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41.
目的:评价应用C反应蛋白(C reaction protein,CRP)和降钙素原(procalcitonin,PCT)指导高危新生儿预防性应用抗生素的效果、安全性和经济性。方法:选取2015年7月至2017年1月慈溪市妇幼保健院收治的高危新生儿124例作为研究对象,随机数表法分为对照组(62例)和实验组(62例),对照组患儿均给予预防性应用抗生素治疗,实验组根据CRP和PCT选择性应用抗生素。比较两组患儿的细菌培养阳性率、脓毒症发生率以及不良反应发生率。结果:两组患儿的CRP和PCT水平和阳性率间均不存在统计学差异(t/χ2=0.299,-0.461,0.292,0.544,0.186,P=0.766,0.646,0.589,0.461,0.666)。两组患儿治疗前后的菌培养阳性率间均不存在统计学差异(χ2=0.040,0.287,P=0.842,0.592);两组治疗后的菌培养阳性率均明显低于治疗前(χ2=47.825,40.367,P=0.000,0.000);两组患儿脓毒症的发生率分别为12.90%和14.52%,差异无统计学意义(χ2=0.068,P=0.794)。实验组的NICU治疗和住院时间、机械通气时间以及治疗费用均显著低于对照组(t=2.904,2.729,2.152,5.337,P=0.004,0.007,0.033,0.000),两组的机械通气率间无统计学差异(χ2=0.372,P=0.542)。对照组患儿不良反应发生率为19.35%,明显高于实验组的6.46%(χ2=4.593,P=0.032)。结论:应用CRP和PCT指导高危新生儿预防性应用抗生素的效果与普遍性应用相似,可以明显减少治疗时间和治疗费用,明显降低治疗相关不良反应。 相似文献
42.
双语词嵌入通常采用从源语言空间到目标语言空间映射,通过源语言映射嵌入到目标语言空间的最小距离线性变换实现跨语言词嵌入。然而大型的平行语料难以获得,词嵌入的准确率难以提高。针对语料数量不对等、双语语料稀缺情况下的跨语言词嵌入问题,该文提出一种基于小字典不对等语料的跨语言词嵌入方法,首先对单语词向量进行归一化,对小字典词对正交最优线性变换求得梯度下降初始值,然后通过对大型源语言(英语)语料进行聚类,借助小字典找到与每一聚类簇相对应的源语言词,取聚类得到的每一簇词向量均值和源语言与目标语言对应的词向量均值,建立新的双语词向量对应关系,将新建立的双语词向量扩展到小字典中,使得小字典得以泛化和扩展。最后,利用泛化扩展后的字典对跨语言词嵌入映射模型进行梯度下降求得最优值。在英语—意大利语、德语和芬兰语上进行了实验验证,实验结果证明该文方法可以在跨语言词嵌入中减少梯度下降迭代次数,减少训练时间,同时在跨语言词嵌入上表现出较好的正确率。 相似文献
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46.
Dr. Yahu A. Liu Dr. Qihui Jin Qiang Ding Dr. Xueshi Hao Tingting Mo Shanshan Yan Dr. Yefen Zou Dr. Zhihong Huang Xiaoyue Zhang Wenqi Gao Dr. Tom Y.-H. Wu Chun Li Dr. Badry Bursalaya Dr. Michael Di Donato Dr. You-Qing Zhang Lisa Deaton Dr. Weijun Shen Dr. Brandon Taylor Anwesh Kamireddy Dr. George Harb Dr. Jing Li Dr. Yong Jia Dr. Andrew M. Schumacher Dr. Bryan Laffitte Dr. Richard Glynne Dr. Shifeng Pan Dr. Peter McNamara Dr. Valentina Molteni Dr. Jon Loren 《ChemMedChem》2020,15(16):1562-1570
Loss of β-cell mass and function can lead to insufficient insulin levels and ultimately to hyperglycemia and diabetes mellitus. The mainstream treatment approach involves regulation of insulin levels; however, approaches intended to increase β-cell mass are less developed. Promoting β-cell proliferation with low-molecular-weight inhibitors of dual-specificity tyrosine-regulated kinase 1A (DYRK1A) offers the potential to treat diabetes with oral therapies by restoring β-cell mass, insulin content and glycemic control. GNF4877, a potent dual inhibitor of DYRK1A and glycogen synthase kinase 3β (GSK3β) was previously reported to induce primary human β-cell proliferation in vitro and in vivo. Herein, we describe the lead optimization that lead to the identification of GNF4877 from an aminopyrazine hit identified in a phenotypic high-throughput screening campaign measuring β-cell proliferation. 相似文献
47.
目的: 建立快速灵敏的LC-MS/MS法测定人血浆中阿莫西林浓度,并用于两种阿莫西林胶囊的一致性评价。方法: 采用岛津公司LCMS-8060型LC-MS/MS仪,以MRM模式测定阿莫西林(m/z 366.00/114.00)的浓度,d4-阿莫西林作内标(m/z 370.10/114.05),离子源为ESI源。色谱柱选用Waters ACQUITY BEH C18(2.1×50 mm,1.7 μm),梯度洗脱。血浆样本加入内标,经甲醇沉淀蛋白后取上清液进样检测。结果: 所建方法经验证,其线性、准确度、精密度、最低定量限、提取回收率、特异性、基质效应、稳定性等各项指标均符合CFDA的指导原则及最新核查标准要求,并较文献报道中的方法有处理简单、灵敏度高、色谱峰形好的优点。结论: 所建方法快速、灵敏,适用于人血浆中阿莫西林浓度的检测。用于一致性评价的样本实测,两种制剂生物等效。 相似文献
48.
Baizhan Li Chenqiu Du Hong Liu Wei Yu Jie Zheng Meilan Tan Zhenxing Jin Wenjie Li Jing Wu Lu Chen Runming Yao 《Indoor air》2019,29(2):308-319
The extensive research interests in environmental temperature can be linked to human productivity / performance as well as comfort and health; while the mechanisms of physiological indices responding to temperature variations remain incompletely understood. This study adopted a physiological sensory nerve conduction velocity (SCV) as a temperature‐sensitive biomarker to explore the thermoregulatory mechanisms of human responding to annual temperatures. The measurements of subjects’ SCV (over 600 samples) were conducted in a naturally ventilated environment over all four seasons. The results showed a positive correlation between SCV and annual temperatures and a Boltzmann model was adopted to depict the S‐shaped trend of SCV with operative temperatures from 5°C to 40°C. The SCV increased linearly with operative temperatures from 14.28°C to 20.5°C and responded sensitively for 10.19°C‐24.59°C, while tended to be stable beyond that. The subjects’ thermal sensations were linearly related to SCV, elaborating the relation between human physiological regulations and subjective thermal perception variations. The findings reveal the body SCV regulatory characteristics in different operative temperature intervals, thereby giving a deeper insight into human autonomic thermoregulation and benefiting for built environment designs, meantime minimizing the temperature‐invoked risks to human health and well‐being. 相似文献
49.
This paper discusses the compressive performance of perforated brick masonry after fire exposure. Compressive strength tests of the mortar, clay perforated brick, and perforated brick masonry specimens were performed in accordance with ISO834 fire tests of different durations. The temperature distribution of the masonry materials and specimens was simulated using the finite element software ABAQUS, with the thermal parameters of masonry materials recommended by European standard Eurocode 6 and related literature. The compressive strength reduction factors of mortar and clay perforated brick exposed to different fire durations were calculated via the layered method suggested by European standard Eurocode 1. In addition, the compressive strength reduction factors after cooldown were obtained from the experimental data of the masonry materials, and by considering further reductions in the compressive strength after cooling from high temperatures. Experimental data of the masonry specimens were compared with the numerical results obtained using the reduction factors proposed in this work. The comparison revealed an overall acceptable approximation. Thus, the method presented in this paper can be used to evaluate the residual capacity of masonry structures after fire. 相似文献
50.
Hwang Seongil Park Sang Hyun Jin Maolin Kang Sang Hoon 《Intelligent Service Robotics》2021,14(3):471-484
Intelligent Service Robotics - A robust control designed for multiple degrees-of-freedom (DOF) robot manipulators performing complex tasks requiring frequent physical interaction with unknown... 相似文献