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产后康膏对剖宫产产妇子宫复旧情况及产后泌乳情况的影响
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作者 殷黎忠 蒋飞 +1 位作者 沈建峰 陶文婷 《辽宁中医杂志》 北大核心 2025年第8期100-102,共3页
目的探究产后康膏对剖宫产产妇子宫复旧情况及产后泌乳情况的影响。方法选取该院2020年1月—2021年8月收治的80例剖宫产产妇为研究对象。按照随机数字表法将患者分为对照组与观察组,各40例。两组均予以缩宫素及常规抗感染治疗,对照组产... 目的探究产后康膏对剖宫产产妇子宫复旧情况及产后泌乳情况的影响。方法选取该院2020年1月—2021年8月收治的80例剖宫产产妇为研究对象。按照随机数字表法将患者分为对照组与观察组,各40例。两组均予以缩宫素及常规抗感染治疗,对照组产后予以康复治疗仪治疗,观察组在对照组基础上联合产后康膏口服治疗。比较两组临床疗效,恶露情况、泌乳情况及子宫复旧情况。结果观察组临床疗效95.00%(38/40),高于对照组77.50%(32/40)(P<0.05);观察组术后3、4、5、6、7 d时恶露量均高于对照组,恶露持续时间低于对照组(P<0.05);术后7 d时观察组泌乳评分及血清泌乳素水平均高于对照组,泌乳始动时间低于对照(P<0.05);术后42 d时观察组子宫三径之和低于对照组(P<0.05)。结论产后康膏可有效减少剖宫产产妇产后恶露量,调节泌乳素而改善泌乳情况,促进子宫复旧,其疗效确切。 展开更多
关键词 恶露 剖宫产 子宫复位 康膏 泌乳
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宋仁宗郭皇后被废案探议 被引量:10
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作者 杨果 刘广丰 《史学集刊》 CSSCI 北大核心 2008年第1期56-60,共5页
宋仁宗郭皇后是宋代第一位被废黜的皇后,郭皇后被废事件是仁宗时期宫廷矛盾掺杂朝臣斗争的产物,其主要原因是仁宗不满刘太后的垂帘听政,同时也与仁宗作为少年即位的皇帝,与其母亲、妻子之间的感情纠葛有关,另外,朝中大臣的介入也起了推... 宋仁宗郭皇后是宋代第一位被废黜的皇后,郭皇后被废事件是仁宗时期宫廷矛盾掺杂朝臣斗争的产物,其主要原因是仁宗不满刘太后的垂帘听政,同时也与仁宗作为少年即位的皇帝,与其母亲、妻子之间的感情纠葛有关,另外,朝中大臣的介入也起了推波助澜的作用。 展开更多
关键词 宋仁宗 郭皇 刘太 废黜
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“后来”的词汇化及相关问题 被引量:10
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作者 陈昌来 张长永 《汉语学习》 CSSCI 北大核心 2009年第4期3-8,共6页
现代汉语时间词"后来"来源于古汉语中同形的动词性偏正短语"后来","后来"的词汇化机制是转指,即动词性短语指称化的结果,转指对"后来"的词汇化起到十分重要的作用。"后来"词化后,其... 现代汉语时间词"后来"来源于古汉语中同形的动词性偏正短语"后来","后来"的词汇化机制是转指,即动词性短语指称化的结果,转指对"后来"的词汇化起到十分重要的作用。"后来"词化后,其句法功能由普通名词演变为时间词(时间名词),功能上可以作主语、宾语、定语和状语,语义上可表示在过去某一时间之后的时间。 展开更多
关键词 词汇化 指称化 转指
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“后来”的词汇化及其词义演变 被引量:8
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作者 张言军 《汉语学报》 CSSCI 北大核心 2015年第4期25-31,95,共7页
时间词"后来"的形成经历了两个阶段。先由句法层面的同形短语固化为一个普通名词,进而在隐喻引申和句法功能扩张等因素的驱动下由普通名词发展为时间词。在历时发展中,时间词"后来"的词义也经历了一次大的转变,即... 时间词"后来"的形成经历了两个阶段。先由句法层面的同形短语固化为一个普通名词,进而在隐喻引申和句法功能扩张等因素的驱动下由普通名词发展为时间词。在历时发展中,时间词"后来"的词义也经历了一次大的转变,即由指示未来时间转向指示过去时间。 展开更多
关键词 词汇化 词义演变 视角转换 重新理解
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汉语“前、后”的时间指向认知研究 被引量:5
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作者 曹琳琳 邢苗苗 《汉语学习》 CSSCI 北大核心 2017年第5期104-112,共9页
汉语中表示空间方位的"前、后"发展出表时间的功能后,既可表将来,也可表过去。如"前"在"前景、前途"中表将来,而在"前世、前人"中表过去。"后"在"后世、后人"中表将来,而... 汉语中表示空间方位的"前、后"发展出表时间的功能后,既可表将来,也可表过去。如"前"在"前景、前途"中表将来,而在"前世、前人"中表过去。"后"在"后世、后人"中表将来,而在"后退、往后"中可表过去。王灿龙(2016)认为,以往使用"时间在动"和"人在动"两个隐喻模式并不能很好地解释汉语中"前、后"在表示时间时的复杂现象。本文在王文的基础上进一步指出,这种矛盾实际上并不存在。"前"表将来和"后"表过去,来源于人们将想象的"虚拟空间"和时间混为一谈。"虚拟空间"是相对"现实空间"而言,后者处于我们感知范围之内,前者超出我们的感知范围。"前景、前途"表示将来、"后退、往后"表示过去时,本质上是表示"虚拟空间"上的"前方"和"后方"。 展开更多
关键词 “前” 时间 空间
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事件语义关系与连贯复句标记“然后”的位序 被引量:3
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作者 樊中元 《汉语学报》 CSSCI 北大核心 2020年第4期40-48,共9页
"然后"的基本功能是表示连贯复句各分句之间先后时序的语义关系。"然后"在连贯复句中的位序受到事类、空间方位、因果、目的和动作等语义关系的制约。"然后"的位序具有表达连贯复句的事件语义层次和事件... "然后"的基本功能是表示连贯复句各分句之间先后时序的语义关系。"然后"在连贯复句中的位序受到事类、空间方位、因果、目的和动作等语义关系的制约。"然后"的位序具有表达连贯复句的事件语义层次和事件语义距离的功能。 展开更多
关键词 事件语义关系 连贯复句 “然”的位序
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蒋太后与大礼议 被引量:2
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作者 林延清 《史学集刊》 CSSCI 北大核心 2008年第5期28-33,共6页
在明朝嘉靖年间的"大礼议"中,世宗之母蒋氏的尊崇问题始终是十分重要的。这体现在四个方面:蒋氏"尊称"问题是明世宗启动"大礼议"最为迫切和重要的原因;蒋氏入京礼仪之争,使明世宗初次突破"护礼派&qu... 在明朝嘉靖年间的"大礼议"中,世宗之母蒋氏的尊崇问题始终是十分重要的。这体现在四个方面:蒋氏"尊称"问题是明世宗启动"大礼议"最为迫切和重要的原因;蒋氏入京礼仪之争,使明世宗初次突破"护礼派"的防线,争得了主动;在蒋、张太后"寿旦朝贺之争"中,世宗严惩护礼官员,实现了蒋氏"尊称"中加"皇"字的愿望;世宗强行去掉蒋氏"尊称"中的"本生"二字,导致左顺门事件的发生和"大礼议"的决定性胜利。蒋氏"尊称"问题的解决与否,直接影响着"大礼议"的进程。 展开更多
关键词 蒋太 大礼议 尊称
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后进县改善民生问题的难点与对策
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作者 苏梅芳 《安徽农业科学》 CAS 北大核心 2008年第7期2959-2961,共3页
后进县改善民生问题的难点较多,任务艰巨。在改善民生问题的对策上,后进县应夯实民生基础、促进就业之本、完善社会保障、改革创新机制、关注民生诉求、澄清认识误区。
关键词 进县 改善民生 难点 对策
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“随即”“随后”的共时比较与历时推导
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作者 陈全静 《新疆大学学报(哲学社会科学版)》 CSSCI 2021年第4期120-128,共9页
“随即”“随后”作为现代汉语中的一组近义词,二者在句法功能、语义特点、语用功能三个平面都表现出差异,通过对“随即”“随后”词汇化历程的分析发现二者在现代汉语中存在的不同主要源于其词汇化路径、词汇化等级、词汇化机制动因的... “随即”“随后”作为现代汉语中的一组近义词,二者在句法功能、语义特点、语用功能三个平面都表现出差异,通过对“随即”“随后”词汇化历程的分析发现二者在现代汉语中存在的不同主要源于其词汇化路径、词汇化等级、词汇化机制动因的不同,共时差异可以在历时层面找寻根源,得到推导。 展开更多
关键词 随即 共时差异 历时推导
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佛经词语札记——语素“分”及其合成词“上分”“中分”“下分”“初分”“前分”“后分”示例
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作者 呼叙利 《中南大学学报(社会科学版)》 CSSCI 2010年第2期126-130,共5页
"分"有"部分"义,可以与一些表示方位意义的语素结合,构成合成词,如"上分""中分""下分""初分""前分""后分"等。这些词语义项比较丰富,在佛教典籍中用... "分"有"部分"义,可以与一些表示方位意义的语素结合,构成合成词,如"上分""中分""下分""初分""前分""后分"等。这些词语义项比较丰富,在佛教典籍中用例较多。加强对这些词语的研究,对了解中古汉语的词汇面貌、编纂大型词典等都有一定意义。 展开更多
关键词 佛经词语 上分 中分 下分 初分 前分
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从时序范畴看“X前/X后”的本质属性 被引量:1
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作者 李春 《汉语学习》 CSSCI 北大核心 2016年第5期39-46,共8页
本文首先从事件顺序与表述顺序,探讨存在于事件层面的顺序事件在话语形式层面上顺叙或逆叙的两种表述顺序。其次,证明并非事件顺序决定表述顺序,而是表达主体决定话语先后。换言之,在事件层面与话语形式层面有一个表达层面即时序范畴,... 本文首先从事件顺序与表述顺序,探讨存在于事件层面的顺序事件在话语形式层面上顺叙或逆叙的两种表述顺序。其次,证明并非事件顺序决定表述顺序,而是表达主体决定话语先后。换言之,在事件层面与话语形式层面有一个表达层面即时序范畴,并进一步说明此范畴作为"X前"、"X后"的本质属性是表达者选择的结果。最后,以"X前"、"X后"在话语形式层面上的实现状态,分析在事件表述中对此类形式的实际使用状况。 展开更多
关键词 “X前” “X 顺叙 逆叙 时序范畴
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复合词的结构与汉语语法的最小单位——兼论“非、后、化”的句法地位 被引量:2
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作者 石定栩 《汉语学报》 CSSCI 北大核心 2020年第4期2-15,共14页
汉语复合词的结构应该用什么理论框架和方法去描述,一直有很大的争议。本文按照"能抓住老鼠的就是好猫"这一逻辑,探讨直接成分分析法,形态学分析法和句法结构分析法的长处和短处。以内部成分对复合词整体意义的贡献方式为判... 汉语复合词的结构应该用什么理论框架和方法去描述,一直有很大的争议。本文按照"能抓住老鼠的就是好猫"这一逻辑,探讨直接成分分析法,形态学分析法和句法结构分析法的长处和短处。以内部成分对复合词整体意义的贡献方式为判断标准,句法结构分析法能够解释更多的现象,能够更好地解决"类词缀"和"准词缀"这两个老大难问题,所以是更合适汉语的分析方法。本文还讨论了关于汉语分析最小单位的几个概念及其定义,结论是"字本位"的涵盖面不够广,以语素为最小单位比较合适,而且将语素定义为"有意义的最小单位"更适合汉语的情况。应用句法结构分析的方法,还可以更好地确定"非、后、化"的语法地位和对于复合词整体意义的贡献。 展开更多
关键词 复合词结构 最小语法单位 词缀和类词缀 “非、、化”
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“不久前”和“不久后”的功能差异及其成因
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作者 宗守云 车飞 《汉语学习》 CSSCI 北大核心 2023年第5期40-47,共8页
“不久前”和“不久后”都是时间连接成分,用作时间状语可以饰句、饰谓,用作定语时和时间状语语义性质相同。“不久前”只能充当时间修饰语,只能指向过去事件,可以出现在篇首。“不久后”具有时间修饰和事件系联双重功能,可以系联将来事... “不久前”和“不久后”都是时间连接成分,用作时间状语可以饰句、饰谓,用作定语时和时间状语语义性质相同。“不久前”只能充当时间修饰语,只能指向过去事件,可以出现在篇首。“不久后”具有时间修饰和事件系联双重功能,可以系联将来事件,不能出现在篇首。“不久前”和“不久后”的功能差异是“不久”的模糊性和“前”“后”的认知差异性共同促成的。 展开更多
关键词 促转模式 程度副词 形化功效
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史源与史实——辑本《东观汉记》蔡伦发明造纸佚文辨析
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作者 郭伟涛 《自然科学史研究》 北大核心 2025年第1期17-28,共12页
支持东汉蔡伦发明造纸的文献依据,主要是辑本《东观汉记·蔡伦传》有关蔡伦发明造纸的文字。分析姚之骃、四库馆臣和吴树平辑录的《东观汉记·蔡伦传》,可知蔡伦发明造纸的文字都来源于明代俞安期编纂的《唐类函》。《唐类函》... 支持东汉蔡伦发明造纸的文献依据,主要是辑本《东观汉记·蔡伦传》有关蔡伦发明造纸的文字。分析姚之骃、四库馆臣和吴树平辑录的《东观汉记·蔡伦传》,可知蔡伦发明造纸的文字都来源于明代俞安期编纂的《唐类函》。《唐类函》在采录合并《艺文类聚》、《初学记》、《北堂书钞》、《白氏六帖》内容的同时,又打散挪移了不少内容。蔡伦发明造纸的文字,原本是《白氏六帖》从范晔《后汉书·蔡伦传》引录的,后被《唐类函》挪移至《艺文类聚》所录《东观汉记》之下。上述辑本没有察觉到这一点,因此产生了误辑。综合《北堂书钞》、《艺文类聚》、《初学记》等隋唐类书所录《东观汉记》蔡伦造纸的记载,《后汉书·蔡伦传》的相关文字应该不是出自《东观汉记》原本。澄清蔡伦发明造纸说的文献来源,有助于造纸术研究的进一步开展。 展开更多
关键词 蔡伦 造纸术 《东观汉记》 《唐类函》 汉书》
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读卜辞三劄 被引量:2
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作者 张桂光 《华南师范大学学报(社会科学版)》 CSSCI 北大核心 2007年第2期63-65,共3页
甲骨文“毓”旧读为“后”,这种读法缺乏理据,甲骨文本有“后”字,“毓”当如字读。花园庄东地甲骨“”的释读有多种意见,应释定为“亡后”,读为“亡咎”,“无祸”之义。“以日为名”的商人庙号确定依据众说纷纭,以前的各种说法对商王... 甲骨文“毓”旧读为“后”,这种读法缺乏理据,甲骨文本有“后”字,“毓”当如字读。花园庄东地甲骨“”的释读有多种意见,应释定为“亡后”,读为“亡咎”,“无祸”之义。“以日为名”的商人庙号确定依据众说纷纭,以前的各种说法对商王世次都有难以解释的问题,而曹定云先生提出的“宗族行第”说更近情理,能较好地解决“上甲、报乙、报丙、报丁、示壬、示癸”日名顺序的巧合问题。 展开更多
关键词 卜辞 以日为名
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Spraying Arginine at 5 Days before Harvest Delays Postharvest Broccoli Senescence via Nutrient Accumulation
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作者 SUN Yupeng CHEN Ying +4 位作者 SHANG Qingwen GUO Yanyin ZHANG Yuxiao WANG Yunqiao XUE Qingyue 《食品科学》 EI CAS 北大核心 2025年第1期131-141,共11页
To determine the effects of preharvest arginine spraying on the nutritional level of broccoli and the mechanism of action of arginine in improving the storage quality of broccoli,arginine spraying(5 mmol/L)was conduct... To determine the effects of preharvest arginine spraying on the nutritional level of broccoli and the mechanism of action of arginine in improving the storage quality of broccoli,arginine spraying(5 mmol/L)was conducted at 0,1,3,and 5 days before harvest.The appearance,respiration rate,mass-loss rate,electrolyte leakage,glucosinolate,ascorbic acid,total phenol,total flavonoid,total sugar and sucrose contents,and sucrose phosphate synthase(SPS),invertase(INV),sucrose synthase synthesis(SSS)and cleavage(SSC)activities of broccoli samples were observed after 0,2,4,6,8,and 10 days of storage.The results showed that spraying arginine at 5 days preharvest(5-ARG)helped to inhibit broccoli respiration during storage,delay electrolyte leakage,and maintain broccoli color.Furthermore,during the growth stage,total sugar accumulation was higher in the 5-ARG group.In addition,during the storage period,sucrose synthesis was accelerated,while sucrose cleavage was inhibited,resulting in more sucrose retention in postharvest broccoli.In conclusion,5-ARG resulted in the accumulation of more nutrients during the growth process and effectively delayed the quality decline during storage,thereby prolonging the shelf life of broccoli.Therefore,this study provides a theoretical basis for improving postharvest storage characteristics of broccoli through preharvest treatments. 展开更多
关键词 ARGININE BROCCOLI preharvest spraying nutrient accumulation storage quality postharvest senescence
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High Expression of INF2 Predicts Poor Prognosis and Promotes Hepatocellular Carcinoma Progression
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作者 WANG Hai-Biao LIN Man +4 位作者 YE Fu-Sang SHI Jia-Xin LI Hong YE Meng WANG Jie 《生物化学与生物物理进展》 北大核心 2025年第1期194-208,共15页
Objective INF2 is a member of the formins family.Abnormal expression and regulation of INF2 have been associated with the progression of various tumors,but the expression and role of INF2 in hepatocellular carcinoma(H... Objective INF2 is a member of the formins family.Abnormal expression and regulation of INF2 have been associated with the progression of various tumors,but the expression and role of INF2 in hepatocellular carcinoma(HCC)remain unclear.HCC is a highly lethal malignant tumor.Given the limitations of traditional treatments,this study explored the expression level,clinical value and potential mechanism of INF2 in HCC in order to seek new therapeutic targets.Methods In this study,we used public databases to analyze the expression of INF2 in pan-cancer and HCC,as well as the impact of INF2 expression levels on HCC prognosis.Quantitative real time polymerase chain reaction(RT-qPCR),Western blot,and immunohistochemistry were used to detect the expression level of INF2 in liver cancer cells and human HCC tissues.The correlation between INF2 expression and clinical pathological features was analyzed using public databases and clinical data of human HCC samples.Subsequently,the effects of INF2 expression on the biological function and Drp1 phosphorylation of liver cancer cells were elucidated through in vitro and in vivo experiments.Finally,the predictive value and potential mechanism of INF2 in HCC were further analyzed through database and immunohistochemical experiments.Results INF2 is aberrantly high expression in HCC samples and the high expression of INF2 is correlated with overall survival,liver cirrhosis and pathological differentiation of HCC patients.The expression level of INF2 has certain diagnostic value in predicting the prognosis and pathological differentiation of HCC.In vivo and in vitro HCC models,upregulated expression of INF2 triggers the proliferation and migration of the HCC cell,while knockdown of INF2 could counteract this effect.INF2 in liver cancer cells may affect mitochondrial division by inducing Drp1 phosphorylation and mediate immune escape by up-regulating PD-L1 expression,thus promoting tumor progression.Conclusion INF2 is highly expressed in HCC and is associated with poor prognosis.High expression of INF2 may promote HCC progression by inducing Drp1 phosphorylation and up-regulation of PD-L1 expression,and targeting INF2 may be beneficial for HCC patients with high expression of INF2. 展开更多
关键词 HCC INF2 EXPRESSION PROGNOSIS Drp1
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Clinical significance of CD45 and CD200 expression in newly diagnosed multiple myeloma patients
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作者 LONG Xinyi LIU Jing +2 位作者 HU Rong WANG Chen FU Yunfeng 《中南大学学报(医学版)》 北大核心 2025年第4期545-559,共15页
Objective:Multiple myeloma(MM)is a hematologically malignant clonal plasma cell disease.This study aims to explore the association between immunophenotypes and prognosis in patients with MM,to determine whether the ex... Objective:Multiple myeloma(MM)is a hematologically malignant clonal plasma cell disease.This study aims to explore the association between immunophenotypes and prognosis in patients with MM,to determine whether the expression of CD45 and CD200 is related to the prognosis of newly diagnosed MM(NDMM)patients,and to evaluate the significance of the combined expression of CD45 and CD200 in NDMM.Methods:A total of 123 NDMM patients admitted to Shengjing Hospital of China Medical University from July 2015 to August 2019 were enrolled.Five key immunophenotypic markers(including CD38,CD138,CD45,CD56,and CD200)were screened through flow cytometry and identified using random forest analysis and univariate Cox regression analysis.Patients were divided into 3 groups:Group A,CD45 and CD200 double-positive;Group B,CD45 or CD200 single-positive;Group C,CD45 and CD200 double-negative.Kaplan-Meier curves were used to analyze overall survival(OS)and progression-free survival(PFS)across groups.Multivariate Cox regression was performed to evaluate prognostic factors,and a nomogram was constructed based on these results.Results:The OS and PFS of single-positive groups for CD38,CD138,CD45,CD56,and CD200 were all shorter than those of their respective single-negative groups(all P<0.05).Significant differences were observed in OS(P<0.001)and PFS(P=0.001)among Groups A,B,and C.Group A had shorter OS and PFS(all P=0.001)compared to the Group B+C(cases from Group B and Group C were combined).CD45 and CD200 double-positive was an independent prognostic factor for NDMM[hazard ratio(HR)=2.178,95%confidence interval(CI)1.048 to 4.529;P=0.037].The nomogram and calibration curves constructed from multivariate Cox regression analysis demonstrated good concordance(concordance index=0.706;95%CI 0.661 to 0.751).Conclusion:NDMM patients with double-positive expression of CD45 and CD200 have significantly shorter OS and PFS.Compared with the use of either marker alone,the combined assessment of CD45 and CD200 may provide better prognostic stratification for MM patients. 展开更多
关键词 CD45 CD200 multiple myeloma PROGNOSIS flow cytometry
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Sinicization and psychometric validation of the German Pelvic Floor Questionnaire for Pregnant and Postpartum Women
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作者 ZHU Liping ZHOU Chengyu +2 位作者 LI Xuhong HOU Qiao YANG Shuo 《中南大学学报(医学版)》 北大核心 2025年第1期72-80,共9页
Objective:Pelvic floor dysfunction is common among pregnant and postpartum women and significantly impacts quality of life.This study aims to translate the German Pelvic Floor Questionnaire for Pregnant and Postpartum... Objective:Pelvic floor dysfunction is common among pregnant and postpartum women and significantly impacts quality of life.This study aims to translate the German Pelvic Floor Questionnaire for Pregnant and Postpartum Women into Chinese and to evaluate its reliability and validity in the Chinese population.Methods:The questionnaire was translated using the Brislin model.A cross-sectional study was conducted among pregnant and postpartum women to assess the content validity,construct validity,Cronbach’sαcoefficient,test-retest reliability,and split-half reliability of the Chinese version.Results:A total of 72 women were included,with 6.9% being pregnant and 93.1% postpartum;the age was(32.3±3.6)years.The Chinese version of the questionnaire contains 4 dimensions and 45 items.The content validity index of individual items ranged from 0.833 to 1.000,with a scale-level content validity index of 0.977 and intraclass correlation coefficients(ICCs)exceeding 0.90.The overall Cronbach’s α coefficient was 0.891,with subscale coefficients ranging from 0.732 to 0.884(all ICCs>0.70).The testretest reliability of the total scale was 0.833,and for the 4 dimensions,bladder,bowel,prolapse,and sexual function,the values were 0.776,0.579,0.732,and 0.645,respectively.The split-half reliability was 0.74.Conclusion:The Chinese version of the questionnaire demonstrated good reliability and validity,indicating its applicability in assessing pelvic floor dysfunction and associated risk factors during pregnancy and postpartum. 展开更多
关键词 pelvic floor dysfunction PREGNANCY postpartum women QUESTIONNAIRE RELIABILITY validity
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Impact of remote follow-up under an intelligent medical collaboration model on health promotion and clinical outcomes in patients with urinary calculi
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作者 YANG Yuting SONG Fengyan +4 位作者 HE Jiacheng JI Wenmin XU Yuyue TAN Jing XUE Juan 《中南大学学报(医学版)》 北大核心 2025年第5期876-887,共12页
Objective:Urinary calculi are characterized by a high recurrence rate,and patients’adherence to self-management after discharge directly affects health outcomes.Traditional offline follow-up models often face problem... Objective:Urinary calculi are characterized by a high recurrence rate,and patients’adherence to self-management after discharge directly affects health outcomes.Traditional offline follow-up models often face problems such as poor compliance and uneven allocation of medical resources,making it difficult to meet individualized health management needs.Remote follow-up provides a novel solution to optimize long-term management,improve health literacy,and enhance clinical outcomes.This study aims to evaluate the effect of remote follow-up under an intelligent medical collaborative model on quality of life and health-promoting lifestyle in patients with urinary calculi,and to assess its short-term impact on clinical outcomes.Methods:A total of 118 patients with urinary calculi admitted to a tertiary hospital in Hunan Province between August and November 2024 were recruited and randomly assigned to a control group(n=59)or an intervention group(n=59).The control group received routine departmental follow-up,while the intervention group underwent remote follow-up based on an intelligent medical collaborative model for one month.Assessments were conducted before discharge(T0),15 days after discharge(T1),and one month after discharge(T2),using the Wisconsin Stone Quality of Life Questionnaire and the Health-Promoting Lifestyle Profile.At T2,the incidence of forgotten ureteral stents(FUS),ureteral stent-related complications,unplanned readmissions,and patient satisfaction were evaluated.Results:No significant differences were observed between groups at T0 in baseline characteristics or outcome measures(all P>0.05).At T1 and T2,the intervention group had significantly higher health-related quality of life scores than the control group(P<0.05).Generalized estimating equation(GEE)analysis showed significant between-group effects(Wald's χ^(2)=22.961,P<0.001),time effects(Wald's χ^(2)=23.065,P<0.001),and interaction effects(Wald's χ^(2)=6.930,P<0.05).Similarly,at T1 and T2,the intervention group scored significantly higher on health-promoting lifestyle than the control group(P<0.05),with significant between-group effects(Wald's χ^(2)=22.936,P<0.001),time effects(Wald's χ^(2)=10.694,P<0.001),and interaction effects(Wald's χ^(2)=18.921,P<0.05).No significant differences were found between groups in the incidence of FUS,ureteral stent-related complications,or unplanned readmissions(all P>0.05).Patient satisfaction was significantly higher in the intervention group(t=4.089,P<0.001).Conclusion:Remote follow-up under an intelligent medical collaborative model helps improve quality of life,promote health-oriented lifestyles,and enhance patient satisfaction among individuals with urinary calculi. 展开更多
关键词 urinary calculi post-discharge care FOLLOW-UP TELEMEDICINE quality of life
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