The neutrophil-lymphocyte ratio to predict poor prognosis of critical acute myocardial infarction patients: a retrospective cohort study

IntroductionInflammation is closely related to adverse outcomes of acute myocardial infarction (AMI). This study aimed to evaluate whether neutrophil-lymphocyte ratio (NLR) can predict poor prognosis of critical AMI patients.Materials and methodsWe designed a retrospective cohort study and extracted AMI patients from the “Medical Information Mart for Intensive Care-III” database. The primary outcome was 1-year all-cause mortality. The secondary outcomes were 90-day and in-hospital all-cause mortalities, and acute kidney injury (AKI) incidence. The optimal cut-offs of NLR were picked by X-tile software according to the 1-year mortality and patient groups were created: low-NLR (< 4.8), high-NLR (4.8 - 21.1), and very high-NLR (> 21.1). Cox and modified Poisson regression models were used to evaluate the effect of NLR on outcomes in critically AMI patients.ResultsFinally, 782 critical AMI patients were enrolled in this study, and the 1-year mortality was 32% (249/782). The high- and very high-NLR groups had a higher incidence of outcomes than the low-NLR group (P < 0.05). The multivariate regression analyses found that the high- and very high-NLR groups had a higher risk of 1-year mortality (Hazard ratio (HR) = 1.59, 95% CI: 1.12 to 2.24, P = 0.009 and HR = 1.73, 95% CI: 1.09 to 2.73, P = 0.020), 90-day mortality (HR = 1.69, 95% CI: 1.13 to 2.54, P = 0.011 and HR = 1.90, 95% CI: 1.13 to 3.20, P = 0.016), in-hospital mortality (Relative risk (RR) = 1.77, 95% CI: 1.14 to 2.74, P = 0.010 and RR = 2.10, 95% CI: 1.23 to 3.58, P = 0.007), and AKI incidence (RR = 1.44, 95% CI: 1.06 to 1.95, P = 0.018 and RR = 1.34, 95% CI: 0.87 to 2.07, P = 0.180) compared with low-NLR group. NLR retained stable predictive ability in sensitivity analyses.ConclusionBaseline NLR is an independent risk factor for 1-year mortality, 90-day mortality, in-hospital mortality, and AKI incidence in AMI patients.     

校图书馆与系资料室资源建设的协调发展

阐述了高校图书馆与系资料室各自为政的弊端,分析了它们各自的优势,指出网络时代高校要做好文献信息工作,实现校内资源的共享,必须协调校图书馆与系资料室的关系,并就如何协调提出了建议。     

博客在图书馆的应用

论述了博客的含义,博客在中国的发展和博客作为一种新型的网络信息组织形式的特点及其与个人网页、BBS的区别,并对博客在图书馆中应用的可行性进行探讨,最后提出图书馆博客的建立。     

略谈对图书馆员的人性化管理

文章从人本思想出发,在对图书馆员的现状进行剖析的基础上,对图书馆员的人性化管理提出了自己的看法。     

Precious Aged Shuen Paper

1700 years ago, the overwhelming popularity of Shuen paper in Luoyang drove its price to the sky high. Now the same story happened again in Jing County, Anhui Province.     

双一流高校图书馆新媒体运营与评价——基于WCI的微信阅读推广实证研究

[目的 /意义]评价新媒体环境下高校图书馆利用微信公众号进行营销和阅读推广的实际效果,综合反映高校图书馆微信营销与传播的影响力.[方法/过程]运用网络计量学中的微信传播指数WCI统计分析方法,选取国内有代表性的"双一流"A类36所高校作为研究对象,构建高校图书馆新媒体运营绩效评价评估模型,根据综合影响力结果排名分析现状...     

当代大学生网络行为的基本趋势与引导对策研究

当代大学生越来越将自己的生活与网络融合在一起,网络给大学生带来快捷便利的同时,其负面影响也日益凸显,尤其突出的是大学生网络行为不断出现问题。本文以安徽省高校720名大学生为样本,在全面调查的基础上,分析了大学生网络行为的基本趋势,并针对性地提出了引导对策。     

A Situationist Lesson for Character Education: Re‐conceptualising the Inculcation of Virtues by Converting Local Virtues to More Global Ones

Inspired by the debate about character between situationism and virtue ethics, I argue that John Doris's idea, ‘local trait’, offers a fresh insight into contemporary character education. Its positive variant, ‘local virtue’, signals an inescapable relay station of the gradual development of virtue, and serves as a promising point of departure for advanced growth. The idea of converting local virtues to more global ones is accordingly proposed to represent an empirically more realistic way of conceiving how to approach the ethical ideal of global virtues. It helps to direct our gaze to the great intermediate developmental stages of virtue, which mark out a whole spectrum of virtues of varying degrees that fall short of full virtue. This new notion works together with the traditional Aristotelian account to provide a full account of how to effectively undertake the age‐old educational business of the inculcation of virtues.     

民国军官短剑考释

民国军官短剑在中国历史上匆匆而过,加之政治原因,使本来很平常的物件变得扑朔迷离。据文献与实物考证,民国军官短剑实际发源于庐山军官训练团时期的＂庐山剑＂,陆军军官学校中的＂中正剑＂只是对＂庐山剑＂的改进与发扬,后来才衍生出形形色色的军官短剑,1936年把短剑列入陆军服制。短剑的名目繁多,每种说法都有其来源,实际其真实的名字就是短剑。它的产生是在特殊背景下,各种因素促成的结果。