期刊文献+
共找到6,163篇文章
< 1 2 250 >
每页显示 20 50 100
Characterization of microRNAs in serum: a novel class of biomarkers for diagnosis of cancer and other diseases 被引量:983
1
作者 Xi Chen Yi Ba +26 位作者 Lijia ma Xing Cai Yuan Yin Kehui Wang Jig ang Guo Yujing Zhang Jiangning Chen Xing Guo Qibin Li Xiaoying Li Wenjing Wang Yan Zhang Jin Wang Xueyuan Jiang Yang xiang Chen Xu Pingping Zheng Juanbin Zhang Ruiqiang Li Hongjie Zhang Xiaobin Shang Ting Gong Guang Ning Jun Wang Ke Zen Junfeng Zhang Chen-Yu Zhang 《Cell Research》 SCIE CAS CSCD 2008年第10期997-1006,共10页
Dysregulated expression of microRNAs (miRNAs) in various tissues has been associated with a variety of diseases, including cancers. Here we demonstrate that miRNAs are present in the serum and plasma of humans and o... Dysregulated expression of microRNAs (miRNAs) in various tissues has been associated with a variety of diseases, including cancers. Here we demonstrate that miRNAs are present in the serum and plasma of humans and other animals such as mice, rats, bovine fetuses, calves, and horses. The levels of miRNAs in serum are stable, reproducible, and consistent among individuals of the same species. Employing Solexa, we sequenced all serum miRNAs of healthy Chinese subjects and found over 100 and 91 serum miRNAs in male and female subjects, respectively. We also identified specific expression patterns of serum miRNAs for lung cancer, colorectal cancer, and diabetes, providing evidence that serum miRNAs contain fingerprints for various diseases. Two non-small cell lung cancer-specific serum miRNAs obtained by Solexa were further validated in an independent trial of 75 healthy donors and 152 cancer patients, using quantitative reverse transcription polymerase chain reaction assays. Through these analyses, we conclude that serum miRNAs can serve as potential biomarkers for the detection of various cancers and other diseases. 展开更多
关键词 serum-microRNA expression profile FINGERPRINT blood-based biomarker Solexa CANCERS diabetes
下载PDF
重症超声临床应用技术规范 被引量:72
2
作者 尹万红 王小亭 +47 位作者 刘大为 晁彦公 管向东 康焰 严静 马晓春 汤耀卿 胡振杰 于凯江 陈德昌 艾宇航 张丽娜 张宏民 武钧 刘丽霞 朱然 何伟 张青 丁欣 李莉 李易 刘海涛 曾琴兵 司向 陈焕 张军伟 许强宏 陈文劲 陈秀凯 黄道政 蔡书翰 尚秀玲 关键 杜鹃 赵醴 王敏佳 崔嵩 王晓猛 周然 曾学英 王艺萍 吕立文 朱炜华 朱英 段军 杨婧 杨浩 中国重症超声研究组重症血流动力学治疗协作组 《中华内科杂志》 CAS CSCD 北大核心 2018年第6期397-417,共21页
重症超声是在重症医学理论指导下,运用超声技术,针对重症患者,以问题导向的、多目标整合的动态评估过程,是确定重症治疗,尤其是血流动力学治疗方向及调整精细治疗的重要手段。重症超声不同于传统的诊断超声,实施者和影像结果解读... 重症超声是在重症医学理论指导下,运用超声技术,针对重症患者,以问题导向的、多目标整合的动态评估过程,是确定重症治疗,尤其是血流动力学治疗方向及调整精细治疗的重要手段。重症超声不同于传统的诊断超声,实施者和影像结果解读者均为重症医学专业人员,以评估脏器及系统的病理生理改变和病因学为核心,以重症医学诊疗思路整合上述临床信息。 展开更多
关键词 重症患者 超声技术 临床应用 医学专业人员 病理生理改变 动态评估 血流动力学 治疗方
原文传递
肺癌化疗期患者癌因性疲乏与希望水平的相关性及其它影响因素研究 被引量:50
3
作者 吴林珂 张琦婉 +2 位作者 吕利杰 马香 钱莹莹 《护士进修杂志》 2020年第2期97-100,共4页
目的探讨肺癌化疗患者癌因性疲乏与希望水平现状及其影响因素。方法采用方便抽样的方法,选择2017年7月-2018年6月入住我院的236例肺癌患者为研究对象。采用一般情况调查表、Piper疲乏评估修订量表、Herth希望量表对患者进行调查。结果... 目的探讨肺癌化疗患者癌因性疲乏与希望水平现状及其影响因素。方法采用方便抽样的方法,选择2017年7月-2018年6月入住我院的236例肺癌患者为研究对象。采用一般情况调查表、Piper疲乏评估修订量表、Herth希望量表对患者进行调查。结果肺癌化疗期患者癌因性疲乏得分为(123.41±21.61)分;希望水平得分为(35.88±6.12)分;二者得分呈负相关(P<0.05);肺癌化疗期患者的疾病临床分期、癌因性疲乏、睡眠状况是希望水平的主要影响因素(P<0.01)。结论肺癌化疗期患者的癌因性疲乏处于中等水平,希望水平较低,临床护理工作中,应当重视对患者的心理疏导和干预,缓解癌因性疲乏,提升患者的希望水平。 展开更多
关键词 肺癌 化疗 癌因性疲乏 希望水平 肿瘤护理
下载PDF
2021年5月22日青海玛多M_(S)7.4地震的发震构造和地表破裂初步调查 被引量:49
4
作者 李智敏 李文巧 +18 位作者 李涛 徐岳仁 苏鹏 郭鹏 孙浩越 哈广浩 陈桂华 袁兆德 李忠武 李鑫 杨理臣 马震 姚生海 熊仁伟 张彦博 盖海龙 殷翔 徐玮阳 董金元 《地震地质》 EI CSCD 北大核心 2021年第3期722-737,共16页
北京时间2021年5月22日02时04分,青海省果洛藏族自治州玛多县发生了M_(S)7.4地震,震中位于巴颜喀拉地块内部,距地块北边界东昆仑断裂带约70km。在综合分析震源参数、余震分布和In SAR反演结果的基础上,我们第一时间对发震断层和同震地... 北京时间2021年5月22日02时04分,青海省果洛藏族自治州玛多县发生了M_(S)7.4地震,震中位于巴颜喀拉地块内部,距地块北边界东昆仑断裂带约70km。在综合分析震源参数、余震分布和In SAR反演结果的基础上,我们第一时间对发震断层和同震地表破裂进行了野外考察。初步研究表明,玛多地震的发震断层为NW走向、左旋走滑的昆仑山口-江错断层,破裂段为江错段。地表破裂长160km,主要由线性剪裂隙、斜列张裂隙和张剪裂隙、挤压鼓包、地震陷坑等多种构造类型组合而成,在河谷、沼泽地区伴有大量喷砂冒水、砂土液化现象和重力滑坡等。地表破裂带自西向东可依次划分为鄂陵湖南段、黄河乡段、冬草阿龙湖段和昌麻河乡段;不同段之间或走向差别较大,或以大的拉张阶区分隔。其中,鄂陵湖南段、黄河乡段的西段、冬草阿龙湖段的中段和昌麻河乡段的地震地表破裂带明显且可连续追踪,尤以鄂陵湖南段的地表破裂规模最大;其他段的地表破裂断续展布。根据冲沟、道路和拉张阶区裂隙宽度等可确定地表同震位移量为1~2m。 展开更多
关键词 玛多地震 同震地表破裂 发震断层 巴颜喀拉地块 青藏高原
下载PDF
长期施肥下我国农田土壤微生物及氨氧化菌研究进展 被引量:47
5
作者 王慧颖 徐明岗 +1 位作者 马想 段英华 《中国土壤与肥料》 CAS CSCD 北大核心 2018年第2期1-12,共12页
长期施用化肥和有机肥显著改变了我国土壤肥力和农田生态系统的稳定性。微生物在土壤养分循环和肥力形成过程中扮演了重要角色,其数量、多样性及群落结构是评价土壤肥力和农田生态系统稳定性的重要指标。随着研究土壤微生物的方法和技... 长期施用化肥和有机肥显著改变了我国土壤肥力和农田生态系统的稳定性。微生物在土壤养分循环和肥力形成过程中扮演了重要角色,其数量、多样性及群落结构是评价土壤肥力和农田生态系统稳定性的重要指标。随着研究土壤微生物的方法和技术的成熟,当前关于如何选择微生物学参数以有效评价土壤肥力及健康状况、土壤微生物对不同施肥管理措施的响应机制及功能微生物如何调控土壤养分循环等问题已成为土壤生态学中的研究热点。本文梳理了基于我国长期定位施肥农田的土壤微生物学研究进展,综合分析了土壤微生物生物量和酶活性、细菌群落及近些年倍受关注的氨氧化菌群落三方面的研究进展及发展方向,其中综合分析了构成细菌群落的八大门类菌群对施肥的响应及其驱动因素,最后从不同角度提出了微生物在土壤学及农业生产中的研究和应用方向。 展开更多
关键词 细菌 氨氧化菌 微生物量 土壤肥力 酶活性 农田生态系统稳定性
下载PDF
过敏原皮肤点刺试验的专家共识 被引量:45
6
作者 王洪田 马琳 +27 位作者 王成硕 申昆玲 何焱玲 马迎民 王宁宇 王向东 王俊阁 方秋红 尹金淑 石海云 史飞 邢志敏 向莉 孙劲旅 吴静 谷庆隆 张亚梅 陈晓巍 赵京 晋红中 谢志强 马婷婷 王晓艳 郭淼颖 王良录 张罗 王学艳 《北京医学》 CAS 2020年第10期966-985,共20页
皮肤点刺试验(skin prick test,SPT)因简单方便、快速灵敏、价格便宜,已成为临床上最常用的过敏原检测方法,至今国内外没有统一的、标准化的SPT操作流程。为此,制定标准化的SPT非常必要。SPT通常在单侧或双侧前臂进行,可分2 d或多天实施... 皮肤点刺试验(skin prick test,SPT)因简单方便、快速灵敏、价格便宜,已成为临床上最常用的过敏原检测方法,至今国内外没有统一的、标准化的SPT操作流程。为此,制定标准化的SPT非常必要。SPT通常在单侧或双侧前臂进行,可分2 d或多天实施,也可在背部进行;抗组胺药物等对SPT有影响,进行SPT之前必须停用3~7 d;如果不能确定药物是否影响SPT结果,可采用组胺阳性对照来验证;组胺阳性对照的最佳浓度是10 mg/ml,也可用两种浓度的组胺验证SPT阳性反应是否成比例;金属单头点刺针的SPT结果非常可靠,塑料多头点刺针对儿童可能有较好的意义;风团>3 mm是SPT阳性反应的标准,红晕可做为参考;随时观察SPT后15~20 min内的反应,少数人也可出现迟发反应,应随时就医;SPT严重不良反应很少见,但应做好预防和急救;最常见的8种吸入过敏原可涵盖95%~99%的过敏患者,11种食物过敏原可以涵盖95%的过敏患者;吸入性过敏原SPT结果的特异度较食物过敏原更高;可用SPT评价抗组胺药的疗效;老年人SPT灵敏度和特异度低于儿童和青壮年;SPT不能作为过敏原特异性免疫治疗(allergen immuotherapy,AIT)的疗效指标,但可采用SPT进行终点滴定法确定AIT中断治疗后再次开始治疗的起始浓度,或在不同AIT产品间进行转换;如果SPT阴性,则建议查血清特异性IgE(specific IgE,sIgE)甚至局部sIgE或激发试验;SPT点刺液、结果解读、新鲜过敏原点刺液、药物过敏原点刺液、SPT操作的标准化非常重要,SPT操作人员应接受岗前培训,获得资质后持证上岗,严格掌握SPT适应证和禁忌证,在皮肤划痕症阳性患者容易出现假阳性,严重过敏期间不宜进行SPT,以免发生严重不良反应;SPT仍有许多方面需要深入研究。 展开更多
关键词 过敏原 皮肤点刺试验 适应证 禁忌证 专家共识 标准化
下载PDF
新型冠状病毒肺炎防控形势下急性心肌梗死诊治流程和路径的中国专家共识(第1版) 被引量:43
7
作者 卜军 陈茂 +39 位作者 程晓曙 董一飞 方唯一 葛均波 龚艳君 何奔 黄岚 霍勇 贾绍斌 蒋峻 李悦 李昭 梁春 刘学波 刘震宇 马翔 马依彤 钱菊英 沈成兴 沈涤非 沈雳 石瑞正 苏晞 孙英贤 唐熠达 王建安 吴岳 向定成 徐通达 徐亚伟 杨跃进 曾和松 张澄 张国刚 张瑞岩 张书宁 张运 张钲 郑博 周宁 《南方医科大学学报》 CAS CSCD 北大核心 2020年第2期147-151,共5页
自2019年12月以来,新型冠状病毒肺炎在武汉感染流行并迅速蔓延全国各地,根据国家整体防控方案,绝大部分地区启动限制出入、限制交通等措施。此特殊形势对于急性心肌梗死患者的转运救治流程提出了新的要求。急性心肌梗死发病急、致死性... 自2019年12月以来,新型冠状病毒肺炎在武汉感染流行并迅速蔓延全国各地,根据国家整体防控方案,绝大部分地区启动限制出入、限制交通等措施。此特殊形势对于急性心肌梗死患者的转运救治流程提出了新的要求。急性心肌梗死发病急、致死性高、最佳救治窗口期短、且容易合并呼吸系统感染及呼吸、循环衰竭,更加需要就地积极治疗。为规范管理、易化流程,现制定急性心肌梗死诊治流程和路径策略,其核心是就近原则、安全防护原则、溶栓优先原则、定点转运原则、远程会诊原则。对于急性心梗患者,应排查新型冠状病毒肺炎,针对发病时间窗,选择不同的治疗策略。在这一特殊时期,包括介入医师在内的心血管医生都应掌握溶栓的禁忌症和适应证。在急性心肌梗死患者的转运和治疗中,应严格掌握转运及手术指征,严格按照要求对感染者及医务工作者进行防护。 展开更多
关键词 新冠肺炎 心肌梗死 防护 转运 溶栓
下载PDF
Anisotropic coding metamaterials and their powerful manipulation of differently polarized terahertz waves 被引量:43
8
作者 Shuo Liu Tie Jun Cui +12 位作者 Quan Xu Di Bao Liangliang Du xiang Wan Wen Xuan Tang Chunmei Ouyang Xiao Yang Zhou Hao Yuan Hui Feng ma Wei xiang Jiang Jiaguang Han Weili Zhang Qiang Cheng 《Light(Science & Applications)》 SCIE EI CAS CSCD 2016年第1期767-777,共11页
Metamaterials based on effective media can be used to produce a number of unusual physical properties(for example,negative refraction and invisibility cloaking)because they can be tailored with effective medium parame... Metamaterials based on effective media can be used to produce a number of unusual physical properties(for example,negative refraction and invisibility cloaking)because they can be tailored with effective medium parameters that do not occur in nature.Recently,the use of coding metamaterials has been suggested for the control of electromagnetic waves through the design of coding sequences using digital elements‘0’and‘1,'which possess opposite phase responses.Here we propose the concept of an anisotropic coding metamaterial in which the coding behaviors in different directions are dependent on the polarization status of the electromagnetic waves.We experimentally demonstrate an ultrathin and flexible polarization-controlled anisotropic coding metasurface that functions in the terahertz regime using specially designed coding elements.By encoding the elements with elaborately designed coding sequences(both 1-bit and 2-bit sequences),the x-and y-polarized waves can be anomalously reflected or independently diffused in three dimensions.The simulated far-field scattering patterns and near-field distributions are presented to illustrate the dual-functional performance of the encoded metasurface,and the results are consistent with the measured results.We further demonstrate the ability of the anisotropic coding metasurfaces to generate a beam splitter and realize simultaneous anomalous reflections and polarization conversions,thus providing powerful control of differently polarized electromagnetic waves.The proposed method enables versatile beam behaviors under orthogonal polarizations using a single metasurface and has the potential for use in the development of interesting terahertz devices. 展开更多
关键词 anisotropic metamaterial design coding metamaterial metasurface terahertz waves
原文传递
Prevalence, risk factors, clinical course, and outcome of acute kidney injury in Chinese intensive care units: a prospective cohort study 被引量:42
9
作者 WEN Ying JIANG Li +21 位作者 XU Yuan QIAN Chuan-yun LI Shu-sheng QIN Tie-he CHEN Er-zhen LIN Jian-dong AI Yu- hang WU Da-wei WANG Yu-shan SUN Ren-hua HU Zhen-jie CAO xiang-yuan ZHOU Fa-chun HE Zhen-yang ZHOU Li-hua AN You-zhong KANG Yan ma Xiao-chun YU xiang-you ZHAO Ming-yan XI Xiu-ming DU Bin 《Chinese Medical Journal》 SCIE CAS CSCD 2013年第23期4409-4416,共8页
Background Acute kidney injury (AKI) has been recognized as a major healthcare problem affecting millions of patients worldwide.However,epidemiologic data concerning AKI in China are still lacking.The objectives of ... Background Acute kidney injury (AKI) has been recognized as a major healthcare problem affecting millions of patients worldwide.However,epidemiologic data concerning AKI in China are still lacking.The objectives of this study were to characterize AKI defined by RIFLE criteria,assess the association with hospital mortality,and evaluate the impact of AKI in the context of other risk factors.Methods This prospective multicenter observational study enrolled 3,063 consecutive patients from 1 July 2009 to 31 August 2009 in 22 ICUs across China's Mainland.We excluded patients who were admitted for less than 24 hours (n=1623),younger than 18 years (n=127),receiving chronic hemodialysis (n=29),receiving renal transplantation (n=1) and unknown reasons (n=28).There were 1255 patients in the final analysis.AKI was diagnosed and classified according to RIFLE criteria.Results There were 396 patients (31.6%) who had AKI,with RIFLE maximum class R,I,and F in 126 (10.0%),91 (7.3%),and 179 (14.3%) patients,respectively.Renal function deteriorated in 206 patients (16.4%).In comparison with non AKI patients,patients in the risk class on ICU admission were more likely to progress to the injury class (odds ratio (OR) 3.564,95% confidence interval (CI) 1.706-7.443,P =0.001],while patients in the risk class (OR 5.215,95% CI 2.798-9.719,P <0.001) and injury class (OR 13.316,95% CI 7.507-23.622,P <0.001) had a significantly higher probability of deteriorating into failure class.The adjusted hazard ratios for 90-day mortality were 1.884 for the risk group,3.401 for the injury group,and 5.306 for the failure group.Conclusions The prevalence of AKI was high among critically ill patients in Chinese ICUs.In comparison with non-AKI patients,patients with RIFLE class R or class I on ICU admission were more susceptibility to progression to class I or class F.The RIFLE criteria were robust and correlated well with clinical deterioration and mortality. 展开更多
关键词 acute kidney injury intensive care units MORTALITY PREVALENCE risk factors
原文传递
The second natural gas hydrate production test in the South China Sea 被引量:41
10
作者 Jian-liang Ye Xu-wen Qin +24 位作者 Wen-wei Xie Hai-long Lu Bao-jin ma Hai-jun Qiu Jin-qiang Liang Jing-an Lu Zeng-gui Kuang Cheng Lu Qian-yong Liang Shi-peng Wei Yan-jiang Yu Chunsheng Liu Bin Li Kai-xiang Shen Hao-xian Shi Qiu-ping Lu Jing Li Bei-bei Kou Gang Song Bo Li He-en Zhang Hong-feng Lu Chao ma Yi-fei Dong Hang Bian 《China Geology》 2020年第2期197-209,共13页
Clayey silt reservoirs bearing natural gas hydrates(NGH)are considered to be the hydrate-bearing reservoirs that boast the highest reserves but tend to be the most difficult to exploit.They are proved to be exploitabl... Clayey silt reservoirs bearing natural gas hydrates(NGH)are considered to be the hydrate-bearing reservoirs that boast the highest reserves but tend to be the most difficult to exploit.They are proved to be exploitable by the first NGH production test conducted in the South China Sea in 2017.Based on the understanding of the first production test,the China Geological Survey determined the optimal target NGH reservoirs for production test and conducted a detailed assessment,numerical and experimental simulation,and onshore testing of the reservoirs.After that,it conducted the second offshore NGH production test in 1225 m deep Shenhu Area,South China Sea(also referred to as the second production test)from October 2019 to April 2020.During the second production test,a series of technical challenges of drilling horizontal wells in shallow soft strata in deep sea were met,including wellhead stability,directional drilling of a horizontal well,reservoir stimulation and sand control,and accurate depressurization.As a result,30 days of continuous gas production was achieved,with a cumulative gas production of 86.14×104 m3.Thus,the average daily gas production is 2.87×10^4 m^3,which is 5.57 times as much as that obtained in the first production test.Therefore,both the cumulative gas production and the daily gas production were highly improved compared to the first production test.As indicated by the monitoring results of the second production test,there was no anomaly in methane content in the seafloor,seawater,and atmosphere throughout the whole production test.This successful production test further indicates that safe and effective NGH exploitation is feasible in clayey silt NGH reservoirs.The industrialization of hydrates consists of five stages in general,namely theoretical research and simulation experiments,exploratory production test,experimental production test,productive production test,and commercial production.The second production test serves as an important step from the exploratory production test to exper 展开更多
关键词 Natural gas hydrates Second production test Horizontal well Reservoir stimulation Environmental impact NGH exploration trial engineering South China Sea
下载PDF
Broadband diffusion of terahertz waves by multi-bit coding metasurfaces 被引量:38
11
作者 Li-Hua Gao Qiang Cheng +15 位作者 Jing Yang Shao-Jie ma Jie Zhao Shuo Liu Hai-Bing Chen Qiong He Wei-xiang Jiang Hui-Feng ma Qi-Ye Wen Lan-Ju Liang Biao-Bing Jin Wei-Wei Liu Lei Zhou Jian-Quan Yao Pei-Heng Wu Tie-Jun Cui 《Light(Science & Applications)》 SCIE EI CAS CSCD 2015年第1期207-215,共9页
The terahertz region is a special region of the electromagnetic spectrum that incorporates the advantages of both microwaves and infrared light waves.In the past decade,metamaterials with effective medium parameters o... The terahertz region is a special region of the electromagnetic spectrum that incorporates the advantages of both microwaves and infrared light waves.In the past decade,metamaterials with effective medium parameters or gradient phases have been studied to control terahertz waves and realize functional devices.Here,we present a new approach to manipulate terahertz waves by using coding metasurfaces that are composed of digital coding elements.We propose a general coding unit based on a Minkowski closed-loop particle that is capable of generating 1-bit coding(with two phase states of 0 and 180°),2-bit coding(with four phase states of 0,90°,180°,and 270°),and multi-bit coding elements in the terahertz frequencies by using different geometric scales.We show that multi-bit coding metasurfaces have strong abilities to control terahertz waves by designing-specific coding sequences.As an application,we demonstrate a new scattering strategy of terahertz waves—broadband and wide-angle diffusion—using a 2-bit coding metasurface with a special coding design and verify it by both numerical simulations and experiments.The presented method opens a new route to reducing the scattering of terahertz waves. 展开更多
关键词 CODING DIFFUSION metasurface terahertz waves
原文传递
煤粉锅炉超低负荷运行的技术问题和应对措施 被引量:35
12
作者 马达夫 张守玉 +3 位作者 何翔 陶丽 施鸿飞 陈端雨 《动力工程学报》 CAS CSCD 北大核心 2019年第10期784-791,803,共9页
对我国现阶段电站煤粉锅炉在低负荷(40%额定负荷以下)及超低负荷(20%~30%额定负荷)下出现的燃烧稳定性变差、水动力安全性降低、污染物排放升高和机组经济性下降等运行技术问题和相应措施进行了分析。结果表明:采取精细化燃烧调整等相... 对我国现阶段电站煤粉锅炉在低负荷(40%额定负荷以下)及超低负荷(20%~30%额定负荷)下出现的燃烧稳定性变差、水动力安全性降低、污染物排放升高和机组经济性下降等运行技术问题和相应措施进行了分析。结果表明:采取精细化燃烧调整等相应措施后锅炉可实现超低负荷稳燃;直流锅炉在30%额定负荷以上运行时水动力较安全,随着负荷的降低,汽包锅炉水动力安全性升高,运行经济性指标大幅度降低;污染物排放应着重关注NOx质量浓度。 展开更多
关键词 煤粉锅炉 超低负荷 稳燃 水动力 污染物 经济性
下载PDF
Appropriate treatment strategies improve survival of hepatocellular carcinoma patients with portal vein tumor thrombus 被引量:34
13
作者 Jia-Zhou Ye Yong-Quan Zhang +4 位作者 Hai-Hong Ye Tao Bai Liang ma Bang-De xiang Le-Qun Li 《World Journal of Gastroenterology》 SCIE CAS 2014年第45期17141-17147,共7页
AIM: To evaluate the survival benefits of different treatment strategies for hepatocellular carcinoma (HCC) patients with portal vein tumor thrombus (PVTT) and to determine the prognosis factors.
关键词 Hepatocellular carcinoma Portal vein tumor thrombosis Conservative treatment Transarterial chemoembolization Surgical resection Postoperative transarterial chemoembolization
下载PDF
Effects of Chinese herbs on multiple ion channels in isolated ventricular myocytes 被引量:30
14
作者 LI Ning ma Ke-juan +3 位作者 WU xiang-feng SUN Qi ZHANG Yi-hui PU Jie-lin 《Chinese Medical Journal》 SCIE CAS CSCD 2007年第12期1068-1074,共7页
Background Shensong Yangxin (SSYX) is one of the compound recipe of Chinese materia medica. This study was conducted to investigate the effects of SSYX on sodium current (/Na), L-type calcium current (/Ca.L), tr... Background Shensong Yangxin (SSYX) is one of the compound recipe of Chinese materia medica. This study was conducted to investigate the effects of SSYX on sodium current (/Na), L-type calcium current (/Ca.L), transient outward potassium current (/to), delayed rectifier current (/K), and inward rectifier potassium currents (/K1) in isolated ventricular myocytes. Methods Whole cell patch-clamp technique was used to study ion channel currents in enzymatically isolated guinea pig or rat ventricular myocytes. Results SSYX decreased peak Na by (44.84±7.65)% from 27.21±5.35 to 14.88±2..75 pA/pF (n=-5, P〈0.05). The medicine significantly inhibited the /Ca,L. At concentrations of 0.25, 0.50, and 1.00 g/100 ml, the peak/Ca,L was reduced by (19.22±1.10)%, (44.82±6.50)% and (50.69±5.64)%, respectively (n=5, all P〈0.05). SSYX lifted the I-V curve of both /Na and /Ca,L without changing the threshold, peak and reversal potentials. At the concentration of 0.5%, the drug blocked the transient component of /to by 50.60% at membrane voltage of 60 mV and negatively shifted the inactive curve and delayed the recovery from channel inactivation. The tail current density of /K was decreased by (30.77±1.11)% (n=5, P〈0.05) at membrane voltage of 50 mV after exposure to the medicine and the time-dependent activity of /K was also inhibited. Similar to the effect on /K, the SSYX inhibited /K1 by 33.10% at the test potential of -100 mV with little effect on reversal potential and the rectification property. Conclusions The experiments revealed that SSYX could block multiple ion channels such as /Na /Ca,L, /k, /to and /K1, which may change the action potential duration and contribute to some of its antiarrhythmic effects. 展开更多
关键词 ion channels patch clamp antiarrhythmic drugs Shensong Yangxin capsule
原文传递
网络舆情事件中的公共价值偏好与政府回应绩效 被引量:33
15
作者 马翔 包国宪 《公共管理学报》 CSSCI 北大核心 2020年第2期70-83,169,共15页
在大数据与社交媒体时代,舆情回应是政府回应性的重要内容,是实现社会稳定和有序网络参与的重要支撑。本文从公共价值管理视角出发,以2016-2019年间中国发生的6类共159个公共网络舆情事件为研究对象,使用Probit模型实证检验了政府回应... 在大数据与社交媒体时代,舆情回应是政府回应性的重要内容,是实现社会稳定和有序网络参与的重要支撑。本文从公共价值管理视角出发,以2016-2019年间中国发生的6类共159个公共网络舆情事件为研究对象,使用Probit模型实证检验了政府回应与公共价值的一致性对回应绩效的影响。研究发现,任务型公共价值与非任务型公共价值对网络公众和主流媒体感知的政府回应绩效均有积极影响。在网络公众的认知绩效方面,任务型公共价值与非任务型公共价值的交互效应显著并产生积极的协同作用。因此,对于网络公众而言",面面俱到"式的回应效果要优于"就事论事"。在主流媒体的认知绩效方面,两类价值没有显著的交互作用。本文在理论上验证了以公共价值为基础的政府绩效治理理论与相对剥夺感理论的部分观点,在实践中为认知、理解和治理公共舆情提供了启示与思路。 展开更多
关键词 网络舆情 公共价值 一致性 回应绩效 交互作用
原文传递
750 kV交流滤波器用断路器合闸电阻故障分析 被引量:32
16
作者 马飞越 牛勃 +3 位作者 黎炜 丁培 相中华 刘博 《电力电容器与无功补偿》 北大核心 2019年第4期145-151,共7页
交流滤波器用断路器合闸电阻承担着限制合闸涌流的作用,运行过程中易发生故障。为了对750 kV交流滤波器用断路器合闸电阻投切过程中存在的间歇性缺陷进行分析,保证合闸电阻对合闸过程中涌流的限制作用。本文对某750 kV交流滤波器用断路... 交流滤波器用断路器合闸电阻承担着限制合闸涌流的作用,运行过程中易发生故障。为了对750 kV交流滤波器用断路器合闸电阻投切过程中存在的间歇性缺陷进行分析,保证合闸电阻对合闸过程中涌流的限制作用。本文对某750 kV交流滤波器用断路器投切过程中的录波图、声振信号、气体成分进行分析,并基于PSCAD进行了合闸电流仿真与热容量试验,提出了合闸电阻间歇性放电缺陷的有效判别方法,以及针对该断路器合闸电阻存在的缺陷改善措施。通过返厂解体,验证了交流滤波器用断路器合闸电阻缺陷判断方法的有效性以及所提改善措施可行性,避免合闸过程中因合闸电阻缺陷导致闪络事故发生。 展开更多
关键词 合闸电阻 间歇性放电 交流滤波器(ACF) 合闸涌流 热容量
下载PDF
Human urokinase-type plasminogen activator gene-modifiedbone marrow-derived mesenchymal stem cells attenuateliver fibrosis in rats by down-regulating the Wnt signalingpathway 被引量:31
17
作者 Zhi-Gang ma Xiao-Dan Lv +9 位作者 Ling-Ling Zhan Lan Chen Qi-Yuan Zou Ji-Qiao xiang Jiao-Li Qin Wei-Wei Zhang Zhao-Jing Zeng Hui Jin Hai-Xing Jiang Xiao-Ping Lv 《World Journal of Gastroenterology》 SCIE CAS 2016年第6期2092-2103,共12页
AIM: To evaluate the therapeutic effects of bone marrow-derived mesenchymal stem cells(BMSCs) with human urokinase-type plasminogen activator(u PA) on liver fibrosis, and to investigate the mechanism of gene therapy.M... AIM: To evaluate the therapeutic effects of bone marrow-derived mesenchymal stem cells(BMSCs) with human urokinase-type plasminogen activator(u PA) on liver fibrosis, and to investigate the mechanism of gene therapy.METHODS: BMSCs transfected with adenovirusmediated human urokinase plasminogen activator(Adu PA) were transplanted into rats with CCl4-induced liver fibrosis. All rats were sacrificed after 8 wk, and their serum and liver tissue were collected for biochemical, histopathologic, and molecular analyzes. The degree of liver fibrosis was assessed by hematoxylin and eosin or Masson's staining. Western blot and quantitative reverse transcription-polymerase chain reaction were used to determine protein and m RNA expression levels.RESULTS: Serum levels of alanine aminotransferase, aminotransferase, total bilirubin, hyaluronic acid, laminin, and procollagen type Ⅲ were markedly decreased, whereas the levels of serum albumin were increased by u PA gene modified BMSCs treatment. Histopathology revealed that chronic CCl4-treatment resulted in significant fibrosis while u PA gene modified BMSCs treatment significantly reversed fibrosis. By quantitatively analysing the fibrosis area of liver tissue using Masson staining in different groups of animals, we found that model animals with CCl4-induced liver fibrosis had the largest fibrotic area(16.69% ± 1.30%), while fibrotic area was significantly decreased by BMSCs treatment(12.38% ± 2.27%) and was further reduced by u PA-BMSCs treatment(8.31% ± 1.21%). Both protein and m RNA expression of β-catenin, Wnt4 and Wnt5 a was down-regulated in liver tissues following u PA gene modified BMSCs treatment when compared with the model animals.CONCLUSION: Transplantation of u PA gene modified BMSCs suppressed liver fibrosis and ameliorated liver function and may be a new approach to treating liver fibrosis. Furthermore, treatment with u PA gene modified BMSCs also resulted in a decrease in expression of molecules of the Wnt signaling pathway. 展开更多
关键词 bone marrow-derived mesenchymal STEMCELLS liver fibrosis UROKINASE PLASMINOGEN activator Wnt signaling PATHWAY
下载PDF
青海东部农区高产优质燕麦品种筛选 被引量:30
18
作者 赵祎伟 马祥 +1 位作者 张然 马晖玲 《草业科学》 CAS CSCD 2020年第3期532-541,共10页
为筛选出适宜青海东部农区种植的优质燕麦(Avena sativa)品种,以8个当地主栽燕麦品种为供试材料,对其农艺性状、产量和品质进行比较分析,并利用隶属函数法进行综合评价。结果表明,开花期8个燕麦品种的饲草产量及品质从高到低依次为青海4... 为筛选出适宜青海东部农区种植的优质燕麦(Avena sativa)品种,以8个当地主栽燕麦品种为供试材料,对其农艺性状、产量和品质进行比较分析,并利用隶属函数法进行综合评价。结果表明,开花期8个燕麦品种的饲草产量及品质从高到低依次为青海444>青海甜燕麦>青燕1号>青引1号>加燕2号>白燕7号>青引2号>林纳,其中青海444饲草产量最高,达39091.29 kg·hm^-2,青海甜燕麦排名第2,且两者纤维含量低,适口性较好;青燕1号饲草产量、粗蛋白含量较高。因此收获饲草建议种植青海444、青海甜燕麦和青燕1号。成熟期8个燕麦品种的种子产量及饲草品质综合评价从高到低依次为白燕7号>青海甜燕麦>青燕1号>林纳>青海444>青引2号>加燕2号>青引1号,白燕7号粗蛋白含量(3.74%)最高,但白燕7号的种子产量(5528.01 kg·hm^-2)低于林纳(5888.69 kg·hm^-2),青燕1号种子产量较低,因此以种子高产为目的建议种植白燕7号、青海甜燕麦和林纳。 展开更多
关键词 燕麦 农艺性状 产量 品质
下载PDF
模型引导的精准用药:中国专家共识(2021版) 被引量:30
19
作者 焦正 李新刚 +20 位作者 尚德为 董婧 左笑丛 陈冰 刘剑敏 潘雁 周田彦 张菁 刘东阳 李禄金 方翼 马广立 丁俊杰 赵维 陈锐 相小强 王玉珠 高建军 谢海棠 胡蓓 郑青山 《中国临床药理学与治疗学》 CAS CSCD 2021年第11期1215-1228,共14页
模型引导的精准用药(MIPD)是通过数学建模与模拟技术,将患者、药物和疾病等相关信息进行整合,为患者精准用药提供依据。相较于经验用药,MIPD是一种基于患者生理、病理、遗传、疾病等特征制订给药方案的新方法、可提高药物治疗的安全、... 模型引导的精准用药(MIPD)是通过数学建模与模拟技术,将患者、药物和疾病等相关信息进行整合,为患者精准用药提供依据。相较于经验用药,MIPD是一种基于患者生理、病理、遗传、疾病等特征制订给药方案的新方法、可提高药物治疗的安全、有效、经济和依从性。本文对MIPD的基本原理、方法、实施和相关临床决策支持系统的应用作了论述,分析目前的现状和未来的发展方向,以期为MIPD在中国的发展和应用提供有益的参考。 展开更多
关键词 建模与模拟 精准用药 药动学和药效学 生理药动学 人工智能 临床决策支持系统 专家共识
下载PDF
玻璃体腔注射雷珠单抗和康柏西普联合青光眼引流阀植入治疗新生血管性青光眼的疗效 被引量:30
20
作者 孔繁学 马翔 +3 位作者 范松涛 卢建民 秦秀虹 邹吉扬 《吉林大学学报(医学版)》 CAS CSCD 北大核心 2017年第6期1237-1242,共6页
目的:观察玻璃体腔注射雷珠单抗和康柏西普联合青光眼引流阀(AGV)植入治疗新生血管性青光眼(NVG)的疗效。方法:将68例NVG患者根据AGV植入术前是否进行玻璃体腔注药以及药物的不同分为雷珠单抗组(n=26)、康柏西普组(n=21)和对照组(n=21)... 目的:观察玻璃体腔注射雷珠单抗和康柏西普联合青光眼引流阀(AGV)植入治疗新生血管性青光眼(NVG)的疗效。方法:将68例NVG患者根据AGV植入术前是否进行玻璃体腔注药以及药物的不同分为雷珠单抗组(n=26)、康柏西普组(n=21)和对照组(n=21),分别于AGV植入术前3~7d行玻璃体腔注射雷珠单抗(10g·L^(-1))或者康柏西普(10g·L^(-1)),待虹膜新生血管消退后行AGV植入术;对照组患者给予药物或前房穿刺后待眼压(IOP)平稳行AGV植入术;对屈光介质清晰的患者,玻璃体腔注药和AGV术前行全视网膜光凝术(PRP),如果屈光介质不清晰,先应用抗血管内皮生长因子(VEGF)药物治疗,待能窥清眼底时再行PRP。结果:雷珠单抗组、康柏西普组和对照组患者术后平均眼压均较术前降低(P<0.01);3组患者术后平均抗青光眼药物数目均较术前明显减少(P<0.01);3组患者术后不同时间点手术成功率比较差异无统计学意义(P>0.05);术后1个月、3个月雷珠单抗组和康柏西普组患者最佳矫正视力(BCVA)均明显优于对照组(P<0.05);雷珠单抗组和康柏西普组患者术后不同时间点各项并发症发生率比较差异均无统计学意义(P>0.05)。结论:玻璃体腔注射抗VEGF药物联合AGV植入术可以有效、安全地治疗NVG,短期内提高患者视力,快速减轻患者疼痛、减少手术并发症。 展开更多
关键词 新生血管性青光眼 雷珠单抗 康柏西普 青光眼引流阀
下载PDF
上一页 1 2 250 下一页 到第
使用帮助 返回顶部