Effect of the trans - theoretical model of behavior based WeChat health education on self - management among patients with maintenance hemodialysis

目的 探讨基于行为转变的微信干预模式对维持性血液透析患者自我管理的研究效果.方法 选取60例维持性血液透析患者实施微信健康教育,健康教育方案是基于行为转变理论制订,包括血液透析专业知识、自我管理、科学饮食等方面内容.实施干预12周后,对患者的生化指标、自我管理水平及自我效能感得分进行干预前后比较.结果 干预后患者自我管理得分较干预前有显著提升,表现在情绪处理和自我护理方面,差异有统计学意义（P＜0.01）.干预后患者的生化指标白蛋白、血钾、肌酐、尿素氮的差异有统计学意义（P＜0.01）.患者的自我效能感提升.结论 基于行为转变理论的微信健康教育可以改善维持性血液透析患者的生化指标,提高自我管理水平,帮助患者了解血液透析知识以及提升自信心,为今后改善血液透析患者自我管理提供一种新的干预模式.Objective To explore the effect of WeChat intervention model based on the trans-theoretical model of behavior（TTMB） on self-management of maintenance hemodialysis patients.Methods Sixty cases of maintenance hemodialysis patients were given WeChat health education,and the health education program was based on TTMB,ineluding hemodialysis expertise,self-management,scientific diet and so on.After 12 weeks＇intervention,the biochemical index,the self-management level and the self-efficacy score of patients were compared before and after intervention.Results The scores of self-management of patients after intervention were significantly higher than those before intervention,which were expressed in terms of emotional management and self-care,and the difference was statistically significant （P 〈 0.01）.After the intervention,the biochemical indexes diffences of albumin,serum potassium,creatinine and urea nitrogen of patients were statistically significant （P 〈 0.01）.The self-efficacy of patients were elevated.Conclusion The TTMB WeChat health education can improve the biochemical indexes and the level of self-management of maintenance hemodialysis patients,and it helps patients to understand hemodialysis knowledge as well as improve self-confident,to provide a new intervention model for improving self-management of hemodialysis patients in the future.国家自然科学基金（71403232

可控降解抗感染材料的合成和表征

在聚己内酯(PCL)与六亚甲基二异氰酸酯(HDI)缩合体系中加入抗菌药物环丙沙星(CF),制备CF嵌入聚氨酯(PU)主链的聚氨酯前药CFPU。用UV、FTIR、H-NMR表征其结构;GPC法测定分子量;UV法测定载药率;摸索影响其分子量和载药率的主要因素;并用琼脂稀释法测定其胆固醇酯酶(CE)降解液对金黄色葡萄球菌的抗菌活性。结果表明,确已成功制得目标产物;PCL浓度和HDI加料方式分别对其平均分子量和载药率有较大影响;而其CE降解液对金黄色葡萄球菌具有抗菌活性。因此,当其用作医用内植物的涂层材料时,能被炎症组织所分泌的CE可控降解为这种具抗菌活性的降解液,从而可发挥抗感染作用

Au(Ⅲ)离子在黑曲霉菌上的吸附热力学和动力学特性

以黑曲霉菌作为生物吸附剂,研究其对Au(Ⅲ)离子的吸附特性,考察了pH值、吸附时间、温度和初始Au(Ⅲ)离子浓度等因素对吸附过程的影响。结果表明,Au(Ⅲ)离子在黑曲霉菌上的吸附过程对溶液pH值具有一定的依赖性,最佳pH值为2.0～3.0。升温能明显加快吸附进程,20℃下吸附过程分为2个阶段进行,分别对应于Au(Ⅲ)离子还原前和还原后的吸附,24h后吸附趋于平衡,而30℃、40℃、60℃下吸附过程均无明显分段现象,并分别于12h、6h和1h后趋于吸附平衡。Au(Ⅲ)离子初始浓度367.94mg·L–1时,升温明显促进了吸附的进行。Au(Ⅲ)离子在黑曲霉菌上的吸附等温线可用Langmuir方程很好地模拟,20℃、30℃、40℃和50℃时其饱和吸附量分别为185.19mg·g–1、202.02mg·g–1、235.85mg·g–1和277.78mg·g–1。热力学参数吉布斯自由能变(0ΔG)、吸附焓变(0ΔH)和吸附熵变(0ΔS)的计算结果表明,Au(Ⅲ)离子在黑曲霉菌上的吸附过程是一个自发的吸热和熵增过程。其吸附动力学可用准二级速率方程描述,吸附活化能为55.71kJ·mol–1。傅立叶变换红外光谱分析的结果进一步揭示了菌体表面的酰氨基、羧基和羟基是参与吸附的主要功能基团

黑曲霉负载银纳米颗粒的制备及其抗菌性能

采用非酶还原法,以黑曲霉菌原位还原银氨离子制备一种新型银纳米颗粒(AgNPs)/菌体复合抗菌材料,着重考察了反应温度与pH值对还原过程和所得复合材料的抗菌性能及稳定性的影响。结果表明,在温度为30℃、60℃和pH 9.5、11.5条件下,能够合成出粒径为6.9～8.2nm的近球形AgNPs。该AgNPs均匀地分布在菌体表面上,对E.coli显示出高的抗菌性能:最小抑菌浓度(MIC)为217～434mg·L-1(以菌粉总质量表示)或8～20mg Ag·L-1(以银含量表示)。提高反应温度有利于提高菌体银负载量,但AgNPs粒径增大,抗菌性能有所下降;提高反应pH值有利于提高还原速率,而对抗菌性能影响不显著。复合材料中AgNPs与菌体结合牢固,单位质量复合材料释出的Ag+含量为1.7～6.8mg.g-1,提高反应温度和pH值后Ag+的释出均减少

Determination of Lead Content in Standard Materials of Lake Sediment and Tea by ID-ICP-MS

采用2种微波消解体系(HNO3-H2O2和HNO3-H2O2-HF)及3种定量模式(同位素稀释法、标准工作曲线法和标准加入法),对沉积物和茶叶标准物质中的铅进行测定,结果表明:同位素稀释质谱法的各项检测指标显著优于其它两种定量模式(茶叶中铅含量测定值为4.30μg/g),标准加入法次之(3.75μg/g),标准工作曲线法较差(3.61μg/g)。二种微波消解体系中,加HF酸优于不加HF酸,不加HF,茶叶中铅的回收率仅有89%,加入HF则上升为98%。Three different quantitative modes,namely external calibration,standard addition and isotope diluˉtion were compared for the determination of lead contents in lake sediment and tea standard materials with two digestion systems.The results showed that the isotope dilution gave the highest accuracy and precision in comˉparison with the other two modes.But the results were affected by the digestion system.For example,the reˉcoveries of lead content for tea were98%and89%for HNO 3 -H 2 O 2 -HF and HNO 3 -H 2 O 2 digesting sysˉtem,respectively.福建省重大科技项目子课题(2003Y005-04);; 厦门大学现代分析科学教育部重点实验室开放课题(B40402

Experimental study on reperfusion of intraocular lens

作者简介: 祁明信, 男, 1945 年7 月 出生, 教授、主任医师、博士研究生 导师, 主要从事白内障的基础与临 床研究。联系电话: 0591-83570887; E-mail:qihuang@netease. com 通讯作者: 黄秀榕,E-mail:[email protected][中文文摘]目的开展晶状体再灌注的离体和动物实验研究,并对再灌注人工晶状体技术进行评价。方法采用新鲜离体幼兔眼、离体猪眼、新西兰白兔眼,应用自行研制的人工晶状体材料,进行以下实验:(1)体外固化实验;(2)晶状体前囊膜微型撕囊及其稳固性实验;(3)经微型前囊膜开口超声乳化吸出晶状体内容物实验;(4)活的新西兰白兔眼内人工晶状体再灌注实验。结果(1)按硅酮聚合物与固化剂50:1的比例可获得柔软、弹性好、固化时间短(完全固化时间为60min)的注入材料;(2)晶状体前囊膜1.8～2.0mm的连续环形撕囊口具有较好的稳定性,可经该微型开口吸出晶状体内容物并灌注材料;(3)超声能量18%、流量25mL·min-1、负压120mmHg(1kPa=7.5mmHg)为晶状体内容物经微型前囊膜开口吸出的最佳条件;(4)注入灌注材料后可形成由晶状体囊膜包裹的、置换原晶状体皮质和核的、新的再灌注人工晶状体。结论采用再灌注人工晶状体的方法可进行新型人工晶状体再灌注,可为治疗白内障和老视提供参考。[英文文摘]Objective To carry out the experimental study on reperfusion of intraocular lens(IOLs) in vitro or in animal,and to assess the technique of IOLs reperfusion.Methods The following experiments were performed by using self-developed materials in fresh rabbit eyes and pig eyes in vitro,as well as in eyes of alive New-Zea-land rabbits:(1)Solidification study of self-developed material in vitro;(2)Continuous circular capsulorhexis(CCC) in anterior capsule of lens and its stability;(3)Draw of lens contents via phaco through mini-CCC;(4)IOLs ref illing in the eyes of alive New-Zea land rabbits. Results(1) Thematerialwhich was soft, springy and short-term solidification(full solidification time was 60 minutes) were obtained in certain proportion of geland solidified agent(50:1) in vitro; ( 2)The CCC in anterior capsule of lens with 1.8-2.0 mm diameter had very good stability. The lens contents were drawn and the materialwere refilled through themini-CCC; (3) The best conditions of drawing out lens contents through m ini-CCC were phaco energy 18% , flow 25 mL·min- 1, and negative pressure 120 mmH g (1kPa=7.5 mmHg);(4) The new refilled IOLs, which were wrapped by capsule of lens and were replaced original cortex and nucleus of lens, were obtained after thematerial refillied. Conc lusion. New IOLs are refilled through this method, which can prov ide reference for the treatment of cataract and presbyopia.福建省科技三项费用;教育厅重点资助项目基金资助(编号:K98041

Discussion on External Ecological Accounting

经过30多年的研究发展,企业环境信息越来越受关注,从公司年度报告中“财务报告管理层分析与讨论”的组成部分,变为公司年度财务报告的独立部分,直至发展到今天的独立年度环境报告。由于受传统会计理论框架的影响,在公司年度报告中披露的环境信息侧重于对企业财务的影响,而环境影响没有得到系统的分析和披露。本文将从Ste-fan Schaltegger和Roger Burritt提出的生态会计概念出发,通过分析国内外企业环境信息披露的发展,提出如何构建我国企业对外生态会计报告

EPON系统中突发信号的处理

阐述了以太网与以太网无源光网络（EPON）传输方式的本质区别,同时从物理层角度分析EPON系统对突发信号的处理,着重分析了突发模式接收机的原理和试验。分析了试验现象,给出了解决方案,同时描述了上层芯片是如何处理接收到的突发信号的

TAP及其应用

TAP（Test Access Port/Traffic Access Port）是一种新兴的用于网络监测的硬件设备,它提供了一种在不中断网络正常流量的情况下,获得网络流量的方法。因此,TAP可以用来实现监测网络性能、解决网络故障、分析网络流量和阻止恶意攻击等一系列功能。文章阐述了TAP的产生背景、主要特点、工作原理及其应用