肺炎(COVID-19)自暴发以来迅速在全球蔓延,造成数以千万人感染及数十万患者死亡。基于研究证据的临床实践指南是诊治COVID-19的有力武器。在疫情早期阶段,该团队制定并发布了《新型冠状病毒(2019-nCoV)感染的肺炎诊疗快速建议指南(标准版)》。疫情暴发后大量相关临床研究陆续开展并发表,新的证据可能会改变以前的推荐意见,更新指南的时机已经成熟。因此,该团队成立了由临床专家和方法学家组成的工作组,通过咨询一线临床专家提出并确定了与COVID-19管理相关的29个临床问题。通过系统检索有关COVID-19预防及诊疗的直接证据,使用GRADE方法评估证据质量并制订推荐意见,最终形成34条建议,其中6条强推荐,14条弱推荐,3条弱不推荐,11条为基于共识的建议;共涵盖4个方面,分别为药物预防,诊断(包括临床表现、RT-PCR检测、呼吸道标本、IgM和IgG抗体检测、CT检查、胸部X线片及无症状感染的CT特征),治疗方法[包括洛匹那韦-利托那韦、阿比朵尔、法匹拉韦、干扰素、瑞德西韦、抗病毒药的组合、羟氯喹/氯喹、白介素-6抑制剂、白介素-1抑制剂、糖皮质激素、清肺排毒汤、连花清瘟胶囊/颗粒、康复者血浆、肺移植、有创或无创通气、体外膜肺氧合支持(ECMO)]以及出院管理(包括复阳患者管理及出院标准)。此外,还制订了针对推荐意见的指南实施工具流程图,以期有力支持医护人员对COVID-19患者的照护。 展开更多
关键词 新型冠状病毒肺炎 2019新型冠状病毒 感染性疾病 临床实践指南 循证医学
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阿氏芽孢杆菌应用研究进展 被引量:17
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作者 熊乙 欧翔 +2 位作者 贾蓉 玉柱 许庆方 《生物技术》 CAS 2018年第3期302-306,共5页
近年来,阿氏芽孢杆菌(Bacillus aryabhattai)在不同行业应用研究广泛,该文综述了阿氏芽孢杆菌发现和分布、研究方向、功能应用,展望了阿氏芽孢杆菌研究前景。
关键词 阿氏芽孢杆菌 应用 降解 合成 植物促生
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蜂胶对放疗或化疗相关性口腔黏膜炎效果的Meta分析 被引量:3
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作者 郑咪咪 万宏伟 +2 位作者 朱毓 项李娜 李小茹 《护士进修杂志》 2021年第17期1565-1569,1574,共6页
目的通过Meta分析探究蜂胶在放疗或化疗相关性口腔黏膜炎中的效果。方法通过计算机检索10个数据库中自建库至2020年12月发表的中文或英文的相关研究文献。由2名研究员独立的使用Cochrane和JBI评分标准对纳入的研究进行文献质量评价。数... 目的通过Meta分析探究蜂胶在放疗或化疗相关性口腔黏膜炎中的效果。方法通过计算机检索10个数据库中自建库至2020年12月发表的中文或英文的相关研究文献。由2名研究员独立的使用Cochrane和JBI评分标准对纳入的研究进行文献质量评价。数据录入Review Manager(RevMan)5.3管理软件并进行分析。结局指标口腔黏膜炎发生率、严重口腔黏膜炎发生率用风险差(Bate difference,RD)分析。结果纳入一项类实验研究和7项随机对照研究。Meta分析结果显示:蜂胶组患者干预前后口腔黏膜炎的发生率和严重度与对照组患者相比,差异有统计学意义。蜂胶组口腔黏膜炎的发生率低于对照组(RD=-0.17),95%可信区间(CI)为[(-0.28,-0.05),P=0.005],异质性较低(I 2=0%,P=0.55)。蜂胶组重度口腔黏膜炎的发生率明显低于对照组(RD=-0.12),95%可信区间(CI)[(-0.19,-0.04),P=0.002],异质性尚可接受(I 2=41%,P=0.12)。2项研究报告3例患者出现不良反应。结论蜂胶可以明显降低放疗或化疗引起的口腔黏膜炎发生率,减轻口腔黏膜炎严重程度,但使用的剂量和浓度、时间等仍需要高质量的研究进行验证。 展开更多
关键词 蜂胶 口腔黏膜炎 系统评价 META分析
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Hydrothermal Synthesis and Crystal Structure of Zinc(Ⅱ) Dinicotinate Complex [Zn(nic)_2(H_2O)_4](nic=nicotinic acid):A Three-dimensional Hydrogen-bond Network 被引量:2
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作者 MAOHong-yan ZHANGZong-pei +4 位作者 ZHANGHong-yun XUChen WANGEn-bo WUQing-an zhuyu 《Chemical Research in Chinese Universities》 SCIE CAS CSCD 2004年第3期377-379,共3页
关键词 Nicotinic acid Zinc(Ⅱ) complex Crystal structure Hydrothermal synthesis
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A Novel Layered Complex with Rhomboidal Channels:Hydrothermal Synthesis,Crystal Structure,and Properties of Cu(4,4'-bipy)_2(H_2PO_4)_2(H_2O)_2 (bipy=bipyridine)
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作者 MAOHong-yan LIUHong-lei +5 位作者 ZHANGHong-yun XUChen WANGEn-bo HANHua-yun WUQing-an zhuyu 《Chemical Research in Chinese Universities》 SCIE CAS CSCD 2004年第3期277-280,共4页
The combination of both 4,4′-bipyridine(4,4′-bipy) and dihydrogen phosphate anion ligands with copper(Ⅱ) results in the formation of a novel layered compound Cu(4,4′-bipy)_2(H_2PO_4)_2(H_2O)_2. The crystal structu... The combination of both 4,4′-bipyridine(4,4′-bipy) and dihydrogen phosphate anion ligands with copper(Ⅱ) results in the formation of a novel layered compound Cu(4,4′-bipy)_2(H_2PO_4)_2(H_2O)_2. The crystal structure comprises discrete neutral Cu(4,4′-bipy)_2(H_2PO_4)_2(H_2O)_2 units. The copper atom,located on the crystallographic twofold axis,is coordinated with two nitrogen atoms of terminal 4,4′-bipy ligands and two water molecules at the equatorial positions,and two dihydrogen phosphate oxygen atoms at the axial positions,forming an elongated octahedron. The complex is a two-dimensional distorted rhomboidal network possessing two kinds of rhomboids with dimensions of ca . 1.6792 nm×0.3203 nm and 1.2778 nm×0.3198 nm,respectively. The two-dimensional networks are stacked parallelly on each other along c -axis to give an extended three-dimensional channel network with an interlayer distance of ca . 0.5030 nm. Crystal data: triclinic,space group P -_1,a =1.0253(2) nm,b =1.4501(3) nm,c =0.79715(16) nm, α =97.91(3)°,β = 90.99(3)° ,γ =85.54(3)°,V =1.1703(4) nm 3,Z =2,R =0.0892,wR =0.2451. 展开更多
关键词 Phosphate 4 4′-Bipyridine Copper(Ⅱ) complex Channel structure Hydrothermal synthesis
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Andreev-Fano Effect in a Hybrid Normal-Metal/Superconductor Interferometer
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作者 zhuyu MAZhong-Shui +1 位作者 SUNQing-Feng LINTsung-Han 《Communications in Theoretical Physics》 SCIE CAS CSCD 2004年第1X期155-160,共6页
We report on a new type of Fano effect, named as Andreev-Fano effect, in a hybrid normal-metal/supeeconductor (N/S) interferometer embedded with a quantum dot. Compared with the conventional Fano effect, AndreevFano e... We report on a new type of Fano effect, named as Andreev-Fano effect, in a hybrid normal-metal/supeeconductor (N/S) interferometer embedded with a quantum dot. Compared with the conventional Fano effect, AndreevFano effect has some new features related to the characteristics of Andreev reflection. In the Iinear response regime, the line shape is the square of the conventional Fano shape, while in the nonlinear transport, a sharp resonant structure is superposed on an expanded interference pattern, which is qualitatively different from the conventional Fano effect. The phase dependence of the hybrid N/S interferometer is also distinguished from those of all-N or all-S interferometers. 展开更多
关键词 Andreev-Fano效应 掺杂常规金属/超导体干涉计 量子点 格林函数 哈密顿系统
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Theory of Nonequilibrium Coherent Transport Through an Interacting Mesoscopic Region Weakly Coupled to Electrodes
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作者 zhuyu LINTsung-Han SUNQing-Feng 《Communications in Theoretical Physics》 SCIE CAS CSCD 2003年第3X期369-374,共6页
We develop a theory for the nonequilibrium coherent transport through a mesoscopic region, based on the nonequilibrium Green function technique. The theory requires the weak coupling between the central mesoscopic re... We develop a theory for the nonequilibrium coherent transport through a mesoscopic region, based on the nonequilibrium Green function technique. The theory requires the weak coupling between the central mesoscopic region and the multiple electrodes, but allows arbitrary hopping and interaction in the central region. An equation determining the nonequilibrium distribution in the central interacting region is derived and plays an important role in the theory.The theory is applied to two special cases for demonstrations, revealing the novel effects associated with the combination of phase coherence, Coulomb interaction, and nonequilibrium distribution. 展开更多
关键词 非平衡态 一致性输运 中观系统 格林函数 电子崩溃
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Andreev Tunneling Through a Ferromagnet/Quantum-Dot/Superconductor System
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作者 RAOHong-Hu zhuyu 《Communications in Theoretical Physics》 SCIE CAS CSCD 2002年第5期629-633,共5页
We study Andreev tunneling through a ferromagnet/quantum-dot (QD)/superconductor system. By usingnonequilibrum Green function method, the averaged occupation of electrons in QD and the Andreev tunneling currentare stu... We study Andreev tunneling through a ferromagnet/quantum-dot (QD)/superconductor system. By usingnonequilibrum Green function method, the averaged occupation of electrons in QD and the Andreev tunneling currentare studied. Comparing to the norma-metal/quantum-dot/superconductor, the system shows significant changes: (i)The averaged occupations of spin-up and spin-down electrons are not equal. (ii) With the increase of the polarizationof ferromagnetic lead, the Andreev reflection current decreases. (iii) However, even the ferromagnetic lead reaches fullpolarization, the averaged occupation of spin-down electrons is not zero. The physics of these changes is discussed. 展开更多
关键词 Andreev tunneling FERROMAGNET QUANTUM-DOT superconductor system
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内河水系旧桥梁的缺陷诊治与加固
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作者 朱郁 尹良 《建筑施工》 2018年第5期776-778,共3页
以苏州吴中区最典型的内河水系空心板桥梁加固维修为研究背景,研究了苏州内河水系空心板桥梁的加固方法,并主要介绍了梁底部纵向粘贴钢板、通车条件下PLC同步顶升增设支座等方案。同时针对水上施工作业平台的搭设提出了借助系梁和自制... 以苏州吴中区最典型的内河水系空心板桥梁加固维修为研究背景,研究了苏州内河水系空心板桥梁的加固方法,并主要介绍了梁底部纵向粘贴钢板、通车条件下PLC同步顶升增设支座等方案。同时针对水上施工作业平台的搭设提出了借助系梁和自制浮筒共同支撑的解决方案。桥梁加固后的数值模拟结果显示,结构的抗弯承载力得到了有效提高,表明所采取的加固方案合理、可靠。研究思路可为同类型内河水系旧桥梁加固提供参考借鉴。 展开更多
关键词 内河水系桥梁 加固维修 PLC同步顶升 粘贴钢板 水中施工平台
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Influence Analysis of One-to-one Stratified Teaching Mode on the Nursing Skills and Satisfaction of Operating Room Interns
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作者 LIMingyue zhuyu 《外文科技期刊数据库(文摘版)医药卫生》 2022年第5期121-124,共4页
Objective: to analyze the effect of one-to-one stratified teaching mode in operating room interns. Methods: 60 interns were selected to teach through one-to-one stratification (observation) and basic (control) to obse... Objective: to analyze the effect of one-to-one stratified teaching mode in operating room interns. Methods: 60 interns were selected to teach through one-to-one stratification (observation) and basic (control) to observe the effect. Results: compared with teaching satisfaction expertise score, the control group was lower and p 0.05. The teaching effect of the control group was lower than the observation group (43.33%, 83.33%, X210.335, p 0.05);the total clinical thinking ability of the control group was lower than the observation group [(65.21±12.44)points,(85.16±16.38)points,t5.313,p<0.05)];The results of the control group were higher than those of the observation group (P 0.05). Conclusion: choose one-to-one stratified teaching mode in the operating room. 展开更多
关键词 operating room INTERN nursing skills SATISFACTION
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Grain-size evidence for multiple origins of the reticulate red clay in southern China 被引量:10
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作者 HUXuefeng zhuyu SHENMingneng 《Chinese Science Bulletin》 SCIE EI CAS 2005年第9期910-918,共9页
Grain-size distributions of the reticulate red clay in Xuancheng, Anhui Province, and Jiujiang, Taihe and Ganzhou, Jiangxi Province, are analyzed. The results are as follows: (1) Generally fine and uniform, grain-size... Grain-size distributions of the reticulate red clay in Xuancheng, Anhui Province, and Jiujiang, Taihe and Ganzhou, Jiangxi Province, are analyzed. The results are as follows: (1) Generally fine and uniform, grain-size charac- teristics of the reticulate red clay in Xuancheng and Jiujiang are much similar, with no >2 mm gravels, 0.30% and 1.14% of >63 μm fraction on average, respectively, and 34.65% and 37.20% of 10―50 μm fraction, which is apparently accumu- lated. The patterns of the grain-size distribution curves of the uppermost yellow-brown earth of the profiles in the two ar- eas much resemble those of the loess in northern China and the Xiashu loess in southeastern China, while the patterns of the other layers also apparently show some attributes inher- ited from the above. The grain-size distribution patterns of the quartz separated from the whole profiles in the areas are almost identical, which could also be compared with those of the loess and the Xiashu loess. All the features above reveal aeolian characteristics of the reticulated red clay in these two areas. (2) The reticulate red clay in Taihe and Ganzhou is much coarser than that in Xuancheng and Jiujiang, with high content of >63 μm fraction and relatively low content of 10―50 μm fraction. The variations in grain-size distribu- tions of the profiles are also observed. The grain-size distri- bution patterns of both the original samples and the quartz of the red clay could hardly be compared with those of the loess and the Xiashu loess. All the features above reveal their alluvial or diluvial origins. (3) The multiple origins of the reticulate red clay in the areas reflect the diversity and com- plexity of the Quaternary environment in southern China. The existence of the reticulate red clay with aeolian charac- teristics brings forth objective evidence for the occurrence of large-scale dust deposition in southern China during the Quaternary glacial periods. Further investigation and study on the regional distribution of this kind of the red clay will be conducive to revealing the southern border of the large-scale dust deposition in southern China during the Quaternary glacial periods. 展开更多
关键词 颗粒尺寸 红土 网状分布 风化作用 地质环境
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