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Increasing the frequency of CIK cells adoptive immunotherapy may decrease risk of death in gastric cancer patients 被引量:83
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作者 jing-Ting Jiang, Chang-Ping Wu, Lu-Jun Chen, Xiao Zheng, Department of Tumor Biological Treatment, Third Affiliated Hospital of Soochow University, Changzhou 213003, Jiangsu Province, China Yi-Bei Zhu, jing Sun, Xue-Guang Zhang, Key Laboratory of Stem Cell of Jiangsu Province, Institute of Biotechnology, Key Laboratory of Clinical Immunology of Jiangsu Province, Soochow University, Suzhou 215123, Jiangsu Province, China yue-Ping Shen, Wen-Xiang Wei, Department of Medicine, Soochow University, Suzhou 215123, Jiangsu Province, China Bin-Feng Lu, Department of Immunology, University of Pitts- burgh School of Medicine, Pittsburgh, PA 15261, United States 《World Journal of Gastroenterology》 SCIE CAS CSCD 2010年第48期6155-6162,共8页
AIM: To analyze the correlation between cytokineinduced killer (CIK) cells adoptive immunotherapy and cancer-related death in gastric cancer patients. METHODS: One hundred and fifty-six gastric cancer patients after o... AIM: To analyze the correlation between cytokineinduced killer (CIK) cells adoptive immunotherapy and cancer-related death in gastric cancer patients. METHODS: One hundred and fifty-six gastric cancer patients after operation at the Third Affiliated Hospital of Soochow University were enrolled in this study. Their clinical data including demographic characteristics, operation time, tumor size, pathological type and staging, tumor metastasis, outcome of chemotherapy or CIK cells adoptive immunotherapy, survival time or time of death were collected with a standard structured questionnaire. Kaplan-Meier method was used to estimate the median survival time, and the 2- and 5- year survival rates. Hazard risk (HR) and 95% confidence interval (95% CI) of CIK cells adoptive immunotherapy for gastric cancer were calculated using the two-stage time-dependent covariates Cox model. RESULTS: The survival time of gastric cancer patients was longer after CIK cells adoptive immunotherapy than after chemotherapy (χ 2 = 10.907, P = 0.001). The median survival time of gastric cancer patients was also longer after CIK cells adoptive immunotherapy than after chemotherapy (49 mo vs 27 mo, P < 0.05). The 2- and 5-year survival rates of gastric cancer patients were significantly higher after CIK cells adoptive immunotherapy than after chemotherapy (73.5% vs 52.6%, 40.4% vs 23.9%, P < 0.05). A significant difference was observed in the survival curve for patients who received CIK cells adoptive immunotherapy (0, 1-10, 11-25, and over 25 frequencies) (χ 2 = 14.534, P = 0.002). The frequencies of CIK cells adoptive immunotherapy were significantly related with the decreasing risk of death in gastric cancer patients after adjustment for sex and age of the patients, tumor stage and relapse (HR = 0.54, 95% CI: 0.36-0.80) when the first stage Cox model was used to define the subjects who remained alive beyond 36 mo as survivors. However, no correlation was observed between the frequencies of death in CIK cells adoptive immunotherapy and the 展开更多
关键词 IMMUNOTHERAPY Cytokine-induced KILLER cells GASTRIC cancer Survival analysis Probability
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26例新型冠状病毒肺炎确诊病例临床和流行病学特征 被引量:77
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作者 庄英杰 陈竹 +9 位作者 李进 杨兴龙 李靖 袁月 管群 贾红军 马婧怡 吴丹 马洪滨 汤紫荣 《中华医院感染学杂志》 CAS CSCD 北大核心 2020年第6期826-829,共4页
目的分析新型冠状病毒肺炎确诊病例临床和流行病学特征,为制定疫情防控策略和措施提供科学依据。方法根据国家卫健委《新型冠状病毒感染的肺炎防控方案(第三版)》中的《新型冠状病毒感染的肺炎病例流行病学调查方案》,对2020年1月以来... 目的分析新型冠状病毒肺炎确诊病例临床和流行病学特征,为制定疫情防控策略和措施提供科学依据。方法根据国家卫健委《新型冠状病毒感染的肺炎防控方案(第三版)》中的《新型冠状病毒感染的肺炎病例流行病学调查方案》,对2020年1月以来解放军总医院第五医学中心收治的26例新型冠状病毒肺炎确诊病例开展流行病学调查研究。结果病例男女比例2.25∶1;汉族25例;>18岁22例(84.62%);企业和公司人员、技术人员和学生共计11例(42.31%);北京市15例(57.69%),湖北省6例(23.08%);武汉旅游史14例(53.85%),武汉居住史13例(50.00%);周围人群发病10例(38.46%),确诊病例接触史12例(46.15%);聚集性发病11例(42.31%);发热20例(76.92%),乏力14例(53.85%),干咳8例(30.77%)。结论病例以男性为主;>40岁为高发人群;北京市的早期病例多具有武汉旅游或公差史以及武汉来京人员密切接触史;近半数病例多因共同居住生活和密切接触等导致聚集性发病。 展开更多
关键词 新型冠状病毒肺炎 新型冠状病毒 临床表现 流行病学特征
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基于BOPPPS模型的教学创新设计——以“机械设计”课程为例 被引量:60
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作者 金鑫 李良军 +1 位作者 杜静 岳勇 《高等工程教育研究》 CSSCI 北大核心 2022年第6期19-24,共6页
新工科背景下机械工程教育改革亟需进一步创新课程知识体系、教学手段与方式。以重庆大学机械设计课程为例,开展基于BOPPPS教学模式的课程教学创新设计,深度融合成果导向教育(OBE)与对分课堂(PAD Class)理念。通过问卷调查以及学生评教... 新工科背景下机械工程教育改革亟需进一步创新课程知识体系、教学手段与方式。以重庆大学机械设计课程为例,开展基于BOPPPS教学模式的课程教学创新设计,深度融合成果导向教育(OBE)与对分课堂(PAD Class)理念。通过问卷调查以及学生评教结果显示,教学模式可以显著提升学生学习效率和效果,为工程教育课程教学创新设计提供借鉴和参考。 展开更多
关键词 新工科 BOPPPS OBE 对分课堂 创新实践
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近20年中国水资源及用水量变化规律与成因分析 被引量:58
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作者 刘晶 鲍振鑫 +4 位作者 刘翠善 王国庆 刘悦 王婕 管晓祥 《水利水运工程学报》 CSCD 北大核心 2019年第4期31-41,共11页
水资源成为制约我国经济社会再发展的主要因素之一。水安全问题已上升到国家安全的战略高度,特别是近年来水资源短缺等问题加剧了水安全形势。选取我国10个水资源一级区1997-2016年水资源量及用水数据,借助Mann-Kendall法对其进行显著... 水资源成为制约我国经济社会再发展的主要因素之一。水安全问题已上升到国家安全的战略高度,特别是近年来水资源短缺等问题加剧了水安全形势。选取我国10个水资源一级区1997-2016年水资源量及用水数据,借助Mann-Kendall法对其进行显著性检验,采用Kendall倾斜度表征各要素时间序列变化特征。从时间和空间尺度上揭示我国水资源及用水量变化特征及规律。分析表明:近20年我国水资源总量呈不明显减少趋势,其中北方水资源总量增加不明显,南方水资源量减少不明显。我国总用水量显著增加,除农业用水增加不明显外,其他各行业用水都呈显著增加趋势,尤其生活用水增加最明显。十大水资源一级区相邻区域水资源总量和总用水量的变化特征表现出相似性,不同地区变化特征表现出空间异质性。与国际水资源利用领先水平相比,我国农业节水潜力较大。 展开更多
关键词 水资源 用水量 演变规律 MANN-KENDALL法
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2015年中国大陆流行性感冒流行特征分析 被引量:51
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作者 陈涛 杨静 +6 位作者 汪立杰 祝菲 成艳辉 李越 严文婧 王大燕 舒跃龙 《热带病与寄生虫学》 2016年第1期3-5,2,共3页
目的对2015 年流行性感冒的监测结果及流行特征进行分析总结,对2016 的流行趋势进行预判。方法统计中国流感监测信息系统以及突发公共卫生事件信息管理系统2015 年全年中国大陆地区的流感样病例(ILI)监测数据以及流感样病例爆发疫情... 目的对2015 年流行性感冒的监测结果及流行特征进行分析总结,对2016 的流行趋势进行预判。方法统计中国流感监测信息系统以及突发公共卫生事件信息管理系统2015 年全年中国大陆地区的流感样病例(ILI)监测数据以及流感样病例爆发疫情数据。结果2015 年夏季南方出现了流行高峰,北方维持在低水平,均为A(H3N2)亚型占绝对优势。南北方省份均在12月份开始相继进入2015~2016 冬春季流感流行季节,甲型H1N1、A(H3N2)和B 型共同流行。结论预计2016 年2 月下旬,流感活动水平将达到峰值,春夏季中国大陆省份将以甲型H1N1、A(H3N2)和B 型流感共同流行,但以甲型H1N1 流感为主要流行株。 展开更多
关键词 中国大陆 流行性感冒 监测 流行特征
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北京市40~79岁居民糖尿病与空腹血糖受损流行病学现状及其危险因素研究 被引量:49
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作者 方凯 马爱娟 +7 位作者 李航 董晶 谢瑾 谢晨 祁琨 周滢 赵越 董忠 《中国全科医学》 CAS 北大核心 2019年第9期1014-1020,共7页
背景流行病学调查显示我国成人2型糖尿病患病率不断攀升,加之庞大的人口基数及日益严重的老龄化趋势,预计未来糖尿病将造成沉重的疾病负担。年龄≥40岁是成人糖尿病的高危因素之一,有必要重视高危人群的糖尿病和空腹血糖受损的患病情况... 背景流行病学调查显示我国成人2型糖尿病患病率不断攀升,加之庞大的人口基数及日益严重的老龄化趋势,预计未来糖尿病将造成沉重的疾病负担。年龄≥40岁是成人糖尿病的高危因素之一,有必要重视高危人群的糖尿病和空腹血糖受损的患病情况及其影响因素,有针对性地进行糖尿病的预防和控制。目的调查北京市40~79岁居民糖尿病、空腹血糖受损的流行病学现状并探讨其危险因素。方法选取2014年北京市40~79岁的常住居民(过去1年内在北京市累计居住6个月以上),采用多阶段分层随机抽样的方法,将北京市16个区作为调查点,共抽取36个乡镇/街道、180个社区中的19 815例常住居民。采用集中调查和入户调查相结合的方式对常住居民进行调查,调查内容包括问卷调查、体格检查和实验室检测3部分;问卷调查内容包括基本人口学特征、行为因素、个人疾病史;体格检查包括身高、体质量和血压;实验室检测包括空腹血糖(FPG)、总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白胆固醇(LDL-C)和高密度脂蛋白胆固醇(HDL-C)。采用多因素Logistic回归分析分析糖尿病、空腹血糖受损患病的影响因素。结果共纳入40~79岁居民11 889例,糖尿病患病率为12.11%,标化患病率为13.56%,男性糖尿病标化患病率高于女性(P<0.01)。糖尿病患病率随年龄增加而上升(χ~2趋势=317.38,P<0.01),男性、女性糖尿病患病率随年龄增加而上升(男性:χ~2趋势=78.05,P<0.01;女性:χ~2趋势=292.86,P<0.01)。城区糖尿病标化患病率高于郊区(P<0.01)。多因素Logistic回归分析结果显示,年龄、性别、居住地、饮酒、体质指数(BMI)、高血压和血脂异常是糖尿病患病的影响因素(P<0.05)。空腹血糖受损患病率5.22%,标化患病率为5.82%,男性空腹血糖受损标化患病率高于女性(P<0.01)。空腹血糖受损患病率随年龄增加而上升(χ~2趋势=75.84,P<0.01);男� 展开更多
关键词 糖尿病 流行病学研究 空腹血糖受损 患病率 危险因素
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乡村人居环境系统韧性的演变规律及其提升路径——以国家城乡融合发展试验区重庆西部片区为例 被引量:41
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作者 王成 代蕊莲 +2 位作者 陈静 沈悦 冀萌竹 《自然资源学报》 CSSCI CSCD 北大核心 2022年第3期645-661,共17页
以国家城乡融合发展试验区——重庆西部片区为研究区,以2009年、2014年、2019年为研究时点,以2009—2019年为研究时段,按照思想缘起、理论基础、实证演绎、提升路径的研究思路,建立乡村人居环境系统韧性测度的指标体系,分析其演变规律... 以国家城乡融合发展试验区——重庆西部片区为研究区,以2009年、2014年、2019年为研究时点,以2009—2019年为研究时段,按照思想缘起、理论基础、实证演绎、提升路径的研究思路,建立乡村人居环境系统韧性测度的指标体系,分析其演变规律。研究结果表明:2009—2019年,重庆西部片区的乡村人居环境系统韧性水平不断上升,呈现出"南高北低"的空间格局。各子系统韧性在时间上呈现出不同程度的增长趋势,在空间上差异明显:自然系统韧性与人类系统韧性分别呈现出"由南向北递减"和"东西部向中部递减"的空间格局;居住系统韧性与支撑系统韧性则分别呈现出由"低值点缀分布"逐渐过渡到较为均衡和"普遍均衡、高低值点缀"的空间格局;社会系统韧性表现为"西部增强、东部减弱"的空间格局特征。借助障碍度模型对重庆西部片区乡村人居环境系统韧性提升的障碍因子及不同区县面临的主导障碍进行诊断,根据结果将重庆西部片区划分为单一主导障碍型、双重障碍型与三层障碍型三种类型,据此设计乡村人居环境系统韧性提升的差异化路径,以期打破重庆西部片区乡村人居环境系统韧性提升的多重制约。 展开更多
关键词 乡村人居环境系统韧性 演变规律 障碍因素 韧性提升路径 重庆西部片区
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Dynamic expression of apoptosis-related genes during development of laboratory hepatocellular carcinoma and its relation to apoptosis 被引量:38
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作者 Xiao-Xian Duan jing-Sheng Ou Yuan Li Jian-Jia Su Chao Ou Chun Yang Hui-Fen yue Ke-Chen Ban 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第30期4740-4744,共5页
AIM: To explore the expression of p53, bcl-2, bax, survivin and the cell apoptosis during the development of tree shrew hepatocellular carcinoma (HCC), the relationship between expression of these genes, its impact... AIM: To explore the expression of p53, bcl-2, bax, survivin and the cell apoptosis during the development of tree shrew hepatocellular carcinoma (HCC), the relationship between expression of these genes, its impact on HCC development, and its relation to cell apoptosis. METHODS: Tree shrew HCC was induced with aflatoxin B1 (AFB1), and regular biopsy of liver tissues was carried out and the biopsy tissues were collected during cancer inducement. Liver biopsy tissue and HCC tissue were collected from 35 pre-cancerous experimental animals at wk 30 and 60 and at the 30^th, 60^th, and 90^th -wk. Liver biopsy tissues were collected from 13 blank control animals at wk 30, 60, and 90. Expression of p53, bcl-2, bax, and survivin at each stage was examined by immunohistochemistry method. Apoptotic cells were detected in situ by the terminal deoxynucleotidyl transferase-mediated nick end labeling (TUNEL) technique. RESULTS: The apoptosis rate of normal hepatic cells was extremely low, whereas it increased during the formation of HCC. Expression of the apoptosis-related genes p53, bcl-2, bax, and survivin during the formation of HCC presented an increasing tendency. Expression of p53 did not noticeably relate to that of bcl-2, bax, and survivin, whereas expression of bcl-2 and bax was closely related. In HCC, p53 did not present a distinct relation to cell apoptosis, whereas its high level expression was probably related to liver cell proliferation. Survivin negatively correlated apoptosis index, and its overexpression could inhibit cell apoptosis. CONCLUSION: Apoptosis-related genes p53, bcl-2, bax, and survivin are all related to the occurrence of HCC. The anti-apoptosis effect of bcl-2 is influenced by bax, and ratio bcl/bax reflects more correctly the extent of cell apoptosis. 展开更多
关键词 Hepatocellular carcinoma APOPTOSIS GENE
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A High-Density SNP Genotyping Array for Rice Biology and Molecular Breeding 被引量:40
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作者 Haodong Chen Weibo Xie +11 位作者 Hang He Huihui Yu Wei Chen jing Li Renbo Yu yue Yao Wenhui Zhang Yuqing He Xiaoyan Tang Fasong Zhou Xing Wang Deng Qifa Zhang 《Molecular Plant》 SCIE CAS CSCD 2014年第3期541-553,共13页
A high-density single nucleotide polymorphism (SNP) array is critically important for geneticists and molecu- lar breeders. With the accumulation of huge amounts of genomic re-sequencing data and available technolog... A high-density single nucleotide polymorphism (SNP) array is critically important for geneticists and molecu- lar breeders. With the accumulation of huge amounts of genomic re-sequencing data and available technologies for accurate SNP detection, it is possible to design high-density and high-quality rice SNP arrays. Here we report the devel- opment of a high-density rice SNP array and its utility. SNP probes were designed by screening more than 10 000 000 SNP loci extracted from the re-sequencing data of 801 rice varieties and an array named RiceSNP50 was produced on the Illumina Infinium platform. The array contained 51 478 evenly distributed markers, 68% of which were within genic regions. Several hundred rice plants with parent/F1 relationships were used to generate a high-quality cluster file for accurate SNP calling. Application tests showed that this array had high genotyping accuracy, and could be used for dif- ferent objectives. For example, a core collection of elite rice varieties was clustered with fine resolution. Genome-wide association studies (GWAS) analysis correctly identified a characterized QTL. Further, this array was successfully used for variety verification and trait introgression. As an accurate high-throughput genotyping tool, RiceSNP50 will play an important role in both functional genomics studies and molecular breeding. 展开更多
关键词 single nucleotide polymorphisms (SNPs) ARRAY RICE molecular breeding.
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Effects of propofol, dexmedetomidine, and midazolam on postoperative cognitive dysfunction in elderly patients: a randomized controlled preliminary trial 被引量:40
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作者 Wei-Xia Li Ru-Yi Luo +4 位作者 Chao Chert Xiang Li jing-Sheng AO yue Liu Yi-Qing Yin 《Chinese Medical Journal》 SCIE CAS CSCD 2019年第4期437-445,共9页
Background: Postoperative cognitive dysfunction (POCD) is a serious complication after surgery, especially in elderly patients. The anesthesia technique is a potentially modifiable risk factor for POCD. This study ass... Background: Postoperative cognitive dysfunction (POCD) is a serious complication after surgery, especially in elderly patients. The anesthesia technique is a potentially modifiable risk factor for POCD. This study assessed the effects of dexmedetomidine, propofol or midazolam sedation on POCD in elderly patients who underwent hip or knee replacement under spinal anesthesia. Methods: The present study was a prospective randomized controlled preliminary trial. From July 2013 and December 2014, a total of 164 patients aged 65 years or older who underwent hip or knee arthroplasty at China-Japan Friendship Hospital and 41 non-surgical controls were included in this study. Patients were randomized in a 1:1:1 ratio to 3 sedative groups. All the patients received combined spinal-epidural anesthesia (CSEA) with midazolam, dexmedetomidine or propofol sedation. The sedative dose was adjusted to achieve light sedation (bispectral index[BIS] score between 70 and 85). All study participants and controls completed a battery of 5 neuropsychological tests before and 7 days after surgery. One year postoperatively, the patients and controls were interviewed over the telephone using the Montreal cognitive assessment 5-minute protocol. Results: In all, 60 of 164 patients (36.6%) were diagnosed with POCD 7 days postoperatively, POCD incidence in propofol group was significantly lower than that in dexmedetomidine and midazolam groups (18.2% vs. 40.0%, 51.9%, χ^2 6.342 and 13.603, P= 0.012 and < 0.001). When the patients were re-tested 1 year postoperatively, the incidence of POCD was not significantly different among the 3 groups (14.0%, 10.6% vs. 14.9%, χ^2 0.016 and 0.382, P= 0.899 and 0.536). Conclusion: Among dexmedetomidine, propofol and midazolam sedation in elderly patients, propofol sedation shows a significant advantage in term of short-term POCD incidence. 展开更多
关键词 Cognitive dysfunction NEUROPSYCHOLOGICAL tests POSTOPERATIVE period SEDATIVES
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认知雷达波形优化设计方法综述 被引量:37
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作者 崔国龙 余显祥 +2 位作者 杨婧 付月 孔令讲 《雷达学报(中英文)》 CSCD 北大核心 2019年第5期537-557,共21页
认知雷达通过借鉴蝙蝠的认知学习过程,感知战场环境信息并反馈至发射机,从而实现自适应探测和处理,是未来雷达智能化发展的重点方向。其中如何充分利用目标与环境先验信息,设计雷达波形以提高目标检测、跟踪以及抗干扰等性能是认知雷达... 认知雷达通过借鉴蝙蝠的认知学习过程,感知战场环境信息并反馈至发射机,从而实现自适应探测和处理,是未来雷达智能化发展的重点方向。其中如何充分利用目标与环境先验信息,设计雷达波形以提高目标检测、跟踪以及抗干扰等性能是认知雷达发展的难点和重点。该文针对不同干扰环境、目标模型、天线配置(如:单发单收(SISO)和多发多收(MIMO))等的波形设计关键要素及主要思路进行了总结梳理,并从不同干扰与目标知识的利用角度,对近几年代表性的认知波形设计文献进行介绍和归纳,旨在为以后的研究提供参考和依据。 展开更多
关键词 目标检测 认知雷达 波形设计 优化理论
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阿尔茨海默病证候级联假说探讨 被引量:34
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作者 张学凯 时晶 +4 位作者 倪敬年 魏明清 李婷 岳利峰 田金洲 《中医杂志》 CSCD 北大核心 2019年第9期741-744,共4页
阿尔茨海默病(AD)是β淀粉样蛋白(Aβ)级联反应在临床上表现的一个连续谱,即从无症状的临床前期到有症状的轻度认知损害(极早期)和痴呆(早期、中期、晚期),与中医证候表现的正邪消长特征十分相似。根据临床调查、统计分析等结果进行逻... 阿尔茨海默病(AD)是β淀粉样蛋白(Aβ)级联反应在临床上表现的一个连续谱,即从无症状的临床前期到有症状的轻度认知损害(极早期)和痴呆(早期、中期、晚期),与中医证候表现的正邪消长特征十分相似。根据临床调查、统计分析等结果进行逻辑推理,认为AD进展期间中医证候演变并非"髓减""痰盛""瘀血""火盛""胃衰"等无序的单一证候,而是有时间顺序的证候级联,即"启动于肾虚,进展于痰瘀火,恶化于毒盛虚极",反映了AD发生、发展、恶化的规律,为制订AD治疗策略提供了理论依据,也有助于为AD证候演变进行个性化预警。 展开更多
关键词 阿尔茨海默病 证候级联假说 痴呆 肾虚 毒盛虚极 Β淀粉样蛋白
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新型冠状病毒肺炎患者定点收治医院的医疗管理 被引量:33
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作者 陈竹 庄英杰 +10 位作者 李进 杨兴龙 李靖 冯宇 汤紫荣 袁月 管群 贾红军 胡玫 马婧怡 姬军生 《中华医院感染学杂志》 CAS CSCD 北大核心 2020年第6期821-825,共5页
目的新型冠状病毒肺炎(COVID-19)具有传播速度快、波及范围广和病死率较高等特点,导致防控难度增加,医疗救治风险加剧,常态下的医院管理模式已不能满足当前疫情发展的需求,医疗救治和防控管理能力面临着全新的挑战。医院是救治场所也是... 目的新型冠状病毒肺炎(COVID-19)具有传播速度快、波及范围广和病死率较高等特点,导致防控难度增加,医疗救治风险加剧,常态下的医院管理模式已不能满足当前疫情发展的需求,医疗救治和防控管理能力面临着全新的挑战。医院是救治场所也是医院内交叉感染的源头,在有序开展诊疗工作的同时,消除疫情隐患,降低医院感染风险成为各级医疗机构工作的主旨。方法解放军总医院第五医学中心作为北京市和驻京部队定点收治医院,结合中心执行抗击非典型肺炎、甲型流感以及埃博拉病毒病等任务的实践经验,围绕医疗管理中的预警响应领受任务、成立应对处置机构、动员抽组培训、发热门诊和隔离病区、普通(门诊)病区、患者、一线工作人员管理和医疗废物处置等重点开展工作。结果医疗救治工作顺利有序展开,疫情防控工作科学规范实施。结论面对突发疫情,通过上述决策和措施,确保了收容及时,治疗科学规范,预防院内交叉感染取得了阶段性成果,为实现工作人员“零”感染和患者“零”交叉感染打下坚实基础。 展开更多
关键词 新型冠状病毒肺炎 新型冠状病毒 定点收治医院 医疗救治 医院感染防控
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多囊卵巢综合征卵巢储备功能降低患者肥胖及糖脂代谢特征 被引量:32
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作者 金婧 阮祥燕 +5 位作者 华琳 李杨璐 王利娟 王虎生 赵越 Alfred O.Mueck 《首都医科大学学报》 CAS 北大核心 2018年第4期505-511,共7页
目的探讨中国多囊卵巢综合征(polycystic ovary syndrome,PCOS)合并卵巢储备功能降低(diminished ovarian reserve,DOR)患者肥胖及糖脂代谢特征。方法选取2015年1月至2017年1月在首都医科大学附属北京妇产医院内分泌科就诊的多囊卵巢综... 目的探讨中国多囊卵巢综合征(polycystic ovary syndrome,PCOS)合并卵巢储备功能降低(diminished ovarian reserve,DOR)患者肥胖及糖脂代谢特征。方法选取2015年1月至2017年1月在首都医科大学附属北京妇产医院内分泌科就诊的多囊卵巢综合征患者338名(包括PCOS合并DOR功能降低患者57名及单纯PCOS患者281名)及同期就诊的正常对照组70名,记录研究对象的年龄、月经情况,测量其身高、体质量、腰围、臀围,测定基础血清卵泡刺激素(follicle stimulating hormone,FSH)、黄体生成素(luteinizing hormone,LH)、雌二醇(estradiol,E2)、睾酮(testosterone,T)、抗苗勒管激素(anti-Müllerian hormone,AMH)、空腹血糖(fasting plasma glucose,FPG)、空腹胰岛素(fasting insulin,FINS)、三酰甘油(triglyceride,TG)、总胆固醇(total cholesterol,TC)、高密度脂蛋白胆固醇(high density lipoprotein-cholesterol,HDL-C)、低密度脂蛋白胆固醇(low density lipoprotein-cholesterol,LDL-C),测量基础窦卵泡数(baseline antral follicle count,b AFC)。对多囊卵巢综合征合并卵巢储备功能低下患者、单纯多囊卵巢综合征及正常对照组的各指标进行比较,并对各组AMH与其他指标进行相关性分析。结果 (1)单纯PCOS患者、PCOS合并DOR患者及正常对照组全身型肥胖(≥25 kg/m2)的发生率分别为38.1%、40.4%及22.9%,腹型肥胖[腰臀比(waist hip ratio,WHR)≥0.85]的发生率分别为46.6%、21.1%及28.6%。PCOS合并DOR患者全身型肥胖率与单纯PCOS患者及正常对照组间的差异均无统计学意义(P>0.05),而腹型肥胖率低于单纯PCOS患者(P<0.05)。(2)PCOS合并DOR患者FPG、FINS、自我平衡模型分析法(homeostasis model assessment,HOMA)-计算胰岛素抵抗(insulin resistivity,IR)与单纯PCOS患者的差异均无统计学意义(P>0.05),而FPG、HOMA-IR均高于正常对照组(P<0.05)。(3)单纯PCOS患者、PCOS合并DOR患者TC、HDL-C及LDL-C均高于正常对照组(P<0.05),PCOS合并DOR患者TC、TG、HDL-C及LDL 展开更多
关键词 多囊卵巢综合征 卵巢储备功能降低 抗苗勒管激素 肥胖 胰岛素抵抗
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某住院医师规范化培训基地不同类型规范化培训人员能力评估情况的比较与分析 被引量:32
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作者 曾庆奇 刘婧 +3 位作者 高杰 周涛 崔月 王建六 《中华医学教育杂志》 2019年第6期461-465,共5页
目的了解指导教师对规范化培训人员(以下简称规培人员)各方面能力的评价情况,分析不同类型规培人员在培训过程中能力发展的同质化情况.方法由254名指导教师对2017年1 1月至2018年6月在某国家级住院医师规范化培训基地有过轮转出科的规... 目的了解指导教师对规范化培训人员(以下简称规培人员)各方面能力的评价情况,分析不同类型规培人员在培训过程中能力发展的同质化情况.方法由254名指导教师对2017年1 1月至2018年6月在某国家级住院医师规范化培训基地有过轮转出科的规培人员进行多维度能力评估.结果 377名规培人员接受评估,其各项能力的发展并不均衡,教学能力、专业知识和临床技能评分最低.不同类型规培人员,无论是单项能力评分还是总评分,其差异均具有统计学意义(均P<0.05).控制学历和年级后,logistic回归结果仍然呈现本院住院医师(OR=2.106,95%CI=1.185~3.745)、八年制医学生(OR=3.121,95%CI=1.836~5.306)和临床医学专业学位研究生(OR=1.374,95%CI=0.976~1.934)综合评分优于委培住院医师.结论不同类型规培人员在培训过程中各项能力的发展不具有同质性.因此,需要从制度上对各类规培人员实现身份的统一,培训中提供相同的资源并执行相同的标准,如此才能实现住院医师规范化培训的同质化目标. 展开更多
关键词 住院医师规范化培训 指导教师 评估 同质化
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The first data release(DR1) of the LAMOST regular survey 被引量:29
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作者 A-Li Luo Yong-Heng Zhao +134 位作者 Gang Zhao Li-Cai Deng Xiao-Wei Liu Yi-Peng jing Gang Wang Hao-Tong Zhang Jian-Rong Shi Xiang-Qun Cui Yao-Quan Chu Guo-Ping Li Zhong-Rui Bai yue Wu Yan Cai Shu-Yun Cao Zi-Huang Cao Jeffrey L.Carlin Hai-Yuan Chen Jian-Jun Chen Kun-Xin Chen Li Chen Xue-Lei Chen Xiao-Yan Chen Ying Chen Norbert Christlieb Jia-Ru Chu Chen-Zhou Cui Yi-Qiao Dong Bing Du Dong-Wei Fan Lei Feng Jian-Ning Fu Peng Gao Xue-Fei Gong Bo-Zhong Gu Yan-Xin Guo Zhan-Wen Han Bo-Liang He Jin-Liang Hou Yong-Hui Hou Wen Hou Hong-Zhuan Hu Ning-Sheng Hu Zhong-Wen Hu Zhi-Ying Huo Lei Jia Fang-Hua Jiang Xiang Jiang Zhi-Bo Jiang Ge Jin Xiao Kong Xu Kong Ya-Juan Lei Ai-Hua Li Chang-Hua Li Guang-Wei Li Hai-Ning Li Jian Li Qi Li Shuang Li Sha-Sha Li Xin-Nan Li Yan Li Yin-Bi Li Ye-Ping Li Yuan Liang Chien-Cheng Lin Chao Liu Gen-Rong Liu Guan-Qun Liu Zhi-Gang Liu Wen-Zhi Lu Yu Luo Yin-Dun Mao Heidi Newberg Ji-Jun Ni Zhao-Xiang Qi Yong-Jun Qi Shi-Yin Shen Huo-Ming Shi jing Song Yi-Han Song Ding-Qiang Su Hong-Jun Su Zheng-Hong Tang Qing-Sheng Tao Yuan Tian Dan Wang Da-Qi Wang Feng-Fei Wang Guo-Min Wang Hai Wang Hong-Chi Wang Jian Wang Jia-Ning Wang Jian-Ling Wang Jian-Ping Wang Jun-Xian Wang Lei Wang Meng-Xin Wang Shou-Guan Wang Shu-Qing Wang Xia Wang Ya-Nan Wang You Wang yue-Fei Wang You-Fen Wang Peng Wei Ming-Zhi Wei Hong Wu Ke-Fei Wu Xue-Bing Wu Yu-Zhong Wu Xiao-Zheng Xing Ling-Zhe Xu Xin-Qi Xu Yan Xu Tai-Sheng Yan De-Hua Yang Hai-Feng Yang Hui-Qin Yang Ming Yang Zheng-Qiu Yao Yong Yu Hui Yuan Hai-Bo Yuan Hai-Long Yuan Wei-Min Yuan Chao Zhai En-Peng Zhang Hua-Wei Zhang Jian-Nan Zhang Li-Pin Zhang Wei Zhang Yong Zhang Yan-Xia Zhang 《Research in Astronomy and Astrophysics》 SCIE CAS CSCD 2015年第8期1095-1124,共30页
The Large sky Area Multi-Object Fiber Spectroscopic Telescope(LAMOST) general survey is a spectroscopic survey that will eventually cover approximately half of the celestial sphere and collect 10 million spectra of ... The Large sky Area Multi-Object Fiber Spectroscopic Telescope(LAMOST) general survey is a spectroscopic survey that will eventually cover approximately half of the celestial sphere and collect 10 million spectra of stars, galaxies and QSOs. Objects in both the pilot survey and the first year regular survey are included in the LAMOST DR1. The pilot survey started in October 2011 and ended in June 2012, and the data have been released to the public as the LAMOST Pilot Data Release in August 2012. The regular survey started in September 2012, and completed its first year of operation in June 2013. The LAMOST DR1 includes a total of 1202 plates containing 2 955 336 spectra, of which 1 790 879 spectra have observed signalto-noise ratio(SNR) ≥ 10. All data with SNR ≥ 2 are formally released as LAMOST DR1 under the LAMOST data policy. This data release contains a total of 2 204 696 spectra, of which 1 944 329 are stellar spectra, 12 082 are galaxy spectra and 5017 are quasars. The DR1 not only includes spectra, but also three stellar catalogs with measured parameters: late A,FGK-type stars with high quality spectra(1 061 918 entries), A-type stars(100 073 entries), and M-type stars(121 522 entries). This paper introduces the survey design, the observational and instrumental limitations, data reduction and analysis, and some caveats. A description of the FITS structure of spectral files and parameter catalogs is also provided. 展开更多
关键词 techniques: spectroscopic survey—data release—catalog
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联合检测妊娠早中期孕妇血清PAPP-A、PLGF及子宫动脉血流参数预测子痫前期的临床意义 被引量:31
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作者 陈佳 郭静 +1 位作者 韩悦 曲冬颖 《解放军医药杂志》 CAS 2021年第2期60-64,共5页
目的探讨联合检测妊娠早中期孕妇血清妊娠相关血浆蛋白A(PAPP-A)、胎盘生长因子(PLGF)及子宫动脉血流参数预测子痫前期的临床意义。方法选取2017年4月—2019年4月于本院行产前检查的孕16周内孕妇180例为研究对象,行PAPP-A、PLGF及超声... 目的探讨联合检测妊娠早中期孕妇血清妊娠相关血浆蛋白A(PAPP-A)、胎盘生长因子(PLGF)及子宫动脉血流参数预测子痫前期的临床意义。方法选取2017年4月—2019年4月于本院行产前检查的孕16周内孕妇180例为研究对象,行PAPP-A、PLGF及超声子宫动脉血流参数[搏动指数(PI)、血流阻力指数(RI)、收缩期峰值流速/舒张末期血流速度比值(S/D)]检查,根据是否发生子痫前期分为子痫组72例和正常组108例,将子痫组按照病情严重程度分为轻度子痫组54例和重度子痫组18例,比较子痫组和正常组、轻度子痫组和重度子痫组的PAPP-A、PLGF、PI、RI、S/D,分析PAPP-A、PLGF、PI、RI、S/D单独和联合检测对子痫前期的预测价值及与子痫前期严重程度的相关性。结果子痫组PI、RI、S/D高于正常组,血清PAPP-A、PLGF水平低于正常组(P<0.01);重度子痫组PI、RI、S/D高于轻度子痫组,PAPP-A、PLGF水平低于轻度子痫组(P<0.05)。联合检测的灵敏度、特异性、阳性预测值、阴性预测值高于PAPP-A、PLGF、PI、RI、S/D的单独诊断(P<0.05)。PI、RI、S/D与子痫前期孕妇的病情严重程度呈正相关(r=0.471、0.462、0.432;P<0.01,P<0.05),PAPP-A、PLGF与子痫前期孕妇的病情严重程度呈负相关(r=-0.587、-0.597,P<0.01)。结论子痫前期孕妇在妊娠早中期即可出现PAPP-A及PLGF水平降低、子宫动脉血流参数升高,妊娠早中期联合检测PAPP-A、PLGF水平及子宫动脉血流参数对子痫前期的预测价值较高。 展开更多
关键词 子痫前期 妊娠相关血浆蛋白A 胎盘生长因子 子宫动脉 搏动血流 预测 超声检查 产前
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郫县豆瓣后发酵过程中挥发性呈香物质测定及主成分分析 被引量:29
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作者 罗静 赵红宇 +3 位作者 徐炜桢 杨国华 岳鹏 张良 《食品科学》 EI CAS CSCD 北大核心 2018年第18期209-216,共8页
为揭示郫县豆瓣特有"味辣香醇,酱香浓郁"的产品特征与挥发性呈香物质之间的关联关系,本研究以稳定发酵(6个月)至发酵末期(5 a)合计5个不同发酵阶段郫县豆瓣为对象,通过顶空固相微萃取及气相色谱-质谱联用技术测定5个不同后发... 为揭示郫县豆瓣特有"味辣香醇,酱香浓郁"的产品特征与挥发性呈香物质之间的关联关系,本研究以稳定发酵(6个月)至发酵末期(5 a)合计5个不同发酵阶段郫县豆瓣为对象,通过顶空固相微萃取及气相色谱-质谱联用技术测定5个不同后发酵期郫县豆瓣样品中挥发性呈香物质,并采用主成分分析进一步分析测定结果。结果表明,共检测出9个类别超过140种挥发性呈香物质,其中占优势的有乙酸乙酯、4-乙基愈创木酚、苯乙醇、乙醇、苯乙醛,平均相对含量分别为18.39%、10.58%、7.64%、7.16%、6.59%。随着后发酵时间延长,醛类、酯类、烃类及杂环类物质的相对含量增加,而醇类、酚类及酮类则呈下降趋势。挥发性呈香物质在初熟期的变化程度远大于其在老熟期,后发酵3 a后,其变化已非常缓慢,再继续发酵,也不会明显变化。 展开更多
关键词 郫县豆瓣 挥发性呈香物质 主成分分析
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Regulatory effect of a Chinese herbal medicine formula on nonalcoholic fatty liver disease 被引量:28
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作者 Jia-Min Yang Yan Sun +10 位作者 Min Wang Xin-Lei Zhang Shu-jing Zhang Yu-Shan Gao Lin Chen Meng-Yao Wu Lu Zhou Yu-Mei Zhou yue Wang Feng-Jie Zheng Yu-Hang Li 《World Journal of Gastroenterology》 SCIE CAS 2019年第34期5105-5119,共15页
BACKGROUND Non-alcoholic fatty liver disease(NAFLD)has become a major cause of chronic liver disease.The Chinese herbal medicine(CHM)Dachaihu decoction(DCHD)has been proved to treat NAFLD with good efficacy in previou... BACKGROUND Non-alcoholic fatty liver disease(NAFLD)has become a major cause of chronic liver disease.The Chinese herbal medicine(CHM)Dachaihu decoction(DCHD)has been proved to treat NAFLD with good efficacy in previous studies.Based on the TCM principle of formula formation,we divided DCHD into soothing liver part,invigorating spleen part,and dredging intestine part.Marshall officially proposed the concept of“intestinal-hepatic axis”,which systematically explains the interactions between the intestine and liver.We hypothesized that the effect of CHM on NAFLD is achieved by regulating the liver and intestine.Thus,we aimed to investigate the possible effect of a CHM formula on NAFLD in a rat model.AIM To investigate the effects of a CHM formula(a decoction of Chinese thorowax root,scutellaria root,and white peony root)on NAFLD and its regulatory effect on the“intestinal-liver”axis.METHODS Sixty rats were randomly divided into control,model,pioglitazone hydrochloride(PH),and CHM(a decoction of Chinese thorowax root,scutellaria root,and white peony root)groups.An NAFLD rat model was established using a high-fat highfructose diet for 16 wk.From the 13th week,rats were administered with PH or a decoction of Chinese thorowax,scutellaria,and white peony root(CHM group)for 4 wk.Rats in the control group and model group were administered with an equal volume of distilled water.At the end of the study,blood was collected via the abdominal aorta.Liver tissues were harvested and any morphological changes were observed by hematoxylin-eosin(HE)staining,Oil red O staining,and Masson staining.In addition,blood lipids,liver function markers,and triglyceride(TG)in liver tissues were analyzed.The levels of transforming growth factor-β1(TGF-β1),tumor necrosis factor-α(TNF-α),Toll-like receptor-4(TLR4),and nuclear factor-kappa B(NF-кB)in liver tissues and secreted immunoglobulin A(sIgA)in intestinal tissues were analyzed by ELISA,and protein and mRNA expression of occludin and zonula occludens-1(ZO-1)in the intestine were 展开更多
关键词 Non-alcoholic FATTY LIVER disease Chinese HERBAL medicine LIVER function Intestinal-hepatic axis
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Diallyl disulfide-induced G2/M arrest of human gastric cancer MGC803 cells involves activation of p38 MAP kinase pathways 被引量:25
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作者 jing-PingYuan Gui-HuaWang +6 位作者 HuiLing QiSu yue-HongYang YingSong Rong-JunTang YaoLiu ChenHuang 《World Journal of Gastroenterology》 SCIE CAS CSCD 2004年第18期2731-2734,共4页
AIM: To determine the role of p38 MAP kinase signal transduction pathways in diallyl disulfide (DADS)-induced G2/M arrest in human gastric cancer MGC803 cells.METHODS: MGC803 cell growth inhibition was measured by MTT... AIM: To determine the role of p38 MAP kinase signal transduction pathways in diallyl disulfide (DADS)-induced G2/M arrest in human gastric cancer MGC803 cells.METHODS: MGC803 cell growth inhibition was measured by MTT assay. Phase distribution of cell cyde was analyzed by flow cytometry. Expression of Cdc25C, p38, phosphorylation of p38 (pp38) were determined by Western blotting.RESULTS: MT1- assay showed that SB203580, a specific p38 MAPK inhibitor blocked DADS-induced growth inhibition.Flow cytometry analysis revealed that treatment of MGC803 cells with 30 mg/L DADS increased the percentage of cells in the G2/M phase from 9.3% to 39.4% (P<0.05), whereas inhibition of p38 activity by SB203580 abolished induction of G2/M arrest by DADS. Western blotting showed that phosphorylation of p38 was increased 3.52-fold following treatment of MGC803 cells with 30 mg/L DADS for 20 min(P<0.05), whereas Cdc25C was decreased 68% following treatment of MGCS03 cells with 30 mg/L DADS for 24 h(P<0.05). Decreased Cdc25C protein expression by DADS was attenuated by SB203580 (P<0.05).CONCLUSION: DADS-induced G2/M arrest of MGC803 cells involves activation of p38 MAP kinase pathways.Decreased Cdc25C protein expression by p38 MAPK played a crucial role in G2/M arrest after treatment with DADS. 展开更多
关键词 己二烯 二硫化物 感应 G2/M 胃癌 MGC803 癌细胞 活化作用 P38 MAP激酶 肿瘤
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