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本文主要探究SOFA评分联合超声对脓毒症合并急性肾损伤(AKI)患者的预后价值。选取2017年1月~2019年1月本院脓毒症合并AKI患者50例作为观察组,并分为AKI 1、2、3期,将同期入院的50例脓毒症患者作为对照组,两组患者均采用SOFA评分联合超声进行预后评估。结果发现,观察组PDU评分低于对照组(P<0.05),RI值、SOFA评分高于对照组(P<0.05);不同分期的3组间的PDU评分、SOFA评分不同,随着AKI分期的增加,PDU评分降低、SOFA评分增加(P<0.05),但3组间的RI值并无不同(P>0.05);50例脓毒症合并AKI患者发生院内死亡率为44.00%。经单因素分析发现,年龄、机械通气时间、ICU住院时间、AKI分期、脓毒症休克、SOFA评分、PDU评分为影响患者预后不佳的因素(P<0.05);AKI3期、发生脓毒性休克、SOFA评分、PDU评分是脓毒症合并AKI患者预后不佳的独立因素(P<0.05),ROC曲线下面积(AUC)越大,对预后的预测效能越好,当AUC>70.00%时具有临床价值。两者联合显著高于单独应用SOFA评分(AUC=74.28%)或PDU评分(P<0.001)。上述结果说明,脓毒症合并AKI患者采用SOFA评分联合超声用于评估患者的预后,优于单独采用SOFA评分或超声,两者联合的预测价值更大。 相似文献
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微滴喷射增材制造技术中沉积微滴的大小与均匀性是影响成型件质量的关键因素.本文设计了一种用于生成均匀微滴的压电驱动式微滴喷射装置,通过压电材料带动柔性膜片振动,将液体从喷嘴中喷出生成微滴,采用数值模拟和实验相结合的方法,研究了不同控制参数下膜片振幅及其对生成微滴尺寸和均匀性的影响.研究结果表明:膜片振幅大小受到驱动电压和压电频率的共同影响,压电频率是导致膜片中心点振幅实验测量值小于理论计算值的主要原因,膜片振动会导致喷嘴内部压力发生变化从而影响微滴生成尺寸.在相同驱动电压条件下,压电频率为10 Hz时存在压电膜片振幅最大值.随着膜片振幅的增大,喷孔处液体速度和液柱长度增大到临界值时可以生成微滴,当喷孔处的液柱长度超过临界值时,会形成卫星液滴. 当膜片振幅区间在30 $\mu$m$\sim $42 $\mu $m可以稳定生成微滴,生成最小微滴尺寸为339.8$\mu$m,直径最大变化率为0.29%,相邻两微滴间距最大变化率为2.67%,生成微滴的尺寸及均匀性较好.研究结果有助于提高压电式微滴喷射装置的液滴生成质量. 相似文献
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Nitrilotriacetic acid-modified magnetic nanoparticles as a general agent to bind histidine-tagged proteins 总被引:7,自引:0,他引:7
Xu C Xu K Gu H Zhong X Guo Z Zheng R Zhang X Xu B 《Journal of the American Chemical Society》2004,126(11):3392-3393
Using Nalpha,Nalpha-bis(carboxymethyl)lysine to react with FePt magnetic nanoparticles, we synthesized the FePt-NTA conjugate, which immobilizes Ni2+ ions and selectively binds to histidine-tagged proteins at concentration as low as 0.5 pM. This simple system serves as a useful alternative to existing protocols for protein separation and also acts as a versatile agent for transporting and anchoring proteins. 相似文献
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情境策略转变学生物理前概念 总被引:1,自引:0,他引:1
了解学生相关的前概念,创设与前概念相联系的情境.同时,创设新旧概念冲突的情境,有助于学生获得科学概念,是一种积极而有效的物理概念教学策略. 相似文献
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Guanghui Feng Dr. Shibin Wang Prof. Shenggang Li Ruipeng Ge Dr. Xuefei Feng Prof. Junwei Zhang Dr. Yanfang Song Dr. Xiao Dong Jiazhou Zhang Prof. Gaofeng Zeng Prof. Qiang Zhang Prof. Guijun Ma Dr. Yi-De Chuang Prof. Xixiang Zhang Prof. Jinghua Guo Prof. Yuhan Sun Prof. Wei Wei Prof. Wei Chen 《Angewandte Chemie (International ed. in English)》2023,62(15):e202218664
Using sunlight to produce valuable chemicals and fuels from carbon dioxide (CO2), i.e., artificial photosynthesis (AP) is a promising strategy to achieve solar energy storage and a negative carbon cycle. However, selective synthesis of C2 compounds with a high CO2 conversion rate remains challenging for current AP technologies. We performed CO2 photoelectroreduction over a graphene/silicon carbide (SiC) catalyst under simulated solar irradiation with ethanol (C2H5OH) selectivity of>99 % and a CO2 conversion rate of up to 17.1 mmol gcat−1 h−1 with sustained performance. Experimental and theoretical investigations indicated an optimal interfacial layer to facilitate the transfer of photogenerated electrons from the SiC substrate to the few-layer graphene overlayer, which also favored an efficient CO2 to C2H5OH conversion pathway. 相似文献
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金孙均 王友宝 苏俊 颜胜权 李云居 郭冰 李志宏 曾晟 连钢 白希祥 柳卫平 山口英齐 久保野茂 胡钧 D.Kahl 郑孝顺 文俊永 寺西高 王宏伟 石山博信 岩佐直人 小松原哲郎 李二涛 张健 《原子核物理评论》2015,32(3):274-279
在日本东京大学CRIB 次级束装置上,用长气体靶开展了22Na+ α共振散射的厚靶实验研究。针对长气体靶实验中的两体运动学重构问题,提出了一套包括构建空间复杂几何关系、计算能量损失以及反应运动学的逐事件分析方法;对22Na+α共振散射的实验数据进行了重构分析,得到了Ec.m. = 4.2 ~ 5.4 MeV 区间22Na( α,α ) 的激发函数,从实验的激发函数中观测到了复合核26Al 5 个较为明显的共振峰。鉴于26Al 共振态的衰变模式比较复杂,本工作发现的26Al新共振态的能级性质有待进一步的理论分析。The 22Na+α resonant scattering is studied via a conventional thick target inverse kinematic method with an extended gas target. A data analysis method is proposed for the two-body reaction kinematic reconstruction, in which the spatial geometry, the reaction kinematics and the energy losses are considered. The experimental data of 22Na+ αresonant scattering have been thus reconstructed, and the excitation function is obtained in the energy interval of Ec.m. =4.2~5.4 MeV. Five resonant states in 26Al are observed in the experimental excitation function. Since several decay modes coexist for the observed 26Al resonant states, multi-channel theoretical analysis is thus needed to reveal their structure and decay features. 相似文献
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DingHaiyong XuXixiang 《高校应用数学学报(英文版)》2004,19(1):51-56
A new discrete isospectral problem is introduced, from which a hierarchy of Laxintegrable lattice equation is deduced. By using the trace identity, the correspondingHamiltonian structure is given and its Liouville integrability is proved. 相似文献