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【目的】探讨产妇联合应用罗哌卡因和芬太尼硬膜外阻滞分娩镇痛的临床作用与安全性。【方法】选择56 例初 产妇, 采用微电脑镇痛泵调控硬膜外腔连续注入1.25 g/ L 罗哌卡因(R 组, n =26)或1.25 g/ L 罗哌卡因加1 ～ 2 g/ L 芬太尼 (RF 组, n =30), 观察产妇疼痛程度、副作用、产程时间、分娩结局、胎儿与新生儿情况, 与未行分娩镇痛的产妇(对照组)进行 比照。【结果】①镇痛后产痛明显缓解, 与对照组相比差异有显著性(P 0.05), 与对照组相比差异无显著性(P >0.05);③R 组产程显著延长, 产程停滞发生率、产 时胎方位异常发生率和钳产率较RF 组和对照组高(P

Copyright of Journal of Modern Medicine & Health is the property of Journal of Modern Medicine & Health and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Modern Laboratory Medicine is the property of Journal of Modern Laboratory Medicine Editorial Department and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Chinese Journal of Osteoporosis is the property of Chinese Journal of Osteoporosis and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Although large language model using CoT method has achieved remarkable results in solving math word problem (MWP) with one unknown, there is currently a lack of methodology that is applicable to MWP involving equations. Equation problems are highly sensitive to the reasoning step, and an error in the equation-laying step can lead to a cascade of errors in subsequent steps. Therefore, this paper proposed a progressive prompt method called 2ERP, which rectified incorrect reasoning paths after validation and output the most likely answer. During the validation module, it substituted the answer back into the equation to ensure the accuracy of the calculation. Then, the method obtained numerical relationships from the mathematical expression to verify the equation. The rectification process approximated the correct result by eliminating incorrect reasoning paths based on the consistency of the double validation. 2ERP method outperformed other CoT methods, achieving an average accuracy of 66.2% on six datasets. Notably, it achieved an average improvement of 6.9% on equation problems. In conclusion, 2ERP method is a prompt-based zero-shot method, which improves the accuracy of MWP through multiple iterations and outputs a solving process with detailed steps. This method has a more significant improvement in equation problems. [ABSTRACT FROM AUTHOR]

Copyright of China Cultural Heritage is the property of Chinese Academy of Cultural Heritage and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of China Pulp & Paper is the property of China Pulp & Paper Magazines Publisher and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of New Medicine is the property of Sun Yat Sen University and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Systems Engineering & Electronics is the property of Journal of Systems Engineering & Electronics Editorial Department and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Bulletin of Soil & Water Conservation is the property of Bulletin of Soil & Water Conservation Editorial Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Food Safety & Quality is the property of Journal of Food Safety & Quality Editorial Department and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Metal Working (1674-165X) is the property of Metal Working Editorial Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Acta Geoscientica Sinica is the property of Acta Geoscientica Sinica Editorial Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Chinese Journal of Tissue Engineering Research / Zhongguo Zuzhi Gongcheng Yanjiu is the property of Chinese Journal of Tissue Engineering Research and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective Investigate the relationship between bone density, bone metabolism markers in middle-aged and elderly from southern suburban Beijing, and their predictive value for osteoporosis and fracture risk. Methods Analyzed data from 3, 608 subjects undergoing BMD tests between April 2017-April 2023, including gender, age, BMD, 25 (OH) D3, N-MID, PTH and so on. Explored differences in bone metabolism markers across bone mass levels, genders, and their correlations. Developed regression models for 10-year FRAX-MOF and FRAX-HF, and ROC curves for osteoporosis and osteopenia. Results The FRAX fracture risk was higher in women than in men. Women had higher N-MID but lower 25 (OH) D3 levels than men, with statistically significant differences. Age negatively correlated with BMD (r=-0.87) and positively with MOF and HF (r=0.87, 0.96), while BMI was positively correlated with BMD (r=0.67) and negatively with MOF and HF (r=-0.67, -0.70) . N-MID showed a negative correlation with BMD (r=-0.87) and a positive one with MOF and HF (r=0.87, 0.77). A regression model for HF was Y=-1.051+0.057×Age-0.222×Gender-0.041×BMI-0.508×BMD-0.003×N-MID-0.003×25 (OH) D3, with R² = 0.724, P＜0.001. For osteoporosis and osteopenia, N-MID showed significant AUC values of 0.62 and 0.60, respectively. Conclusion N-MID correlates well with BMD, indicating potential in early osteoporosis and FRAX-HFdetection. The efficacy of 25 (OH) D3 and PTH in assessing bone mass changes and fracture risk should be evaluated alongside demographic and health factors. [ABSTRACT FROM AUTHOR]

Copyright of China Petroleum Machinery is the property of China Petroleum Machinery Editorial Department and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Shipin Kexue/ Food Science is the property of Food Science Editorial Department and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

OBJECTIVE: To carry out bibliometrics and visualization analysis of domestic and foreign pharmacists’ participation in antimicrobial stewardship, so as to reveal the research hot spots in this field and provide reference for future research. METHODS: Web of Science database was retrieved until Oct. 13th, 2023, the keywords were “ pharmacist” “ antimicrobial stewardship” “ antibiotic stewardship program” “ antimicrobial resistance” and “infection”. CiteSpace software and VOSviewer was used to detect the emergence of citation, the co-occurrence map of keywords was drawn, and the annual number of publications, countries, authors and institutions were analyzed by bibliometrics. Research status and hot spots of pharmacists’ participation in antimicrobial stewardship were analyzed. RESULTS: A total of 2 991 articles in English were retrieved, with the largest number of publications in the United States and the United Kingdom. Research hot spots mainly focused on antimicrobial stewardship, antimicrobial resistance, infection, pharmacists, guidelines, intervention, outcomes and other topics. CONCLUSIONS: Pharmacists’ (especially full-time anti-infective pharmacists and community pharmacists) participation in antimicrobial stewardship to reduce bacterial resistance may be the hot spot and trend for future research, which will help to improve the application rationality of antibiotics in the clinic, and reduce the expenditure of antibiotics costs, occurrence of adverse drug reactions, and development of bacterial resistance. [ABSTRACT FROM AUTHOR]

Copyright of China Sciencepaper is the property of China Sciencepaper and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Tea Science is the property of Journal of Tea Science Editorial Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Engineering Management & Technology Discussion is the property of Omniscient Pte. Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Water Conservancy & Electric Power Technology & Application is the property of Omniscient Pte. Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Food & Fermentation Industries is the property of Food & Fermentation Industries and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

OBJECTIVE: To explore the quality of clinical practice guidelines related to application of aspirin in preventing preeclampsia during pregnancy at home and abroad. METHODS: Clinical practice guidelines related to application of aspirin in preventing preeclampsia during pregnancy published from 2012 to 2023 were systematically retrieved, the Appraisal of Guidelines for Research and Evaluation Ⅱ (AGREE Ⅱ) were used to perform evaluation and analysis on the quality of enrolled guidelines, and to conduct comparison and summary on the main recommendations in each guidelines. RESULTS: A total of 18 clinical practice guidelines related to application of aspirin in preventing preeclampsia during pregnancy were enrolled, 4 of which were A-level recommendation, 13 were B-level recommendation and 1 was C-level recommendation. Results of general guideline evaluation based on AGREE Ⅱ indicated that the average scores were respectively 62. 96%, 60. 03%, 62. 21%, 96. 14%, 43. 06%, 66. 20% in the fields of range and purpose, participants, preciseness, explicitness, applicability, independence. Currently, the preventive application of aspirin for pregnant women with certain risk of preeclampsia were recommended in guidelines of various countries, while there were differences in the recommended treatment course and dosage of aspirin. CONCLUSIONS: Among the guidelines on aspirin for the prevention of preeclampsia published globally in the last 10 years, there are a relatively large number of moderate-quality and high-quality guidelines, with the main shortcomings centered in the applicability filed, as well as in items such as target population perspectives, selection criteria of evidence and involvement of external reviewers, which require further improvement by guideline developers [ABSTRACT FROM AUTHOR]

OBJECTIVE: To probe into the effects of Jianpi Tongluo formula on glucose and lipid metabolisms and microcirculation in patients with diabetic peripheral neuropathy (DPN). METHODS: Eighty patients with DPN admitted into Tangshan Fengnan District Traditional Chinese Medicine Hospital from Sept. 2021 to May 2022 were extracted to be divided into the control group and observation group via the random number table method, with 40 patients in each group. The control group was treated with methylcobalamin, while the observation group received Jianpi Tongluo formula on the basis of control group. The blood glucose, lipid, microcirculation, nerve conduction velocity, and clinical efficacy of two groups were compared. RESULTS: After treatment, the levels of glycated hemoglobin, fasting blood glucose, and 2 hours postprandial blood glucose in both groups decreased, and the observed group showed a more obvious decrease, with statistically significant differences (P<0. 05). After treatment, the levels of low-density lipoprotein cholesterol, total cholesterol, and triglycerides in both groups decreased, while high-density lipoprotein cholesterol increased, the decrease and increase of the observation group were more significant, with statistically significant differences (P<0. 05). After treatment, both groups had a decrease in endothelin-1 (ET-1) and an increase in nitric oxide (NO), and the observed group had a greater decrease in ET-1 and an increase in NO than the control group, with statistically significant differences (P<0. 05). The sensory conduction velocity and motor conduction velocity of the median nerve and common peroneal nerve were improved after treatment in both groups, and the observation group had higher conduction velocities, with statistically significant differences (P<0. 05). The total clinical effective rate was 95. 00% (38 / 40) in the observation group and 75. 00% (30 / 40) in the control group, the clinical efficacy of the observation group was obviously higher than that of the control group, with statistically significant differences (P<0. 05). CONCLUSIONS: Jianpi Tongluo formula can effectively improve the glucose and lipid metabolisms and microcirculation indicators in patients with DPN. [ABSTRACT FROM AUTHOR]

Copyright of Evaluation & Analysis of Drug-Use in Hospitals of China / Zhongguo Yiyuan Yongyao Pingjia yu Fenxi is the property of Evaluation & Analysis of Drug-Use in Hospitals of China Editorial Board and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Social Work (1672-4828) is the property of Journal of Social Work Editorial Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Beijing University of Civil Engineering & Architecture is the property of Journal of Beijing University of Civil Engineering & Architecture Editorial Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of China University of Petroleum is the property of China University of Petroleum and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Shenyang Pharmaceutical University is the property of Shenyang Pharmaceutical University and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Special Oil & Gas Reservoirs is the property of Special Oil & Gas Reservoirs Editorial Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Chinese Journal of Immunology is the property of Medical Periodical Society of Jilin and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Harbin Institute of Technology. Social Sciences Edition / Haerbin Gongye Daxue Xuebao. Shehui Kexue Ban is the property of Harbin Institute of Technology and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Experimental Technology & Management is the property of Experimental Technology & Management Editorial Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)