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Right trisegmentectomy with thoracoabdominal approach after transarterial embolization for giant hepatic hemangioma 被引量:23
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作者 Hyung-Il Seo Hong Jae Jo +1 位作者 Mun Sup sim Suk Kim 《World Journal of Gastroenterology》 SCIE CAS CSCD 2009年第27期3437-3439,共3页
Hepatic hemangiomas need to be treated surgically in cases where they are accompanied with symptoms, have a risk of rupture, or are hardly distinguishable from malignancy. The present authors conducted embolization of... Hepatic hemangiomas need to be treated surgically in cases where they are accompanied with symptoms, have a risk of rupture, or are hardly distinguishable from malignancy. The present authors conducted embolization of the right hepatic artery one day before an operation for a huge hemangioma accompanied with symptoms and confirmed a decrease in its size. The authors performed a right trisegmentectomy through a J-shape incision, using a thoracoabdominal approach, and safely removed a giant hemangioma of 32.0 cm × 26.5 cm × 8.0 cm in size and 2300 g in weight. Even for inexperienced surgeons, a J-shape incision with a thoracoabdominal approach is considered a safe and useful method when right-side hepatectomy is required for a large mass in the right liver. 展开更多
关键词 HEMANGIOMA Transarterial embolization Thoracoabdominal approach
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THE NORMALITY OF CAYLEY GRAPHS OF FINITE ABELIAN GROUPS WITH VALENCY 5 被引量:17
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作者 Young-Gheel Baik (Department of Applied Mathematics Pukyong National University Pusan 608-737, Korea) FENG Yanquan (Department of Mathematics, Northern Jiaotong University, Beijing 100044, China) Hyo-Seob sim (Department of Applied Mathematics, Pukyong National University, Pusan 608-737, Korea) 《Systems Science and Mathematical Sciences》 SCIE EI CSCD 2000年第4期425-431,共7页
We call a Cayley digraph X = Cay(G, S) normal for G if the right regular representation of G is normal in the full automorphism group Ant(X) of X. In this paper, we give a classification of all nonnormal Cayley graphs... We call a Cayley digraph X = Cay(G, S) normal for G if the right regular representation of G is normal in the full automorphism group Ant(X) of X. In this paper, we give a classification of all nonnormal Cayley graphs of finite abelian groups with valency 5. 展开更多
关键词 CAYLEY GRAPH NORMAL CAYLEY digraph.
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Selective phytochemicals targeting pancreatic stellate cells as new anti-fibrotic agents for chronic pancreatitis and pancreatic cancer 被引量:14
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作者 Puvanesswaray Ramakrishnan Wei Mee Loh +5 位作者 Subash CBGopinath Srinivasa Reddy Bonam Ismail M.Fareez Rhanye Mac Guad Maw Shin sim Yuan Seng Wu 《Acta Pharmaceutica Sinica B》 SCIE CAS CSCD 2020年第3期399-413,共15页
Activated pancreatic stellate cells(PSCs)have been widely accepted as a key precursor of excessive pancreatic fibrosis,which is a crucial hallmark of chronic pancreatitis(CP)and its formidable associated disease,pancr... Activated pancreatic stellate cells(PSCs)have been widely accepted as a key precursor of excessive pancreatic fibrosis,which is a crucial hallmark of chronic pancreatitis(CP)and its formidable associated disease,pancreatic cancer(PC).Hence,anti-fibrotic therapy has been identified as a novel therapeutic strategy for treating CP and PC by targeting PSCs.Most of the anti-fibrotic agents have been limited to phaseⅠ/Ⅱclinical trials involving vitamin analogs,which are abundant in medicinal plants and have proved to be promising for clinical application.The use of phytomedicines,as new anti-fibrotic agents,has been applied to a variety of complementary and alternative approaches.The aim of this review was to present a focused update on the selective new potential anti-fibrotic agents,including curcumin,resveratrol,rhein,emodin,green tea catechin derivatives,metformin,eruberin A,and ellagic acid,in combating PSC in CP and PC models.It aimed to describe the mechanism(s)of the phytochemicals used,either alone or in combination,and the associated molecular targets.Most of them were tested in PC models with similar mechanism of actions,and curcumin was tested intensively.Future research may explore the issues of bioavailability,drug design,and nano-formulation,in order to achieve successful clinical outcomes with promising activity and tolerability. 展开更多
关键词 PANCREATIC stellate cells Anti-fibrotic Chronic pancreatitis PANCREATIC cancer PHYTOCHEMICALS Curcumin Resverastrol RHEIN EMODIN Green tea CATECHIN
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Self-expandable metallic stents for palliation of patients with malignant gastric outlet obstruction caused by stomach cancer 被引量:11
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作者 Tae Oh Kim Dae Hwan Kang +5 位作者 Gwang Ha Kim Jeong Heo Geun Am Song Mong Cho Dong Heon Kim Mun Sup sim 《World Journal of Gastroenterology》 SCIE CAS CSCD 2007年第6期916-920,共5页
AIM: To ascertain clinical outcome and complications of self-expandable metal stents for endoscopic palliation of patients with malignant obstruction of the gastrointestinal (GI) tract. METHODS: A retrospective review... AIM: To ascertain clinical outcome and complications of self-expandable metal stents for endoscopic palliation of patients with malignant obstruction of the gastrointestinal (GI) tract. METHODS: A retrospective review was performed throughout August 2000 to June 2005 of 53 patients with gastric outlet obstruction caused by stomach cancer. All patients had symptomatic obstruction including nausea, vomiting, and decreased oral intake. All received self-expandable metallic stents. RESULTS: Stent implantation was successful in all 53 (100%) patients. Relief of obstructive symptoms was achieved in 43 (81.1%) patients. No immediate stent-related complications were noted. Seventeen patients had recurrent obstruction (tumor ingrowth in 14 patients, tumor overgrowth in 1 patient, and partial distal stent migration in 2 patients). The mean survival was 145 d. Median stent patency time was 187 d. CONCLUSION: Endoscopic placement of self-expandable metallic stents is a safe and effective treatment for the palliation of patients with inoperable malignant gastric outlet obstruction caused by stomach cancer. 展开更多
关键词 Self-expandable metallic stents Malignant gastric outlet obstruction Stomach cancer
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双氢青蒿素哌喹复方治疗无并发症恶性疟的临床观察 被引量:9
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作者 宋建平 Duong Socheat +5 位作者 Suou Seila Thou Tharith SesS arim sim Yutheasa 谈博 李国桥 《中华医学杂志》 CAS CSCD 北大核心 2003年第12期1099-1100,共2页
关键词 双氢青蒿素哌喹片 恶性疟 临床观察 诊断标准 血液学检查 副作用
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A New Tuning Method for Two-Degree-of-Freedom Internal Model Control under Parametric Uncertainty 被引量:10
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作者 Juwari Purwo sutikno Badhrulhisham Abdul aziz +1 位作者 Chin sim yee Rosbi Mamat 《Chinese Journal of Chemical Engineering》 SCIE EI CAS CSCD 2013年第9期1030-1037,共8页
Internal model control (IMC) yields very good performance for set point tracking, but gives sluggish response for disturbance rejection problem. A two-degree-of-freedom IMC (2DOF-IMC) has been developed to overcom... Internal model control (IMC) yields very good performance for set point tracking, but gives sluggish response for disturbance rejection problem. A two-degree-of-freedom IMC (2DOF-IMC) has been developed to overcome the weakness. However, the setting of parameter becomes a complicated matter if there is an uncertainty model. The present study proposes a new tuning method for the controller. The proposed tuning method consists of three steps. Firstly, the worst case of the model uncertainty is determined. Secondly, the parameter of set point con- troller using maximum peak (Mp) criteria is specified, and finally, the parameter of the disturbance rejection con- troller using gain margin (GM) criteria is obtained. The proposed method is denoted as Mp-GM tuning method. The effectiveness of Mp-GM tuning method has evaluated and compared with IMC-controller tuning program (IMCTUNE) as bench mark. The evaluation and comparison have been done through the simulation on a number of first order plus dead time (FOPDT) and higher order processes. The FOPDT process tested includes processes with controllability ratio in the range 0.7 to 2.5. The higher processes include second order with underdarnped and third order with nonminimum phase processes. Although the two of higher order processes are considered as difficult processes, the proposed Mp-GM tuning method are able to obtain the good controller parameter even under process uncertainties. 展开更多
关键词 tuning 2DOF-IMC model uncertainty dead time process Mp-GM tuning IMCTUNE
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基于随机减量法的分布式结构模态参数识别 被引量:9
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作者 逯静洲 Sung Han sim +1 位作者 Billie F.Spencer Jr. 《振动与冲击》 EI CSCD 北大核心 2017年第17期48-54,共7页
分区进行平行分析处理的技术已成为大型结构密集布置无线智能传感器网络检测结构系统的重要任务。提出基于随机减量法的分布式数据采集和模态识别方法。以两边简支板模型试验为例,采用ISM400无线智能传感器,通过自然激励法获得测试结构... 分区进行平行分析处理的技术已成为大型结构密集布置无线智能传感器网络检测结构系统的重要任务。提出基于随机减量法的分布式数据采集和模态识别方法。以两边简支板模型试验为例,采用ISM400无线智能传感器,通过自然激励法获得测试结构的响应信号,计算随机减量函数,然后运用特征系统实现算法提取系统的状态空间参数,并结合稳定图的方法剔除虚假模态,识别出结构的模态性能参数。以模态置信度为判据对比分析分布式算法与集中式算法的识别效果,结果表明两种算法吻合良好。 展开更多
关键词 随机减量法 分布式传感器网络 特征系统实现算法 稳定图 模态识别
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参与式渭南地震情景构建:中国地震风险对策的行动研究示范 被引量:7
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作者 苏桂武 Janise Rodgers +19 位作者 田青 齐文华 Philip England Timothy sim John Young 王东明 李志强 冯希杰 孙磊 陈鲲 Emily So Barry Parsons 赵金礼 石建梁 袁志祥 Yue Cao 周旗 魏本勇 David Milledge Alexander Densmore 《地震地质》 EI CSCD 北大核心 2020年第6期1446-1473,共28页
中国政府层面自上而下的防震减灾管理卓有成效;但是,对于提升全社会的整体防震减灾能力而言,尚需推动基于此而又有民众与基层自下而上广泛参与的全社会治理模式。为发展这种模式积累经验,渭南市地震情景构建示范项目借助参与式行动研究... 中国政府层面自上而下的防震减灾管理卓有成效;但是,对于提升全社会的整体防震减灾能力而言,尚需推动基于此而又有民众与基层自下而上广泛参与的全社会治理模式。为发展这种模式积累经验,渭南市地震情景构建示范项目借助参与式行动研究范式,特别关注了中国防震减灾工作当前存在的以下2点广泛不足:一是社会民众与基层的自下而上办法薄弱,且与政府层面自上而下对策之间的相互衔接与促进不足;二是科学研究向实际减灾对策的转化不足,特别是针对自下而上办法的科学研究与应用转化不足。取得的主要进展有:1)基于广泛参与理念,通过"研究者"和"减灾实践者"、"相关者"、"当事人"2方面人员间的密切合作,共同诊断评估了渭南面临的主要地震灾害风险及隐患、共同提炼了针对性的减灾对策改进建议等,从而使情景构建所得的结果或认识更加可靠、所提对策建议更加符合当地实际需要;借助行动研究过程平台,尝试了风险评估、风险沟通和风险对策改进3大环节的无缝衔接与同步互动,促进了科学研究与实际应用的直接对接与就地转化。2)基于多尺度、多层面视角和同时为"政府"或"部门"与"基层"或"民众"两大类用户服务。在关注改进自上而下对策的同时,针对薄弱的自下而上办法,特别是就这两大对策途径间最广泛与最可持续的接口——宣传教育和家庭、学校、社区减灾,开展了大规模的专项调查分析,梳理了系列化的现今本底与改进方向。3)聚焦改善减灾宣教和促进风险沟通,编创了由"故事"引导的2版内容与形式均有显著差别的地震情景叙事读本:政府版和公众版,以期借助"故事"和艺术呈现"故事"带动人们更好地理解与应用情景构建结果和认识,借助"故事"演绎社会性灾害脆弱成分——"留守儿童家庭与贫困"之于灾害的强化与叠加效应,促进人们� 展开更多
关键词 地震情景 参与式行动研究 讲故事 自上而下对策与自下而上办法 风险评估与风险对策
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One fifth of hospitalizations for peptic ulcer-related bleeding are potentially preventable 被引量:8
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作者 Ray Boyapati sim Ye Ong +6 位作者 Bei Ye Anuk Kruavit Nora Lee Rhys Vaughan Sanjay Nurkar Peter Gibson Mayur Garg 《World Journal of Gastroenterology》 SCIE CAS 2014年第30期10504-10511,共8页
AIM: To calculate the proportion of potentially preventable hospitalizations due to peptic ulcer disease (PUD), erosive gastritis (EG) or duodenitis (ED).
关键词 Peptic ulcer Gastrointestinal hemorrhage PREVENTION Non-steroidal anti-inflammatory drug Proton pump inhibitor GASTROPROTECTION
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Biomass seaweed-derived n itrogen self-doped porous carb on anodes for sodium-ion batteries:Insights into the structure and electrochemical activity 被引量:8
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作者 Chenrayan Senthil Jae Woo Park +2 位作者 Nitheesha Shaji Gyu Sang sim Chang Woo Lee 《Journal of Energy Chemistry》 SCIE EI CAS CSCD 2022年第1期286-295,I0008,共11页
Sustainable transformation and efficient utilization of biomasses and their derived materials are environ-mentally as well as economically compliant strategies.Biomass seaweed-derived nitrogen self-doped porous carbon... Sustainable transformation and efficient utilization of biomasses and their derived materials are environ-mentally as well as economically compliant strategies.Biomass seaweed-derived nitrogen self-doped porous carbon with tailored surface area and pore structures are prepared through carb on izatio n and activation.The in fluence of carb on ization temperature on morphology,surface area,and heteroatom dopants are investigated to optimize sodium-ion storage capability.Seaweed-derived nitrogen selfdoped activated carbon(SAC)as anode materials for sodium-ion batteries exhibits remarkable reversible capacity of 303/192 mAh g^(-1) after 100/500 cycles at current densities of 100/200 mA g^(-1) respectively,and a good rate capability.The interconnected and porous conducting nature along with the heteroatom dopant role in creating defective sites and charge stabilization are favorable for ion storage and diffusion and electron transport,indicating the electrodes can offer improved electrochemical performances.In addition,post-mortem analysis of the cycled carbon electrodes through ex-situ tools demonstrates the sodium-ion storage mechanism. 展开更多
关键词 BIOMASS Heteroatom self-doping Porous carbon Anode Sodium-ion batteries Post-mortem ex-situ analysis
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Dual innervation method to preserve erectile function following prostatectomy
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作者 Nadia Hui Shan sim Allen sim +2 位作者 Dayna sim Bien-Keem Tan Allen Wei-Jiat Wong 《Chinese Journal of Plastic and Reconstructive Surgery》 2024年第3期159-160,共2页
Prostate cancer is the second most prevalent cancer in men.Robot-assisted radical prostatectomy(RARP)has altered the landscape of prostate cancer treatment.Despite the excellent oncological outcomes associated with RA... Prostate cancer is the second most prevalent cancer in men.Robot-assisted radical prostatectomy(RARP)has altered the landscape of prostate cancer treatment.Despite the excellent oncological outcomes associated with RARP,the rate of erectile dysfunction(ED)remains high.Primary repair of disrupted cavernous nerves with interpositional nerve grafts has been described;however,the outcomes have been inconsistent.We hypothesize that this is attributed to Schwann cell atrophy and axonal regeneration limitations caused by long nerve grafts.We proposed the use of nerve transfer to support axonal regrowth via an inter-positional graft with additional donor axons.A cadaveric study was performed to evaluate the anatomical feasibility of a vastus lateralis nerve(VLN)transfer to the distal recipient cavernous nerve stump.The VLN is long with multiple branching patterns that allow tension-free coaptation of the cavernous nerve.We postulate that a dual innervation method using VLN nerve transfer together with interpositional nerve graft repair of the transacted cavernous nerves may improve the outcomes of ED post-RARP. 展开更多
关键词 Erectile dysfunction Prostatectomy Interposition nerve graft Nerve transfer Vastus lateralis nerve
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Pretreated Oenan the Javanica extract increases anti-inflammatory cytokines, attenuates gliosis, and protects hippocampal neurons following transient global cerebral ischemia in gerbils 被引量:7
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作者 Joon Ha Park In Hye Kim +12 位作者 Ji Hyeon Ahn YooHun Noh Sung-Su Kim Tae-Kyeong Lee Jae-Chul Lee Bich-Na Shin Tae Heung sim Hyun Sam Lee Jeong Hwi Cho In Koo Hwang Il Jun Kang Jong Dai Kim Moo-Ho Won 《Neural Regeneration Research》 SCIE CAS CSCD 2019年第9期1536-1543,共8页
Recently,we have reported that Oenanthe javanica extract(OJE)displays strong neuroprotective effect against ischemic damage after transient global cerebral ischemia.However,neuroprotective mechanisms of OJE have not b... Recently,we have reported that Oenanthe javanica extract(OJE)displays strong neuroprotective effect against ischemic damage after transient global cerebral ischemia.However,neuroprotective mechanisms of OJE have not been fully identified.Thus,this study investigated the neuroprotection of OJE in the hippocampal CA1 area and its anti-inflammatory activity in gerbils subjected to 5 minutes of transient global cerebral ischemia.We treated the animals by intragastrical injection of OJE(100 and 200 mg/kg)once daily for 1 week prior to transient global cerebral ischemia.Neuroprotection of OJE was observed by immunohistochemistry for neuronal nuclear antigen and histofluorescence staining for Fluoro-Jade B.Immunohistochemistry of glial fibrillary acidic protein and ionized calcium-binding adapter molecule 1 was done for astrocytosis and microgliosis,respectively.To investigate the neuroprotective mechanisms of OJE,we performed immunohistochemistry of tumor necrosis factor-alpha and interleukin-2 for pro-inflammatory function and interleukin-4 and interleukin-13 for anti-inflammatory function.When we treated the animals by intragastrical administration of 200 mg/kg of OJE,hippocampal CA1 pyramidal neurons were protected from transient global cerebral ischemia and cerebral ischemia-induced gliosis was inhibited in the ischemic hippocampal CA1 area.We also found that interleukin-4 and-13 immunoreactivities were significantly increased in pyramidal neurons of the ischemic CA1 area after OJE pretreatment,and the increased immunoreactivities were sustained in the CA1 pyramidal neurons after transient global cerebral ischemia.However,OJE pretreatment did not increase interleukin-2 and tumor necrosis factor-alpha immunoreactivities in the CA1 pyramidal neurons.Our findings suggest that pretreatment with OJE can protect neurons and attenuate gliosis from transient global cerebral ischemia via increasing expressions of interleukin-4 and-13.The experimental plan of this study was reviewed and approved by the Institutional Animal C 展开更多
关键词 Oenanthe JAVANICA EXTRACT TRANSIENT global CEREBRAL ISCHEMIA hippocampus ischemic damage CEREBRAL ISCHEMIA neuroprotection glial activation pro-inflammatory CYTOKINES anti-inflammatory CYTOKINES inflammation neural regeneration
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用于轻金属切削的新工具涂层 被引量:7
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作者 Dave Doerwald Thomas Krug +5 位作者 Roel Tietema Wei-Ming sim Quanshun Luo Papken Hovsepian 林松盛 代明江 《国外金属热处理》 2004年第5期15-18,23,共5页
新的碳基涂层已被发展用于切削轻金属 (如铝 )。这类涂层能直接用于工具上或者作为另一种硬质涂层的顶层。切削试验显示 :这类涂层对于容易粘附在工具上的材料 (如铝合金 )具有良好的切削性能 ,因为显著地减少了所谓的切屑瘤 (BUE)的出... 新的碳基涂层已被发展用于切削轻金属 (如铝 )。这类涂层能直接用于工具上或者作为另一种硬质涂层的顶层。切削试验显示 :这类涂层对于容易粘附在工具上的材料 (如铝合金 )具有良好的切削性能 ,因为显著地减少了所谓的切屑瘤 (BUE)的出现。结果延长了工具的寿命并使工件材料在切削后表面光滑。特别是在干切削和深孔加工方面 ,涂层性能非常好。关于涂层性能的观察及原始切削结果将逐一介绍。本文也将介绍由一家主导欧洲的航空航天工业的制造商最近完成的工业领域的试验结果。切削力、切屑瘤的形成和表面粗糙度等数据将用来解释整个干切削过程。 展开更多
关键词 干切削 轻金属切屑 切削试验 涂层性能 切削性能 深孔加工 切削力 切屑瘤 工具涂层
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血管生成素-1对猪慢性缺血心肌中功能性新生血管增生的促进作用 被引量:5
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作者 李伟 Winston Ng Shim Eugene Kwangwei sim 《复旦学报(医学版)》 CAS CSCD 北大核心 2018年第3期347-353,共7页
目的对比血管生成素-1(angiopoietin-1,ANG-1)和血管内皮细胞生长因子(vascular endothelial growth factor,VEGF)在猪慢性心肌缺血模型中的促血管再生效果。方法利用Ameroid血管压缩环建立26只猪慢性心肌缺血研究模型,4周后分成3组:腺... 目的对比血管生成素-1(angiopoietin-1,ANG-1)和血管内皮细胞生长因子(vascular endothelial growth factor,VEGF)在猪慢性心肌缺血模型中的促血管再生效果。方法利用Ameroid血管压缩环建立26只猪慢性心肌缺血研究模型,4周后分成3组:腺病毒携带ANG-1组(Ad ANG-1,n=9),腺病毒携带VEGF组完全恢复灌注术后4周仍然保持缺血状态(Ad VEGF,n=10)和空载体对照组(n=7)。分别在腺病毒介导的基因移植4和12周后,利用荧光微球法测定缺血心肌的局部血流量,并同时进行免疫组化检测。结果基因移植后4周,Ad ANG-1组左心室心肌缺血区的灌注量[(3.25±0.16)m Lmin-1g-1]明显高于Ad VEGF组[(1.09±0.13)m Lmin-1g-1]和对照组[(1.20±0.03)m Lmin-1g-1](P<0.05)。基因移植后12周,Ad ANG-1组和Ad VEGF组的左心室缺血区心肌微血管密度分别为(19.61±1.76)/0.572 mm2心肌组织和(18.17±1.43)/0.572 mm2心肌组织,均明显高于对照组的(13.53±0.92)/0.572 mm2心肌组织(P<0.05)。但就直径50~100μm小动脉密度而言,Ad ANG-1组较空载体对照组显著增加[(1.9±0.4)/0.572 mm2心肌组织切面vs.(0.7±0.2)/0.572 mm2心肌组织切面,P<0.05],而VEGF组与空载体对照组相较则无明显差异。Ad ANG-1组增加了心肌微血管的密度进而提高了局部心肌灌注。结论 VEGF和ANG-1基因转移均可促进血管再生,但只有ANG-1可以促进功能性小血管的再生,从而稳定有效地增加了心肌灌注,并为心功能的改善提供了必要的组织解剖学基础。 展开更多
关键词 血管再生 血管生成素 心肌缺血 基因治疗
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2型糖尿病治疗负担的概念框架及应对方式:基于视频记录分析 被引量:4
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作者 林恺 姚弥 +4 位作者 陈章 纪欣鑫 林润琪 陈永松 Moira sim 《中国全科医学》 北大核心 2023年第34期4302-4307,共6页
背景2型糖尿病患者常会经历较高的治疗负担。国内外对此类特定疾病治疗负担的研究尚处于起步阶段。目的基于临床诊疗场景的视频记录,总结中国人群2型糖尿病相关治疗负担的概念框架,并探索全科医生积极应对的方式。方法使用广东省某全科... 背景2型糖尿病患者常会经历较高的治疗负担。国内外对此类特定疾病治疗负担的研究尚处于起步阶段。目的基于临床诊疗场景的视频记录,总结中国人群2型糖尿病相关治疗负担的概念框架,并探索全科医生积极应对的方式。方法使用广东省某全科医学专业住院医师规范化培训基地2018—2019年的全科医学教学门诊视频记录,并结合现有治疗负担的概念框架,通过观察记录表、田野笔记、编码提取、主题分析等质性研究方法开展回顾性分析。结果在25份视频记录中,提取与2型糖尿病治疗负担相关的医患沟通共49段。原概念框架中6个主题均被不同程度地提及。同时,分析发现2个新的主题(医疗信息负担和药物引起的低血糖)被反复提及,最终形成包含经济负担、药物负担、医学管理负担、生活方式改变负担、医疗系统负担、时间/旅途负担、医疗信息负担7个可观察维度的改良2型糖尿病治疗负担概念框架,并对各维度子主题进行内涵拓展。对应诊过程的分析提示,接受过培训的全科医生可采取“健康教育、强化沟通、共同决策、动机访谈”技能积极回应部分治疗负担(药物负担、医疗信息负担、时间/旅途负担、生活方式改变负担)。结论本研究构建了一个改良的2型糖尿病治疗负担概念框架,结合临床诊疗中对概念维度的识别,全科医生可运用医患沟通技能对患者的治疗负担进行积极回应。 展开更多
关键词 治疗负担 患者体验 患者报告结局评价 糖尿病 2型 医患沟通 慢性病 视频分析
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Risk factor for ischemic-type biliary lesion after ABO-incompatible living donor liver transplantation 被引量:6
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作者 Jun Bae Bang Bong-Wan Kim +7 位作者 Young Bae Kim Hee-Jung Wang Hyun Yeong Lee Joohyun sim Taegyu Kim Kyeong Lok Lee Xu-Guang Hu Wei Mao 《World Journal of Gastroenterology》 SCIE CAS 2016年第30期6925-6935,共11页
AIM: To evaluate the risk factors for ischemic-type biliary lesion(ITBL) after ABO-incompatible(ABO-I) adult living donor liver transplantation(ALDLT).METHODS: Among 141 ALDLTs performed in our hospital between 2008 a... AIM: To evaluate the risk factors for ischemic-type biliary lesion(ITBL) after ABO-incompatible(ABO-I) adult living donor liver transplantation(ALDLT).METHODS: Among 141 ALDLTs performed in our hospital between 2008 and 2014, 27(19%) were ABO-I ALDLT and 114 were ABO-identical/compatible ALDLT. In this study, we extensively analyzed the clinico-pathological data of the 27 ABO-I recipients to determine the risk factors for ITBL after ABO-I ALDLT. All ABO-I ALDLT recipients underwent an identical B-cell depletion protocol with preoperative rituximab, plasma exchange(PE), and operative splenectomy. The median follow-up period after transplantation was 26 mo. The clinical outcomes of the 27 ABO-I ALDLT recipients were compared with those of 114 ABO-identical/compatible ALDLT recipients.RESULTS: ITBL occurred in four recipients(14.8%) between 45 and 112 d after ABO-I ALDLT. The overall survival rates were not different between ABO-I ALDLT and ABO-identical/compatible ALDLT(P = 0.303). Among the ABO-I ALDLT recipients, there was no difference between patients with ITBL and those without ITBL in terms of B-cell and T-cell count, serum isoagglutinin titers, number of PEs, operative time and transfusion, use of graft infusion therapy, or number of remnant B-cell follicles and plasma cells in the spleen. However, the perioperative NK cell counts in the blood of patients with ITBL were significantly higher than those in the patients without ITBL(P < 0.05). Preoperative NK cell count > 150/μL and postoperative NK cell count > 120/μL were associated with greater relative risks(RR) for development of ITBL(RR = 20 and 14.3, respectively, P < 0.05). CONCLUSION: High NK cell counts in a transplant recipient's blood are associated with ITBL after ABO-I ALDLT. Further research is needed to elucidate the molecular mechanism of NK cell involvement in the development of ITBL. 展开更多
关键词 Liver transplantation ABO-incompatibility Ischemic-type BILIARY lesion Natural KILLER cell
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Direct vapor phase growth process and robust photoluminescence properties of large area MoS2 layers 被引量:6
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作者 V. Senthilkumar Le C. Tam +3 位作者 Yong Soo Kim Yumin sim Maeng-Je Seong Joon. I. Jang 《Nano Research》 SCIE EI CAS CSCD 2014年第12期1759-1768,共10页
There has been growing research interest in the use of molybdenum disulfide in the fields of optoelectronics and energy harvesting devices, by virtue of its indirect-to-direct band gap tunability. However, obtaining l... There has been growing research interest in the use of molybdenum disulfide in the fields of optoelectronics and energy harvesting devices, by virtue of its indirect-to-direct band gap tunability. However, obtaining large area thin films of MoS2 for future device applications still remains a challenge. In the present study, the amounts of the precursors (S and MOO3) were varied systematically in order to optimize the growth of highly crystalline and large area MoS2 layers by the chemical vapor deposition method. Careful control of the amounts of precursors was found to the key factor in the synthesis of large area highly crystalline flakes. The thickness of the layers was confirmed by Raman spectroscopy and atomic force microscopy. The optical properties and chemical composition were studied by photoluminescence (PL) and X-ray photoelectron spectroscopy. The emergence of strong direct excitonic emissions at 1.82 eV (A-exciton, with a normalized PL intensity of -55 × 10^3) and 1.98 eV (B-exciton, with a normalized PL intensity of -5 × 10^3) of the sample at room temperature clearly indicates the high luminescence quantum efficiency. The mobility of the films was found to be 0.09 cm^2/(V.s) at room temperature. This study provides a method for the controlled synthesis of high-quality two-dimensional (2D) transition metal dichalcogenide materials, useful for applications in nanodevices, optoelectronics and solar energv conversion. 展开更多
关键词 molybdenum disulfide CVD growth large area RAMAN PHOTO-LUMINESCENCE field-effect ransistor (FET)
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人体医疗类干预临床试验研究方案信息与结果的国际注册原则——渥太华声明(第Ⅰ部分) 被引量:5
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作者 刘建平 张晶 +6 位作者 陈均超 Karmela Krle■a-Jeri An-Wen Chan Kay Dickersin Ida sim Jeremy Grimshaw Christian Gluud 《循证医学》 CSCD 2006年第2期109-112,共4页
临床试验的注册在国际临床医学界已经呼吁了多年,其用意在于避免发表偏倚(一种阳性结果临床试验容易获得发表,而阴性的研究结果不容易获得发表的倾向)和选择性报告偏倚。2004年一个由80多名国际临床医学专家、杂志编辑和研究人员共同签... 临床试验的注册在国际临床医学界已经呼吁了多年,其用意在于避免发表偏倚(一种阳性结果临床试验容易获得发表,而阴性的研究结果不容易获得发表的倾向)和选择性报告偏倚。2004年一个由80多名国际临床医学专家、杂志编辑和研究人员共同签署的声明,由6名具有国际知名度的临床试验专家起草、修订和发表了注册临床试验的宣言,即著名的《渥太华声明》。要求任何临床试验的研究方案及随后的试验结果都应当进行注册,并使公众能够获取。该声明已经翻译成英、法、日文;现由国内学者翻译的该声明在本刊发表具有重要意义,将进一步促进临床试验的规范化和质量的提高,并最终接受公众的评价。 展开更多
关键词 临床试验 注册 渥太华声明
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Oxidative coupling of methane over LaAlO3 perovskite catalysts prepared by a co-precipitation method: Effect of co-precipitation pH value 被引量:5
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作者 Yujin sim Jihoon Yoo +1 位作者 Jeong-Myeong Ha Ji Chul Jung 《Journal of Energy Chemistry》 SCIE EI CAS CSCD 2019年第8期1-8,I0001,共9页
Oxidative coupling of methane(OCM) was conducted over LaAlO3X catalysts that were prepared by a coprecipitation method using different co-precipitation pH values(X = 6–10). The aim is to investigate the effect of p H... Oxidative coupling of methane(OCM) was conducted over LaAlO3X catalysts that were prepared by a coprecipitation method using different co-precipitation pH values(X = 6–10). The aim is to investigate the effect of p H values on the catalytic activity of La AlO3 catalysts in this reaction. The results showed that the co-precipitation pH value affected greatly on the formation of chemical species of precipitate precursors in the co-precipitation step, leading to different phases of the finally obtained LaAlO3 catalysts.When the co-precipitation pH value increased up to 8, the lanthanum-related phases such as La2 O3 and La(OH)3 were gradually formed as by-products, preventing the formation of LaAlO3 perovskite crystalline structure and facilitating the formation of oxygen vacancies on catalyst surface. However, at pH value of9 or higher, the lanthanum content in the precipitate precursor was increased greatly. Not LaAlO3 perovskite but lanthanum-related phases were developed as main phases, reducing their catalytic activities in this reaction. Among LaAlO3 catalysts, the one prepared at pH = 8 showed the highest C2 yield due to its well-developed oxygen vacancies and electrophilic lattice oxygen. Therefore, the co-precipitation pH value strongly affected the LaAlO3 catalyst activity in OCM reaction. A precious pH control should be required to prepare various perovskite catalysts for the OCM. 展开更多
关键词 LAALO3 PEROVSKITE OXIDATIVE coupling of METHANE CO-PRECIPITATION pH value
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韩国化妆品法规现状及动态分析 被引量:5
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作者 吴莹 延在昊 +3 位作者 吴冯丹 Eunsong Koh Kahn Doohyeon Lim sim Wook Youg 《日用化学品科学》 CAS 2016年第7期1-5,共5页
简述了韩国化妆品法规的发展历史和主要框架,介绍了韩国化妆品的定义和分类、生产企业的管理、原料和终产品技术要求、产品的监管、标签标识广告管理等多方面的内容。
关键词 化妆品 韩国 法规
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