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目的 了解鄞州区0~6月龄婴儿发育性髋关节异常(developmental dysplasia of hip,DDH)的流行病学特征,探讨DDH 的临床管理模式。方法 由鄞州区妇幼保健机构社区医师和鄞州区第二医院围生医生共同负责完成DDH 的临床初筛工作,可疑或异常者转儿科进一步检查,并予B 超筛查,对不同人群分别进行早期干预、复查、随访及骨盆正位X 线片检查,必要时转小儿骨科治疗。结果 2012 年5 月至2013 年5 月,共6 890 例0~6月龄婴儿进行髋关节B 超筛查,初筛阳性率5.73%(395/6 890),复查阳性率0.59%(34/5729);月龄越小筛查阳性率越高,差异有统计学意义(P<0.05)。新生儿及1~3月龄婴儿初筛阳性率高,但复查阳性率明显降低,差异有统计学意义(P<0.05);4~6月龄婴儿初筛及复查阳性率差异无统计学意义(P >0.05)。结论 鄞州区采取的社区门诊检查- 区医院儿科复查-B 超筛查及转诊治疗的管理模式,可作为基层推进DDH 的早发现和早治疗的有效手段。  相似文献   
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A sensitive and reliable LC–MS/MS method was developed and validated for simultaneous quantification of the major components of Huangqi–Honghua extact in rat plasma, including hydroxysafflor yellow A (HSYA), astragaloside IV (ASIV), calycosin‐7‐O‐β‐d ‐glucoside (CAG), calycosin, calycosin‐3′‐O‐glucuronide (C‐3′‐G) and calycosin‐3′‐O‐sulfate (C‐3′‐S). After extraction by protein precipitation with acetonitrile and methanol from plasma, the analytes were separated on a Hypersil BDS C18 column by gradient elution with acetonitrile and 5 mM ammonium acetate. The detection was carried out on a triple quadrupole tandem mass spectrometer equipped with electrospray ionization source switched between negative and positive modes. HSYA was monitored in negative ionization mode from 0 to 4.9 min, and ASIV, CAG, calycosin, C‐3′‐G and C‐3′‐S were determined in positive ionization mode from 4.9 to 10 min. The lower limits of quantification of the analytes were 6.25 ng/mL for HSYA, 0.781 ng/mL for CAG and 1.56 ng/mL for ASIV and calycosin. The intra‐ and inter‐assay precision (RSD) values were within 13.43%, and accuracy (RE) ranged from ?8.75 to 9.92%. The validated method was then applied to the pharmacokinetic study of HSYA, ASIV, CAG, calycosin, C‐3′‐G and C‐3′‐S in rat after an oral administration of Huangqi–Honghua extract.  相似文献   
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Salicylaldimine-bridged dinuclear cyclopalladated complexes were synthesized by the reactions of cyclopalladated chloro dimers [Pd{(4-R)C6H3CH=N-C6H3–2,6-i-Pr2}(μ-Cl)]2 (R = H; OMe) with salen-based bridging ligands. The complexes were characterized by FTIR, NMR spectroscopy, elemental analysis and X-ray crystallography. The binding interaction of cyclopalladated complexes to bovine serum albumin (BSA) was investigated by UV–vis, fluorescence and synchronous fluorescence spectroscopy. The experimental results showed that these Pd (II) complexes could bind to BSA with high affinity and quench its intrinsic fluorescence by a static or combined process. Also the interaction of Pd complexes with BSA affected the conformation of the tryptophan and tyrosine residues.  相似文献   
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Asymmetric desymmetrization has been demonstrated to be a powerful strategy for building stereocenters in asymmetric synthesis. Herein, a Pd/Cu catalyzed asymmetric desymmetrization reaction with a simple geminal dicarboxylate is reported. A wide scope of imino esters bearing an aryl or heteroaromatic group were compatible with this bimetallic catalytic system. The reactions proceeded smoothly, giving the desired products in good yields with high to excellent regio-, diastereo-, and enantioselectivity (up to 20 : 1 branched:linear, >20 : 1 dr, >99 % ee). Notably, the reaction favored branched selectivity, which is unusual for the Pd-catalyzed allylic alkylation reaction. In addition, the standard product could be easily transformed to other valuable molecules such as chiral allylic alcohols, carbamates, and organic boron compounds. Furthermore, DFT calculations were conducted to explain the origin of the branched selectivity.  相似文献   
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Chen  Xiaohong  Feng  Xiufang  Li  Zhilin 《Numerical Algorithms》2019,80(3):709-740
Numerical Algorithms - Recently, an augmented IIM (Li et al. SIAM J. Numer. Anal. 55, 570–597 2017) has been developed and analyzed for some interface problems. The augmented IIM can provide...  相似文献   
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Using Suzuki coupling reactions as key steps, a series of fluorenone-based polycatenars, consisting of a central 2,7-diphenyl-9-fluorenone core connected with the 3,4,5-trialkoxybenzoate unit via –COO- linkage at each side have been synthesized. Upon elongation of the terminal alkyl chain, these compounds self-assembled into mesophase sequence of Colhex/p6mm - CubI/Pm3¯n in solid states as well as organogels with interesting morphologies varied from 3D helical fibers to spherical structures in solvents.  相似文献   
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用湿法和干法分别对爬地虎进行处理,采用火焰原子吸收光谱(FAAS)法,利用标准曲线测定爬地虎中几种微量元素的浓度。在优化的仪器工作条件下,对爬地虎果中6种微量元素可进行分别测定,互不干扰,结果的相对标准偏差在0.70%~4.0%,加标回收率在90.0%~108%,方法简便、快速、准确。  相似文献   
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