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细针穿刺活检联合RJ-TIRADS在诊断老年甲状腺结节良恶性中的价值 被引量:5
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作者 郭艳 葛娟娟 +10 位作者 陈晨 尹吉明 王小龙 陈家庚 杜燕伟 段园园 凡雪霖 郑磊 王西勇 詹维伟 张璐 《诊断学理论与实践》 2020年第3期286-291,共6页
目的:分析瑞金甲状腺影像报告与数据系统(Ruijin-thyroid imaging reporting and data system,RJTIRADS)联合细针穿刺活检(fine-needle aspiration biopsy,FNAB)在老年甲状腺结节患者中的诊断价值。方法:2017年4月至2020年4月,选取在安... 目的:分析瑞金甲状腺影像报告与数据系统(Ruijin-thyroid imaging reporting and data system,RJTIRADS)联合细针穿刺活检(fine-needle aspiration biopsy,FNAB)在老年甲状腺结节患者中的诊断价值。方法:2017年4月至2020年4月,选取在安徽省宿州市立医院超声科和上海交通大学医学院附属瑞金医院超声科检查并行FNAB及手术治疗的甲状腺结节病例,共纳入117例≥60岁的患者,其中男性30例,女性87例,共129个结节,98个为恶性结节,31个为良性结节。对患者所有结节的超声图像进行分析,观察并记录结节的大小、内部结构、回声、形态、边缘、钙化灶。采用RJ-TIRADS分类方法(计数版),0个恶性特征评为3类,1个恶性特征评为4A类,2个恶性特征评为4B类,3~4个恶性特征评为4C类,5个恶性特征评为5类。以术后组织病理诊断为金标准,计算老年患者中RJ-TITADS及FNAB单独或联合诊断甲状腺癌的灵敏度、特异度、阳性预测值、阴性预测值和准确率。结果:实性的超声特征在男性和女性甲状腺癌患者中分别占91.7%和100%,差异有统计学意义(P<0.05);RJ-TIRADS分类结果显示,老年患者中4A^4C类结节的恶性风险(59.3%、88.4%、100%)高于整体人群中4A^4C类结节的恶性风险(5.0%~20.0%、21.0%~50.0%、51.0%~90.0%)(P<0.05);FNAB诊断甲状腺癌的灵敏度、特异度、准确率分别为99.0%、83.9%和95.3%,高于实性、低回声、纵横比>1、边缘不光整、微钙化这5个可疑恶性超声特征的诊断价值;FNAB联合RJ-TIRADS可将≥RJ-TIRADS 4A结节的诊断特异度、准确率从29.0%、82.9%提高到87.1%、96.9%。结论:老年甲状腺癌患者中,女性患者出现实性结节多于男性;老年患者中RJ-TIRADS(计数版)4类结节的恶性风险较整体人群升高;FNAB联合RJ-TIRADS可提高甲状腺结节的超声诊断效能。 展开更多
关键词 甲状腺影像报告与数据系统 甲状腺结节 细针穿刺活检 老年患者
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2020年京津冀地区林地和其他生物质碳汇量研究 被引量:4
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作者 侯瑞萍 陈健 +5 位作者 夏朝宗 宋佳庚 黄翔 郑芊卉 安天宇 郝月兰 《林业资源管理》 北大核心 2022年第5期42-52,共11页
以全国林业应对气候变化碳汇计量监测体系建设结果数据为基础,应用森林碳库专项调查建立的碳计量模型和参数,结合历次森林资源清查成果数据,估算了2020年京津冀地区林地和其他生物质碳汇量,测算了重点生态工程和重大战略实施区对京津冀... 以全国林业应对气候变化碳汇计量监测体系建设结果数据为基础,应用森林碳库专项调查建立的碳计量模型和参数,结合历次森林资源清查成果数据,估算了2020年京津冀地区林地和其他生物质碳汇量,测算了重点生态工程和重大战略实施区对京津冀地区碳汇量的贡献。结果表明:1)2020年京津冀地区林地碳汇量23.918Tg CO_(2)/a、散生木和四旁树等其他生物质碳汇量0.467 Tg CO_(2)/a。林地和其他生物质碳汇量中,乔木林地所占比例最大;京津冀地区3个省(市)中,河北省林地和其他生物质碳汇量最大,天津市最小;生物量碳库贡献最大(92.13%);“一直为林地的土地”产生碳汇量贡献最大(87.67%),其中“一直为乔木林的土地”产生的碳汇量占79.78%。2)通过3个重点生态工程(京津风沙源治理工程、三北防护林工程、太行山绿化工程)和1个重点战略实施区(京津冀协调发展区)对京津冀地区林地碳汇量贡献的测算分析可知,“京津冀协同发展区”贡献率最大(65.31%),其次是“京津风沙源治理工程”“太行山绿化工程”,其贡献率分别为37.55%和34.16%;三北防护林工程影响较小。 展开更多
关键词 京津冀地区 碳库 碳储量 碳汇量 碳中和
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openEuler中C标准库替换的兼容性分析 被引量:1
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作者 吴亦泽 于佳耕 +1 位作者 郑晨 武延军 《计算机研究与发展》 EI CSCD 北大核心 2023年第7期1514-1532,共19页
当前大多数Linux发行版使用功能强大的glibc(GNU C library)作为C标准库(简称C库),但glibc的LGPL协议存在商用不友好条款,制约了商业Linux发行版的推广.一种可行的解决方案是选择某个与glibc相比尚有功能缺陷但适宜商用的C库加以补全,... 当前大多数Linux发行版使用功能强大的glibc(GNU C library)作为C标准库(简称C库),但glibc的LGPL协议存在商用不友好条款,制约了商业Linux发行版的推广.一种可行的解决方案是选择某个与glibc相比尚有功能缺陷但适宜商用的C库加以补全,从而制成新的C库以替代glibc.开源欧拉(openEuler)操作系统社区以MIT协议的musl libc作为新的C库选型.新C库对已有应用软件的兼容是成功替换的关键,而精确的兼容性分析算法不仅可以定位缺失API,还可以量化计算兼容性和API补全的优先级.为此,提出兼容性分析算法来研究openEuler的4种主要软件生态中的musl libc兼容性和缺失API优先级.基于应用软件包之间的依赖关系和谷歌PageRank算法的思想,提出了PackageRank算法和APIRank算法,分别用于软件包兼容性度量和优先级计算.这2种算法提供了系统个性化兼容分析的方法,所需信息易于获取,适用于缺乏用户数据统计的、尚不完整而仍有开发需求的系统及构件.这2种算法在musl libc上的分析结果清晰准确,与软件生态的特点和现状相符,与musl libc的国际社区开发者的观点接近,为openEuler的新C库补全工作提供了有效指导. 展开更多
关键词 兼容性 C标准库 应用程序编程接口 musl libc 开源欧拉
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Particle-scale and sub-grid drag models coupled CFD for simulating the CO methanation in a CFB riser 被引量:1
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作者 jiageng Li Yong Jia +3 位作者 Bo Ouyang Bolun Yang zheng-Hong Luo Zhong-Wen Liu 《Particuology》 SCIE EI CSCD 2023年第12期178-193,共16页
The diffusion and chemical reactions inside the catalyst particles and the heterogeneous flow structure in the computational cells are key factors to affect the accuracy of the coarse-grid simulation in circulating fl... The diffusion and chemical reactions inside the catalyst particles and the heterogeneous flow structure in the computational cells are key factors to affect the accuracy of the coarse-grid simulation in circulating fluidized bed(CFB)methanation reactors.In this work,a particle-scale model is developed to calculate the effective reaction rate considering the transient diffusion and chemical reactions in the particle scale,i.e.,the scale of the single catalyst particle.A modified sub-grid drag model is proposed to consider the effects of the meso-scale and chemical reactions on the heterogeneous gas-solid interaction,where the meso-scale is between the single particle and the whole reactor and featured with the particle cluster.Subsequently,a coupled model is developed by integrating the particle-scale and modified sub-grid drag models into CFD.Moreover,the coupled model is validated to achieve accurate predictions on the CO methanation process in a CFB riser.Notably,the coupled model can be performed with a coarse grid(∼58 times particle diameter)and a large time step(0.005 s)to accelerate the simulation.By simply changing the reaction kinetics,different gas-solid catalytic reaction systems can be simulated by using the coupled model. 展开更多
关键词 Computational fluid dynamics Circulating fluidized bed co methanation Particle-scale model Drag model
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Synthesis of vertical graphene nanowalls by cracking n-dodecane using RF inductively-coupled plasma-enhanced chemical vapor deposition
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作者 jiageng zheng Qinhuai TAN +5 位作者 Hang CHEN Angjian WU Xiaodong LI Jianhua YAN Jiaxu DAI Jiao ZHOU 《Plasma Science and Technology》 SCIE EI CAS CSCD 2020年第2期95-103,共9页
A facile and controllable one-step method to treat liquid hydrocarbons and synthesize vertical graphene nanowalls has been developed by using the technique of inductively-coupled plasma-enhanced chemical vapor deposit... A facile and controllable one-step method to treat liquid hydrocarbons and synthesize vertical graphene nanowalls has been developed by using the technique of inductively-coupled plasma-enhanced chemical vapor deposition for plasma cracking of n-dodecane.Herein,the morphology and microstructure of solid carbon material and graphene nanowalls are characterized in terms of different operating conditions,i.e.input power,H2/Ar ratio,injection rate and reaction temperature.The results reveal that the optimal operating conditions were 500 W,5:10,30μl min^-1 and 800℃ for the input power,H2/Ar ratio,injection rate and reaction temperature,respectively.In addition,the degree of graphitization and the gaseous product are analyzed by Raman spectroscopy and gas chromatography detection.It can be calculated from the Raman spectrum that the relative intensity of ID/IG is approximately 1.55,and I2D/IG is approximately 0.48,indicating that the graphene prepared from n-dodecane has a rich defect structure and a high degree of graphitization.By calculating the mass loading and detecting the outlet gas,we find that the cracking rate of n-dodecane is only 6%-7%and that the gaseous products below C2 mainly include CH4,C2H2,C2H4,C2H6 and H2.Among them,the proportion of hydrogen in the outlet gas of n-dodecane cracking ranges from 1.3%-15.1%under different hydrogen flows.Based on our research,we propose a brand new perspective for both liquid hydrocarbon treatment and other value-added product syntheses. 展开更多
关键词 ICPECVD n-dodecane cracking vertical graphene nanowalls
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Conversion of coalbed methane surrogate into hydrogen and graphene sheets using rotating gliding arc plasma
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作者 Angjian WU Hang CHEN +8 位作者 jiageng zheng Jian YANG Xiaodong LI Changming DU Zhiliang CHEN Aoni XU Jie QIU Yi XU Jianhua YAN 《Plasma Science and Technology》 SCIE EI CAS CSCD 2019年第11期55-67,共13页
The use of atmospheric rotating gliding arc(RGA)plasma is proposed as a facile,scalable and catalyst-free approach to synthesizing hydrogen(H2)and graphene sheets from coalbed methane(CBM).CH4 is used as a CBM surroga... The use of atmospheric rotating gliding arc(RGA)plasma is proposed as a facile,scalable and catalyst-free approach to synthesizing hydrogen(H2)and graphene sheets from coalbed methane(CBM).CH4 is used as a CBM surrogate.Based on a previous investigation of discharge properties,product distribution and energy efficiency,the operating parameters such as CH4 concentration,applied voltage and gas flow rate can effectively affect the CH4 conversion rate,the selectivity of H2 and the properties of solid generated carbon.Nevertheless,the basic properties of RGA plasma and its role in CH4 conversion are scarcely mentioned.In the present work,a 3D RGA model,with a detailed nonequilibrium CH4/Ar plasma chemistry,is developed to validate the previous experiments on CBM conversion,aiming in particular at the distribution of H2 and other gas products.Our results demonstrate that the dynamics of RGA is derived from the joint effects of electron convection,electron migration and electron diffusion,and is prominently determined by the variation of the gas flow rate and applied voltage.Subsequently,a combined experimental and chemical kinetical simulation is performed to analyze the selectivity of gas products in an RGA reaction,taking into consideration the formation and loss pathways of crucial targeted substances(such as CH4,C2H2,H2 and H radicals)and corresponding contribution rates.Additionally,the effects of operating conditions on the properties of solid products are investigated by scanning electron microscopy(SEM)and Raman spectroscopy.The results show that increasing the applied voltage and decreasing CH4 concentration will change the solid carbon from its initial spherical structure into folded multilayer graphene sheets,while the size of the graphene sheets is slightly affected by the change in gas flow rate. 展开更多
关键词 coalbed METHANE HYDROGEN graphene SHEETS ROTATING GLIDING arc(RGA) multi-physical field coupling plasma chemistry
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互联网医疗服务接受度及影响因素研究 被引量:15
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作者 杨立成 陈佳庚 +1 位作者 高雅杰 陈政 《中国医药导报》 CAS 2019年第32期55-58,共4页
目的 通过对互联网医疗服务接受度及影响因素研究,提出发展互联网医疗服务的对策及建议。方法 选取2018年1~6月天津市5所三级综合医院门诊就诊患者,采用问卷调查法,了解、分析患者对互联网医疗服务的需求和使用意愿。结果 性别、年龄、... 目的 通过对互联网医疗服务接受度及影响因素研究,提出发展互联网医疗服务的对策及建议。方法 选取2018年1~6月天津市5所三级综合医院门诊就诊患者,采用问卷调查法,了解、分析患者对互联网医疗服务的需求和使用意愿。结果 性别、年龄、职业、文化程度、患慢性病的病种数等因素比较,差异有统计学意义(P <0.05或P <0.01)。患者对互联网医疗改善医疗环境、提供有效便捷医疗服务的期望值最高。结论 完善互联网医疗环境,打造互联网医疗服务品质,加大政府扶持力度,强化互联网医疗的规范性,加强宣传引导,对于发展互联网医疗服务具有现实意义。 展开更多
关键词 互联网医疗服务 接受度 影响因素 多元逐步回归法
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