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Evaluation for library reading promotion has always been hard because the social impact is difficult to quantify. This leads to the fact that evaluation practices usually check " existence o r not" rather than " effectiveness o r not", not to mention assessing "why/why not effective". By incorporating marketing philosophy, the paper addresses that evaluators can think out of the box by measuring individual impact of library users. According to marketing m ix of 4P and marketing cycle theories, the paper explains the " contents " and" process" for assessing reading promotion; it also explores the possibilities to combine "impact" with " contents" and "process" by applying Analytic Hierarchy Process (A HP) and Analysis and Linear Regression Analysis [ABSTRACT FROM AUTHOR]

Objective: To investigate the treatment effect of low molecular weight heparin calcium combined with Ginkgo Leaf Extract and Dipyridamole Injection on the lower extremity deep femoral intertrochanteric fracture postoperative venous thrombosis treatment. Methods: Selected SO patients with femoral intertrochanteric fractures at department of orthopedics in our hospital from June 2015 to December 2016, which were randomly divided into study group (n=40) and control group (n=40) according to the random number table method. Patients of two groups were treated with surgical treatment. The control group was treated with low molecular weight heparin calcium 6000IU after surgery, subcutaneous injection. 2 times/d: The study group were treated with Ginkgo Leaf Extract and Dipyridamole Injection 20 mL on the basis of the control group, intravenous drip. 1time/d. and the course of treatment in two groups was l0d. Observed incidence of lower extremity deep venous thrombosis, the 15 cm diameter and the swelling rate of the upper pole of the patella and the inferior pole of the patella of patients in two groups after surgery, the prothrombin time (PT), activated partial thromboplastin time (APPT). D-dimer (D-D) levels and blood rheology examination index before and after treatment. Results: The incidence of lower extremity deep venous thrombosis in the study group was 2.50%, which was lower than that 15.00% in the control group (P<0.05). After treatment, 15 cm diameter of the superior pole of the patella and the 15cm diameter of the inferior pole of the patella of patients in two groups were increased slightly, and there was no statistical difference compared with before treatment (P>0.05). There was no significant difference between the two groups in the swelling rate of 15 cm on the upper pole of the patella and 15 cm in the inferior pole of the patella (PX1.05). PT and APPT of patients in the study group were significantly higher than the control group at 2 d after treatment, and D-D was significantly lower than the control group (P<0.05). At l0d after treatment, APPT and PT were significantly higher than the control group, D-D was significantly lower than the control group (P<0.05). At 2d, l0d after treatment, the whole blood high and low shear blood plasma viscosity, hematocrit, erythrocyte aggregation index and fibrinogen in study group were significantly lower than the control group (P<0.05). Conclusion: Low molecular weight heparin calcium combined with Ginkgo Leaf Extract and Dipyridamole Injection can reduce blood coagulation, improve blood rheology, which has a good effect on prevention of deep vein thrombosis of lower extremity in patients with femoral intertrochanteric fractures. [ABSTRACT FROM AUTHOR]

目的分析2型糖尿病(T2DM)患者血清γ-谷氨酰转肽酶(GGT)水平与胰岛素抵抗的相关性,探讨GGT在T2DM发病中的意义。方法选取初诊T2DM患者392例,按照血清GGT水平的四分位数分为4个水平,分别为Q1(≤16.2 U/L)98例、Q2(16.3~27.0 U/L)95例、Q3(>27.1~39.9 U/L)99例、Q4(>39.9 U/L)100例。收集患者BMI、血压、TC、TG、LDL-C、HDL-C、ALT、AST、GGT、空腹血糖(FPG)、糖化血红蛋白(Hb A1c)、C肽(FCP)及胰岛素抵抗指数(HOMA-IR)等指标。采用Pearson相关分析法及Logistic回归法分析血清GGT水平与HOMA-IR的相关性。结果 GGT为Q4水平者的HOMA-IR高于Q1、Q2、Q3水平者,Q3水平者高于Q1、Q2水平者,Q2水平者高于Q1水平者(P均<0.05)。Pearson相关性分析示,GGT与HOMA-IR呈正相关(r=0.793,P<0.05)。血清GGT水平是T2DM患者HOMA-IR的影响因素(P<0.05)。结论 T2DM患者血清GGT水平与胰岛素抵抗相关,血清GGT水平较高者HOMA-IR较高,可作为预测T2DM发生风险的参考指标。 [ABSTRACT FROM AUTHOR]