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Assessment of hepatocellular carcinoma vascularity before and after transcatheter arterial chemoembolization by using first pass perfusion weighted MR imaging 被引量:24
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作者 jun-GongZhao gan-ShengFeng +3 位作者 xiang-QuanKong XinLi Ming-HuaLi Ying-ShengCheng 《World Journal of Gastroenterology》 SCIE CAS CSCD 2004年第8期1152-1156,共5页
AIM:To assess the vascularity of hepatocellular carcinoma (HCC) before and after transcatheter arterial chemoembolization (TACE) with the quantitative parameters obtained by first pass perfusion weighted MR imaging (F... AIM:To assess the vascularity of hepatocellular carcinoma (HCC) before and after transcatheter arterial chemoembolization (TACE) with the quantitative parameters obtained by first pass perfusion weighted MR imaging (FP-MRI). METHODS:Seventeen consecutive patients with one to three lesions in liver underwent FP-MRI before treatment. FP-MRI was also performed one,three,six,nine months, and one year after TACE.The baseline signal intensity (SO) of pre-TACE and one month after TACE was analyzed,the vascularity of HCC assessed by steepest slope of the signal intensity versus time curves (SS) was blindly correlated with their DSA feature and clinical outcome. RESULT:No significant difference was found on baseline signal intensity (S0) between pre-TACE and one month after TACE (F=0.309,P=0.583),The SS (mean,32% per second) of lesion one month after TACE was lower than that of pre-TACE (mean,69% per second),but with no statistical significance (F=3.067,P=0.092).When local recurrence occurred,the time intensity curves became steeper.The vascularity of HCC before and after TACE graded by SS closely correlated with that by DSA (K=0.453,P<0.05). CONCLUSION:FP-MRI is a useful criterion for selecting effective interventional treatment for patients with HCC in their initial treatment and during follow up. 展开更多
关键词 肝细胞癌 血管分布 动脉导管化疗栓塞 疗效评价 核磁共振
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Changes of tumor microcirculation after transcatheter arterial chemoembolization:First pass perfusion MR imaging and Chinese ink casting in a rabbit model 被引量:22
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作者 jun-GongZhao gan-ShengFeng +3 位作者 Xiang-QuanKong XinLi Ming-HuaLi Ying-ShengCheng 《World Journal of Gastroenterology》 SCIE CAS CSCD 2004年第10期1415-1420,共6页
AIM: To observe the change of tumor microcirculation after transcatheter arterial chemoembolization (TACE) with bletilla microspheres by using first pass perfusion MR imaging (FP) and Chinese ink casting.METHODS: VX2 ... AIM: To observe the change of tumor microcirculation after transcatheter arterial chemoembolization (TACE) with bletilla microspheres by using first pass perfusion MR imaging (FP) and Chinese ink casting.METHODS: VX2 carcinoma cells were surgically implanted into the left and right lobes of liver of 30 New Zealand white rabbits, which were divided into 3 groups at random. Emulsion of lipiodol mixed with mitomydn C, and 5-FU bletilla microspheres were injected into the hepatic artery respectively, and saline was used as control agent. MR imaging was performed with turbo-flash sequence 14 d after tumor implantation and 7 d after interventional therapy. The steepest slopes (SS) of the signal intensity versus time curves were created for quantitative analysis, 7.5% Chinese ink gelatin solution was injected through ascending artery (17 cases) or portal vein(2 cases) for lesion microvessel area (MVA) measurement after the last MRI examination.The correlation between perfusion imaging and MVA was studied blindly.RESULTS: The SS values at the rim of tumor in lipiodol group (mean, 49% per second) and bletilla group (mean,35% per second) were significantly decreased (P<0.05) as compared with control group (mean, 124% per second), no difference was found between lipiodol and bletilla groups(P>0.05). In lipiodol group, the MVAs (24 974±11 836μm^2) in the center of the tumor were significantly smaller than those of the control group (35 510±15 675 μm^2) (P<0.05),while the MVAs (80 031±22 745 μm^2) around the tumor were significantly increased because small and dense plexuses appeared around the tumor which correlated to intense reaction of granulation tissue. None of the vessels was seen in the tumor in bletilla group, the peripheral MVAs of the tumor were significantly smaller than those of the control group (P<0.05) and lipiodol group (P<0.05). There was a good correlation between SS and MVAs in control group (rsl, 0.985, P<0.0001) and bletilla group (rsl, 0.743,P<0.05), the correlation was not significant in lipiodol 展开更多
关键词 肿瘤治疗学 肿瘤微循环 动脉导管化疗栓塞 动物模型 核磁共振
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中国暴雨洪涝预报方法的研究进展 被引量:25
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作者 夏军 王惠筠 +1 位作者 甘瑶瑶 张利平 《暴雨灾害》 2019年第5期416-421,共6页
针对中国暴雨洪涝灾害频发的现象及其带来的严重影响和损失,结合我国有关暴雨洪涝灾害预报方法的研究进展,对洪涝灾害预报方法的研究进行了总结与回顾。随着卫星遥感、地理信息系统等技术的不断发展与完善,暴雨洪涝灾害预报的方法由简... 针对中国暴雨洪涝灾害频发的现象及其带来的严重影响和损失,结合我国有关暴雨洪涝灾害预报方法的研究进展,对洪涝灾害预报方法的研究进行了总结与回顾。随着卫星遥感、地理信息系统等技术的不断发展与完善,暴雨洪涝灾害预报的方法由简单的数值统计方法发展成为水文模型预报法,从简易的经验模型、水动力学模型,到集总式水文模型,再发展到分布式水文模型;通过水文模型预报方法,结合气象水文耦合预报实现实时洪水预报并进行动态评估,不断提高洪水预报的精度和预见期,为暴雨洪涝灾害预报提供可靠数据和决策依据。最后,在总结归纳基础上,指出了当前暴雨洪涝灾害预报方法的不足,提出了不断提高水文观测技术、加强分布式水文模型与地理信息系统的耦合、加强与气象模型的耦合等方面的研究是进一步提高暴雨洪涝灾害预报准确率的主要发展方向。 展开更多
关键词 暴雨洪涝灾害 水文模型 气象水文耦合 实时洪水预报
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“一带一路”倡议如何影响中国企业转型升级 被引量:24
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作者 李军 甘劲燕 杨学儒 《南方经济》 CSSCI 北大核心 2019年第4期1-22,共22页
"一带一路"倡议是中国企业走出去和转型升级战略决策的重要政策情境,学界广泛关注其出口贸易效应和对外投资效应,但多为宏观中观层面研究,缺乏其是否以及如何影响企业战略决策的路径及后果的知识。案例研究发现,"一带一... "一带一路"倡议是中国企业走出去和转型升级战略决策的重要政策情境,学界广泛关注其出口贸易效应和对外投资效应,但多为宏观中观层面研究,缺乏其是否以及如何影响企业战略决策的路径及后果的知识。案例研究发现,"一带一路"倡议具有显著的推力和拉力效应,"推力"主要源于市场竞争压力、政府推力、舆论推力与利益相关者推力;而"拉力"则主要表现为新的市场机会、出口固定成本降低、出口边际成本降低、投资壁垒减少和融资成本的变化。随着"一带一路"倡议的实施和推进,推力和拉力效应凸显,企业"主动"或"被动"重新识别地域性机会、产业机会或全球价值链重构机会而实施转型升级,形成三条具有代表性的路径为:依托管理变革能力在省内、国内和国际等层面实施空间转移战略,利用公司创业能力择机实施跨业转型,基于突出的创新和市场能力着力打造自主价值链的一体化战略。进一步地,不同企业(如国有和民营)推力和拉力效应的内涵存在差异,能力基础存在差异,而机会窗口是外部环境变化与企业资源和能力共同结合的产物,因此,它们可能识别和开发的机会存在较大差异。特别地,"一带一路"倡议对民营企业转型升级决策的影响较弱;同时,民营企业转型升级路径中没有识别出跨业转型。该研究夯实了"一带一路"倡议对外投资效应的微观基础,阐明了其影响企业转型升级路径的理论机制,为企业在新时代结合实际选择转型升级路径、切实有效地推进转型升级提供了参考依据。 展开更多
关键词 一带一路 丝绸之路 转型升级 国有企业 民营企业
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Randomized controlled trial: Moxibustion and acupuncture for the treatment of Crohn's disease 被引量:23
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作者 Chun-Hui Bao Ji-Meng Zhao +12 位作者 Hui-Rong Liu Yuan Lu Yi-Fang Zhu Yin Shi Zhi-jun Weng Hui Feng Xin Guan Jing Li Wei-Feng Chen Lu-Yi Wu Xiao-Ming Jin Chuan-Zi Dou Huan-gan Wu 《World Journal of Gastroenterology》 SCIE CAS 2014年第31期11000-11011,共12页
AIM: To evaluate the clinical efficacy and safety of acupuncture and moxibustion for the treatment of active Crohn&#x02019;s disease (CD).
关键词 MOXIBUSTION ACUPUNCTURE Crohn's disease Randomized controlled trial Traditional Chinese medicine
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Immune Responses to the Attenuated Mycoplasma hyopneumoniae 168 Strain Vaccine by Intrapulmonic Immunization in Piglets 被引量:22
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作者 FENG Zhi-xin, SHAO Guo-qing, LIU Mao-jun, WU Xu-su, ZHOU Yong-qi and gan Yuan Key Laboratory of Animal Diseases Diagnostic and Immunology, Institute of Veterinary Medicine, Jiangsu Academy of Agricultural Sciences/National Center for Engineering Research of Veterinary Bio-Products, Ministry of Agriculture, Nanjing 210014, P.R.China 《Agricultural Sciences in China》 CSCD 2010年第3期423-431,共9页
To investigate the immune responses to the attenuated Mycoplasma hyopneumoniae 168 strain vaccine, 8-15 d old piglets were immunized with M. hyopneurnoniae 168 strain vaccine by intrapulmonic route. And the specific I... To investigate the immune responses to the attenuated Mycoplasma hyopneumoniae 168 strain vaccine, 8-15 d old piglets were immunized with M. hyopneurnoniae 168 strain vaccine by intrapulmonic route. And the specific IgG antibody in serum, lymphoproliferation, IFNT, and specific secretory IgA (SIgA) antibody in bronchoalveolar lavage fluid were detected on 30 and 60 d post-immunization (DPI), respectively. On 60 DPI, all the pigs except for those in health control group were challenged with a field M. hyopneumoniae strain JS. Necropsy was performed on 30 d post-challenge (DPC). The results showed that IFN7 and specific SIgA were stimulated on surface of respiratory tract after immunization. And peripheral blood mononuclear cells could also be proliferated about 1.81 and 2.12 fold on 30 and 60 DPI when stimulated by M. hyopneumoniae protein in vitro. However, no serum IgG antibody against M. hyopneumoniae was detected during the whole immune phage. After challenge, vaccinated pigs were observed with only very slight histological lesion in individual lobes. None of vaccinated pigs showed any clinical signs. While the unvaccinated pigs from challenge control group showed varying degrees of clinical sign and severe macroscopical lesion of mycoplasmal pneumonia of swine (MPS). The result suggested that the attenuated M. hyopneumoniae 168 strain vaccine inoculated by intrapulmonic route could activate the systemic cellular immunity, the local mucosal immunity and IFNγ secretion in respiratory tract to against M. hyopneumoniae infection in piglets. 展开更多
关键词 Mycoplasma hyopneumoniae attenuated vaccine cellular immunity mucosal immunity
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从绿色建筑、被动式建筑迈向零碳建筑的思考 被引量:22
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作者 董恒瑞 刘军 +2 位作者 秦砚瑶 吴思睿 罗干 《重庆建筑》 2021年第10期19-22,共4页
零碳建筑是建筑领域落实“碳达峰、碳中和”目标的重要内容。该文基于绿色建筑和被动式建筑的项目研发经验,从绿色建筑、被动式建筑的理念及技术体系出发,探究零碳建筑的特征和内在发展逻辑,为绿色建筑和被动式建筑向零碳建筑发展提供... 零碳建筑是建筑领域落实“碳达峰、碳中和”目标的重要内容。该文基于绿色建筑和被动式建筑的项目研发经验,从绿色建筑、被动式建筑的理念及技术体系出发,探究零碳建筑的特征和内在发展逻辑,为绿色建筑和被动式建筑向零碳建筑发展提供参考。 展开更多
关键词 绿色建筑 被动式建筑 零碳建筑 建筑节能 “碳达峰、碳中和” 碳汇
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Rapid rehabilitation technique with integrated traditional Chinese and Western medicine promotes postoperative gastrointestinal function recovery 被引量:22
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作者 Li-Xing Cao Zhi-Qiang Chen +7 位作者 Zhi Jiang Qi-Cheng Chen Xiao-Hua Fan Shi-jun Xia Jin-Xuan Lin Hua-Chan gan Tao Wang Yang-Xue Huang 《World Journal of Gastroenterology》 SCIE CAS 2020年第23期3271-3282,共12页
BACKGROUND During the perioperative period, the characteristic therapy of traditional Chinese medicine is effective in improving postoperative rehabilitation. In large-scale hospitals practicing traditional Chinese me... BACKGROUND During the perioperative period, the characteristic therapy of traditional Chinese medicine is effective in improving postoperative rehabilitation. In large-scale hospitals practicing traditional Chinese medicine, there is accumulating experience related to the promotion of fast recovery in the perioperative period.AIM To evaluate the efficacy and safety of Yikou-Sizi powder hot compress on Shenque acupuncture point combined with rapid rehabilitation technique.METHODS This prospective, multicenter, randomized, controlled study included two groups: Treatment group and control group. The patients in the treatment group and control group received Yikou-Sizi powder hot compress on Shenque acupuncture point combined with rapid rehabilitation technique and routine treatment, respectively. Clinical observation regarding postoperative recovery of gastrointestinal function was performed, including the times to first passage of flatus, first defecation, and first normal bowel sounds. The comparison between groups was conducted through descriptive analysis, χ~2, t, F, and rank-sum tests.RESULTS There was a statistically significant difference in the time to postoperative first defecation between the treatment and control group(87.16 ± 32.09 vs 109.79 ±40.25 h, respectively;P < 0.05). Similarly, the time to initial recovery of bowel sounds in the treatment group was significantly shorter than that in the control group(61.17 ± 26.75 vs 79.19 ± 33.35 h, respectively;P < 0.05). However, there was no statistically significant difference in the time to initial exhaust between the treatment and control groups(51.54 ± 23.66 vs 62.24 ± 25.95 h, respectively;P >0.05). The hospitalization expenses for the two groups of patients were 62283.45 ±12413.90 and 62059.42 ± 11350.51 yuan, respectively. Although the cost of hospitalization was decreased in the control group, the difference was not statistically significant(P > 0.05). This clinical trial was safe without reports of any adverse reaction or event.CONCLUSION Th 展开更多
关键词 Rapid rehabilitation technique Traditional Chinese Medicine Western Medicine Colorectal cancer Postoperative gastrointestinal function
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宫颈癌患者根治术后两性关系体验的质性研究 被引量:21
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作者 石艳 蔡均 +1 位作者 吴治敏 甘秀妮 《中华护理杂志》 CSCD 北大核心 2019年第12期1825-1830,共6页
目的了解宫颈癌患者根治术后两性关系体验的现状,旨在为制订两性健康指导方案提供参考。方法采用现象学研究法,选取重庆市3所三级甲等医院在门诊进行随访的10例宫颈癌根治术后患者,对其进行半结构式深入访谈,使用Colaizzi分析法及QSR Nv... 目的了解宫颈癌患者根治术后两性关系体验的现状,旨在为制订两性健康指导方案提供参考。方法采用现象学研究法,选取重庆市3所三级甲等医院在门诊进行随访的10例宫颈癌根治术后患者,对其进行半结构式深入访谈,使用Colaizzi分析法及QSR Nvivo 12.0软件对资料进行分析。结果宫颈癌患者根治术后两性关系体验可归纳为4个主题:性生活困扰、女性角色创伤、婚姻关系改变、自我认知的转变,各主题之间存在一定的关联性。结论宫颈癌患者根治术后两性关系体验差,医护人员应主动为患者及其伴侣提供两性健康知识指导,及时改善患者与伴侣的两性关系及亲密度,提高其整体生活质量。 展开更多
关键词 宫颈肿瘤 手术后期间 两性关系 质性研究 围手术期护理
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枢经推拿治疗腰椎间盘突出症的临床疗效及对患者病变区域红外热成像的影响 被引量:19
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作者 庞军 杨鹏 +4 位作者 卢栋明 唐宏亮 王开龙 甘炜 王雄将 《广西医学》 CAS 2021年第16期1909-1912,共4页
目的观察枢经推拿治疗腰椎间盘突出症的临床疗效及对患者病变区域红外热成像的影响。方法60例腰椎间盘突出症患者均采用枢经推拿治疗,共治疗2个疗程。观察患者治疗前后改良日本骨科学会(下腰痛)评分(mJOA)、疼痛视觉模拟量表(VAS)评分,... 目的观察枢经推拿治疗腰椎间盘突出症的临床疗效及对患者病变区域红外热成像的影响。方法60例腰椎间盘突出症患者均采用枢经推拿治疗,共治疗2个疗程。观察患者治疗前后改良日本骨科学会(下腰痛)评分(mJOA)、疼痛视觉模拟量表(VAS)评分,以及足太阳膀胱经(腰骶部)、足少阳胆经(下肢神经支配区域)及足太阴肾经(足底)红外热图的温度变化情况。结果60例患者中痊愈17例、显效27例、有效12例、无效4例,总有效率为93.33%(56/60)。与治疗前比较,患者治疗后的mJOA升高,VAS评分降低,并且患者足太阳膀胱经(腰骶部)皮肤温度降低,患侧足少阳胆经(下肢神经支配区域)及足太阴肾经(足底)皮肤温度升高(均P<0.05)。结论枢经推拿能够有效地改善腰椎间盘突出症患者的临床症状,疗效确切。红外热像成像技术或可成为诊断腰椎间盘突出症及判断其治疗效果的有效方法。 展开更多
关键词 腰椎间盘突出症 枢经推拿 红外热成像 诊断 疗效 评估
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CT扫描技术研究有机物料还田深度对黑土孔隙结构影响 被引量:19
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作者 邱琛 韩晓增 +6 位作者 陈旭 陆欣春 严君 冯玉钿 甘佳伟 邹文秀 刘国辉 《农业工程学报》 EI CAS CSCD 北大核心 2021年第14期98-107,共10页
为了探明有机物料还田深度对土壤孔隙结构的影响,2019年玉米播种前在黑龙江海伦市的黑土上开展了田间定位试验,设置了秸秆浅混还田(0~15 cm)(T1)、秸秆深混还田(0~35 cm)(T2)和秸秆配合有机肥深混还田(0~35 cm)(T3)3个有机物料还田处理... 为了探明有机物料还田深度对土壤孔隙结构的影响,2019年玉米播种前在黑龙江海伦市的黑土上开展了田间定位试验,设置了秸秆浅混还田(0~15 cm)(T1)、秸秆深混还田(0~35 cm)(T2)和秸秆配合有机肥深混还田(0~35 cm)(T3)3个有机物料还田处理,以无秸秆还田常规耕作为对照(CK),4次重复,随机排列。玉米秸秆还田量为10000 kg/hm^(2),有机肥还田量为30000 kg/hm^(2)。2019年玉米收获后,采集原状土柱,利用CT扫描技术可视化土壤结构,量化土壤孔隙结构特征。结果表明,虽然有机物料还田仅一个玉米生长季,但是与CK处理相比,T1、T2和T3处理显著降低了0~15 cm土层容重,增加了饱和导水率和田间持水量(P<0.05);T2和T3处理显著改善了>15~35 cm土层的上述3个土壤物理指标。有机物料的施用增加相应土层的孔隙数量、改善了孔隙分布。与CK处理相比,T1、T2和T3处理0~15 cm土层>500μm孔隙数量和孔隙度分别显著增加了18.1%~179.9%和69.2%~256%(P<0.05);与其他处理相比,T2处理>15~35 cm土层>1000μm孔隙度显著增加了17.4%~196.2%(P<0.05)。有机物料还田增加了孔隙结构的复杂性,土壤中出现了交叉孔隙和细长孔隙,提高了孔隙的连通性。与CK处理相比,T1、T2和T3处理显著降低了0~15 cm土层欧拉数,T1处理显著增加了分形维数(P<0.05);秸秆或秸秆配施有机肥深混处理显著改善了>15~35 cm土层的土壤孔隙结构,与CK相比,显著增加了各向异性、分形维数和成圆率,显著减少了欧拉数(P<0.05)。欧拉数和>1000μm孔隙度分别对0~35 cm土层容重和饱和导水率贡献度最大,而各向异性和欧拉数分别对0~15 cm和>15~35 cm土层田间持水量贡献度最大,说明有机物料对土壤物理性质的改善作用是通过调控土壤孔结构,改善孔隙分布、增加孔隙的复杂性、连通性来实现的。 展开更多
关键词 秸秆 土壤 孔隙 连通性 CT扫描 结构可视化 饱和导水率 秸秆配施有机肥
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Effect of Sr modification on microstructure and thermal conductivity of hypoeutectic Al−Si alloys 被引量:15
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作者 jun-qi gan Yu-jian HUANG +1 位作者 Cheng WEN jun DU 《Transactions of Nonferrous Metals Society of China》 SCIE EI CAS CSCD 2020年第11期2879-2890,共12页
Trace amount of Sr(0.05 wt.%)was added into the hypoeutectic Al−Si(3−12 wt.%Si)alloys to modify their microstructure and improve thermal conductivity.The results showed that the thermal conductivity of hypoeutectic Al... Trace amount of Sr(0.05 wt.%)was added into the hypoeutectic Al−Si(3−12 wt.%Si)alloys to modify their microstructure and improve thermal conductivity.The results showed that the thermal conductivity of hypoeutectic Al−Si alloys was improved by Sr modification,and the increment and increasing rate of the thermal conductivity gradually increased with Si content increasing.The improvement of thermal conductivity was primarily related to the morphology variation of eutectic Si phases.In Sr-modified Al−Si alloys,the morphology of eutectic Si phases was a mixed morphology of fiber structure and fine flaky structure,and the proportion of the fine flaky eutectic Si phases gradually decreased with Si content increasing.Under the Si content reaching 9 wt.%,the proportion of fine flaky eutectic Si phases was nearly negligible in Sr-modified alloys.Correspondingly,the increment and increasing rate of thermal conductivity of Sr-modified alloys reached the maximum and tended to be stable. 展开更多
关键词 hypoeutectic Al−Si alloy Sr modification eutectic Si morphology thermal conductivity Al/Si interface
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Midkine promotes perineural invasion in human pancreatic cancer 被引量:15
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作者 jun Yao Wen-Yao Li +2 位作者 Shuo-Guo Li Xiao-Shan Feng She-gan Gao 《World Journal of Gastroenterology》 SCIE CAS 2014年第11期3018-3024,共7页
AIM: To investigate midkine (MK) and syndecan-3 protein expression in pancreatic cancer by immunohistochemistry, and to analyze their correlation with clinicopathological features, perineural invasion, and prognosis.
关键词 MIDKINE Syndecan-3 Pancreatic cancer Neurite growth Perineural invasion
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Elevated nocturnal and morning blood pressure in patients with obstructive sleep apnea syndrome 被引量:15
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作者 HE Quan-ying FENG Jing +18 位作者 ZHANG Xilong LIANG Zong-an HUANG Shao-guang KANG Jian WANG Guang-fa ZHANG Li-qiang MA Li-jun WANG Bei LIN Qi-chang ZHANG Jin-nong LIU Hui-guo LUO Yuan-ming LIU Jian-hong WANG Shi XIAO Gao-hui LU gan ZHANG Jin FENG Xue-wei CHEN Bao-yuan 《Chinese Medical Journal》 SCIE CAS CSCD 2012年第10期1740-1746,共7页
Background The nocturnal nondipping and elevated morning blood pressure (BP) in patients with obstructive sleep apnea syndrome (OSAS) have not yet been well investigated in Chinese patients. This study aimed to de... Background The nocturnal nondipping and elevated morning blood pressure (BP) in patients with obstructive sleep apnea syndrome (OSAS) have not yet been well investigated in Chinese patients. This study aimed to describe the BP profile, and to elucidate the relationships between daytime BP and nighttime BP, and between evening BP and morning BP in patients with OSAS. Methods Twenty teaching hospital sleep centers in China were organized by the Chinese Medical Association to participate in this study and 2297 patients were recruited between January 2004 and April 2006. BP assessments were made at four time points (daytime, evening, nighttime and morning) and polysomnography (PSG) was performed and subjects were classified into four groups by their apnea-hypopnea index (AHI): control, n=213 with AHI 〈5; mild, n=420 with AHI -〉5 and 〈15; moderate, n=460 with AHI -〉15 and 〈30; and severe, n=1204 with AHI -〉30. SPSS 11.5 software package was used for statistical analysis and figure drawing. Results All the average daytime, nighttime, evening and morning BPs were positively correlated with AHI and negatively correlated with nadir nocturnal oxygen saturation. The ratios of nighttime/daytime and morning/evening average BP were positively correlated with AHI. The ratio of nighttime/daytime systolic BP became a "reversed BP dipping" pattern until the classification reached severe, while the ratio of nighttime/daytime diastolic BP became reversed at moderate. Similarly, the ratio of morning/evening diastolic BP becomes reversed even at mild. Conclusions OSAS may result in higher BP levels at all four time points. The ratios of nighttime/daytime and morning/evening BP increase with increased AHI. The increasing of diastolic BP, which is inclined to rise more quickly, is not parallel with increasing systolic BP. 展开更多
关键词 obstructive sleep apnea syndrome blood pressure hypertension dipping polysomnography apnea-hypopnea index
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全息影像技术在机器人辅助腹腔镜下肾部分切除术治疗肾门部肿瘤中的应用 被引量:14
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作者 王亚楠 肖俊 +10 位作者 余淦 周辉 胡恒龙 杨春光 曾星 李恒 管维 胡志全 王少刚 叶章群 王志华 《中国内镜杂志》 2020年第5期83-87,共5页
目的评价全息影像技术引导机器人辅助腹腔镜下肾部分切除术(RAPN)治疗肾门部肿瘤的可行性与有效性。方法回顾性分析该院2019年6月-2019年10月收治的11例肾门部肿瘤患者的临床资料。其中,男3例,女8例;左侧4例,右侧7例;患者年龄32~75岁,平... 目的评价全息影像技术引导机器人辅助腹腔镜下肾部分切除术(RAPN)治疗肾门部肿瘤的可行性与有效性。方法回顾性分析该院2019年6月-2019年10月收治的11例肾门部肿瘤患者的临床资料。其中,男3例,女8例;左侧4例,右侧7例;患者年龄32~75岁,平均62.6岁,体质指数19.45~28.12 kg/m^2,平均23.75 kg/m^2,肿瘤直径1.1~6.7 cm,平均2.76 cm,R.E.N.A.L.评分8~12分,平均10.7分,患肾肾小球滤过率(GFR)22~51 mL/min,平均35 mL/min。患者术前行全腹部增强CT,利用CT数据进行全息影像重建。术中应用该技术结合达芬奇机器人辅助系统,精准分离、剜除肿瘤,并记录手术持续时间、出血量、肾脏热缺血时间、有无并发症及切缘阳性率等。结果根据全息影像引导,11例患者均顺利剜除肿瘤,完成手术,无中转开放。手术时间60~130 min,平均90 min。术中出血量50~180 mL,平均100 mL,热缺血时间18~25 min,平均21 min,无术后发热、继发出血或漏尿等并发症。术后病理诊断肾透明细胞癌9例(FuhrmanⅠ和Ⅱ级),乳头状细胞癌1例,血管平滑肌脂肪瘤1例,无切缘阳性病例。术后随访3~7个月,平均4.3个月,患肾GFR 18~43 mL/min,平均31 mL/min。术后3个月复查肾脏CT平扫及增强,全部患者未出现复发。结论全息影像技术引导RAPN治疗肾门部肿瘤,围手术期并发症少,安全有效。 展开更多
关键词 全息影像 机器人 肾门部肿瘤 肾部分切除术
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肌筋膜疼痛综合征疗效评定方法的临床应用概况 被引量:14
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作者 庞军 农章嵩 +3 位作者 唐宏亮 甘炜 王开龙 王雄将 《辽宁中医杂志》 CAS 2019年第1期215-218,共4页
目的:总结肌筋膜疼痛综合征疗效评定方法的临床应用概况,为临床疗效评估提供参考。方法:查阅肌筋膜疼痛征疗效评定方法的相关文献,并进行分析总结。结果:用于肌筋膜疼痛征疗效评定方法较多,疼痛强度方面的评定主要有单维度疼痛评估疼痛... 目的:总结肌筋膜疼痛综合征疗效评定方法的临床应用概况,为临床疗效评估提供参考。方法:查阅肌筋膜疼痛征疗效评定方法的相关文献,并进行分析总结。结果:用于肌筋膜疼痛征疗效评定方法较多,疼痛强度方面的评定主要有单维度疼痛评估疼痛量表以及疼痛强度评定的辅助检查,多采用疼痛视觉模拟评分(VAS)、口述分级评分法(VRS)、痛阈测定、表面肌电图、红外热像图及肌电阻测量仪测定;综合疼痛强度及性质的多维度评定方法多用McGill疼痛问卷法,此外健康状况评定多采用健康状况调查问卷(SF-36)。结论:深入研究各种评定方法的优缺点及其临床应用,让多种方法有机结合,建立规范化的肌筋膜疼痛综合征疗效评定方法很有必要。 展开更多
关键词 肌筋膜疼痛综合征 疗效评定方法 应用概况
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Expression of two types of acetylcholinesterase gene from the silkworm, Bombyx mori, in insect cells 被引量:14
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作者 JIN-YAN SHANG YA-MING SHAO +3 位作者 GUO-jun LANG gan YUAN ZHEN-HUA TANG CHUAN-XI ZHANG 《Insect Science》 SCIE CAS CSCD 2007年第6期443-449,共7页
Complementary DNAs encoding two types of acetylcholinesterase (ACHE) were isolated from the silkworm, Bombyx mori. The type 1 (Bmacel) and type 2 (Bmace2) ORFs are 2052 and 1917 bp in length, respectively. Both ... Complementary DNAs encoding two types of acetylcholinesterase (ACHE) were isolated from the silkworm, Bombyx mori. The type 1 (Bmacel) and type 2 (Bmace2) ORFs are 2052 and 1917 bp in length, respectively. Both the complete ORFs of the Bmaces and C- terminal truncated forms were recombined into the Bacmid baculovirus vector under the control of the polyhedrin promoter and expressed in Trichoplusia ni (Tn-5B 1-4) cells. The resulting products exhibited ACHE activity and glycosylation of the expressed proteins. An inhibition assay indicated that the ace2-type enzyme was more sensitive than the acel-type enzyme to inhibition by eserine and paraoxon. 展开更多
关键词 ACETYLCHOLINESTERASE Bmacel Bmace2 CHARACTERIZATION EXPRESSION SILKWORM
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考虑全填充墙作用的钢筋混凝土框架抗连续倒塌性能分析 被引量:13
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作者 喻君 甘艺平 李爽 《建筑结构学报》 EI CAS CSCD 北大核心 2019年第11期112-121,共10页
为探究钢筋混凝土(RC)全填充墙框架在边中柱失效情况下的抗连续倒塌性能及其承载力计算方法,基于已有试验和有限元程序OpenSees建立宏观有限元数值模型展开研究。数值模型中的梁柱采用基于力的纤维梁单元模拟,填充墙则转化为等效斜撑并... 为探究钢筋混凝土(RC)全填充墙框架在边中柱失效情况下的抗连续倒塌性能及其承载力计算方法,基于已有试验和有限元程序OpenSees建立宏观有限元数值模型展开研究。数值模型中的梁柱采用基于力的纤维梁单元模拟,填充墙则转化为等效斜撑并用桁架单元进行表征。填充墙宏观模型涉及等效斜撑的宽度、数量和相应材料属性的确定,为此对比了不同等效斜撑模型的适用性,确定了一种连续倒塌工况下全填充墙的宏观模拟方案。进而利用验证的数值模型,揭示全填充墙框架防倒塌的荷载传递机制,并研究了层数和填充墙砌体抗压强度对抗倒塌性能的影响。结果表明:全填充墙框架荷载主要通过墙体对角传递且全填充墙会与周围框架形成一种桁架机制;随填充墙砌体抗压强度降低,结构抗力峰值呈下降趋势。最后,以填充墙和周边框架竖向承载刚度比为基本参数,建立了通过求得填充墙和框架刚度以及纯框架理论弯曲承载力,便可快速评估规则RC填充墙框架防倒塌能力的回归模型。 展开更多
关键词 钢筋混凝土框架 填充墙 等效斜撑 有限元分析 抗连续倒塌性能
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考虑储能电池运行寿命的风电功率波动平抑方法研究 被引量:9
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作者 刘军 甘乾煜 +1 位作者 张泽秋 吴琼 《电网技术》 EI CSCD 北大核心 2023年第5期2098-2107,共10页
储能应用于风电功率波动平抑时,存在有效平抑波动功率与减小储能电池负担难以协调的问题,导致风电功率波动平抑效果不佳或储能电池负担增大。针对以上问题,提出了一种改进的自适应滑动平均滤波算法,在满足1min和10min双时间尺度的风电... 储能应用于风电功率波动平抑时,存在有效平抑波动功率与减小储能电池负担难以协调的问题,导致风电功率波动平抑效果不佳或储能电池负担增大。针对以上问题,提出了一种改进的自适应滑动平均滤波算法,在满足1min和10min双时间尺度的风电并网功率波动率标准下,对风电功率进行自适应分解,不仅获得了满足风电并网标准的并网功率参考值,还减小了需要储能电池平抑的波动功率,然后采用双磷酸铁锂电池来平抑波动功率,同时考虑荷电状态(state of charge,SOC)反馈,通过检测储能电池SOC的值,判断其是否达到充电上限或放电下限,以此防止过充过放电对储能电池运行寿命的影响,运用雨流计数法寿命评估模型对储能电池运行寿命进行评估。算例表明,所提算法能够根据风电功率波动率的大小在线实时调节滑动窗口的大小,实现风电功率的分解,从而有效地平抑了风电功率波动,并且降低了储能电池的负担,延长了其使用寿命。 展开更多
关键词 风力发电 储能系统 自适应滑动平均滤波 电池运行寿命 双磷酸铁锂电池
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芒硝外敷对ERCP术后急性胰腺炎模型大鼠的防治作用及其机制研究 被引量:13
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作者 陈萌 丛军 +6 位作者 李甫 吕婵 彭莲 蒲晓伟 刘畅 蔡淦 龚彪 《上海中医药杂志》 2020年第S01期162-166,共5页
目的观察芒硝外敷对内镜逆行性胰胆管造影术(ERCP)术后急性胰腺炎模型大鼠的防治作用及机制。方法将30只雄性SD大鼠随机分5组,分别为正常对照组、模型对照组、芒硝外敷预防组、消炎痛栓预防组、芒硝外敷治疗组,每组6只。除正常组外,其... 目的观察芒硝外敷对内镜逆行性胰胆管造影术(ERCP)术后急性胰腺炎模型大鼠的防治作用及机制。方法将30只雄性SD大鼠随机分5组,分别为正常对照组、模型对照组、芒硝外敷预防组、消炎痛栓预防组、芒硝外敷治疗组,每组6只。除正常组外,其余各组采用胰胆管内泛影葡胺注入的方法制备ERCP术后急性胰腺炎模型,硝外敷预防组、消炎痛栓预防组在造模前给予干预,芒硝外敷治疗组在术后干预。造模24 h后处死动物,检测血清中AMS、IL-6、IL-10、TNF-α含量;HE染色观察胰头组织病理,PCR检测胰尾组织中TNF-α、NF-κB mRNA表达。结果芒硝外敷预防及治疗组能够有效抑制血清AMS、IL-6、IL-10、TNF-α水平,且芒硝外敷治疗组有明显优势;芒硝外敷治疗组胰腺结构较为清晰,小叶间导管分布较为正常,无明显水肿,未发现坏死灶;芒硝外敷治疗组还可不同程度减弱TNF-α、NF-κB基因的上调。结论芒硝外敷能够一定程度上减轻胰腺炎症程度,保护胰腺组织,降低炎症因子水平。 展开更多
关键词 芒硝 外敷 PEP 防治作用 炎症
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