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  • 一例中西医结合治疗儿童支原体肺炎的护理报告

    分类: 护理学 >> 护理学 提交时间: 2024-06-24

    摘要: 本文总结一例中西医结合治疗支原体肺炎患儿的护理经验,探讨针对支原体肺炎的有效护理策略。予患儿中西医治疗的同时,遵循整体观念,在一般护理的基础上,运用穴位贴敷、超声药物透入、穴位按摩等中医特色护理技术,取得了良好的治疗效果。本案例强调中西医结合治疗与护理在提高患者康复率、减少并发症中的重要性,以期为临床护理实践作参考。

  • 门急诊服务敏感疾病住院:概念、识别及政策启示

    分类: 医学、药学 >> 临床医学 提交时间: 2024-06-24 合作期刊: 《中国全科医学》

    摘要: 门急诊服务(包括基层医疗卫生机构、医院和其他医疗卫生机构的门诊和急诊服务)的可及性和质量决定了卫生服务系统的整体运行效率和居民健康,同时门急诊服务也是老龄化社会中持续性服务的核心组成部分。美国学者于 20 世纪 90 年代提出门急诊服务敏感疾病(ACSCs)的概念,此后,门急诊服务敏感疾病住院(ACSH)被广泛应用于评价门急诊服务的可及性和质量。近年来,有关 ACSH 的研究逐渐受到各国学者的关注与重视,我国的初步研究证据也显示该问题不应被忽视。本文首先介绍 ACSH 的概念缘起,然后对 ACSH、可避免住院、不合理入院等目前学界尚在混用的概念进行辨析,并系统梳理国际上 ACSH 的前沿识别标准,最后结合国内外研究进展讨论 ACSH 这一指标的政策价值,明确识别我国 ACSCs 应注意的问题,并提出减少 ACSH 的策略建议。

  • Analysis and optimization of performance parameters of the 220Rn chamber in flow-field mode using computational fluid dynamics method

    分类: 核科学技术 >> 辐射防护技术 分类: 物理学 >> 核物理学 提交时间: 2024-06-23

    摘要: The impact of the radiation dose produced by 222Rn/220Rn and its progeny on human health has garneredincreasing interest in the nuclear research field. The establishment of robust, regulatory, and competent 220Rnchambers is crucial for accurately measuring radioactivity levels. However, studying the uniformity of the 220Rnprogeny through experimental methods is challenging, because measuring the concentration of 220Rn and itsprogeny in multiple spatial locations simultaneously and in real time using experimental methods is difficult.Therefore, achieving precise control of the concentration of 220Rn and its progeny as well as the reliable samplingof the progeny pose significant challenges. To solve this problem, this study uses computational fluid dynamicsto obtain the flow-field data of the 220Rn chamber under different wind speeds and progeny-replenishment rates.Qualitative analysis of the concentration distribution of the progeny and quantitative analysis of the progenyconcentration and uniformity of the progeny concentration are conducted. The research findings indicatedthat the progeny-concentration level is primarily influenced by wind speed and the progeny-complement rate.Wind speed also plays a crucial role in determining progeny-concentration uniformity, whereas the progeny-complement rate has minimal impact on uniformity. To ensure the accuracy of 220Rn progeny-concentrationsampling, we propose a methodology for selecting an appropriate sampling area based on varying progenyconcentrations. This study holds immense importance for enhancing the regulation and measurement standardsof 220Rn and its progeny.

  • 1例慢性阻塞性肺疾病急性加重的中西医结合治疗护理病例报告

    分类: 护理学 >> 护理学 提交时间: 2024-06-21

    摘要: 本文总结了1例慢性阻塞性肺疾病急性加重的治疗过程。医护根据患者病情制定治疗方案,给予患者多元化护理干预,护理要点包括病情观察,对症护理治疗,提出护理问题、护理目标给予患者相应的护理措施等。经经护理团队共同努力,使患者达到预期效果,生命体征平稳,病情得到控制,提高生活质量,予以出院。

  • 一例罕见SPN患者行胰十二指肠切除Whipple重建术后的中西医结合护理

    分类: 护理学 >> 护理学 提交时间: 2024-06-21

    摘要: 本文总结一例罕见SPN患者行胰头十二指肠切除Whipple重建术后的中西医结合护理经验。在对患者围手术期实施优质个性化护理的基础上,基于经络气血运行理论,运用穴位埋针联合穴位按摩刺激经络上特定的腧穴,加以情志调护及中药贴敷,促进气血运行,以达到机体阴阳平衡,从而更有效地改善患者的胃肠功能及负面情绪等,加快了患者的康复进程,取得良好的临床护理效果,值得临床借鉴。

  • 婴儿面孔和注视方向加工的认知神经机制

    分类: 心理学 >> 认知心理学 提交时间: 2024-06-21

    摘要: 面孔和注视方向是人际交往中重要的社会线索。探讨婴儿特别是新生儿对面孔和注视方向的加工,有助于深入理解人类社交能力的起源及发展过程。回顾前人研究我们发现:0~28日龄的新生儿普遍表现出对人类面孔和直视的偏好,3月龄的婴儿开始表现出对他人目光的注视追随能力。脑观测研究发现3月龄以上的婴儿对面孔和注视加工具有与成人类似的脑神经表现。未来研究可以采用多种脑观测(特别是新型脑磁图)技术进一步考察新生儿的面孔偏好、直视偏好以及婴儿的注视追随现象,揭示婴儿对人类面孔和眼睛注视加工先天优势的神经基础及其受后天经验影响的认知机制。

  • Performance of the plastic scintillator modules for the top veto tracker of the Taishan Antineutrino Observatory

    分类: 物理学 >> 核物理学 分类: 工程与技术科学 >> 工程通用技术 提交时间: 2024-06-21

    摘要: For tracking and tagging the cosmic-ray muon (CR-muon), the Taishan Antineutrino Observatory (TAO) experiment is equipped with a top veto tracker (TVT) system composed of 160 modules, each consisting of plastic scintillator (PS) strip as target material, embedded wavelength shifting fiber (WLS-fiber) as photon collection and transmission medium, and silicon photomultipliers (SiPMs) at both ends as read-out. This article introduces the unique design of the module and reports the excellent performance of all modules, providing guidance and important reference for the process design of scintillation detectors with WLS-fibers. In general, when the CR-muon hits the center of plastic scintillator and without optical grease, the most probable value of the signal amplitude at one end of the PS strip is greater than 40.8 p.e. and 51.5 p.e. for all the 2 m-length modules and 1.5 m-length modules respectively. The CR-muon tagging efficiency of PS module is measured to be more than 99.3%, which meets the requirement of TAO.

  • Temporal and spatial variation and prediction of water yield and water conservation in the Bosten Lake Basin based on the PLUS-InVEST model

    分类: 生物学 >> 生态学 提交时间: 2024-06-21 合作期刊: 《干旱区科学》

    摘要: To comprehensively evaluate the alterations in water ecosystem service functions within arid watersheds, this study focused on the Bosten Lake Basin, which is situated in the arid region of Northwest China. The research was based on land use/land cover (LULC), natural, socioeconomic, and accessibility data, utilizing the Patch-level Land Use Simulation (PLUS) and Integrated Valuation of Ecosystem Services and Tradeoffs (InVEST) models to dynamically assess LULC change and associated variations in water yield and water conservation. The analyses included the evaluation of contribution indices of various land use types and the investigation of driving factors that influence water yield and water conservation. The results showed that the change of LULC in the Bosten Lake Basin from 2000 to 2020 showed a trend of increasing in cultivated land and construction land, and decreasing in grassland, forest, and unused land. The unused land of all the three predicted scenarios of 2030 (S1, a natural development scenario; S2, an ecological protection scenario; and S3, a cultivated land protection scenario) showed a decreasing trend. The scenarios S1 and S3 showed a trend of decreasing in grassland and increasing in cultivated land; while the scenario S2 showed a trend of decreasing in cultivated land and increasing in grassland. The water yield of the Bosten Lake Basin exhibited an initial decline followed by a slight increase from 2000 to 2020. The areas with higher water yield values were primarily located in the northern section of the basin, which is characterized by higher altitude. Water conservation demonstrated a pattern of initial decrease followed by stabilization, with the northeastern region demonstrating higher water conservation values. In the projected LULC scenarios of 2030, the estimated water yield under scenarios S1 and S3 was marginally greater than that under scenario S2; while the level of water conservation across all three scenarios remained rather consistent. The results showed that Hejing County is an important water conservation function zone, and the eastern part of the Xiaoyouledusi Basin is particularly important and should be protected. The findings of this study offer a scientific foundation for advancing sustainable development in arid watersheds and facilitating efficient water resource management.

  • Characterization of alpine meadow surface crack and its correlation with root-soil properties

    分类: 地球科学 >> 地质学 提交时间: 2024-06-21 合作期刊: 《干旱区科学》

    摘要: Quantifying surface cracks in alpine meadows is a prerequisite and a key aspect in the study of grassland crack development. Crack characterization indices are crucial for the quantitative characterization of complex cracks, serving as vital factors in assessing the degree of cracking and the development morphology. So far, research on evaluating the degree of grassland degradation through crack characterization indices is rare, especially the quantitative analysis of the development of surface cracks in alpine meadows is relatively scarce. Therefore, based on the phenomenon of surface cracking during the degradation of alpine meadows in some regions of the Qinghai-Tibet Plateau, we selected the alpine meadow in the Huangcheng Mongolian Township, Menyuan Hui Autonomous County, Qinghai Province, China as the study area, used unmanned aerial vehicle (UAV) sensing technology to acquire low-altitude images of alpine meadow surface cracks at different degrees of degradation (light, medium, and heavy degradation), and analyzed the representative metrics characterizing the degree of crack development by interpreting the crack length, length density, branch angle, and burrow (rat hole) distribution density and combining them with in situ crack width and depth measurements. Finally, the correlations between the crack characterization indices and the soil and root parameters of sample plots at different degrees of degradation in the study area were analyzed using the grey relation analysis. The results revealed that with the increase of degradation, the physical and chemical properties of soil and the mechanical properties of root-soil composite changed significantly, the vegetation coverage reduced, and the root system aggregated in the surface layer of alpine meadow. As the degree of degradation increased, the fracture morphology developed from "linear" to "dendritic", and eventually to a complex and irregular "polygonal" pattern. The crack length, width, depth, and length density were identified as the crack characterization indices via analysis of variance. The results of grey relation analysis also revealed that the crack length, width, depth, and length density were all highly correlated with root length density, and as the degradation of alpine meadows intensified, the underground biomass increased dramatically, forming a dense layer of grass felt, which has a significant impact on the formation and expansion of cracks.

  • Spatiotemporal variations of ecosystem services and driving factors in the Tianchi Bogda Peak Natural Reserve of Xinjiang, China

    分类: 生物学 >> 生态学 提交时间: 2024-06-21 合作期刊: 《干旱区科学》

    摘要: Nature reserves play a significant role in providing ecosystem services and are key sites for biodiversity conservation. The Tianchi Bogda Peak Natural Reserve (TBPNR), located in Xinjiang Uygur Autonomous Region, China, is an important ecological barrier area in the temperate arid zone. The evaluation of its important ecosystem services is of great significance to improve the management level and ecological protection efficiency of the reserve. In the present study, we assessed the spatiotemporal variations of four ecosystem services (including net primary productivity (NPP), water yield, soil conservation, and habitat quality) in the TBPNR from 2000 to 2020 based on the environmental and social data using the Integrated Valuation of Ecosystem Services and Trade-offs (InVEST) model. In addition, the coldspot and hotspot areas of ecosystem services were identified by hotspot analysis, and the trade-off and synergistic relationships between ecosystem services were analyzed using factor analysis in a geographic detector. During the study period, NPP and soil conservation values in the reserve increased by 48.20% and 25.56%, respectively; conversely, water yield decreased by 16.56%, and there was no significant change in habitat quality. Spatially, both NPP and habitat quality values were higher in the northern part and lower in the southern part, whereas water yield showed an opposite trend. Correlation analysis revealed that NPP showed a synergistic relationship with habitat quality and soil conservation, and exhibited a trade-off relationship with water yield. Water yield and habitat quality also had a trade-off relationship. NPP and habitat quality were affected by annual average temperature and Normalized Difference Vegetation Index (NDVI), respectively, while water yield and soil conservation were more affected by digital elevation model (DEM). Therefore, attention should be paid to the spatial distribution and dynamics of trade-off and synergistic relationships between ecosystem services in future ecological management. The findings of the present study provide a reference that could facilitate the sustainable utilization of ecosystem services in the typical fragile areas of Northwest China.

  • Impact of climate change and human activities on the spatiotemporal dynamics of surface water area in Gansu Province, China

    分类: 地球科学 >> 水文学 提交时间: 2024-06-21 合作期刊: 《干旱区科学》

    摘要: Understanding the dynamics of surface water area and their drivers is crucial for human survival and ecosystem stability in inland arid and semi-arid areas. This study took Gansu Province, China, a typical area with complex terrain and variable climate, as the research subject. Based on Google Earth Engine, we used Landsat data and the Open-surface Water Detection Method with Enhanced Impurity Control method to monitor the spatiotemporal dynamics of surface water area in Gansu Province from 1985 to 2022, and quantitatively analyzed the main causes of regional differences in surface water area. The findings revealed that surface water area in Gansu Province expanded by 406.88 km2 from 1985 to 2022. Seasonal surface water area exhibited significant fluctuations, while permanent surface water area showed a steady increase. Notably, terrestrial water storage exhibited a trend of first decreasing and then increasing, correlated with the dynamics of surface water area. Climate change and human activities jointly affected surface hydrological processes, with the impact of climate change being slightly higher than that of human activities. Spatially, climate change affected the 'source' of surface water to a greater extent, while human activities tended to affect the 'destination' of surface water. Challenges of surface water resources faced by inland arid and semi-arid areas like Gansu Province are multifaceted. Therefore, we summarized the surface hydrology patterns typical in inland arid and semi-arid areas and tailored surface water 'supply-demand' balance strategies. The study not only sheds light on the dynamics of surface water area in Gansu Province, but also offers valuable insights for ecological protection and surface water resource management in inland arid and semi-arid areas facing water scarcity.

  • Influence of vapor pressure deficit on vegetation growth in China

    分类: 地球科学 >> 大气科学 提交时间: 2024-06-21 合作期刊: 《干旱区科学》

    摘要: Vapor pressure deficit (VPD) plays a crucial role in determining plant physiological functions and exerts a substantial influence on vegetation, second only to carbon dioxide (CO2). As a robust indicator of atmospheric water demand, VPD has implications for global water resources, and its significance extends to the structure and functioning of ecosystems. However, the influence of VPD on vegetation growth under climate change remains unclear in China. This study employed empirical equations to estimate the VPD in China from 2000 to 2020 based on meteorological reanalysis data of the Climatic Research Unit (CRU) Time-Series version 4.06 (TS4.06) and European Centre for Medium-Range Weather Forecasts (ECMWF) Reanalysis 5 (ERA-5). Vegetation growth status was characterized using three vegetation indices, namely gross primary productivity (GPP), leaf area index (LAI), and near-infrared reflectance of vegetation (NIRv). The spatiotemporal dynamics of VPD and vegetation indices were analyzed using the Theil-Sen median trend analysis and Mann-Kendall test. Furthermore, the influence of VPD on vegetation growth and its relative contribution were assessed using a multiple linear regression model. The results indicated an overall negative correlation between VPD and vegetation indices. Three VPD intervals for the correlations between VPD and vegetation indices were identified: a significant positive correlation at VPD below 4.820 hPa, a significant negative correlation at VPD within 4.820–9.000 hPa, and a notable weakening of negative correlation at VPD above 9.000 hPa. VPD exhibited a pronounced negative impact on vegetation growth, surpassing those of temperature, precipitation, and solar radiation in absolute magnitude. CO2 contributed most positively to vegetation growth, with VPD offsetting approximately 30.00% of the positive effect of CO2. As the rise of VPD decelerated, its relative contribution to vegetation growth diminished. Additionally, the intensification of spatial variations in temperature and precipitation accentuated the spatial heterogeneity in the impact of VPD on vegetation growth in China. This research provides a theoretical foundation for addressing climate change in China, especially regarding the challenges posed by increasing VPD

  • Extreme drought with seasonal timing consistently promotes CH4 uptake through inconsistent pathways in a temperate grassland, China

    分类: 地球科学 >> 大气科学 提交时间: 2024-06-21 合作期刊: 《干旱区科学》

    摘要: Methane (CH4) is a potent greenhouse gas that has a substantial impact on global warming due to its substantial influence on the greenhouse effect. Increasing extreme precipitation events, such as drought, attributable to global warming that caused by greenhouse gases, exert a profound impact on the intricate biological processes associated with CH4 uptake. Notably, the timing of extreme drought occurrence emerges as a pivotal factor influencing CH4 uptake, even when the degree of drought remains constant. However, it is still unclear how the growing season regulates the response of CH4 uptake to extreme drought. In an effort to bridge this knowledge gap, we conducted a field manipulative experiment to evaluate the impact of extreme drought on CH4 uptake during early, middle, and late growing stages in a temperate steppe of Inner Mongolia Autonomous Region, China. The result showed that all extreme drought consistently exerted positive effects on CH4 uptake regardless of seasonal timing. However, the magnitude of this effect varied depending on the timing of season, as evidenced by a stronger effect in early growing stage than in middle and late growing stages. Besides, the pathways of CH4 uptake were different from seasonal timing. Extreme drought affected soil physical-chemical properties and aboveground biomass (AGB), consequently leading to changes in CH4 uptake. The structural equation model showed that drought both in the early and middle growing stages enhanced CH4 uptake due to reduced soil water content (SWC), leading to a decrease in NO3–-N and an increase in pmoA abundance. However, drought in late growing stage primarily enhanced CH4 uptake only by decreasing SWC. Our results suggested that seasonal timing significantly contributed to regulate the impacts of extreme drought pathways and magnitudes on CH4 uptake. The findings can provide substantial implications for understanding how extreme droughts affect CH4 uptake and improve the prediction of potential ecological consequence under future climate change.

  • Assessment of rehabilitation strategies for lakes affected by anthropogenic and climatic changes: A case study of the Urmia Lake, Iran

    分类: 地球科学 >> 水文学 提交时间: 2024-06-21 合作期刊: 《干旱区科学》

    摘要: Over the last three decades, more than half of the world's large lakes and wetlands have experienced significant shrinkage, primarily due to climate change and extensive water consumption for agriculture and other human needs. The desiccation of lakes leads to severe environmental, economic, and social repercussions. Urmia Lake, located in northwestern Iran and representing a vital natural ecosystem, has experienced a volume reduction of over 90.0%. Our research evaluated diverse water management strategies within the Urmia Lake basin and prospects of inter-basin water transfers. This study focused on strategies to safeguard the environmental water rights of the Urmia Lake by utilizing the modeling and simulating (MODSIM) model. The model simulated changes in the lake's water volume under various scenarios. These included diverting water from incoming rivers, cutting agricultural water use by 40.0%, releasing dam water in non-agricultural seasons, treated wastewater utilization, and inter-basin transfers. Analytical hierarchy process (AHP) was utilized to analyze the simulation results. Expert opinions with AHP analysis, acted as a multi-criteria decision-making tool to evaluate the simulation and determine the optimal water supply source priority for the Urmia Lake. Our findings underscore the critical importance of reducing agricultural water consumption as the foremost step in preserving the lake. Following this, inter-basin water transfers are suggested, with a detailed consideration of the inherent challenges and limitations faced by the source watersheds. It is imperative to conduct assessments on the impacts of these transfers on the downstream users and the potential environmental risks, advocating for a diplomatic and cooperative approach with adjacent country. This study also aims to forecast the volumes of water that can be transferred under different climatic conditions—drought, normal, and wet years—to inform strategic water management planning for the Urmia Lake. According to our projection, implementing the strategic scenarios outlined could significantly augment the lake's level and volume, potentially by 3.57×109–9.38×109 m3 over the coming 10 a and 3.57×109–10.70×109 m3 in the subsequent 15 a.

  • Comparison of isotope-based linear and Bayesian mixing models in determining moisture recycling ratio

    分类: 地球科学 >> 大气科学 提交时间: 2024-06-21 合作期刊: 《干旱区科学》

    摘要: Stable water isotopes are natural tracers quantifying the contribution of moisture recycling to local precipitation, i.e., the moisture recycling ratio, but various isotope-based models usually lead to different results, which affects the accuracy of local moisture recycling. In this study, a total of 18 stations from four typical areas in China were selected to compare the performance of isotope-based linear and Bayesian mixing models and to determine local moisture recycling ratio. Among the three vapor sources including advection, transpiration, and surface evaporation, the advection vapor usually played a dominant role, and the contribution of surface evaporation was less than that of transpiration. When the abnormal values were ignored, the arithmetic averages of differences between isotope-based linear and the Bayesian mixing models were 0.9% for transpiration, 0.2% for surface evaporation, and –1.1% for advection, respectively, and the medians were 0.5%, 0.2%, and –0.8%, respectively. The importance of transpiration was slightly less for most cases when the Bayesian mixing model was applied, and the contribution of advection was relatively larger. The Bayesian mixing model was found to perform better in determining an efficient solution since linear model sometimes resulted in negative contribution ratios. Sensitivity test with two isotope scenarios indicated that the Bayesian model had a relatively low sensitivity to the changes in isotope input, and it was important to accurately estimate the isotopes in precipitation vapor. Generally, the Bayesian mixing model should be recommended instead of a linear model. The findings are useful for understanding the performance of isotope-based linear and Bayesian mixing models under various climate backgrounds.

  • 次优食品营销干预策略的有效性探究:来自元分析的证据

    分类: 心理学 >> 管理心理学 提交时间: 2024-06-20

    摘要: 次优食品是存在缺陷但可安全食用的食品,次优食品的商业化成为减少食物浪费的重要策略。然而,次优食品营销干预策略有效性的实验结果存在分歧。本研究通过元分析方法整合了目前次优食品营销干预策略的实证研究,分析了认知导向和情感导向营销干预策略对消费者次优食品评价和购买的有效性,并探索了营销干预策略有效性的边界条件。研究纳入符合要求的原始文献32篇(57个独立样本),共94个效应量。结果发现,认知导向和情感导向营销干预策略能有效促进消费者对次优食品的积极评价和购买意愿,具有接近中等强度的有效性,且情感导向营销干预策略的效果优于认知导向营销干预策略。此外,次优食品特征、营销特征和顾客特征等因素调节次优食品营销干预策略的有效性。本研究发现为食品相关企业营销部门和政府部门提供了管理启示。

  • 一例脑梗死患者早期给与康复训练的护理查房案例

    分类: 护理学 >> 护理学 提交时间: 2024-06-20

    摘要: 本文总结一例脑梗死患者早期给与康复训练的护理查房经验。由责任护士和主管医生介绍患者病情和治疗情况,由科内查房小组成员共同分析讨论现存的疑点难点,制定出相应的护理措施。通过中西医结合的护理模式帮助患者恢复自理能力,提高生活质量。

  • 全身炎症反应指数与缺血性脑卒中患者复发风险的关联性研究

    分类: 医学、药学 >> 预防医学与公共卫生学 提交时间: 2024-06-20 合作期刊: 《中国全科医学》

    摘要: 背景全身炎症反应指数(SIRI)是一种较新的炎症生物标志物,其与缺血性脑卒中患者复发的关系尚不明确。目的 探讨SIRI水平与缺血性脑卒中患者1年内复发的关联性。方法 选取2019年3月—2021年3月在南昌大学第一附属医院、南昌大学第二附属医院、南昌市第二医院和南昌市第三医院住院且确诊为缺血性脑卒中的患者作为研究对象进入队列,并对其随访1年。收集入院后48h内的基线信息,随访过程中的缺血性脑卒中复发情况。采用Cox比例风险回归模型、限制性立方样条、亚组分析探讨SIRI与缺血性脑卒中患者1年内复发之间的关联性。结果 本研究纳入了1023例患者,在1年随访期间共107例(10.46%)复发。多因素Cox比例风险回归模型分析结果显示,在调整变量后,SIRI升高是缺血性脑卒中复发的危险因素(HR=1.06,95%CI=1.01~1.10)。将SIRI按四分位数分类时,Q4亚组(256例)与Q1亚组(256例)相比有较高的缺血性脑卒中复发风险(HR=1.80,95%CI=1.08~3.00)。限制性立方样条分析结果显示,SIRI与缺血性脑卒中复发风险呈J型的剂量-反应关系(P-Nonlinear=0.025)。进一步按性别、年龄、既往卒中、入院时美国国立卫生研究院卒中量表(NIHSS)评分分层进行亚组分析,结果显示,SIRI和入院时NIHSS评分分层存在交互作用(P<0.001),在NIHSS评分为0~1分时,SIRI(HR=1.25,95%CI=1.04~1.51,P=0.020)与卒中复发存在相关关系;在NIHSS评分为5~15分,SIRI(HR=1.20,95%CI=1.12~1.28,P<0.001)与卒中复发存在相关关系,表明在上述评分区间SIRI升高与缺血性脑卒中复发风险增加有关。结论 较高的SIRI与缺血性脑卒中复发风险增加明显相关。在SIRI与缺血性脑卒中复发之间观察到J形关联,且在NIHSS评分为0~1分、5~15分的缺血性脑卒中患者中,SIRI升高与缺血性脑卒中复发风险增加有关。

  • 学龄儿童睡眠特征对情绪和行为的影响:执行功能的角色探析

    分类: 医学、药学 >> 预防医学与公共卫生学 提交时间: 2024-06-20 合作期刊: 《中国全科医学》

    摘要: 背景学龄儿童的睡眠特征对其情绪和行为问题的产生有至关重要的影响,并且睡眠特征对学龄儿童执行功能的发展也起到了一定的作用,学龄儿童情绪和行为问题的产生与其执行功能的发展又有紧密的联系。目前对于学龄儿童睡眠特征、执行功能以及情绪和行为问题的关系是否存在中介效应的研究较少。目的 探讨学龄儿童的睡眠特征、执行功能与学龄儿童情绪和行为问题之间的关系,以及执行功能在学龄儿童的睡眠特征与情绪和行为问题中的中介作用。方法 于2021-08-21—10-08,采用方便取样法,选取河北省邯郸市涉县西戌小学与第四实验小学1~6年级学龄儿童516名,分别采用儿童睡眠习惯问卷(CSHQ)、长处与困难问卷(SDQ)以及执行功能行为评定量表(BRIEF)评定学龄儿童的睡眠特征、情绪和行为问题以及执行功能。利用SPSS27.0以及PROSCESSv4.1插件进行相关性分析、回归分析、中介的调节作用分析。结果 共发放问卷516份,回收有效问卷496份,有效回收率为96.1%。相关性分析结果显示,学龄儿童CSHQ总分与BRIEF中的行为管理指数、元认知功能指数抑制及转换、情感控制、任务启动、工作记忆、计划、组织、监控因子呈负相关(P0.05)。结论 学龄儿童睡眠特征、执行功能与其情绪和行为存着密切关系,且执行功能在儿童睡眠特征与学龄儿童的情绪和行为问题中存在完全中介作用。这一发现强调了良好睡眠对学龄儿童行为与情绪的重要性,并为提升学龄儿童执行功能和整体发展提供了新的视角和干预途径。

  • Towards adaptable synchrotron image restoration pipeline

    分类: 物理学 >> 核物理学 提交时间: 2024-06-20

    摘要: Synchrotron microscopic data commonly suffer from poor image quality with degraded resolution incurred by instrumentation defects or experimental conditions. Image restoration methods are often applied to recover the reduced resolution, providing improved image details that can greatly facilitate scientific discovery. Among these methods, deconvolution techniques are straightforward, yet either require known prior information or struggle to tackle large experimental data. Deep learning (DL)-based super-resolution (SR) methods handle large data well, however data scarcity and model generalizability are problematic. In addition, current image restoration methods are mostly offline and inefficient for many beamlines where high data volumes and data complexity issuesare encountered. To overcome these limitations, an online image-restoration pipeline that adaptably selects suitable algorithms and models from a method repertoire is promising. In this study, using both deconvolution and pretrained DL-based SR models, we showthatdifferent restoration efficacies can be achieved on different types of synchrotron experimental data. We describe the necessity, feasibility, and significance of constructing suchan image-restoration pipeline for future synchrotron experiments.