[Purposes]This study provides guidance and reference for developing open access publishing and transformation strategies for libraries in China,especially for research-intensive universities.[Methods]We started with articles published from 2012 to 2022 that were indexed by Web of Science and the transformation practices announced on publishers'websites.We then conducted a survey of the open access transformative policies of major academic journal publishers worldwide through online questionnaires and telephone interviews.In addition,we reviewed open access transformation practices in Asia using the ESAC registry.[Findings]Over 80%of major academic journal publishers have mature policies for open access transformation and substantial practical experience in developed countries,such as those in Europe and the United States.However,the open access policies in China are relatively unclear.Open access practices in Asia are primarily concentrated in Japan and Taiwan,China,with fewer initiatives in other countries and regions.[Conclusions]At this stage,the feasibility of open access transformation in Chinese university libraries,including the availability of transformative conditions and the readiness of the model,requires further exploration and practice.The Digital Resource Acquisition Alliance plays a crucial role in providing international databases to Chinese university libraries.In the future,it should fully leverage its role in advancing open access publishing and transformation efforts in China.University libraries should promptly adjust their roles and service functions.They should also collaborate with publishers,researchers,and research management departments to explore a sustainable open access publishing model better suited to China's national conditions.

通过对"双一流"高校图书资料资产管理现状的在线问卷调查和电话深入访谈,发现目前图书资料资产管理存在如下突出问题:资产边界模糊、资产计量计价未形成统一规范标准,资产清查投入大、效率低,资产处置缺乏统一指导,资产流动性不足,资产管理系统与图书馆自动化管理系统脱节,全流程工作规范和制度保障建设不足.为了提高资产管理效率,更好地履行图书馆作为高校人才培养与科学研究学术信息资源保障支撑体系的职能,建议重视和加强图书资料资产管理人员投入,建立健全资产管理体系,明确资产管理范围,制定资产处置实施细则,完善资产管理监督机制,提高资产管理规范性和系统性;同时,重视和加强图书资料资产管理软硬件投入,推进自动盘点机器人等人工智能技术应用,打破系统壁垒,探索数据交换,实现图书馆自动化管理系统与资产管理系统相融合.

目的 制备黄秋葵黄酮提取物口腔溃疡膜,并对其进行质量评价.方法 采用流涎法制备膜剂,以壳聚糖浓度(A)、甘油浓度(B)、明胶浓度(C)为因素,通过正交试验对口腔溃疡膜的制备工艺进行优化,并对其粘附力、溶解时间和体外释放度等性能进行评价.结果 最优处方为壳聚糖2.9％,甘油13.0％、明胶1.75％,所制膜外观较为理想,粘附力、溶解时间符合要求,在人工唾液中释放良好.结论 黄秋葵黄酮提取物口腔溃疡膜制备工艺合理,质量符合药典要求.

干燥综合征(Sj?gren′s syndrome, SS)是1种主要累及全身外分泌腺体的慢性炎症性自身免疫性疾病,我国人群的发生率为0.20%~0.70%,女性患者明显多于男性[1].虽然SS不影响女性患者的生育能力,但其与妊娠可能互相影响,并可导致胎儿生长发育异常.故妊娠合并SS孕妇的临床特点、妊娠期治疗方案、终止妊娠的时机及方式、产后治疗方案成为产科临床关注的焦点之一.本研究回顾性分析了厦门大学附属厦门市第一医院收治的29例妊娠合并SS孕妇的临床资料,现报道如下.

通过对馆际互借转采购的图书情况、采购情况、申请者情况和流通情况的统计分析可见,厦门大学图书馆读者决策采购的实践在很多方面与西方图书馆报道的结果一致,但在采选标准和采购流程上又有其独特之处.笔者结合西方图书馆读者决策采购的实践和厦门大学图书馆的运作情况,为我国实施读者决策采购提供几点建议.

Objective To study influencing factors in patients with rheumatic diseases.Methods One hundred and twenty patients with rheumatic diseases were selected from November 2013 to February 2014 in our hospital for the study.The influencing factors in patients with rheumatic diseases were obtained by proposed questionnaires,and then the univariate and multivariate Logistic regression analysis were performed to study factors affecting the treatment.Results Patients older than 50 of the observation group accounted for 38％ (18/48),the proportion of farmer,patients with primary school education level or below,and monthly income ＜3 000 RMB was 35％(17/48),60％(29/48),and 46％ (22/48) respectively.Compared with the control group,they were significantly higher than the control group,which were 64％(46/72),58％ (42/72),79％(57/72),65％(47/72) (x2=8.058,P=0.005; x2=6.025,P=0.014; x2=4.986,P=0.226; x2=4.456,P=0.035) respectively.Using the treatment as the dependent variable,age ≥50 years of age,farmer,primary school and lower education level,and monthly income ＜3 000 RMB as the independent variable,we carried out the regression analysis.Age (OR=1.124,95％CI:1.084-7.236),occupation (OR=1.871,95％CI:1.054-7.243),education level (OR=1.982,95％CI:1.157-6.256),monthly income (OR=1.363,95％CI:1.012-8.227) are the influencing factors of rheumatism's treatment.Conclusion The treatment of rheumatic diseases are influenced by many factors,and more societal support should be provided to help patients with rheumatic disease receive professional treatment and better control of the disease.

目的探讨对非小细胞肺癌患者运用改良心肺危险指数(CPRI)进行围术期评估,分析其用于预防术后因便秘导致严重心肺并发症的价值。方法选择2010年9月~2012年4月入住我科并在全麻下行非小细胞肺癌切除术患者1164例,随机分为常规组576例和评估组588例。常规组按胸外科常规护理。评估组于术前1周按改良CPRI进行评估并分级,根据评估结果给予各相关护理干预。并观察两组术后并发症的类型及发生率。结果评估组术后发生便秘326例,发生率为55.44%。常规组发生便秘520例,发生率为90.28%。心肺并发症发生率分别为2.04%及20.31%。两组比较有显著性差异(P<0.05)。结论术前对患者进行CPRI评估,并结合相应护理干预措施,对于CPRI高危患者术后便秘的预防,并减少相关心肺并发症方面具有良好效果及重要价值。

<正>在临床用药中发现,在静脉输入注射用氟氯西林钠(1 g/支,山西振东泰盛制药有限公司,国药准字H20080370)与0.9%氯化钠溶液配制的液体后,直接输入加替沙星氯化钠注射液(0.2 g/100 ml,江苏苏中制药有限公司,国药准字H20052525)时,莫非滴管内立即出现白色浑浊

类风湿性关节炎（RA）和强直性脊柱炎（AS）是两种炎性关节病,以伴发骨代谢异常骨质疏松症为特点。在RA表现为关节周围骨丢失及骨侵蚀、全身性骨质疏松症,患者的骨折风险明显增加。RA骨折的发生与下列因素相关:女性多发,骨折发生率随着年龄增长而增加,与RA疾病的严重性、糖皮质激素的使用相关。然而,进一步的数据表明,RA的骨量丢失亦可发生在未使用糖皮质激素患者;及时控制关节炎症可以减少关节结构损伤、减少骨量流失。因此,炎症在RA骨吸收中发挥重要作用。强直性脊柱炎性骨质疏松症可发生在疾病早期阶段,致椎体骨折风险增加。由于年轻成年男性易患AS,并且糖皮质激素并不用于治疗AS,因此,AS骨质疏松症与年龄、性别、糖皮质激素使用无关,AS骨丢失主要与炎症活动相关。AS特征是循序渐进、缓慢发展的晨僵和脊椎炎,进一步说明了炎症在局部骨形成中的潜在作用。

<正>在临床用药中发现,在静脉输入氯化钾配制的液体后,直接输入注射用潘托拉唑配制的液体时,莫非滴管内混合液立即出现白色混浊如牛奶状。将注射用潘托拉唑(40 mg/支,天津药业焦作有限公司,国药准字H20066510,批号:10090905)与氯化钾注射液(15 ml/支,济南利民制药有限责任公司,国药准字H37021219,批号:

<正>在临床用药中发现,在配制雾化液时,同时抽取盐酸氨溴索与地塞米松注射液,注射器内立即出现白色浑浊如牛奶状。将注射用盐酸氨溴索(15 mg/支)用生理盐水2 ml稀释后,再取少量两种药液混合在一起,立即出现白色浑浊。通过反复实验观察,证实盐酸氨溴索粉针剂与地塞米松

多功能拉钩在各类手术中广泛应用,对手术的成功起到举足轻重的作用.手术室护士应熟悉各种拉钩的性能与特点,积极配合医生,保证手术顺利完成.

Objective To explore quality of life(QOL) among stroke patients.Methods Fifty-two stroke patients were enrolled in this study' All the participants were assessed by using our self-designed QOL Scale.Results The score of QOL was 104.78±17.84,considered as medium level.Personal monthly income,room-mates,housing condition and current health problem were the influencing factors.Conclusion In order to minimize the disability,enhance self-care ability and improve QOL of stroke patients,language training and limb functional exercises should be given as early as possible.

居民消费价格指数是宏观经济分析和决策,价格总水平监测和调控以及国民经济核算的重要指标.本文介绍了它的概念以及在我国物价体系中的重要作用,并根据1951年到2002年52年我国居民消费价格指数的统计资料,运用Eviews4.1软件和时间序列模型,对我国的居民消费价格指数进行预测和分析,提出几点看法和建议.