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万古霉素DUE标准的建立及其应用 被引量:14
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作者 石庆平 许善初 +3 位作者 程鹏 朱锦秀 丁峰 袁浩宇 《中国现代应用药学》 CAS CSCD 北大核心 2010年第5期455-459,共5页
目的万古霉素药物利用评估(drug use evaluation,DUE)标准的建立及其应用。方法通过DUE标准基本框架的构建,结合专家咨询法和参考国内外万古霉素临床应用指南,建立万古霉素DUE标准,设计数据收集表收集某三甲医院万古霉素使用病例资料,... 目的万古霉素药物利用评估(drug use evaluation,DUE)标准的建立及其应用。方法通过DUE标准基本框架的构建,结合专家咨询法和参考国内外万古霉素临床应用指南,建立万古霉素DUE标准,设计数据收集表收集某三甲医院万古霉素使用病例资料,评估该药物使用情况。结果DUE标准基本框架涵盖了医、药、护三方对药物治疗过程和用药结果的责任;通过实施DUE程序,可以发现万古霉素应用好的方面和不理想的地方。结论通过开展DUE研究,有助于促进临床药学的发展和提高药物的临床应用水平,使药物应用更加经济、合理、规范化。 展开更多
关键词 药物利用评估 万古霉素 due标准 临床药学服务
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Serous macular detachment due to nasally located optic disc pit-coloboma 被引量:2
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作者 Sofia Theodoropoulou George Theodossiadis +1 位作者 Ahmed Sallam Panagiotis Theodossiadis 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2018年第11期1879-1880,共2页
Dear Editor,We present the first reported case of nasal optic disc pit resulting in serous detachment of the macula. Optic disc pit is a rare congenital anomaly occurring in one out of 11 000 people. The appearance is... Dear Editor,We present the first reported case of nasal optic disc pit resulting in serous detachment of the macula. Optic disc pit is a rare congenital anomaly occurring in one out of 11 000 people. The appearance is a localized round or oval depression in that is grey, yellow or black in colour depending on the amount of glial tissue present. 展开更多
关键词 SAS Serous macular detachment due to nasally located optic disc pitcoloboma
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采用DUE方法评价精神分裂症患者的用药情况及疗效分析 被引量:1
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作者 薛欣杰 陈金兰 +3 位作者 宋丹 孙洪波 戚敏恒 崔洪梅 《齐齐哈尔医学院学报》 2015年第6期793-795,共3页
目的采用DUE评价2014年1月1日—12月30日收治普通病房精神分裂症患者的用药情况及疗效,以促进精神分裂症患者治疗药物的合理应用。方法依据《临床技术操作规范(精神病学分册)2006年版》和《临床诊疗指南(精神病学分册)》建立精神分裂症... 目的采用DUE评价2014年1月1日—12月30日收治普通病房精神分裂症患者的用药情况及疗效,以促进精神分裂症患者治疗药物的合理应用。方法依据《临床技术操作规范(精神病学分册)2006年版》和《临床诊疗指南(精神病学分册)》建立精神分裂症患者治疗的评价标准,采用药物利用评估评价我院2014年1月1日—12月30日收治110例精神分裂症患者的药物应用情况,在治疗期间定期进行PANSS、TESS评定以及血常规、肝肾功能、心电图检查,评定疗效和安全性。结果 110例精神分裂症患者中PANSS评分≥30%有92(83.6%),有18例(16.3%)用药与评价标准不符,属用药不合理。治疗前后PANSS评分差异有统计学意义(P<0.05),药物不良反应改善48例(84.2%)。结论采用DUE方法可更全面评价2014年收治110例精神分裂症患者的用药情况、疗效及安全性。对存在不合理用药问题,临床医师应加强对治疗指南的学习,促进临床合理用药。 展开更多
关键词 due方法 精神分裂症 用药评估 疗效 安全性
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63 CASES OF HYPOGALACTIA DUE TO DEFICIENCY OF QI AND BLOOD TREATED BY ACUPOINT-INJECTION
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作者 田家耐 《World Journal of Acupuncture-Moxibustion》 1998年第2期23-25,共3页
Acupoint-injection of Viamine B12 was used for treatment of 63 cases of hypogalactia due to deficiency of qi and blood. As a result, 56 cases were cured, accounting for 88. 9%, 5 cases were remarkedly effective, accou... Acupoint-injection of Viamine B12 was used for treatment of 63 cases of hypogalactia due to deficiency of qi and blood. As a result, 56 cases were cured, accounting for 88. 9%, 5 cases were remarkedly effective, accounting for 7. 9% and 2 cases were ineffective. The total effective rate was 96. 8 % 展开更多
关键词 Acupoint-injection Hypogalactia due to DEFICIENCY of QI and BLOOD
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A Heuristic for the Job Scheduling Problem with a Common Due Window on Parallel and Non-Identical Machines
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作者 Huang Decai College of information Engineering, Zhejiang University of Technology,Hangzhou 310014, P. R. China 《Journal of Systems Engineering and Electronics》 SCIE EI CSCD 2001年第2期6-11,共6页
In this paper, we give a mathematical model for earliness-tardiness job scheduling problem with a common due window on parallel and non-identical machines. Because the job scheduling problem discussed in the paper con... In this paper, we give a mathematical model for earliness-tardiness job scheduling problem with a common due window on parallel and non-identical machines. Because the job scheduling problem discussed in the paper contains a problem of minimizing make-span, which is NP-complete on parallel and uniform machines, a heuristic algorithm is presented to find an approximate solution for the scheduling problem after proving an important theorem. Two numerical examples illustrate that the heuristic algorithm is very useful and effective in obtaining the near-optimal solution. 展开更多
关键词 Common due window Job scheduling Earliness-tardiness JIT.
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Single Machine Scheduling Problem with Fuzzy Due Dates and Fuzzy Precedence
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作者 谢源 谢剑英 黄芹华 《Journal of Shanghai University(English Edition)》 CAS 2005年第5期450-454,共5页
A single machine scheduling problem involving fuzzy due dates and fuzzy precedence constraints is investigated. The fuzzy precedence reflects the satisfaction level with respect to precedence between two jobs. A membe... A single machine scheduling problem involving fuzzy due dates and fuzzy precedence constraints is investigated. The fuzzy precedence reflects the satisfaction level with respect to precedence between two jobs. A membership function is associated with each job Ji, which describes the degree of satisfaction with respect to completion time of Ji. For the bi-criteria scheduling problem, an 0 ( n^3 ) algorithm is proposed for finding nondominated solutions. 展开更多
关键词 fuzzy due dates fuzzy precedence nondominated schedules.
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Dominance rules for single machine schedule with sequence dependent setup and due date
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作者 Xiaochuan LUO Xiao LIU +1 位作者 Chengen WANG Zhen LIU 《控制理论与应用(英文版)》 EI 2005年第4期364-370,共7页
Some dominance rules are proposed for the problems of scheduling N jobs on a single machine with due dates, sequence dependent setup times and no preemption. Two algorithms based on Ragatz' s branch and bound scheme ... Some dominance rules are proposed for the problems of scheduling N jobs on a single machine with due dates, sequence dependent setup times and no preemption. Two algorithms based on Ragatz' s branch and bound scheme are developed including the dominance rules where the objective is to minimize the maximum tardiness or the total tardiness. Computational experiments demonstrate the effectiveness of the dominance rules. 展开更多
关键词 Dominance role Sequence dependent setup due date Single machine schedule Branch and bound
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EVALUATION OF EMBRITTLEMENT BEHAVIOR DUETO SENSITIZATION IN A CRYOGENIC AUSTENITICSTAINLESS STEEL BY MEANS OF SMALL PUNCHAND FRACTURE TOUGHNESS TESTS
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作者 S.C Liu(Research Institute for Fracture Technology Faculty of Engineering, Tohoku University, Sendai, Japan on leave from Dalian Railway Institute, Dalian 116028, China)II-Hyun Kown T Hashida and H Takahashi(Research Institute for nacture Technology, Fa 《Acta Metallurgica Sinica(English Letters)》 SCIE EI CAS CSCD 1997年第3期239-248,共10页
In order to evaluate the tendency of mechanical properties degrudation due to weld-ing and other processing in materials used for supporting coils in super conducting rnaguets utilized in thermonuclear jusion reactore... In order to evaluate the tendency of mechanical properties degrudation due to weld-ing and other processing in materials used for supporting coils in super conducting rnaguets utilized in thermonuclear jusion reactore, a small punch (SP) test was used.This test, which was originally developed to study irradiation damage using miniatursized specimens was performed at 77 and 4 K for solution treated and sensitized JN1 austenitic stainless steel, a candidate cryogenic structural material. The area under the load-deflection curve up to the maximum applied load in SP test was defined as the SP enerpy, to characterize the resistance to fracture. Although solution treated material exhibited ductile fracture mode with high SP enerpy, embrittlement behavior due to sensitization at 650-800°for 1-5 h was shown clearlg by SP test with brittle intergranular fracture and decreased SP enerpy. Comparison of the results obtained by SP test with those by fracture toughness test showed the usefulness of SP test for evaluation of sensitization induced embrittlement at cryogenic temperature. The re-sults obtained in this study can be very usefol in predicting the degradation due to welding and other processing in cryogenic materials. 展开更多
关键词 small punch test fracture toughness test cryogenic fracture behavior JN1 austenitic stainless steel embrittlement due to sensitization
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Stroke due to Bonzai use:two patients
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作者 Baki Dogan Hakan Dogru +1 位作者 Levent Gungor Kemal Balci 《World Journal of Emergency Medicine》 CAS 2016年第4期310-312,共3页
INTRODUCTION Synthetic cannabinoids are increasingly used all over the world as marijuana substitutes. They have various names such as spice and bonzai in different countries. Cardiovascular or cerebrovascular events ... INTRODUCTION Synthetic cannabinoids are increasingly used all over the world as marijuana substitutes. They have various names such as spice and bonzai in different countries. Cardiovascular or cerebrovascular events associated with cocaine, heroin and amphetamine abuse have been frequently reported. However, stroke associated with the synthetic cannabinoids use is rarely reported. There are only a few case reports in association with synthetic cannabinoids use. Bernson-Leung et al described 2 cases that introduce a previously unreported association between synthetic cannabinoids use and ischemic stroke in young adults. Here, we report two patients with stroke that occured shortly after synthetic cannabinoids use. 展开更多
关键词 PATIENTS Stroke due
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Measurement of Acceleration Due to Gravity Using Arduino and Ultrasonic Sensor
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作者 Muhammad Shoaib Asad Muhammad Iqbal Muhammad Arham Imran 《Journal of Sensor Technology》 2021年第4期55-63,共9页
In this study, a simple Arduino-based experiment was designed to examine the acceleration of the object during free fall and to calculate the value of “g” (acceleration due to gravity). Experimental data on the free... In this study, a simple Arduino-based experiment was designed to examine the acceleration of the object during free fall and to calculate the value of “g” (acceleration due to gravity). Experimental data on the free fall of a plastic box through the air was gathered with the help of an ultrasonic distance sensor (HC-SR04). Readings were taken at different intervals during the fall to obtain distance time curves. Acceleration during the free fall was then determined by applying the standard kinematic equations. The shape of the distance-time graphs obtained from the experimental setup was in good agreement with the predicted graphs and the calculated values of g lie within the expected range. After repeated experiments, value of gravitational acceleration was found to be 9.805 m/s2. Hardware and software prepared for the experiment are sufficient to examine movement of ordinary objects during free fall, therefore the experiment can be easily settled in a laboratory for the purpose of learning and teaching. 展开更多
关键词 ARDUINO Acceleration due to Gravity Basic Physics Experiment
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The Local Acceleration Due to Gravity as Determined with a Cart and Track
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作者 Joaquim Bocresion 《Open Journal of Applied Sciences》 2023年第9期1634-1639,共6页
The aim of this lab is to determine an experimental value for the local acceleration due to gravity. In order to do this, a cart was released down a track and allowed to pass through two photogates recording the entra... The aim of this lab is to determine an experimental value for the local acceleration due to gravity. In order to do this, a cart was released down a track and allowed to pass through two photogates recording the entrance and exit times of the cart. These times along with the length of a light blocking strip on the cart, were used to calculate the acceleration of the cart down the track at various angles, and through linearization, the experimental value for the local acceleration due to gravity was determined to be 10.027 ± 0.312 m/s<sup>2</sup>. This value has a percent error of only 2.2% from the accepted value of 9.8 m/s<sup>2</sup>, which proves that this method of determining local acceleration due to gravity can be effective and accurate. Additionally, this experimental value shows how similar the approximation  is to the accepted value. 展开更多
关键词 GRAVITY Local Acceleration due to Gravity
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DUR联合DUE模式对恶性肿瘤化疗患者保肝药物应用效果的影响 被引量:3
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作者 王金利 石慧 《贵州医科大学学报》 CAS 2022年第11期1349-1353,共5页
目的探讨临床药师采用药物利用评价(DUR)联合药物利用评估(DUE)模式对恶性肿瘤化疗患者保肝药物应用的影响。方法随机选取220例化疗后使用保肝药物的恶性肿瘤患者作为对照组和干预组,每组110例;对照组为回顾性分析,干预组根据DUE标准由... 目的探讨临床药师采用药物利用评价(DUR)联合药物利用评估(DUE)模式对恶性肿瘤化疗患者保肝药物应用的影响。方法随机选取220例化疗后使用保肝药物的恶性肿瘤患者作为对照组和干预组,每组110例;对照组为回顾性分析,干预组根据DUE标准由临床药师指导保肝药物使用;依据DUE标准选择13种保肝药物,以药物利用指数(DUI)<1(日处方剂量较常规用药剂量偏低)及DUI>1(日处方剂量超出常规用药剂量)评价保肝药物使用的合理性,以血清丙氨酸氨基转移酶(ALT)、谷草转氨酶(AST)、总胆红素(TBIL)三项指标评价保肝药物使用前后的肝功能。结果在选择的13种保肝药物中,对照组有3种药物DUI>1、8种药物DUI<1、2种药物DUI=1,而干预组有10种药物DUI=1、仅3种药物DUI<1,干预组DUR优于对照组(P<0.05);与对照组比较,干预组患者血清ALT、AST及TBIL水平均较用药前明显改善,差异有统计学意义(P<0.05)。结论临床药师利用DUR联合DUE模式干预恶性肿瘤化疗患者保肝药物应用,可起到较好保护肝功能的作用。 展开更多
关键词 药物利用评价 药物利用评估 药物利用指数 限定日剂量 用药频度 恶性肿瘤 保肝药物 药物性肝损伤
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CONTRAST STUDY ON CT AND BA IN CEREBRAL HEMORRHAGE DUE TO HYPERTENSION
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作者 Mingshun Liu Guoqiu Wang Po Ma 《现代电生理学杂志》 2007年第2期86-87,共2页
Objectives:To explore contrast application on CT and BA in cerebral hemorrhage due to hypertension.Methods: CT and BA were examined in 106 patients with cerebral hemorrhage due to hypertension.Results:The different ch... Objectives:To explore contrast application on CT and BA in cerebral hemorrhage due to hypertension.Methods: CT and BA were examined in 106 patients with cerebral hemorrhage due to hypertension.Results:The different changes of CT and BA were showed in 106 patients with cerebral hemorrhage due to hypertension.Conclusions:There were separately different advantage and shortcoming in CT and BA in diagnosis of cerebral hemorrhage due to hypertension.The value of clinical application of BA was important in cerebral hemorrhage due to hypertension. 展开更多
关键词 高血压 脑出血 CT BA 诊断 比较研究
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THE STUDY APPLIED ON BA IN PATIENTS WITH HEMORRHAGE DUE TO HYPERTENSION
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作者 Mingshun Liu Po Ma +1 位作者 Qingrui Liu Li Zhou 《现代电生理学杂志》 2015年第3期148-148,151,共2页
探讨脑电地形图在高血压性脑出血患者中的应用价值。106例高血压性脑出血患者进行了脑电图地形图检查。结果:脑电地形图改变是明显的。结论:脑电地形图在高血压性脑出血患者中有重要应用价值。
关键词 脑电地形图 高血压性脑出血
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土茯苓调控AMPK/PGC-1α/PPARγ/ABCG2通路治疗湿热型高尿酸血症的作用机制
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作者 欧丽娜 孟玲飞 +5 位作者 任玉霞 李亚楠 杨阳 白冰涛 黎寒香 杜景霞 《天然产物研究与开发》 北大核心 2026年第2期229-239,共11页
运用网络药理学、分子对接技术和实验验证研究土茯苓(Smilacis Glabrae Rhizoma,SGR)治疗湿热型高尿酸血症(hyperuricemia,HUA)的作用机制。通过网络药理学方法筛选出SGR治疗HUA的潜在活性成分、作用靶点与信号通路。运用分子对接技术... 运用网络药理学、分子对接技术和实验验证研究土茯苓(Smilacis Glabrae Rhizoma,SGR)治疗湿热型高尿酸血症(hyperuricemia,HUA)的作用机制。通过网络药理学方法筛选出SGR治疗HUA的潜在活性成分、作用靶点与信号通路。运用分子对接技术验证关键化合物和核心靶点的结合能力。然后建立湿热型HUA大鼠模型进行实验验证。网络药理学分析筛选出SGR治疗HUA的12个潜在活性成分,及白介素-6(interleukin-6,IL-6)、肿瘤坏死因子(tumor necrosis factor,TNF)、过氧化物酶体增殖物激活受体γ(peroxisome proliferator-activated receptor gamma,PPARγ)、B淋巴细胞瘤-2(B-cell lymphoma-2,BCL-2)、ATP结合盒亚家族G成员2(ATP binding cassette subfamily G member 2,ABCG2)、过氧化物酶体增殖物激活受体α(peroxisome proliferator activated receptor alpha,PPARα)等核心作用靶点,涉及的主要作用通路为脂质与动脉粥样硬化、抗叶酸性、腺苷酸活化蛋白激酶(adenosine monophosphate-activated protein kinase,AMPK)信号通路等。分子对接结果显示,核心成分与关键靶点有较好的亲和力。动物实验表明,SGR可降低模型大鼠血尿酸以及血脂水平,上调模型大鼠肾脏ABCG 2、有机阴离子转运蛋白1(organic anion transporter 1,OAT 1)的mRNA表达水平,下调尿酸盐转运蛋白1(uric acid transporter 1,URAT 1)的mRNA表达水平,同时增加模型大鼠肾脏磷酸化AMPK(p-AMPK)、过氧化物酶体增殖物激活受体γ共激活因子1α(peroxisome proliferator-activated receptor gamma coactivator 1-alpha,PGC-1α)、PPARγ、ABCG2的蛋白表达。综上所述,SGR有加速尿酸排泄,减少尿酸重吸收,降低血尿酸水平的作用,其作用机制与增加AMPK磷酸化水平,激活PGC-1α,增强PPARγ的表达,进一步活化其下游靶点ABCG2,加速尿酸排泄有关。 展开更多
关键词 土茯苓 湿热型高尿酸血症 网络药理学 分子对接 ABCG2
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南海超深水裂缝性储层置换式溢漏同存工况井筒多相流动模型
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作者 尹邦堂 冯凯 +4 位作者 丁天宝 刘书杰 郭艳利 王志远 朱黎明 《中国石油大学学报(自然科学版)》 北大核心 2026年第1期175-184,共10页
南海琼东南盆地松南低凸起YL区块水深超过1 500 m、花岗岩裂缝性储层发育,钻遇异常地层压力概率高,易发生置换式溢漏同存复杂工况,井筒多相流动压力预测误差大。为揭示花岗岩裂缝性储层置换式溢漏同存机制,基于平板模型,建立裂缝性储层... 南海琼东南盆地松南低凸起YL区块水深超过1 500 m、花岗岩裂缝性储层发育,钻遇异常地层压力概率高,易发生置换式溢漏同存复杂工况,井筒多相流动压力预测误差大。为揭示花岗岩裂缝性储层置换式溢漏同存机制,基于平板模型,建立裂缝性储层气液两相溢漏速度模型,创建储层-井筒耦合多相流动模型,考察裂缝条件、钻井液参数、井控参数等对溢漏同存的影响。结果表明:气侵速度预测最大相对误差由37.9%降为24.9%,漏失速度预测最大相对误差由22%降为19%;随着缝宽、缝高的增加,溢流量、漏失量以及井底压力下降幅度增加,井喷风险增加;随着缝长增加,溢流量、漏失量以及井底压力下降幅度减小;随着钻井液密度、排量以及井口回压的增加,溢流量和井底压力下降幅度减小,漏失量增加;而随着钻井液黏度增加,溢流量、漏失量以及井底压力下降幅度均减小;通过施加井口回压可识别置换式溢漏同存复杂工况,通过适当增加钻井液黏度可处置置换式溢漏同存复杂工况。 展开更多
关键词 南海超深水 花岗岩裂缝 置换式溢漏同存 井筒多相流动模型 井口回压
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政府引导基金容错机制促进了企业创新吗?
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作者 周育红 刘贤铤 曾莹莹 《证券市场导报》 北大核心 2026年第2期3-15,共13页
在创新型企业亟需融资而政府引导基金仍有资金沉积的背景下,容错机制能否平衡创新型企业高风险特征与财政资金安全性要求,提升政府引导基金对企业的支持质效?本文基于政府引导基金管理办法文本分析和政府引导基金投资事件研究,发现:(1)... 在创新型企业亟需融资而政府引导基金仍有资金沉积的背景下,容错机制能否平衡创新型企业高风险特征与财政资金安全性要求,提升政府引导基金对企业的支持质效?本文基于政府引导基金管理办法文本分析和政府引导基金投资事件研究,发现:(1)容错机制为企业创新提供了试错空间,能显著促进企业创新“量质齐升”,且在中小微、成长期、获得地方产业政策支持企业中,以及管理机构属国资、基金行政设立层级较高的情形下作用更显著。(2)容错机制影响了政府引导基金管理机构的投资决策,显著降低了创新型企业的资金约束,从而提高了企业创新水平。一方面,尽职免责条款能避免将不可控因素导致的项目失败归因于管理机构,激励管理机构敢于投资、企业敢于创新;另一方面,投资失败容忍程度规定了政府引导基金可接受的最大资金损失比例,能为企业创新提供相对宽容的资金使用环境。(3)相较单独实施尽职免责制度,同时设置投资失败容忍程度的成效更显著。(4)随着投资失败容忍程度提高,企业创新数量和质量均先上升后下降,呈现倒U型关系;失败容忍程度设置需平衡创新激励效应与道德风险问题。本文丰富了政府引导基金内部运行机制的相关研究,也为积极落实容错机制、促进企业创新提供了实证支持。 展开更多
关键词 政府引导基金 容错机制 失败容忍 尽职免责 双重机器学习 企业创新
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2008年汶川8.0级地震北川老县城某底商多层建筑倒塌原因分析
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作者 王波 阙小勇 +3 位作者 宣越 阿拉塔 梁辉明 朱祺 《地震研究》 北大核心 2026年第2期291-301,共11页
为研究底商多层建筑的地震倒塌机理,选取2008年汶川8.0级地震极震区原北川县建设局办公楼为研究对象,结合底层构造特点,通过震害类比初步得出结构发生地震倒塌的原因在于底层具有不同抗侧刚度构件的“混搭”存在。按照实际构造特点,分... 为研究底商多层建筑的地震倒塌机理,选取2008年汶川8.0级地震极震区原北川县建设局办公楼为研究对象,结合底层构造特点,通过震害类比初步得出结构发生地震倒塌的原因在于底层具有不同抗侧刚度构件的“混搭”存在。按照实际构造特点,分别制作无墙框架和有墙框架2组缩尺模型开展平面框架拟静力试验,对比不同构造特点的模型在水平加载作用下框架柱端应变响应、滞回曲线、骨架曲线以及宏观破坏现象。结果表明:底层各柱的约束条件不同,其抗侧刚度和延性差异巨大,背街侧的填充墙-柱组合体构件因内力凝聚而率先破坏,引发结构倒塌,符合基于变形饱和理论的结构地震倒塌模式。 展开更多
关键词 多层建筑 地震倒塌 拟静力试验 抗侧刚度 填充墙 汶川8.0级地震
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基于“虚气留滞”理论探讨慢性阻塞性肺疾病的病机及论治
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作者 林翔 孙雯 +1 位作者 张紫瑶 徐顺贵 《中国民族民间医药》 2026年第2期10-15,共6页
慢性阻塞性肺疾病是一种临床常见的、可防可治性气道慢性炎症性疾病,其发病机制复杂,涉及免疫损伤、炎症反应等多个方面。COPD的基本病机与“虚气留滞”理论高度契合,贯穿于疾病整个过程。“虚气”之“虚”在于正气亏虚,脏腑虚损;“留... 慢性阻塞性肺疾病是一种临床常见的、可防可治性气道慢性炎症性疾病,其发病机制复杂,涉及免疫损伤、炎症反应等多个方面。COPD的基本病机与“虚气留滞”理论高度契合,贯穿于疾病整个过程。“虚气”之“虚”在于正气亏虚,脏腑虚损;“留滞”之“滞”在于痰浊、血瘀。“虚气”为“留滞”之因,“留滞”为“虚气”之果,二者相兼为患,因果相依,共同推动疾病呈螺旋式进展,使机体免疫功能降低,炎症反应持续。基于“虚气留滞”理论,以“补虚通滞”为基本治法,虚实兼顾从而增强免疫功能,减轻炎症反应,缓解COPD的进展,对防治COPD具有重要意义。 展开更多
关键词 慢性阻塞性肺疾病 肺胀 虚气留滞 免疫 炎症
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杜怀棠分期论治郁病经验
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作者 安鹏 杜怀棠 《河南中医》 2026年第1期83-87,共5页
杜怀棠教授认为,情志内伤为郁病核心病机,肝气郁结,伤及气血为郁病发病之关键,心脾两虚,心肾阴虚,心神失宁成劳为郁病迁延之根本。杜教授提倡分期论治郁病,初期重调气血,疏肝理气,兼顾开郁化痰,郁病后期注重调虚损,补益心脾,滋阴潜阳,... 杜怀棠教授认为,情志内伤为郁病核心病机,肝气郁结,伤及气血为郁病发病之关键,心脾两虚,心肾阴虚,心神失宁成劳为郁病迁延之根本。杜教授提倡分期论治郁病,初期重调气血,疏肝理气,兼顾开郁化痰,郁病后期注重调虚损,补益心脾,滋阴潜阳,同时全程不忘疏肝。杜教授擅用入肝经之疏肝解郁药,解郁理气,常用药物包括香附、薄荷、青皮、郁金、佛手、香橼、绿萼梅等。除药物治疗外,杜教授还特别重视情志调摄,擅于抓主病因,引导患者移情易性,保持心情舒畅,避免不良精神刺激,使得郁病病情稳定,避免迁延反复,酿生他变。 展开更多
关键词 郁病 分期论治 情志内伤 疏肝解郁药 杜怀棠
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