目的研究PALBI联合AMIS65评分系统用于肝硬化急性上消化道出血患者预后评估的临床价值。方法选择2017年9月至2021年3月期间无锡市第五人民医院收治的230例肝硬化合并急性上消化道出血患者。根据入院30 d内生存情况,分为生存组(n=201)和...目的研究PALBI联合AMIS65评分系统用于肝硬化急性上消化道出血患者预后评估的临床价值。方法选择2017年9月至2021年3月期间无锡市第五人民医院收治的230例肝硬化合并急性上消化道出血患者。根据入院30 d内生存情况,分为生存组(n=201)和死亡组(n=29),采集和比较两组患者性别、年龄等流行病学资料和血常规、肝肾功能、凝血功能等血液学指标。比较两组患者PALBI评分和AMIS65评分,通过单因素分析和基于偏最大似然估计前进法logistic回归分析确定死亡的独立影响因素,应用ROC曲线评估PALBI和AMIS65评分单独和联合预测死亡的预测价值。结果死亡组患者凝血酶原时间(21.64±2.97 vs 20.12±2.68,t=2.816,P=0.005)、总胆红素(34.76±2.78 vs 26.87±3.02,t=13.277,P<0.001)、国际标准化比值(1.55±0.21 vs 1.33±0.38,t=4.649,P<0.001)、PALBI评分(-1.43±0.31 vs-1.94±0.26,t=9.629,P<0.001)和AMIS65评分(3.45±0.58 vs 2.09±0.41,t=12.195,P<0.001)明显高于生存组;死亡组患者白蛋白(27.54±6.01 vs 31.98±5.01,t=4.346,P<0.001)、血小板计数(71.99±18.23 vs 83.56±24.25,t=1.829,P=0.049)和Child-Pugh分级A比例(3.45%vs 33.83%,χ^(2)=26.117,P<0.001)明显低于生存组。logistic回归分析显示,PALBI评分(OR=1.597,95%CI:1.597~2.449)和AMIS65评分(OR=2.162,95%CI:1.499~3.357)是肝硬化急性上消化道出血预后的独立影响因素,得到方程为logit(P)=-0.541+0.682XPALBI评分+0.771XAMIS65评分。ROC曲线结果显示,PALBI评分单独预测最佳临界值为-1.69分,对应的灵敏度为79.31%,特异度为80.60%,AUC为0.801(95%CI:0.750~0.852);AMIS65评分单独预测临界值为2.73分,对应的灵敏度为65.52%,特异度为62.69%,AUC为0.760(95%CI:0.707~0.812);回归联合检测最佳截断值对应的灵敏度、特异度和AUC分别为96.55%,95.52%和0.975(95%CI:0.924~0.986),联合预测的灵敏度、特异度和AUC均显著高于PALBI评分和AMIS65评分单独预测(P<0.05),具有一定的预测价值。结论PALBI评分和AMIS65评分是肝硬化急性上消化道出血预后的独立影响因素,且回归分析表明联合检测预测价值更高。展开更多
随着计算机网络技术和数据库技术的发展,许多企业会计信息系统(AMIS,Accounting Managment Information System)呈现多数据库平台并行运行的局面,这种不同应用软件系统之间的、跨平台的数据实时、一致传输成为AMIS系统集成的迫切需要解...随着计算机网络技术和数据库技术的发展,许多企业会计信息系统(AMIS,Accounting Managment Information System)呈现多数据库平台并行运行的局面,这种不同应用软件系统之间的、跨平台的数据实时、一致传输成为AMIS系统集成的迫切需要解决的问题.论文根据异构数据库平台下数据管理的特点,提出异构数据库下会计信息系统信息集成模式和实现方案.展开更多
Lucky Jim is Kingsley Amis' first novel and regarded as an important representative work of the"Angry Young Men".Through vivid depiction of Jim's predicament,Jim's rebellion as well as the post-w...Lucky Jim is Kingsley Amis' first novel and regarded as an important representative work of the"Angry Young Men".Through vivid depiction of Jim's predicament,Jim's rebellion as well as the post-war British society situation,the author showshis concern about the human conditions of individual,community and society.The thesis gives a clear interpretation of the themeby analyzing Jim's powerless rebellion against the academic world and his hopeless breakthrough from the predicament.It express-es that people are extreme dissatisfied with the post-war society and yearn for freedom and a better life.By describing the predica-ment of Jim which includes academic corruption,the fear of unemployment,the hypocrisy of superiors and so on,this thesis revealsthe reasons of Jim's rebellion and thinking all day long for pursuing freedom.However,due to suffer under the repression,the in-ability to pursue freedom and honesty leads to Jim's increasing feeling for discontent.The thesis also presents Jim's powerless re-volt and his anger to highlight the big breakthrough in the disappointed plight.The thesis considers that the novel in the aspect ofencouraging people to fight with high culture and bravely pursuing freedom still has the edificatory significance for the academic re-search.展开更多
Amis is the largest aboriginal population in Taiwan. The previous dermatoglyphic studies of the Amis only reported limited data. In this study, we collected and analyzed the dermatoglyphs of 200 Amis in-dividuals, and...Amis is the largest aboriginal population in Taiwan. The previous dermatoglyphic studies of the Amis only reported limited data. In this study, we collected and analyzed the dermatoglyphs of 200 Amis in-dividuals, and we reported a wide range of dermatoglyphic variables including total finger ridge count, a-b ridge count, atd angle, axial triradius percent distance, and frequencies of fingerprint pattern, pal-mar thenar pattern, palmar interdigital pattern, and simian line. This study is the first comprehensive dermatoglyphic research of Amis since 1960s, and its dermatoglyphic data will be useful for future re-search in anthropology, genetics and medicine.展开更多
文摘目的研究PALBI联合AMIS65评分系统用于肝硬化急性上消化道出血患者预后评估的临床价值。方法选择2017年9月至2021年3月期间无锡市第五人民医院收治的230例肝硬化合并急性上消化道出血患者。根据入院30 d内生存情况,分为生存组(n=201)和死亡组(n=29),采集和比较两组患者性别、年龄等流行病学资料和血常规、肝肾功能、凝血功能等血液学指标。比较两组患者PALBI评分和AMIS65评分,通过单因素分析和基于偏最大似然估计前进法logistic回归分析确定死亡的独立影响因素,应用ROC曲线评估PALBI和AMIS65评分单独和联合预测死亡的预测价值。结果死亡组患者凝血酶原时间(21.64±2.97 vs 20.12±2.68,t=2.816,P=0.005)、总胆红素(34.76±2.78 vs 26.87±3.02,t=13.277,P<0.001)、国际标准化比值(1.55±0.21 vs 1.33±0.38,t=4.649,P<0.001)、PALBI评分(-1.43±0.31 vs-1.94±0.26,t=9.629,P<0.001)和AMIS65评分(3.45±0.58 vs 2.09±0.41,t=12.195,P<0.001)明显高于生存组;死亡组患者白蛋白(27.54±6.01 vs 31.98±5.01,t=4.346,P<0.001)、血小板计数(71.99±18.23 vs 83.56±24.25,t=1.829,P=0.049)和Child-Pugh分级A比例(3.45%vs 33.83%,χ^(2)=26.117,P<0.001)明显低于生存组。logistic回归分析显示,PALBI评分(OR=1.597,95%CI:1.597~2.449)和AMIS65评分(OR=2.162,95%CI:1.499~3.357)是肝硬化急性上消化道出血预后的独立影响因素,得到方程为logit(P)=-0.541+0.682XPALBI评分+0.771XAMIS65评分。ROC曲线结果显示,PALBI评分单独预测最佳临界值为-1.69分,对应的灵敏度为79.31%,特异度为80.60%,AUC为0.801(95%CI:0.750~0.852);AMIS65评分单独预测临界值为2.73分,对应的灵敏度为65.52%,特异度为62.69%,AUC为0.760(95%CI:0.707~0.812);回归联合检测最佳截断值对应的灵敏度、特异度和AUC分别为96.55%,95.52%和0.975(95%CI:0.924~0.986),联合预测的灵敏度、特异度和AUC均显著高于PALBI评分和AMIS65评分单独预测(P<0.05),具有一定的预测价值。结论PALBI评分和AMIS65评分是肝硬化急性上消化道出血预后的独立影响因素,且回归分析表明联合检测预测价值更高。
文摘随着计算机网络技术和数据库技术的发展,许多企业会计信息系统(AMIS,Accounting Managment Information System)呈现多数据库平台并行运行的局面,这种不同应用软件系统之间的、跨平台的数据实时、一致传输成为AMIS系统集成的迫切需要解决的问题.论文根据异构数据库平台下数据管理的特点,提出异构数据库下会计信息系统信息集成模式和实现方案.
文摘Lucky Jim is Kingsley Amis' first novel and regarded as an important representative work of the"Angry Young Men".Through vivid depiction of Jim's predicament,Jim's rebellion as well as the post-war British society situation,the author showshis concern about the human conditions of individual,community and society.The thesis gives a clear interpretation of the themeby analyzing Jim's powerless rebellion against the academic world and his hopeless breakthrough from the predicament.It express-es that people are extreme dissatisfied with the post-war society and yearn for freedom and a better life.By describing the predica-ment of Jim which includes academic corruption,the fear of unemployment,the hypocrisy of superiors and so on,this thesis revealsthe reasons of Jim's rebellion and thinking all day long for pursuing freedom.However,due to suffer under the repression,the in-ability to pursue freedom and honesty leads to Jim's increasing feeling for discontent.The thesis also presents Jim's powerless re-volt and his anger to highlight the big breakthrough in the disappointed plight.The thesis considers that the novel in the aspect ofencouraging people to fight with high culture and bravely pursuing freedom still has the edificatory significance for the academic re-search.
文摘Amis is the largest aboriginal population in Taiwan. The previous dermatoglyphic studies of the Amis only reported limited data. In this study, we collected and analyzed the dermatoglyphs of 200 Amis in-dividuals, and we reported a wide range of dermatoglyphic variables including total finger ridge count, a-b ridge count, atd angle, axial triradius percent distance, and frequencies of fingerprint pattern, pal-mar thenar pattern, palmar interdigital pattern, and simian line. This study is the first comprehensive dermatoglyphic research of Amis since 1960s, and its dermatoglyphic data will be useful for future re-search in anthropology, genetics and medicine.
