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Dysfunction of PLA2G6 and CYP2C44-associated network signals imminent carcinogenesis from chronic inflammation to hepatocellular carcinoma 被引量:13
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作者 Meiyi Li Chen Li +14 位作者 Wei-Xin Liu Conghui Liu Jingru Cui Qingrun Li Hong Ni Yingcheng Yang Chaochao Wu Chunlei Chen Xing Zhen Tao Zeng mujun zhao Lei Chen Jiarui Wu Rong Zeng Luonan Chen 《Journal of Molecular Cell Biology》 SCIE CAS CSCD 2017年第6期489-503,共15页
Little is known about how chronic inflammation contributes to the progression of hepatoceUular carcinoma (HCC), especially the initiation of cancer. To uncover the critical transition from chronic inflammation to HC... Little is known about how chronic inflammation contributes to the progression of hepatoceUular carcinoma (HCC), especially the initiation of cancer. To uncover the critical transition from chronic inflammation to HCC and the molecular mechanisms at a network level, we analyzed the time-series proteomic data of woodchuck hepatitis virus/c.myc mice and age-matched wt-C57BL/6 mice using our dynamical network biomarker (DNB) model. DNB analysis indicated that the 5th month after birth of transgenic mice was the critical period of cancer initiation, just before the critical transition, which is consistent with clinical symptoms. Meanwhile, the DNB-associated network showed a drastic inversion of protein expression and coexpression levels before and after the critical transition. Two members of DNB, PLA2G6 and CYP2C44, along with their associated differentially expressed proteins, were found to induce dysfunction of arachidonic acid metabolism, further activate inflammatory responses through inflammatory mediator regulation of transient receptor potential channels, and finally lead to impairments of liver detoxification and malignant transition to cancer. As a c-Myc target, PLA2G6 positively correlated with c-Myc in expression, showing a trend from decreasing to increasing during carcinogenesis, with the minimal point at the critical transition or tipping point. Such trend of homologous PLA2G6 and c-Myc was also observed during human hepatocarcinogenesis, with the minimal point at high-grade dysplastic nodules (a stage just before the carcinogenesis). Our study implies that PLA2G6 might function as an oncogene like famous c-Myc during hepatocar- cinogenesis, while downregulation of PLA2G6 and c-Myc could be a warning signal indicating imminent carcinogenesis. 展开更多
关键词 dynamical network biomarker inflammation-induced HCC critical transition early diagnosis high-grade dysplasticnodules tipping point
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Identification and Evaluation of Antioxidant Activities of Bamboo Extracts 被引量:9
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作者 mujun UeharaTohru +1 位作者 LiJianzhang FurunoTakeshi 《Forestry Studies in China》 CAS 2004年第2期1-5,共5页
The antioxidant activity of solvent extracts from two main bamboo species, moso bamboo (Phyllostachys pubescens) and madake bamboo (P. bambusoides) in Japan, was first evaluated by scavenging free radical of 1,1-diphe... The antioxidant activity of solvent extracts from two main bamboo species, moso bamboo (Phyllostachys pubescens) and madake bamboo (P. bambusoides) in Japan, was first evaluated by scavenging free radical of 1,1-diphenyl-2-picrylhydrazyl (DPPH), the inhibition activity for peroxidation of linoleic acid, and the reduction power. The methanol-extracts of moso bamboo culms and madake bamboo leaves presented stronger antioxidant activity compared with DPPH scavenging activity. Methanol-extract of moso bamboo culms was further fractionated by different solvents and n-butanol soluble fraction exhibited the most significant activity in the DPPH scavenging assay. The fractionation of n-butanol soluble extract was isolated by silica gel column with gradient mixture solvent of chloroform and methanol. The isolated fractions were directed by the antioxidant activity measured by scavenging the stable DPPH free radical. It was observed that most of the eluted fractions showed the antioxidative activity. Fractions acquired from elution with the mixture solvent of chloroform and methanol (10:1–5:1) showed stronger antioxidant activity than the other fractions. 展开更多
关键词 bamboo extract moso bamboo antioxidant activity DPPH radical
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Sorl1 knockout inhibits expression of brain-derived neurotrophic factor:involvement in the development of late-onset Alzheimer's disease 被引量:2
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作者 Mingri Zhao Xun Chen +7 位作者 Jiangfeng Liu Yanjin Feng Chen Wang Ting Xu Wanxi Liu Xionghao Liu mujun Liu Deren Hou 《Neural Regeneration Research》 SCIE CAS CSCD 2024年第7期1602-1607,共6页
Sortilin-related receptor 1(SORL1)is a critical gene associated with late-onset Alzheimer’s disease.SORL1 contributes to the development and progression of this neurodegenerative condition by affecting the transport ... Sortilin-related receptor 1(SORL1)is a critical gene associated with late-onset Alzheimer’s disease.SORL1 contributes to the development and progression of this neurodegenerative condition by affecting the transport and metabolism of intracellularβ-amyloid precursor protein.To better understand the underlying mechanisms of SORL1 in the pathogenesis of late-onset Alzheimer s disease,in this study,we established a mouse model of SorI1 gene knockout using cluste red regularly inters paced short palindro mic repeats-associated protein 9 technology.We found that Sorl1-knocko ut mice displayed deficits in learning and memory.Furthermore,the expression of brain-derived neurotrophic factor was significantly downregulated in the hippocampus and co rtex,and amyloidβ-protein deposits were observed in the brains of 5orl1-knockout mice.In vitro,hippocampal neuronal cell synapses from homozygous Sorl1-knockout mice were impaired.The expression of synaptic proteins,including Drebrin and NR2B,was significantly reduced,and also their colocalization.Additionally,by knocking out the Sorl1 gene in N2a cells,we found that expression of the N-methyl-D-aspartate receptor,NR2B,and cyclic adenosine monophosphate-response element binding protein was also inhibited.These findings suggest that SORL1 participates in the pathogenesis of late-onset Alzheimer s disease by regulating the N-methyl-D-aspartate receptor NR2B/cyclic adenosine monophosphate-response element binding protein signaling axis. 展开更多
关键词 brain-derived neurotrophic factor late-onset Alzheimer’s disease N-methyl-D-aspartate receptor sortilin-related receptor 1 SYNAPSE
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The MORC2 p.S87L mutation reduces proliferation of pluripotent stem cells derived from a patient with the spinal muscular atrophy-like phenotype by inhibiting proliferation-related signaling pathways 被引量:1
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作者 Sen Zeng Honglan Yang +8 位作者 Binghao Wang Yongzhi Xie Ke Xu Lei Liu Wanqian Cao Xionghao Liu Beisha Tang mujun Liu Ruxu Zhang 《Neural Regeneration Research》 SCIE CAS CSCD 2024年第1期205-211,共7页
Mutations in the microrchidia CW-type zinc finger protein 2(MORC2)gene are the causative agent of Charcot-Marie-Tooth disease type 2Z(CMT2Z),and the hotspot mutation p.S87L is associated with a more seve re spinal mus... Mutations in the microrchidia CW-type zinc finger protein 2(MORC2)gene are the causative agent of Charcot-Marie-Tooth disease type 2Z(CMT2Z),and the hotspot mutation p.S87L is associated with a more seve re spinal muscular atrophy-like clinical phenotype.The aims of this study were to determine the mechanism of the severe phenotype caused by the MORC2 p.S87L mutation and to explore potential treatment strategies.Epithelial cells were isolated from urine samples from a spinal muscular atrophy(SMA)-like patient[MORC2 p.S87L),a CMT2Z patient[MORC2 p.Q400R),and a healthy control and induced to generate pluripotent stem cells,which were then differentiated into motor neuron precursor cells.Next-generation RNA sequencing followed by KEGG pathway enrichment analysis revealed that differentially expressed genes involved in the PI3K/Akt and MAP K/ERK signaling pathways were enriched in the p.S87L SMA-like patient group and were significantly downregulated in induced pluripotent stem cells.Reduced proliferation was observed in the induced pluripotent stem cells and motor neuron precursor cells derived from the p.S87L SMA-like patient group compared with the CMT2Z patient group and the healthy control.G0/G1 phase cell cycle arrest was observed in induced pluripotent stem cells derived from the p.S87L SMA-like patient.MORC2 p.S87Lspecific antisense oligonucleotides(p.S87L-ASO-targeting)showed significant efficacy in improving cell prolife ration and activating the PI3K/Akt and MAP K/ERK pathways in induced pluripotent stem cells.Howeve r,p.S87L-ASO-ta rgeting did not rescue prolife ration of motor neuron precursor cells.These findings suggest that downregulation of the PI3K/Akt and MAP K/ERK signaling pathways leading to reduced cell proliferation and G0/G1 phase cell cycle arrest in induced pluripotent stem cells might be the underlying mechanism of the severe p.S87L SMA-like phenotype.p.S87L-ASO-targeting treatment can alleviate disordered cell proliferation in the early stage of pluripotent stem cell induction. 展开更多
关键词 antisense oligonucleotides cell cycle arrest Charcot-Marie-Tooth disease 2Z induced pluripotent stem cells MAPK/ERK PI3K/Akt PROLIFERATION spinal muscular atrophy-like
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Performance analysis of a photovoltaic/thermal system with lunar regolith-based thermal storage for the lunar base
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作者 SUN WenGan ZHAO Bin +5 位作者 PEI Yu SHI LingFeng HU MaoBin LI mujun REN Xiao PEI Gang 《Science China(Technological Sciences)》 SCIE EI CAS CSCD 2024年第4期1113-1123,共11页
Powering a moon base,especially keeping it warm during the long lunar night,is a big challenge.This paper introduces a photovoltaic/thermal(PV/T)system incorporating regolith thermal storage to solve the challenge of ... Powering a moon base,especially keeping it warm during the long lunar night,is a big challenge.This paper introduces a photovoltaic/thermal(PV/T)system incorporating regolith thermal storage to solve the challenge of power and heat provision for the lunar base simultaneously.The vacuum of space around the moon helps this system by reducing heat loss.During the moon's daytime,the system not only generates electricity but also captures heat.This stored heat in the regolith is then used at night,reducing the amount of equipment we need to send from Earth.The spectrally selective PV/T panels are designed to absorb a wide range of sunlight(0.3–2.5μm)while minimizing heat loss in the infrared range(3–30μm).Simulation results of the hybrid solar energy system indicate the average value of the overall efficiency is 45.9%,which relatively elevates 56.1%compared to the PV system.The launch mass of the proposed PV/T system is only 8.4%of a traditional photovoltaic-lithium battery system with the same amount of energy storage.And the total specific energy of the proposed system is 7.3 kWh kg^(-1),while that of the photovoltaic-lithium battery system is about 0.3 kWh kg^(-1).In summary,this study proposes an alternative combined heat and electricity supply system for the lunar base,which can greatly reduce the launch mass and free up load for other scientific research equipment. 展开更多
关键词 in-situ resource utilization(IRSU) regolith thermal storage photovoltaic/thermal(PV/T) spectral selectivity
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Expression of reconstructive hF Ⅷ in the hrDNA by using hrDNA targeting vector 被引量:5
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作者 LIU Xionghao LIU mujun SHE Hua WEN Lu XUE Zhigang LIANG Desheng CAI Fang PAN Qian LONG Zhigao WU Lingqian DAI Heping XIA Kun XlA Jiahui 《Chinese Science Bulletin》 SCIE EI CAS 2005年第19期2187-2192,共6页
Our lab has constructed a new nonviral vec-tor—hrDNA targeting vector(pHrneo). pHrneo is a human derived vector that can target gene into human ribosomal DNA(hrDNA) locus. In this study, we inserted expression casset... Our lab has constructed a new nonviral vec-tor—hrDNA targeting vector(pHrneo). pHrneo is a human derived vector that can target gene into human ribosomal DNA(hrDNA) locus. In this study, we inserted expression cassette of reconstructive hF Ⅷ (hFVIII-BDDAK39) to pHrneo to construct targeting vector: pHrneo-BDDAK39. Through electroporation of pHrneo-BDDAK39 into HT1080 cells, we identified the homologous recombinants by PCR and Southen blotting, and tested the expression of hFVIII- BDDAK39 in the hrDNA locus. The hFⅧ-BDDAK39 was successfully targeted into hrDNA locus of HT-1080 by pHrneo-BDDAK39, and the efficiency of site-specific inte-gration was 2.0×10?5. hFⅧ-BDDAK39 in hrDNA locus of HT-1080 is found to be able to express efficiently (32±5 ng·106 cells?1·24 h?1). Targeting vector pHrneo-BDDAK39 can find use in gene therapy for hemophilia. 展开更多
关键词 hrDNA 目标向量 人类起源 遗传表达 核糖体 器官重组
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Quantitative effects of phase transition on solute partition coefficient,inclusion precipitation, and microsegregation for high-sulfur steel solidification 被引量:4
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作者 Lintao Gui mujun Long +5 位作者 Shixin Wu Zhihua Dong Dengfu Chen Yunwei Huang Huamei Duan Levente Vitos 《Journal of Materials Science & Technology》 SCIE EI CAS CSCD 2019年第10期2383-2395,共13页
Segregation and inclusion precipitation are the common behaviours of steel solidification, which are resulted from the redistribution and diffusion of the solute elements at the solid-liquid interface. The effect of t... Segregation and inclusion precipitation are the common behaviours of steel solidification, which are resulted from the redistribution and diffusion of the solute elements at the solid-liquid interface. The effect of the phase transition of high-sulfur free-cutting steel is quantified in the present work for the solute partition coefficient(ki), inclusion precipitation, and microsegregation by establishing a coupling model of microsegregation and inclusion precipitation, wherein the quantified dependencies of ki in terms of temperature, phase and carbon(C) content were applied. Results showed that the solidification temperature range and phase transition of high-sulfur steel that under different solidification paths and C contents were quite different, leading to differences in ki and eventually in microsegregation. kC,kP, and kS were mainly affected by phase composition and kSi was primarily by temperature, while kMn depended on both phase composition and temperature during solidification. Increasing the C content within the interval 0.07-0.48 wt%, the ‘proportion of the δ phase maintained temperature region during solidification’(Pδ), kave Pand kave S(kiave, the average value of the ki across the whole stages of solidification)decreased monotonically, whereas kave Cincreased linearly. The peritectic reaction impacted on the phase composition and ki, leading to the change in microsegregation. Such effect of the peritectic reaction was more significant at the last stage of solidification. When the Pδ was between 75% and 100%(corresponding to 0.07-0.16 wt% C), the solidification path resulted in a greater effect on the microsegregation of solutes C, P, and S because of the peritectic reaction. The microsegregation of solutes Mn and S were comprehensively influenced by kMn, kS and Mn S precipitation as well. The studies would help reveal the solute redistribution at the solid-liquid interface, and improve the segregation of high-sulfur steel by controlling the solidification and precipitation in practice. 展开更多
关键词 Phase transition MICROSEGREGATION SOLUTE PARTITION coefficient INCLUSION PRECIPITATION High-sulfur STEEL
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Inhibition of ammonia-oxidizing bacteria promotes the growth of ammonia-oxidizing archaea in ammonium-rich alkaline soils 被引量:2
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作者 Chang YIN Xiaoping FAN +8 位作者 Hao CHEN mujun YE Guochao YAN Tingqiang LI Hongyun PENG Shengzhe E Zongxian CHE Steven AWAKELIN Yongchao LIANG 《Pedosphere》 SCIE CAS CSCD 2022年第4期532-542,共11页
Disparities in the substrate affinity and tolerance threshold for ammonia have been believed to play a key role in driving niche differentiation between ammonia-oxidizing archaea (AOA) and bacteria (AOB);however, rece... Disparities in the substrate affinity and tolerance threshold for ammonia have been believed to play a key role in driving niche differentiation between ammonia-oxidizing archaea (AOA) and bacteria (AOB);however, recent surveys argue that direct competition between AOA and AOB is also important in this phenomenon. Accordingly, it is reasonable to predict that diverse AOA lineages would grow in ammonium (NH_(4)^(+))-rich alkaline arable soils if AOB growth is suppressed. To test this hypothesis, a microcosm study was established using three different types of alkaline arable soils, in which a high NH_(4)^(+) concentration (200 μg N g^(-1) dry soil) was maintained by routinely replenishing urea and the activities of AOB were selectively inhibited by 1-octyne or 3,4-dimethylpyrazole phosphate (DMPP). Compared with amendment with urea alone, 1-octyne partially retarded AOB growth, while DMPP completely inhibited AOB. Both inhibitors accelerated the growth of AOA, with significantly higher ratios of abundance of AOA to AOB observed with DMPP amendment across soils. Nonmetric multidimensional scaling analysis (NMDS) indicated that different treatments significantly altered the community structures of both AOA and AOB and AOA OTUs enriched by high-NH_(4)^(+) amendment were taxonomically constrained across the soils tested and closely related to Nitrososphaera viennensis EN76 and N. garnensis. Given that these representative strains have been demonstrated to be sensitive to high ammonia concentrations, our results suggest that it is the competitiveness for ammonia, rather than disparities in substrate affinity and tolerance threshold for ammonia, that drives niche differentiation between these phylotypes and AOB in NH_(4)^(+)-rich alkaline soils. 展开更多
关键词 community structure 3 4-dimethylpyrazole phosphate niche differentiation 1-octyne substrate affinity tolerance threshold
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Evaluation model of landslide hazards induced by the 2008 Wenchuan earthquake using strong motion data 被引量:3
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作者 Xiuying Wang Gaozhong Nie mujun Ma 《Earthquake Science》 CSCD 2011年第3期311-319,共9页
Landslides induced by the 2008 Wenchuan earthquake in the Longmenshan area were relatively well instrumented, which makes it possible to investigate the landslides using ground motion records. Firstly, this paper anal... Landslides induced by the 2008 Wenchuan earthquake in the Longmenshan area were relatively well instrumented, which makes it possible to investigate the landslides using ground motion records. Firstly, this paper analyzes the data from Wenchuan earthquake on both regional and local site scale. The analyses show that the Newmark accumulative displacement calculated from the ground motion recorded in a particular geological hazard zone corresponds to the hazard intensity in that zone; the larger the displacement, the more serious the geologic hazard. The calculated result also shows that the displacement is related to the Arias intensity, which represents the total energy released during the earthquake at the observation site. Secondly, this paper constructs an evaluation model of Newmark displacement calculated with Arias intensities to estimate the subsequent slope failure resulting from the earthquake. The calculated results based on the model fit well with the distribution of actual landslides, suggesting that this method is useful for hazard evaluation. Therefore, this type of model can be used for estimating regional-scale distribution of earthquake-induced landslides and their associated hazards immediately after an earthquake. 展开更多
关键词 Wenchuan earthquake earthquake-induced landslide evaluation model Arias intensity earthquake intensity
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Reducing Refractive Index Variations in Compression Molded Lenses by Annealing 被引量:2
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作者 Bo Tao Lianguan Shen +2 位作者 Allen Yi mujun Li Jian Zhou 《Optics and Photonics Journal》 2013年第2期118-121,共4页
Compression molding of glass optics is gradually becoming a viable fabrication technique for high precision optical lenses. However, refractive index variation was observed in compression molded glass lenses, which wo... Compression molding of glass optics is gradually becoming a viable fabrication technique for high precision optical lenses. However, refractive index variation was observed in compression molded glass lenses, which would contribute to image quality degradation. In this research, annealing experiments were applied to control the refractive index variation in molded glass lenses. The refractive index variations pre and post annealing experiment in molded lenses were measured by an experiment setup based on Mach-Zehnder interferometer. The experimental results showed that the refractive index variation can be controlled providing that a proper cooling process is applied during cooling. 展开更多
关键词 Refractive Index MACH-ZEHNDER INTERFEROMETER Optical ANNEALING Compression MOLDING
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Research on optimization of virtual machine memory access based on NUMA architecture 被引量:2
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作者 He mujun Zheng Linjiang +2 位作者 Yang Kai Liu Runfeng Liu Weining 《High Technology Letters》 EI CAS 2021年第4期347-356,共10页
With the rapid development of big data and artificial intelligence(AI),the cloud platform architecture system is constantly developing,optimizing,and improving.As such,new applications,like deep computing and high-per... With the rapid development of big data and artificial intelligence(AI),the cloud platform architecture system is constantly developing,optimizing,and improving.As such,new applications,like deep computing and high-performance computing,require enhanced computing power.To meet this requirement,a non-uniform memory access(NUMA)configuration method is proposed for the cloud computing system according to the affinity,adaptability,and availability of the NUMA architecture processor platform.The proposed method is verified based on the test environment of a domestic central processing unit(CPU). 展开更多
关键词 cloud computing VIRTUALIZATION non-uniform memory access(NUMA)virtual machine memory access optimization
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CTGNet: Automatic Analysis of Fetal Heart Rate from Cardiotocograph Using Artificial Intelligence
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作者 Mei Zhong Hao Yi +8 位作者 Fan Lai mujun Liu Rongdan Zeng Xue Kang Yahui Xiao Jingbo Rong Huijin Wang Jieyun Bai Yaosheng Lu 《Maternal-Fetal Medicine》 2022年第2期103-112,共10页
Objective:This study investigates the efficacy of analyzing fetal heart rate(FHR)signals based on Artificial Intelligence to obtain a baseline calculation and identify accelerations/decelerations in the FHR through el... Objective:This study investigates the efficacy of analyzing fetal heart rate(FHR)signals based on Artificial Intelligence to obtain a baseline calculation and identify accelerations/decelerations in the FHR through electronic fetal monitoring during labor.Methods:A total of 43,888 cardiotocograph(CTG)records of female patients in labor from January 2012 to December 2020 were collected from the NanFang Hospital of Southern Medical University.After filtering the data,2341 FHR records were used for the study.The ObVue fetal monitoring system,manufactured by Lian-Med Technology Co.Ltd.,was used to monitor the FHR signals for these pregnant women from the beginning of the first stage of labor to the end of delivery.Two obstetric experts together annotated the FHR signals in the system to determine the baseline as well as accelerations/decelerations of the FHR.Our cardiotocograph network(CTGNet)as well as traditional methods were then used to automatically analyze the baseline and acceleration/deceleration of the FHR signals.The results of calculations were compared with the annotations provided by the obstetric experts,and ten-fold cross-validation was applied to evaluate them.The root-mean-square difference(RMSD)between the baselines,acceleration F-measure(Acc.F-measure),deceleration F-measure(Dec.F-measure),coefficient of synthetic inconsistency(SI)and the morphological analysis discordance index(MADI)were used as evaluation metrics.The data were analyzed by using a pairedt-test.Results:The proposed CTGNet was superior to the best traditional method,proposed by Mantel,in terms of the RMSD.BL(1.7935±0.8099vs.2.0293±0.9267,t=-3.55,P=0.004),Acc.F-measure(86.8562±10.9422vs.72.2367±14.2096,t=12.43,P<0.001),Dec.F-measure(72.1038±33.2592vs.58.5040±38.0276,t=4.10,P<0.001),SI(34.8277±20.9595vs.54.8049±25.0265,t=-9.39,P<0.001),and MADI(3.1741±1.9901vs.3.7289±2.7253,t=-2.74,P=0.012).The proposed CTGNet thus had significant advantages over the best traditional method on all evaluation metrics.Conclusion:The proposed A 展开更多
关键词 Artificial intelligence Deep learning Smart obstetrics Fetal heart rate Cardiotocograph BASELINE ACCELERATION DECELERATION
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IL-24 armored CAR19-T cells show enhanced antitumor activity and persistence
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作者 Qian Hu Yuxuan Zhang +7 位作者 Peiyun Wang Miaojin Zhou Zhiqing Hu Cong Liu mujun Liu Lingqian Wu Xionghao Liu Desheng Liang 《Signal Transduction and Targeted Therapy》 SCIE CSCD 2021年第2期232-234,共3页
Dear Editor,Nowadays,two autologous CAR19-T drugs,Tisagenlecleucel(Kymriah^(TM))and axicabtagene ciloleucel(Yescarta^(TM)),have been approved for the treatment of B cell leukemia and lymphoma and achieved unprecedente... Dear Editor,Nowadays,two autologous CAR19-T drugs,Tisagenlecleucel(Kymriah^(TM))and axicabtagene ciloleucel(Yescarta^(TM)),have been approved for the treatment of B cell leukemia and lymphoma and achieved unprecedented successes.However,about 10-20%of B-ALL patients receiving CAR19-T drugs didn't achieve complete remission(CR),while 30~50%of patients achieved CR would relapse mainly within 1 year.Moreover,the high CR rate of CAR19-T therapy for B-ALL can't be recaptured in other B-NHLs,'such as Burkitt's lymphoma(BL).Therefore,there is an urgent need to improve the therapeutic efficacy of CAR19-T cells.3. 展开更多
关键词 DRUGS CAR LYMPHOMA
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尽显自我风采—Microangelo试用小记
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作者 mujun 《计算机应用文摘》 2002年第3期84-86,共3页
关键词 MICROANGELO WINDOWS 图标工具 安装
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1997—2017年我国双向转诊现状和效果及问题的系统评价 被引量:39
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作者 申颖 黄为然 +2 位作者 纪舒妤 于佳 李慕军 《中国全科医学》 CAS 北大核心 2018年第29期3604-3610,共7页
目的了解我国1997—2017年双向转诊的发展历程、实施现状及效果,分析问题并提出建议,为我国双向转诊制度进一步发展提供理论依据。方法 2017年5月—2018年1月,采用系统综述的方法,以"双向转诊+现状""双向转诊+效果"... 目的了解我国1997—2017年双向转诊的发展历程、实施现状及效果,分析问题并提出建议,为我国双向转诊制度进一步发展提供理论依据。方法 2017年5月—2018年1月,采用系统综述的方法,以"双向转诊+现状""双向转诊+效果"及"双向转诊+问题"等为检索词,检索万方数据知识服务平台、中国科技期刊数据库、中国知网、百度学术及谷歌学术等主要中文数据库,以及国家及各省卫生和计划生育委员会网站,获取1997—2017年发表的关于双向转诊现状、效果及问题的中文文献。结果共纳入232篇文献进行系统评价。文献显示,我国双向转诊发展势头良好,转诊人次逐年增加,基层医疗卫生机构就诊人次稳步提升,但双向转诊质量存在较大问题,其中,向上转诊人次数远超向下转诊,缺乏转诊标准及配套的医保政策、激励和监管制度不完善、基层医疗人员服务水平偏低等问题较为突出。结论我国双向转诊制度尚需进一步发展和完善,应从统筹全局出发,着重完善相关配套政策,建立基层人员合理使用和激励机制,提升基层医疗队伍能力,扭转各医疗机构间不同利益驱动。 展开更多
关键词 病人转诊 双向转诊 现状 医联体 系统评价
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用户价值与数字税立法的逻辑 被引量:24
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作者 张牧君 《法学研究》 CSSCI 北大核心 2022年第4期112-131,共20页
在数字商业模式中,跨国经营者通过用户对免费数字商品或服务的消费占有了用户价值,但没有通过纳税实体取得货币价值,这突破了传统所得税法的规范逻辑,使得国家无法依托所得税法对用户价值征税。用户价值不只是用户数据的价值或用户忠诚... 在数字商业模式中,跨国经营者通过用户对免费数字商品或服务的消费占有了用户价值,但没有通过纳税实体取得货币价值,这突破了传统所得税法的规范逻辑,使得国家无法依托所得税法对用户价值征税。用户价值不只是用户数据的价值或用户忠诚的价值,用户所在国可以将其规定为用户加入用户网络的价值或用户数字劳动的价值,主张经营者的收入由本国用户创造,以数字商业模式中的付费交易总额为税基进行数字税立法。为了减少国家之间的规范冲突,追求最低限度共识,OECD放弃对用户价值定性,转而采取定量规则,将部分剩余利润拟制为用户价值。我国根据“支柱一”方案的逻辑进行数字税立法时,需要制定法人合并计税规则、境外交易视同境内发生规则、剩余利润计算规则以及对境外交易进行税收征管的规则等。同时,应当认识到“支柱一”方案定量逻辑的缺陷,明确市场、市场价值等与用户之间的联系,促使数字税立法回归对用户价值的定性规范。 展开更多
关键词 用户价值 数字税 数字服务税 双支柱 “金额A”规则
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经肛全直肠系膜切除与腹腔镜全直肠系膜切除术后肛门功能的比较 被引量:22
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作者 马全民 申占龙 +7 位作者 刘凡 高志冬 丁超 尹慕军 谢启伟 姜可伟 叶颖江 王杉 《中华结直肠疾病电子杂志》 2018年第4期337-341,共5页
目的探索与传统腹腔镜全直肠系膜切除术(lap-TME)相比,经肛全直肠系膜切除术后(TaTME)的肛门功能情况。方法回顾收集2015年1月至2018年3月在北京大学人民医院胃肠外科施行的直肠癌全直肠系膜切除术患者资料40例,其中TaTME组20例,lap-TME... 目的探索与传统腹腔镜全直肠系膜切除术(lap-TME)相比,经肛全直肠系膜切除术后(TaTME)的肛门功能情况。方法回顾收集2015年1月至2018年3月在北京大学人民医院胃肠外科施行的直肠癌全直肠系膜切除术患者资料40例,其中TaTME组20例,lap-TME组20例,用直肠低位前切除综合征(LARS)评分量表比较lap-TME与TaTME两组患者术后的肛门功能。结果 TaTME组与lap-TME组相比,术中出血量、手术时间、淋巴结清扫数目、术后住院天数、远切缘和环周切缘等方面差异均无统计学意义(均P>0.05)。术后3个月内TaTME组LARS总评分和各项评分均显著高于lap-TME组(均P<0.05)。术后1个月两组患者在排气控制和稀便漏出两项问题中的得分差异存在统计学意义(均P<0.05),术后2个月、3个月两组患者在排气控制、稀便漏出与排便后1小时内再次排便三项问题差异均存在统计学意义(均P<0.05)。两组患者在排便次数和排便急迫问题上差异无统计学意义(P>0.05)。结论在术后早期,接受TaTME手术患者的肛门功能可能差于lap-TME患者,但随着术后时间的延长,经过适当的功能锻炼,TaTME术后肛门功能可在一定程度上得到改善。 展开更多
关键词 直肠肿瘤 经肛全直肠系膜切除术(TaTME) 腹腔镜全直肠系膜切除术 排便功能
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维奈克拉联合阿扎胞苷治疗老年急性髓系白血病的疗效及其对患者免疫功能的影响 被引量:19
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作者 符丽梅 廖欣 熊暮珺 《老年医学与保健》 CAS 2022年第1期125-128,134,共5页
目的观察维奈克拉联合阿扎胞苷治疗老年急性髓系白血病(AML)的疗效及其对患者免疫功能的影响,为维奈克拉治疗老年AML提供依据。方法选取2021年1月—2021年12月在郴州市第一人民医院收治的60例老年AML患者,采用数字表法随机分为观察组(n=... 目的观察维奈克拉联合阿扎胞苷治疗老年急性髓系白血病(AML)的疗效及其对患者免疫功能的影响,为维奈克拉治疗老年AML提供依据。方法选取2021年1月—2021年12月在郴州市第一人民医院收治的60例老年AML患者,采用数字表法随机分为观察组(n=30)和对照组(n=30)。对照组给予阿扎胞苷治疗,观察组在与对照组相同治疗的基础上加服维奈克拉片治疗,每个疗程28d,2组均治疗2个疗程。观察并比较2组治疗总缓解率、治疗不良反应、血液学与免疫功能指标变化。结果观察组治疗总缓解率显著高于对照组(P<0.05)。2组治疗不良反应总发生率差异无统计学意义(P> 0.05)。治疗前,2组血液学与免疫功能指标值差异均无统计学意义(P> 0.05);治疗后,观察组血红蛋白、血小板计数和白细胞计数均显著高于对照组(P<0.05),而骨髓原始细胞比例、CD3+、CD4+、CD8+和CD4+/CD8+比率均显著低于对照组(P<0.05)。结论维奈克拉联合阿扎胞苷可有效治疗老年AML,能提高治疗总缓解率,其可能通过T细胞途径改善患者的免疫功能,具有一定的临床应用价值。 展开更多
关键词 老年 急性髓系白血病 维奈克拉 阿扎胞苷 疗效 安全性
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基于倾向性评分匹配的经肛全直肠系膜切除术与常规全直肠系膜切除术功能学预后的比较研究 被引量:13
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作者 祝丽宇 赵世栋 +7 位作者 申占龙 叶颖江 尹慕军 杨晓东 谢启伟 姜可伟 梁斌 王杉 《中华外科杂志》 CAS CSCD 北大核心 2020年第8期619-625,共7页
目的比较直肠癌经肛全直肠系膜切除术(taTME)与常规全直肠系膜切除术(TME)的功能学预后。方法回顾性分析2015年1月至2019年12月北京大学人民医院胃肠外科49例行taTME和478例行常规TME的直肠癌患者的临床资料。应用倾向性评分匹配法对两... 目的比较直肠癌经肛全直肠系膜切除术(taTME)与常规全直肠系膜切除术(TME)的功能学预后。方法回顾性分析2015年1月至2019年12月北京大学人民医院胃肠外科49例行taTME和478例行常规TME的直肠癌患者的临床资料。应用倾向性评分匹配法对两组患者行1∶1匹配,成功匹配36对患者。匹配后taTME组、常规TME组患者年龄分别为60.5(16.0)、60.5(13.0)岁[M(QR)],男性患者比例分别为66.7%(24/36)、55.6%(20/36)。采用EORTC QLQ-C30量表评估生活质量,低位前切除综合征(LARS)量表联合Wexner便秘评分评估排便功能,国际前列腺功能评分(IPSS)评估排尿功能,国际勃起功能指数5(IIEF-5)及女性性功能指数(FSFI)评分分别评估男性和女性的性功能,广泛性焦虑障碍量表7(GAD-7)和患者健康问卷抑郁量表9(PHQ-9)评估心理状态。采用t检验、Mann-Whitney U检验、χ2检验、Fisher确切概率法进行组间比较,Wilcoxon秩和检验或McNemar检验进行配对资料的组间比较。结果taTME组和常规TME组患者手术时间、术后住院时间、中转开腹率、术后并发症发生率、手术费用、淋巴结清扫数目均无差异(P均>0.05)。taTME组出血量更多[100(100)ml比80(50)ml,U=424.5,P=0.010],预防性造口率更高[96.9%(31/36)比63.6%(21/36),χ2=11.218,P<0.01],住院总费用更低[74297.7(16746.4)元比91781.3(26228.4)元,U=413.0,P=0.008]。两组患者排便及排尿功能无明显差异(LARS量表评分:Z=-0.513,P=0.608;Wexner便秘评分:Z=-0.992,P=0.321;IPSS:Z=-1.807,P=0.071)。taTME组和常规TME组患者心理状态GAD-7评分有差异(Z=-2.311,P=0.021),具有广泛性焦虑障碍的患者分别占26.7%(8/30)和46.9%(15/32)。结论taTME较常规TME手术出血量及预防性造口率明显增加,但术后排便、排尿功能,以及性功能障碍发生率无明显差异,taTME在一定程度上减轻了患者的经济负担及广泛性焦虑障碍。 展开更多
关键词 直肠肿瘤 排尿 性功能障碍 生理性 经肛全直肠系膜切除术
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线粒体融合与裂变在右美托咪定减轻小鼠脑缺血再灌注损伤中的作用及其机制 被引量:13
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作者 刘刚 门运政 +5 位作者 童旭辉 王雪如 胡淼 姜牧君 孙志鹏 董淑英 《南方医科大学学报》 CAS CSCD 北大核心 2020年第4期463-468,共6页
目的探讨右美托咪定(DEX)对小鼠脑缺血/再灌注(I/R)损伤的影响及线粒体融合与裂变在其中的作用。方法将雄性ICR小鼠随机分为假手术(sham)组、缺血/再灌注(I/R)组、缺血/再灌注+右美托咪定(I/R+DEX)组、缺血/再灌注+右美托咪定+dorsomorp... 目的探讨右美托咪定(DEX)对小鼠脑缺血/再灌注(I/R)损伤的影响及线粒体融合与裂变在其中的作用。方法将雄性ICR小鼠随机分为假手术(sham)组、缺血/再灌注(I/R)组、缺血/再灌注+右美托咪定(I/R+DEX)组、缺血/再灌注+右美托咪定+dorsomorphin(I/R+DEX+dorsomorphin)组。采用改良线栓法制备小鼠大脑中动脉栓塞模型,于缺血前30 min腹腔注射DEX50μg/kg,缺血1 h,再灌注24 h;采用Longa五分法对小鼠进行神经行为学评分;TTC染色法检测小鼠脑梗死体积,并计算脑梗死体积百分率;透射电镜法观察线粒体形态变化;免疫印迹法检测磷酸化AMP蛋白激酶、线粒体融合蛋白2、线粒体裂变相关蛋白的表达变化。结果 DEX预处理降低了I/R组小鼠神经行为学评分和脑梗死体积百分率,在使用DEX的基础上加用dorsomorphin后,小鼠神经行为学评分和脑梗死体积百分率升高(P<0.01);电镜结果显示,DEX减轻了缺血再灌注导致的线粒体损伤(P<0.01),线粒体形态有所恢复。免疫印迹检测结果显示,DEX预处理增加了磷酸化AMP蛋白激酶、线粒体融合蛋白2表达,降低了线粒体裂变相关蛋白表达,而加用dorsomorphin后,磷酸化AMP蛋白激酶、线粒体融合蛋白2表达明显降低,线粒体裂变相关蛋白表达显著增加(P<0.01)。结论 DEX预处理可以减轻I/R损伤,其机制可能与激活AMPK从而促进线粒体融合及抑制线粒体裂变有关。 展开更多
关键词 右美托咪定 脑缺血再灌注损伤 线粒体融合与裂变 AMPK信号通路
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