期刊文献+
共找到4,289篇文章
< 1 2 215 >
每页显示 20 50 100
ICU护士安宁疗护能力现状及潜在剖面分析
1
作者 任广秀 秦晓欣 +3 位作者 张彦芳 王文冉 韩超 王守玺 《中华急危重症护理杂志》 2026年第1期89-95,共7页
目的探讨ICU护士安宁疗护能力的潜在类别及其影响因素。方法于2025年3月1日—31日,采用便利抽样法选取山东省某三级甲等医院ICU内的117名护士为研究对象,以一般资料调查表、ICU护士安宁疗护能力量表为研究工具进行问卷调查,并对ICU护士... 目的探讨ICU护士安宁疗护能力的潜在类别及其影响因素。方法于2025年3月1日—31日,采用便利抽样法选取山东省某三级甲等医院ICU内的117名护士为研究对象,以一般资料调查表、ICU护士安宁疗护能力量表为研究工具进行问卷调查,并对ICU护士安宁疗护能力进行潜在剖面分析,通过单因素分析及二元Logistic回归分析识别其潜在剖面的影响因素。结果ICU护士安宁疗护能力量表得分为(101.32±16.54)分,安宁疗护能力分为高能力组(45.3%)、低能力组(54.7%)2个潜在剖面。单因素分析结果显示,年龄、职称、ICU工作年限、每周夜班数是ICU护士安宁疗护能力的影响因素(P<0.05);二元Logistic回归分析结果显示,ICU工作年限、每周夜班数是ICU护士安宁疗护能力潜在剖面的影响因素(P<0.05)。结论ICU护士安宁疗护能力存在群体异质性,可分为2个潜在剖面。护理管理者可根据潜在剖面的影响因素制订针对性的改进措施,以提升ICU护士的安宁疗护能力。 展开更多
关键词 ICU 护士 安宁疗护能力 潜在剖面
暂未订购
Enhancing Coating Inoculation for Improved Nitrogen-Fixing Efficiency of Rhizobia in Soybean (Glycine max L.)
2
作者 Anne Nora Ndokon Bikang Liliane Meguekam Tekam +1 位作者 Alain-Martial Sontsa-Donhoung Dieudonné Nwaga 《American Journal of Plant Sciences》 2025年第2期245-262,共18页
Plant biofertilization involves introducing compounds containing living mi-croorganisms into the coating medium to sustainably enhance plant production and soil health. This is a complex process that undergoes multipl... Plant biofertilization involves introducing compounds containing living mi-croorganisms into the coating medium to sustainably enhance plant production and soil health. This is a complex process that undergoes multiple stages of development before yielding a final product. The final biofertilizer is used by legumes-protein-rich crops in symbiosis with rhizobia to enable biological nitrogen fixation increasing natural soil fertility. This study aims to determine the optimal formulation of a rhizobial biofertilizer to improve the performance of soybean (Glycine max L. cv. Docko). To this end, soybean seeds obtained from IRAD were coated with different formulations derived from locally sourced materials. Palm kernel oil was used as an adhesive in one group, while corn powder served as an adhesive in another. The coated seeds were then sown in the field. The results indicate that the combination of pigeon pea powder + sugarcane molasses, with palm kernel oil as an adhesive, produced the best nodulation (nitrogen fixation). This formulation also led to significant improvements in growth (+350%) and total nitrogen content (+1100%) compared to the bacterial broth inoculum control (B0) (P ≤ 0.01). These findings represent a significant advancement in improving nitrogen-fixing bacterial inoculants and enhancing soil fertility for the sustainable cultivation of soybeans in this tropical soil. 展开更多
关键词 FORMULATION BIOFERTILIZER N-Fixing RHIZOBIA COATING Growth
在线阅读 下载PDF
The Validity of the Thermohydrogravidynamic Theory Concerning the Predicted Dates of the Maximal Temporal Intensifications of the Global Seismotectonic Processes of the Earth during the Range 2020 - 2023 AD
3
作者 Sergey V. Simonenko 《Journal of Geoscience and Environment Protection》 2023年第7期242-255,共14页
We present (on the 13<sup>th</sup> International Conference on Geology and Geophysics) the convincing evidence that the strongest earthquakes (according to the U.S. Geological Survey) of the Earth (during ... We present (on the 13<sup>th</sup> International Conference on Geology and Geophysics) the convincing evidence that the strongest earthquakes (according to the U.S. Geological Survey) of the Earth (during the range 2020 - 2023 AD) occurred near the predicted (calculated in advance based on the global prediction thermohydrogravidynamic principles determining the maximal temporal intensifications of the global seismotectonic, volcanic, climatic and magnetic processes of the Earth) dates 2020.016666667 AD (Simonenko, 2020), 2021.1 AD (Simonenko, 2019, 2020), 2022.18333333 AD (Simonenko, 2021), 2023.26666666 AD (Simonenko, 2022) and 2020.55 AD, 2021.65 AD (Simonenko, 2019, 2021), 2022.716666666 AD (Simonenko, 2022), respectively, corresponding to the local maximal and to the local minimal, respectively, combined planetary and solar integral energy gravitational influences on the internal rigid core of the Earth. We present the short-term thermohydrogravidynamic technology (based on the generalized differential formulation of the first law of thermodynamics and the first global prediction thermohydrogravidynamic principle) for evaluation of the maximal magnitude of the strongest (during the March, 2023 AD) earthquake of the Earth occurred on March 16, 2023 AD (according to the U.S. Geological Survey). . 展开更多
关键词 Thermohydrogravidynamic Theory Non-Stationary Cosmic Gravitation Generalized First Law of Thermodynamics Cosmic Geology Cosmic Geophysics Cosmic Seismology Global Seismotectonic Processes Global Prediction Thermohydrogravidynamic Principles The Short-Term Thermohydrogravidynamic Technology
在线阅读 下载PDF
Factors Associated with Complications of Acute Bacterial Rhinosinusitis in Children
4
作者 Amadou Njifou Njimah Louise Mouangue-Mbonjo +3 位作者 Patricia Epée Eboumbou Daniele-Christiane Kedy Mangamba Koum François Djomou Louis Richard Njock 《International Journal of Otolaryngology and Head & Neck Surgery》 2025年第1期57-67,共11页
Background: In children, acute bacterial rhinosinusitis (ABRS) is often complicated by ophthalmological and/or neurological involvement. These complications should be known and recognized, as they require urgent treat... Background: In children, acute bacterial rhinosinusitis (ABRS) is often complicated by ophthalmological and/or neurological involvement. These complications should be known and recognized, as they require urgent treatment with intravenous antibiotics and close in-hospital monitoring. In this study, we aimed to identify the main risk factors associated with the development of complications in children aged 2 - 17 years with ABRS. Methods: We conducted a retrospective cohort study of patients with ABRS complications in a primary hospital. Participants were divided into two groups: the control group comprising patients without complications (Group 1, n = 82) and the study group comprising patients with complications requiring hospitalization (Group 2, n = 41). We assessed the sociodemographic, clinical, and imaging data of both groups. Using multivariate logistic regression, we assessed risk factors of ABRS complications. Results: No socio-demographic characteristics were associated with ABRS complications (p ≥ 0.05). Factors associated with complications were delay in consultation (t = 5.282;p Conclusions: Intracranial and extracranial complications of ABRS in children have become rare in our setting. These complications can be serious and potentially fatal. Risk factors of these complications are delays in consultation, the presence of ophthalmological signs, and more than one affected sinus. Controlling modifiable factors would improve the treatment success of ABRS complications in children. 展开更多
关键词 RHINOSINUSITIS Orbital Complications Endocranial Complications Imaging Children SURGERY
暂未订购
Determination of Fracture Plane Orientation Using the Variance Method under Multiaxial Loading
5
作者 Mbaiyelkom Esdras Ngargueudedjim Kimtangar +2 位作者 Bianzeube Tikri Kenmeugne Bienvenu Fogue Médard 《Open Journal of Applied Sciences》 2025年第2期411-424,共14页
The prediction of the fracture plane orientation in fatigue is a scientific topic and remains relevant for every type of material. However, in this work, we compared the orientation of the fracture plane obtained expe... The prediction of the fracture plane orientation in fatigue is a scientific topic and remains relevant for every type of material. However, in this work, we compared the orientation of the fracture plane obtained experimentally through tests on specimens under multiaxial loading with that calculated by the variance method. In the statistical approach criteria, several methods have been developed but we have presented only one method, namely the variance method using the equivalent stress. She assumes that the fracture plane orientation is the one on which the variance of the equivalent stress is maximum. Three types of equivalent stress are defined for this method [1]: normal stress, shear stress and combined normal and shear stress. The results obtained were compared with experimental results for multiaxial cyclic stress states, and it emerges that the variance method for the case of combined loading is conservative as it gives a better prediction of the fracture plane. 展开更多
关键词 Biaxial Fatigue Fracture Plane Orientation Critical Fracture Plane Variance Method Fatigue Criteria
在线阅读 下载PDF
Multiple Cranial Nerve Palsies in Otolaryngology Consultation: An Atypical Clinical Presentation Revealing Myasthenia Gravis
6
作者 Adèle-Rose Ngo Nyeki Paul Cedric Mbonda +9 位作者 Léonel Atanga Yannick Mossus Roger Meva’a Victor Sini Mambo Olive Ngaba David Mindja Francois Djomou Callixte Kuate Richard Njock Alexis Ndjolo 《International Journal of Otolaryngology and Head & Neck Surgery》 2022年第6期306-316,共11页
Introduction: Myasthenia gravis is a chronic autoimmune neuromuscular disease, presents with weakness and fatigability of striated skeletal muscles. It is a rare disease in Cameroon. We report an uncommon case of myas... Introduction: Myasthenia gravis is a chronic autoimmune neuromuscular disease, presents with weakness and fatigability of striated skeletal muscles. It is a rare disease in Cameroon. We report an uncommon case of myasthenia gravis in a patient with feeding difficulties, notion of oronasal reflux and swallowing disorders as first complaints. Observation: We report the case of a 29-year-old woman consulted at our department of Otolaryngology and Cervico-Facial Surgery for dysphagia and swallowing disorders. She also presented with facial diplegia, oculomotor paralysis, nasal voice, and dysarthria which has been evolving for several years now. The clinical examination revealed multiple cranial nerve palsies. The complementary workup showed a decrement of more than 50% in the electroneuromyography and the presence of anti-acetylcholine receptor autoantibodies in the blood workup. A diagnosis of myasthenia confirms clinical presumption. We initially observed a worsening of neuromuscular disorders despite the pyridostigmine treatment and subsequently a clear improvement of the clinical features concerning swallowing and speech disorders, oculomotricity and facial diplegia under a treatment combining prednisone and azathioprine. Conclusion: Myasthenia gravis is a rare and potentially fatal autoimmune neuromuscular disease. We thus highlight the atypical clinical presentation and therapeutic itinerary of our patient and the importance to think about this clinical diagnosis in front of any multiple cranial nerve paralysis in otolaryngology consultation. 展开更多
关键词 Clinical Case DYSPHAGIA Swallowing Disorders Facial Diplegia Nasal Voice MYASTHENIA Autoimmune PARALYSIS Cranial Nerves
暂未订购
血清nesfatin-1及vaspin水平对妊娠期糖尿病诊断效能评估
7
作者 刘蕊 王雅茹 牛文彦 《天津医科大学学报》 2026年第1期69-73,共5页
目的:探讨摄食抑制因子-1(nesfatin-1)及内脏脂肪特异性丝氨酸蛋白酶抑制因子(vaspin)水平对妊娠期糖尿病(GDM)的诊断效能。方法:选取2022年2月至2025年2月于本院就诊的GDM患者84例为GDM组(孕早期40例、孕中期44例),正常妊娠者84名为对... 目的:探讨摄食抑制因子-1(nesfatin-1)及内脏脂肪特异性丝氨酸蛋白酶抑制因子(vaspin)水平对妊娠期糖尿病(GDM)的诊断效能。方法:选取2022年2月至2025年2月于本院就诊的GDM患者84例为GDM组(孕早期40例、孕中期44例),正常妊娠者84名为对照组(孕早期40名、孕中期44名)。检测血清nesfatin-1、vaspin、空腹血糖(FPG)、空腹胰岛素(FINS)、甘油三酯(TG)、总胆固醇(TC)、高密度脂蛋白-胆固醇(HDL-C)和低密度脂蛋白-胆固醇(LDL-C)水平。结果:在孕早期,与对照组相比,GDM组nesfatin-1水平显著上升(z=-4.60,P<0.05),vaspin水平无显著差异(t=1.99,P=0.05);nesfatin-1、vaspin单独检测及两者联合检测GDM的曲线下面积分别是0.799,0.650和0.804。在孕中期,与对照组相比,GDM组nesfatin-1和vaspin水平均显著上升(z=-4.59、-3.93,均P<0.05),nesfatin-1、vaspin单独及两者联合检测GDM的曲线下面积分别是0.784,0.743和0.783。Nesfatin-1与FPG、TG、TC及vaspin呈正相关(r=0.479、0.164、0.166、0.793,均P<0.05),vaspin与FPG及nesfatin-1呈正相关(r=0.429、0.793,均P<0.05)。结论:Nesfatin-1和vaspin对GDM有诊断价值。在孕早期,nesfatin-1和vaspin联合检测可提高对GDM的诊断效能;在孕中期,单独检测nesfatin-1的诊断效能更高。 展开更多
关键词 妊娠期糖尿病 摄食抑制因子-1 内脏脂肪特异性丝氨酸蛋白酶抑制因子
暂未订购
End points of clinical trials in metastatic castration-resistant prostate cancer:A systematic review
8
作者 Giuseppe Colloca Antonella Venturino 《World Journal of Methodology》 2014年第2期123-132,共10页
AIM: To review the defnition and performance of the commonly used end points in trials of systemic thera-pies in metastatic castration-resistant prostate cancer patients. METHODS: A literature search was undertaken... AIM: To review the defnition and performance of the commonly used end points in trials of systemic thera-pies in metastatic castration-resistant prostate cancer patients. METHODS: A literature search was undertaken on PubMed database to identify studies meeting estab-lished criteria, with the aim of selecting randomized clinical trials and study definition and performance of their end points. The end points were grouped into three categories: overall survival (OS), time-to-event end points, and response end points. A special analysis was performed for secondary end points of the studies which documented a beneft in OS in the experimental arm. Finally, publishes analyses for surrogacy of the in-cluded end points were also reported. RESULTS: OS, time-to-event and response end points in 31 selected trials were analyzed. OS was the pri-mary end point in 14 trials, and the secondary end point in 17. A time-to-event end point was the primaryend point in 8 studies, and the secondary end point in 22; the most reported time-to-event end points were composite end points, and the events changed among trials. A response end point was the primary end point in 9 studies, in 3 it was prostate-specifc antigen (PSA)-related, in 3 pain-related and in 3 mixed. A response end point was the secondary end point in 19 studies: PSA response and radiologic response were the most frequently used secondary end points in 19 and 11 tri-als, respectively, while pain response was used in 5 studies.CONCLUSION: A homogeneous defnition of progres-sion in future trials is mandatory. Among response end points, pain-response and PSA-response appear to be the most reliable. 展开更多
关键词 METASTATIC CASTRATION-RESISTANT PROSTATE cancer End points Progression-free survival Prostate-specifc ANTIGEN Chemotherapy PALLIATIVE response
在线阅读 下载PDF
HIV/AIDS患者血液透析状态下的精神障碍及临床特征调查
9
作者 何国念 金永梅 +3 位作者 田波 陈寿坤 陆霓虹 刘俊 《昆明医科大学学报》 2026年第1期70-78,共9页
目的探讨HIV/AIDS合并终末期肾病(end-stage renal disease,ESRD)患者行维持性血液透析(maintenance hemodialysis,MHD)期间焦虑、抑郁及睡眠障碍的发病情况及临床特征。方法采用横断面研究设计,连续纳入2024年8月至12月在昆明市第三人... 目的探讨HIV/AIDS合并终末期肾病(end-stage renal disease,ESRD)患者行维持性血液透析(maintenance hemodialysis,MHD)期间焦虑、抑郁及睡眠障碍的发病情况及临床特征。方法采用横断面研究设计,连续纳入2024年8月至12月在昆明市第三人民医院治疗的51例HIV/AIDS合并ESRD行MHD患者为HIV-HD组、50例普通ESRD行MHD患者为HD组及按1∶2随机抽取的102例未透析HIV感染者为HIV组。使用医院焦虑抑郁量表(hospital anxiety and depression scale,HADS)和匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)分别评估患者的焦虑抑郁及睡眠障碍,比较三组发病情况。结果共纳入203例患者,HIVHD组、HD组、HIV组精神障碍发病率分别为:焦虑(25.5%vs.22.0%vs.7.8%)、抑郁(37.3%vs.56.0%vs.17.6%)、睡眠障碍(86.3%vs.90.0%vs.40.2%)、焦虑合并抑郁(15.7%vs.20.0%vs.3.9%)、焦虑合并睡眠障碍(23.5%vs.22.0%vs.3.9%)、抑郁合并睡眠障碍(33.3%vs.54.0%vs.9.8%)、焦虑抑郁合并睡眠障碍(13.7%vs.20.0%vs.2.0%),HIV-HD组与HD组上述精神障碍发生率均显著高于HIV组(P<0.05)。临床特征显示,HIVHD组与HD组严重合并症(CCI≥5分)、高血压比例显著高于HIV组,HD组糖尿病患病率高于HIV组(P<0.05)。结论HIV/AIDS血液透析患者存在较高的焦虑、抑郁发病率,且睡眠质量极差。 展开更多
关键词 HIV/AIDS 维持性血液透析 焦虑 抑郁 睡眠障碍
暂未订购
Light Speed Expansion and Rotation of a Very Dark Machian Universe Having Internal Acceleration
10
作者 U. V. S Seshavatharam S. Lakshminarayana 《International Journal of Astronomy and Astrophysics》 2020年第3期247-283,共37页
We present a Machian model of Quantum Cosmology with full dark matter and light speed expansion and rotation. During galaxy formation and evolution, fraction of dark matter transforms to visible matter with a relation... We present a Machian model of Quantum Cosmology with full dark matter and light speed expansion and rotation. During galaxy formation and evolution, fraction of dark matter transforms to visible matter with a relation of the form, m_vis = constant * (m_dark)<sup>2/3</sup>. Using this relation and replacing MOND’s “critical acceleration” with “current cosmic maximum angular acceleration”, galactic flat rotation speed range of (50 to 500) km/sec can be fitted well. Estimated flat rotation speeds of DD168, Milky Way and UGC12591 are 49.96 km/sec, 199.66 km/sec and 521.75 km/sec respectively. Based on these striking coincidences, it is possible to say that, MOND’s approach is implicitly connected with cosmological estimation of 95% invisible matter. With reference to SPARC data for flat rotation speeds and current cosmic maximum angular acceleration, galactic total mass can be estimated. Considering galactic total mass, galactic visible mass and dark mass can be estimated. Proceeding further, galactic working radii, angular velocity and visible matter density can be estimated. Estimated Milky Way’s effective radius is 293 kpc. Even though, this model is free from “big bang”, “inflation”, “dark energy”, “flatness” and “red shift” issues, at 2.722 K, estimated present Hubble parameter is 66.24 km/sec/Mpc, cosmic radius is 146.3 times of the Hubble radius, angular velocity is 146.3 times lower than the Hubble parameter and cosmic age is 146.3 times of the Hubble age. With future observations and advanced telescopes, it may be possible to see far distant galaxies and very old stars far beyond the current observable cosmic radius. 展开更多
关键词 Planck Scale Machian Universe Speed of Light Galactic Dark Matter Galactic Visible Mass Galactic Visible Mass Density Cosmic Anisotropy Galactic Internal Acceleration Cosmic Graviton Wavelength
在线阅读 下载PDF
Selective Impact of Dispersion and Nonlinearity on Waves and Solitary Wave in a Strongly Nonlinear and Flattened Waveguide
11
作者 Christian Regis Ngouo Tchinda Marcelle Nina Zambo Abou’ou Jean Roger Bogning 《Open Journal of Applied Sciences》 2024年第7期1730-1753,共24页
The waveguide which is at the center of our concerns in this work is a strongly flattened waveguide, that is to say characterized by a strong dispersion and in addition is strongly nonlinear. As this type of waveguide... The waveguide which is at the center of our concerns in this work is a strongly flattened waveguide, that is to say characterized by a strong dispersion and in addition is strongly nonlinear. As this type of waveguide contains multiple dispersion coefficients according to the degrees of spatial variation within it, our work in this article is to see how these dispersions and nonlinearities each influence the wave or the signal that can propagate in the waveguide. Since the partial differential equation which governs the dynamics of propagation in such transmission medium presents several dispersion and nonlinear coefficients, we check how they contribute to the choices of the solutions that we want them to verify this nonlinear partial differential equation. This effectively requires an adequate choice of the form of solution to be constructed. Thus, this article is based on three main pillars, namely: first of all, making a good choice of the solution function to be constructed, secondly, determining the exact solutions and, if necessary, remodeling the main equation such that it is possible;then check the impact of the dispersion and nonlinear coefficients on the solutions. Finally, the reliability of the solutions obtained is tested by a study of the propagation. Another very important aspect is the use of notions of probability to select the predominant solutions. 展开更多
关键词 Flattened Waveguide Solitary Wave Characteristic Coefficient Probabilities Propagation Nonlinear DISPERSIVE Partial Differential Equation
在线阅读 下载PDF
Cameroon Green Energy Potentials: Field Survey of Production, Physico-Chemical Analyses of Palm Kernel Oil for Industrial Applications 被引量:1
12
作者 Alang Michael Bong Ndikontar Maurice Kor Peter T. Ndifon 《Green and Sustainable Chemistry》 2020年第3期57-71,共15页
This paper reports a field survey undertaken to determine the availability of raw material for palm kernel oil commercial production for industrial applications. Both industrial and artisanal wastes from palm kernel o... This paper reports a field survey undertaken to determine the availability of raw material for palm kernel oil commercial production for industrial applications. Both industrial and artisanal wastes from palm kernel oil production were also surveyed as raw material (palm kernel seeds) for green energy production. Results of the field study show that 22% of palm kernel seeds (which represents tons of waste) resulting from palm oil processing plants are dumped while at the artisanal level, 80% of palm kernel seed waste is dumped. Analysis of field study data show<span>s</span><span> that large amounts of waste palm kernel seeds are available to enable large scale production of palm kernel oil (PKO) for desirable industrial applications in green energy production. The paper also reports on the physical and chemical properties of Cameroon palm kernel oil (PKO). Palm kernel oil was extracted using mechanical press and solvent extraction. The palm kernel oil (PKO) from Cameroon was analyzed by standard physico-chemical methods. Results of the physical measurements show a specific gravity of PKO of 0.92 kg/L, viscosity of 26.03 cSt and at 5.93 cSt at 40<span style="color:#4F4F4F;font-family:" font-size:14px;white-space:normal;background-color:#ffffff;"=""><span style="color:#4F4F4F;font-family:"font-size:14px;white-space:normal;background-color:#FFFFFF;">&#176;</span></span>C and 100<span style="color:#4F4F4F;font-family:" font-size:14px;white-space:normal;background-color:#ffffff;"=""><span style="color:#4F4F4F;font-family:"font-size:14px;white-space:normal;background-color:#FFFFFF;">&#176;</span></span>C respectively, viscosity index of 185, pour point of 20<span style="color:#4F4F4F;font-family:" font-size:14px;white-space:normal;background-color:#ffffff;"=""><span style="color:#4F4F4F;font-family:"font-size:14px;white-space:normal;background-color:#FFFFFF;">&#176;</span></span>C, cloud point of 29<span style="color:#4F4F4F;font-family:" font-size:14px;white-space:normal;background-color:#ffffff;"=""><span style="color:#4F4F4F;font-family:"font-size:14px;white-space:normal;background-color:#FFFFFF;">&#176;</span></span>C, flash point of 200<span style="color:#4F4F4F;font-family:" font-size:14px;white-space:normal;background-color:#ffffff;"=""><span style="color:#4F4F4F;font-family:"font-size:14px;white-space:normal;background-color:#FFFFFF;">&#176;</span></span>C, aniline point of 105<span style="color:#4F4F4F;font-family:" font-size:14px;white-space:normal;background-color:#ffffff;"=""><span style="color:#4F4F4F;font-family:"font-size:14px;white-space:normal;background-color:#FFFFFF;">&#176;</span></span>F, diesel index of 23, cetane number of 27 and ASTM (American Standards for Testing and Materials) color of less than 2.5. Results of chemical analyses showed an acid val<span>ue of 17.95 mg KOH/g, free fatty <span>acid (FFA) content of 8.98 mg KOH/g, iodine value o</span></span></span><span><span><span>f 2.10</span><span> mg</span></span></span><span> </span><span><span style="font-family:Verdana;">I</span><sub><span style="font-family:Verdana;">2</span></sub><span><span style="font-family:Verdana;">/g</span><span style="font-family:Verdana;">, peroxide value of 2.10 meq/kg, ester value of 123.0 mg KOH/g, hydroxyl value of 93.4 mg OH/g, saponification value of 140.95 mg KOH/g and a sulfur content of 0.016% w/v, signifying low sulfur content. Gas chromatography-mass spectrometry (GC-MS) showed the palm kernel oil to be predominantly made up of glycerides of various fatty acids with higher proportions of C12 to C16 fatty acid residues. Cameroon PKO therefore has a broad spectrum of industrial applications by virtue of its rich physical and chemical properties.</span></span></span> 展开更多
关键词 Field Survey Palm Kernel Oil Raw Material Energy Production Physical and Chemical Properties Fatty Acids Iodine Value GC-MS
在线阅读 下载PDF
肝癌组织miR-622、miR-431表达与患者预后生存的相关性
13
作者 李云 程丽敏 +4 位作者 郭改莉 郭冉 徐超 刘超 贾志强 《胃肠病学和肝病学杂志》 2025年第12期1811-1815,共5页
目的分析肝癌组织miR-622、miR-431表达与患者预后生存的相关性。方法收集2018年6月至2019年12月在我院进行手术的158例肝癌患者的癌组织及癌旁组织,qRT-PCR法测定组织中miR-622、miR-431表达;收集患者临床资料,并分析与肝癌组织中miR-... 目的分析肝癌组织miR-622、miR-431表达与患者预后生存的相关性。方法收集2018年6月至2019年12月在我院进行手术的158例肝癌患者的癌组织及癌旁组织,qRT-PCR法测定组织中miR-622、miR-431表达;收集患者临床资料,并分析与肝癌组织中miR-622、miR-431表达的关系。Spearman法分析肝癌组织中miR-622与miR-431表达的相关性;Cox回归分析影响肝癌患者预后的因素;Kaplan-Meier分析肝癌组织中miR-622、miR-431表达与患者预后的关系。结果肝癌组织中miR-622、miR-431表达与肿瘤直径、淋巴结转移、TNM分期、慢性肝病、肝炎病毒有关(P<0.05);肝癌组织中miR-622与miR-431表达呈正相关(r=0.481,P<0.05)。Kaplan-Meier分析结果表明,miR-622高表达患者3年累积生存率显著高于低表达患者(χ^(2)=12.993,P<0.05);miR-431高表达患者3年累积生存率显著高于低表达患者(χ^(2)=31.058,P<0.05)。Cox回归分析结果表明,miR-622、miR-431、肿瘤直径、TNM分期、肝炎病毒是肝癌患者死亡的影响因素(P<0.05)。结论肝癌组织中miR-622、miR-431呈低表达,并与肝癌患者预后密切相关,是患者死亡的影响因素。miR-622、miR-431上调可能提高肝癌患者生存率。 展开更多
关键词 肝癌 miR-622 miR-431 预后 生存
暂未订购
A Quick and Practical Approach for Concept-design of Submerged Thin-walled Stiffened Cylinders
14
作者 Tatiana Pais Marco Gaiotti Cesare Mario Rizzo 《Journal of Marine Science and Application》 CSCD 2022年第3期138-154,共17页
Goal based and limit state design is nowadays a well-established approach in many engineering fields.Ship construction rules started introducing such concepts since early 2000.However,classification societies’rules d... Goal based and limit state design is nowadays a well-established approach in many engineering fields.Ship construction rules started introducing such concepts since early 2000.However,classification societies’rules do not provide hints on how to verify limit states and to determine the structural layout of submerged thin-walled stiffened cylinders,whose most prominent examples are submarines.Rather,they generally offer guidance and prescriptive formulations to assess shell plating and stiffening members.Such marine structures are studied,designed and built up to carry payloads below the sea surface.In the concept-design stage,the maximum operating depth is the governing hull scantling parameter.Main dimensions are determined based on the analysis of operational requirements.This study proposes a practical conceptdesign approach for conceptual submarine design,aimed at obtaining hull structures that maximize the payload capacity in terms of available internal volume by suitably adjusting structural layout and stiffening members’scantling,duly accounting for robustness and construction constraints as well as practical fabrication issues.The proposed scantling process highlights that there is no need of complex algorithms if sound engineering judgment is applied in setting down rationally the hull scantling problem.A systematic approach based on a computer-coded procedure developed on purpose was effectively implemented and satisfactorily applied in design practice. 展开更多
关键词 SUBMARINES Hull scantling Concept/preliminary design Limit state design Buckling Optimization Thin-walled cylinders
在线阅读 下载PDF
血清CA125、SCC水平与IMRT治疗局部晚期食管癌患者预后的相关性
15
作者 夏明林 孙琦 +2 位作者 姜庆玲 张成峰 王晓敏 《胃肠病学和肝病学杂志》 2026年第2期245-249,共5页
目的 分析血清糖类抗原125(carbohydrate antigen 125,CA125)、鳞状细胞癌抗原(squamous cell carcinoma, SCC)水平与调强放射治疗(intensity modulated radiation therapy, IMRT)治疗局部晚期食管癌患者预后的相关性。方法 选取2019年... 目的 分析血清糖类抗原125(carbohydrate antigen 125,CA125)、鳞状细胞癌抗原(squamous cell carcinoma, SCC)水平与调强放射治疗(intensity modulated radiation therapy, IMRT)治疗局部晚期食管癌患者预后的相关性。方法 选取2019年6月至2023年3月安庆一一六医院收治的93例局部晚期食管癌患者为研究组,另选取80名于我院进行体检的健康志愿者为对照组。检测两组血清CA125、SCC水平,研究组患者均采用IMRT治疗,统计患者预后情况,分析影响预后情况的因素及血清CA125、SCC对IMRT治疗预后不良的预测价值。结果 与对照组相比,研究组血清CA125、SCC较高(P<0.05)。与治疗前相比,治疗后血清CA125、SCC较低(P<0.05)。单因素分析显示,局部晚期食管癌患者IMRT治疗预后情况与性别、年龄、肿瘤位置、病理类型、病灶数目无关(P>0.05);与预后良好患者相比,预后不良患者肿瘤直径≥5 cm、有放射性肺炎占比、治疗前CA125、SCC水平较高(P<0.05)。多因素Logistics回归分析显示,肿瘤直径、放射性肺炎、治疗前CA125、SCC为影响局部晚期食管癌IMRT治疗预后情况的主要因素(P<0.05)。治疗前CA125、SCC与IMRT治疗预后不良呈正相关(P<0.05)。ROC曲线显示,与治疗前CA125、SCC单项诊断相比,联合检测预测局部晚期食管癌IMRT治疗预后不良的敏感度、准确性较高(P<0.05)。治疗前CA125<44.23 U/mL、治疗前SCC<3.35 ng/mL患者1年生存率高于治疗前CA125≥44.23 U/mL、治疗前SCC≥3.35 ng/mL患者(χ^(2)=3.97、6.61,P=0.011、0.001)。结论 局部晚期食管癌患者血清CA125、SCC均与IMRT治疗预后不良相关,联合检测预测IMRT治疗预后不良的价值较高。 展开更多
关键词 局部晚期食管癌 调强放射治疗 糖类抗原125 鳞状细胞癌抗原 预后
暂未订购
基于子午流注学说耳穴压豆在ICU谵妄患者中的应用效果
16
作者 陈玉苹 齐淑兰 孟磊 《中国当代医药》 2026年第1期91-94,共4页
目的基于子午流注学说探讨耳穴压豆在ICU谵妄患者中的应用效果,为临床干预提供依据。方法选取2022年1月至12月泰安市中医医院ICU收治的100例谵妄患者作为研究对象,按照随机数字表法分为观察组(50例)和对照组(50例)。对照组仅接受对症治... 目的基于子午流注学说探讨耳穴压豆在ICU谵妄患者中的应用效果,为临床干预提供依据。方法选取2022年1月至12月泰安市中医医院ICU收治的100例谵妄患者作为研究对象,按照随机数字表法分为观察组(50例)和对照组(50例)。对照组仅接受对症治疗及ICU常规护理,观察组在对症治疗及ICU常规护理基础上实施耳穴压豆干预,干预周期为14 d。比较两组患者重症监护谵妄筛查表(ICDSC)评分、谵妄持续时间及理查兹坎贝尔睡眠质量(RCSQ)评分。结果观察组ICDSC评分低于对照组,谵妄持续时间短于对照组,差异有统计学意义(P<0.05)。观察组RCSQ评分高于对照组,差异有统计学意义(P<0.05)。结论基于子午流注学说的耳穴压豆可有效降低ICU患者谵妄的发作及持续时间,改善睡眠质量,且安全性高,值得推广。 展开更多
关键词 子午流注学说 耳穴压豆 谵妄 睡眠质量
暂未订购
Synthesis and Characterization of Bio-Glycerol from Cameroon Palm Kernel Seed Oil
17
作者 Michael Bong Alang Ndikontar Maurice Kor Peter T. Ndifon 《Green and Sustainable Chemistry》 2022年第2期28-40,共13页
Bio-glycerol was synthesized from Cameroon palm kernel oil (PKO) through the transesterification procedure. Palm kernel oil extracted from palm kernel seeds using mechanical expression and solvent extraction was purif... Bio-glycerol was synthesized from Cameroon palm kernel oil (PKO) through the transesterification procedure. Palm kernel oil extracted from palm kernel seeds using mechanical expression and solvent extraction was purified and characterized by physico-chemical methods and used in the transesterification process to give biodiesel and bio-glycerol. The biodiesel was purified and characterized as reported in previous articles. Our focus in this article is on glycerol, an important by-product of the transesterification process which has potential pharmaceutical, cosmetic and engineering applications. The bio-glycerol was purified by acidification and the purified glycerol was subjected to physical and chemical characterization. The specific gravity of glycerol was obtained as 1.2 kg/L, viscosity at 40&degC gave 1500 cSt and 500 cSt at 100&degC;pH was 7.4;the flash point was 160&degC, and the ASTM color was 2.0 before purification and zero after purification. The sulfur content was 0.016%w/v. This sulfur content is low thus posing no environment threat. The chemical composition of the synthesized bio-glycerol determined using IR spectroscopy and gas chromatography-mass spectrometry (GC-MS) confirmed the known chemical structure of glycerol. The purification and analysis of bio-glycerol is important as it can find applications in the pharmaceutical, cosmetic and food industries inter alia. 展开更多
关键词 Palm Kernel Seed Oil TRANSESTERIFICATION BIODIESEL Bio-Glycerol Physico-Chemical Characterization Viscosity GC-MS Flash Point
在线阅读 下载PDF
Structural and Chemical Characteristic of Tourmaline, and Mineralogy of Associated Micas from Tourmaline Bearing Quartzite of KombéII (Bafia Group, Central Africa Fold Belt);Implication on the Metamorphic Conditions
18
作者 Ganwa Alembert Alexandre Klötzli Urs +3 位作者 Tchakounté Numbem Jacqueline Klötzli Eva Ertl Andreas Djom Bernard 《International Journal of Geosciences》 CAS 2022年第10期882-904,共23页
Bafia Group is part of the southernmost portion of the Central African Fold Belt (CAFB) in Cameroon. The geological feature of the group is characterized by the presence of metamorphic rocks in which tourmaline had be... Bafia Group is part of the southernmost portion of the Central African Fold Belt (CAFB) in Cameroon. The geological feature of the group is characterized by the presence of metamorphic rocks in which tourmaline had been recognized among accessory minerals. In the present study, attention is focus on the tourmaline bearing quartzite to the southeast of Kombé II. Structure refinement shows that tourmaline is a Fe-dravite with the formula X(Na<sub>0.95</sub>[]<sub>0.05</sub>)Y(Mg<sub>2.39</sub>Fe<sub>0.61</sub>)Z(Al<sub>5.10</sub>Mg<sub>0.90</sub>)(BO<sub>3</sub>)<sub>3</sub>T[Si<sub>6</sub>O<sub>18</sub>](OH)<sub>3</sub>[(O,OH)<sub>0.88</sub>F<sub>0.12</sub>]. The Fe-dravite is hosted in a Ca-poor quartzite, which is made up, in addition to quartz and tourmaline, of biotite and muscovite. The structure of the dravites shows a low vacancy at the X site, which militates for a crystallization of the tourmaline at a high temperature > 750&#8451;. This is in agreement with previous work which shows that the metamorphic peak in the associated biotite gneiss reaches 825&#8451;. The R1 value of 1.24% means that the crystal structure of the tourmalines is of high quality. The genetical link between gold mineralization and tourmaline should stimulate exploration interest in the study area. 展开更多
关键词 Fe-Dravite Structure Refinement Accessory Mineral Metamorphic Condition Kombé II Bafia Group Central African Fold Belt
在线阅读 下载PDF
Influence of Waveguide Properties on Wave Prototypes Likely to Accompany the Dynamics of Four-Wave Mixing in Optical Fibers
19
作者 Jean Roger Bogning Marcelle Nina Zambo Abou’ou +4 位作者 Christian Regis Ngouo Tchinda Mathurin Fomekong Oriel Loh Ndichia Stallone Mezezem Songna François Béceau Pelap 《Journal of Applied Mathematics and Physics》 2024年第7期2601-2633,共33页
In this article, we study the impacts of nonlinearity and dispersion on signals likely to propagate in the context of the dynamics of four-wave mixing. Thus, we use an indirect resolution technique based on the use of... In this article, we study the impacts of nonlinearity and dispersion on signals likely to propagate in the context of the dynamics of four-wave mixing. Thus, we use an indirect resolution technique based on the use of the iB-function to first decouple the nonlinear partial differential equations that govern the propagation dynamics in this case, and subsequently solve them to propose some prototype solutions. These analytical solutions have been obtained;we check the impact of nonlinearity and dispersion. The interest of this work lies not only in the resolution of the partial differential equations that govern the dynamics of wave propagation in this case since these equations not at all easy to integrate analytically and their analytical solutions are very rare, in other words, we propose analytically the solutions of the nonlinear coupled partial differential equations which govern the dynamics of four-wave mixing in optical fibers. Beyond the physical interest of this work, there is also an appreciable mathematical interest. 展开更多
关键词 Optical Fiber Four Waves Mixing Implicit Bogning Function Coupled Nonlinear Partial Differential Equations Nonlinear Coefficient Dispersive Coefficient Waveguide Properties
在线阅读 下载PDF
基于MRI椎旁肌参数和临床特征构建腰椎间盘突出症行脊柱内镜减压手术预后不良的列线图预测模型
20
作者 刘传田 周坤生 +2 位作者 黄干 郭新 赵为杰 《骨科》 2026年第1期31-38,共8页
目的基于MRI椎旁肌参数及临床特征分析腰椎间盘突出症(LDH)病人行经皮内镜椎间孔入路椎间盘切除术(PETD)手术预后不良的独立预测因子,并构建出列线图预测模型。方法回顾性纳入2021年1月至2023年12月于我院行PETD手术的138例LDH病人,术后... 目的基于MRI椎旁肌参数及临床特征分析腰椎间盘突出症(LDH)病人行经皮内镜椎间孔入路椎间盘切除术(PETD)手术预后不良的独立预测因子,并构建出列线图预测模型。方法回顾性纳入2021年1月至2023年12月于我院行PETD手术的138例LDH病人,术后1年根据改良MacNab标准将病人分为预后良好组与预后不良组。收集病人临床资料及MRI椎旁肌参数,多裂肌、竖脊肌和腰大肌的骨骼肌指数(SMI)、椎间盘角等。通过单因素分析、多因素Logistic回归筛选独立风险因素,构建列线图预测模型,并采用受试者工作特征(ROC)曲线、校准曲线及决策曲线(DCA)评估模型效能。结果预后不良发生率为13.77%(19/138)。多因素分析显示,糖尿病[OR=15.296,95%CI(1.264,26.051),P=0.032]、II型Modic改变[OR=54.366,95%CI(3.662,102.143),P=0.004]、患侧多裂肌SMI指数[OR=0.975,95%CI(0.959,0.992),P=0.004]、竖脊肌SMI指数[OR=0.978,95%CI(0.964,0.993),P=0.003]是独立预测因素。基于此构建了列线图预测模型。ROC曲线验证该列线图预测模型的区分度,曲线下面积为0.891;该模型的校准曲线与Hosmer-Lemeshow检验(P=0.802)证实其预测准确性较高,DCA曲线显示该模型的临床净获益显著。结论糖尿病、II型Modic改变及患侧多裂肌和竖脊肌SMI指数是LDH病人行PETD手术预后不良的独立预测因素,基于此构建的列线图预测模型实现了术前风险的可视化量化评估,该模型具有较高的区分效能与校准度,并为临床决策提供了可靠依据,具有较高的临床参考价值。 展开更多
关键词 腰椎间盘突出症 经皮内镜椎间孔入路椎间盘切除术 椎旁肌 列线图 预后预测 骨骼肌指数
暂未订购
上一页 1 2 215 下一页 到第
使用帮助 返回顶部