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51.
目的:探讨普贝生促进宫颈成熟,提高足月妊娠经阴道分娩的有效性和安全性。方法:120例足月妊娠的未临产孕妇随机分为试验组与对照组,其中试验组50例给予阴道后穹隆置入普贝生1~2次,对照组50例给予小剂量催产素静脉滴注,比较两组宫颈成熟度,分娩情况及对于产妇、新生儿的影响。结果:①试验组宫颈Bishop评分增加3.81±1.04,对照组增加3.09±1.15,两组间差异有统计学意义(P〈0.05)②试验组促宫颈成熟的显效率为78.33%,总有效率为91.67%,高于对照组35.00%显效率和63.33%总有效率(P〈0.01)。③试验组阴道分娩率73.33%,进入产程时间(34.19±13.20)h,产程(8.47±2.68)h,对照组阴道分娩率41.67%,进入产程时间(52.14±16.05)h,产程(12.25±3.73)h,两组间比较差异有显著性(P〈0.01或0.05)。④试验组产后出血量(225.31±67.80)ml,新生儿体重(3369.48±311.65)g,Apgar评分9.52±0.39,对照组产后出血量(232.44±75.76)ml,新生儿体重(3417.63±359.68)g,Apgar评分9.48±0.47,两组间差异无统计学意义(P〉0.05)。结论:普贝生可有效促进足月妊娠产妇的宫颈成熟.提高经阴道引产成功率,降低剖宫产率,且安全性好,对母儿影响小。  相似文献   
52.
The influence of the product inhibition by dihydroxyacetone (DHA) on Gluconobacter oxydans for a novel semi-continuous two-stage repeated-fed-batch process was examined quantitatively. It was shown that the culture was able to grow up to a DHA concentration of 80 kg m−3 without any influence of product inhibition. The regeneration capability of the reversibly product inhibited culture from a laboratory-scale bioreactor system was observed up to a DHA concentration of about 160 kg m−3. At higher DHA concentrations, the culture was irreversibly product inhibited. However, due to the robust membrane-bound glycerol dehydrogenase of G. oxydans, product formation was still active for a prolonged period of time. The reachable maximum final DHA concentration was as high as 220 kg m−3. The lag phases for growth increased exponentially with increasing DHA threshold values of the first reactor stage. These results correlated well with fluorescence in situ hybridization (FISH) measurements confirming that the number of active cells decreased exponentially with increasing DHA concentrations.  相似文献   
53.
“探究式学习”促使学生的学习方式和教师的教学方式发生深刻的变革.阐述了探究式学习、实验操作技能和探究式实验教学模式这三个概念的内涵.同时,对高中生物一个重要的验证性实验“叶绿体中色素的提取和分离”进行了改进,实施了探究式实验教学设计并进行了教学实践以及分析,旨在探讨如何培养学生的实验操作技能.由此可得出结论:开展探究式实验教学,既能通过规范的实验操作,培养学生的实验操作技能,又能培养学生的综合探究能力并树立实事求是的科学态度;利用随堂式的实验教学评价,能很好发挥探究式学习的成效.  相似文献   
54.
55.
胸部双源性疾病外科治疗的临床决策   总被引:1,自引:1,他引:0       下载免费PDF全文
胸部双源性疾病随人口的老龄化而逐年增加,而老年人的心肺及各种脏器功能随年龄的增长逐渐衰退,并发症多,手术风险大,对此类病人的外科治疗如何做出正确的临床医疗决策呢?我们以循证医学理论为基础,努力做到临床医疗决策的科学性,治疗方案的合理性,大胆尝试,逐步从分期手术向一期手术过渡,既达到了解决病人疾苦,救治病人的目的,又解决了医疗需求的增加和卫生资源短缺的矛盾,取得了满意的效果,降低了医疗成本,节约了医疗资源,产生了明显的社会和经济效益。  相似文献   
56.
目的 通过讨论PACS高级预防维护技术,供同他人在日常维护过程中有一定地借鉴作用.方法 从PACS数据库性能检测与优化,存储设备检测及PACS各应用软件模块三方面进行阐述.结果 经过医院一线安装维护人员和PACS厂家多年实践的总结,拥有一定的可参考依据.结论 PACS的高级预防维护是一个复杂的系统工程,包括一般维护和高级维护在内的实践理论才刚刚起步,科学的、规范化的预防维护需要不断地完善和发展.  相似文献   
57.
Effects of ovarian hormones on sex and ingestive behavior are well studied, and yet, their role in diverting attention from food to sex has not been examined directly, possibly because these functions are masked under conditions of excessive food abundance typical of the laboratory. Female Syrian hamsters were either fed ad libitum or food-restricted to 75% of their ad libitum intake for 8 days and then tested every day of the estrous cycle for their preference for males versus food, food hoarding and food intake in an apparatus designed to mimic aspects of their natural habitat. The food-restricted, but not the fed females, varied significantly over the estrous cycle in appetitive behaviors, which included their preference for males versus food and in the amount of food hoarded, with low food hoarding and high male preference on the night of ovulation. In contrast, there were no significant differences between restricted and ad libitum-fed females in the consummatory behaviors, namely, food intake or lordosis duration. In ovariectomized females, estradiol plus progesterone treatment delayed food restriction-stimulated hoarding and hastened feeding-inhibited hoarding without affecting food intake or lordosis duration. In summary, energy restriction and the presence of males unmasked an effect that was obscured in the normal laboratory conditions characterized by isolation and an over abundance of readily available food. These results are consistent with the idea that ovarian hormones orchestrate appetites for food and sex to optimize reproductive success under fluctuating energetic conditions.  相似文献   
58.
MPI collective communication operations to distribute or gather data are used for many parallel applications from scientific computing, but they may lead to scalability problems since their execution times increase with the number of participating processors. In this article, we show how the execution time of collective communication operations can be improved significantly by an internal restructuring based on orthogonal processor structures with two or more levels. The execution time of operations like MPI_Bcast() or MPI_Allgather() can be reduced by 40% and 70% on a dual Xeon cluster and a Beowulf cluster with single-processor nodes. But also on a Cray T3E a significant performance improvement can be obtained by a careful selection of the processor structure. The use of these optimized communication operations can reduce the execution time of data parallel implementations of complex application programs significantly without requiring any other change of the computation and communication structure. We present runtime functions for the modeling of two-phase realizations and verify that these runtime functions can predict the execution time both for communication operations in isolation and in the context of application programs.  相似文献   
59.
Regulation of gonadotropin secretion and puberty onset by neuromedin U   总被引:4,自引:0,他引:4  
Neuromedin U (NMU), an anorexigenic peptide, was originally isolated from porcine spinal cord in 1985. As NMU is abundant in the anterior pituitary gland, we investigated the effects of NMU on gonadotropin secretion. Both NMU and its receptors, NMUR1 and NMUR2, were expressed in the pituitary gland. NMU suppressed LH and FSH releases from rat anterior pituitary cells. Moreover, NMU-deficient mice exhibit an early onset of vaginal opening. The LHbeta/FSHbeta ratio, which is an index of puberty onset, is high in young NMU-deficient mice. These results indicate that NMU suppresses gonadotropin secretion and regulates the onset of puberty.  相似文献   
60.
Bacteroides thetaiotaomicron in posthysterectomy infection   总被引:1,自引:0,他引:1  
We report a patient with clinically significant vaginal posthysterectomy infection due to Bacteroides thetaiotaomicron. The microorganism isolated from the vaginal cuff abscess was beta-lactamase producer and the antibiotic susceptibility pattern showed its resistance to piperacillin-tazobactam and cefoxitin, while the susceptibility to amoxicillin associated with clavulanic acid, metronidazole, and the newer fluoroquinolone moxifloxacin was confirmed.  相似文献   
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