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目的 调查缺血性卒中患者服药依从性的影响因素。 方法 前瞻性连续纳入首都医科大学附属北京天坛医院国际部2022年6月—2023年12月的缺血性卒中住院患者。采用问卷调查收集患者的一般情况、服药依从性[采用Morisky服药依从性量表（Morisky medication adherence scale，MMAS）评估]、感知健康能力[采用中文版感知健康能力量表（perceived health competence scale，PHCS）评估]、卒中复发情况等信息。根据MMAS评分将患者分为依从性差（MMAS评分＜６分）组和中高依从性（MMAS评分≥6分）组。比较两组的人口学特点、临床特点和血管危险因素情况，并采用多因素logistic回归分析服药依从性的影响因素。 结果 共纳入缺血性卒中患者212例，平均年龄（59.9±5.9）岁，MMAS评分6（6～7）分，其中服药依从性差组41例（19.34%），中高依从性组171例（80.66%）。多因素logistic回归分析显示，初中及以下学历患者依从性差的风险是大专及以上学历患者的6.290倍（95%CI 1.912～20.689，P=0.002）；无配偶患者依从性差的风险是有配偶患者的4.172倍（95%CI 1.372～12.684，P=0.012）；无业患者依从性差的风险是在职患者的4.115倍（95%CI 1.326～12.773，P=0.014）；PHCS评分低水平的患者服药依从性差的风险是中等水平患者的2.190倍（95%CI 1.098～4.370，P=0.026）。中高依从性组患者出院后1个月（99.42% vs. 92.68%，P=0.004）、3个月（98.83% vs. 80.49%，P＜0.001）和6个月（98.25% vs. 75.61%，P＜0.001）的随访完成率均高于依从性差组；3个月（3.55% vs. 12.12%，P=0.038）、6个月（4.76% vs. 16.13%，P=0.019）的卒中复发率低于依从性差组。 结论 初中及以下学历、无配偶、无业、PHCS评分低的缺血性卒中患者服药依从性差的风险较高。护理人员应综合考虑患者的个体差异，制订并实施个体化的健康教育计划，以提高患者的服药依从性。 Abstract: Objective To investigate the influencing factors of medication adherence in ischemic stroke patients. Methods This prospective study consecutively included the ischemic stroke inpatients at the international department of Beijing Tiantan Hospital, Capital Medical University from June 2022 to December 2023. A questionnaire was used to collect information on patients’ general information, medication adherence [evaluated by the Morisky medication adherence scale (MMAS)], perceived health competence [assessed by the perceived health competence scale (PHCS)], and stroke recurrence. The patients were divided into a poor adherence group (MMAS score

Copyright of Tianjin Medical Journal is the property of Tianjin Medical Journal 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 Oncology is the property of Chinese Journal of Oncology / Zhonghua Zhongliu Zazhi 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 Modern Preventive Medicine is the property of Modern Preventive Medicine 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.)

Objective To explore the effect of exercise intervention for arthralgia in patients with knee osteoarthritis. Methods Totally 80 patients with knee osteoarthritis recruited were selected as the research objects. Patients were divided into observation group (n=29) and control group(n=51). The control group was given oral administration of Glucosamine Sulfate, Jintiage Capsules and external application of diclofenac diethylamine emulsion. In the observation group, on the basis of the control group, the bone arthritis exercise was used for intervention. The disease awareness, Body Mass Index (BMI), Visual Analogue Scale (VAS) score, WOMAC score and clinical syndrome quantitative score of the two groups were observed and recorded. Results After 12 weeks of treatment, the cognitive function scores of 2 groups were significantly increased, and cognitive function score in observation group were higher than that in the control group (P＜0. 05). The VAS score, WOMAC score and clinical syndrome quantification score in two groups were significantly decreased, and lower outcomes of VAS, WOMAC and clinical syndrome quantification were found in the observation group compared with those in the control group(P＜0. 01). The overall effective rate in the observation group was higher than that in the control group (P＜0. 01). Conclusion The application of exercise intervention for arthralgia is potentially effective to increase patient’s awareness, relieve the knee pain, improve the function of the knee joint and relieve the clinical symptoms of patients. (目的 探讨“骨痹操”锻炼在膝骨关节炎患者中的应用效果。方法 选取80例膝骨关节炎患者为研究对象, 分为观察组29例和对照组51例。对照组给予口服硫酸氨基葡萄糖和金天格胶囊、外用双氯芬酸二乙胺乳胶剂; 观察组在对照组的基础上采用“骨痹操”锻炼进行干预。观察并记录2组患者的认知度、BMI值、VAS评分、西安大略大学和麦克马斯特大学骨关节炎指数(WOMAC)评分及临床证候量化评分。结果 治疗12周后, 2组患者认知功能评分均增加, 且观察组的认知状况评分明显高于对照组(P＜0. 05)。2组患者VAS评分、WOMAC评分及临床证候量化评分均降低, 且观察组VAS评分、WOMAC评分和临床证候量化评分低于对照组, 差异有统计学意义(P＜0. 01)。观察组总有效率高于对照组, 差异有统计学意义(P＜0. 01)。结论 运用“骨痹操”锻炼对膝骨关节炎患者进行干预, 能明显提高患者认知度, 减轻患膝疼痛, 改善膝关节功能, 缓解患者临床症状。)

Copyright of Shandong Medical Journal is the property of Shandong Medical Health Newspapers 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 Stroke is the property of Chinese Journal of Stroke 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 China Plastics / Zhongguo Suliao is the property of Journal Office of CHINA PLASTICS 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 Sichuan University (Medical Science Edition) is the property of Editorial Board of Journal of Sichuan University (Medical Sciences) 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 Oil Drilling & Production Technology / Shiyou Zuancai Gongyi is the property of Shiyou Zuancai Gongyi Bianjibu 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 Oncology Prevention & Treatment is the property of Editorial Department of Chinese Journal of Oncology Prevention & Treatment 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 Irrigation & Drainage is the property of Journal of Irrigation & Drainage 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 Feed Research is the property of Editorial Board of Feed 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.)

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.)

[Objective] To optimize the fermentation conditions for low-activer lipase production by Tolypocladium geodes C41-3 and provide theoretical basis for expanding the application of low-activer lipase. [Method] The lipase activity was measured by the p-nitrophenyl palmitate (p-NPP) colorimetric method. [Result]Best fermentation medium was tryptone 40 g/L, α-lactose 20 g/L, MnSO4·H2O 1 g/L, NH4NO3 1 g/L, emulsion canola oil 20 mL. Best fermentation condition was pH 5, fermentation temperature of 15 ℃, culture time of 4 days. After optimization, the lipase activity of T. geodes C41-3 could be increased from 199. 40 U/mL to 5 700. 72 U/mL, and the lipase activity increased by about 28. 5 times, [Conclusion] The novel lipase has potential industrial applications value. [ABSTRACT FROM AUTHOR]

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Escherichia coli is a highly adaptable opportunistic pathogen bacterium that can form biofilms on the surface of implants and generates persistent cells，leading to life-threatening infections that are difficult to treat with antibiotics alone. Therefore，there is a need for an effective E.coli biofilm inhibitor to combat this public health threat. Indole is a novel quorum-sensing signaling molecule of E. coli discovered in recent years，which is of great significance in regulating bacterial growth and biofilm formation，and is a potential target for future research on new anti-biofilm preparations. This article reviews the research progress on the formation of Escherichia coli biofilms， the microbial metabolism of indole and its regulation of Escherichia coli biofilm formation, in order to provide information for clinical treatment and drug development. [ABSTRACT FROM AUTHOR]

Copyright of Acta Scientiarum Naturalium Universitatis Sunyatseni / Zhongshan Daxue Xuebao 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.)

近年来，计算机辅助技术在医学领域研究中广泛应用。深度学习作为计算机研究领域的重要方向，已广泛应用于 医学影像图像分析，但将其应用于临床实际仍存在诸多挑战。本文梳理了常用的乳腺影像图像数据集，并对在乳腺及乳腺 癌影像分割中的深度学习技术进展进行综述。 [ABSTRACT FROM AUTHOR]

Copyright of Hydrogeology & Engineering Geology / Shuiwendizhi Gongchengdizhi is the property of Hydrogeology & Engineering Geology 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 Cancer Biotherapy is the property of Editorial Office of Chinese Journal of Cancer Biotherapy 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 International Reproductive Health/Family Planning is the property of Editorial Board of the Journal of International Reproductive Health/Family Planning 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.)

Accessory cavitated uterine malformation (ACUM) is a rare form of Müllerian anomaly, usually presents with progressive and aggravating dysmenorrhea from menarche. It should be distinguished from cystic adenomyoma, degenerating cystic leiomyoma and the other form of obstructive Müllerian anomaly. Surgery is its main treatment option. In this study, we present an adolescent female with progressive worsening dysmenorrhea, nausea and vomiting, pain in the left iliac fossa and need to take painkillers. In August 2022, three-dimensional pelvic ultrasound in our hospital showed: basic normal uterine cavity shape, left side wall heterogeneity nodular echo 28 mm×26 mm×20 mm with endometrial echo within 11 mm×10 mm×7 mm, suspected cystic focal uterine adenomyosis or ACUM. Laparoscopic exploration was performed. The appearance of the uterus was normal, the left anterior wall and at the anterior and inferior part of round ligament were slightly full. The uterine wall of slightly full was resected, a pale and tough masses were found and resected completely for examination. ACUM was confirmed by pathology. Symptoms disappeared after follow-up surgery. [ABSTRACT FROM AUTHOR]

Copyright of Science Technology & Engineering is the property of Chinese Society of Technology Economics 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.)

Maternal recognition of embryos and the establishment of immune tolerance are necessary conditions for pregnancy. The essence of immune tolerance at the maternal -fetal interface is that embryonic trophoblast cells, decidual stromal cells and decidual immune cells jointly participate in the process of maternalfetal dialogue, promoting the transformation of the immune microenvironment and the establishment of adaptive immunity at the maternal-fetal interface, such as trophoblast cell infiltration, spiral artery remodeling, maternalfetal immune tolerance establishment and so on. The imbalanced immune homeostasis caused by abnormal maternal-fetal immune microenvironment is an important cause of recurrent spontaneous abortion (RSA). Abnormal maternal-fetal immune microenvironment includes excessive immune inflammatory response, the impaired immune tolerance, and the oscillation of maternal-fetal immune microenvironment. Therefore, immunomodulation should be one of the core strategies for the treatment of RSA, including the application of immunosuppressants, immunomodulatory drugs, and active lymphocyte immunotherapy. However, the efficacy of immunomodulation needs to be verified by more high-quality evidence from evidence-based medicine. [ABSTRACT FROM AUTHOR]

针对目前国内含钙类废物种类复杂、环境危害大且缺乏合理综合利用技术指导的现状，选择浙江省典型污染企业，调查了不同行业含钙类废物物化特性指标，探讨其对水泥资源化综合利用技术的影响，并提出了水泥资源化处置的优化方案.结果表明，不同行业含钙类废物的细度、有机质质量分数等指标相对稳定，CaO、SO3、含水率指标变化幅度较大.含钙类废物水泥资源化可行性分析表明：干湿法电石渣和印染污泥适合煅烧硅酸盐水泥熟料，氟石膏、脱硫石膏适合煅烧硫铝酸盐水泥和用作水泥缓凝剂；所调查的8类废物均不适宜作水泥掺合料；当电石渣掺量为60%、石膏掺量为6%时，电石渣脱硫石膏-电石渣熟料水泥产品的3 d和28 d抗压强度可达27.8 MPa和62.8 MPa, 3 d和28 d抗折强度达到5.7 MPa和8.7 MPa，完全达到62.5号硅酸盐水泥要求.

Copyright of Practical Pharmacy & Clinical Remedies is the property of Editorial Department of Practical Pharmacy & Clinical Remedies 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 Prataculturae Sinica is the property of Acta Prataculturae 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 Journal of Mechanical & Electrical Engineering is the property of Mechanical & Electrical Engineering Magazine 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 investigate the effect of pestle needle therapy on relieving postoperative pain in patients undergoing laparoscopic cholecystectomy (LC). Methods In the design method of parallel controlled clinical trial, 86 cases LC patients admitted to the General Surgery Department of the hospital from January 2019 to January 2021 were selected as the research object, and were randomly divided into the test group and the control group according to the order of enrollment, with 43 patients in each group. Both groups did well in the related nursing work. In addition to the routine treatment and nursing after operation, the experimental group was treated with pestle acupuncture at 6, 12 and 24 hours after operation, and the use of rescue analgesic drugs, the visual analog score (VAS) of postoperative pain, and the duration of pain in the two groups were statistically compared and analyzed at 6 hours after operation. Results At 6 hours after operation, the use rate of rescue analgesic drugs in the test group was significantly lower than that in the control group, the VAS score was significantly lower than that in the control group, and the pain duration was significantly shorter than that in the control group, the differences were statistically significant (P<0. 05). Conclusion The pestle needle therapy can relieve the postoperative pain of LC patients. [ABSTRACT FROM AUTHOR]

Copyright of Shandong Medical Journal is the property of Shandong Medical Health Newspapers 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.)

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Copyright of Bulletin of Botanical Research is the property of Bulletin of Botanical Research 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.)

急性肺栓塞起病急、进展快,特别是大面积肺栓塞,如肺动脉主干栓塞常伴有严重血 流障碍,因此病死率较高。本文报道1 例急性脑梗死及骨折患者,住院期间突发急性肺动脉主 干栓塞,从发病到治愈过程中心电图出现典型的时序性变化,对临床诊断具有重要的参考 价值。 [ABSTRACT FROM AUTHOR]

Copyright of Journal of Clinical Pediatric Surgery is the property of Journal of Clinical Pediatric Surgery 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 Shanghai Jiao Tong University (1006-2467) is the property of Journal of Shanghai Jiao Tong University 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 Food Research & Development is the property of Food Research & Development 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.)