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Identification of a novel coronavirus causing severe pneumonia in human:a descriptive study 被引量:113
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作者 Li-Li Ren Ye-Ming Wang +33 位作者 Zhi-Qiang Wu Zi-Chun Xiang Li Guo Teng Xu Yong-Zhong jiang Yan Xiong Yong-Jun Li Xing-Wang Li Hui Li Guo-Hui Fan Xiao-ying Gu Yan Xiao Hong Gao Jiu-Yang Xu Fan Yang Xin-Ming Wang Chao Wu Lan Chen yi-wei Liu Bo Liu Jian Yang Xiao-Rui Wang Jie Dong Li Li Chao-Lin Huang Jian-Ping Zhao yi Hu Zhen-Shun Cheng Un-Lin Liu Zhao-Hui Qian Chuan Qin Qi Jin Bin Cao Jian-wei Wang 《Chinese Medical Journal》 SCIE CAS CSCD 2020年第9期1015-1024,共10页
Background:Human infections with zoonotic coronaviruses(CoVs),including severe acute respiratory syndrome(SARS)-CoV and Middle East respiratory syndrome(MERS)-CoV,have raised great public health concern globally.Here,... Background:Human infections with zoonotic coronaviruses(CoVs),including severe acute respiratory syndrome(SARS)-CoV and Middle East respiratory syndrome(MERS)-CoV,have raised great public health concern globally.Here,we report a novel batorigin CoV causing severe and fatal pneumonia in humans.Methods:We collected clinical data and bronchoalveolar lavage(BAL)specimens from five patients with severe pneumonia from Wuhan Jinyintan Hospital,Hubei province,China.Nucleic acids of the BAL were extracted and subjected to next-generation sequencing.Virus isolation was carried out,and maximum-likelihood phylogenetic trees were constructed.Results:Five patients hospitalized from December 18 to December 29,2019 presented with fever,cough,and dyspnea accompanied by complications of acute respiratory distress syndrome.Chest radiography revealed diffuse opacities and consolidation.One of these patients died.Sequence results revealed the presence of a previously unknownβ-CoV strain in all five patients,with 99.8%to 99.9%nucleotide identities among the isolates.These isolates showed 79.0%nucleotide identity with the sequence of SARS-CoV(GenBank NC_004718)and 51.8%identity with the sequence of MERS-CoV(GenBank NC_019843).The virus is phylogenetically closest to a bat SARS-like CoV(SL-ZC45,GenBank MG772933)with 87.6%to 87.7%nucleotide identity,but is in a separate clade.Moreover,these viruses have a single intact open reading frame gene 8,as a further indicator of bat-origin CoVs.However,the amino acid sequence of the tentative receptor-binding domain resembles that of SARS-CoV,indicating that these viruses might use the same receptor.Conclusion:A novel bat-borne CoV was identified that is associated with severe and fatal respiratory disease in humans. 展开更多
关键词 Bat-origin CORONAVIRUS Zoonotic transmission PNEUMONIA ETIOLOGY Next-generation sequencing
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Back-n white neutron source at CSNS and its applications 被引量:20
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作者 Jing-Yu Tang Qi An +73 位作者 jiang-Bo Bai Jie Bao Yu Bao Ping Cao Hao-Lei Chen Qi-Ping Chen Yong-Hao Chen Zhen Chen Zeng-Qi Cui Rui-Rui Fan Chang-Qing Feng Ke-Qing Gao Xiao-Long Gao Min-Hao Gu Chang-Cai Han Zi-Jie Han Guo-Zhu He Yong-Cheng He Yang Hong yi-wei Hu Han-Xiong Huang Xi-Ru Huang Hao-Yu jiang wei jiang Zhi-Jie jiang Han-Tao Jing Ling Kang Bo Li Chao Li Jia-Wen Li Qiang Li Xiao Li Yang Li Jie Liu Rong Liu Shu-Bin Liu Xing-Yan Liu Ze Long Guang-Yuan Luan Chang-Jun Ning Meng-Chen Niu Bin-Bin Qi Jie Ren Zhi-Zhou Ren Xi-Chao Ruan Zhao-Hui Song Kang Sun Zhi-Jia Sun Zhi-Xin Tan Xin-yi Tang Bin-Bin Tian Li-Jiao Wang Peng-Cheng Wang Zhao-Hui Wang Zhong-wei Wen Xiao-Guang Wu Xuan Wu Li-Kun Xie Xiao-Yun Yang yi-wei Yang Han yi Li Yu Tao Yu Yong-Ji Yu Guo-Hui Zhang Lin-Hao Zhang Qi-wei Zhang Xian-Peng Zhang Yu-Liang Zhang Zhi-Yong Zhang Lu-Ping Zhou Zhi-Hao Zhou Ke-Jun Zhu 《Nuclear Science and Techniques》 SCIE EI CAS CSCD 2021年第1期95-104,共10页
Back-streaming neutrons from the spallation target of the China Spallation Neutron Source(CSNS)that emit through the incoming proton channel were exploited to build a white neutron beam facility(the so-called Back-n w... Back-streaming neutrons from the spallation target of the China Spallation Neutron Source(CSNS)that emit through the incoming proton channel were exploited to build a white neutron beam facility(the so-called Back-n white neutron source),which was completed in March 2018.The Back-n neutron beam is very intense,at approximately 29107 n/cm2/s at 55 m from the target,and has a nominal proton beam with a power of 100 kW in the CSNS-I phase and a kinetic energy of 1.6 GeV and a thick tungsten target in multiple slices with modest moderation from the cooling water through the slices.In addition,the excellent energy spectrum spanning from 0.5 eV to 200 MeV,and a good time resolution related tothe time-of-flight measurements make it a typical white neutron source for nuclear data measurements;its overall performance is among that of the best white neutron sources in the world.Equipped with advanced spectrometers,detectors,and application utilities,the Back-n facility can serve wide applications,with a focus on neutron-induced cross-sectional measurements.This article presents an overview of the neutron beam characteristics,the experimental setups,and the ongoing applications at Backn. 展开更多
关键词 White neutron source Nuclear data measurements Experimental setups Neutron applications
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上海市1296名3~5岁儿童龋病及其相关危险因素分析 被引量:24
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作者 王沪宁 王艳 +5 位作者 张皓 毛艳敏 董华 华敏 江一巍 张颖 《上海口腔医学》 CAS CSCD 北大核心 2020年第2期174-178,共5页
目的:了解上海市3~5岁儿童低龄儿童龋患病情况及相关危险因素,为龋病防治提供参考。方法:根据第4次全国口腔健康流行病学调查要求,采用多阶段分层、等容量随机抽样方法,抽取上海市1296名4个区、12个幼儿园中3~5岁儿童进行龋病检查,对其... 目的:了解上海市3~5岁儿童低龄儿童龋患病情况及相关危险因素,为龋病防治提供参考。方法:根据第4次全国口腔健康流行病学调查要求,采用多阶段分层、等容量随机抽样方法,抽取上海市1296名4个区、12个幼儿园中3~5岁儿童进行龋病检查,对其家长进行口腔健康知识问卷调查。采用SPSS 21.0软件包进行统计学分析。结果:上海市3~5岁儿童的乳牙患龋率、龋均分别为58.07%、2.99,各年龄组及性别间差异均有统计学意义(P<0.05)。龋病相关单因素分析及多因素Logistics回归分析均显示,饮用甜饮料频率高、睡前吃甜食、刷牙频率少于每天1次、开始刷牙年龄大于2岁、家长受教育程度低及口腔健康知识水平差是患龋的危险因素。结论:上海市3~5岁儿童乳牙患龋率较高,加强儿童的饮食习惯及口腔卫生行为教育,提高家长口腔健康知识水平,是防治儿童龋病的有效途径。 展开更多
关键词 第四次全国口腔健康流行病学调查 低龄儿童龋 危险因素
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A phase Ⅱ study of paclitaxel and nedaplatin as front-line chemotherapy in Chinese patients with metastatic esophageal squamous cell carcinoma 被引量:16
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作者 yi-Fu He Chu-Shu Ji +7 位作者 Bing Hu Ping-Sheng Fan Chang-Lu Hu Feng-Shou jiang Jian Chen Lei Zhu yi-wei Yao wei Wang 《World Journal of Gastroenterology》 SCIE CAS 2013年第35期5910-5916,共7页
AIM:To evaluate the efficacy and safety of paclitaxelnedaplatin combination as a front-line regimen in Chinese patients with metastatic esophageal squamous cell carcinoma(ESCC).METHODS:A two-center,open-label,single-a... AIM:To evaluate the efficacy and safety of paclitaxelnedaplatin combination as a front-line regimen in Chinese patients with metastatic esophageal squamous cell carcinoma(ESCC).METHODS:A two-center,open-label,single-arm phaseⅡstudy was designed.Thirty-nine patients were enrolled and included in the intention-to-treat analysis of efficacy and adverse events.Patients received 175mg/m2of paclitaxel over a 3 h infusion on 1 d,followed by nedaplatin 80 mg/m2in a 1 h infusion on 2 d every3 wk until the documented disease progression,unac-ceptable toxicity or patient’s refusal.RESULTS:Of the 36 patients assessable for efficacy,there were 2 patients(5.1%)with complete response and 16 patients(41.0%)with partial response,giving an overall response rate of 46.1%.The median progression-free survival and median overall survival for all patients were 7.1 mo(95%CI:4.6-9.7)and 12.4 mo(95%CI:9.5-15.3),respectively.Toxicities were moderate and manageable.Grade 3/4 toxicities included neutropenia(15.4%),nausea(10.3%),anemia(7.7%),thrombocytopenia(5.1%),vomiting(5.1%)and neutropenia fever(2.6%).CONCLUSION:The combination of paclitaxel and nedaplatin is active and well tolerated as a first-line therapy for patients with metastatic ESCC. 展开更多
关键词 Esophageal SQUAMOUS cell cancer FRONTLINE CHEMOTHERAPY PACLITAXEL NEDAPLATIN
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中医学“骨、筋、肌肉”三位一体观对骨质疏松症防治的启示 被引量:14
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作者 张晓刚 曹盼举 +5 位作者 于海洋 蒋宜伟 朱晓荣 王志鹏 宋敏 郭强强 《中华中医药杂志》 CAS CSCD 北大核心 2019年第12期5543-5546,共4页
骨质疏松症(OP)是一种由多因素导致的临床慢性代谢性骨病。随着我国人口老龄化的加重,其防治已成为现代医学的研究热点问题之一。据其临床特点,此病应隶属于中医学"骨痿""骨缩""骨枯"等范畴。《灵枢·... 骨质疏松症(OP)是一种由多因素导致的临床慢性代谢性骨病。随着我国人口老龄化的加重,其防治已成为现代医学的研究热点问题之一。据其临床特点,此病应隶属于中医学"骨痿""骨缩""骨枯"等范畴。《灵枢·经脉》载:"骨为干,脉为营,筋为刚,肉为墙"。故而笔者认为,据以此,骨干之病,当与筋脉、肌肉之关系密不可分。文章将由此点出发,探讨"骨、筋、肌肉"三者之间的平衡性与OP发病的相关性,希望能为临床治疗此病提供行之有效的理论依据。 展开更多
关键词 中医学 肌肉 骨质疏松症
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振冲碎石桩复合地基抗剪机制的模型试验研究 被引量:13
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作者 王家辉 饶锡保 +4 位作者 江洎洧 姚劲松 熊诗湖 卢一为 李浩民 《岩土力学》 EI CAS CSCD 北大核心 2021年第4期1095-1103,共9页
为了研究某工程振冲碎石桩砂质粉土复合地基剪切变形机制和强度特性,采用大型叠环剪切仪开展了两组不同桩体置换率下的碎石桩复合地基模型试验。对剪应力与剪应变、不同应力状态下复合地基变形及开挖断面进行了系统分析,研究结果表明:... 为了研究某工程振冲碎石桩砂质粉土复合地基剪切变形机制和强度特性,采用大型叠环剪切仪开展了两组不同桩体置换率下的碎石桩复合地基模型试验。对剪应力与剪应变、不同应力状态下复合地基变形及开挖断面进行了系统分析,研究结果表明:砂质粉土复合地基呈弹塑性体的特征,应力水平线S=0.5可大致作为弹塑性体的分界线;在复合地基大变形剪切过程中,桩土具有很好的变形协调性,且随着桩体置换率的提升复合地基剪切变形是被抑制的;目前少数明确提出复合地基抗剪强度计算公式的国家规范都建议桩土应力比n取1,即仅考虑面积置换率因素,这导致不同置换率下复合地基的抗剪强度计算结果相差较小,按规范22.7%置换率相较40.3%置换率φ值仅小1.32°,而试验结果22.7%置换率相较40.3%置换率φ值小3.65°,这表明碎石桩对复合地基抗剪能力的加固机制不仅限于置换率因素,也应考虑其对复合地基整体排水效果的改变等因素。 展开更多
关键词 碎石桩 复合地基 剪切破坏 抗剪强度
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Leaching optimization and dissolution behavior of alkaline anions in bauxite residue 被引量:13
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作者 Xiao-fei LI Yu-zhen gE +5 位作者 Sheng-guo XUE Jtm jiang Chuan WU Xiang-feng KONG William Hartley yi-wei LI 《Transactions of Nonferrous Metals Society of China》 SCIE EI CAS CSCD 2018年第6期1248-1255,共8页
Bauxite residue is a highly alkaline waste containing soluble alkaline anions, which can cause environmental concerns. The optimal leaching conditions, distribution of alkaline anions, types of pivotal alkaline anions... Bauxite residue is a highly alkaline waste containing soluble alkaline anions, which can cause environmental concerns. The optimal leaching conditions, distribution of alkaline anions, types of pivotal alkaline anions and their dissolution behaviors were investigated based on the combination of single factors-orthogonal experiments and leaching stage experiment. Using a two-stage leaching, 86% of the soluble alkaline anions(CO3^2-, HCO4^-,Al(OH)4^-, OH^-) were leached with a L/S ratio of 2 mL/g, at 30 ℃, over 23 h. During the first stage of leaching, approximately 88% of alkaline anions were leached from the dissolution of free alkali(Na OH, carbonate, bicarbonate, NaAl(OH)4) with the rest originating from the dissolution of alkaline minerals(calcite, cancrinite and hydrogarnet). Supernatant alkalinity was 69.78 mmol/L with CO3^2- accounting for 75%. Furthermore, carbonate leaching was controlled by solid film diffusion using the Stumm Model with an apparent activation energy of 10.24 kJ/mol. 展开更多
关键词 bauxite residue alkaline anions CARBONATE leaching optimization dissolution behavior
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内镜黏膜下剥离术治疗早期胃印戒细胞癌的疗效及非治愈性切除的危险因素分析 被引量:10
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作者 姜经伟 胡青青 +7 位作者 安方梅 占强 袁晓晨 伏亦伟 邢一鸣 王雷 吕瑛 徐桂芳 《现代消化及介入诊疗》 2021年第1期13-19,共7页
目的探讨内镜黏膜下剥离术(ESD)治疗早期胃印戒细胞癌(SRCC)的疗效及预后,并探讨非治愈性切除的危险因素。方法回顾性分析2012年10月至2020年10月在南京大学医学院附属鼓楼医院、南京医科大学附属无锡人民医院、泰州市人民医院、南京市... 目的探讨内镜黏膜下剥离术(ESD)治疗早期胃印戒细胞癌(SRCC)的疗效及预后,并探讨非治愈性切除的危险因素。方法回顾性分析2012年10月至2020年10月在南京大学医学院附属鼓楼医院、南京医科大学附属无锡人民医院、泰州市人民医院、南京市高淳人民医院行ESD治疗的62例早期胃SRCC患者的临床病理资料,根据术后病理结果分为治愈性切除组34例和非治愈性切除组28例,收集患者性别、年龄、肿瘤大小及部位、大体分型、浸润深度、切缘、溃疡及术后随访情况等进行分析。结果整块切除率为100%(n=62),完全切除率为83.9%(n=52),治愈性切除率为54.8%(n=34)。术中穿孔率为1.6%(n=1),迟发出血率为1.6%(n=1)。28例非治愈性切除的患者中,20例追加了外科手术,死亡2例,其中1例在外科手术后死于术后出血,另1例在外科手术后死于术后感染。8例非治愈性切除的患者没有追加外科手术,其中2例患者死于淋巴结转移。ESD治愈性切除组的5年生存率明显高于ESD非治愈性切除组,组间差异有统计学意义(P=0.023)。肿瘤直径>20 mm(OR=59.73,95%CI=9.94~358.87,P<0.001)及溃疡是(OR=24.49,95%CI=2.11~284.72,P=0.011)是早期胃SRCC非治愈性切除的独立危险因素。结论达到内镜下治愈性切除标准的早期胃SRCC患者,预后明显好于非治愈性切除的患者。肿瘤直径>20 mm和溃疡为早期胃SRCC非治愈性切除的独立危险因素。 展开更多
关键词 胃肿瘤 早期胃癌 内镜黏膜下剥离术 印戒细胞癌 预后
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上海市65~74岁老年人失牙状况流行病学调查和危险因素分析 被引量:10
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作者 卞添颖 张皓 +4 位作者 毛艳敏 董华 华敏 江一巍 王艳 《上海口腔医学》 CAS CSCD 北大核心 2019年第6期622-626,共5页
目的 :了解上海市65~74岁老年人失牙状况分布特征,并分析失牙相关危险因素及其与牙周状况的关系,为今后开展口腔卫生保健工作提供依据。方法:按照第4次全国口腔健康流行病学调查要求,采取随机抽样方法,于2015年对上海市776名65~74岁年... 目的 :了解上海市65~74岁老年人失牙状况分布特征,并分析失牙相关危险因素及其与牙周状况的关系,为今后开展口腔卫生保健工作提供依据。方法:按照第4次全国口腔健康流行病学调查要求,采取随机抽样方法,于2015年对上海市776名65~74岁年龄段老年人进行问卷调查和口腔检查。所得数据采用SPSS 21.0软件包进行非参数检验,对危险因素进行单因素分析,并通过Logistic回归模型进行独立危险因素分析。结果:上海市65~74岁年龄组老年人平均失牙数为5.94,平均缺失磨牙数为2.59。有牙周袋的老年人占42.3%,附着丧失≥4 mm的检出率为83.0%。男性失牙数和缺失磨牙数显著高于女性(P<0.05)。吸烟是非功能牙列的危险因素,吸烟量≥6支/d时,无法维持功能牙列的危险度是不吸烟人群的1.881倍(95%CI为1.231~2.872,P<0.01)。受教育年限≤6年及从事重体力劳动也是牙缺失的重要危险因素。结论:性别、口腔卫生习惯、吸烟、受教育程度、职业等因素是影响上海市65~74岁年龄组老年人牙缺失状况的重要因素。 展开更多
关键词 老年人 牙缺失 流行病学调查 危险因素
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中国散裂中子源反角白光中子束流参数的初步测量 被引量:7
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作者 鲍杰 陈永浩 +82 位作者 张显鹏 栾广源 任杰 王琦 阮锡超 张凯 安琪 白怀勇 曹平 陈琪萍 程品晶 崔增琪 樊瑞睿 封常青 顾旻皓 郭凤琴 韩长材 韩子杰 贺国珠 何泳成 何越峰 黄翰雄 黄蔚玲 黄锡汝 季筱路 吉旭阳 江浩雨 蒋伟 敬罕涛 康玲 康明涛 兰长林 李波 李论 李强 李晓 李阳 李样 刘荣 刘树彬 刘星言 马应林 宁常军 聂阳波 齐斌斌 宋朝晖 孙虹 孙晓阳 孙志嘉 谭志新 唐洪庆 唐靖宇 王鹏程 王涛峰 王艳凤 王朝辉 王征 文杰 温中伟 吴青彪 吴晓光 吴煊 解立坤 羊奕伟 杨毅 易晗 于莉 余滔 于永积 张国辉 张旌 张林浩 张利英 张清民 张奇伟 张玉亮 张志永 赵映潭 周良 周祖英 朱丹阳 朱科军 朱鹏 《物理学报》 SCIE EI CAS CSCD 北大核心 2019年第8期38-49,共12页
中国散裂中子源(CSNS)已于2018年5月建设完工,随后进行了试运行.其中的反角白光中子束线(Back-n)可用于中子核数据测量、中子物理研究和核技术应用等多方面的实验.本文报道对该中子束的品质参数测量实验过程以及最终实验结果.实验主要... 中国散裂中子源(CSNS)已于2018年5月建设完工,随后进行了试运行.其中的反角白光中子束线(Back-n)可用于中子核数据测量、中子物理研究和核技术应用等多方面的实验.本文报道对该中子束的品质参数测量实验过程以及最终实验结果.实验主要采用中子飞行时间法,利用^(235)U,^(238)U裂变室和~6Li-Si探测器测量了中子能谱和中子注量率,又利用闪烁体-互补金属氧化物半导体探测系统测量了中子束斑的剖面,得到了该束线的初步实验测量结果.其中白光中子的全能谱测量范围eV—100 MeV,给出了不确定度分析;给出了中子注量率两个实验厅位置的满功率值;给出了白光中子在直径60 mm情况下的全能区束斑.通过与模拟结果的比较探讨了以上结果的合理性,并提出了改进计划.这些实验结果为以后该束线的核数据测量和探测器标定实验奠定了基础. 展开更多
关键词 中国散裂中子源 反角白光中子 中子飞行时间法 中子束线特征参数
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Measurement of the ^(232)Th(n,f)cross section in the 1-200 MeV range at the CSNS Back-n 被引量:4
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作者 Zhi-Zhou Ren yi-wei Yang +77 位作者 Yong-Hao Chen Rong Liu Bang-Jiao Ye Jie Wen Hai-Rui Guo Zi-Jie Han Qi-Ping Chen Zhong-wei Wen wei-Li Sun Han yi Xing-Yan Liu Tao Ye jiang-Bo Bai Qi An Jie Bao Yu Bao Ping Cao Hao-Lei Chen Zhen Chen Zeng-Qi Cui Rui-Rui Fan Chang-Qing Feng Ke-Qing Gao Xiao-Long Gao Min-Hao Gu Chang-Cai Han Guo-Zhu He Yong-Cheng He Yang Hong yi-wei Hu Han-Xiong Huang Xi-Ru Huang Hao-Yu jiang wei jiang Zhi-Jie jiang Han-Tao Jing Ling Kang Bo Li Chao Li Jia-Wen Li Qiang Li Xiao Li Yang Li Jie Liu Shu-Bin Liu Ze Long Guang-Yuan Luan Chang-Jun Ning Meng-Chen Niu Bin-Bin Qi Jie Ren Xi-Chao Ruan Zhao-Hui Song Kang Sun Zhi-Jia Sun Zhi-Xin Tan Jing-Yu Tang Xin-yi Tang Bin-Bin Tian Li-Jiao Wang Peng-Cheng Wang Zhao-Hui Wang Xiao-Guang Wu Xuan Wu Li-Kun Xie Xiao-Yun Yang Li Yu Tao Yu Yong-Ji Yu Guo-Hui Zhang Lin-Hao Zhang Qi-wei Zhang Xian-Peng Zhang Yu-Liang Zhang Zhi-Yong Zhang Lu-Ping Zhou Zhi-Hao Zhou Ke-Jun Zhu 《Nuclear Science and Techniques》 SCIE EI CAS CSCD 2023年第8期142-153,共12页
The ^(232)Th(n,f)cross section is very important in basic nuclear physics and applications based on the Th/U fuel cycle.Using the time-of-flight method and a multi-cell fast-fission ionization chamber,a novel measurem... The ^(232)Th(n,f)cross section is very important in basic nuclear physics and applications based on the Th/U fuel cycle.Using the time-of-flight method and a multi-cell fast-fission ionization chamber,a novel measurement of the^(232)Th(n,f)cross sec-tion relative to^(235)U in the 1–200 MeV range was performed at the China Spallation Neutron Source Back-n white neutron source(Back-n).The fission event-neutron energy spectra of^(232)Th and^(235)U fission cells were measured in the single-bunch mode.Corrected 232Th/235U fission cross-sectional ratios were obtained,and the measurement uncertainties were 2.5–3.7%for energies in the 2–20 MeV range and 3.6–6.2%for energies in the 20–200 MeV range.The^(232)Th(n,f)cross section was obtained by introducing the standard cross section of^(235)U(n,f).The results were compared with those of previous theoreti-cal calculations,measurements,and evaluations.The measured 232Th fission cross section agreed with the main evaluation results in terms of the experimental uncertainty,and 232Th fission resonances were observed in the 1–3 MeV range.The present results provide^(232)Th(n,f)cross-sectional data for the evaluation and design of Th/U cycle nuclear systems. 展开更多
关键词 232Th(n f)cross section Fast-fission ionization chamber Back-n white neutron source
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A simple and easily implemented risk model to predict 1-year ischemic stroke and systemic embolism in Chinese patients with atrial fibrillation 被引量:8
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作者 Chao jiang Tian-Ge Chen +16 位作者 Xin Du Xiang Li Liu He yi-wei Lai Shi-Jun Xia Rong Liu yi-ying Hu ying-Xue Li Chen-Xi jiang Nian Liu Ri-Bo Tang Rong Bai Cai-Hua Sang De-Yong Long Guo-Tong Xie Jian-Zeng Dong Chang-Sheng Ma 《Chinese Medical Journal》 SCIE CAS CSCD 2021年第19期2293-2298,共6页
Background:Accurate prediction of ischemic stroke is required for deciding anticoagulation use in patients with atrial fibrillation(AF).Even though only 6%to 8%of AF patients die from stroke,about 90%are indicated for... Background:Accurate prediction of ischemic stroke is required for deciding anticoagulation use in patients with atrial fibrillation(AF).Even though only 6%to 8%of AF patients die from stroke,about 90%are indicated for anticoagulants according to the current AF management guidelines.Therefore,we aimed to develop an accurate and easy-to-use new risk model for 1-year thromboembolic events(TEs)in Chinese AF patients.Methods:From the prospective China Atrial Fibrillation Registry cohort study,we identified 6601 AF patients who were not treated with anticoagulation or ablation at baseline.We selected the most important variables by the extreme gradient boosting(XGBoost)algorithm and developed a simplified risk model for predicting 1-year TEs.The novel risk score was internally validated using bootstrapping with 1000 replicates and compared with the CHA2DS2-VA score(excluding female sex from the CHA2DS2-VASc score).Results:Up to the follow-up of 1 year,163 TEs(ischemic stroke or systemic embolism)occurred.Using the XGBoost algorithm,we selected the three most important variables(congestive heart failure or left ventricular dysfunction,age,and prior stroke,abbreviated as CAS model)to predict 1-year TE risk.We trained a multivariate Cox regression model and assigned point scores proportional to model coefficients.The CAS scheme classified 30.8%(2033/6601)of the patients as low risk for TE(CAS score=0),with a corresponding 1-year TE risk of 0.81%(95%confidence interval[CI]:0.41%–1.19%).In our cohort,the C-statistic of CAS model was 0.69(95%CI:0.65–0.73),higher than that of CHA2DS2-VA score(0.66,95%CI:0.62–0.70,Z=2.01,P=0.045).The overall net reclassification improvement from CHA2DS2-VA categories(low=0/high≥1)to CAS categories(low=0/high≥1)was 12.2%(95%CI:8.7%–15.7%).Conclusion:In Chinese AF patients,a novel and simple CAS risk model better predicted 1-year TEs than the widely-used CHA2DS2-VA risk score and identified a large proportion of patients with low risk of TEs,which could potentially improve anticoagul 展开更多
关键词 Atrial fibrillation Stroke Risk prediction CHA2DS2-VA CHA2DS2-VASc
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Study of the response of 10B-doped MCP to wide-energy range neutrons from eV to MeV
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作者 Qiang Li Li‑Jiao Wang +76 位作者 Xiang‑Biao Qiu Jing‑Wen Li wei Xu Tao Li Ze‑Bin Lin Chang‑Jun Ning Yong‑Hao Chen Rui‑Rui Fan Kang Sun Jing‑Yu Tang Rong Zhang Han‑Tao Jing Bo Mei Qi An Hao‑Fan Bai jiang‑Bo Bai Jie Bao Ping Cao Qi‑Ping Chen Zhen Chen Zeng‑Qi Cui An‑Chuan Fan Chang‑Qing Feng Fan‑Zhen Feng Ke‑Qing Gao Min‑Hao Gu Chang‑Cai Han Zi‑Jie Han Guo‑Zhu He Yong‑Cheng He Yang Hong yiwei Hu Han‑Xiong Huang wei‑Hua Jia Hao‑Yu jiang wei jiang Zhi‑Jie jiang Zheng‑Yao Jin Ling Kang Bo Li Chao Li Gong Li Jia‑Wen Li Xiao Li Yang Li Jie Liu Rong Liu Shu‑Bin Liu Guang‑Yuan Luan Bin‑Bin Qi Jie Ren Zhi‑Zhou Ren Xi‑Chao Ruan Zhao‑Hui Song Zhi‑Xin Tan Sheng‑Da Tang Peng‑Cheng Wang Zhao‑Hui Wang Zhong‑wei Wen Xiao‑Guang Wu Xuan Wu Li‑Kun Xie yiwei Yang Han yi Yong‑Ji Yu Guo‑Hui Zhang Lin‑Hao Zhang Mo‑Han Zhang Qi‑wei Zhang Xian‑Peng Zhang Yu‑Liang Zhang Yue Zhang Zhi‑Yong Zhang Mao‑Yuan Zhao Lu‑Ping Zhou Zhi‑Hao Zhou Ke‑Jun Zhu 《Nuclear Science and Techniques》 SCIE EI CAS CSCD 2024年第8期132-141,共10页
Neutron-sensitive microchannel plates(nMCPs)have applications in neutron detection,including energy spectrum measurements,neutron-induced cross sections,and neutron imaging.10B-doped MCPs(B-MCPs)have attracted signifi... Neutron-sensitive microchannel plates(nMCPs)have applications in neutron detection,including energy spectrum measurements,neutron-induced cross sections,and neutron imaging.10B-doped MCPs(B-MCPs)have attracted significant attention owing to their potential for exhibiting a high neutron detection efficiency over a large neutron energy range.Good spatial and temporal resolutions are useful for neutron energy-resolved imaging.However,their practical applications still face many technical challenges.In this study,a B-MCP with 10 mol%10B was tested for its response to wide-energy neutrons from eV to MeV at the Back-n white neutron source at the China Spallation Neutron Source.The neutron detection efficiency was calibrated at 1 eV,which is approximately 300 times that of an ordinary MCP and indicates the success of 10 B doping.The factors that caused the reduction in the detection efficiency were simulated and discussed.The neutron energy spectrum obtained using B-MCP was compared with that obtained by other measurement methods,and showed very good consistency for neutron energies below tens of keV.The response is more complicated at higher neutron energy,at which point the elastic and nonelastic reactions of all nuclides of B-MCP gradually become dominant.This is beneficial for the detection of neutrons,as it compensates for the detection efficiency of B-MCP for high-energy neutrons. 展开更多
关键词 Neutron radiation image 10B-doped MCP Neutron response Wide-energy range neutrons
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基于风险评估的上海市3岁儿童龋病分级管理临床效果评价 被引量:8
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作者 易芳羽 张皓 +7 位作者 曾晓莉 江一巍 虞瑾 笪东欣 王沪宁 郁莹 翁清清 张颖 《中国实用口腔科杂志》 CAS 2021年第2期199-203,共5页
目的分析上海市3岁儿童患龋情况及其相关危险因素,评价基于风险评估的龋病分级管理临床效果。方法采用随机抽样的方法,抽取2018年上海市4个区28家幼儿园3岁儿童1989名,随机分成试验组(986名)和对照组(1003名)。参照美国儿童牙医协会(Ame... 目的分析上海市3岁儿童患龋情况及其相关危险因素,评价基于风险评估的龋病分级管理临床效果。方法采用随机抽样的方法,抽取2018年上海市4个区28家幼儿园3岁儿童1989名,随机分成试验组(986名)和对照组(1003名)。参照美国儿童牙医协会(American Association of Pediatric Dentistry,AAPD)提出的龋病风险评估工具(caries-risk assessment tool,CAT),通过问卷调查结合临床检查,将受检儿童分为高、中、低风险等级,试验组参照CAT进行干预管理,对照组按照上海市基本公共卫生服务项目管理。干预管理1年后,对两组儿童进行口腔健康检查和风险等级的再评估。结果 (1)2018年共1848名儿童完成调查,其中试验组929名,对照组919名。总患龋率为28.0%,试验组和对照组患龋率分别为26.8%、29.1%。试验组高风险儿童比例为56.3%,对照组为59.3%。干预管理1年后(2019年),对所有研究对象进行随访,剔除不完整数据后,共纳入1320名儿童的有效数据,其中试验组659名,对照组661名。总患龋率为35.5%,试验组和对照组患龋率分别为32.0%、39.1%;龋病发生率分别为11.9%、15.9%,其差异具有统计学意义(χ2=4.22,P <0.05)。(2)干预管理1年后,试验组和对照组高风险等级儿童分别降低了14.0%、12.4%,但其差异无统计学意义(χ2=0.41,P> 0.05);试验组和对照组中风险等级儿童分别降低了3.7%、2.2%,其差异无统计学意义(χ2=3.21,P> 0.05);试验组和对照组低风险等级儿童分别增加了17.7%、14.6%,其差异有统计学意义(χ2=7.29,P <0.05)。(3)logistic回归分析显示,进食甜食<3次/d、母亲未患龋、睡前刷牙后未进食甜食是试验组龋病高风险儿童的保护因素(P <0.05),未定期进行专业口腔检查是危险因素(P <0.05)。帮助孩子刷牙、使用含氟牙膏、6个月内去看过口腔医生是对照组龋病高风险儿童的保护因素(P <0.05),出生6个月内人工喂养、进食甜饮料1次/d是危险因素(P <0.0 展开更多
关键词 乳牙 龋病 危险因素 分级管理
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实时心肌超声造影与心脏磁共振成像心肌灌注延迟显像评价急性心肌梗死微循环的对比分析 被引量:8
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作者 邱银汝 何祥发 +6 位作者 王茹 蒋溢为 邱钦圣 丰一 张源祥 杜凡 贾国良 《岭南心血管病杂志》 CAS 2021年第4期433-438,共6页
目的研究实时心肌超声造影(real-time myocardial contrast echocardiography,RT-MCE)与心脏磁共振成像心肌灌注延迟显像(delayed enhancement-magnetic resonance imaging,DE-MRI)在急性心肌梗死(acute myo⁃cardial infarction,AMI)微... 目的研究实时心肌超声造影(real-time myocardial contrast echocardiography,RT-MCE)与心脏磁共振成像心肌灌注延迟显像(delayed enhancement-magnetic resonance imaging,DE-MRI)在急性心肌梗死(acute myo⁃cardial infarction,AMI)微循环障碍的临床价值。方法选择2018年6月至2020年2月东莞康华医院收治的36例胸痛<24 h的AMI患者为对象,男29例,女7例,年龄(55±12)岁。其中“罪犯血管”前降支28例(78%),左旋支16例(44%),右冠状动脉18例(50%)。分别进行RT-MCE及DE-MRI检查,记录AMI患者两项影像学检查的心肌灌注(myocardial perfusion,MP)评分、室壁节段运动积分指数(wall motion score index,WMSI)和左心室射血分数(left ventricular ejection fraction,LVEF)的变化,以DE-MRI作为参考标准,对比分析RT-MCE评价心肌微循环障碍及心肌缺血、梗死范围的敏感度、特异度、准确度。结果RT-MCE检测MP和WMSI的敏感度分别是83.01%、86.03%,特异度是98.01%、94.43%,准确度是94.12%、94.44%。RT-MCE目测半定量法与DE-MRI法检测心肌微循环障碍均有较高的临床价值,两种影像学检测方法有较好的相关性。DE-MRI和RT-MCE检测MP和WMSI有明显差异,均具有统计学意义(P<0.05),二者相关系数为0.844和0.864,相关性良好。结论RT-MCE目测半定量法与DE-MRI法检测心肌微循环障碍有较高的临床价值,RT-MCE安全、操作简便,可用于急诊床旁检查,具有较高的临床应用价值。 展开更多
关键词 心肌梗死 实时心肌超声造影 心脏磁共振成像 心肌灌注延迟显像 心肌微循环
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In-beam gamma rays of CSNS Back-n characterized by black resonance filter
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作者 Jin-Cheng Wang Jie Ren +68 位作者 wei jiang Xi-Chao Ruan ying-yi Liu Hao-Lan Yang Kuo-Zhi Xu Xin-yi Pan Qi Sun Jie Bao Han-Xiong Huang Hao-Fan Bai jiang-Bo Bai Ping Cao Qi-Ping Chen Yong-Hao Chen Wen-Hao Duan An-Chuan Fan Rui-Rui Fan Chang-Qing Feng Min-Hao Gu Chang-Cai Han Zi-Jie Han Guo-Zhu He Yong-Cheng He Yang Hong yi-wei Hu Zhi-Jie jiang Ling Kang Chang-Lin Lan Bo Li Feng Li Qiang Li Xiao Li Yang Li Jie Liu Rong Liu Shu-Bin Liu yi-Na Liu Guang-Yuan Luan Chang-Jun Ning yi-Jia Qiu Wen-Kai Ren Zhi-Zhou Ren Zhao-Hui Song Kang Sun Zhi-Xin Tan Jing-Yu Tang Sheng-Da Tang Li-Jiao Wang Peng-Cheng Wang Zhao-Hui Wang Zhong-wei Wen Xiao-Guang Wu Xuan Wu Ze-Peng Wu Cong Xia Li-Kun Xie Han yi Tao Yu Yong-Ji Yu Guo-Hui Zhang Hang-Chang Zhang Qi-wei Zhang Xian-Peng Zhang Yu-Liang Zhang Zhi-Yong Zhang Mao-Yuan Zhao Zhi-Hao Zhou Ke-Jun Zhu Chong Zou 《Nuclear Science and Techniques》 SCIE EI CAS CSCD 2024年第10期149-160,共12页
The back-streaming white-neutron beamline(Back-n)of the China Spallation Neutron Source is an essential neutronresearch platform built for the study of nuclear data,neutron physics,and neutron applications.Many types ... The back-streaming white-neutron beamline(Back-n)of the China Spallation Neutron Source is an essential neutronresearch platform built for the study of nuclear data,neutron physics,and neutron applications.Many types of cross-sectional neutron-reaction measurements have been performed at Back-n since early 2018.These measurements have shown that a significant number of gamma rays can be transmitted to the experimental stations of Back-n along with the neutron beam.These gamma rays,commonly referred to as in-beam gamma rays,can induce a non-negligible experimental background in neutron-reaction measurements.Studying the characteristics of in-beam gamma rays is important for understanding the experimental background.However,measuring in-beam gamma rays is challenging because most gamma-ray detectors are sensitive to neutrons;thus,discriminating between neutron-induced signals and those from in-beam gamma rays is difficult.In this study,we propose the use of the black resonance filter method and a CeBr_(3) scintillation detector to measure the characteristics of the in-beam gamma rays of Back-n.Four types of black resonance filters,^(181)Ta,^(59)Co,^(nat)Ag,and^(nat)Cd,were used in this measurement.The time-of-flight(TOF)technique was used to select the detector signals remaining in the absorption region of the TOF spectra,which were mainly induced by in-beam gamma rays.The energy distribution and flux of the in-beam gamma rays of Back-n were determined by analyzing the deposited energy spectra of the CeBr_(3) scintillation detector and using Monte Carlo simulations.Based on the results of this study,the background contributions from in-beam gamma rays in neutron-reaction measurements at Back-n can be reasonably evaluated,which is beneficial for enhancing both the experimental methodology and data analysis. 展开更多
关键词 In-beam gamma rays Back-n CeBr_(3)scintillator Black filter resonance technique
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Nondestructive technique for identifying nuclides using neutron resonance transmission analysis at CSNS Back-n
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作者 Sheng-Da Tang Yong-Hao Chen +72 位作者 Jing-Yu Tang Rui-Rui Fan Qiang Li Gong Li Dong Liu Zheng-Yao Jin Xing-Zhu Cui Tian-Xiang Chen yi-wei Yang Rong Liu Han yi Yang Li Zhen Yang Qi An Hao-Fan Bai jiang-Bo Bai Jie Bao Ping Cao Qi-Ping Chen Zhen Chen Zeng-Qi Cui An-Chuan Fan Chang-Qing Feng Fan-Zhen Feng Ke-Qing Gao Min-Hao Gu Chang-Cai Han Zi-Jie Han Guo-Zhu He Yong-Cheng He Yang Hong yi-wei Hu Han-Xiong Huang wei-Hua Jia Hao-yu jiang wei jiang Zhi-jie jiang Ling Kang Bo Li Chao Li Jia-Wen Li Xiao Li Jie Liu Shu-Bin Liu Guang-Yuan Luan Chang-Jun Ning Bin-Bin Qi Jie Ren Zhi-Zhou Ren Xi-Chao Ruan Zhao-Hui Song Kang Sun Zhi-Xin Tan Li-Jiao Wang Peng-Cheng Wang Zhao-Hui Wang Zhong-wei Wen Xiao-Guang Wu Xuan Wu Li-Kun Xie Yong-Ji Yu Guo-Hui Zhang Lin-Hao Zhang Mo-Han Zhang Qi-wei Zhang Xian-Peng Zhang Yu-Liang Zhang Yue Zhang Zhi-Yong Zhang Mao-Yuan Zhao Lu-Ping Zhou Zhi-Hao Zhou Ke-Jun Zhu 《Nuclear Science and Techniques》 SCIE EI CAS CSCD 2024年第1期178-187,共10页
Nondestructive and noninvasive neutron assays are essential applications of neutron techniques.Neutron resonance transmission analysis(NRTA)is a powerful nondestructive method for investigating the elemental compositi... Nondestructive and noninvasive neutron assays are essential applications of neutron techniques.Neutron resonance transmission analysis(NRTA)is a powerful nondestructive method for investigating the elemental composition of an object.The back-streaming neutron line(Back-n)is a newly built time-of-flight facility at the China Spallation Neutron Source(CSNS)that provides neutrons in the eV to 300 MeV range.A feasibility study of the NRTA method for nuclide identification was conducted at the CSNS Back-n via two test experiments.The results demonstrate that it is feasible to identify different elements and isotopes in samples using the NRTA method at Back-n.This study reveals its potential future applications. 展开更多
关键词 CSNS White neutron beam NRTA Nuclide identification Nondestructive method
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10B-doped MCP detector developed for neutron resonance imaging at Back-n white neutron source
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作者 Qiang Li Li‑Jiao Wang +70 位作者 Jing‑Yu Tang Xiang‑Biao Qiu Zhen Chen Mao‑Yuan Zhao Chang‑Jun Ning Kai Pan wei Xu Tao Li Su‑Peng Lu Han yi Rui‑Rui Fan Chang‑Qing Feng Rong Zhang Xiao‑Yang Sun Qi An Hao‑Fan Bai jiang‑Bo Bai Jie Bao Ping Cao Qi‑Ping Chen Yong‑Hao Chen Zeng‑Qi Cui An‑Chuan Fan Fan‑Zhen Feng Min‑Hao Gu Chang‑Cai Han Zi‑Jie Han Guo‑Zhu He Yong‑Cheng He Yang Hong yiwei Hu Han‑Xiong Huang wei jiang Zhi‑Jie jiang Zheng‑Yao Jin Ling Kang Bo Li Gong Li Xiao Li Yang Li Jie Liu Rong Liu Shu‑Bin Liu yi‑Na Liu Guang‑Yuan Luan Jie Ren Zhi‑Zhou Ren Xi‑Chao Ruan Zhao‑Hui Song Kang Sun Zhi‑Xin Tan Sheng‑Da Tang Jin‑Cheng Wang Peng‑Cheng Wang Zhao‑Hui Wang Zhong‑wei Wen Xiao‑Guang Wu Xuan Wu Cong Xia Yong‑Ji Yu Guo‑Hui Zhang Hang‑Chang Zhang Lin‑Hao Zhang Qi‑wei Zhang Xian‑Peng Zhang Yu‑Liang Zhang Yue Zhang Zhi‑Yong Zhang Zhi‑Hao Zhou Ke‑Jun Zhu Chong Zou 《Nuclear Science and Techniques》 SCIE EI CAS CSCD 2024年第8期58-68,共11页
Neutron resonance imaging(NRI)has recently emerged as an appealing technique for neutron radiography.Its complexity surpasses that of conventional transmission imaging,as it requires a high demand for both a neutron s... Neutron resonance imaging(NRI)has recently emerged as an appealing technique for neutron radiography.Its complexity surpasses that of conventional transmission imaging,as it requires a high demand for both a neutron source and detector.Consequently,the progression of NRI technology has been sluggish since its inception in the 1980s,particularly considering the limited studies analyzing the neutron energy range above keV.The white neutron source(Back-n)at the China Spallation Neutron Source(CSNS)provides favorable beam conditions for the development of the NRI technique over a wide neutron energy range from eV to MeV.Neutron-sensitive microchannel plates(MCP)have emerged as a cutting-edge tool in the field of neutron detection owing to their high temporal and spatial resolutions,high detection efficiency,and low noise.In this study,we report the development of a 10B-doped MCP detector,along with its associated electronics,data processing system,and NRI experiments at the Back-n.Individual heavy elements such as gold,silver,tungsten,and indium can be easily identified in the transmission images by their characteristic resonance peaks in the 1–100 eV energy range;the more difficult medium-weight elements such as iron,copper,and aluminum with resonance peaks in the 1–100 keV energy range can also be identified.In particular,results in the neutron energy range of dozens of keV(Aluminum)are reported here for the first time. 展开更多
关键词 Neutron resonance imaging 10B doped MCP detector White neutron source Sample nuclide identification
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驴乳发酵前后游离氨基酸的比较研究 被引量:7
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作者 肖会姣 李宇 +5 位作者 赵兵 蒋慧 涂裔伟 姚路迅 贾薇 张奇 《中国乳业》 2018年第6期64-67,共4页
为了研究驴乳发酵前后游离氨基酸的变化,以自行筛选的植物乳杆菌ZY001、鼠李糖乳杆菌ZY009和嗜热链球菌ZY010为发酵菌种,对驴乳进行发酵,采用氨基酸分析仪对驴乳发酵前后的游离氨基酸进行分析,比较其中的必需氨基酸和一些特殊生理活性... 为了研究驴乳发酵前后游离氨基酸的变化,以自行筛选的植物乳杆菌ZY001、鼠李糖乳杆菌ZY009和嗜热链球菌ZY010为发酵菌种,对驴乳进行发酵,采用氨基酸分析仪对驴乳发酵前后的游离氨基酸进行分析,比较其中的必需氨基酸和一些特殊生理活性氨基酸的含量。结果表明,发酵驴乳中成人必需氨基酸、小儿生长发育必需氨基酸、早产儿必需氨基酸及特殊生理活性氨基酸的含量均显著提高,且差异极其显著(p<0.01),提示驴乳发酵后可提供更多易于吸收的氨基酸。 展开更多
关键词 驴乳 发酵 氨基酸
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生髓健骨胶囊对酒精性骨质疏松大鼠TNF⁃α、TGF⁃β_(1)和空骨陷窝的影响 被引量:6
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作者 任树军 刘俊桐 +4 位作者 于长江 姜磊 谭福柱 申意伟 徐西林 《海南医学院学报》 CAS 2022年第3期187-191,共5页
目的:研究生髓健骨胶囊对酒精性骨质疏松大鼠肿瘤坏死因子-α(TNF-α)、转化生长因子-β_(1)(TGF-β_(1))和空骨陷窝的影响。方法:将120只SD大鼠随机分为4组,每组30只,分别为空白组、模型组、西药对照组和中药干预组。除空白组外,其余... 目的:研究生髓健骨胶囊对酒精性骨质疏松大鼠肿瘤坏死因子-α(TNF-α)、转化生长因子-β_(1)(TGF-β_(1))和空骨陷窝的影响。方法:将120只SD大鼠随机分为4组,每组30只,分别为空白组、模型组、西药对照组和中药干预组。除空白组外,其余各组采用白酒灌胃法造模。西药对照组给予碳酸钙片与阿法D3混悬液灌胃,中药干预组给予生髓健骨胶囊与0.9%生理盐水注射液混悬液灌胃。干预8、12、16周后取材,检测股骨TNF-α和TGF-β_(1)的数值。解剖出股骨头采用苏木精-伊红(HE)染色法后,在光镜下观察骨陷窝,计算空骨陷窝率,进行组间比较。结果:与空白组对比,模型组TNF-α和空骨陷窝率明显升高,TGF-β_(1)明显降低,差异具有统计学意义(P<0.01)。与模型组对比,西药对照组和中药干预组TNF-α和空骨陷窝率明显降低,TGF-β_(1)明显升高,差异具有统计学意义(P<0.01)。中药干预组效果优于西药对照组,差异具有统计学意义(P<0.05)。结论:生髓健骨胶囊能减弱酒精性骨质疏松大鼠骨组织中TNF-α的表达,增强TGF-β_(1)的表达,降低空骨陷窝率,达到防治酒精性骨质疏松的作用。 展开更多
关键词 酒精性骨质疏松 生髓健骨胶囊 TNF‑α TGF‑β_(1) 空骨陷窝
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