目的:探究有氧运动功能训练结合松弛疗法对乳腺癌化疗后癌因性疲乏(Cancer-related fatigue,CRF)患者携氧能力及下丘脑-垂体-肾上腺皮质轴功能的影响.方法:选取我院2018年9月至2020年12月期间105例乳腺癌化疗后CRF患者作为研究对象,依据训练方案不同分为常规组和有氧组.常规组52例给予松弛疗法训练,有氧组53例增加有氧运动功能训练,对比两组CRF程度,携氧能力,下丘脑-垂体-肾上腺皮质轴功能.结果:两组干预3月后感觉、行为及严重程度、情感、认识及情绪评分较干预前降低,有氧组低于常规组(P<0.05).两组干预3月后,血红蛋白、红细胞压积、血氧饱和度水平较干预前升高,有氧组高于常规组(P<0.05).两组干预3月末促肾上腺皮质激素(Adrenocorticotropic hormone,ACTH)水平较干预前降低,有氧组低于常规组(P<0.05);皮质醇(Cortisol,Cor)水平较干预前升高,有氧组高于常规组(P<0.05).结论:有氧运动功能训练结合松弛疗法对乳腺癌化疗后CRF患者进行干预,通过增加营养物质的摄入,改善CRF程度,调节下丘脑-垂体-肾上腺皮质轴功能,调控携氧能力,提高临床疗效.

目的:探究七步综合消肿疗法(CDT)对乳腺癌(BC)术后Ⅲ期上肢淋巴水肿患者人体成分指标及肢体运动功能的影响.方法:选取我院2018年9月—2020年12月105例BC术后Ⅲ期上肢淋巴水肿患者为研究对象,依据干预方案不同分为对照组和观察组.对照组行局部功能锻炼,观察组予七步CDT,对比两组人体成分指标、肢体运动功能.结果:干预2个月末两组50Hz电阻水平及U-FMA、Bathel指数评分较干预前升高,且观察组高于对照组;节段水分、细胞外水分、组织水分比率水平较干预前降低,且观察组低于对照组(P<0.05).结论:七步CDT通过促进淋巴血液循环,可调节BC术后Ⅲ期上肢淋巴水肿患者的肢体运动功能,改善人体成分指标.

Objective:To explore the effects of early warning nursing on preventing the incidence of venous thrombosis in patients with breast cancer after chemotherapy.Methods:Totally 103 patients with breast cancer admitted at the First Affiliated Hospital of Zhengzhou University from January to December 2018 who received routine nursing were included into the routine group, and 103 patients with breast cancer admitted at the First Affiliated Hospital of Zhengzhou University from January to December 2019 who underwent early warning nursing were included into the early warning group. The incidence of venous thrombosis 1 month after chemotherapy was compared between the two groups. Color Doppler ultrasonography was used to detect axillary blood flow before and 1 month after chemotherapy.Results:The incidence of venous thrombosis in the early warning group after chemotherapy was lower than that in the routine group, and the difference was statistically significant ( P<0.05) . The maximum blood flow rate and average blood flow rate in the armpit after chemotherapy in the early warning group were higher than those in the routine group, with statistically significant difference ( P<0.05) . Conclusions:Early warning nursing has a positive effect on the incidence of venous thrombosis in patients with breast cancer after chemotherapy, which can improve their hemagglutination.

Objective:To explore the status quo of support needs among the caregivers of patients with advanced breast cancer and analyze its influencing factors to provide reference for improving the quality of life of patients with advanced breast cancer and their caregivers.Methods:Totally 168 caregivers of patients with advanced breast cancer admitted at the First Affiliated Hospital of Zhengzhou University were selected by convenient sampling and investigated with the general information questionnaire and Comprehensive Needs Assessment Tool in Cancer for Caregivers (CNAT-C) . Multiple linear regression analysis was used to analyze the influencing factors.Results:The total CNAT-C score of the 168 caregivers of patients with advanced breast cancer was (96.13±8.06) . The result of multiple linear regression analysis showed that the fertility status, monthly family income, and the payment method of medical expenses were the influencing factors of the support of the caregivers of patients with advanced breast cancer ( P<0.05) . Conclusions:Nursing staff should pay attention to the support needs of caregivers of patients with advanced breast cancer and take targeted intervention measures based on their influencing factors to improve the quality of life of patients with advanced breast cancer and their caregivers.

目的 探究疾病自我管理模式对年轻乳腺癌患者术后自护能力(ESCA)及生活质量的影响.方法 将98例年轻乳腺癌患者分为观察组和对照组,每组49例.对照组采用常规护理,观察组采用疾病自我管理模式的康复护理,观察比较两组干预前后ESCA评分及生活质量(cARES-SF).结果 术后1周、术后3个月观察组患侧肩前屈、肩后伸、肩外展、肩内旋活动度均优于对照组(P<0.05);干预后观察组ESCA评分、cARES-SF评分高于对照组(P<0.05).结论 疾病自我管理模式的康复护理干预有助于患者增强自护能力,提高生活质量.

目的:分析网络化管理系统在乳腺癌围手术护理干预中的应用效果.方法:采用随机数字表法将2017年6月～2018年6月我院收治的196例乳腺癌(单侧)患者分为干预组与对照组,每组各98例.对照组患者在围手术期实施常规护理,干预组患者在常规护理基础上实施网络化管理系统.比较两组患者术后并发症(出血、切口感染、皮瓣坏死、皮下积液、患侧肢体水肿)发生情况.观察入院时(T0)、入手术室前(T1)、出院前(T2)两组患者心理状态[焦虑分量表(SAI)自评量表].T2时,评估两组患者患侧肩关节活动(ROM)情况、疼痛程度(四级法止痛效果量表).结果:干预组患者术后并发症总发生率明显低于对照组(P＜0.05);T2时,干预组患者患侧肩关节活动度明显大于对照组(P＜0.05),干预组患者疼痛总缓解率明显低于对照组(P＜0.05);T0～T2,两组患者SAI评分均呈下降趋势(P＜0.05);T0时,两组患者SAI评分差异无统计学意义(P＞0.05),T1、T2时,干预组患者SAI评分均低于对照组(P＜0.05).结论 网络化管理系统应用于乳腺癌围手术护理中,可减少术后并发症发生率,改善患者不良心理状态,减轻疼痛感,恢复肩关节活动度.

制备高效分离CO2/N2的气体分离膜一直是气体膜分离领域中的研究热点.采用简便的滴涂制膜方法,以聚砜(PSf)超滤膜为底膜、聚二甲基硅氧烷(PDMS)为过渡层,在制备PVAm-PEA分离功能层过程中直接引入ZIF-8纳米颗粒,制备了高选择性分离CO2/N2的新型固定载体复合膜.通过表征和性能测试,考察分析ZIF-8及其含量对复合膜形貌与气体渗透性能的影响.结果表明,ZIF-8颗粒的加入使复合膜表面形貌较空白膜粗糙,CO2渗透速率降低了 43％,CO2/N2分离因子增加了 220％.在0.1 MPa条件下,ZIF-8质量分数为0.05％时,CO2渗透速率为59 GPU,CO2/N2分离因子为202.

正>病例资料患者,男,27岁,因"贫血、血小板减少1 d"于2016年12月8日入郑州大学第一附属医院血液科。入院体格检查:贫血貌,神志清,双下肢及双眼睑轻度水肿,皮肤无黄染,无出血点,无脱发、面部红斑等狼疮表现。实验室检查:红细胞计数2.57×1012/L,Hb 64 g/L,RET%:4%,血小板计数（blood platelet, PLT）13×109/L。尿常规:蛋白质（+++）,尿红细胞915/μL,尿白细胞32/μL,

目的 对急诊护理风险因素进行分析,提出防范措施.方法 随机按照数字表法分别选取2017年1月前和2018年1月后本院护理风险防范措施实施前(对照组)与实施后(观察组)各563例急诊患者进行研究,对两组不良事件发生率进行统计对比.结果 从护理风险事件发生率方面,观察组各风险发生率均明显低于对照组,P<0.05.结论 对急诊工作护理风险问题进行总结,制定针对性的防范措施,可降低不良事件发生,值得推广应用.

Word similarity based on selectional preference acquisition method was investigated. Acquiring argument seeds was implemented firstly, and then they were expanded based on word similarity. Word similarity computing methods, word embedding based method, and dictionary based method were com-pared. It was shown that the former performed much better than the latter and they were complementary and could be combined. Word similarity based on selectional preference acquisition method had strength over other methods for its flexible seed choosing, no need of deep syntactic and semantic text processing, and high accuracy in pseudo-disambiguation experiments.

目的 研究快速引导在急诊患者应用中的重要性.方法 选取2018年5月至2018年6月急诊科收治的60例急诊患者为例,给予患者快速引导,观察患者的接诊时间、护理满意度、医疗纠纷发生率.结果 60例急诊患者接诊时间为(4.12±0.33) min,医疗纠纷发生率1.7％,护理满意度为98.3％,所有患者均得到了及时有效的治疗.结论 在急诊患者中应用快速引导可以在很大程度上缩短患者接诊时间,降低医疗纠纷发生率,同时提高护理满意度,这对提高急诊科整体护理水平及救治效率具有重要的意义.

对单跳网络实测数据能耗进行优化能够降低数据实测时对单跳网络的影响,保证单跳网络正常运行。针对当前单跳网络实测数据能耗优化方法存在的节能效果较差,且对单跳网络数据实测速度和传递成功率影响较大问题,提出一种基于最优停止规则的低功耗单跳网络实测数据能耗优化方法,根据单跳网络结构确定数据实测时单跳网络信号衰减系数,通过研究单跳网络实测数据主体,优化实测数据能耗模型,确定节点通信单元能耗,并引入信号衰减系数确定单跳网络实测数据总能耗。根据最优停止规则推导出单跳网络发送终端的最优停止规则和最优能耗效率,建立单跳网络实测数据能耗最小问题模型,将实测数据总能耗引入到模型中,实现低功耗单跳网络实测数据能耗优化。实验结果表明,所提方法降低了数据实测时的能耗,且对数据实测速度和传递成功率影响较小。

In this paper,we propose a method for detection of network duplicate data under dynamic data environment,using comprehensive weighted method.Method of mean value was used to work out uniform grade of each data attribute in network,and subjective grade vector of the data attribute was obtained.Then,editing distance among data character string was provided,and its distance similarity was calculated.Integrated with ISNM method,character keyword was obtained,and adjacent data in window was compared.According to comparative result,the detection of network duplicate data was completed.The conclusions can be drawn from experimental simulation that the method has high precision of data detection and can satisfy application requirement of the detection of network duplicate data.

目的：分析肝癌切除术后胸腔积液发生原因，探讨临床护理措施，分享临床护理体会。方法回顾性分析首次行肝癌切除术的162例患者的临床资料。结果162例患者中，42例术后发生胸腔积液，发生率为25.93％。2组患者术前血清总胆红素、血清白蛋白、凝血酶原时间、肿瘤直径比较差异均无统计学意义（P 均﹥0.05）；肝右叶切除、术中肝门阻断时间、术中出血量、术后血清总胆红素、血清白蛋白、凝血酶原时间、术后腹腔积液比较差异均有统计学意义（P 均﹤0.05）。病情观察在早期发现大量胸腔积液方面明显优于辅助检查，差异有统计学意义（P ﹤0.05）。结论肝硬化、肝右叶切除、术中肝门阻断时间、术中出血量、术后血清总胆红素、术后血清白蛋白、术后凝血酶原时间、术后腹腔积液是肝癌术后胸腔积液的影响因素。术后密切观察病情变化，及时发现胸腔积液，积极采取有效的治疗和护理措施对改善患者预后具有十分重要的意义。

Traditional furfural production technology extract furfural from the reaction system by steam stripping process,produce large amounts of waste water and waste residue, and the yield of furfural is not high. To solve these problems, this paper adopts the method of toluene extraction furfural and the process conditions under the sulfuric acid catalytic, research temperature, reaction time, catalyst dosage on the influence law of furfural yield and fiber loss. Results show that under the conditions of sulfuric acid catalyst concentration 2%, the water materials ratio of 0 . 5 g/g, the oil materials ratio of 10 mL/g. the reaction temperature was 160 ℃, the reaction time 80min, the furfural a-chieved high yield of 69 . 2%, and the cellulose loss was only 19 . 7%, furfural yield is increased nearly 20% than the steam stripping process , while waste water emissions reduced to 2 . 5%, and after experiment by the optimal condi-tions for process simulation calculation of material and energy,the energy consumption greatly reduced.

随着城镇化进程的加快和城市建设的快速发展,城市管线条块分割的管理体制引起的矛盾日益凸显,综合管沟成为解决地下市政管线问题的发展方向.本文结合国内外综合管沟建设实例,深入分析了综合管沟的优势、设计原则及内容、管线选择等.结合郑州经开区滨水新区城市发展状况,提出了综合管沟建设,探讨了设计方案及可能产生的综合效益.

<正>健康体检或称之为"预防保健性体检",是以健康为中心的身体检查,是在身体尚未出现明显疾病时,应用体检手段对健康人群的体格检查,筛查身体疾病。健康体检能够早期发现疾病和影响健康的危险因素。

The persons who withdraw from the complicity,eliminate the preexisting complicity,though they could't manage to stop the crime,however,they try their best.It’s necessary to construct this withdrawing theory and put criminal responsibility on them: withdrawing from the complicity after executing crimes,lenient punishment or mitigated punishment which are settle on the withdrawing may be reduced compared with the criminals who finish crimes.

人性、人道、人权是刑法的三个基石。人性是人内心最深层的呼唤，以人性为基础，刑法才能奠定牢固的根基。人道是刑法不可或缺的价值蕴含，以人道为底线的刑法才能“去恶向善”。人权是时代文明的潮流，以人权为追求的刑法才能有蓬勃的生命力。只有在制刑、用刑时“存钦恤之心”，以人性为基础，以人道为底线，以人权为追求，才能构建理想的刑法。

计算机辅助教学改变了传统的教育观念和教育方式,提高了教学效率和教学质量,但在当前的计算机辅助教学中,存在着一些认识和使用上的误区。本文针对这些误区作了初步的分析探索,提出了解决的办法和设想。