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Venous excess ultrasound:A mini-review and practical guide for its application in critically ill patients
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作者 Wei Ven Chin Melissa Mei Ing Ngai Kay Choong See 《World Journal of Critical Care Medicine》 2025年第2期50-64,共15页
Advancements in healthcare technology have improved mortality rates and extended lifespans,resulting in a population with multiple comorbidities that complicate patient care.Traditional assessments often fall short,un... Advancements in healthcare technology have improved mortality rates and extended lifespans,resulting in a population with multiple comorbidities that complicate patient care.Traditional assessments often fall short,underscoring the need for integrated care strategies.Among these,fluid management is particularly challenging due to the difficulty in directly assessing volume status especially in critically ill patients who frequently have peripheral oedema.Effective fluid ma-nagement is essential for optimal tissue oxygen delivery,which is crucial for cellular metabolism.Oxygen transport is dependent on arterial oxygen levels,haemoglobin concentration,and cardiac output,with the latter influenced by preload,afterload,and cardiac contractility.A delicate balance of these factors ensures that the cardiovascular system can respond adequately to varying ph-ysiological demands,thereby safeguarding tissue oxygenation and overall organ function during states of stress or illness.The Venous Excess Ultrasound(VExUS)Grading System is instrumental in evaluating fluid intolerance,providing detailed insights into venous congestion and fluid status.It was originally developed to assess the risk of acute kidney injury in postoperative cardiac patients,but its versatility has enabled broader applications in nephrology and critical care settings.This mini review explores VE×US’s application and its impact on fluid management and patient outcomes in critically ill patients. 展开更多
关键词 DIURETIC Point-of-care ultrasound ULTRASOUND Venous congestion Venous excess ultrasound
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Effect of lysozyme combined with hydrothermal pretreatment on excess sludge and anaerobic digestion
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作者 Xiuqin Cao Songyue Li Chaolei Liu 《Journal of Environmental Sciences》 2025年第1期36-49,共14页
Anaerobic digestion(AD)is widely employed for sludge stabilization and waste reduction.However,the slow hydrolysis process hinders methane production and leads to prolonged sludge issues.In this study,an efficient and... Anaerobic digestion(AD)is widely employed for sludge stabilization and waste reduction.However,the slow hydrolysis process hinders methane production and leads to prolonged sludge issues.In this study,an efficient and eco-friendly lysozyme pre-treatment method was utilized to address these challenges.By optimizing lysozyme dosage,hydrolysis and cell lysis were maximized.Furthermore,lysozyme combined with hydrothermal pretreatment enhanced overall efficiency.Results indicate that:(1)When lysozyme dosage reached 90 mg/g TS after 240 min of pretreatment,SCOD,soluble polysaccharides,and protein content reached their maxima at 855.00,44.09,and 204.86 mg/L,respectively.This represented an increase of 85.87%,365.58%,and 259.21%compared to the untreated sludge.Threedimensional fluorescence spectroscopy revealed the highest fluorescence intensity in the IV region(soluble microbial product),promoting microbial metabolic activity.(2)Lysozyme combined with hydrothermal pretreatment significantly increased SCOD,soluble proteins,and polysaccharide release from sludge,reducing SCOD release time.Orthogonal experiments identified Group 3 as the most effective for SCOD and soluble polysaccharide release,while Group 9 released the most soluble proteins.The significance order of factors influencing SCOD,soluble proteins,and polysaccharide release is hydrothermal temperature>hydrothermal time>enzymatic digestion time.(3)The lysozyme-assisted hydrothermal pretreatment group exhibited the fastest release and the highest SCOD concentration of 8,135.00 mg/L during anaerobic digestion.Maximum SCOD consumption and cumulative gas production increased by 95.89%and 130.58%,respectively,compared to the control group,allowing gas production to conclude 3 days earlier. 展开更多
关键词 excess sludge LYSOZYME Hydrothermal pre-treatment Anaerobic digestion Gas production
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Park Integrated Energy System Optimization Considering Carbon Excess Ratio and Electric Vehicle Coupling
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作者 Yanjie Liu Ximin Cao Yanchi Zhang 《Energy Engineering》 2025年第8期3377-3398,共22页
Under the“dual carbon”goals,this paper constructs an optimization model of the comprehensive energy system in the park.A stepwise carbon excess rate mechanism and an electric vehicle coupling strategy are proposed:A... Under the“dual carbon”goals,this paper constructs an optimization model of the comprehensive energy system in the park.A stepwise carbon excess rate mechanism and an electric vehicle coupling strategy are proposed:A carbon quota trading system is established based on the baseline method,and the stepwise function is adopted to quantify the cost of excess carbon emissions;Introduce the price demand response and the two-way interaction mechanism of electric Vehicle vehicle-to-grid(V2G)to enhance the flexible regulation ability.Aiming at the uncertainty of wind and solar output,a typical scene set is generated by combining Latin hypercube sampling with the scene reduction method.The goal is to minimize the operating cost and maximize the consumption of renewable energy,and it is solved through the CPLEX solver in the MATLAB platform.Through simulation verification of the proposed models and methods in various scenarios,the simulation results show that under the coupling of the carbon excess rate trading mechanism,the demand response mechanism,and the vehicle-to-grid interaction of electric vehicles,the total daily operating cost of the system decreases by 25.3%,reduce the dual pressure of energy consumption costs and the economic environment,and achieve the coordinated optimization of economic and ecological benefits. 展开更多
关键词 Carbon excess rate electric vehicles integrated energy system user comfort
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Granite strainbursts induced by true triaxial transient unloading at different stress levels:Insights from excess energy △E
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作者 Hongru Li Manchao He +3 位作者 Yingming Xiao Dongqiao Liu Jie Hu Tai Cheng 《Journal of Rock Mechanics and Geotechnical Engineering》 2025年第11期7078-7092,共15页
In this study,based on the rockburst disaster mechanism of excess energy △E>0,true triaxial transient unloading strainburst(including instantaneous strainburst and delayed strainburst)experiments were performed on... In this study,based on the rockburst disaster mechanism of excess energy △E>0,true triaxial transient unloading strainburst(including instantaneous strainburst and delayed strainburst)experiments were performed on granite specimens at different maximum principal stress levels.The experimental results were then analyzed,with the strainburst characteristics and acoustic emission(AE)responses of the granite specimens being examined.The excess energy △E was derived through a comparison with the results of conventional biaxial compression tests.The following beneficial conclusions were drawn.The mechanical strength of delayed strainburst specimens initially increases and then decreases with the rise of the unloading stress level.In contrast,the mechanical strength of instantaneous strainburst specimens is higher than that of delayed ones,increasing with the unloading stress level.In terms of fragment ejection velocity and scale,the rockburst intensity of a specimen is positively correlated with its mechanical strength.A pronounced linear relationship exists between the excess energy △E and the fragment ejection velocity(as well as weight),indicating that △E is intimately linked to the kinetic energy of rockbursts.Rockbursts lead to the formation of burst pits and typical V-shaped damage zones near the free face of the specimens,within which tensile cracks dominate.Additionally,the distribution of AE AFRA values indicates that the proportion of tensile cracks increases with the rise of unloading stress level,suggesting that transient unloading under high stress levels significantly promotes tensile fracture.It is anticipated that this study will provide further elucidation on the mechanism of rockburst kinetic energy generation,thereby establishing a foundation for the design of rockburst support measures in engineering applications. 展开更多
关键词 ROCKBURST True triaxial unloading excess energy Rock fragmentation Acoustic emission(AE)
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Effects of neutron excess in deformed Λ hypernuclei
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作者 Suo Qiu Huai-Tong Xue Xian-Rong Zhou 《Nuclear Science and Techniques》 2025年第12期283-293,共11页
The neutron excess effect,originating from the vanishing of one part of τ_(1)·τ_(2) operator matrix elements,was appropriately considered within the Skyrme-typeΛNN three-body interactions and applied to the de... The neutron excess effect,originating from the vanishing of one part of τ_(1)·τ_(2) operator matrix elements,was appropriately considered within the Skyrme-typeΛNN three-body interactions and applied to the deformed SHF model.Analysis of a broad range of hypernuclei,from light to heavy masses,shows that the neutron excess effect significantly improves the description ofΛbinding energies.The underlying mechanism involves reducing theΛNN three-body repulsive interaction by subtracting the neutron excess term,thereby improving the binding energy of the hypernucleus.In addition,the impact of this effect on theΛsingle-particle potential and the hyperon density distribution is discussed. 展开更多
关键词 Λhypernuclei Skyrme-typeΛN interaction Neutron excess Isospin factor Binding energy
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Future Projections of Temperature-related Excess Morbidity due to Influenza under Climate Change Scenarios:A Case Study in a Temperate Japanese City
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作者 Keita Wagatsuma 《Biomedical and Environmental Sciences》 2025年第6期768-772,共5页
Climate change is a pressing global environmental issue^([1]).The gradual rise in global surface temperature is the most immediate and direct among its public health impacts.Influenza,the leading cause of human respir... Climate change is a pressing global environmental issue^([1]).The gradual rise in global surface temperature is the most immediate and direct among its public health impacts.Influenza,the leading cause of human respiratory viral infections,remains a substantial public health concern owing to its considerable disease burden,particularly in highrisk groups.Mounting epidemiological evidence has linked influenza to extreme heat and cold weather^([2–4]). 展开更多
关键词 INFLUENZA extreme heat public health epidemiological evidence TEMPERATURE excess morbidity temperate city climate change
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能源政策对绿色全要素生产率的影响研究——基于用能权交易试点政策的准自然实验
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作者 李晓方 朱九龙 《生态经济》 北大核心 2026年第2期144-153,共10页
用能权交易试点政策是推动用能市场化变革、优化能源消费结构的重要举措。论文基于中国A股上市公司2012—2022年的企业微观数据,以用能权交易试点政策作为准自然实验,运用双重差分法实证分析能源政策对绿色全要素生产率的影响及作用机... 用能权交易试点政策是推动用能市场化变革、优化能源消费结构的重要举措。论文基于中国A股上市公司2012—2022年的企业微观数据,以用能权交易试点政策作为准自然实验,运用双重差分法实证分析能源政策对绿色全要素生产率的影响及作用机制。研究表明:用能权交易试点政策显著提升了绿色全要素生产率,用能权交易试点政策通过促进企业的绿色技术创新、化解企业产能过剩和缓解企业金融资源错配三个渠道提升绿色全要素生产率。异质性分析表明:用能权交易的绿色发展效应在国有企业、搬迁成本较高的企业和高能耗企业样本中更为显著。由此提出要从改进用能权交易机制设计并扩大用能权交易应用范围、因地制宜实施差异化发展对策、探索多维度路径等方面提升绿色全要素生产率。研究结果为中国加快能源消费结构转型、实现经济绿色转型提供了理论支撑和政策启示。 展开更多
关键词 用能权交易 绿色全要素生产率 双重差分法 绿色技术创新 产能过剩
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基于因子与聚类分析的多囊卵巢综合征中医证候分布规律研究
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作者 戴金芳 俞康 +3 位作者 李温珏 卢君 钟素琴 梁瑞宁 《中医药信息》 2026年第2期53-59,共7页
目的基于多中心大样本数据解析多囊卵巢综合征(PCOS)中医证候分布规律,构建病机分型框架,为临床精准辨证提供依据。方法采用多中心横断面研究设计,纳入7家三甲医院936例PCOS患者,通过文献挖掘和德尔菲法专家咨询制定标准化中医证候问卷... 目的基于多中心大样本数据解析多囊卵巢综合征(PCOS)中医证候分布规律,构建病机分型框架,为临床精准辨证提供依据。方法采用多中心横断面研究设计,纳入7家三甲医院936例PCOS患者,通过文献挖掘和德尔菲法专家咨询制定标准化中医证候问卷,运用频数分析提取核心症状,因子分析明确证候要素,K-均值聚类归纳核心证型。结果高频症状以腰膝酸软、肌肤油腻、情绪抑郁善叹息、痤疮为主;病位证素以肾、肺/大肠、冲脉为核心,病性证素以湿热、血瘀、阴虚为关键;聚类分析确定五大证型:肾阴虚湿热证、脾虚痰湿证、气滞血瘀证、湿热瘀阻证、肾阳虚痰湿证,覆盖97.86%病例。结论本研究确立了PCOS以肾阴虚湿热、脾虚痰湿、气滞血瘀、湿热瘀阻、肾阳虚痰湿证为主的五大核心证型,为证型规范化提供了数据支撑,同时,病位证素“冲脉”“肺/大肠”在PCOS病机中的重要性需予以重视。 展开更多
关键词 多囊卵巢综合征 中医证候 病机 冲脉逆盛 因子分析 聚类分析
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小Excess与开流形的拓扑(英文) 被引量:4
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作者 徐森林 王作勤 杨芳云 《应用数学》 CSCD 北大核心 2002年第4期7-12,共6页
本文中 ,我们应用比较几何的方法研究开流形的Excess与其拓扑之间的关系 .我们证明了对于一个曲率下有界的开流形 ,当它的Excess被其临界半径的某个函数所界定时 ,它就有有限拓扑型或微分同胚于n维z欧氏空间 .
关键词 excess函数 开流形 有限拓扑型 临界点 比较定理
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中药封包疗法联合七步手法排乳在热毒炽盛证急性乳腺炎患者中的应用
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作者 吴冰 赵慧朵 +2 位作者 吴青 李瑞华 何文华 《齐鲁护理杂志》 2026年第1期134-136,共3页
目的:探讨中药封包疗法联合七步手法排乳在热毒炽盛证急性乳腺炎患者中的应用效果。方法:选取2020年1月—2022年12月诊治的120例热毒炽盛证急性乳腺炎患者为研究对象,随机分为研究组和对照组各60例,对照组采用普通排乳法联合中药封包治... 目的:探讨中药封包疗法联合七步手法排乳在热毒炽盛证急性乳腺炎患者中的应用效果。方法:选取2020年1月—2022年12月诊治的120例热毒炽盛证急性乳腺炎患者为研究对象,随机分为研究组和对照组各60例,对照组采用普通排乳法联合中药封包治疗,研究组采用中药封包疗法联合七步手法排乳治疗;比较两组治疗有效率、疼痛感[采用简式的McGill疼痛问卷表(SF-MPQ)]、实验室指标[白细胞计数(WBC)、中性粒细胞计数(NEUT)、C反应蛋白(CRP)]、中医症状积分。结果:研究组治疗有效率高于对照组(P<0.05);治疗后,两组PRI、PPI、VAS评分及实验室指标低于治疗前(P<0.05),且研究组低于对照组(P<0.05);研究组治疗后中医症状积分低于对照组(P<0.05)。结论:热毒炽盛证急性乳腺炎患者进行治疗时,选择中药封包联合七步手法排乳治疗能够获得更好的临床效果,可以进一步减轻炎性症状,缓解患者疼痛感。 展开更多
关键词 热毒炽盛证 急性乳腺炎 中药封包疗法 七步手法排乳 疼痛 中医证候
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Excess函数的应用(英文)
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作者 徐森林 邓勤涛 《应用数学》 CSCD 北大核心 2007年第1期1-5,共5页
在本文中,我们研究了曲率有下界的开流形的拓扑,并推广了文[7]中的结果,证明了截曲率有下界的开流形如果它的excess函数被它的临界半径的某个函数所界定时,它就具有有限拓扑型或者微分同胚于Rn.
关键词 excess函数 有限拓扑型 临界点 比较定理
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Impacts of Excessive Soaking on N, P, and K in Substrates Plots and Seedling Growth
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作者 王甲辰 左强 +4 位作者 谷佳林 肖强 邹国元 张琳 王美菊 《Agricultural Science & Technology》 CAS 2012年第1期158-161,180,共5页
[Objective] The aim was to study on impacts of excessive soaking N, P, and K insubstrate plots of and seedling growth. [Method] Substrate was designed to add additional 1/2 water after saturation and expansion. Dispos... [Objective] The aim was to study on impacts of excessive soaking N, P, and K insubstrate plots of and seedling growth. [Method] Substrate was designed to add additional 1/2 water after saturation and expansion. Disposable excessive soak- ing and regression relation of nutrition infusion of substrate plots were studied by design of 13 time gradient. Plant nutrition absorption and growth effects after sub- strate plots immersed by water were investigated by growing tomato. [Result] Con- centration and time of the three nutrition immersed in water had the regression equation of each, as follows: N=-2E-05t2+0.016 lt+2.0553, P=0.002 2t+2.248 5 and K=0.004 7t+0.875 8. With nutrition loss of the three, however, loss amount was al- most same with variance analysis of regression equation, which may result from its volatilization. Regression equations of P and K were: P=0.125 7t-0.117, and K=0.022 5t.1514, which led to adverse impact on plant absorption of N and K above ground, whose equations were N=20.64e-4E-0.4t, and K=E-06t2-0.011 3t+29.055. Meanwhile, un- der the condition, sound seedling index was not impacted a lot by excessive immer- sion. [Conclusion] This study has provided theoretical reference for guidance of sub- strate plot soaking method, cultivation and regulation, and breeding, as well as agri- cultural production. 展开更多
关键词 Substrate plot Saturation and expansion for absorption excessive water Regression equation
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老年急性髓系白血病中医个体化分层辨治策略的构建
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作者 闫理想 姜静 +3 位作者 张莹 杨曦 陈海静 史哲新 《南京中医药大学学报》 北大核心 2026年第1期98-104,共7页
老年急性髓系白血病(Acute myeloid leukemia,AML)为本虚标实之证,其病机涵盖虚、热、毒、瘀四要素,髓虚是邪毒侵袭骨髓的病理基础,髓毒是AML发生发展的根源,瘀毒是AML动态演变的中间环节,热毒之盛衰是AML证候转变的关键。本文提出了老... 老年急性髓系白血病(Acute myeloid leukemia,AML)为本虚标实之证,其病机涵盖虚、热、毒、瘀四要素,髓虚是邪毒侵袭骨髓的病理基础,髓毒是AML发生发展的根源,瘀毒是AML动态演变的中间环节,热毒之盛衰是AML证候转变的关键。本文提出了老年AML中医个体化分层、分期辨治策略。化疗用药期:正虚邪实,顾护脾胃;骨髓抑制期:气血亏虚,填精生髓;骨髓恢复期:髓虚邪伏,扶正清余。老年AML临床辨治要点包括:辨阴阳,明虚实,正髓清髓;辨分期,明分层,中西并重;辨五脏,明病位,多脏兼顾;辨兼症,明主次,多法并举,以期丰富完善老年AML中医个体化分层辨治策略,为中医辨治老年AML提供指导。 展开更多
关键词 老年急性髓系白血病 个体化分层 分期辨治 本虚标实
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金属阳离子去除促进污泥厌氧发酵研究进展
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作者 庞鹤亮 张佩祥 +6 位作者 王岩 李欣怡 陈希怡 刘倍倍 潘阅 李文凯 卢金锁 《西安交通大学学报》 北大核心 2026年第2期103-112,共10页
在“双碳”目标战略引领下,厌氧发酵作为剩余污泥处理的主流技术,仍面临水解效率低、代谢不充分和菌群协调性差等瓶颈。金属阳离子是污泥的重要组成部分,对其进行高效去除有望成为突破上述瓶颈、实现产酸增效的关键。首先,从污泥资源化... 在“双碳”目标战略引领下,厌氧发酵作为剩余污泥处理的主流技术,仍面临水解效率低、代谢不充分和菌群协调性差等瓶颈。金属阳离子是污泥的重要组成部分,对其进行高效去除有望成为突破上述瓶颈、实现产酸增效的关键。首先,从污泥资源化角度综述了厌氧发酵工艺及短链脂肪酸(SCFAs)回收的研究现状,指出现有方案多依赖高剂量化学品或能源投入以突破单一限制,缺乏系统性增效策略。其次,从污泥结构刚性、代谢活性不足和SCFAs消耗3个方面,系统总结了厌氧发酵产酸的技术瓶颈,指出金属阳离子去除可同时克服多重限制。然后,重点剖析了金属阳离子对发酵效率的抑制机制,详细阐明了不同价态金属阳离子的赋存状态、维持胞外聚合物(EPS)结构稳定性、阻碍电子穿梭体释放及其介导生物转化的作用路径。接着,综述了金属阳离子去除驱动增效的三重调控机制研究进展,指出基于阳离子交换树脂(CER)的选择性吸附与焦磷酸钠(SP)的螯合作用能够显著提升系统产酸效率,同时评估了该技术的工程应用潜力与经济性。最后,总结了当前金属阳离子去除面临的脱除效率低、螯合剂残留和微量元素缺失等局限性,并探讨对应的解决策略。该研究可为污泥厌氧发酵增效和SCFAs回收工程应用提供理论参考。 展开更多
关键词 剩余污泥 厌氧发酵 短链脂肪酸 阳离子去除 “双碳”目标
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基于“天明则日月不明”理论探讨肺肠气机失调致结直肠腺瘤癌变机制及防治
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作者 王子涵 王妍颖 +2 位作者 梁可欣 魏红涛 李杨帆 《湖南中医药大学学报》 2026年第1期101-106,共6页
结直肠腺瘤(CRA)为结直肠癌(CRC)的关键癌前病变,其癌变机制与防治策略是中医药防治CRC的重要切入点。本文以《黄帝内经》“天明则日月不明”理论为基础,阐明“明”通“蒙”,喻示肺失清肃如天蒙阴翳,导致大肠传导失职、日月失辉,系统论... 结直肠腺瘤(CRA)为结直肠癌(CRC)的关键癌前病变,其癌变机制与防治策略是中医药防治CRC的重要切入点。本文以《黄帝内经》“天明则日月不明”理论为基础,阐明“明”通“蒙”,喻示肺失清肃如天蒙阴翳,导致大肠传导失职、日月失辉,系统论述肺肠气机失调在CRA癌变中的核心作用。肺气壅滞致肠腑气滞为始动环节,进而湿瘀互结、浊毒内生,最终毒损肠络、癌毒形成,与“肺-肠轴”紊乱、肠道微生态失调、炎症介质累积及免疫抑制等现代病理过程密切相关。本文提出分期防治策略,始动期以宣肺通肠、化滞消癥为主,进展期强调清金化浊、剔络防变,质变期则注重固金伐毒、扶正消癥。基于“天明则日月不明”理论构建“肺肠同治”的防治体系,为阻断CRA癌变提供中医理论依据与临床实践路径,凸显“气机升降”在瘤癌转变防治中的整体调节特色。 展开更多
关键词 结直肠腺瘤 结直肠癌 天明则日月不明 肺肠轴 瘤癌转变
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孔隙水压力计有效埋深的试验研究
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作者 付明生 宋佰万 张敏 《工程勘察》 2026年第1期39-45,共7页
在地基处理强夯施工过程中,为预防土体失稳、动态调整施工节奏、确定合理夯击次数、优化夯击能级、地基处理效果评估和风险预警与决策支持,需进行孔隙水压力监测,要确保孔隙水压力监测的准确性,避免因孔隙水压力计埋设深度不合理造成孔... 在地基处理强夯施工过程中,为预防土体失稳、动态调整施工节奏、确定合理夯击次数、优化夯击能级、地基处理效果评估和风险预警与决策支持,需进行孔隙水压力监测,要确保孔隙水压力监测的准确性,避免因孔隙水压力计埋设深度不合理造成孔隙水压力监测结果异常。本文结合实例,介绍了地下水位和孔隙水压力监测点的埋设及监测方法;详细论证了粗颗粒(碎石土、砂土)地区在强夯施工中对孔隙水压力影响的深度,指明了在粗颗粒地区使用孔隙水压力计监测强夯施工时,针对不同的夯击能确定孔隙水压力计的有效埋深;探讨了孔隙水压力消散率的计算方法,可提升工作效率,提高经济效益。 展开更多
关键词 监测 孔隙水压力 超孔隙水压力 静孔隙水压力 消散率 夯击能
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供给饱和背景下城镇流动人口家庭住房拥挤的供地解释
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作者 柴国俊 孙若宸 刘文华 《经济与管理》 北大核心 2026年第1期83-92,F0003,共11页
在住房供给饱和背景下,既往需求侧经济社会因素和供给侧户籍制度因素尚不足以缓解城镇流动人口家庭住房拥挤。为此,增加供地制度视角,构建供地制度影响城镇流动人口家庭住房拥挤的分析框架,并提供住房供给饱和背景下城镇流动人口家庭住... 在住房供给饱和背景下,既往需求侧经济社会因素和供给侧户籍制度因素尚不足以缓解城镇流动人口家庭住房拥挤。为此,增加供地制度视角,构建供地制度影响城镇流动人口家庭住房拥挤的分析框架,并提供住房供给饱和背景下城镇流动人口家庭住房拥挤的实证解释。研究发现:(1)在住房饱和阶段,我国城镇流动人口家庭住房拥挤仍高于城镇户籍人口家庭,但二者住房拥挤差距已小于住房紧缺阶段;(2)不同群体住房拥挤差距的缩小可用供地制度改革来解释,一方面归功于新时代十年实施的人地挂钩政策,另一方面掣肘于土地财政依赖力量;(3)就控制变量而言,需求侧经济因素和供给侧户籍改革均会缓解城镇流动人口家庭住房拥挤,家庭规模等需求侧社会因素则起到相反作用。 展开更多
关键词 流动人口 住房拥挤 土地供给 供给饱和
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魏子孝教授从“水火既济”辨治糖尿病心脏自主神经病变
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作者 朱美霖 兰天 +1 位作者 陈筑红 魏子孝 《中西医结合心脑血管病杂志》 2026年第2期312-315,共4页
“水火既济”作为《周易》中卦象,上坎下离与人体心肾水火相应,坎离致用,心肾相交。宗其经义,从水火既济、火水失济讨论糖尿病心脏自主神经病变病因病机,魏子孝教授借“龙”喻心阳,认为中焦脾土虚弱,水浅不养龙,肾水不得上济于心,心火亢... “水火既济”作为《周易》中卦象,上坎下离与人体心肾水火相应,坎离致用,心肾相交。宗其经义,从水火既济、火水失济讨论糖尿病心脏自主神经病变病因病机,魏子孝教授借“龙”喻心阳,认为中焦脾土虚弱,水浅不养龙,肾水不得上济于心,心火亢盛;燥热上扰于心,水寒不藏龙,心火亢暗耗肾水,肾水衰竭。临床治疗时以既济水火为基本治则,泻虚补实,以平为期,仿天王补心丹之义,佐以健运脾土,使心肾交泰,阴平阳秘,结合临证经验,以期为治疗糖尿病心脏自主神经病变拓展思路。 展开更多
关键词 糖尿病心脏自主神经病变 水火既济 泻实补虚 天王补心丹 魏子孝
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基于“虚气留滞”辨治慢性偏头痛
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作者 刘子玉 庞敏 《实用中医内科杂志》 2026年第1期56-59,共4页
慢性偏头痛(chronic migraine,CM)作为一种长期且频繁发作的头痛类型,其显著特征在于头痛的持续性以及每月发作天数超过常规偏头痛的阈值,常由发作性偏头痛演变而来,表现为反复的中重度搏动性头痛,并伴有畏光、畏声、恶心、呕吐等植物... 慢性偏头痛(chronic migraine,CM)作为一种长期且频繁发作的头痛类型,其显著特征在于头痛的持续性以及每月发作天数超过常规偏头痛的阈值,常由发作性偏头痛演变而来,表现为反复的中重度搏动性头痛,并伴有畏光、畏声、恶心、呕吐等植物神经功能障碍症状。现代医学在其发病机制研究方面虽取得一定进展,如与三叉神经血管系统激活、中枢敏化及降钙素基因相关肽(CGRP)等机制相关,但至今仍未完全阐明。基于中医“虚气留滞”理论,文章从病机特点、辨证思路及临床应用等方面进行探讨,认为本病多因先天禀赋不足或久病损伤,致气血亏虚,清阳不展,继而气机郁滞、络脉痹阻,形成“本虚标实、虚中夹滞”之候。治疗上,当以益气养血、补益肝肾为本,辅以疏肝解郁、活血通络、祛风化痰,从而实现“补虚与祛滞并举”。文章结合历代医家头痛理论,对“虚气留滞”病机进行系统阐释,并附典型临床病例一则加以印证。以期为CM的临床治疗提供一定的思路与方法,进一步丰富CM论治的理论体系。 展开更多
关键词 慢性偏头痛 虚气留滞 本虚标实 补虚通滞 中医
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基于辛苦酸甘合用的特禀质儿童抽动障碍中医治疗探讨
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作者 吴皓楠 张程 《中外医学研究》 2026年第2期180-184,共5页
小儿抽动障碍(TD)是以运动或发声异常为特征的神经精神疾病,TD发病涉及多种致病因素,其中特禀质(过敏体质)与TD发病及复发强相关。本文基于中医理论,讨论特禀质与TD的病机联系,提出特禀质TD的病机为“卫阳不固、风火相煽、虚实夹杂”。... 小儿抽动障碍(TD)是以运动或发声异常为特征的神经精神疾病,TD发病涉及多种致病因素,其中特禀质(过敏体质)与TD发病及复发强相关。本文基于中医理论,讨论特禀质与TD的病机联系,提出特禀质TD的病机为“卫阳不固、风火相煽、虚实夹杂”。针对此病机,提出“辛苦酸甘合用”治法:辛以外散风邪、酸以敛阴潜阳,甘以补虚缓急,苦以清热坚阴,四者协同形成“外风-内火双解”与“气机升降平衡”的动态调控机制。并通过临案显示,以辛苦酸甘合用组成的方剂治疗特禀质TD患儿,可明显改善特禀质TD抽动症状,验证了该治法的有效性。 展开更多
关键词 小儿抽动障碍 特禀质 虚实夹杂 辛苦酸甘合用 中医体质学说
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