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Genetic and phenotypic heterogeneity in tropical calcific pancreatitis 被引量:2
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作者 Sumit Paliwal Seema Bhaskar Giriraj R Chandak 《World Journal of Gastroenterology》 SCIE CAS 2014年第46期17314-17323,共10页
Tropical calcific pancreatitis(TCP)is a form of chronic non-alcoholic pancreatitis initially reported in the developing parts of the tropical world.The clinical phenotype of TCP has undergone marked changes since its ... Tropical calcific pancreatitis(TCP)is a form of chronic non-alcoholic pancreatitis initially reported in the developing parts of the tropical world.The clinical phenotype of TCP has undergone marked changes since its first description in 1968.The disease is now seen in relatively older people with less severe symptoms.In addition,there are varying reports on the proportion of cases presenting with imaging abnormalities like calcification,ductal dilation,and glandular atrophy.Significant progress has also been made in understanding the etiopathology of TCP.The role of malnutrition and cassava toxicity in its pathogenesis is disproven and few studies have focused on the role of micronutrient deficiency and oxidative stress in the etiopathogenesis of TCP.Emerging evidence support an important role for genetic risk factors in TCP.Several studies have shown that,rather than mutations in trypsinogens,variants in serine protease inhibitor kazal type 1,cathepsin B,chymotrypsin C,cystic fibrosis transmembrane regulator,and carboxypeptidase A1,predict risk of TCP.These studies also provided evidence of mutational heterogeneity between TCP and chronic pancreatitis in Western populations.The current review summarizes recent advances that have implications in the understanding of the pathophysiology and thus,heterogeneity in genotype-phenotype correlations in TCP. 展开更多
关键词 Chronic pancreatitis Tropical calcific pancreatitis Fibrocalculous pancreatic diabetes Clinical phenotype Genetic risk factors
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基于统一支付协同平台的自助服务系统构建与应用 被引量:2
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作者 郑宏晖 许建宝 《中国数字医学》 2020年第8期41-43,共3页
目的:通过实施基于统一支付协同平台的自助服务系统,构建医院自助一体化的服务平台,改善患者就医体验。方法:采用统一支付协同平台的统一管理模式,打通自助服务系统、银行系统、医保系统,重新定义和构建一体化自助服务平台。结果:一体... 目的:通过实施基于统一支付协同平台的自助服务系统,构建医院自助一体化的服务平台,改善患者就医体验。方法:采用统一支付协同平台的统一管理模式,打通自助服务系统、银行系统、医保系统,重新定义和构建一体化自助服务平台。结果:一体化自助服务平台优化了门诊住院就诊全流程,提高医院整体工作效率,提升患者就医体验。结论:基于统一支付协同平台构建自助服务系统能有效缩短患者就诊过程中的等候时间,是便民惠民服务的有效措施。 展开更多
关键词 一体化 自助服务 统一支付 就医体验
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美国家用热泵市场最新进展
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作者 Melissa Lapsa Gannate Khowailed 《暖通空调》 北大核心 2015年第E02期27-33,共7页
在美国,有1350万个家庭使用热泵作为他们主要的供暖设备,其中80%的家庭集中在美国南部地区。在南部,热泵作为一种技术选择不仅是因为该地区冬季气候比较温和,同时与天然气相比,它的电力成本更低。历史数据分析显示,相对于天然气... 在美国,有1350万个家庭使用热泵作为他们主要的供暖设备,其中80%的家庭集中在美国南部地区。在南部,热泵作为一种技术选择不仅是因为该地区冬季气候比较温和,同时与天然气相比,它的电力成本更低。历史数据分析显示,相对于天然气,热泵设备增长与电费下降有密切的关系。另外,热泵在新住宅中的使用也显示了增长:2012年完工的新住宅中38%使用热泵,而1978年仅有25%。但是,超过74%的热泵销售是更新换代和设备添置。尽管热泵技术经历了近10年的增长,但未来依旧是乐观的。市场改革和研究机构正努力将热泵应用于寒冷气候地区。连同其他潜在的、乐观的市场条件,这将使得热泵的市场保有量到2040年超过2014年度能源展望(AEO)所预测的翻3倍的数量。 展开更多
关键词 热泵 美国市场 能效 家用
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Mental Functioning of Workers with Cancer Diagnosis by Brazilian Version of the Work Role Functioning Questionnaire—WRFQ-Br
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作者 Cristiane Helena Gallasch Neusa Maria Costa Alexandre +5 位作者 Sergio Carlos Barros Esteves Eugenio Fuentes Pérez Júnior Magda Guimarães de Araujo Faria Elias Barbosa de Oliveira Priscila Cristina da Silva Thiengo Patricia Campos Pavan Baptista 《Health》 CAS 2016年第14期1495-1505,共11页
Aim: To evaluate data related to mental work functioning of workers with cancer diagnosis in radiotherapy in a private service in the city of Campinas, State of S&atilde;o Paulo, Brazil. Method: It consists in a c... Aim: To evaluate data related to mental work functioning of workers with cancer diagnosis in radiotherapy in a private service in the city of Campinas, State of S&atilde;o Paulo, Brazil. Method: It consists in a cross-sectional, observational and analytical study with comparison between cancer patients and healthy people, using the Brazilian version of the Work Role Functioning Questionnaire (WRFQ-Br). Descriptive and statistical analysis is performed by the Mann-Whitney test. Results: There was a significant difference between the groups in the evaluation of mental demand;however, the population diagnosed with malignant neoplasm submitted to radiotherapy had unexpected higher scores, reflecting lower mental exigency. Conclusions: The observed context may occur due to extensive support of family, government and interdisciplinary team of health care for individuals diagnosed with cancer. This data provide support for new research studies related to the importance of the work to promote mental health, considering aspects related to social interaction and productivity as the support system members. The importance of disseminating these results and limitation is based in the necessity of investments to improve research and actions to promote the permanence and early return to work for cancer survivors in Brazil and Latin America. 展开更多
关键词 NEOPLASMS Mental Health Social Support Occupational Health Nursing
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In Mourning and Memory of Late Professor Kuo-Chen Chou (3)
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作者 Mubarak Dirar Abd-Alla Yagoub 《Health》 2021年第7期3-3,共2页
None
关键词 NONE
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只要召一群牛人就能组成一个优秀的团队吗?
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作者 胡百师 《程序员》 2008年第3期31-31,共1页
答:牛人在团队中就真的很牛吗?如果一个项目团队里真的是一群牛人的话,那么这群牛人一定会把这个团队搞得天翻地覆,团队的领导很难去管理这群牛人。要知道之所以会被称为牛人,一定有他出色之处,往往出色的人在团队里的和谐性是比... 答:牛人在团队中就真的很牛吗?如果一个项目团队里真的是一群牛人的话,那么这群牛人一定会把这个团队搞得天翻地覆,团队的领导很难去管理这群牛人。要知道之所以会被称为牛人,一定有他出色之处,往往出色的人在团队里的和谐性是比较不容易去与其它人协调的。 展开更多
关键词 组成 项目团队 和谐性 翻地
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Mineral 4/Recognition 4: A Universal Optical Image Analysis Package for Iron Ore, Sinter and Coke Characterization
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作者 Eugene Donskoi Andrei Poliakov +1 位作者 Keith Vining Sarath Hapugoda 《Journal of Energy and Power Engineering》 2017年第1期16-30,共15页
OIA (optical image analysis) has traditionally been used for reliable identification of different iron oxides and oxyhydroxides in iron ore. The automated CSIRO OIA system Mineral 4/Recognition 4 was created for rap... OIA (optical image analysis) has traditionally been used for reliable identification of different iron oxides and oxyhydroxides in iron ore. The automated CSIRO OIA system Mineral 4/Recognition 4 was created for rapid mineral and textural charaeterisation of iron ore providing identification of different minerals and different morphologies. The technique has further been applied to processed iron ore products such as iron ore sinter to determine key parameters such as porosity, different morphologies of hematite (primary and secondary), and different morphologies of SFCA (silicon ferrite of calcium and alumininm). Application of textural identification has recently been extended to coke characterisation where the software gives comprehensive characterisation of porosity, IMDC (inert material derived components), RMDC (reactive material derived components) and the boundaries between IMDC and RMDC. The software also has many unique features needed for iron ore research including characterisation of large objects like pellets and ore lumps; automated gangue (including quartz) identification; automated particle separation; multiple image set processing and on-line measurements. All these features make the Mineral 4/Recognition 4OIA system a unique, reliable, industry/research focused tool for ore, sinter, pellet and coke characterisation. 展开更多
关键词 Image analysis automated characterisation iron ore SINTER coke.
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The Sentient Reflexivity of Buddha Nature: Metaphorizing Tathagatagarbha 被引量:1
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作者 Dan Smyer Yu 《世界宗教文化》 CSSCI 北大核心 2012年第6期13-22,共10页
佛性或如来藏(梵文tathagatagarbha)是佛教哲学体系和教义里一个具争议的核心内容。自古以来,"谁或什么具有佛性"、"佛性是怎样显现的",以及"佛性在佛教解脱论里起到怎样的作用"等问题在佛教实践中及佛... 佛性或如来藏(梵文tathagatagarbha)是佛教哲学体系和教义里一个具争议的核心内容。自古以来,"谁或什么具有佛性"、"佛性是怎样显现的",以及"佛性在佛教解脱论里起到怎样的作用"等问题在佛教实践中及佛学研讨里是一系列持续的论题。本文作者基于自己对佛教文献的解读希望表达三个有关佛性的论点。首先,佛性与其所谓的反面"众生"(sentience)是不分离的。第二,佛性不是一样具型的东西,或是某个过去的或隐藏的精神状态,而是一个当下的、持续的生命神识状态。第三,佛性在经文里是一类使用隐喻和譬喻的启发式(heuristic)辩术方式,其目的是激起佛教徒或任何对佛家哲学思想有兴致的人对自身的生命状态进行内在视觉上的观想作用。 展开更多
关键词 佛性 宗教 佛教 文化传统
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测定血清S100蛋白用于诊断克-雅病:前瞻性病例对照研究 被引量:1
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作者 Markus Otto Jens Wiltfang +10 位作者 Ekkehard Schtz Ingo Zerr Anke Otto Annette Pfahlberg Olaf Gefeller Manfred Uhr Armin Giese Thomas Weber Hans A Kretzschmar Sigrid Poser 张星虎 《英国医学杂志中文版》 1998年第1期22-27,共6页
目的:分析克-雅病(Creutzfeldt-Jakob dis-ease,CJD)患者及对照组血清中脑特异性 S100蛋白浓度。设计:前瞻性病例对照研究。研究单位:国家 CJD 监测站。研究对象:224例疑为 CJD 的转诊患者及35例无痴呆的对照病例。主要结果测定:CJD 患... 目的:分析克-雅病(Creutzfeldt-Jakob dis-ease,CJD)患者及对照组血清中脑特异性 S100蛋白浓度。设计:前瞻性病例对照研究。研究单位:国家 CJD 监测站。研究对象:224例疑为 CJD 的转诊患者及35例无痴呆的对照病例。主要结果测定:CJD 患者、其他疾病引起的痴呆患者及对照组血清 S100浓度。结果:224例疑为 CJD 的患者中,65例经病理证实确诊;6例有基因突变而肯定诊断;43例很可能患 CJD;36例可能患 CJD;74例患有其他疾病。108例为肯定或很可能 CJD 患者,其血清 S100浓度中位数为395 pg/ml(SD 387 pg/ml)。这明显高于患其他疾病的74例患者(S100浓度中位数为109pg/ml,SDl77pg/ml;P=0.0001)。以213pg/ml为界值,S100测定用于 CJD 诊断的敏感性为77.8%(95%的可信区间为66.8%~85.2%),特异性为81.1%(70.3%~89.3%)。在 Kaplan-Meier 曲线上,不同浓度 S100患者的存活时间差异有显著性(P=0.023)。结论:S100血清浓度测定是一种有价值的工具,在 CJD 的鉴别诊断中,较测定脑脊液更有价值。尚需更多的研究以确定连续测定是否有助于提高此病的诊断准确性。 展开更多
关键词 克-雅病 S100蛋白 脑特异性 存活时间 差异有显著性 鉴别诊断 基因突变 无痴 截点 病例对照研究
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