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Deep imaging of LepR^(+)stromal cells in optically cleared murine bone hemisections
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作者 Yuehan Ni Jiamiao Wu +23 位作者 Fengqi Liu Yating Yi Xiangjiao Meng Xiang Gao Luyi Xiao Weiwei Zhou Zexi Chen Peng Chu Dan Xing Ye Yuan Donghui Ding Ge shen Min Yang Ronjie Wu Ling Wang Luiza Martins Nascentes Melo Sien Lin Xiaoguang Cheng Gang Li Alpaslan Tasdogan Jessalyn M.Ubellacker Hu Zhao shentong Fang bo shen 《Bone Research》 2025年第1期104-120,共17页
Tissue clearing combined with high-resolution confocal imaging is a cutting-edge approach for dissecting the three-dimensional(3D)architecture of tissues and deciphering cellular spatial interactions under physiologic... Tissue clearing combined with high-resolution confocal imaging is a cutting-edge approach for dissecting the three-dimensional(3D)architecture of tissues and deciphering cellular spatial interactions under physiological and pathological conditions.Deciphering the spatial interaction of leptin receptor-expressing(LepR^(+))stromal cells with other compartments in the bone marrow is crucial for a deeper understanding of the stem cell niche and the skeletal tissue.In this study,we introduce an optimized protocol for the 3D analysis of skeletal tissues,enabling the visualization of hematopoietic and stromal cells,especially LepR+stromal cells,within optically cleared bone hemisections.Our method preserves the 3D tissue architecture and is extendable to other hematopoietic sites such as calvaria and vertebrae.The protocol entails tissue fixation,decalcification,and cryosectioning to reveal the marrow cavity.Completed within approximately 12 days,this process yields highly transparent tissues that maintain genetically encoded or antibody-stained fluorescent signals.The bone hemisections are compatible with diverse antibody labeling strategies.Confocal microscopy of these transparent samples allows for qualitative and quantitative image analysis using Aivia or Bitplane Imaris software,assessing a spectrum of parameters.With proper storage,the fluorescent signal in the stained and cleared bone hemisections remains intact for at least 2–3 months.This protocol is robust,straightforward to implement,and highly reproducible,offering a valuable tool for tissue architecture and cellular interaction studies. 展开更多
关键词 TRANSPARENT SECTIONS STRAIGHT
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对EGFR敏感突变肺腺癌TKI治疗后轻微进展医生对策的调查
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作者 王启鸣 王璐 +8 位作者 余鸿凡 沈波 陈程 阎昭 黄诚 王雨萌 李凯 王晶 石丘玲 《中国肿瘤临床》 北大核心 2025年第3期109-114,共6页
目的:了解医生对表皮生长因子受体酪氨酸激酶抑制剂(epithelial growth factor receptor tyrosine kinase inhibitor,EGFRTKI)治疗后轻微进展的发生率和治疗策略的看法,为优化后续治疗对策提供建议。方法:采用方便抽样的方法,面向全国... 目的:了解医生对表皮生长因子受体酪氨酸激酶抑制剂(epithelial growth factor receptor tyrosine kinase inhibitor,EGFRTKI)治疗后轻微进展的发生率和治疗策略的看法,为优化后续治疗对策提供建议。方法:采用方便抽样的方法,面向全国肿瘤及呼吸科医生实施网络问卷调查。结果:回收有效问卷584份,所有医生均关注到EGFR-TKI治疗后出现的肿瘤轻微进展,对此选择的应对策略包括维持原TKI治疗、原TKI基础上的增加其他治疗、更换方案和实施二次组织活检,其中选择在原TKI基础上增加治疗者最多。结论:临床医生已重视疾病稳定(stable disease,SD)中靶病灶增大的情况,并多选择在原TKI基础上增加治疗应对,这可为今后的指南制定提供参考,但仍需大样本前瞻性临床研究寻找更合适的协同治疗方案。 展开更多
关键词 肺腺癌 表皮生长因子受体酪氨酸激酶抑制剂 疾病稳定 培美曲塞 抗血管生成治疗
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非小细胞肺癌三级淋巴结构评估及临床应用中国专家共识(2025版)
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作者 中国抗癌协会肿瘤病理专业委员会肺癌协作组 中国临床肿瘤学会非小细胞肺癌专业委员会 +3 位作者 林冬梅 周彩存 李媛 沈波 《中国肺癌杂志》 北大核心 2025年第2期95-104,共10页
三级淋巴结构(tertiary lymphoid structure,TLS)在肿瘤微环境中发挥着至关重要的作用,影响肿瘤的发生发展。作为预测肿瘤患者预后及治疗反应的一种新兴生物标志物,TLS越来越受到重视。但目前对于TLS的评估缺乏统一的标准,且TLS在不同... 三级淋巴结构(tertiary lymphoid structure,TLS)在肿瘤微环境中发挥着至关重要的作用,影响肿瘤的发生发展。作为预测肿瘤患者预后及治疗反应的一种新兴生物标志物,TLS越来越受到重视。但目前对于TLS的评估缺乏统一的标准,且TLS在不同肿瘤组织中存在差异,为该标志物在临床转化中的应用带来困扰。为满足非小细胞肺癌(non-small cell lung cancer,NSCLC)临床诊治需求,本共识围绕NSCLC TLS的定义、临床意义、检测内容及评估方法等基本要点,结合相关研究和中国临床实践,为临床TLS评估及应用提供标准化和规范化建议,以提高临床医师及病理检测诊断人员对TLS的认识,为NSCLC TLS检测临床应用提供参考依据。 展开更多
关键词 肺肿瘤 三级淋巴结构 评估 临床应用 共识
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The ADRIATIC study:revolutionizing the standard treatment paradigm for concurrent chemoradiotherapy in limited-stage small cell lung cancer
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作者 Banzhou Pan bo shen 《Journal of the National Cancer Center》 2025年第1期1-2,共2页
Small cell lung cancer(SCLC)constitutes approximately 15%of all lung cancer cases,characterized by rapid tumor growth,a high pro-liferation rate,and a propensity for early metastasis.1 Approximately one-third of SCLC ... Small cell lung cancer(SCLC)constitutes approximately 15%of all lung cancer cases,characterized by rapid tumor growth,a high pro-liferation rate,and a propensity for early metastasis.1 Approximately one-third of SCLC patients are diagnosed at the limited-stage.Histor-ically,the standard of care for these patients has been 4-6 cycles of concurrent chemoradiotherapy(cCRT),with the exception of a minor-ity of early-stage T1-2N0 patients who may undergo radical surgery.2 Despite an initial high sensitivity to treatment,over 50%of patients experience disease recurrence within two years,with a median overall survival(OS)ranging from 16 to 24 months.For the past three decades,while there have been novel explorations in radiotherapy dosing and fractionation,the treatment paradigm for limited-stage SCLC(LS-SCLC)has remained largely unchanged,with no significant improvement in patient survival outcomes. 展开更多
关键词 lung cancer radical surgery small cell lung cancer sclc constitutes Survival Outcomes Adriatic Study concurrent chemoradiotherapy ccrt Limited Stage Small Cell Lung Cancer Concurrent Chemoradiotherapy
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Detection of Perfect Stealthy Attacks on Cyber-Physical Systems Subject to Measurement Quantizations: A Watermark-Based Strategy
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作者 Yu-Ang Wang Zidong Wang +2 位作者 Lei Zou bo shen Hongli Dong 《IEEE/CAA Journal of Automatica Sinica》 2025年第1期114-125,共12页
In this paper, the attack detection problem is investigated for a class of closed-loop systems subjected to unknownbutbounded noises in the presence of stealthy attacks. The measurement outputs from the sensors are qu... In this paper, the attack detection problem is investigated for a class of closed-loop systems subjected to unknownbutbounded noises in the presence of stealthy attacks. The measurement outputs from the sensors are quantized before transmission.A specific type of perfect stealthy attack, which meets certain rather stringent conditions, is taken into account. Such attacks could be injected by adversaries into both the sensor-toestimator and controller-to-actuator channels, with the aim of disrupting the normal data flow. For the purpose of defending against these perfect stealthy attacks, a novel scheme based on watermarks is developed. This scheme includes the injection of watermarks(applied to data prior to quantization) and the recovery of data(implemented before the data reaches the estimator).The watermark-based scheme is designed to be both timevarying and hidden from adversaries through incorporating a time-varying and bounded watermark signal. Subsequently, a watermark-based attack detection strategy is proposed which thoroughly considers the characteristics of perfect stealthy attacks,thereby ensuring that an alarm is activated upon the occurrence of such attacks. An example is provided to demonstrate the efficacy of the proposed mechanism for detecting attacks. 展开更多
关键词 Attack detection cyber-physical systems(CPSs) perfect stealthy attacks watermark-based strategy
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Clostridium difficile infection and inflammatory bowel disease:Understanding the evolving relationship 被引量:12
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作者 Udayakumar Navaneethan Preethi GK Venkatesh bo shen 《World Journal of Gastroenterology》 SCIE CAS CSCD 2010年第39期4892-4904,共13页
Clostridium difficile(C.difficile)infection(CDI)is the leading identifiable cause of antibiotic-associated diarrhea.While there is an alarming trend of increasing incidence and severity of CDI in the United States and... Clostridium difficile(C.difficile)infection(CDI)is the leading identifiable cause of antibiotic-associated diarrhea.While there is an alarming trend of increasing incidence and severity of CDI in the United States and Europe,superimposed CDI in patients with inflammatory bowel disease(IBD)has drawn considerable attention in the gastrointestinal community.The majority of IBD patients appear to contract CDI as outpatients.C.difficile affects disease course of IBD in several ways,including triggering disease flares,sustaining activity,and in some cases,acting as an"innocent"bystander.Despite its wide spectrum of presentations,CDI has been reported to be associated with a longer duration of hospitalization and a higher mortality in IBD patients.IBD patients with restorative proctocolectomy or with diverting ileostomy are not immune to CDI of the small bowel or ileal pouch.Whether immunomodulator or corticosteroid therapy for IBD should be continued in patients with superimposed CDI is controversial.It appears that more adverse outcomes was observed among patients treated by a combination of immunomodulators and antibiotics than those treated by antibiotics alone.The use of biologic agents does not appear to increase the risk of acquisition of CDI.For CDI in the setting of underlying IBD,vancomycin appears to be more efficacious than metronidazole.Randomized controlled trials are required to clearly define the appropriate management for CDI in patients with IBD. 展开更多
关键词 CLOSTRIDIUM DIFFICILE INFLAMMATORY BOWEL disease ANTIBIOTICS COLECTOMY
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Revisiting IL-1 Antagonism in Lung Cancer Therapeutics:Lessons from Failure and Pathways to Precision Therapy
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作者 Sitong Feng Cong Xu +2 位作者 Chuang Qi Yi Li bo shen 《Proceedings of Anticancer Research》 2025年第5期124-127,共4页
Despite compelling preclinical and epidemiological evidence(e.g.,reduced lung cancer incidence in the CANTOS trial),IL-1βinhibition with canakinumab failed to achieve the expected therapeutic effect in the Phase III ... Despite compelling preclinical and epidemiological evidence(e.g.,reduced lung cancer incidence in the CANTOS trial),IL-1βinhibition with canakinumab failed to achieve the expected therapeutic effect in the Phase III clinical trials(CANOPY series)of non-small cell lung cancer(NSCLC).This perspective analyzes the disconnect between mechanistic promise and clinical outcomes.IL-1βdrives NSCLC progression by promoting immunosuppression,angiogenesis,and metastasis.However,CANOPY-2 showed no overall survival(OS)benefit,though a trend emerged in patients with an elevated baseline of high-sensitivity C-reactive protein(hs-CRP).Similarly,CANOPY-1 and adjuvant CANOPY-A missed primary endpoints for progression-free survival(PFS)and disease-free survival(DFS),respectively.These failures highlight limitations of IL-1 monotherapy in advanced,immunosuppressive microenvironments and underscore inadequate patient selection.We propose that IL-1 antagonism retains therapeutic potential but requires refined strategies:biomarker-driven enrichment(e.g.,inflammation signatures like hs-CRP),rational combinatorial regimens informed by successful multi-target agents(e.g.,cadonilimab),and early-stage intervention.Repositioning IL-1 blockers through precision approaches could unlock their value in immuno-oncology. 展开更多
关键词 CANAKINUMAB Clinical trial failure Biomarker-driven enrichment
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Secondary causes of inflammatory bowel diseases 被引量:17
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作者 Yezaz A Ghouri Veysel Tahan bo shen 《World Journal of Gastroenterology》 SCIE CAS 2020年第28期3998-4017,共20页
Inflammatory bowel diseases(IBD),conventionally consist of Crohn’s disease(CD)and ulcerative colitis.They occur in individuals with high risk genotype for the disease in the setting of appropriate environmental facto... Inflammatory bowel diseases(IBD),conventionally consist of Crohn’s disease(CD)and ulcerative colitis.They occur in individuals with high risk genotype for the disease in the setting of appropriate environmental factors.The pathogenesis of IBD involves a dysregulated autoimmune response to gut dysbiosis,which in turn is triggered due to exposure to various inciting environmental factors.But there is no clearly defined etiology of IBD and this type of disease is termed as“idiopathic IBD”,“classic IBD”,or“primary IBD”.We reviewed the current medical literature and found that certain etiological factors may be responsible for the development of IBD or IBD-like conditions,and we consider this form of de novo IBD as“secondary IBD”.Currently known factors that are potentially responsible for giving rise to secondary IBD are medications;bowel altering surgeries and transplantation of organs,stem cells or fecal microbiome.Medications associated with the development of secondary IBD include;immunomodulators,anti-tumor necrosis factor alpha agents,anti-interleukin agents,interferons,immune stimulating agents and checkpoint inhibitors.Colectomy can in some cases give rise to de novo CD,pouchitis of the ileal pouch,or postcolectomy enteritis syndrome.After solid organ transplantation or hematopoietic stem cell transplantation,the recipient may develop de novo IBD or IBD flare.Fecal microbiota transplantation has been widely used to treat patients suffering from recurrent Clostridium difficile infection but can also causes IBD flares. 展开更多
关键词 De novo inflammatory bowel disease Secondary inflammatory bowel disease Inflammatory bowel disease Crohn’s disease Ulcerative colitis
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Satellite-Air-Terrestrial Cloud Edge Collaborative Networks:Architecture,Multi-Node Task Processing and Computation 被引量:1
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作者 Sai Liu Zhenjiang Zhang +1 位作者 Guangjie Han bo shen 《Intelligent Automation & Soft Computing》 SCIE 2023年第9期2651-2668,共18页
Integrated satellite-terrestrial network(ISTN)has been considered a novel network architecture to achieve global three-dimensional coverage and ultra-wide area broadband access anytime and anywhere.Being a promising p... Integrated satellite-terrestrial network(ISTN)has been considered a novel network architecture to achieve global three-dimensional coverage and ultra-wide area broadband access anytime and anywhere.Being a promising paradigm,cloud computing and mobile edge computing(MEC)have been identified as key technology enablers for ISTN to further improve quality of service and business continuity.However,most of the existing ISTN studies based on cloud computing and MEC regard satellite networks as relay networks,ignoring the feasibility of directly deploying cloud computing nodes and edge computing nodes on satellites.In addition,most computing tasks are transferred to cloud servers or offloaded to nearby edge servers,the layered design of integrated satellite-air-terrestrial architecture and the cloud-edge-device cooperative processing problems have not been fully considered.Therefore,different from previous works,this paper proposed a novel satellite-air-terrestrial layered architecture for cloud-edge-device collaboration,named SATCECN.Then this paper analyzes the appropriate deployment locations of cloud servers and edge servers in ISTN,and describes the processing flow of typical satellite computing tasks.For computing resource allocation problems,this paper proposed a device-edge-cloud Multi-node Cross-layer Collaboration Computing(MCCC)method to find the optimal task allo-cation strategy that minimizes the task completion delay and the weighted system energy consumption.Furthermore,the approximate optimal solutions of the optimization model are obtained by using successive convex approxi-mation algorithm,and the outstanding advantages of the proposed method in reducing system energy consumption and task execution delay are verified through experiments.Finally,some potential issues and directions for future research are highlighted. 展开更多
关键词 Device-edge-cloud collaboration ISTN MEC task computation resource allocation
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Comparison of efficacy and toxicity between gemcitabine plus cisplatin and plus carboplatin in first-line treatment of advanced non-small cell lung cancer 被引量:1
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作者 Meiqi Shi bo shen +4 位作者 Guochun Cao Yun Zeng Guohao Xia Jifeng Feng Lin Xu 《The Chinese-German Journal of Clinical Oncology》 CAS 2008年第4期196-199,共4页
Objective: To compare the efficacy and toxicity between gemcitabine plus cisplatin and plus carboplatin in first-line treatment of advanced non-small cell lung cancer (NSCLC). Methods: Gemcitabine 1000 mg/m2 iv, d1, 8... Objective: To compare the efficacy and toxicity between gemcitabine plus cisplatin and plus carboplatin in first-line treatment of advanced non-small cell lung cancer (NSCLC). Methods: Gemcitabine 1000 mg/m2 iv, d1, 8; cisplatin 75 mg/m2 iv, d1, or 25 mg/m2 iv, d1-3; carboplatin AUC = 5 iv, d1; repeated every 21 days. Results: All 76 cases were available for objective response. Gemcitabine + cisplatin (GCis) group: among 33 cases, CR 1 case, PR 13 cases, MR 3 cases, SD 7 cases, PD 9 cases, response rate, disease control rate, time to progress (TTP), median survival time (MST) and 1-, 2-year survival rates were 42.42% (14/33), 72.73% (24/33), 5 months, 14 months and 66.67% (22/33), 12.12% (4/33), respectively; Gemcitabine + carboplatin (GCarb) group: among 43 cases, PR 13 cases, MR 11 cases, SD 7 cases, PD 12 cases, the results while comparing with those of GCis group were 30.23% (13/43), 72.09% (31/43), 4 months, 11 months and 48.84% (21/43), 2.33% (1/43), respectively. Among them, only MST between the two groups had significant statistic difference (χ2 = 2.45, P = 0.017). Mild to modest myelo-suppression as well as nausea and vomiting were observed. Conclusion: Both GCis and GCarb regimens had active and well-tolerated toxicity for advanced NSCLC. Cisplatin-based chemotherapy yields a substantial effective advantage over carboplatin-based regimens. Therefore, carboplatin and cisplatin are not equal-active and that cisplatin-based doublet regimens should remain the standard first-line therapy for patients with advanced NSCLC with good performance status. 展开更多
关键词 advanced non-small cell lung cancer (NSCLC) CHEMOTHERAPY GEMCITABINE CISPLATIN CARBOPLATIN
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Progress in efficient doping of Al-rich AlGaN 被引量:3
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作者 Jiaming Wang Fujun Xu +14 位作者 Lisheng Zhang Jing Lang Xuzhou Fang Ziyao Zhang Xueqi Guo Chen Ji Chengzhi Ji Fuyun Tan Xuelin Yang Xiangning Kang Zhixin Qin Ning Tang Xinqiang Wang Weikun Ge bo shen 《Journal of Semiconductors》 EI CAS CSCD 2024年第2期10-20,共11页
The development of semiconductors is always accompanied by the progress in controllable doping techniques.Taking AlGaN-based ultraviolet(UV)emitters as an example,despite a peak wall-plug efficiency of 15.3%at the wav... The development of semiconductors is always accompanied by the progress in controllable doping techniques.Taking AlGaN-based ultraviolet(UV)emitters as an example,despite a peak wall-plug efficiency of 15.3%at the wavelength of 275 nm,there is still a huge gap in comparison with GaN-based visible light-emitting diodes(LEDs),mainly attributed to the inefficient doping of AlGaN with increase of the Al composition.First,p-doping of Al-rich AlGaN is a long-standing challenge and the low hole concentration seriously restricts the carrier injection efficiency.Although p-GaN cladding layers are widely adopted as a compromise,the high injection barrier of holes as well as the inevitable loss of light extraction cannot be neglected.While in terms of n-doping the main issue is the degradation of the electrical property when the Al composition exceeds 80%,resulting in a low electrical efficiency in sub-250 nm UV-LEDs.This review summarizes the recent advances and outlines the major challenges in the efficient doping of Al-rich AlGaN,meanwhile the corresponding approaches pursued to overcome the doping issues are discussed in detail. 展开更多
关键词 AlGaN-based UV-LEDs Al-rich AlGaN DOPING
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Anomaly-Resistant Decentralized State Estimation Under Minimum Error Entropy With Fiducial Points for Wide-Area Power Systems 被引量:1
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作者 bogang Qu Zidong Wang +2 位作者 bo shen Hongli Dong Hongjian Liu 《IEEE/CAA Journal of Automatica Sinica》 SCIE EI CSCD 2024年第1期74-87,共14页
This paper investigates the anomaly-resistant decentralized state estimation(SE) problem for a class of wide-area power systems which are divided into several non-overlapping areas connected through transmission lines... This paper investigates the anomaly-resistant decentralized state estimation(SE) problem for a class of wide-area power systems which are divided into several non-overlapping areas connected through transmission lines. Two classes of measurements(i.e., local measurements and edge measurements) are obtained, respectively, from the individual area and the transmission lines. A decentralized state estimator, whose performance is resistant against measurement with anomalies, is designed based on the minimum error entropy with fiducial points(MEEF) criterion. Specifically, 1) An augmented model, which incorporates the local prediction and local measurement, is developed by resorting to the unscented transformation approach and the statistical linearization approach;2) Using the augmented model, an MEEF-based cost function is designed that reflects the local prediction errors of the state and the measurement;and 3) The local estimate is first obtained by minimizing the MEEF-based cost function through a fixed-point iteration and then updated by using the edge measuring information. Finally, simulation experiments with three scenarios are carried out on the IEEE 14-bus system to illustrate the validity of the proposed anomaly-resistant decentralized SE scheme. 展开更多
关键词 Decentralized state estimation(SE) measurements with anomalies minimum error entropy unscented Kalman filter wide-area power systems
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Novel Adaptive Memory Event-Triggered-Based Fuzzy Robust Control for Nonlinear Networked Systems via the Differential Evolution Algorithm
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作者 Wei Qian Yanmin Wu bo shen 《IEEE/CAA Journal of Automatica Sinica》 SCIE EI CSCD 2024年第8期1836-1848,共13页
This article mainly investigates the fuzzy optimization robust control issue for nonlinear networked systems characterized by the interval type-2(IT2)fuzzy technique under a differential evolution algorithm.To provide... This article mainly investigates the fuzzy optimization robust control issue for nonlinear networked systems characterized by the interval type-2(IT2)fuzzy technique under a differential evolution algorithm.To provide a more reasonable utilization of the constrained communication channel,a novel adaptive memory event-triggered(AMET)mechanism is developed,where two event-triggered thresholds can be dynamically adjusted in the light of the current system information and the transmitted historical data.Sufficient conditions with less conservative design of the fuzzy imperfect premise matching(IPM)controller are presented by introducing the Wirtinger-based integral inequality,the information of membership functions(MFs)and slack matrices.Subsequently,under the IPM policy,a new MFs intelligent optimization technique that takes advantage of the differential evolution algorithm is first provided for IT2 TakagiSugeno(T-S)fuzzy systems to update the fuzzy controller MFs in real-time and achieve a better system control effect.Finally,simulation results demonstrate that the proposed control scheme can obtain better system performance in the case of using fewer communication resources. 展开更多
关键词 Adaptive memory event-triggered(AMET) differential evolution algorithm fuzzy optimization robust control interval type-2(IT2)fuzzy technique.
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Recursive Filtering for Stochastic Systems With Filter-and-Forward Successive Relays
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作者 Hailong Tan bo shen +1 位作者 Qi Li Hongjian Liu 《IEEE/CAA Journal of Automatica Sinica》 SCIE EI CSCD 2024年第5期1202-1212,共11页
In this paper,the recursive filtering problem is considered for stochastic systems over filter-and-forward successive relay(FFSR)networks.An FFSR is located between the sensor and the remote filter to forward the meas... In this paper,the recursive filtering problem is considered for stochastic systems over filter-and-forward successive relay(FFSR)networks.An FFSR is located between the sensor and the remote filter to forward the measurement.In the successive relay,two cooperative relay nodes are adopted to forward the signals alternatively,thereby existing switching characteristics and inter-relay interferences(IRI).Since the filter-and-forward scheme is employed,the signal received by the relay is retransmitted after it passes through a linear filter.The objective of the paper is to concurrently design optimal recursive filters for FFSR and stochastic systems against switching characteristics and IRI of relays.First,a uniform measurement model is proposed by analyzing the transmission mechanism of FFSR.Then,novel filter structures with switching parameters are constructed for both FFSR and stochastic systems.With the help of the inductive method,filtering error covariances are presented in the form of coupled difference equations.Next,the desired filter gain matrices are further obtained by minimizing the trace of filtering error covariances.Moreover,the stability performance of the filtering algorithm is analyzed where the uniform bound is guaranteed on the filtering error covariance.Finally,the effectiveness of the proposed filtering method over FFSR is verified by a three-order resistance-inductance-capacitance circuit system. 展开更多
关键词 FILTERING successive STOCHASTIC
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口袋法内镜黏膜下剥离术对早期结直肠癌及其癌前病变的疗效评价 被引量:23
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作者 沈波 王庆华 +4 位作者 张林英 陈芳 梅娟 陈金珍 周静 《中国内镜杂志》 2020年第1期81-84,共4页
目的探讨口袋法内镜黏膜下剥离术(ESD)治疗早期结直肠癌及其癌前病变的临床疗效。方法收集2017年4月-2018年12月该院消化内科收治的23例早期结直肠癌及其癌前病变患者,通过口袋法ESD术治疗,记录临床相关数据,进行回顾性分析。结果切下... 目的探讨口袋法内镜黏膜下剥离术(ESD)治疗早期结直肠癌及其癌前病变的临床疗效。方法收集2017年4月-2018年12月该院消化内科收治的23例早期结直肠癌及其癌前病变患者,通过口袋法ESD术治疗,记录临床相关数据,进行回顾性分析。结果切下的23例病变最长径1.8~4.5 cm;手术时间为25.0~140.0 min;无术中明显出血及迟发性出血病例;无术中和迟发性穿孔病例;整块切除率为100.0%;术后病理显示,腺瘤伴低级别上皮内瘤变14例,腺瘤伴高级别上皮内瘤变6例,腺瘤伴黏膜内癌2例,水平及垂直切缘均阴性,完全切除率95.7%(22/23),而1例术后病理示腺瘤伴高级别上皮内瘤变,局灶癌变伴黏膜下浸润,垂直切缘阳性,追加外科手术;随访时所有患者未见局部复发和远处转移,治愈性切除率为95.7%。结论口袋法ESD术治疗早期结直肠癌及其癌前病变安全且有效。 展开更多
关键词 早期结直肠癌 口袋法 内镜黏膜下剥离术 手术操作时间 整块切除
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三级淋巴结构在非小细胞肺癌预后及免疫治疗中的研究进展 被引量:2
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作者 刘颖 熊磊 +4 位作者 蔡若雪 陈越 叶劲军 沈波 周国仁 《中国肺癌杂志》 CAS CSCD 北大核心 2023年第8期615-620,共6页
肺癌是当前癌症死亡的首要原因,其中非小细胞肺癌(non-small cell lung cancer,NSCLC)占肺癌的85%。免疫治疗显著改善了NSCLC患者的临床预后,但肿瘤微环境具有复杂性和异质性,仍有部分患者不能受益于免疫治疗,因此有必要探索NSCLC免疫... 肺癌是当前癌症死亡的首要原因,其中非小细胞肺癌(non-small cell lung cancer,NSCLC)占肺癌的85%。免疫治疗显著改善了NSCLC患者的临床预后,但肿瘤微环境具有复杂性和异质性,仍有部分患者不能受益于免疫治疗,因此有必要探索NSCLC免疫治疗的有效预测生物标志物。三级淋巴结构(tertiary lymphoid structure,TLS)是与次级淋巴器官(secondary lymphoid organs,SLO)高度相似的异位淋巴器官,有研究发现TLS的存在与多种实体瘤(包括NSCLC)免疫治疗的良好预后密切相关。本文对TLS在NSCLC预后及免疫治疗中的作用进行综述,为筛选NSCLC免疫治疗适宜人群及制定个性化、精准化治疗方案提供参考。 展开更多
关键词 三级淋巴结构 肺肿瘤 免疫治疗
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牙线牵引金属夹缝合结直肠内镜黏膜下剥离术后创面的临床应用 被引量:6
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作者 沈波 梅娟 +1 位作者 钱昌 周爱红 《中国内镜杂志》 2021年第8期76-79,共4页
目的探讨单钳道内镜下通过牙线牵引金属夹辅助缝合结直肠病变内镜黏膜下剥离术(ESD)后创面的优势、疗效及安全性。方法回顾性分析2018年6月-2020年9月该院通过单钳道内镜下使用牙线牵引辅助金属夹缝合ESD术后创面的患者17例。其中,回盲... 目的探讨单钳道内镜下通过牙线牵引金属夹辅助缝合结直肠病变内镜黏膜下剥离术(ESD)后创面的优势、疗效及安全性。方法回顾性分析2018年6月-2020年9月该院通过单钳道内镜下使用牙线牵引辅助金属夹缝合ESD术后创面的患者17例。其中,回盲部2例、升结肠2例、横结肠3例、降结肠3例、乙状结肠3例、直肠4例。观察患者ESD术后创面大小、封闭创面时间、成功率、术后并发症发生情况和肠镜复查结果等。结果ESD术后创面直径为3.0~6.5 cm,其中16例患者术后创面缝合获得满意效果,成功率为94.1%,1例因牙线过早被剪断使牵引失效导致仅缝合部分创面;创面缝合时间为5~16 min,所有病例均未发生迟发性出血和穿孔,术后3~24个月复查肠镜提示创面金属夹脱落,术后创面修复良好。结论牙线牵引金属夹缝合结直肠ESD术后创面操作简便,安全实用。 展开更多
关键词 牙线 金属夹 缝合 结直肠 内镜黏膜下剥离术
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2014年上海国际消化系统疾病会议纪要
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作者 曹海霞 庄辉 +1 位作者 bo shen 范建高 《实用肝脏病杂志》 CAS 2015年第1期I0008-I0010,共3页
上海国际消化系统疾病会议暨国家级脂肪性肝病诊疗新进展学习班(2014-03-03-238)和特殊类型炎症性肠病诊治新进展学习班(2014-03-03-042),由上海交通大学医学院附属新华医院、美国克里夫兰医学基金会、中国工程院医药卫生学部联合... 上海国际消化系统疾病会议暨国家级脂肪性肝病诊疗新进展学习班(2014-03-03-238)和特殊类型炎症性肠病诊治新进展学习班(2014-03-03-042),由上海交通大学医学院附属新华医院、美国克里夫兰医学基金会、中国工程院医药卫生学部联合主办,《实用肝脏病杂志》编辑部、上海市医学会肝病学分会、中国医师协会脂肪性肝病专家委员会、上海市科学技术委员会协办,于2014年9月11日至13日在上海隆重召开。大会主席庄辉院士及徐卫国、ArthurMeCul—lough教授、执行主席范建高和ShenBo教授主持了会议,演讲专家来自美国、德国、西班牙、新加坡和我国大陆、香港、台北等地,内容涉及肥胖症、酒精滥用及其相关肝病和炎症性肠病的内科、内窥镜诊治和外科手术处理的热点与难点问题,600余名医务人员(其中境外代表19人)参加了此次盛会。本文简要介绍此次大会各国专家的主要演讲内容。 1非酒精性脂肪性肝病(NAFLD) 展开更多
关键词 消化系统疾病 会议纪要 2014年
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代谢酶基因多态性与结直肠癌临床病理特征的关系 被引量:5
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作者 孔晓玲 张晓梅 +5 位作者 洪伟伟 张琰 沈波 程艳萍 杨圣 梁戈玉 《中国现代医学杂志》 CAS 2020年第9期20-27,共8页
目的探讨代谢酶基因谷胱甘肽S-转移酶M3(GSTM3)、二氢嘧啶脱氢酶基因(DPYD)、UDP葡糖醛酸基转移酶1家族多肽A1(UGT1A1)单核苷酸多态性(SNP)与结直肠癌临床病理特征的关系。方法选取2016年1月—2017年7月江苏省肿瘤医院收集的结直肠癌患... 目的探讨代谢酶基因谷胱甘肽S-转移酶M3(GSTM3)、二氢嘧啶脱氢酶基因(DPYD)、UDP葡糖醛酸基转移酶1家族多肽A1(UGT1A1)单核苷酸多态性(SNP)与结直肠癌临床病理特征的关系。方法选取2016年1月—2017年7月江苏省肿瘤医院收集的结直肠癌患者外周血690份,使用TaqMan实时荧光定量PCR法对GSTM3 rs7483、DPYD rs1801159、UGT1A1 rs37553193个位点进行基因分型,应用Logistic回归分析3个多态性位点与结直肠癌临床特征的关系。结果隐性模型中GSTM3 rs7483 GG基因型在Ⅰ、Ⅱ期的频率高于Ⅲ、Ⅳ期(P<0.05),分层分析发现,在>60岁患者中,隐性模型中GG基因型携带者Ⅰ、Ⅱ期肿瘤比例是AA+GA基因型的0.321倍(P<0.05)。DPYD rs1801159 AG+GG基因型携带者低分化肿瘤比例是AA基因型的1.398倍(P<0.05),尤其与低龄(≤60岁)和女性患者的低分化有关系(P<0.05)。未发现UGT1A1 rs3755319与结直肠癌临床病理特征的关系(P>0.05)。结论代谢酶基因GSTM3 rs7483、DPYD rs1801159多态性可能影响结直肠癌的临床进展。 展开更多
关键词 结直肠肿瘤 代谢酶基因 单核苷酸多态性 临床进展 分层分析
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Overexpression of cyclooxygenase-2 in human HepG2, Bel-7402 and SMMC-7721 hepatoma cell lines and mechanism of cyclooxygenase-2 selective inhibitor celecoxib-induced cell growth inhibition and apoptosis 被引量:20
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作者 Ning-bo Liu Tao Peng +3 位作者 Chao Pan Yu-Yu Yao bo shen Jing Leng 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第40期6281-6287,共7页
AIM: To investigate the cyclooxygenase-2 (COX-2) expression level in human HepG2, Bel-7402 and SMMC-7721 hepatoma cell lines and the molecular mechanism of COX-2 selective inhibitor celecoxib-induced cell growth in... AIM: To investigate the cyclooxygenase-2 (COX-2) expression level in human HepG2, Bel-7402 and SMMC-7721 hepatoma cell lines and the molecular mechanism of COX-2 selective inhibitor celecoxib-induced cell growth inhibition and cell apoptosis. METHODS: Hepatoma cells were cultured and treated with celecoxib. Cell in situ hybridization (ISH) and immunocytochemistry were used to detect COX-2 mRNA and protein expression. Proliferating cell nuclear antigen and phosphorylated Akt were also detected by immunocytochemistry assay. Cell growth rates were assessed by 3-(4, 5-dimethylthiazol-2-yl-2, 5-diphenyltetrazolium (MTT) bromide colorimetric assay. Celecoxib- induced cell apoptosis was measured by terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling (TUNEL) and flow cytometry (FCM). The phosphorylated Akt and activated fragments of caspase-9, caspase-3 were examined by Western blotting analysis. RESULTS: Increased COX-2 mRNA and protein expression were detected in all three hepatoma cell lines. Celecoxib could significantly inhibit cell growth and the inhibitory effect was in a dose- and time-dependent manner evidenced by MTT assays and morphological changes. The apoptotic index measured by TUNEL increased correspondingly with the increased concentration of celecoxib and the reaction time. With 50 μmol/L celecoxib treatment for 24 h, the apoptotic index of HepG2, BEL-7402 and SMMC-7721 cells was 25.01±3.08%, 26.40±3.05%,and 30.60±2.89%, respectively. Western blotting analysis showed remarkable activation of caspase-9, caspase-3 and dephosphorylation of Akt (Thr^308). Immunocytochemistry also showed the reduction of PCNA expression and phosphorylation Akt (Thr^308) after treatment with celecoxib. CONCLUSION: COX-2 mRNA and protein overexpression in HepG2, Bel-7402 and SMMC-7721 cell lines correlate with the increased cell growth rate. Celecoxib can inhibit proliferation and induce apoptosis of hepatoma cell strains in a dose- and time-dependent manner. 展开更多
关键词 APOPTOSIS Akt CELECOXIB Caspase CELLPROLIFERATION COX-2 HCC PCNA
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