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| 1 | 隧道下穿既有线的案例分析与沉降分析方法显示文摘随着城市地铁建设渐入规模,越来越多的地铁建设将面临多次穿越既有地铁线路的问题,这是新线建设中等级最高的风险工程之一。对这类问题引起的工程风险的合理预测和评估具有重大的工程意义,也是领域内研究的难点,迄今尚未提出有针对性的有效预测和评价方法。基于刚度修正法的基本思路和对实测既有线隧道变形特征的分析,从国内外典型的地铁下穿既有线的案例分析着手,着重考虑既有隧道埋深、结构刚度对其变形特征的影响,从而提出适用于预测既有线在新建隧道下穿影响下产生沉降的简便分析方法,为地铁隧道施工对既有线隧道影响的风险预测及评估提出崭新的思路和工程实用的分析途径。 | 韩煊 刘赪炜 Jamie RStanding | 2012 | 土木工程学报2012，45，1： | 129 |
| 2 | 地铁隧道施工引起地层位移规律的探讨显示文摘目前对城市隧道开挖所引起的地表以下地层的位移规律的认识还很不充分,长期以来只有定性地认识。英国学者Mair等人(1993年)根据在黏土中的有限实测资料,基于预测地表位移的Peck公式,考虑了沉降槽宽度随深度变化,从而提出了地表以下的位移计算公式。他们的研究成果被广泛引用,但是由于其仅适用于黏性土,且假定地表处沉降槽宽度参数为0.5,因此在应用上受到很大的限制。在Mair公式的基础上,着重讨论了沉降槽宽度参数随地层深度的变化趋势,并提出了修正计算公式,不仅可以考虑地表沉降槽宽度参数与0.5相差较大的情况,还适用于砂类土地层,因此比Mair公式具有更广泛的适用性。 | 韩煊 李宁 Jamie R.STANDING | 2007 | 岩土力学2007，28，3： | 64 |
| 3 | 国际奥委会《遗产战略方针》框架下的奥运遗产愿景与治理显示文摘采用国际奥林匹克运动政策文本数据,对国际奥委会《遗产战略方针》框架下的奥运遗产愿景与治理的属性、特征及其体现的国际体育联合会利益取向进行分析。结果显示:奥林匹克运动主要利益相关者通过建构奥运遗产的'灵活性''广泛性''持久性'属性,拓展了奥运遗产愿景的时空维度,丰富了奥运遗产愿景在内容和对象等层面的多样性。这使得奥运遗产治理成为必然——奥组委及其他奥运遗产开发、管理组织必须以更加多样性的手段,解决奥运遗产规划和继承过程中的资源配置、权力分配与交接问题。同时,奥运遗产治理也体现出'治理本地性''奥组委非管理性'特点。 | 胡孝乾 陈姝姝 Jamie Kenyon 邓雪梅 | 2019 | 上海体育学院学报2019，43，1： | 30 |
| 4 | 中国老年人营养不良对健康和医疗花费的影响显示文摘目的评估中国老年人营养不良现状及其对日常生活自理能力、健康状况、慢性病和医疗花费的影响。方法本研究资料来自北京大学2013年中国健康与养老追踪调查(China Health and Retirement Longitudinal Survey,CHARLS)数据库,该数据库涵盖了社区中老年居民的基本信息、家庭、健康状况和功能、医疗保健与保险以及工作收入信息。本研究抽取60岁及以上的老年人,最终样本量超过5900人。根据体质指数、体重减轻和握力下降定义营养不良,采用卡茨ADL指数和Lawton-Brody IADL指数测定日常生活自理能力,利用自我评价健康状况评估老年人的健康状况;运用Ordered Logistic回归分析营养不良对ADL、IADL和健康状况的影响。采用Logistic回归分析营养不良与不同慢性病的相关性。采用0LS回归分析由营养不良导致的健康状况所引起的医疗费用。结果30%的老年人患营养不良。营养不良与老年人IADL降低显著相关(OR=0.868,P〈0.05),并且降低老年人健康水平(OR=0.675,P〈0.001),增加患脑卒中(OR=1.399,P〈0.05)和慢性胃病(OR=1.241,P〈O.001)的概率。营养不良通过降低老年人健康水平与人均年医疗花费上升显著相关(增长了214元,14%,P〈0.01)。结论我国老年人营养不良发生率较高。营养不良导致老年人生活自理能力、健康水平的下降和相关医疗花费增加。常规对老年人进行营养风险筛查和评定,制定科学、个性化的营养支持方案,给予适时、适度的营养支持治疗,能提高患者的健康水平,并有效节约医疗成本。 | 韦军民 樊琳琳 张毓辉 Jamie Partridge 许凌 李晓青 Suela Sulo | 2017 | 中华老年医学杂志2017，36，8： | 23 |
| 5 | 西藏恰功铁矿岩浆演化序列及斑岩出溶流体特征显示文摘冈底斯成矿带是碰撞造山过程形成的最重要的成矿带,恰功矽卡岩铁(铜)矿床即位于冈底斯成矿带中部。本文在详细的野外地质填图和室内研究基础上确定了恰功铁矿与成矿有关的斑岩体为二长花岗斑岩,锆石的U-Pb定年结果为68.8±2.2Ma,明显早于冈底斯东部与后碰撞伸展有关的斑岩型矿床和主碰撞期形成的矽卡岩型矿床,其应代表了冈底斯一次尚未被充分认识到的成矿事件。通过对成矿斑岩的岩石学、岩石化学、岩浆出溶流体的包裹体岩相学、显微测温分析及包裹体成分的LRM、LA-ICP-MS和PIXE分析,本文探讨了与该矽卡岩矿床有关的斑岩的岩浆起源、斑岩侵位机制及出溶流体特征。结果表明,成矿斑岩为矿区最早的侵入岩单元,具有壳幔源混源特征,其常量元素组成与冈底斯东部斑岩铜矿带的埃达克质岩相近,但稀土和微量元素组成与东部斑岩明显不同,为地幔物质上涌并诱发角闪岩相下地壳熔融的产物,岩体侵位深度大(>7km)、剥蚀程度高。早期岩浆出溶的流体为高温、高压、高盐度流体,其中富含Fe、Pb、Zn、Cu等成矿金属,与世界其他斑岩铜矿床相比,相对富铁、铅而贫铜。流体的沸腾作用发生于钾硅化阶段,形成了一套富气、高盐、高固相和气液包裹体组合,不同于早期出溶流体的包裹体组合。从岩浆起源和出溶流体性质可以看出,该斑岩具有形成与斑岩有关的铁铅多金属矿床的成矿潜力,但从该矿区地表出露的蚀变和包裹体测压结果可以看出,该斑岩体目前剥蚀深度较大,对斑岩型矿床保存不利,对该斑岩体及与成矿关系的认识对理解该区内的矿床成因和指导区域找矿具有重要的指示意义。 | 谢玉玲 李应栩 Zhaoshan CHANG David R. COOKE Chris G. RYAN Jamie LAIRD 白劲松 刘云飞 李光明 张丽 | 2009 | 地质学报2009，83，12： | 19 |
| 6 | 地铁施工引起的建筑物扭曲变形分析显示文摘隧道施工或深基坑开挖过程中会引起地面建筑物或其他结构产生复杂的变形,长期以来,对建筑物的弯曲或剪切变形都进行过一些研究,但是一般都忽略了结构的扭曲变形。事实上,由于地层的位移,会引起附近的各类结构普遍承受不同程度的扭曲变形。本文讨论了建筑物某一个平面的扭曲变形(例如基础平面,或建筑物的某一个立面)问题。首先给出了一个平面扭曲变形的数学定义,然后基于力学分析和受力推导,得到了平面变形扭曲的量化表征和计算方法。进一步在对实测资料分析的基础上,探讨在某些简化假定条件下,建筑物基础板的扭曲变形分析方法。最后以伦敦伊丽莎白大厦(E lizabeth House)为例,采用本文所提出的方法具体量化分析了该建筑物在地铁隧道施工过程中产生的扭曲变形,并对扭曲变形的规律进行了探讨,对扭曲变形对结构安全的影响进行了分析。 | 韩煊 Jamie R Standing 李宁 | 2010 | 土木工程学报2010，43，1： | 19 |
| 7 | Validation of the Rockall scoring system for outcomes from non-variceal upper gastrointestinal bleeding in a Canadian setting显示文摘AIM: To validate the Rockall scoring system for predicting outcomes of rebleeding, and the need for a surgical procedure and death. METHODS: We used data extracted from the Registry of Upper Gastrointestinal Bleeding and Endoscopy including information of 1869 patients with non-variceal upper gastrointestinal bleeding treated in Canadian hospitals. Risk scores were calculated and used to classify patients based on outcomes. For each outcome, we used χ2 goodness-of-fit tests to assess the degree of calibration, and built receiver operating characteristic curves and calculated the area under the curve (AUC) to evaluate the discriminative ability of the scoring system. RESULTS: For rebleeding, the χ2 goodness-of-fit test indicated an acceptable fit for the model [χ2 (8) = 12.83, P = 0.12]. For surgical procedures [χ2 (8) = 5.3, P = 0.73] and death [χ2 (8) = 3.78, P = 0.88], the tests showed solid correspondence between observed proportions and predicted probabilities. The AUC was 0.59 (95% CI: 0.55-0.62) for the outcome of rebleeding and 0.60 (95% CI: 0.54-0.67) for surgical procedures, representing apoor discriminative ability of the scoring system. For the outcome of death, the AUC was 0.73 (95% CI: 0.69-0.78), indicating an acceptable discriminative ability. CONCLUSION: The Rockall scoring system provides an acceptable tool to predict death, but performs poorly for endpoints of rebleeding and surgical procedures. | Robert A Enns Yves M Gagnon Alan N Barkun David Armstrong Jamie C Gregor Richard N Fedorak RUGBE Investigators Group | 2006 | World Journal of Gastroenterology2006，12，48： | 14 |
| 8 | Clostridium diffi cile associated infection,diarrhea and colitis显示文摘A new,hypervirulent strain of Clostridium difficile,called NAP1/BI/027,has been implicated in C.diffi cile outbreaks associated with increased morbidity and mortality since the early 2000s.The epidemic strain is resistant to fluoroquinolones in vitro,which was infrequent prior to 2001.The name of this strain reflects its characteristics,demonstrated by different typing methods:pulsed-field gel electrophoresis(NAP1),restriction endonuclease analysis(BI) and polymerase chain reaction(027).In 2004 and 2005,the US Centers for Disease Control and Prevention(CDC) emphasized that the risk of C.diff icile-associated diarrhea(CDAD) is increased,not only by the usual factors,including antibiotic exposure,but also gastrointestinal surgery/manipulation,prolonged length of stay in a healthcare setting,serious underlying illness,immune-compromising conditions,and aging.Patients on proton pump inhibitors(PPIs) have an elevated risk,as do peripartum women and heart transplant recipients.Before 2002,toxic megacolon in C.diffi cile-associated colitis(CDAC),was rare,but its incidence has increased dramatically.Up to twothirds of hospitalized patients may be infected with C.diff icile.Asymptomatic carriers admitted to healthcare facilities can transmit the organism to other susceptible patients,thereby becoming vectors.Fulminant colitis is reported more frequently during outbreaks of C.diffi cile infection in patients with inflammatory bowel disease(IBD).C.difficile infection with IBD carries a higher mortality than without underlying IBD.This article reviews the latest information on C.diffi cile infection,including presentation,vulnerable hosts and choice of antibiotics,alternative therapies,and probiotics and immunotherapy.We review contact precautions for patients with known or suspected C.difficileassociated disease.Healthcare institutions require accurate and rapid diagnosis for early detection of possible outbreaks,to initiate specific therapy and implement effective control measures.A comprehensive C.difficile infection control management rapid response team(RRT) is recommended for each health care facility.A communication network between RRTs is recommended,in coordination with each country's department of health.Our aim is to convey a comprehensive source of information and to guide healthcare professionals in the diffi cult decisions that they face when caring for these oftentimes very ill patients. | Perry Hookman Jamie S Barkin | 2009 | World Journal of Gastroenterology2009，15，13： | 13 |
| 9 | Role of vitamin B12 deficiency in ischemic stroke risk and outcome显示文摘Currently,ischemic stroke is the most prevalent form of stroke compared to hemorrhagic and there is a high incidence in older adults.Nutrition is a modifiable risk factor for stroke.B-vitamins are part of a metabolic network that integrates nutritional signals with biosynthesis,redox homeostasis,and epigenetics.These vitamins play an essential role in the regulation of cell proliferation,stress resistance,and embryo development.A deficiency in vitamin B12 is common in older adults and has been reported to be implicated in ischemic stroke.The aim of this review was to investigate whether vitamin B12 deficiencies impact the risk and outcome of ischemic stroke.Clinical data from our literature review strongly suggest that a deficiency in vitamin B12 is a risk factor for ischemic stroke and possible outcome.Our survey of the literature has identified that there is a gap in the understanding of the mechanisms through which a vitamin B12 deficiency leads to an increased risk of stroke and outcome.A vitamin B12 deficiency can increase homocysteine levels,which are a well-established risk factor for ischemic stroke.Another potential mechanism through which vitamin B12 deficient may impact neurological function and increase risk of stroke,is changes in myelination,however this link requires further investigation.Further studies are required in model systems to understand how a vitamin B12 deficiency changes the brain. | Gyllian B.Yahn Jamie E.Abato Nafisa M.Jadavji | 2021 | Neural Regeneration Research2021，16，3： | 9 |
| 10 | Clinical utility of Epstein-Barr virus DNA and other liquid biopsy markers in nasopharyngeal carcinoma显示文摘Nasopharyngeal carcinoma(NPC)is a malignant epithelial tumor ubiquitously associated with the Epstein-Barr virus(EBV),which is highly prevalent in South China,Southeast Asia,and North Africa.Despite being a highly radio-sensitive and treatable cancer,a majority of NPC patients are diagnosed in their advanced stage,and locoregional and distant relapses following definitive treatment contribute largely to cancer-specific mortality among these patients.Given that EBV-driven NPC is the predominant variant seen in endemic regions,various EBV detection methods have been developed and are utilized in screening,prognostication,and post-treatment surveillance of NPC patients.While the Immunoglobulin A(IgA)serology assay is the most extensively studied EBV detection method,the detection of plasma EBV DNA released during replication or cellular apoptosis has shown superior outcomes in endemic population screening,prognostication,and detection of distant relapse.Furthermore,there is emerging evidence on the use of circulating tumor cells,microRNAs,DNA hypermethylation,and combination assays in various clinical scenarios.Herein,this paper provides a comprehensive overview of the relevant studies using various EBV detection techniques in the management of NPC.Specifically,the recent advances,clinical evidence,and challenges associated with the clinical application of EBV liquid biopsies in population screening,prognostication,and surveillance of NPC are presented. | Rong Tan Sean Kean Ann Phua Yoke Lim Soong Lynette Lin Ean Oon Kian Sing Chan Sasidharan Swarnalatha Lucky Jamie Mong Min Han Tan Chwee Ming Lim | 2020 | Cancer Communications2020，40，11： | 8 |
| 11 | Homocysteine and copper interact to promote type 5 phosphodiesterase expression in rabbit cavernosal smooth muscle cells显示文摘瞄准:在类型 5 phosphodiesterase (PDE5 ) 上学习人半胱氨酸和铜的效果在 cavernosal 的表示脉管的光滑的肌肉房间(CVSMC ) 并且调查超级氧化物(当人半胱氨酸和铜产生 O 2 · −, 和 O 2 · − 在上面, O 2 · −) 源于菸碱腺嘌 dinucleotide 磷酸盐 oxidase 调整 PDE5 表示。方法:从兔子阴茎导出的 CVSMC 与人半胱氨酸或铜氯化物被孵化与或没有超级氧化物为 16 h 的 dismutase (草皮)( 菸碱腺嘌 dinucleotide 磷酸盐禁止者) ,过氧化氢酶, sildenafil 柠檬酸盐,或 apocynin。PDE5 并且 glyceraldehyde-3-phosphate 脱氢酶(内部标准) 的表示用西方的污点分析被估计。在平行, O 2 · − spectrophotometrically 被测量。结果:CuCl 2 独自一个(多达 10 μmol/L ) 并且(多达 100 μmol/L ) 人半胱氨酸独自没与控制相比在 CVSMC 在 O 2 · − 形成上有效果。然而,当在一样的时间功课上共同孵化时,在联合,人半胱氨酸和 CuCl 2 显著地增加了 O 2 · − 形成,草皮堵住的效果,过氧化氢酶, apocynin,和 sildenafil (1 μmol/L ) 。PDE5 表示显著地也在与控制相比与人半胱氨酸和 CuCl 2, 孵化的 CVSMC 被增加。这效果被 16-h 合作孵化也与草皮,过氧化氢酶, apocynin 和 sildenafil 否定。结论:这代表位于编辑下面的新奇病原的机制,并且显示延长 sildenafil 使用的治疗学的行动通过这条小径的抑制部分地被调停。 | Matthew Hotston Jamie Y. Jeremy Jonathon Bloor Nick S. Greaves Raj Persad Gianni Angelini Nilima Shukla | 2008 | Asian Journal of Andrology2008，10，6： | 7 |
| 12 | Increased dietary intake of tyrosine upregulates melanin deposition in the hair of adult black-coated dogs显示文摘The principle determinant of melanin derived hair colour and patterning in mammals is genetic, but environmental factors are now thought to play a role. It has been shown that the concentration of melanins in cat hair is influenced by the amino acid composition of their diets. Also, puppies were found to require tyrosine(Tyr) intake significantly greater than that recommended for normal growth and development in order to optimize melanin expression in their coats. Much of the work to date has been conducted in growing animals. Less is known about the relationship between nutrition and hair melanin deposition in healthy adult animals. In this study, we fed 2 groups of adult black Labrador retrievers(12 dogs/group) different concentrations of Phe + Tyr(5.6 vs. 3.5 g/Mcal) for 24 weeks and used spectrophotometric measurements every 8 weeks to detect any associated changes in the dogs' hair colour.The higher intake dogs showed reduced dilution of their black coat pigment compared with the lower intake dogs. Specifically, following 16 weeks at the higher intake, the dogs showed less yellow pigmentation to their coats(P = 0.0032), and after 24 weeks at the higher intake, the dogs showed less red(P < 0.0001) and yellow(P< 0.0001), as well as greater overall dark pigmentation(P < 0.0001). In conclusion, we have demonstrated for the first time that colour expression in the hair-coat of adult dogs is dependent on dietary intake of Tyr, and that the requirement appears to be in excess of the minimum level recommended to maintain health. | Adrian Watson Jamie Wayman Russell Kelley AlexANDre Feugier Vincent Biourge | 2018 | Animal Nutrition2018，，4： | 7 |
| 13 | AngioJet流体溶血栓吸引术对急性心肌梗死血栓性病变的疗效显示文摘目的 AngioJet流体溶血栓吸引术是通过流体击碎并吸引冠状动脉内血栓而将其移出体外的一种新的冠状动脉介入治疗技术。本研究以TIMI心肌灌注级别作为疗效指标评价该技术对急性心肌梗死血栓性病变的疗效。方法 选择澳大利亚皇家珀斯医院 2 0 0 0年 1月至 2 0 0 1年 1月所有冠状动脉造影明确显示血栓性病变的急性心肌梗死患者共 2 8例作为研究对象。其中 1 3例患者于支架置入术前进行了AngioJet流体溶血栓吸引术 (AngioJet组 ) ,而另 1 5例患者只行直接支架置入术(支架组 )。重点比较两组患者之间治疗前后心表面冠状动脉TIMI血流及TIMI心肌灌注级别 (后者与预后有强烈的相关性 )的变化。结果 支架组术后心表面冠状动脉TIMI血流及TIMI心肌灌注级别均明显优于AngioJet组 (分别为 2 60± 0 0 9vs 2 2 3± 0 1 6 ,P =0 0 4 2及 2 50± 0 1 1vs 1 92± 0 2 3 ,P=0 0 2 4 )。AngioJet组冠状动脉穿孔的例数显著多于支架组 (分别为 3例及 0例 ,P =0 0 4 9)。结论对于急性心肌梗死血栓性病变 ,支架置入术治疗可获得良好疗效 ;支架置入前采用AngioJet流体溶血栓吸引术并不增加疗效 。 | 刘海波 高润霖 Richard A Clugston Jamie M Rankin Geoffrey Mews Geoffrey DCope | 2002 | 中华心血管病杂志2002，30，12： | 6 |
| 14 | Clawed Miniature Inchworm Robot Driven by Electromagnetic Oscillatory Actuator显示文摘 | Kyung-min Lee Youngshik Kim Jamie K. Paik Buhyun Shin | 2015 | Journal of Bionic Engineering2015，12，4： | 6 |
| 15 | Mycophenolate mofetil for maintenance of remission in steroid-dependent autoimmune pancreatitis显示文摘Systemic corticosteroids represent the standard treatment for autoimmune pancreatitis with IgG4-associated cholangitis.For steroid-dependent disease,azathioprine has been used for maintenance of remission.Mycophenolate mofetil has been used for transplant immunosuppression and more recently for autoimmune hepatitis;however,there are no case reports to date on the use of mycophenolate mofetil in adult patients with autoimmune pancreatitis.A patient with IgG4-mediated autoimmune pancreatitis and IgG4-associated cholangitis refractory to steroids and intolerant of azathioprine was treated with mycophenolate mofetil,which inhibits de novo guanosine synthesis and blockade of both B and T lymphocyte production.Introduction of mycophenolate mofetil and uptitration to 1000 mg by mouth twice daily over a treatment period of 4 mo was associated with improvement in the patient's energy level and blood glucose control and was not associated with any adverse events.The patient was managed without a biliary stent.However,there was a return of symptoms,jaundice,increase in transaminases,and hyperbilirubinemia when the prednisone dose reached 11 mg per day.In the first report of mycophenolate mofetil use in an adult patient with IgG4-associated autoimmune pancreatitis and IgG4-associated cholangitis,the introduction of mycophenolate mofetil was safe and well-tolerated without adverse events,but it did not enable discontinuation of the steroids.Mycophenolate mofetil and other immunomodulatory therapies should continue to be studied for maintenance of remission in the large subset of patients with refractory or recurrent autoimmune pancreatitis. | Jamie B Sodikoff Steven A Keilin Sheila J Bharmal Melinda M Lewis Gottumukkala S Raju Field F Willingham | 2012 | World Journal of Gastroenterology2012，18，18： | 6 |
| 16 | Bowel preparation with split-dose polyethylene glycol before colonoscopy: a meta-analysis of randomized controlled trials显示文摘 | Todd W. Kilgore Abdillahi A. Abdinoor Nicholas M. Szary Samuel W. Schowengerdt Jamie B. Yust Abhishek Choudhary Michelle L. Matteson Srinivas R. Puli John B. Marshall Matthew L. Bechtold | 2011 | Gastrointestinal Endoscopy2011，，6： | 6 |
| 17 | 特级初榨橄榄油中酚类化合物不同提取方法对比研究显示文摘采用液液萃取法(LLE)、固相萃取法(SPE)和液液微萃取法(LLME)分别对特级初榨橄榄油中酚类成分进行提取,应用超高效液相色谱-高分辨质谱法(UPLC-HRMS)及Folin-Ciocalteus比色法分别进行酚类化合物组成研究和总酚含量测定,比较3种方法的提取效率。结果表明:特级初榨橄榄油中共检测到40种酚类化合物,其中液液萃取样品检出33种,固相萃取样品检出20种,液液微萃取样品检出15种,液液萃取法提取酚类化合物种类显著多于其他两种方法;液液萃取法提取的总酚含量分别为固相萃取法及液液微萃取法的2. 9倍和3. 7倍,液液萃取法对酚类化合物的提取效率明显优于其他两种方法;但从实验过程角度考量,液液微萃取法具有操作简单、省时省力、有机溶剂用量少、对实验人员伤害小、环境污染小等优点,具有进一步优化的潜力。 | 李雪 张玉 王君虹 朱作艺 李利 章国祥 关荣发 Ayton Jamie 李文 王伟 刘军 | 2020 | 中国油脂2020，45，1： | 5 |
| 18 | 地层位移引起建筑物变形特性分析显示文摘城市深基坑开挖或地铁隧道掘进会引起附近建筑物或其他结构的变形,对建筑物变形特性的研究对于建立符合实际的变形预测方法和变形风险预估体系有着至关重要的实际意义。长期以来对由于地层位移引起的建筑物变形特点的研究尚比较少,特别是在岩土工程的相关研究范畴。在理论分析的基础上,提出一个判定建筑物变形特性(弯曲或剪切)的方法,并提出'弯曲变形率'指标以量化判定结构物变形特性。通过对伦敦地区两栋建筑物实际变形数据的研究,发现建筑物基本以剪切变形为主。在后续的分析中,进一步说明在一般情况下由于开挖引起邻近多层或高层建筑物的结构变形均以剪切变形为主,这与一般在分析和计算中假定结构主要以弯曲为主不同。基于此,认为结构的剪切刚度是其变形的主要控制因素,而非弯曲刚度。最后基于建筑物实测变形数据反算得到实际建筑物的结构刚度比E/G,由此获得对建筑物的实际变形特性更加深入的认识。 | 韩煊 李宁 Jamie R.Standing | 2011 | 土木工程学报2011，44，S1： | 5 |
| 19 | Residual renal function in peritoneal dialysis with failed allograft and minimum immunosuppression显示文摘Immunosuppression(IS) is often withdrawn in patients with end stage renal disease secondary to a failed renal allograft, and this can lead to an accelerated loss of residual renal function(RRF). As maintenance of RRF appears to provide a survival benefit to peritoneal dialysis(PD) patients, it is not clear whether this benefit of maintaining RRF in failed allograft patients returning to PD outweigh the risks of maintaining IS. A 49 year-old Caucasian male developed progressive allograft failure nine years after living-donor renal transplantation. Hemodialysis was initiated via tunneled dialysis catheter(TDC) and IS was gradually withdrawn. Two weeksafter IS withdrawal he developed a febrile illness, which necessitate removal of the TDC and conversion to PD. He was maintained on small dose of tacrolimus(1 mg/d) and prednisone(5 mg/d). Currently(1 year later) he is doing exceedingly well on cycler-assisted PD. Residual urine output ranges between 600-1200 m L/d. Total weekly Kt/V achieved 1.82. RRF remained well preserved in this patient with failed renal allograft with minimal immunosuppressive therapy. This strategy will need further study in well-defined cohorts of PD patients with failed allografts and residual RRF to determine efficacy and safety. | Nadear Elmahi éva Csongrádi Kenneth Kokko Jack R Lewin Jamie Davison Tibor Fülp | 2013 | World Journal of Transplantation2013，3，2： | 5 |
| 20 | Elderly healthcare service at the community health centers in the Pearl River Delta region,China显示文摘Objective:The recent population census showed China had officially become a graying society.In the meantime,China also faces a growing burden of non-communicable diseases.Since 2009,a series of policies have been implemented to enhance primary care at the community level.This study describes the elderly care services provided in the differently organized community health centers(CHCs).Methods:It covered 13 CHCs of six cities located within the Pearl River Delta(PRD)region.In-depth interviews were conducted with a total of 59 health administrators,CHC managers,and CHC doctors regarding elderly care.Results:The study found that accessibility of healthcare for elders has been improved due to the development of health insurance schemes as well as preferential policy to encourage the CHC utilization by the elderly.All the CHCs provide health examinations and chronic disease management to the permanent elderly within their catchment district.However,some preventative care such as fall prevention,immunization and mental health management are not provided.Conclusion:Key barriers include low capacity of health service providers in the CHCs,and a lack of government investment in CHCs.Our report provides an empirical evidence for the health care reform in China. | NAN YANG XIAOLIN WEI HAITAO LI ZHENZHEN ZHANG JAMIE RODAS SAMUEL YS WONG MARTIN CS WONG YANG GAO JIAJI WANG DONALD KT LI JINLING TANG SIAN GRIFFITHS | 2013 | Family Medicine and Community Health2013，1，1： | 5 |
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