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1庐枞盆地侵入岩的时空格架及其对成矿的制约显示文摘庐枞中生代火山盆地位于长江中下游断陷带内,地处扬子板块的北缘。庐枞盆地内火山岩和侵入岩分布广泛,包括龙门院、砖桥、双庙和浮山四组火山岩以及34个侵入岩体。本次工作在详细野外地质调查的基础上,结合作者已有的5个岩体(巴家滩岩体、城山岩体、花山岩体、黄梅尖岩体和枞阳岩体)年代学的研究工作,系统开展了盆地侵入岩体的年代学和时空分布特征研究。通过侵入岩锆石LA-ICP-MSU-Pb定年方法,本次研究确定庐枞盆地内15个主要侵入岩体的成岩时代分别为:黄屯岩体134.4±2.2Ma、岳山岩体132.7±1.5Ma、拔茅山岩体132.7±1.9Ma、尖山岩体132.0±1.3Ma、谢瓦泥岩体131.6±1.1Ma、龙桥岩体131.1±1.5Ma、焦冲岩体129.6±1.3Ma、土地山岩体127.4±2.8Ma、凤凰山岩体128.4±0.9Ma、罗岭岩体126.3±2.0Ma、龙王尖岩体126.5±1.5Ma、小岭岩体126.2±1.8Ma、大缸窑岩体125.9±1.3Ma、巴坛岩体125.1±1.1Ma、毛王庙岩体123.9±1.9Ma。从而得出庐枞盆地内侵入岩的成岩时代界于134~123Ma之间,属于早白垩世,并进一步将庐枞盆地内侵入岩划分成2期,其中早期侵入岩主要为二长岩和闪长岩类,主要分布在盆地北部,与龙门院旋回和砖桥旋回火山活动关系密切,岩体侵位受火山机构和北东向构造联合控制,成岩时代为134~130Ma;晚期侵入岩还可分为两类,第一类主要为正长岩类,分布在盆地南部,主要受盆地内火山机构和北北东向断裂控制,侵入活动与双庙旋回和浮山旋回火山岩浆活动相对应,成岩时代为129~123Ma;第二类主要为A型花岗岩,分布于盆地东南缘,成岩时代为126~123Ma,主要受区域北北东向大断裂控制,而与盆地火山机构无关。庐枞盆地内与岩浆岩有关的铁、铜、金、铅、锌、铀矿床可划分为3个成矿系列,其中砖桥旋回形成的二长岩类与罗河、泥河和龙桥等铁矿床、岳山铅锌矿床及井边和拔茅山铜矿床关系密切,双庙旋回形成的正长岩类与马口等铁矿床关系密切,而晚期的A型花岗岩与3440矿床等金、铀矿化关系密切。长江中下游地区燕山期存在145~136Ma、135~127Ma、126~123Ma等三期成岩(成矿)作用,庐枞盆地内侵入岩对应于该区域第二和第三期岩浆活动的产物,其形成时代明显晚于长江中下游成矿带断隆区内与斑岩型-矽卡岩型铜(铁)、金矿床有关的高钾钙碱性岩体(第一期)。庐枞盆地内侵入岩形成于区域岩石圈伸展的构造环境。周涛发 范裕 袁峰 宋传中 张乐骏 钱存超 陆三明 David RC 2010岩石学报2010,26,9:181
2宁芜盆地闪长玢岩的形成时代及对成矿的指示意义显示文摘宁芜盆地是长江中下游成矿带的重要组成部分和玢岩型铁矿床的主要产地,盆地内广泛产出闪长玢岩,这类岩体与铁矿床的形成关系密切,但其精确的成岩成矿时代及其形成构造背景的研究仍十分薄弱。本次工作在详细野外地质工作的基础上,系统开展了盆地内与铁矿床有关的7个闪长玢岩体的年代学研究,通过对闪长玢岩锆石LA-ICP-MS同位素定年方法,确定了盆地内主要闪长玢岩体,凹山岩体、陶村岩体、和尚桥岩体、东山岩体、白象山岩体、和睦山岩体和姑山岩体的成岩时代分别为130.2±2.0Ma、130.7±1.8Ma、131.1±1.5Ma、131.1±3.1Ma、130.0±1.4Ma、131.1±1.9Ma和129.2±1.7Ma。定年结果表明盆地内闪长玢岩成岩年龄均为130Ma左右,其成岩年龄可以近似代表铁矿床的成矿年龄。长江中下游地区存在145~136Ma、135~127Ma、126~123Ma三期成岩(成矿)作用,宁芜盆地内闪长玢岩是第二期岩浆活动的产物,其形成时代明显晚于长江中下游成矿带断隆区内与斑岩型-矽卡岩型铜(铁)、金矿床有关的高钾钙碱性岩体。宁芜盆地内闪长玢岩及玢岩型铁矿床形成于区域岩石圈伸展构造环境。范裕 周涛发 袁峰 张乐骏 钱兵 马良 David RC 2010岩石学报2010,26,9:94
3美国国立老化研究所与阿尔茨海默病协会诊断指南写作组:阿尔茨海默病源性轻度认知障碍诊断标准推荐显示文摘美国国立老化研究所(NIA)和阿尔茨海默病协会(ADA)组织了一个工作组,负责阿尔茨海默病(AD)痴呆前症状阶段——即本文所称的AD源性轻度认知障碍(MCI)的诊断标准的制订及完善。该工作组制订了以下两套标准:(1)在缺乏相应条件进行先进影像技术及脑脊液检查时,医务人员适用的核心临床标准;(2)适用于包括临床试验在内的科学研究的研究标准。后者纳入了基于影像技术及脑脊液检查的生物标志物的应用。并根据所出现的生物标志物的性质,将最终MCI诊断的确定性程度分为4个级别。而要使生物标志物有效应用于诊断,并在社区医疗服务中规范使用,尚需做大量的工作。McKhann GM Knopman DS Chertkow H Hyman BT Jack CR Jr Kawas CH Klunk WE Koroshetz WJ Manly JJ Mayeux R Mohs RC Morris JC Rossor MN Schehens P Carrillo MC Thies B Weintraub S Phelps CH 贾建平(译) 陆璐(译) 张逸驰(译) 黄丽黄(译) 礼媛(译) 2012中华神经科杂志2012,45,5:51
4美国国立老化研究所与阿尔茨海默病协会诊断指南写作组:阿尔茨海默病痴呆诊断标准的推荐显示文摘由美国国立老化研究所(NIA)和阿尔茨海默病(AD)协会组织了一个工作组,负责修订1984年版AD痴呆的诊断标准。旨在确保修订后的标准具有足够的灵活性,既可供缺乏神经心理学测验、先进的影像技术和脑脊液检查措施的普通医务人员使用,也可供具备上述措施的科研、临床试验的专业研究者使用。新的标准广泛适用于各种原因的痴呆以及专门针对AD痴呆的标准,保留了1984年版标准中的“很可能的AD痴呆”的总体框架。在过去27年的经验基础上,工作组对临床诊断标准做了一些修改,保留了“可能的AD痴呆”的术语,但对其进行了更有针对性的重新定义。在科研用的“很可能的和可能的AD痴呆”的诊断标准中纳入了生物标志物证据。AD痴呆的核心临床标准仍将是临床实践中诊断的基础,但用生物标志物证据来提高AD痴呆诊断的病理生理学特异性也被人们寄予厚望。要实现AD痴呆的生物标志物诊断,还有许多工作摆在面前。McKhann GM Knopman DS Chertkow H Hyman BT Jack CR Jr Kawas CH Klunk WE Koroshetz WJ Manly J J Mayeux R Mohs RC Morris JC Rossor MN Scheltens P Carrillo MC Thies B Weintraub S Phelps CH 贾建平(译) 陆璐(译) 张逸驰(译) 黄丽(译) 韩阅(译) 2012中华神经科杂志2012,45,5:52
5Obstructive jaundice due to hepatobiliary cystadenoma or cystadenocarcinoma显示文摘Hepatobiliary cystadenomas (HBC) and cystadenocarci- nomas are rare cystic lesions. Most patients with these lesions are asymptomatic, but presentation with ob- structive jaundice may occur. The first patient presented with intermittent colicky pain and recurrent obstructive jaundice. Imaging studies revealed a polypoid lesion in the left hepatic duct. The second patient had recurrent jaundice and cholangitis. Endoscopic retrograde cholan- giopancreatography (ERCP) showed a cystic lesion at the confluence of the hepatic duct. In the third patient with intermittent jaundice and cholangitis, cholangioscopy re- vealed a papillomatous structure protruding into the left bile duct system. In the fourth patient with obstructive jaundice, CT-scan showed slight dilatation of the intrahe- patic bile ducts and dilatation of the common bile duct of 3 cm. ERCP showed filling of a cystic lesion. All patients underwent partial liver resection, revealing HBC in the specimen. In the fifth patient presenting with obstructive jaundice, ultrasound examination showed a hyperecho- genic cystic lesion centrally in the liver. The resection specimen revealed a hepatobiliary cystadenocarcinoma. HBC and cystadenocarcinoma may give rise to obstruc- tive jaundice. Evaluation with cross-sectional imaging techniques is useful. ERCP is a useful tool to differentiate extraductal from intraductal obstruction.Deha Erdogan Olivier RC Busch Erik AJ Rauws Otto M van Delden Dirk J Gouma Thomas M van Gulik 2006World Journal of Gastroenterology2006,12,35:26
6黄连素片对钙离子通道的拮抗作用显示文摘本研究以药理学的方法检测了黄连素片对Ca2+通道的拮抗作用。结果表明黄连素片的水溶液能明显抑制Ca2+的内流.拮抗L型钙通道促进剂Bayk8644对钙通道的激活,从而降低SD大鼠胸主动脉的收缩性,40μg/ml浓度的黄连素片对Ca2+通道的抑制作用与10-8mol/L浓度的尼群地平相似。同时用Bayk8644使SD大鼠胸主动脉收缩后,黄连素片能以剂量依赖方式引发收缩动脉的自发性舒张。80mg/L浓度的黄连素片能使10-7mol/LBayk8644所致的收缩血管基本达到100%的舒张,其作用与10-7mol/L的尼群地平相似。说明黄连素片具有抑制电压控制的钙通道的作用,这可能是它具有心血管药理作用的基础。司晓晨 Webb,RC 1996南京中医药大学学报1996,12,6:24
7塞来昔布治疗骨关节炎的随机对照试验显示文摘目的 :比较塞来昔布、萘普生以及安慰剂在治疗膝关节骨关节炎时的疗效、安全性。方法 :10 0 3名有症状的膝关节骨关节炎患者随机接受塞来昔布 5 0 ,10 0 ,2 0 0mg ,bid ;萘普生 5 0 0mg ,bid或安慰剂 12周。患者在停用既往NSAID药或止痛治疗后 2~ 7d以及服用受试药物治疗后 2 ,6 ,12周 ,根据标准疗效判定方法进行评估。结果 :塞来昔布在改善骨关节炎的症状和体征上有显著效果。在治疗后的 2d内疼痛明显缓解 ,最大抗炎和镇痛作用出现在 2周内并持续至 12周。各剂量的塞来昔布与安慰剂比较均有效 ,但 5 0mg ,bid的剂量效果较差 ;较大剂量的塞来昔布 (10 0和 2 0 0mg ,bid)疗效相似 ,所观察到的改善程度与萘普生 5 0 0mg ,bid相当。各剂量的塞来昔布和萘普生均有良好的耐受性。结论 :COX 2抑制剂塞来昔布是治疗骨关节炎的有效药物 ,对骨关节炎临床症状和体征的改善与萘普生相当。Bensen WG Fiechtner JJ Mcmillen JI Zhao WW Yu SS Woods EM Hubbard RC Isakson PC Verburg KM Geis GS 2000中国新药杂志2000,9,8:17
8Results of percutaneous sclerotherapy and surgical treatment in patients with symptomatic simple liver cysts and polycystic liver disease显示文摘AIM: To evaluate the results of the treatment of simple liver cysts (solitary and multiple) and polycystic liver disease (PLD) using percutaneous sclerotherapy and/or surgical procedures in a single tertiary referral centre. METHODS: Retrospective analysis of 54 patients referred for evaluation and possible treatment of simple liver cysts (solitary and multiple) and PLD, from January 1997 to July 2006. RESULTS: Simple liver cysts were treated in 41 pts (76/) with a mean size of 12.6 cm. The most common reason for referral was abdominal pain or discomfort (85/). Percutaneous sclerotherapy was performed as initial treatment in 30 pts, showing cyst recurrence in 6 pts (20/). Surgical treatment was initially performed in 11 pts with cyst recurrence in 3 pts (27/). PLD was treated in 13 pts (24/) with a mean size of the dominant cyst of 13 cm. Percutaneous sclerotherapy for PLD was performed in 9 pts with recurrence in 7 pts (77.8/). Surgical treatment for PLD was undertaken in 4 pts (30.8/) with recurrence in all. Eventually, 2 pts with PLD in the presence of polycystic kidney disease underwent liver-and kidney transplantation because of deterioration of liver and kidney function. CONCLUSION: The majority of patients with simple liver cysts and PLD are referred for progressive abdominal pain. As initial treatment, percutaneous sclerotherapy is appropriate. Surgical deroofing is indicated in caseof cyst recurrence after percutaneous sclerotherapy. However, the results of percutaneous sclerotherapy and surgical treatment for PLD are disappointing. Partial liver resection is indicated when there is suspicion of a pre-malignant lesion.Deha Erdogan Otto M van Delden Erik AJ Rauws Olivier RC Busch Johan S Lameris Dirk J Gouma Thomas M van Gulik 2007World Journal of Gastroenterology2007,13,22:15
9Immunoexpression of cyclooxygenase-2 in primary gastric carcinomas and lymph node metastases显示文摘AIM: To evaluate immunoexpression of cyclooxygenase-2 (COX-2) in primary gastric carcinomas and respective lymph node metastases. METHODS: Immunohistochemistry to analyze COX-2 expression was performed on tissue microarray slices obtained from 36 specimens of gastrectomy and satellite lymph nodes from patients with gastric carcinoma. RESULTS: Immunostaining was seen in most cases, and COX-2 expression was higher in lymph node me-tastases than in corresponding primary gastric tumors of intestinal, diffuse and mixed carcinomas, with a statistically signif icant difference in the diffuse histotype (P = 0.0108). CONCLUSION: COX-2 immunoexpression occurs frequently in primary gastric carcinomas, but higher expression of this enzyme is observed in lymph node metastases of the diffuse histotype.Paulo RC Almeida Francisco VA Ferreira Cássio C Santos Francisco D Rocha-Filho Raul RP Feitosa Esther AA Falco Belise K Cavada Roberto CP Lima-Júnior Ronaldo A Ribeiro 2012World Journal of Gastroenterology2012,18,8:14
10云南农村地区50~74岁人群10年缺血性心血管病发病风险预测显示文摘目的了解云南农村地区50~74岁人群缺血性心血管病(ICVD)危险因素的暴露情况及对未来10年的患病风险进行评估,为云南农村地区ICVD的防治提供科学依据。方法采用随机分层整群抽样的方法,抽取云南省4个县区11个村中50~74岁的研究对象611人进行流行病学调查,计算危险因素暴露率,应用“国人ICVD10年发病危险度评估方法”简易模型并进行改良,对其10年ICVD的发病危险度进行评估。结果在该人群中,高血压、超重(或)肥胖、高血脂症、吸烟和糖尿病等危险因素的暴露率分别为30.0%、13.9%、1.6%、48.4%、1.5%。ICVD10年发病绝对危险度极低危、低危、中危、高危及极高危的检出率分别为73.8%、15.2%、6.2%、3.3%和1.5%。绝对危险度〈10%(包括极低危和低危)有544人,占89.03%;≥10%(包括中危、高危及极高危)有67人,占10.97%。男性50~54岁组和女性60~64岁组平均危险度水平低于评估方法提出的平均危险度参考标准,其余组均高于评估方法参考标准。结论云南农村地区50~74岁总体人群心血管疾病危险因素水平较高,10年ICVD发病风险较大,应积极加强对心血管疾病危险因素的干预。马里兰 吴新华 陈章荣 曹慧丽 Detrano RC 杨瑛 董榆 匡时权 李利华 2015中华高血压杂志2015,23,2:13
11中国绵羊进行性肺炎(梅迪)流行的血清学调查显示文摘用琼脂凝胶免疫扩散(AGID)试验检查了中国特定的绵羊群体中对绵羊进行性肺炎(Ovineprogressive pneumonia,OPP)病毒的抗体的分布。从中国华北和西北的新疆、内蒙、河北以及四川等省区的1,410头成年绵羊的血清样品中,病毒—特异性血清学分布率从内蒙与河北绵羊的0%到新疆绵羊的6%。年龄—特异性分布率在边区莱斯特(Border Leicester)纯种羊从1至4岁羊的37%到5至10岁羊的53%,在边区莱斯特与和田羊杂交三代(BHE_3)从1至4岁羊的8%到5至10岁羊的13%.品种—特异性分布率从纯种和田羊的3%到纯种边区莱斯特羊的44%。边区莱斯特与和田羊杂交一代(BHE_1)与杂交三代(BHE_3)对致病病毒的血清学分布率明显地低于边区莱斯特纯种羊(P<0.01),BHE_3对 OPP 病毒的血清学分布率明显地高于BHE_1(P<0.01)。邓普辉 王正党 苏忠 Cutlip RC Lehmkuhl HD 1989中国兽医杂志1989,15,4:11
12澳大利亚临床共识指南:儿童卒中的诊断和急性期处理显示文摘卒中是导致儿童死亡的十大原因之一,幸存的致残患儿将面临几十年的残疾生活,给患儿及其家庭带来了巨大负担。由于安全性和有效性的证据有限,以及诊断的延误,目前卒中患儿无法接受再灌注治疗。儿童卒中诊断和急性期处理的澳大利亚临床共识指南,旨在最大限度地减少临床诊疗中的不确定性,并记录与成人卒中不同的危险因素、病因和假性卒中情况的最佳证据。临床问题的阐述来自于对2007年至2017年数据库的系统检索,但仅限于英语和儿科研究。该指南应用SIGN方法和国家健康与医学研究委员会系统对证据进行筛选和分类,通过推荐、评估、发展和评价系统(GRADE系统)对推荐进行强弱分级。该指南提供了60多项基于证据的推荐,以帮助参与院前和急症处理的临床医师快速识别儿童卒中,选择最合适的初步检查方案来确定诊断、明确病因,并选择最恰当的干预措施以挽救脑组织、预防复发。同时,指南也提供了颅内压和先天性心脏病管理方面的推荐。该指南的实施需要将院前和急诊系统重组,包括建立区域性卒中网络,建立儿科卒中疾病编码,快速MRI,以及对能够提供再灌注治疗的初级儿科卒中中心进行认证。该指南能够审核治疗的基准时间线,获得急性期的干预措施及预后判断。它还将促进澳大利亚儿童卒中登记的发展,并与国际登记处建立数据联系,以便准确收集卒中发病率、治疗和结果相关的数据。Medley TL Miteff C Andrews I Ware T Cheung M Monagle P Mandelstam S Wray A Pridmore C Troedson C Dale RC Fahey M Sinclair A Walsh P Stojanovski S Macka MT 徐佳丽(译) 吴川杰(译) 肖潇(译) 吕俊萱(译) 张博维(译) 吉训明(译) 2019中国脑血管病杂志2019,16,4:9
13褐飞虱生物型的发生与现状显示文摘巫国瑞 Saxe.,RC 1990昆虫知识1990,27,1:9
14Research on optimal immunization strategies for hepatitis B in different endemic areas in China显示文摘INTRODUCTION At present hepatitis B vaccine immunization is an unique effective measure for controlling hepatitis B.It is important o determine optimal immunizationLi H Wang L Wang SS Gong J Zeng XJ Li RC Nong Y Huang YK Chen XR Huang ZN 2000World Journal of Gastroenterology2000,6,3:9
15机械响应干细胞在颌骨再生中获得神经嵴命运的机制显示文摘Ransom RC,Carter AC,Salhotra A,et a1.Mechanoresponsive stem cells acquire neural crestfate in jaw regeneration.Nature,2018Oct 24.在胚胎发育和成体组织再生期间.由主转录因子驱动的染色质结构的变化导致刺激响应性转录程序。彻底了解骨骼中的干细胞如何响应机械刺激并实现再生.将揭示在再生过程中力如何转换到细胞核中。在这里.作者开发了一种遗传上可分析的下颌骨牵引成骨小鼠模型:这是一种用于矫正人类小下颌的手术.包括手术分离颌骨,从而在间隙中触发新的骨骼生长。使用该模型显示新形成的骨的区域源自存在于骨架中的干细胞。染色质和转录分析显示.这些干细胞群在黏着斑激酶(FAK)信号通路内获得活性.并且抑制FAK消除新骨形成。在牵张期间.通过FAK在骨骼干细胞中的机械转导,激活基因调节程序和发育过程中原始神经嵴细胞中激活的反转录转座子。骨骼干细胞从原始神经嵴细胞中产生。这种向发育状态的逆转是促进成体骨骼组织基于干细胞再生的强大组织生长基础。Ransom RC Carter AC Salhotra A 赵泽亮 2018中国口腔颌面外科杂志2018,16,6:9
16Renin and angiotensinogen expression and functions in growth and apoptosis of human glioblastoma显示文摘The expression and function in growth and apoptosis of the renin-angiotensin system(RAS)was evaluated inhuman glioblastoma.Renin and angiotensinogen(AGT)mRNAs and proteins were found by in situ hybridisationand immunohistochemistry in glioblastoma cells.Angiotensinogen was present in glioblastoma cystic fluids.Thus,human glioblastoma cells produce renin and AGT and secrete AGT.Human glioblastoma and glioblastoma cellsexpressed renin,AGT,renin receptor,AT(2)and/or AT(1)mRNAs and proteins determined by RT-PCR and/Juillerat-Jeanneret L Celerier J Chapuis Bernasconi C Nguyen G Wostl W Maerki HP Janzer RC Corvol P Gasc JM 2004中国神经肿瘤杂志2004,2,1:8
17Experimental and numerical studies on new multi-dimensional earthquake isolation and mitigation device:Horizontal properties显示文摘Earthquake is a complex multi-dimensional excitation. Counter-measures of such multi-dimensional excitation on many critical structures,such as long-span structures and high-rise buildings,must be taken into account to avert the structural failure. Many types of earthquake mitigation or isolation devices for mitigating earthquake-induced effects in the horizontal direction have been proposed and applied to real applications. However,study on multi-dimensional earthquake isolation and mitigation devices for structures has been received much less attention. In this paper,a new multi-dimensional earthquake isolation and mitigation device was developed and tested. Effects of excitation frequency and environmental temperature on horizontal properties of this device were considered. At the same time,fatigue properties of the device under different amplitude horizontal excitations were also studied experimentally. The equivalent standard solid model which can effectively describe the effect of frequency and temperature on the horizontal properties of the device was proposed and verified. From the experimental results,it may be concluded that the multi-dimensional earthquake isolation and mitigation device owns fine energy dissipation and fatigue resistance capabilities.XU ZhaoDong1, ZENG Xiao2, HUANG XingHuai1 & LU LiHeng1 1 RC&PC Key Laboratory of MOE, Southeast University, Nanjing 210096, China 2 Huaxin Past & Telecom Consulting and Designing Institute Co. Ltd, Hangzhou 310014, China 2010Science China(Technological Sciences)2010,53,10:7
18Nd_2O_3掺杂BaTiO_3陶瓷的结构和电性能研究显示文摘研究了组份为Ba_(1-x)Nd_xTiO_3(x=0.002~0.04)陶瓷的结构和电性能。实验结果表明:当0.002≤x≤0.004时,轻度Nd_2O_3掺杂的BaTiO_3陶瓷呈半导性;而当0.012≤x≤0.04时呈绝缘性。BaTiO_3陶瓷的室温电阻ρ_v随Nd ̄(3+)含量的变化呈U型特性曲线。组份为Ba_(0.9970)Nd_(0.0030)TiO_3的材料具有最低的ρ_v和最佳的PTCR效应,相应于最大的平均晶粒尺寸(AGS)和最大的介电常数ε。高角度峰(004),(400)和低角度峰(002),(200)的X射线衍射研究证明:轴比c/a和单元晶胞体积V随X的增加而减小,相应的晶格结构从四面体变成立方体。由SEM照片显示了晶粒尺寸对Nd ̄(3+)含量的依赖关系。此外,也分析了Nd ̄(3+)含量对结构和电性能的影响。谢道华 Buch.,RC 1994硅酸盐学报1994,22,2:7
19Pulmonary infection control window in treatment of severe respiratory failure of chronic obstructive pulmonary diseases: a prospective, randomized controlled, multi-centred study显示文摘Background Early withdraw from invasive mechanical ventilation (MV) followed by noninvasive MV is a new strategy for changing modes of treatment. This study was conducted to estimate the feasibility and the efficacy of early extubation and sequential noninvasive MV commenced at beginning of pulmonary infection control window in patients with exacerbated hypercapnic respiratory failure caused by chronic obstructive pulmonary diseases (COPD). Methods A prospective, randomized controlled study was conducted in eleven teaching hospitals' respiratory or medical intensive care units in China. Ninety intubated COPD patients with severe hypercapnic respiratory failure triggered by pulmonary infection (pneumonia or purulent bronchitis) were involved in the study. When the pulmonary infection had been controlled by antibiotics and comprehensive therapy, the 'pulmonary infection control window (PIC window)' has been reached. Each case was randomly assigned to study group (extubation and noninvasive MV via facial mask immediately) or control group (invasive MV was received continuously after PIC window by using conventional weaning technique).Results Study group (n=47) and control group (n=43) had similar clinical characteristics initially and at the time of PIC window. Compared with control group, study group had shorter duration of invasive MV [(6.4±4.4) days vs (11.3±6.2) days, P=0.000], lower rate of ventilator associated pneumonia (VAP) (3/47 vs 12/43, P=0.014), fewer days in ICU [(12±8) days vs (16±11) days, P=0.047] and lower hospital mortality (1/47 vs 7/43, P=0.025).Conclusions In COPD patients requiring intubation and invasive MV for hypercapnic respiratory failure, which is exacerbated by pulmonary infection, early extubation followed by noninvasive MV initiated at the start of PIC window may decrease significantly the duration of invasive MV, the risk of VAP and hospital mortality.Wang, C Zhan, QY Cao, ZX Wei, LQ Cheng, ZZ Liu, S Zhang, JL Chen, RC Luo, Q Niu, SF Zhu, L Wu, DW Fang, BM Wu, TH Wang, CZ Liu, YN 2005Chinese Medical Journal2005,,19:6
20光固化技术制作新型个体化下颈椎椎弓根置钉钻孔导板:一项体外研究显示文摘近二十年来,随着钉棒钢板固定技术的兴起,下颈椎(C3-C7)后路固定手术得到了广泛开展。生物力学研究表明,颈椎椎弓根螺钉(cervical pedicle screw,CPS)固定较侧块螺钉有更强的稳定性,但CPS置入仍面临技术上的挑战。目前涌现出很多精确置钉方法,包括徒手技术、X线透视引导技术、影像导航手术技术等。其中徒手技术主要基于解剖标志和形态学角度测量均值来辅助CPS置入,Bundoc RC Delgado GG Grozman SA 白朝晖 王建华 2017中国骨科临床与基础研究杂志2017,9,3:6
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