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Measurements of dihadron correlations relative to the event plane in Au+Au collisions at√^(S)NN=200 GeV 被引量:351
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作者 H.Agakishiev M.M.Aggarwal +140 位作者 Z.Ahammed A.V.Alakhverdyants I.Alekseev J.Alford B.D.Anderson C.D.Anson D.Arkhipkin G.S.Averichev J.Balewski D.R.Beavis N.K.Behera R.Bellwied M.J.Betancourt R.R.Betts A.Bhasin A.K.Bhat H.Bichsel J.Bieleik J.Bielcikova B.Biritz L.C.Bland W.Borowski J.Bouchet E.Braidot A.V.Brandin A.Bridgeman S.G.Brovko E.Bruna S.Bueltmann I.Bunzarov T.P.Burton X.Z.Cai H.Caines M.Calderon de la Barca Sanchez D.Cebra R.Cendejas M.C.Cervantes Z.Chajecki P.Chaloupka S.Chattopadhyay H.F.Chen J.H.Chen J.Y.Chen L.Chen J.Cheng M.Cherney A.Chikanian K.E.Choi W.Christie P.Chung M.J.M.Codrington R.Corliss J.G.Cramer H.J.Crawford S.Dash A.Davila Leyva L.C.De Silvat R.R.Debbe T.G.Dedovich A.A.Derevschikov R.Derradi de Souza L.Didenko P.Djawotho S.M.Dogra X.Dong J.L.Drachenberg J.E.Draper J.C.Dunlop L.G Efimov M.Elnim J.Engelage G Eppley M.Estienne L.Eun O.Evdokimov R.Fatemi J.Fedorisin A.Feng R.G.Fersch P.Filip E.Finch V.Fine Y.Fisyak C.A.Gagliardi D.R.Gangadharan A.Geromitsos F.Geurts P.Ghosh Y.N.Gorbunov A.Gordon O.Grebenyuk D.Grosnick S.M.Guertin A.Gupta W.Guryn B.Haag O.Hajkova A.Hamed L-X.Han J.W.Harris J.P.Hays-Wehle M.Heinz S.Heppelmann A.Hirsch E.Hjort G.W.Hoffmann D.J.Hofiman B.Huang H.Z.Huang T.J.Humanic L.Huo G.Igo P.Jacobs W.W.Jacobs C.Jena F.Jin J.Joseph E.G.Judd S.Kabana K.Kang J.Kapitan K.Kauder H.Ke D.Keane A.Kechechyan D.Kettler D.P.Kikola J.Kiryluk A.Kisiel V.Kizka A.G.Knospe D.D.Koetke T.Kollegger J.Konzer I.Koralt L.Koroleva W.Korsch L.Kotchenda V.Kouchpil P.Kravtsov K.Krueger 《Chinese Physics C》 SCIE CAS CSCD 2021年第4期198-241,共44页
Dihadron azimuthal correlations containing a high transverse momentum(pr)trigger particle are sensit-ive to the properties of the nuclear medium created at RHIC through the strong interactions occurring between the tr... Dihadron azimuthal correlations containing a high transverse momentum(pr)trigger particle are sensit-ive to the properties of the nuclear medium created at RHIC through the strong interactions occurring between the traversing parton and the medium,ie.jet-quenching.Previous measurements revealed a strong modification to di-hadron azimuthal correlations in Au+Au collisions with respect to ptp and d+Au collisions.The modification in-creases with the collision centrality,suggesting a path-length or energy density dependence to the je-quenching ef-fect.This paper reports STAR measurements of dihadron azimuthal correlations in mid-central(20%-60%)Au+Au collisions at√^(S)NN=200 GeV as a function of the trigger particle's azimuthal angle relative to the event plane,Ф_(s)=|Ф_(t)-ψ_(Ep)|.The azimuthal correlation is studied as a function of both the trigger and associated particle pr.The subtractions of the combinatorial background and anisotropic flow,assuming Zero Yield At Minimum(ZYAM),are described.The correlation results are first discussed with subtraction of the even harmonic(elliptic and quadrangu-lar)flow backgrounds.The away-side correlation is strongly modifed,and the modification varies withФ_(s),with a double-peak structure for out-of-plane trigger particles.The near-side ridge(long range pseudo-rapidity△_(η)correla-tion)appears to drop with increasingФ_(s)while the jet-like component remains approximately constant.The correla-tion functions are further studied with the subtraction of odd harmonic triangular flow background arising from fluc-tuations.It is found that the triangular flow,while responsible for the majority of the amplitudes,is not sufficient to explain theφs-dependence of the ridge or the away-side double-peak structure.The dropping ridge withФ_(s)could be attributed to aФ_(s)-dependent lliptie anisotropy;however,the physics mechanism of the ridge remains an open ques-tion.Even with aФ_(s)-dependent elliptic flow,the away-side correlation structure is robust.These results,with exte 展开更多
关键词 relativistic heavy ion collisions dihadron correlations jet-medium interactions anisotropic flow background event plane
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输尿管软镜碎石术治疗上尿路结石的疗效和安全性 被引量:97
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作者 朱澄村 程帆 +6 位作者 饶婷 余伟民 张孝斌 阮远 袁润 夏煜琦 吴承 《中华泌尿外科杂志》 CAS CSCD 北大核心 2020年第1期41-45,共5页
目的探讨输尿管软镜碎石术(retrograde intrarenal stone surgery,RIRS)治疗上尿路结石的疗效和安全性。方法回顾性分析2016年4月至2019年1月武汉大学人民医院行RIRS的640例上尿路结石患者的临床资料。男424例,女216例。年龄(46.2±... 目的探讨输尿管软镜碎石术(retrograde intrarenal stone surgery,RIRS)治疗上尿路结石的疗效和安全性。方法回顾性分析2016年4月至2019年1月武汉大学人民医院行RIRS的640例上尿路结石患者的临床资料。男424例,女216例。年龄(46.2±12.8)岁。结石最大径(1.4±0.7)cm。肾下盏结石126例,非肾下盏结石514例。单侧输尿管上段结石196例,单侧输尿管上段结石合并肾结石118例,单侧肾结石236例,双肾结石90例。104例术前留置双J管。马蹄肾8例,孤立肾合并肾功能不全30例,盆腔异位肾合并旋转不良4例,先天性输尿管畸形6例,海绵肾2例。术前血红蛋白(133.2±5.6)g/L,血清肌酐(84.4±12.2)μmol/L。手术均采用全麻,患者取截石位。采用输尿管软镜联合钬激光碎石,软镜顺利进入肾盂后首先观察肾盂及各肾盏并寻及结石。使用200μm光纤碎石,钬激光功率为12~45 W(0.5~1.5 J/10~30 Hz),根据实际情况辅助取石网篮套取结石。术中检查各肾盂、肾盏,确保结石已完全粉末化(结石最大径<0.3 cm),留置双J管和尿管。手术均由同等资历的术者完成。结果所有手术均顺利完成,手术时间(45.6±14.6)min。术后第1天复查血清肌酐(76.0±10.6)μmol/L,与术前比较差异有统计学意义(t=64.76,P<0.05);血红蛋白(126.4±9.6)g/L,与术前比较差异无统计学意义(t=2.02,P=0.064)。术后住院时间(4.8±1.5)d。术后3例(0.9%)发生严重并发症,分别为2例脓毒血症,1例包膜下血肿。术后3个月596例获得随访,其中552例达到结石清除标准,结石清除率(stone-free rate,SFR)为92.6%;余44例未达到结石清除标准者采用体外冲击波碎石、再次输尿管软镜手术或拔除双J管后观察。结石大小(χ^2=29.569,P<0.05)和位置(χ^2=44.949,P<0.05)是SFR的影响因素。多因素回归分析结果显示结石大小不是影响SFR的独立危险因素(P=0.639),结石位置是影响SFR的独立危险因素(P=0.013)。结论RIRS对于上尿路中小结石患 展开更多
关键词 输尿管镜 输尿管软镜 钬激光碎石 上尿路结石 临床疗效
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乙酰半胱氨酸雾化吸入联合支气管镜治疗老年重症呼吸机相关性肺炎的临床效果 被引量:49
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作者 吴亮 虞意华 +4 位作者 李莉 徐玲芸 阮茜茜 林昌标 赵佳萍 《中华烧伤杂志》 CAS CSCD 北大核心 2020年第4期267-272,共6页
目的探讨乙酰半胱氨酸雾化吸入联合支气管镜治疗老年重症呼吸机相关性肺炎(VAP)的临床效果。方法2016年1月—2017年12月,浙江医院收治80例住院老年重症VAP患者,按随机数字表法分为乙酰半胱氨酸+支气管镜组[男24例、女16例,年龄(78±... 目的探讨乙酰半胱氨酸雾化吸入联合支气管镜治疗老年重症呼吸机相关性肺炎(VAP)的临床效果。方法2016年1月—2017年12月,浙江医院收治80例住院老年重症VAP患者,按随机数字表法分为乙酰半胱氨酸+支气管镜组[男24例、女16例,年龄(78±7)岁]和单纯支气管镜组[男26例、女14例,年龄(80±7)岁],对其进行前瞻性队列研究。单纯支气管镜组患者除进行常规对症支持治疗外,采用支气管镜治疗;乙酰半胱氨酸+支气管镜组患者在单纯支气管镜组治疗基础上行乙酰半胱氨酸雾化吸入治疗。2组患者均持续治疗7 d。2组患者治疗前以及治疗后,行简化临床肺部感染评分(CPIS);取静脉血10 mL,检测白细胞计数、血清C反应蛋白和降钙素原;取动脉血1 mL,检测动脉血氧分压(PaO2)、动脉血二氧化碳分压(PaCO2)及氧合指数。记录2组患者治疗前、后吸气平台压(Pplat)、动态肺顺应性(Cdyn)、气道阻力与呼吸做功及抗生素使用时间、机械通气时间。对数据行χ^2检验、t检验。结果(1)乙酰半胱氨酸+支气管镜组患者治疗后简化CPIS、白细胞计数、血清C反应蛋白和降钙素原明显低于单纯支气管镜组(t=2.32、2.15、6.08、7.12,P<0.05或P<0.01)。乙酰半胱氨酸+支气管镜组、单纯支气管镜组患者治疗后简化CPIS、白细胞计数、血清C反应蛋白和降钙素原均明显低于治疗前(t=13.76、13.60、12.70、8.32,11.44、14.28、9.48、9.50,P<0.01)。(2)乙酰半胱氨酸+支气管镜组患者治疗后PaO2、氧合指数明显高于单纯支气管镜组(t=4.14、2.55,P<0.05或P<0.01),PaCO2明显低于单纯支气管镜组(t=4.36,P<0.01)。乙酰半胱氨酸+支气管镜组患者治疗后PaO2、氧合指数明显高于治疗前(t=10.90、43.72,P<0.01),单纯支气管镜组患者治疗后PaO2、氧合指数明显高于治疗前(t=6.55、43.03,P<0.01);乙酰半胱氨酸+支气管镜组、单纯支气管镜组患者治疗后PaCO2明显低于治疗前(t=21.54、2 展开更多
关键词 乙酰半胱氨酸 支气管镜检查 肺炎 呼吸机相关性 呼吸力学
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Prevalence of Thyroid Nodules and Its Relationship with Iodine Status in Shanghai:a Population-based Study 被引量:27
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作者 SONG Jun ZOU Shu Rong +8 位作者 GUO Chang Yi ZANG Jia Jie ZHU Zhen Ni MI Ming HUANG Cui Hua yu Hui Ting LU Xi ruan Ye WU Fan 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2016年第6期398-407,共10页
Objective This study was designed to evaluate the prevalence of thyroid nodules(TNs) and its relationship with urine iodine concentrations(UICs) after the regional rapid economic growth and lifestyle changes. Meth... Objective This study was designed to evaluate the prevalence of thyroid nodules(TNs) and its relationship with urine iodine concentrations(UICs) after the regional rapid economic growth and lifestyle changes. Methods A cross-sectional survey was conducted in the general population aged 15-69 years. A questionnaire regarding general and personal characteristics and relevant information was administered. Ultrasonography of the thyroid was performed, and serum triiodothyronine(T3), tetraiodothyronine(T4), serum thyroid stimulating hormone(TSH), free triiodothyronine(FT3), free tetraiodothyronine(FT4), thyroglobulin antibody(Tg Ab), thyroid peroxidase antibody(TPOAb), and TSH receptor antibody(TRAb) levels were measured for each individual subject. Results The prevalence rates of TNs in the whole population, females and males were 27.76%, 34.04%, and 21.60%, respectively. The prevalence of multiple nodules increased with age, whereas the prevalence peaks differed between males and females. The median UICs in the whole population and females with non-TNs were higher than those of subjects with TNs(P=0.0035, P=0.0068). The median UICs in subjects with a single TN were higher than those in subjects with multiple TNs(P=0.0164, P=0.0127). The result showed a U-shaped curve relationship between UIC and prevalence of TNs. The prevalence of TNs was the lowest when the UIC was 140-400 μg/L. Conclusion The prevalence of TNs was nearly 30% and increased with age. The relationship between UIC and prevalence of TNs is U-shaped, with an increase in risk when the UIC was 〈140 μg/L and 〉400 μg/L. Very low or high UIC levels need attention and correction. 展开更多
关键词 Thyroid Nodules PREVALENCE Urine iodine EPIDEMIOLOGY
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Back-n white neutron source at CSNS and its applications 被引量:20
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作者 Jing-yu Tang Qi An +73 位作者 Jiang-Bo Bai Jie Bao yu Bao Ping Cao Hao-Lei Chen Qi-Ping Chen Yong-Hao Chen Zhen Chen Zeng-Qi Cui Rui-Rui Fan Chang-Qing Feng Ke-Qing Gao Xiao-Long Gao Min-Hao Gu Chang-Cai Han Zi-Jie Han Guo-Zhu He Yong-Cheng He Yang Hong Yi-Wei Hu Han-Xiong Huang Xi-Ru Huang Hao-yu Jiang Wei Jiang Zhi-Jie Jiang Han-Tao Jing Ling Kang Bo Li Chao Li Jia-Wen Li Qiang Li Xiao Li Yang Li Jie Liu Rong Liu Shu-Bin Liu Xing-Yan Liu Ze Long Guang-yuan Luan Chang-Jun Ning Meng-Chen Niu Bin-Bin Qi Jie Ren Zhi-Zhou Ren Xi-Chao ruan Zhao-Hui Song Kang Sun Zhi-Jia Sun Zhi-Xin Tan Xin-Yi Tang Bin-Bin Tian Li-Jiao Wang Peng-Cheng Wang Zhao-Hui Wang Zhong-Wei Wen Xiao-Guang Wu Xuan Wu Li-Kun Xie Xiao-yun Yang Yi-Wei Yang Han Yi Li yu Tao yu Yong-Ji yu Guo-Hui Zhang Lin-Hao Zhang Qi-Wei Zhang Xian-Peng Zhang yu-Liang Zhang Zhi-Yong Zhang Lu-Ping Zhou Zhi-Hao Zhou Ke-Jun Zhu 《Nuclear Science and Techniques》 SCIE EI CAS CSCD 2021年第1期95-104,共10页
Back-streaming neutrons from the spallation target of the China Spallation Neutron Source(CSNS)that emit through the incoming proton channel were exploited to build a white neutron beam facility(the so-called Back-n w... Back-streaming neutrons from the spallation target of the China Spallation Neutron Source(CSNS)that emit through the incoming proton channel were exploited to build a white neutron beam facility(the so-called Back-n white neutron source),which was completed in March 2018.The Back-n neutron beam is very intense,at approximately 29107 n/cm2/s at 55 m from the target,and has a nominal proton beam with a power of 100 kW in the CSNS-I phase and a kinetic energy of 1.6 GeV and a thick tungsten target in multiple slices with modest moderation from the cooling water through the slices.In addition,the excellent energy spectrum spanning from 0.5 eV to 200 MeV,and a good time resolution related tothe time-of-flight measurements make it a typical white neutron source for nuclear data measurements;its overall performance is among that of the best white neutron sources in the world.Equipped with advanced spectrometers,detectors,and application utilities,the Back-n facility can serve wide applications,with a focus on neutron-induced cross-sectional measurements.This article presents an overview of the neutron beam characteristics,the experimental setups,and the ongoing applications at Backn. 展开更多
关键词 White neutron source Nuclear data measurements Experimental setups Neutron applications
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基于Sigmoid函数的文献计量指标评价标准研究 被引量:23
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作者 俞立平 阮先鹏 +1 位作者 吴贤豪 吴凌挺 《情报杂志》 CSSCI 北大核心 2020年第9期176-182,共7页
[目的/意义]文献计量指标有几十种,但是对于多数评价指标而言难以直接判断评价对象的优劣,使得文献计量指标的直接评价功能受到削弱,有必要解决这个问题。[方法/过程]该文提出基于Sigmoid函数对文献计量指标进行标准化,并基于JCR2017经... [目的/意义]文献计量指标有几十种,但是对于多数评价指标而言难以直接判断评价对象的优劣,使得文献计量指标的直接评价功能受到削弱,有必要解决这个问题。[方法/过程]该文提出基于Sigmoid函数对文献计量指标进行标准化,并基于JCR2017经济学期刊进行了实证。[结果/结论]Sigmoid标准化符合事物发展的成长曲线规律,同时高度保留了原始指标的大量信息;Sigmoid标准化结果可用于评价对象优劣水平的直接评价,比较评价对象间的相对差距,判断评价对象的发展阶段,甚至不同指标之间的比较;Sigmoid标准化降低了离散度同时使得指标数据更加接近正态分布;Sigmoid标准化抑制高分指标,同时提升低分指标,使得标准化结果更加符合实际情况。 展开更多
关键词 SIGMOID 标准化 文献计量指标 绝对标准 成长曲线 经济学期刊
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Expression of MMIF, HIF-1α and VEGF in Serum and Endometrial Tissues of Patients with Endometriosis 被引量:23
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作者 Fan ZHANG Xiao-ling LIU +4 位作者 Wan WANG Hong-ling DONG yu-fang XIA Li-ping ruan Li-ping LIU 《Current Medical Science》 SCIE CAS 2018年第3期499-504,共6页
The aim of this study was to investigate the expression of macrophage migration inhibitory factor (MMIF), hypoxia-inducible factor- 1 α(HIF- 1α )and vascular endothelial growth factor (VEGF) in the serum and e... The aim of this study was to investigate the expression of macrophage migration inhibitory factor (MMIF), hypoxia-inducible factor- 1 α(HIF- 1α )and vascular endothelial growth factor (VEGF) in the serum and endometrial tissues of patients with endometriosis (EM) and the clinical significance. Eighty EM patients [American Reproductive Association stage Ⅰ (n=20), stage Ⅱ (n=22), stage Ⅲ (n=21) and stage Ⅳ (n=17)] were enrolled and divided into mild (10- 14 points, n=28), moderate (16-24 points, n=27) and severe (26-30 points, n=25) dysmenorrhea groups. The control group included 40 healthy women of childbearing age who underwent routine healthcare examinations in the enrolment period. The expression of MMIF, HIF- 1α and VEGF in the serum and endometrial tissues was measured by enzyme-linked immunosorbent assay and Western blotting, respectively. Meanwhile, the sensitivity and specificity of serum MMIF, HIF-1α, and VEGF when separately used as single indexes or jointly used as one index were examined as well. The results showed that serum concentrations of MMIF, HIF-1α, and VEGF were significantly higher in EM patients than in controls (P〈0.05). The expression of all three proteins in both serum and endometrial tissues increased significantly with the R-AFS stage (P〈0.05) and with dysmenorrheal severity (P〈0.05). The sensitivity and specificity of the combined detection of serum MMIF, HIF-1α, and VEGF levels were significantly higher than those of single index detection (P〈0.05). In conclusion, the expression of MMIF, HIF-1α, and VEGF in the serum and endometrial tissues may be used to assess the stage of EM and the severity of dysmenorrhea. Combined evaluation of MMIF, HIF-1α, and VEGF significantly improves the diagnostic sensitivity and specificity. 展开更多
关键词 macrophage migration inhibitory factor hypoxia-inducible factor-1α vascular endothelial growth factor ENDOMETRIOSIS diagnosis
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动态对比增强磁共振成像定量灌注直方图参数对子宫肌瘤病理分型的诊断价值 被引量:22
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作者 王苏波 赵振华 +4 位作者 章俞 杨立铭 黄亚男 阮雅文 王诚 《浙江大学学报(医学版)》 CAS CSCD 北大核心 2021年第1期97-105,共9页
目的:探讨动态对比增强磁共振成像(DCE-MRI)定量灌注直方图参数在子宫肌瘤病理分型诊断中的价值及其与Ki-67蛋白表达的相关性。方法:回顾性分析2015年10月至2017年9月在绍兴市人民医院经手术后病理检查证实为子宫肌瘤35例患者(普通型15... 目的:探讨动态对比增强磁共振成像(DCE-MRI)定量灌注直方图参数在子宫肌瘤病理分型诊断中的价值及其与Ki-67蛋白表达的相关性。方法:回顾性分析2015年10月至2017年9月在绍兴市人民医院经手术后病理检查证实为子宫肌瘤35例患者(普通型15例,富细胞型8例,退变型12例)的资料。所有患者术前行盆腔DCE-MRI检查,计算各定量灌注参数包括容量转运常数(K^(trans))、速率常数(K_(ep))、血管外细胞外间隙容积分数(V_(e))、血管间隙容积分数(V_(p))的直方图参数(中位数、平均值、偏度、峰度、能量、熵),并采用受试者操作特征(ROC)曲线评估不同参数在鉴别子宫肌瘤病理分型中的效能。免疫组织化学方法测定子宫肌瘤Ki-67蛋白表达,比较不同病理类型Ki-67蛋白表达的差异,并采用Pearson和Spearman相关性分析法分析直方图参数与Ki-67蛋白表达的相关性。结果:富细胞型组K^(trans)、K_(ep)、V_(e)、V_(p)的中位数和平均值均大于退变型组和普通型组(P<0.05或P<0.01);V_(e)的偏度、K_(ep)的偏度和峰度均小于普通型组(均P<0.05);K^(trans)的熵高于退变型组和普通型组(均P<0.05);V_(p)的熵高于普通型组(P<0.01)。K^(trans)的中位数、平均值和偏度,K_(ep)的中位数和平均值,V_(e)的中位数和平均值,V_(p)的中位数、平均值、能量和熵均与Ki-67表达水平相关(均P<0.05)。ROC曲线分析结果显示,当K^(trans)中位数阈值为0.994/min时,其诊断富细胞型子宫肌瘤的敏感度为100.0%,特异度为77.8%,ROC曲线下面积为0.949;当K^(trans)平均值阈值为1.170/min时,其诊断富细胞型子宫肌瘤的敏感度为100.0%,特异度为77.8%,ROC曲线下面积为0.958;K^(trans)的熵,K_(ep)的中位数和平均值,V_(p)的中位数、平均值和熵诊断富细胞型子宫肌瘤的ROC曲线下面积也较高(0.755~0.907)。结论:DCE-MRI定量灌注直方图参数对不同病理类型子宫肌瘤尤其是富细胞型子宫肌瘤具有较高� 展开更多
关键词 子宫肌瘤 病理分型 动态增强磁共振成像 KI-67 诊断
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Pretreatment HIV drug resistance in adults initiating antiretroviral therapy in China,2017 被引量:22
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作者 Rui-Hua Kang Shu-Jia Liang +14 位作者 Yan-Ling Ma Shu Liang Lin Xiao Xin-Hui Zhang Hong-Yan Lu Xiao-Qin Xu Shui-Bin Luo Xiao-Guang Sun Lin Chen Jian-Mei He Guo-Hui Wu Ling-Jie Liao Hui Xing Yi-Ming Shao yu-Hua ruan 《Infectious Diseases of Poverty》 SCIE 2020年第3期65-73,共9页
Background:After the scale-up of antiretroviral therapy(ART)for HIV infected people,increasing numbers of patients have pretreatment drug resistance(PDR).In this study,the prevalence of PDR was evaluated in adults ini... Background:After the scale-up of antiretroviral therapy(ART)for HIV infected people,increasing numbers of patients have pretreatment drug resistance(PDR).In this study,the prevalence of PDR was evaluated in adults initiating antiretroviral therapy in China.Methods:Blood samples were obtained from 1943 patients who initiated antiretroviral therapy(ART)in 2017 from 13 provinces or cities in China.Pol sequences were used to analyze drug resistance and construct transmission networks.Logistic regression model was used to estimate the potential factors associated with PDR.Results:In total,1711 eligible patients(76.0%male;87.8%aged≥25 years)were included,of which 117(6.8%)had PDR.The highest rates of PDR were 12.2%in Liangshan Prefecture of Sichuan and 9.3 and 8.9%in Dehong and Lincang Prefecture of Yunnan.A multivariate logistic regression analysis revealed that PDR was significantly higher among intravenous drug users(adjusted Odds Ratio(aOR)=2.64,95%CI:1.57–4.44)and individuals from Liangshan,Dehong,and Lincang(aOR=2.04,95%CI:1.26–3.30).In total,754 sequences were used to generate 164 transmission networks.Five transmission networks had two or three sequences containing the same mutations,two networks contained subjects from Liangshan,and one network contained subjects from Dehong.Conclusions:Overall,the PDR prevalence was moderate,with a particularly high prevalence in areas with severe HIV epidemics.These results indicate the importance of continuous PDR monitoring in patients initiating antiretroviral therapy. 展开更多
关键词 HIV Pretreatment drug resistance Transmission network Antiretroviral therapy
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Gene heterogeneity of hepatitis B virus isolates from patients with severe hepatitis B 被引量:20
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作者 Wei Wu, yu Chen, Bing ruan and Lan-Juan Li Hangzhou, China Department of Infectious Diseases, First Affiliated Hospital, Zhejiang University School of Medicine, Key Laboratory of Infectious Diseases of Health Ministry of China, Hangzhou 310003, China 《Hepatobiliary & Pancreatic Diseases International》 SCIE CAS 2005年第4期530-534,共5页
BACKGROUND: The pathogenesis of severe hepatitis B remains unknown. Reports have indicated that hepatitis B virus (HBV) mutations are important factors in the pathogenesis of this disease. This study was to investigat... BACKGROUND: The pathogenesis of severe hepatitis B remains unknown. Reports have indicated that hepatitis B virus (HBV) mutations are important factors in the pathogenesis of this disease. This study was to investigate the genetic heterogeneity of HBV strains from serum samples of patients with fulminant hepatitis B. METHODS: Full-length HBV genomes from 4 patients with severe hepatitis B were cloned and sequenced to observe mutations in every open reading-frame ( ORF). Serum samples of another 25 patients with severe hepatitis B, 30 patients with chronic hepatitis B, and 25 HBV carriers were collected for sequencing and comparison of mutations in preS2, preC and core promoter regions. RESULTS: Of 4 HBV full-length genome sequences, 3 had a G to A mutation at nucleotide A1896 in the preC region and 1 had double mutations of T1762-A1764 in the core promoter region. The 4 sequences showed mutations in the known B or T cell epitopes of the preS2 and C regions. For the other 3 groups, more mutations were seen in the preS2 region in the HBV isolates from the patients with severe hepatitis B than those from the patients with chronic hepatitis B and HBV carriers (P <0.01). There was a significant difference of mutations in the T cell epitope region of preS2 between the patients with severe hepatitis B and those with chronic hepatitis B or HBV carriers (P <0.01). In the preC and core promoter regions, the mutation frequencies of T1653 and C1753 were 48.0% and 24.0% respectively in the patients with severe hepatitis B, but none of these mutations were observed in the patients with chronic hepatitis B group or HBV carriers (P <0.01). The mutation frequency of T1762-A1764 was 76.0% in the patients with severe hepatitis B, 40.0% in the patients with chronic hepatitis B (P <0. 01) , and 16. 0% in the HBV carriers ( P < 0. 01). There was a significant difference in A1896 mutation between the patients with severe hepatitis B and the patients with chronic hepatitis B (P < 0. 05 ) or the HBV carriers (P<0.05). CONCLUSION: Our obs 展开更多
关键词 hepatitis B virus severe hepatitis virus genome gene heterogeneity PRES2 preC core promoter
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Kwak与ACR(2017)甲状腺影像报告和数据系统(TI-RADS)分类的诊断效能比较——多中心回顾性研究 被引量:21
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作者 梁羽 岳林先 +17 位作者 陈琴 林洁 郭道宁 贺鹏 杨芳 岳文胜 郑红 阮佳泉 刘海军 宋建琼 杨玲英 王娟 周成庭 吴雨恬 王思逸 唐艳琼 袁孟霞 赵岩 《中华超声影像学杂志》 CSCD 北大核心 2019年第5期419-424,共6页
目的评价Kwak与ACR(2017)甲状腺影像报告和数据系统(TI-RADS)对甲状腺结节的诊断效能。方法收集2015年1月至2018年3月的甲状腺结节手术病例,高年资超声医师经过培训后,分别以Kwak和ACR TI-RADS分类方法回顾性分析甲状腺结节的超声征象... 目的评价Kwak与ACR(2017)甲状腺影像报告和数据系统(TI-RADS)对甲状腺结节的诊断效能。方法收集2015年1月至2018年3月的甲状腺结节手术病例,高年资超声医师经过培训后,分别以Kwak和ACR TI-RADS分类方法回顾性分析甲状腺结节的超声征象。观察甲状腺结节12 712个,最终超声和手术病理资料完整的7 023例患者的7 023个结节纳入本研究。以甲状腺结节的实性、低回声或极低回声、纵横比≥1、边缘模糊、微钙化为超声恶性征象,计算恶性百分比,比较两种方法的诊断效能。结果①两种TI-RADS分类在良恶性结节之间差异有统计学意义(P<0.01);②Kwak和ACR诊断恶性结节的ROC曲线下面积分别为0.89和0.84,Youden指数分别为0.66和0.57;③以Kwak TI4B和ACR TR4为恶性的临界点,Kwak TI-RADS诊断的敏感性、特异性、阳性预测值、阴性预测值分别为75.0%、90.9%、83.2%、85.9%,准确性为84.9%;ACR TI-RADS诊断的敏感性、特异性、阳性预测值、阴性预测值分别为88.2%、68.9%、62.9%、90.8%,准确性为76.2%;Kwak TI4B和ACR TR4的Kappa值为0.52,χ^2=2 174.6,P<0.01。结论两种TI-RADS分类方法对甲状腺恶性结节的诊断价值均较高,Kwak TI-RADS分类方法整体效能优于ACR TI-RADS分类。 展开更多
关键词 超声检查 甲状腺结节 甲状腺影像报告和数据系统 Kwak TI-RADS ACR TI-RADS 诊断效能
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A Deep Learning System to Screen Novel Coronavirus Disease 2019 Pneumonia 被引量:21
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作者 Xiaowei Xu Xiangao Jiang +18 位作者 Chunlian Ma Peng Du Xukun Li Shuangzhi Lv Liang yu Qin Ni Yanfei Chen Junwei Su Guanjing Lang Yongtao Li Hong Zhao Jun Liu Kaijin Xu Lingxiang ruan Jifang Sheng yunqing Qiu Wei Wu Tingbo Liang Lanjuan Li 《Engineering》 SCIE EI 2020年第10期1266-1274,共9页
实时逆转录聚合酶链反应(RT-PCR)检测早期新冠病毒肺炎(COVID-19)患者的痰液或鼻咽拭子中的病毒RNA阳性率较低。同时,COVID-19的计算机断层扫描(CT)影像学的临床表现有其自身的特点,不同于甲型流感病毒性肺炎(IAVP)等其他类型的病毒性... 实时逆转录聚合酶链反应(RT-PCR)检测早期新冠病毒肺炎(COVID-19)患者的痰液或鼻咽拭子中的病毒RNA阳性率较低。同时,COVID-19的计算机断层扫描(CT)影像学的临床表现有其自身的特点,不同于甲型流感病毒性肺炎(IAVP)等其他类型的病毒性肺炎。本研究旨在应用深度学习技术,建立COVID-19、IAVP及健康人群肺部CT的早期筛查模型。本研究共采集618份CT样本,其中219份样本来自110例COVID-19患者(平均年龄50岁,其中男性63例,占57.3%),224份样本来自224例IAVP患者(平均年龄61岁,其中男性156例,占69.6%),175份样本来自健康人群(平均年龄39岁,其中男性97例,占55.4%)。所有CT样本均来自浙江省三家COVID-19定点收治医院。我们首先利用胸部CT图像集的三维(3D)深度学习模型分割出候选感染区域,然后利用位置敏感机制深度学习网络将这些分离的图像归类为COVID-19、IAVP以及与感染无关(ITI)的图像,并且输出相应置信度得分。最后,用Noisy-OR贝叶斯函数计算每份CT病例的感染类型及总置信度。测试数据集的实验结果表明,从整体CT病例来看,本研究利用深度学习系统建立的COVID-19患者的早期筛查模型的总体准确率为86.7%。该模型有望成为一线临床医生诊断COVID-19的一种有效的辅助方法。 展开更多
关键词 COVID-19 位置敏感机制深度学习网络 计算机断层扫描
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Natural variation in the promoter of OsHMA3 contributes to differential grain cadmium accumulation between Indica and Japonica rice 被引量:20
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作者 Chao-Lei Liu Zhen-yu Gao +7 位作者 Lian-Guang Shang Chang-Hong Yang Ban-Pu ruan Da-Li Zeng Long-Biao Guo Fang-Jie Zhao Chao-Feng Huang Qian Qian 《Journal of Integrative Plant Biology》 SCIE CAS CSCD 2020年第3期314-329,共16页
Rice is a major source of cadmium(Cd) intake for Asian people. Indica rice usually accumulates more Cd in shoots and grains than Japonica rice. However, underlying genetic bases for differential Cd accumulation betwee... Rice is a major source of cadmium(Cd) intake for Asian people. Indica rice usually accumulates more Cd in shoots and grains than Japonica rice. However, underlying genetic bases for differential Cd accumulation between Indica and Japonica rice are still unknown. In this study, we cloned a quantitative trait locus(QTL) grain Cd concentration on chromosome 7(GCC7) responsible for differential grain Cd accumulation between two rice varieties by performing QTL analysis and map-based cloning. We found that the two GCC7 alleles, GCC7PA64s and GCC793-11, had different promoter activity of OsHMA3,leading to different OsHMA3 expression and different shoot and grain Cd concentrations. By analyzing the distribution of different haplotypes of GCC7 among diverse rice accessions, we discovered that the high and low Cd accumulation alleles, namely GCC793-11 and GCC7PA64s, were preferentially distributed in Indica and Japonica rice,respectively. We further showed that the GCC7PA64sallele can be used to replace the GCC793-11 allele in the super cultivar 93-11 to reduce grain Cd concentration without adverse effect on agronomic traits. Our results thus reveal that the QTL GCC7 with sequence variation in the OsHMA3 promoter is an important determinant controlling differential grain Cd accumulation between Indica and Japonica rice. 展开更多
关键词 CULTIVAR GRAIN CADMIUM
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中国8个省份50岁及以上人群跌倒伤害及其危险因素横断面研究 被引量:20
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作者 郭雁飞 马文军 +10 位作者 张庆军 俞敏 肖义泽 郭晓雷 朱颖俐 刘峰 阮晔 孙双圆 黄哲宙 郑杨 吴凡 《中华流行病学杂志》 CAS CSCD 北大核心 2018年第3期258-263,共6页
目的估计中国8个省份≥50岁人群跌倒伤害发生率和人群分布情况,分析跌倒伤害相关的生理、心理和社会危险因素。方法WHO“全球老龄化与成人健康研究”(SAGE)中国项目第一轮横断面数据,采用两水平(个体层面和社区层面)logistic模型... 目的估计中国8个省份≥50岁人群跌倒伤害发生率和人群分布情况,分析跌倒伤害相关的生理、心理和社会危险因素。方法WHO“全球老龄化与成人健康研究”(SAGE)中国项目第一轮横断面数据,采用两水平(个体层面和社区层面)logistic模型按城乡进行分层分析相关因素与跌倒伤害的关系。结果本研究推算中国8个省份≥50岁老年人群中,跌倒伤害的发生率为3-2%。多元分析发现在城市地区,增龄、罹患〉/3种的慢性病(OR=2.55,95%CI:1.41—4.64)可以增大跌倒伤害的发生危险;在农村地区,罹患抑郁(OR=4.33,95%CI:2.52-7.42)和罹患≥3种慢性病(OR=2.46,95%CI:1.37~4.41)也可以增大跌倒伤害的发生危险。结论本研究提供了一个基于中国8个省份≥50岁抽样人群跌倒伤害发生率。此外,本研究还发现增龄和共患多种慢性病会增大跌倒伤害的风险,提示采取措施防止和延缓老年人群慢性病发病可能有助于降低跌倒伤害的发生的概率。 展开更多
关键词 跌倒 伤害 危险因素 老年人
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Deep learning applied to two-dimensional color Doppler flow imaging ultrasound images significantly improves diagnostic performance in the classification of breast masses:a multicenter study 被引量:18
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作者 Teng-Fei yu Wen He +19 位作者 Cong-Gui Gan Ming-Chang Zhao Qiang Zhu Wei Zhang Hui Wang yu-Kun Luo Fang Nie Li-Jun yuan Yong Wang Yan-Li Guo Jian-Jun yuan Li-Tao ruan Yi-Cheng Wang Rui-Fang Zhang Hong-Xia Zhang Bin Ning Hai-Man Song Shuai Zheng Yi Li Yang Guang 《Chinese Medical Journal》 SCIE CAS CSCD 2021年第4期415-424,共10页
Background:The current deep learning diagnosis of breast masses is mainly reflected by the diagnosis of benign and malignant lesions.In China,breast masses are divided into four categories according to the treatment m... Background:The current deep learning diagnosis of breast masses is mainly reflected by the diagnosis of benign and malignant lesions.In China,breast masses are divided into four categories according to the treatment method:inflammatory masses,adenosis,benign tumors,and malignant tumors.These categorizations are important for guiding clinical treatment.In this study,we aimed to develop a convolutional neural network(CNN)for classification of these four breast mass types using ultrasound(US)images.Methods:Taking breast biopsy or pathological examinations as the reference standard,CNNs were used to establish models for the four-way classification of 3623 breast cancer patients from 13 centers.The patients were randomly divided into training and test groups(n=1810 vs.n=1813).Separate models were created for two-dimensional(2D)images only,2D and color Doppler flow imaging(2D-CDFI),and 2D-CDFI and pulsed wave Doppler(2D-CDFI-PW)images.The performance of these three models was compared using sensitivity,specificity,area under receiver operating characteristic curve(AUC),positive(PPV)and negative predictive values(NPV),positive(LR+)and negative likelihood ratios(LR-),and the performance of the 2D model was further compared between masses of different sizes with above statistical indicators,between images from different hospitals with AUC,and with the performance of 37 radiologists.Results:The accuracies of the 2D,2D-CDFI,and 2D-CDFI-PW models on the test set were 87.9%,89.2%,and 88.7%,respectively.The AUCs for classification of benign tumors,malignant tumors,inflammatory masses,and adenosis were 0.90,0.91,0.90,and 0.89,respectively(95%confidence intervals[CIs],0.87-0.91,0.89-0.92,0.87-0.91,and 0.86-0.90).The 2D-CDFI model showed better accuracy(89.2%)on the test set than the 2D(87.9%)and 2D-CDFI-PW(88.7%)models.The 2D model showed accuracy of 81.7%on breast masses≤1 cm and 82.3%on breast masses>1 cm;there was a significant difference between the two groups(P<0.001).The accuracy of the CNN classifications for the test s 展开更多
关键词 Deep learning ULTRASONOGRAPHY Breast diseases DIAGNOSIS
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平衡训练对慢性踝关节不稳疗效的研究进展 被引量:18
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作者 于越 刘冬森 +1 位作者 阮槟 高颀 《中国康复理论与实践》 CSCD 北大核心 2019年第12期1374-1383,共10页
目的通过文献分析平衡训练对慢性踝关节不稳的疗效。方法检索PubMed和Web of Science数据库2000年1月至2019年4月以"慢性踝关节不稳"和"平衡训练"为主题的英文文献。结果和结论慢性踝关节不稳患者最常应用的平衡训... 目的通过文献分析平衡训练对慢性踝关节不稳的疗效。方法检索PubMed和Web of Science数据库2000年1月至2019年4月以"慢性踝关节不稳"和"平衡训练"为主题的英文文献。结果和结论慢性踝关节不稳患者最常应用的平衡训练方法为Wobble Board训练和渐进性跳跃稳定平衡(PHSB)训练;现已形成包含单腿站立重心变化和平衡策略的静态平衡、包含星形偏移平衡测试和功能性跳跃的动态平衡、踝关节自评功能问卷、生活质量和社会参与程度问卷的评估模式,完善了平衡训练对患者损伤情况、功能和参与影响的整体化评价体系。 展开更多
关键词 慢性踝关节不稳 平衡训练 Wobble Board训练 渐进性跳跃稳定平衡训练 自评功能问卷 综述
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Action mechanisms and research methods of tRNA-derived small RNAs 被引量:17
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作者 Yaoyao Xie Lipeng Yao +3 位作者 Xiuchong yu Yao ruan Zhe Li Junming Guo 《Signal Transduction and Targeted Therapy》 SCIE CSCD 2020年第1期1505-1513,共9页
tRNA-derived small RNAs(tsRNAs),including tRNA-derived fragments(tRFs)and tRNA halves(tiRNAs),are small regulatory RNAs processed from mature tRNAs or precursor tRNAs.tRFs and tiRNAs play biological roles through a va... tRNA-derived small RNAs(tsRNAs),including tRNA-derived fragments(tRFs)and tRNA halves(tiRNAs),are small regulatory RNAs processed from mature tRNAs or precursor tRNAs.tRFs and tiRNAs play biological roles through a variety of mechanisms by interacting with proteins or mRNA,inhibiting translation,and regulating gene expression,the cell cycle,and chromatin and epigenetic modifications.The establishment and application of research technologies are important in understanding the biological roles of tRFs and tiRNAs.To study the molecular mechanisms of tRFs and tiRNAs,researchers have used a variety of bioinformatics and molecular biology methods,such as microarray analysis,real-time quantitative reverse transcription-polymerase chain reaction(qRT-PCR);Northern blotting;RNA sequencing(RNA-seq);cross-linking,ligation and sequencing of hybrids(CLASH);and photoactivatable-ribonucleoside-enhanced cross-linking and immunoprecipitation(PAR-CLIP).This paper summarizes the classification,action mechanisms,and roles of tRFs and tiRNAs in human diseases and the related signal transduction pathways,targeted therapies,databases,and research methods associated with them. 展开更多
关键词 MECHANISMS LINKING INHIBITING
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谢胜名中医从三焦论治胃食管反流病经验 被引量:16
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作者 张羽 黄美祯 +5 位作者 潘春曲 刘洪武 阮庆婷 卢永祥 谭金晶 谢胜 《陕西中医》 CAS 2022年第1期100-103,136,共5页
谢胜教授长期致力于胃食管反流病(GERD)的研究,通过深掘《内经》等经典理论,逐渐认识到GERD病机复杂,存在多脏腑偏颇的复合病机,而究其病机之本,总属三焦枢机失和。基于对病机的认识,谢胜教授进一步提出“以枢调枢”以及“以俞调枢”为... 谢胜教授长期致力于胃食管反流病(GERD)的研究,通过深掘《内经》等经典理论,逐渐认识到GERD病机复杂,存在多脏腑偏颇的复合病机,而究其病机之本,总属三焦枢机失和。基于对病机的认识,谢胜教授进一步提出“以枢调枢”以及“以俞调枢”为治疗大法,即通过中医药疗法调和三焦枢机以调衡脾胃枢机,恢复脾胃枢机升降之用,以致“气归于权衡”的生理常态,最终达到治愈GERD的目的。 展开更多
关键词 三焦 胃食管反流病 以枢调枢 以俞调枢 芪石升降归元饮 背俞指针疗法
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支气管肺泡灌洗术联合局部应用敏感抗菌药物对COPD合并支气管扩张患者血气分析、炎症因子及肺功能的影响 被引量:16
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作者 曹洪丽 于红 +3 位作者 石曼欣妤 木亚莎尔·吐逊江 阮昱豪 席家宁 《国际检验医学杂志》 CAS 2022年第1期90-93,共4页
目的探讨支气管肺泡灌洗术(BAL)联合局部应用敏感抗菌药物对慢性阻塞性肺疾病(COPD)合并支气管扩张患者血气分析、炎症因子及肺功能的影响。方法前瞻性选取62例COPD合并支气管扩张患者为研究对象,采用随机数字表法将患者分为观察组(31例... 目的探讨支气管肺泡灌洗术(BAL)联合局部应用敏感抗菌药物对慢性阻塞性肺疾病(COPD)合并支气管扩张患者血气分析、炎症因子及肺功能的影响。方法前瞻性选取62例COPD合并支气管扩张患者为研究对象,采用随机数字表法将患者分为观察组(31例)与对照组(31例)。对照组给予常规干预措施,观察组在对照组基础上给予BAL联合局部应用敏感抗菌药物。比较2组干预前后的血气分析[动脉血血氧分压(PaO_(2))、二氧化碳分压(PaCO_(2))、血氧饱和度(SaO_(2))]、血清炎症因子[白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、超敏C反应蛋白(hs-CRP)]、肺功能[肺活量(VC)、第一秒用力呼气容积(FEV1)、用力肺活量(FVC)]及干预后临床疗效。结果2组干预前血气分析、炎症因子及肺功能指标比较,差异均无统计学意义(P>0.05)。2组干预后PaO_(2)、SaO_(2)、VC、FEV1、FEV1/FVC均高于干预前,且观察组高于对照组(P<0.05);而PaCO_(2)及血清IL-6、TNF-α、hs-CRP水平均低于干预前,且观察组低于对照组(P<0.05)。观察组临床疗效优于对照组(P<0.05)。结论BAL联合局部应用敏感抗菌药物可改善COPD合并支气管扩张患者的血气分析结果,降低血清炎症因子水平,促进肺功能康复,临床疗效明显,值得临床推广应用。 展开更多
关键词 支气管肺泡灌洗术 慢性阻塞性肺疾病 支气管扩张 血气分析 肺功能
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Single-atom catalysts for electrochemical N_(2)reduction to NH_(3) 被引量:14
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作者 Muhammad Saqlain lqbal Zhi-Bo Yao +5 位作者 yu-Kun ruan Ramsha Iftikhar Lei-Duan Hao Alex WRobertson Syed Muhammad Imran Zhen-yu Sun 《Rare Metals》 SCIE EI CAS CSCD 2023年第4期1075-1097,共23页
The increasing demand for clean energy and growing concerns regarding environmental sustainability have led to greater attention devoted toward the production of clean fuels via green chemistry.In this respect,ammonia... The increasing demand for clean energy and growing concerns regarding environmental sustainability have led to greater attention devoted toward the production of clean fuels via green chemistry.In this respect,ammonia is a green alternative to fossil fuels and can serve as a clean energy source.There is now great interest in realizing the electrochemical reduction in atmospheric nitrogen(N_(2))for cheap,environmentally friendly and reliable ammonia(NH_(3))production worldwide.However,the robustness of the triple bond in N2 and the low efficiency of candidate catalysts limit the utility of this conversion.Single atom catalysts have been found to be more effective than nanoparticles due to their unique properties,and thus have been studied extensively for the nitrogen reduction reaction.In this review,we have covered the recent advances in design and synthesis of noble metal and non-noble metal single atom catalysts for the electrochemical reduction in nitrogen during the years 2018-2022.The catalyst efficiencies,with reference to coordination preferences and theoretical studies have been discussed.Moreover,we also provide insights into the current challenges and some considerations for further future studies. 展开更多
关键词 N_(2)reduction Single atom catalyst(SAC) ELECTROCATALYSIS NH_(3)
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