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中国非小细胞肺癌免疫检查点抑制剂治疗专家共识(2019年版) 被引量:102
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作者 周彩存 王洁 +13 位作者 步宏 王宝成 韩宝惠 卢铀 王哲海 朱波 王子平 宋启斌 任胜祥 林冬梅 何雅億 胡晓桦 赵洪云 秦叔逵 《中国肺癌杂志》 CAS CSCD 北大核心 2020年第2期65-76,共12页
非小细胞肺癌(non-small cell lung cancer, NSCLC)是肺癌中最常见的病理类型,大多数NSCLC患者在确诊时已属晚期。对于驱动基因突变阴性的患者而言,目前的治疗仍以化疗为主,总体预后较差,改善治疗现状、获得长期生存是晚期NSCLC患者最... 非小细胞肺癌(non-small cell lung cancer, NSCLC)是肺癌中最常见的病理类型,大多数NSCLC患者在确诊时已属晚期。对于驱动基因突变阴性的患者而言,目前的治疗仍以化疗为主,总体预后较差,改善治疗现状、获得长期生存是晚期NSCLC患者最迫切的需求。近年来,肿瘤免疫治疗发展迅速,免疫检查点抑制剂(immune checkpoint inhibitors, ICIs),尤其是以程序性死亡因子-1(programmed death-1, PD-1)/程序性死亡因子配体-1(programmed deathligand 1, PD-L1)为靶点的ICIs在驱动基因突变阴性的NSCLC治疗中取得了突破性的进展,为患者带来了生存获益,改变了NSCLC的治疗格局,显示出越来越重要的地位。由中国临床肿瘤学会(Chinese society of clinical oncology, CSCO)NSCLC专家委员会牵头,组织该领域的相关专家,在参考国内外文献、系统评价中外临床研究结果、结合专家经验与体会的基础上,达成统一意见并制定本共识,以期指导国内同行更好地应用ICIs治疗NSCLC。 展开更多
关键词 肺肿瘤 肿瘤免疫治疗 免疫检查点抑制剂 PD-1/PD-L1
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中国非小细胞肺癌免疫检查点抑制剂治疗专家共识(2020年版) 被引量:83
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作者 周彩存 王洁 +22 位作者 王宝成 程颖 王哲海 韩宝惠 卢铀 伍钢 张力 宋勇 朱波 胡毅 王子平 宋启斌 任胜祥 何雅億 胡晓桦 张艰 姚煜 赵洪云 王志杰 褚倩 段建春 柳菁菁 秦叔逵 《中国肺癌杂志》 CAS CSCD 北大核心 2021年第4期217-235,共19页
非小细胞肺癌(non-small cell lung cancer,NSCLC)是肺癌最常见的病理类型。晚期NSCLC的系统性抗肿瘤治疗经历了化疗、靶向治疗及免疫治疗的变革,患者总体生存时间不断延长。免疫检查点抑制剂(immune checkpoint inhibitors,ICIs),尤其... 非小细胞肺癌(non-small cell lung cancer,NSCLC)是肺癌最常见的病理类型。晚期NSCLC的系统性抗肿瘤治疗经历了化疗、靶向治疗及免疫治疗的变革,患者总体生存时间不断延长。免疫检查点抑制剂(immune checkpoint inhibitors,ICIs),尤其是程序性死亡分子-1(programmed cell death protein 1,PD-1)/程序性死亡分子配体-1(programmed death-ligand 1,PD-L1)抗体已成为表皮生长因子受体(epidermal growth factor receptor,EGFR)/间变性淋巴瘤激酶(anaplastic lymphoma kinase,ALK)阴性晚期NSCLC一线及二线的标准治疗和局部晚期NSCLC同步放化疗后标准治疗,并在辅助/新辅助治疗中显示出可喜的结果,改变了NSCLC整体治疗格局。随着越来越多的ICIs在国内获批肺癌适应证,中国临床肿瘤学会(Chinese Society of Clinical Oncology,CSCO)NSCLC专家委员会牵头,组织该领域的专家,结合2019年版专家共识,参考最新国内外文献、临床研究数据及系统评价,在专家共同讨论的基础上,达成统一意见并制定、更新本共识,为国内同行更好地应用ICIs治疗NSCLC提供参考意见。 展开更多
关键词 肺肿瘤 免疫治疗 程序性死亡分子-1/程序性死亡分子配体-1 专家共识
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Analysis of Factors Associated with Death in Maintenance Hemodialysis Patients: A Multicenter Study in China 被引量:40
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作者 Kang-Kang song De-Long Zhao +19 位作者 Yuan-Da Wang Yong Wang Xue-Feng Sun Li-Ning Miao Zhao-Hui Ni Hong-Li Lin Fu-you Liu Ying Li Ya-Ni He Nian-song Wang Cai-Li Wang Ai-Hua Zhang Meng-Hua Chen Xiao-Ping Yang Yue-Yi Deng Feng-Min Shao Shu-Xia Fu Jing-Ai Fang Guang-Yan Cai Xiang-Mei Chen 《Chinese Medical Journal》 SCIE CAS CSCD 2017年第8期885-891,共7页
Background: Patients on hemodialysis have a high-mortality risk. Tiffs study analyzed factors associated with death in patients on maintenance hemodialysis (MHD). While some studies used baseline data of MHD patien... Background: Patients on hemodialysis have a high-mortality risk. Tiffs study analyzed factors associated with death in patients on maintenance hemodialysis (MHD). While some studies used baseline data of MHD patients, this study used the most recent data obtained from patients just prior to either a primary endpoint or the end of the study period to iliad the characteristics of patients preceding death.Methods: Participants were selected from 16 blood purification centers in China from January 2012 to December 2014, Patients' data were collected retrospectively. Based on survival status, the participants were divided into two groups: survival group and the death group. Logistic regression analysis was performed to determine/'actors associated with all-cause mortality. 展开更多
关键词 HEMODIALYSIS Mortality: Risk Factors
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Progress in ceramic materials and structure design toward advanced thermal barrier coatings 被引量:32
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作者 Zhi-Yuan WEI Guo-Hui MENG +30 位作者 Lin CHEN Guang-Rong LI Mei-Jun LIU Wei-Xu ZHANG Li-Na ZHAO Qiang ZHANG Xiao-Dong ZHANG Chun-Lei WAN Zhi-Xue QU Lin CHEN Jing FENG Ling LIU Hui DONG Ze-Bin BAO Xiao-Feng ZHAO Xiao-Feng ZHANG Lei GUO Liang WANG Bo CHENG Wei-Wei ZHANG Peng-Yun XU Guan-Jun YANG Hong-Neng CAI Hong CUI you WANG Fu-Xing YE Zhuang MA Wei PAN Min LIU Ke-song ZHOU Chang-Jiu LI 《Journal of Advanced Ceramics》 SCIE EI CAS CSCD 2022年第7期985-1068,共84页
Thermal barrier coatings(TBCs)can effectively protect the alloy substrate of hot components in aeroengines or land-based gas turbines by the thermal insulation and corrosion/erosion resistance of the ceramic top coat.... Thermal barrier coatings(TBCs)can effectively protect the alloy substrate of hot components in aeroengines or land-based gas turbines by the thermal insulation and corrosion/erosion resistance of the ceramic top coat.However,the continuous pursuit of a higher operating temperature leads to degradation,delamination,and premature failure of the top coat.Both new ceramic materials and new coating structures must be developed to meet the demand for future advanced TBC systems.In this paper,the latest progress of some new ceramic materials is first reviewed.Then,a comprehensive spalling mechanism of the ceramic top coat is summarized to understand the dependence of lifetime on various factors such as oxidation scale growth,ceramic sintering,erosion,and calcium–magnesium–aluminium–silicate(CMAS)molten salt corrosion.Finally,new structural design methods for high-performance TBCs are discussed from the perspectives of lamellar,columnar,and nanostructure inclusions.The latest developments of ceramic top coat will be presented in terms of material selection,structural design,and failure mechanism,and the comprehensive guidance will be provided for the development of next-generation advanced TBCs with higher temperature resistance,better thermal insulation,and longer lifetime. 展开更多
关键词 thermal barrier coatings(TBCs) ceramic material degradation and failure structure design long lifetime
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Microstructures and Mechanical Properties of Fe-Mn-(Al, Si) TRIP/TWIP Steels 被引量:31
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作者 DING Hua TANG Zheng-you +2 位作者 LI Wei WANG Mei song Dan 《Journal of Iron and Steel Research International》 SCIE EI CAS CSCD 2006年第6期66-70,共5页
The mechanical properties and microstructure of two low carbon high manganese steels with 23.8% (No. 1) and 33% (No. 2) (mass percent) of manganese were investigated. The results showed that No. 1 steel possesse... The mechanical properties and microstructure of two low carbon high manganese steels with 23.8% (No. 1) and 33% (No. 2) (mass percent) of manganese were investigated. The results showed that No. 1 steel possesses high strength and high plasticity, and No. 2 steel has a relatively high strength and extraordinary plasticity. The No. 1 steel exhibits both TRIP (transformation induced plasticity) and TWIP (twin induced plasticity) effects during the deformation; while only TWIP effect appeared under the same deformation condition for No. 2 steel. The comparison between the microstructures and mechanical properties of two steels was made, and the strengthening mechanisms were also analyzed. 展开更多
关键词 MANGANESE TRIP TWIP microstructure mechanical property
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县域生态保护成效评估方法——以峨山县为例 被引量:26
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作者 游旭 何东进 +3 位作者 肖燚 王莉雁 宋昌素 欧阳志云 《生态学报》 CAS CSCD 北大核心 2019年第9期3051-3061,共11页
县域是我国基本的行政单元,建立县域生态保护成效评估方法是完善我国生态文明制度建设重要任务。生态系统生产总值(GEP)是指一定区域在一定时期内生态系统为人类福祉提供的最终产品与服务及其价值总和,开展县域GEP核算可以客观反映县域... 县域是我国基本的行政单元,建立县域生态保护成效评估方法是完善我国生态文明制度建设重要任务。生态系统生产总值(GEP)是指一定区域在一定时期内生态系统为人类福祉提供的最终产品与服务及其价值总和,开展县域GEP核算可以客观反映县域的生态系统状况和生态保护的成效。以省级生态文明县——峨山彝族自治县为例,研究了县域GEP的核算指标体系和核算方法,开展了峨山县GEP核算,分析了峨山县GEP构成及其变化趋势。结果表明:(1)峨山县生态系统产品与服务可以分为产品提供、调节服务和文化服务3大类15项;(2)2015年,峨山县GEP为158.42亿元,气候调节功能和水源涵养功能是最主要的服务功能,二者总和占当年GEP的62.02%;(3)2000年以来,峨山县GEP明显提高,剔除价格因素后,共增加了25.04%,其中产品提供和文化服务功能价值提升明显,分别增加了236.25%和3004.06%。调节服务价值稳中有升,增加了1.30%。本研究表明,现有的生态环境监测数据和经济社会统计数据基本上可以支撑县域GEP的核算,同时县域GEP的变化能够体现出生态系统的保护成效,并为完善政府绩效考核制度提供依据。 展开更多
关键词 生态系统生产总值 核算 县域 生态服务功能
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塔东古城地区碳酸盐岩储层地质认识与勘探领域 被引量:24
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作者 沈安江 张友 +6 位作者 冯子辉 郑兴平 朱茂 邵冠铭 宋叙 朱可丹 佘敏 《中国石油勘探》 CAS CSCD 北大核心 2020年第3期96-106,共11页
塔东古城地区寒武系—奥陶系碳酸盐岩是塔里木盆地非常重要的勘探领域,尤其是“两台夹一盆”的古地理格局,决定了研究区优越的源储配置和油气运移指向,但近几年的勘探没有达到预期效果,勘探潜力再次成为关注的焦点。基于大量的岩心、薄... 塔东古城地区寒武系—奥陶系碳酸盐岩是塔里木盆地非常重要的勘探领域,尤其是“两台夹一盆”的古地理格局,决定了研究区优越的源储配置和油气运移指向,但近几年的勘探没有达到预期效果,勘探潜力再次成为关注的焦点。基于大量的岩心、薄片观察、CT扫描、地球化学数据、测井和地震资料分析,研究了塔东地区寒武系—奥陶系不同地质历史时期碳酸盐台地类型、演化过程及其对沉积储层的控制作用,并对塔东地区寒武系—奥陶系碳酸盐岩勘探潜力进行评价。研究结果表明:塔东古城地区寒武纪—奥陶纪受构造运动和海平面变化影响,台地类型呈缓坡—镶边—弱镶边—缓坡—弱镶边开阔台地的演化特征,造就了寒武系盐下肖尔布拉克组—吾松格尔组缓坡微生物丘滩、中—上寒武统台缘带丘滩、中—上寒武统及中—下奥陶统斜坡重力流、鹰山组下段缓坡云化滩、鹰山组上段—一间房组颗粒灰岩滩5套储层的规模发育。以台地类型及其演化、有利储集相带为基础和牵引,以储集体分布预测及评价为核心,指出鹰山组下段缓坡云化滩和中—上寒武统台缘带丘滩是塔东近期增储上产的重点勘探领域。鹰山组上段—一间房组颗粒灰岩滩、寒武系盐下肖尔布拉克组—吾松格尔组缓坡微生物丘滩、中—上寒武统及中—下奥陶统斜坡重力流沉积是3个值得探索的风险勘探领域。 展开更多
关键词 缓坡微生物丘滩储层 镶边台缘带丘滩储层 缓坡云化滩储层 弱镶边颗粒灰岩滩储层 斜坡重力流储层 台地类型 寒武系—奥陶系 塔东地区 塔里木盆地
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Prevalence, awareness, treatment, and control of hypertension in the non-dialysis chronic kidney disease patients 被引量:24
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作者 ZHENG Ying CAI Guang-yan +59 位作者 CHEN Xiang-mei FU Ping CHEN Jiang-hua DING Xiao-qiang YU Xue-qing LIN Hong-li LIU Jian XIE Ru-juan WANG Li-ning NI Zhao-hui LIU Fu-you YIN Ai-ping XING Chang-ying WANG Li SHI Wei LIU Jian-she HE Ya-ni DING Guo-hua LI Wen-ge WU Guang-li MIAO Li-ning CHEN Nan SU Zhen MEI Chang-lin ZHAO Jiu-yang GU Yong BAI Yun-kai LUO Hui-min LIN Shan CHEN Meng-hua GONG Li YANG Yi-bin YANG Xiao-ping LI Ying WAN Jian-xin WANG Nian-song LI Hai-ying XI Chun-sheng HAO Li XU Yan FANG Jing-ai LIU Bi-cheng LI Rong-shan WANG Rong ZHANG Jing-hong WANG Jian-qin LOU Tan-qi SHAO Feng-min MEI Feng LIU Zhi-hong YUAN Wei-jie SUN Shi-ren ZHANG Ling ZHOU Chun-hua CHEN Qin-kai JIA Shun-lian GONG Zhi-feng GUAN Guang-ju XIA Tian ZHONG Liang-bao 《Chinese Medical Journal》 SCIE CAS CSCD 2013年第12期2276-2280,共5页
Background Data on the epidemiology of hypertension in Chinese non-dialysis chronic kidney disease (CKD) patients are limited.The aim of the present study was to investigate the prevalence,awareness,treatment,and co... Background Data on the epidemiology of hypertension in Chinese non-dialysis chronic kidney disease (CKD) patients are limited.The aim of the present study was to investigate the prevalence,awareness,treatment,and control of hypertension in the non-dialysis CKD patients through a nationwide,multicenter study in China.Methods The survey was performed in 61 tertiary hospitals in 31 provinces,municipalities,and autonomous regions in China (except Hong Kong,Macao,and Taiwan).Trained physicians collected demographic and clinical data and measured blood pressure (BP) using a standardized protocol.Hypertension was defned as systolic BP ≥140 mmHg and/or diastolic BP ≥90 mmHg,and/or use of antihypertensive medications.BP 〈140/90 mmHg and 〈130/80 mmHg were used as the 2 thresholds of hypertension control.In multivariate logistic regression with adjustment for sex and age,we analyzed the association between CKD stages and uncontrolled hypertension in non-dialysis CKD patients.Results The analysis included 8927 non-dialysis CKD patients.The prevalence,awareness,and treatment of hypertension in non-dialysis CKD patients were 67.3%,85.8%,and 81.0%,respectively.Of hypertensive CKD patients,33.1% and 14.1% had controlled BP to 〈140/90 mmHg and 〈130/80 mmHg,respectively.With successive CKD stages,the prevalence of hypertension in non-dialysis CKD patients increased,but the control of hypertension decreased (P〈0.001).When the threshold of BP 〈130/80 mmHg was considered,the risk of uncontrolled hypertension in CKD 2,3a,3b,4,and 5 stages increased 1.3,1.4,1.4,2.5,and 4.0 times compared with CKD 1 stage,respectively (P〈0.05).Using the threshold of 〈140/90 mmHg,the risk of uncontrolled hypertension increased in advanced stages (P〈0.05).Conclusions The prevalence of hypertension Chinese non-dialysis CKD patients was high,and the hypertension control was suboptimal.With successive CKD stages,the risk of uncontrolled hypertension increased. 展开更多
关键词 non-dialysis chronic kidney disease chronic kidney disease stages HYPERTENSION EPIDEMIOLOGY
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Expression of regulating apoptosis gene and apoptosis index in primary liver cancer 被引量:21
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作者 Hong Yu Xu you Lin Yang +3 位作者 Xi Li Guan Guang song Ai Min Jiang Li Jun Shi 《World Journal of Gastroenterology》 SCIE CAS CSCD 2000年第5期721-724,共4页
INTRODUCTIONProgramed cell death plays an important role in thegenesis of cancer.Certain cancer genes canregulate apoptosis.Recently,several proteins thatare structurally related to Bcl-2,an inhibitor ofapoptosis,have... INTRODUCTIONProgramed cell death plays an important role in thegenesis of cancer.Certain cancer genes canregulate apoptosis.Recently,several proteins thatare structurally related to Bcl-2,an inhibitor ofapoptosis,have been identified.Therefore,novel strategies and agents that target specificmolecular pathways,as well as triggering a 展开更多
关键词 liver NEOPLASMS apoptosis IMMUNOHISTOCHEMISTRY ONCOGENES tumor MARKERS biological in SITU HYBRIDIZATION
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前交叉韧带损伤临床诊疗循证指南(2022版) 被引量:21
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作者 白伦浩 陈疾忤 +27 位作者 陈坚 陈东阳 戴雪松 关振鹏 何盛为 蒋佳 蒋青 兰海 李庭 刘宁 陆伟 乔义 孙鲁宁 王卫国 王卫明 徐斌 徐洪港 徐永胜 肖文峰 杨梁 游洪波 余家阔 于腾波 张新涛 张辉 赵松 朱威宏 赵金忠 《中华创伤杂志》 CAS CSCD 北大核心 2022年第6期492-503,共12页
前交叉韧带(ACL)损伤是一种常见的运动损伤,对膝关节功能有严重影响,限制患者的活动能力。随着我国全民健身运动的普及,ACL损伤发生率正逐年增加。对于ACL损伤,如何选择合适的治疗方法、手术方案与康复计划,目前缺乏相关的临床规范或指... 前交叉韧带(ACL)损伤是一种常见的运动损伤,对膝关节功能有严重影响,限制患者的活动能力。随着我国全民健身运动的普及,ACL损伤发生率正逐年增加。对于ACL损伤,如何选择合适的治疗方法、手术方案与康复计划,目前缺乏相关的临床规范或指南。为了及时反映ACL损伤的诊疗新理念,规范其诊治并提高疗效,中国研究型医院学会运动医学专业委员会与《中华创伤杂志》编辑委员会组织国内骨科与运动医学专家,遵循科学性、实用性和先进性的原则,基于循证医学证据等级,制订了《前交叉韧带损伤临床诊疗循证指南》(2022版),针对ACL损伤的诊疗与康复提出12条推荐建议,为提高ACL损伤的临床诊疗效果提供指导和帮助。 展开更多
关键词 前交叉韧带损伤 膝关节 运动损伤 实践指南
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大学生生活事件与抑郁的关系:有调节的中介作用 被引量:20
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作者 姚崇 游旭群 +2 位作者 刘松 周晨琛 惠琪 《心理科学》 CSSCI CSCD 北大核心 2019年第4期935-941,共7页
采用大学生生活事件量表、流调中心用抑郁量表、自尊量表、多维度多归因因果量表、大五人格神经质分量表,以882名大学生为被试展开调查。结果发现:(1)大学生生活事件、自尊、抑郁、神经质、归因方式等两两显著相关;(2)大学生抑郁的形成... 采用大学生生活事件量表、流调中心用抑郁量表、自尊量表、多维度多归因因果量表、大五人格神经质分量表,以882名大学生为被试展开调查。结果发现:(1)大学生生活事件、自尊、抑郁、神经质、归因方式等两两显著相关;(2)大学生抑郁的形成过程是多路径的,多层次的,既有生活事件对抑郁的直接作用,又有生活事件对抑郁的间接作用;既有归因方式的简单中间作用,又有归因方式和自尊的链式中介作用,神经质在自尊到抑郁的路径中起调节作用。大学生生活事件对抑郁的影响有调节的中介作用,对此进行有针对性的干预可以减少抑郁的发生。 展开更多
关键词 大学生 生活事件 抑郁 神经质 有调节的中介
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基于健康信念模式产妇分娩方式的影响因素 被引量:20
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作者 尤华 顾海 +1 位作者 宋宝香 唐少文 《中国心理卫生杂志》 CSSCI CSCD 北大核心 2019年第2期103-105,共3页
中国的剖宫产率在近50余年急剧上升,远远超过世界卫生组织设立的15%警戒线[1]。其中,我国无医学指征的社会因素剖宫产位居亚洲之最[2]。社会因素剖宫产增加了对产妇及新生儿的健康风险[3],也造成医疗成本的增加[4]。健康信念模式(health... 中国的剖宫产率在近50余年急剧上升,远远超过世界卫生组织设立的15%警戒线[1]。其中,我国无医学指征的社会因素剖宫产位居亚洲之最[2]。社会因素剖宫产增加了对产妇及新生儿的健康风险[3],也造成医疗成本的增加[4]。健康信念模式(health belief model,HBM)理论认为,信念是人们采纳有利于健康的行为的基础,当人们感受到疾病(或健康问题)的威胁,并且认为采纳行为可以预防或控制疾病(或不良健康结局),才有可能引发行为的发生[5]。 展开更多
关键词 健康信念理论 分娩方式 剖宫产
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基于GIS和AHP的雷电灾害风险区划分析与评估──以内蒙古雷灾为例 被引量:18
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作者 刘晓东 尤莉 +4 位作者 宋昊泽 于凤鸣 李庆君 萨日娜 刘旭洋 《中国农学通报》 2019年第20期75-82,共8页
基于自然灾害风险理论,利用雷暴日和闪电定位资料、基础地理信息资料、社会经济资料以及雷电灾情资料,选取地形变化、水系、土壤电导率、雷暴日、地闪密度、土地利用、人均GDP、敏感单位防雷能力等11个指标,运用层次分析法构建了雷电灾... 基于自然灾害风险理论,利用雷暴日和闪电定位资料、基础地理信息资料、社会经济资料以及雷电灾情资料,选取地形变化、水系、土壤电导率、雷暴日、地闪密度、土地利用、人均GDP、敏感单位防雷能力等11个指标,运用层次分析法构建了雷电灾害风险指数,建立雷电灾害风险评估模型,从雷电灾害的致灾因子、孕灾环境、承灾体和防灾减灾能力4个方面进行了系统的分析,并运用ArcGIS进行了1 km×1 km雷电灾害综合风险区划。区划结果表明内蒙古东部大部和中部南部地区属于高风险区,中部北部地区属于中风险区,低风险区域主要分布在西部地区。通过选取雷灾资料进行雷电灾害的灰色关联评估,以验证区划结果的正确性,评估结果与雷电灾害风险区划分布大体一致。 展开更多
关键词 雷电灾害 风险区划 层次分析法 GIS
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Experimental study on energy storage and dissipation characteristics of granite under two-dimensional compression with constant confining pressure 被引量:17
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作者 SU you-qiang GONG Feng-qiang +1 位作者 LUO song LIU Zhi-xiang 《Journal of Central South University》 SCIE EI CAS CSCD 2021年第3期848-865,共18页
To study the energy storage and dissipation characteristics of deep rock under two-dimensional compression with constant confining pressure,the single cyclic loading-unloading two-dimensional compression tests were pe... To study the energy storage and dissipation characteristics of deep rock under two-dimensional compression with constant confining pressure,the single cyclic loading-unloading two-dimensional compression tests were performed on granite specimens with two height-to-width(H/W)ratios under five confining pressures.Three energy density parameters(input energy density,elastic energy density and dissipated energy density)in the axial and lateral directions of granite specimens under different confining pressures were calculated using the area integral method.The experimental results show that,for the specimens with a specific H/W ratio,these three energy density parameters in the axial and lateral directions increase nonlinearly with the confining pressure as quadratic polynomial functions.Under constant confining pressure compression,the linear energy storage law of granite specimens in the axial and lateral directions was founded.Using the linear energy storage law in different directions,the elastic energy density in various directions(axial elastic energy density,lateral elastic energy density and total elastic energy density)of granite under any specific confining pressures can be calculated.When the H/W ratio varies from 1:1 to 2:1,the lateral compression energy storage coefficient increases and the corresponding axial compression energy storage coefficient decreases,while the total compression energy storage coefficient is almost independent of the H/W ratio. 展开更多
关键词 rock mechanics two-dimensional compression linear energy storage law single cyclic loading-unloading height-to-width ratio
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Molecular Epidemiological Characteristics of Streptococcus pyogenes Strains Involved in an Outbreak of Scarlet Fever in China,2011 被引量:16
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作者 you Yuan Hai song Yan Yan +13 位作者 YAN Xiao Mei WANG Hai Bin ZHANG Meng Han TAO Xiao Xia Li Lei Lei ZHANG Yu Xin JIANG Xi Hong ZHANG Bing Hua ZHOU Hao XIAO Di JIN Lian Mei FENG Zi Jian LUO Feng Ji ZHANG Jian Zhong 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2013年第11期877-885,共9页
Objective To investigate molecular characterization of streptococcus pyogenes isolates involved in an outbreak of scarlet fever in China in 2011. Methods Seventy-four 5treptococcol pyogenes involved in an outbreak of ... Objective To investigate molecular characterization of streptococcus pyogenes isolates involved in an outbreak of scarlet fever in China in 2011. Methods Seventy-four 5treptococcol pyogenes involved in an outbreak of scarlet fever were isolated from pediatric patients in the areas with high incidence in China from May to August of 2011. Emm genotyping, pulsed-field gel electrophoresis (PFGE), superantigen (SAg) genes and antimicrobial susceptibility profiling were analyzed for these isolates. Results A total of 4 different emm types were identified. Emm12 was the most prevalent type which contained four predominating PFGE patterns corresponding to four different virulence and superantigen profiles. Emm12(79.7%) and emml (14.9%) accounted for approximately 94% of all the isolates. The speA gene was all negative in emm12 isolates and positive in emml isolates. All strains were resistant to erythromycin, and 89.4% of them were resistant to erythromycin, tracycline, and clindamycin simultaneously. Conclusion Several highly diversified clones with a high macrolide resistance rate comprise a predominant proportion of circulating strains, though no new emm type was found in this outbreak. The data provide a baseline for further surveillance of scarlet fever, which may contribute to the explanation of the outbreak and development of a GAS vaccine in China. 展开更多
关键词 Scarlet fever Streptococcus pyogenes Molecular epidemiology
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县域生态资产核算研究——以云南省屏边县为例 被引量:15
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作者 游旭 何东进 +3 位作者 肖燚 博文静 宋昌素 欧阳志云 《生态学报》 CAS CSCD 北大核心 2020年第15期5220-5229,共10页
生态资产(Eco⁃Assets)是生产与提供生态产品和服务的自然资源。以国家重点生态功能区县——屏边苗族自治县为例,研究了县域生态资产核算的指标和方法,以生态资产综合指数、负债表和损益表,开展屏边县生态资产实物量核算,以期能够切实反... 生态资产(Eco⁃Assets)是生产与提供生态产品和服务的自然资源。以国家重点生态功能区县——屏边苗族自治县为例,研究了县域生态资产核算的指标和方法,以生态资产综合指数、负债表和损益表,开展屏边县生态资产实物量核算,以期能够切实反映出生态系统实物量的变化和生态补偿成效,结合生态补偿分析屏边县生态资产变化的原因和趋势,给生态补偿政策和离任干部审计提供技术支撑。结果表明:(1)屏边县生态资产核算可以分为森林、灌丛、草地、湿地自然生态系统和农田、城镇和荒漠人工生态系统实物量的核算。(2)2015年,屏边县生态资产指数为1.09,森林和灌丛占据主要位置,二者总和占当年生态资产的95.48%。15年来,屏边县生态资产综合指数降低了16.48%,其中森林和草地降低明显,分别减少了20.10%和6.67%,湿地指数增长了57.11%。(3)2000年以来,生态保护工程和城镇扩张是生态资产变化的主要原因,生态补偿投入持续增加为生态保护工程顺利建设实施提供了保障。本研究表明,现有的土地利用数据和生态环境监测数据基本可以支撑县域生态资产的核算,同时县域生态资产的变化能够体现出生态保护工程实行成效,并为实行领导干部自然资源资产离任审计提供重要依据,为生态补偿政策提供科学支撑。 展开更多
关键词 生态资产 核算 负债表 生态补偿
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Dynamic Microwave-assisted Extraction of Flavonoids from Radix Scutellariae 被引量:12
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作者 you Jing-yan ZHANG Hua-rong DING Lan XIAO Ting-ting ZHANG Han-qi song Da-qian 《Chemical Research in Chinese Universities》 SCIE CAS CSCD 2007年第2期148-153,共6页
Dynamic microwave-assisted extraction(DMAE) of flavonoids from Radix Scutellarie was described in this article. A TM010 microwave resonant cavity was used as the energy coupler. Several parameters of DMAE, including... Dynamic microwave-assisted extraction(DMAE) of flavonoids from Radix Scutellarie was described in this article. A TM010 microwave resonant cavity was used as the energy coupler. Several parameters of DMAE, including concentration, flow rate, volume of the extraction solvent, and irradiation power, were optimized. The extraction was performed under the optimum conditions for the extraction of total flavonoids. The total flavonoids were determined by UV-Vis spectrophotometry. The main bioactive components, including baicalin, baicalein, and wogonin, were determined by HPLC. The extraction yields of the tlavonoids obtained by DMAE were compared with those obtained by pressurized microwave assisted extraction ( PMAE), ultrasonic extraction ( UE ), soxhlet extraction ( SE ), and reflux extraction( RE), and these results indicate that DMAE is a good alternative method for the extraction of flavonoids from Radix Scutellade. 展开更多
关键词 DMAE FLAVONOIDS UV-Vis spectrophotometry HPLC
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锁定钢板结合自体大块髂骨治疗老年复杂肱骨近端骨折的疗效 被引量:15
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作者 游小军 路考生 +3 位作者 韩月起 宋向青 李杰 曲巧格 《中华创伤杂志》 CAS CSCD 北大核心 2020年第3期222-227,共6页
目的探讨锁定钢板结合植入自体大块髂骨与单纯锁定钢板治疗老年肱骨近端粉碎性、骨质缺损的复杂肱骨近端骨折的临床疗效。方法采用回顾性病例对照研究分析2014年1月—2017年3月冀中能源邢台矿业集团总医院收治的52例老年单侧肱骨近端骨... 目的探讨锁定钢板结合植入自体大块髂骨与单纯锁定钢板治疗老年肱骨近端粉碎性、骨质缺损的复杂肱骨近端骨折的临床疗效。方法采用回顾性病例对照研究分析2014年1月—2017年3月冀中能源邢台矿业集团总医院收治的52例老年单侧肱骨近端骨折伴粉碎性、骨质缺损患者临床资料,其中男24例,女28例;年龄65~79岁,平均69岁。Neer三部分骨折36例,四部分骨折16例。采用锁定钢板结合大块自体髂骨植骨治疗22例(钢板+植骨组),单纯采用锁定钢板治疗30例(钢板组)。两组均采用三角肌-胸大肌入路。比较两组手术时间、术中出血量、骨折愈合时间、末次随访颈干角、肩关节活动度(前屈上举、外展、外旋、后伸),末次随访时采用36项健康调查简表(SF-36)评分、视觉模拟评分(VAS)评价肩关节功能和疼痛情况,观察并发症情况。结果52例患者均获随访6~24个月,平均17.8个月。钢板+植骨组手术时间为(120.3±12.5)min,钢板组为(115.6±5.8)min(P<0.01)。钢板+植骨组术中出血量为(400.8±15.8)ml,钢板组为(300.2±16.2)ml(P<0.05)。钢板+植骨组骨折愈合时间为(2.2±0.5)个月,钢板组为(2.5±0.5)个月(P>0.05)。末次随访时,钢板+植骨组颈干角为(132.3±10.6)°,钢板组为(121.1±4.5)°(P<0.01)。钢板+植骨组肩关节前屈上举[(149.2±3.7)°]、外旋[(35.2±2.9)°]均大于钢板组[(135.1±2.1)°、(27.8±4.5)°](P<0.05)。钢板+植骨组肩关节外展为(118.4±13.9)°,后伸为(36.1±1.8)°;钢板组分别为(110.8±21.9)°、(32.8±1.3)°(P>0.05)。钢板+植骨组SF-36评分[(87.3±4.7)分]较钢板组[(70.9±7.2)分]显著提高,VAS[(1.3±0.6)分]较钢板组[(2.1±0.7)分]显著降低(P<0.05或0.01)。钢板组术后1年3例出现肱骨头内翻,1例出现肱骨头部分坏死,并发症发生率为13%(4/30);钢板+植骨组,术后1年1例出现肱骨大结节吸收,并发症发生率为5%(1/22)(P<0.05)。结论对于粉碎性、骨质缺损的老年复杂肱� 展开更多
关键词 肩骨折 髂骨 内固定器 骨移植
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Extracts of Celastrus Orbiculatus Inhibit Cancer Metastasis by Down-regulating Epithelial-Mesenchymal Transition in Hypoxia-Induced Human Hepatocellular Carcinoma Cells 被引量:14
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作者 QIAN Ya-yun SHI you-yang +5 位作者 LU song-hua YANG Ting ZHAO Xue-yu YAN Yan LI Wen-yuan LIU Yan-qing 《Chinese Journal of Integrative Medicine》 SCIE CAS CSCD 2019年第5期334-341,共8页
Objective: To evaluate the effects of Celastrus Orbiculatus extracts(COE) on metastasis in hypoxiainduced hepatocellular carcinoma cells(Hep G2) and to explore the underlying molecular mechanisms. Methods:The effect o... Objective: To evaluate the effects of Celastrus Orbiculatus extracts(COE) on metastasis in hypoxiainduced hepatocellular carcinoma cells(Hep G2) and to explore the underlying molecular mechanisms. Methods:The effect of COE(160, 200 and 240 μg/mL) on cell viability, scratch-wound, invasion and migration were studied by 3-4,5-dimethyl-2-thiazolyl-2,5-diphenyl-2-H-tetrazolium bromide(MTT), scratch-wound and transwell assays, respectively. Co Cl2 was used to establish a hypoxia model in vitro. Effects of COE on the expressions of E-cadherin, vimentin and N-cadherin were investigated with Western blot and immuno?uorescence analysis,respectively. Results: COE inhibited proliferation and metastasis of hypoxia-induced hepatocellular carcinoma cells in a dose-dependent manner(P<0.01). Furthermore, the expression of epithelial-mesenchymal transition(EMT) related markers were also remarkably suppressed in a dose-dependent manner(P<0.01). In addition, the upstream signaling pathways, including the hypoxia-inducible factor 1α(Hif-1α) and Twist1 were suppressed by COE. Additionally, the Hif-1α inhibitor 3-5'-hydroxymethyl-2'-furyl)-1-benzylindazole(YC-1), potently suppressed cell invasion and migration as well as expression of EMT in hypoxia-induced Hep G2 cells. Similarly, the combined treatment with COE and YC-1 showed a synergistic effect(P<0.01) compared with the treatment with COE or YC-1 alone in hypoxia-induced Hep G2 cells. Conclusions: COE signi?cantly inhibited the tumor metastasis and EMT by suppressing Hif-1α/Twist1 signaling pathway in hypoxia-induced Hep G2 cell. Thus, COE might have potential effect to inhibit the progression of Hep G2 in the context of tumor hypoxia. 展开更多
关键词 Celastrus Orbiculatus HEPATOCELLULAR carcinoma antimetastasis epithelial-mesenchymal transition Hif-1α/Twist1 signaling pathway
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基于倾向性评分匹配法的老年脑卒中患者危险因素分析 被引量:14
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作者 陈仕敏 高萌 +4 位作者 游晶 宋玉健 罗廷刚 孙媛媛 赛晓勇 《中华老年心脑血管病杂志》 北大核心 2021年第3期269-272,共4页
目的基于倾向性评分匹配方法均衡混杂因素,针对保健工作重点内容,分析老年脑卒中患者危险因素特点。方法回顾性分析2007年1月~2012年12月解放军总医院收治的老年住院患者1650例,根据诊断分为脑卒中组1381例,对照组269例。以1︰1比例运... 目的基于倾向性评分匹配方法均衡混杂因素,针对保健工作重点内容,分析老年脑卒中患者危险因素特点。方法回顾性分析2007年1月~2012年12月解放军总医院收治的老年住院患者1650例,根据诊断分为脑卒中组1381例,对照组269例。以1︰1比例运用倾向性评分匹配方法均衡混杂因素,匹配后脑卒中组268例,对照组268例。匹配前后对基线资料进行比较,将匹配后数据通过构建多因素logistic回归模型分析影响脑卒中发病的危险因素。结果匹配前脑卒中组年龄、男性、吸烟、饮酒、高血压家族史、脑卒中家族史、冠心病家族史、既往高血压、既往脑卒中、既往冠心病、既往高脂血症、既往糖尿病比例明显高于对照组,体质量指数明显低于对照组,差异有统计学意义(P<0.05,P<0.01)。匹配后2组年龄、男性、体质量指数、吸烟、饮酒、高血压家族史、脑卒中家族史、冠心病家族史、既往高血压、既往脑卒中、既往冠心病、既往高脂血症、既往糖尿病比例比较,差异无统计学意义(P>0.05)。匹配后脑卒中组空腹血糖、同型半胱氨酸和收缩压水平明显高于对照组,TC、LDL-C、HDL-C水平明显低于对照组,差异有统计学意义(P<0.05,P<0.01)。多因素logistic回归分析显示,空腹血糖(OR=1.212,95%CI:1.076~1.364,P=0.001)、同型半胱氨酸(OR=1.036,95%CI:1.009~1.064,P=0.010)、收缩压(OR=1.012,95%CI:1.002~1.023,P=0.024)是影响老年脑卒中发病的独立危险因素。结论老年脑卒中患者独立危险因素包括高血糖、高同型半胱氨酸、高血压。 展开更多
关键词 卒中 高血压 糖尿病 高同种半胱氨酸血症 血脂异常 健康教育
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