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家校社协同促进拔尖创新人才早期选育的困境与优化
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作者 程黎 吴怡霖 +3 位作者 刘玉娟 刘海龙 刘鑫梅 覃洁凤 《中国电化教育》 北大核心 2026年第2期8-15,共8页
拔尖创新人才是我国建设社会主义现代化强国的宝贵人力资源,家校社三大环境是拔尖创新人才成长的重要催化剂,家校社协同促进拔尖创新人才早期选育是我国提升综合国力和国际竞争力的重要路径。基于此,为完善家校社协同促进拔尖创新人才... 拔尖创新人才是我国建设社会主义现代化强国的宝贵人力资源,家校社三大环境是拔尖创新人才成长的重要催化剂,家校社协同促进拔尖创新人才早期选育是我国提升综合国力和国际竞争力的重要路径。基于此,为完善家校社协同促进拔尖创新人才早期选育路径,该研究基于协同理论,通过对122位拔尖学生及其家长和老师访谈数据的质性分析发现,家校社协同促进拔尖创新人才早期选育的现实困境主要表现在协同的序参量支配作用不足、慢参量主导作用不足、控制参量调节作用未发挥等问题,未来家校社协同可以通过凝聚三方共识,发挥序参量支配作用;强化学校主导作用,发挥慢参量驱动效应;数智化赋能家校社协同,发挥控制参量调节作用,为家校社协同促进拔尖创新人才早期选育提供坚实保障。 展开更多
关键词 拔尖创新人才 早期选育 家校社协同 困境 优化
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Current status and recent progress of nanomaterials in transcatheter arterial chemoembolization therapy for hepatocellular carcinoma 被引量:1
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作者 Jia Sun Hai-liang li +3 位作者 Wen-Jun Zhou Zeng-Xin Ma Xiao-Pei Huang cheng li 《World Journal of Clinical Oncology》 2025年第4期66-78,共13页
Hepatocellular carcinoma(HCC)remains one of the most common cancers worldwide.Transcatheter arterial chemoembolization has become a common treatment modality for some patients with unresectable advanced HCC.Since the ... Hepatocellular carcinoma(HCC)remains one of the most common cancers worldwide.Transcatheter arterial chemoembolization has become a common treatment modality for some patients with unresectable advanced HCC.Since the introduction of nanomaterials in 1974,their use in various fields has evolved rapidly.In medical applications,nanomaterials can serve as carriers for the delivery of chemotherapeutic drugs to tumour tissues.Additionally,nanomaterials have potential for in vivo tumour imaging.This article covers the properties and uses of several kinds of nanomaterials,focusing on their use in transcatheter arterial chemoembolization for HCC treatment.This paper also discusses the limitations currently associated with the use of nanomaterials. 展开更多
关键词 Transcatheter arterial chemoembolization Hepatocellular carcinoma NANOMATERIALS Drug delivery system CHEMOTHERAPY
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腹膜透析患者转运类型的中医证型及影响因素
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作者 程力 杨园园 +3 位作者 万胜 闵永龙 朱前深 李红波 《中国中医药科技》 2026年第1期1-4,共4页
目的:分析腹膜透析(PD)非充分患者不同转运方式的影响因素及与中医证型的关系。方法:将94例腹膜透析非充分患者,根据转运功能分为低平均转运组24例、高平均转运组37例及高转运组33例,分析人口学因素、实验室指标及中医证型的差异。结果... 目的:分析腹膜透析(PD)非充分患者不同转运方式的影响因素及与中医证型的关系。方法:将94例腹膜透析非充分患者,根据转运功能分为低平均转运组24例、高平均转运组37例及高转运组33例,分析人口学因素、实验室指标及中医证型的差异。结果:1.在白蛋白(ALB)方面,三组间中位分布有统计学差异,高转运组患者的ALB水平最低,低平均转运组的ALB水平最高;将ALB转换为等级变量,结果提示低ALB患者人群中以高转运为主,ALB达标则以高平均转运为主。2.不同转运功能的中医本证分布有统计学差异(P<0.05),其中低平均转运组主要以脾肾气虚证为主,高平均转运组主要以脾肾阳虚证为主,高转运组主要以气阴两虚证为主。结论:高转运组患者要注意白蛋白水平的监测,不同转运方式的中医证型有明显差异,考虑可能与不同转运方式的功能相关。 展开更多
关键词 腹膜透析 转运方式 中医证型
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Illuminating the microscopic mysteries of enamel demineralization through terahertz near-field imaging
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作者 XIAO Feng ZHANG Xiao-Qiu-Yan +6 位作者 cheng li XU Xing-Xing ZHANG Tian-Yu TANG Fu HU Tao HU Min liU Sheng-Gang 《红外与毫米波学报》 北大核心 2025年第5期720-725,共6页
Enamel demineralization often occurs in the early stage of dental caries.Studying the microscopic mechanism of enamel demineralization is essential to prevent and treat dental caries.Terahertz(THz)technolo⁃gy,especial... Enamel demineralization often occurs in the early stage of dental caries.Studying the microscopic mechanism of enamel demineralization is essential to prevent and treat dental caries.Terahertz(THz)technolo⁃gy,especially continuous wave(CW)THz near-field scanning microscopy(THz-SNOM)with its nanoscale reso⁃lution,can be promising in biomedical imaging.In addition,compared with traditional THz time-domain spec⁃troscopy(TDS),portable solid-state source as the emission has higher power and SNR,lower cost,and can ob⁃tain more precise imaging.In this study,we employ CW THz-SNOM to further break the resolution limitations of conventional THz imaging techniques and successfully achieve the near-field imaging of demineralized enamel at the nanoscale.We keenly observe that the near-field signal of the enamel significantly lowers as demineralization deepens,mainly due to the decrease in permittivity.This new approach offers valuable insights into the micro⁃scopic processes of enamel demineralization,laying the foundation for further research and treatment. 展开更多
关键词 demineralized enamel near-field scanning microscopy continuous wave TERAHERTZ
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Corrigendum to"PI3K/Akt/mTOR signaling orchestrates the phenotypic transition and chemo-resistance of small cell lung cancer"[J.Genet.Genom.(2021)48,640-651]
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作者 Xuefeng li cheng li +8 位作者 Chenchen Guo Qiqi Zhao Jiayu Cao Hsin-Yi Huang Meiting Yue Yun Xue Yujuan Jin liang Hu Hongbin Ji 《Journal of Genetics and Genomics》 2025年第8期1066-1067,共2页
This corrigendum clarifies information in the article"PI3K/Akt/mTOR signaling orchestrates the phenotypic transition and chemo-resistance of small cell lung cancer"by Li et al.(2021).The authors regret that ... This corrigendum clarifies information in the article"PI3K/Akt/mTOR signaling orchestrates the phenotypic transition and chemo-resistance of small cell lung cancer"by Li et al.(2021).The authors regret that the image of H526 cells in the schematic illustration in Fig.4A displayed on the Webpage is wrong.The correct image for H526cells inthe schematic illustration is listed below。 展开更多
关键词 schematic illustration Small Cell Lung Cancer small cell lung cancerby Schematic Illustration h cells PI K AKT mTOR Signaling Chemo Resistance H Cells
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Study on the neuroimmune regulatory mechanism of electroacupuncture at Zusanli acupoint for postoperative intestinal paralysis after gastrointestinal surgery
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作者 Jing-Yan Xu cheng li 《World Journal of Gastrointestinal Surgery》 2025年第10期216-223,共8页
BACKGROUND Postoperative intestinal paralysis is common in gastrointestinal surgery,and the study of electroacupuncture mechanisms is of great significance.AIM To explore the neuroimmune regulatory mechanism of electr... BACKGROUND Postoperative intestinal paralysis is common in gastrointestinal surgery,and the study of electroacupuncture mechanisms is of great significance.AIM To explore the neuroimmune regulatory mechanism of electroacupuncture at the Zusanli acupoint(ST36)in postoperative intestinal paralysis following gastrointestinal surgery.METHODS A total of 156 patients admitted to the Affiliated Hospital of Jiangnan University between January 2022 and October 2024 for postoperative intestinal paralysis following gastrointestinal surgery were randomly divided into two groups:A control group and an electroacupuncture group,with 75 patients in each.The control group received conventional Western medical treatment,while the electroacupuncture group received electroacupuncture in addition to this,at the bilateral Zusanli acupoints.Both groups received treatment for 7 days.Clinical efficacy,gastrointestinal function recovery,and gastrointestinal hormone[motilin(MTL),gastrin(GAS)],neurotransmitter[vasoactive intestinal peptide(VIP),nitric oxide(NO)],and inflammatory cytokine[tumor necrosis factor-α(TNF-α),serum interleukin-6(IL-6),interleukin-1β(IL-1β)]levels were compared between the two groups before and seven days after treatment.Adverse reactions were also recorded.RESULTS The electroacupuncture group demonstrated a higher overall treatment effectiveness rate and faster recovery of bowel sounds,as well as faster first defecation and first flatus than the control group(P<0.05).After seven days of treatment,MTL and GAS levels were significantly higher and VIP,NO,TNF-α,IL-6 and IL-1βlevels were significantly lower in the electroacupuncture group than in the control group(P<0.05).No adverse reactions were observed in either group during treatment.CONCLUSION Electroacupuncture at the Zusanli acupoint can enhance clinical efficacy,promote the recovery of gastrointestinal function,and regulate the neuroimmune microenvironment in patients with intestinal paralysis after gastrointestinal surgery.This mechanism may involve excitation of the vagus nerve and activation of the cholinergic antiinflammatory pathway through electroacupuncture stimulation of the Zusanli acupoint. 展开更多
关键词 Gastrointestinal surgery Postoperative intestinal paralysis ELECTROACUPUNCTURE ZUSANLI Neuroimmune regulatory mechanism CLINIC
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Efficient carbon integration of CO_(2)in propane aromatization over acidic zeolites
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作者 cheng li Xudong Fang +7 位作者 Bin li Siyang Yan Zhiyang Chen Leilei Yang Shaowen Hao Hongchao liu Jiaxu liu Wenliang Zhu 《Chinese Journal of Catalysis》 2025年第5期314-322,共9页
Direct converting carbon dioxide(CO_(2))and propane(C_(3)H_(8))into aromatics with high carbon utilization offers a desirable opportunity to simultaneously mitigate CO_(2)emission and adequately utilize C_(3)H_(8) in ... Direct converting carbon dioxide(CO_(2))and propane(C_(3)H_(8))into aromatics with high carbon utilization offers a desirable opportunity to simultaneously mitigate CO_(2)emission and adequately utilize C_(3)H_(8) in shale gas.Owing to their thermodynamic resistance,converting CO_(2)and C_(3)H_(8) respectively remains difficult.Here,we achieve 60.2%aromatics selectivity and 48.8%propane conversion over H-ZSM-5-25 via a zeolite-catalyzing the coupling of CO_(2)and C_(3)H_(8).Operando dual-beam FTIR spectroscopy combined with ^(13)C-labeled CO_(2)tracing experiments revealed that CO_(2)is directly involved in the generation of aromatics,with its carbon atoms selectively embedded into the aromatic ring,bypassing the reverse water-gas shift pathway.Accordingly,a cooperative aromatization mechanism is proposed.Thereinto,lactones,produced from CO_(2)and olefins,are proven to be the key intermediate.This work not only provides an opportunity for simultaneous conversion of CO_(2)and C_(3)H_(8),but also expends coupling strategy designing of CO_(2)and alkanes over acidic zeolites. 展开更多
关键词 CO_(2)utilization Propane aromatization Coupling effect Acidic zeolites LACTONE
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Bending Crashworthiness of Thin⁃Walled Square Tubes Partially Filled with Metallic Foams
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作者 Zhongyou Xie limin Guo +1 位作者 cheng li Jianwen Cai 《Journal of Harbin Institute of Technology(New Series)》 2025年第2期24-37,共14页
Two cross⁃sectional configurations of thin⁃walled square tubes partially filled with lightweight metallic foams are proposed,and termed as double⁃cell configuration partially filled with foam(DC⁃PF)and double⁃tube con... Two cross⁃sectional configurations of thin⁃walled square tubes partially filled with lightweight metallic foams are proposed,and termed as double⁃cell configuration partially filled with foam(DC⁃PF)and double⁃tube configuration partially filled with foam(DT⁃PF),respectively.The bending crashworthiness is investigated based on three⁃point bending tests using finite element ABAQUS/Explicit code.The two key mechanical indicators including Crash Load Efficiency(CLE)and Specific Energy Absorption(SEA)are introduced to evaluate the effect of foams in comparison with empty square tubes and fully filled square tubes.The numerical results show that the two partially filled configurations,especially DT⁃PF,display dramatically excellent bending crashworthiness compared with empty and fully filled square tubes.There exists a foam density threshold,beyond which the CLE of DT⁃PF achieves a maximum constant.In addition,there seems to be another foam density threshold,beyond which the SEA of DT⁃PF gets to the maximum value.It is also shown that the foam density threshold corresponding to the maximum SEA varies with the thickness of thin⁃walled square tubes. 展开更多
关键词 thin⁃walled tube lightweight foam bending crashworthiness energy absorption finite element analysis
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ABA-induced PbrMYB8-PbrMYB169 module promotes lignin biosynthesis in corking disorder in pear fruit
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作者 Xiaoke Zhang Shicheng Zou +4 位作者 Chenjie Yao Yanfei Shan Jianfa Cai cheng li Jun Wu 《Horticultural Plant Journal》 2025年第5期1879-1895,共17页
Pear fruit corking disorder is a non-infectious physiological condition that primarily occurs during the late developmental stages of pear and significantly impacts fruit quality and economic value in several major cu... Pear fruit corking disorder is a non-infectious physiological condition that primarily occurs during the late developmental stages of pear and significantly impacts fruit quality and economic value in several major cultivars.As the underlying mechanism remains unclear,effective prevention strategies and genetic improvements continue to present major challenges.In this study,‘Akizuki’pear was used as experimental material,and the lignin content in cork-affected tissue was found to be significantly higher than in healthy tissue.Exogenous abscisic acid(ABA)treatment induced cork formation and promoted lignin biosynthesis,a major structural component,in both pear fruits and calli.Through integrated RNA-seq and expression analyses,we identified the ABA-responsive gene PbrMYB8,which was differentially expressed between healthy and diseased tissues and associated with lignin biosynthesis during corking disorder.Stable transformation of PbrMYB8 into pear calli and Arabidopsis confirmed its role in promoting lignin biosynthesis.Notably,PbrMYB8 not only activated lignin biosynthesis genes independently but also interacted with PbrMYB169 to form a protein complex that co-regulated their expression.These findings improve our understanding of lignin biosynthesis in pear fruit corking disorder by identifying a key regulator and its interaction network and provide a theoretical foundation for future strategies aimed at improving pear fruit quality. 展开更多
关键词 PEAR Fruit corking disorder Abscisic acid LIGNIN PbrMYB8-PbrMYB169 complex
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Three-dimensional effects on establishment of hypersonic double-cone flow
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作者 cheng li Jiaao HAO 《Chinese Journal of Aeronautics》 2025年第12期46-66,共21页
Hypersonic flow over a canonical 25°−55°double-cone configuration with a freestream Mach number of 10.38 is numerically investigated.In contrast to a relatively stable and moderate separation region in exper... Hypersonic flow over a canonical 25°−55°double-cone configuration with a freestream Mach number of 10.38 is numerically investigated.In contrast to a relatively stable and moderate separation region in experiments,axisymmetric calculations in the literature demonstrated that the separation bubble continuously grew and notably exceeded the experimental result.To explain the causes of the discrepancy,time-accurate axisymmetric and Three-Dimensional(3D)simulations are conducted for the double-cone flow to investigate the evolution of three-dimensionality and unsteadiness.Both the axisymmetric calculation and the 3D simulation without external disturbances predict a significantly larger separation region than that in experiments and misrepresent the distributions of surface pressure and heat flux.The random forcing approach with two levels of noise amplitude is then applied to 3D simulations.A better agreement with the measured data is observed for the time-averaged heat flux and pressure when the white noise is enforced.As the forcing amplitude is increased,the agreement is slightly improved.However,discrepancies between the 3D results and experimental data still exist in the prediction of the heat flux and pressure distributions,indicating the essential difference between the injected white noise and the wind tunnel freestream disturbances.Realistic noise models are required to reveal the sources of such discrepancies. 展开更多
关键词 Boundary layer High-speed flow Hypersonic flow Shock wave Unsteady flow
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Amphibian Roadkill Investigation in the Qinling Mountains Instantly After a Night-rain in Summer
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作者 Shuai TAN Weiye DENG +4 位作者 Pengzhen JI cheng li Jianping JIANG Zhuo CHEN Jie WANG 《Asian Herpetological Research》 2025年第1期75-81,共7页
Roadkill has become a pivotal issue in the global decline of amphibian populations.Conventional research methods have typically relied on the examination of dried carcasses found long after wildlife-vehicle collisions... Roadkill has become a pivotal issue in the global decline of amphibian populations.Conventional research methods have typically relied on the examination of dried carcasses found long after wildlife-vehicle collisions, which influnce the accuracy of the taxonomic classification and assessment of roadkill rates. To overcome these limitations, we conducted a nocturnal survey on National Road G108in the Qinling Mountains immediately following a night rainstorm in July 2016. We employed molecular techniques to distinguish species that are morphologically identical but share overlapping habitats. Our investigation revealed that within five hours, 92 amphibians from five different species were documented across three 2-km road transects. Among these, 31 individuals were identified as roadkill,resulting in an overall rate of 33%, or roughly five fatalities per kilometer. Significantly, the mountain stream frogs Nanorana quadranus and N. taihangnica comprised 40.2% and 30.4% of the total individuals observed, with mortality rates of 35.1% and 25.0%,respectively. We found no significant variation in mortality rates between different age groups or genders for either species. Our research suggests that conducting surveys at night, immediately following summer rainstorms, is an efficient strategy for evaluating the impacts of roadkill. The post-rain foraging behaviors and the dispersal of juveniles are key factors contributing to road crossings outside of the breeding season. Consequently, this study recommends that traffic authorities in mountainous areas take measures to reduce vehicle traffic following summer rainstorms in order to minimize the threat to amphibian lives. 展开更多
关键词 frogs and toads instant survey mountainous area road ecology wildlife-vehicle collisions
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Widely targeted metabolomics analysis reveals differences in volatile metabolites among four Angelica species
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作者 Jiaojiao Ji Lanlan Zang +4 位作者 Tingting Lu cheng li Xiaoxu Han Soo-Rang Lee li Wang 《Natural Products and Bioprospecting》 2025年第1期133-145,共13页
Angelica L.has attracted global interest for its traditional medicinal uses and commercial values.However,few studies have focused on the metabolomic differences among the Angelica species.In this study,widely targete... Angelica L.has attracted global interest for its traditional medicinal uses and commercial values.However,few studies have focused on the metabolomic differences among the Angelica species.In this study,widely targeted metabolomics based on gas chromatography-tandem mass spectrometry was employed to analyze the metabolomes of four Angelica species(Angelicasinensis(Oliv.)Diels(A.sinensis),Angelica biserrata(R.H.Shan &Yuan)C.Q.Yuan & R.H.Shan(A.biserrata),Angelica dahurica(Hoffm.)Benth.& Hook.f.ex Franch.& Sav.(A.dahurica)and Angelica keiskei Koidz.(A.keiskei)).A total of 698 volatile metabolites were identified and classified into fifteen different categories.The metabo-lomic analysis indicated that 7-hydroxycoumarin and Z-ligustilide accumulated at significantly higher levels in A.sinensis,whereas bornyl acetate showed the opposite pattern.Furthermore,a high correspondence between the dendrogram of metabolite contents and phylogenetic positions of the four species.This study provides a comprehensive biochemical map for the exploitation,application and development of the Angelica species as medicinal plants or health-related dietary supplements. 展开更多
关键词 ANGELICA Volatile metabolites Chinese traditional medicine PHYLOGENY
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A Widely Applicable Galaxy Group Finder Using Machine Learning:Application to SDSS DR13
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作者 Juntao Ma Jie Wang +5 位作者 Tianxiang Mao Hongxiang Chen Yuxi Meng cheng li Xiaohu Yang Qingyang li 《Research in Astronomy and Astrophysics》 2025年第5期269-279,共11页
We present the application of a machine learning based galaxy group finder to real observational data from the Sloan Digital Sky Survey Data Release 13(SDSS DR13).Originally designed and validated using simulated gala... We present the application of a machine learning based galaxy group finder to real observational data from the Sloan Digital Sky Survey Data Release 13(SDSS DR13).Originally designed and validated using simulated galaxy surveys in redshift space,our method utilizes deep neural networks to recognize galaxy groups and assess their respective halo masses.The model comprises three components:a central galaxy identifier,a group mass estimator,and an iterative group finder.Using mock catalogs from the Millennium Simulation,our model attains above 90%completeness and purity for groups covering a wide range of halo masses from~10^(11)to~10^(15)h^(-1)Me.When applied to SDSS DR13,it successfully identifies over 420,000 galaxy groups,displaying a strong agreement in group abundance,redshift distribution,and halo mass distribution with conventional techniques.The precision in identifying member galaxies is also notably high,with more than 80%of groups with lower mass achieving perfect alignments.The model shows strong performance across different magnitude thresholds,making retraining unnecessary.These results confirm the efficiency and adaptability of our methodology,offering a scalable and accurate solution for upcoming large-scale galaxy surveys and studies of cosmological formations.Our SDSS group catalog and the essential observable properties of galaxies are available at https://github.com/Juntao Ma/SDSS-DR13-group-catalog.git. 展开更多
关键词 (cosmology )large-scale structure of universe-Galaxy halo-methods data analysis
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COMPERA 2.0 risk stratification in patients with severe aortic stenosis:implication for group 2 pulmonary hypertension
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作者 Zongye CAI Xinrui QI +11 位作者 Dao ZHOU Hanyi DAI Abuduwufuer YIDIliSI Ming ZHONG lin DENG Yuchao GUO Jiaqi FAN Qifeng ZHU Yuxin HE cheng li Xianbao liU Jian’an WANG 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 2025年第11期1076-1085,共10页
COMPERA 2.0 risk stratification has been demonstrated to be useful in patients with precapillary pulmonary hypertension(PH).However,its suitability for patients at risk for post-capillary PH or PH associated with left... COMPERA 2.0 risk stratification has been demonstrated to be useful in patients with precapillary pulmonary hypertension(PH).However,its suitability for patients at risk for post-capillary PH or PH associated with left heart disease(PH-LHD)is unclear.To investigate the use of COMPERA 2.0 in patients with severe aortic stenosis(SAS)undergoing transcatheter aortic valve replacement(TAVR),who are at risk for post-capillary PH,a total of 327 eligible SAS patients undergoing TAVR at our institution between September 2015 and November 2020 were included in the study.Patients were classified into four strata before and after TAVR using the COMPERA 2.0 risk score.The primary endpoint was all-cause mortality.Survival analysis was performed using Kaplan-Meier curves,log-rank test,and Cox proportional hazards regression model.The study cohort had a median(interquartile range)age of 76(70–80)years and a pulmonary arterial systolic pressure of 33(27–43)mmHg(1 mmHg=0.133 kPa)before TAVR.The overall mortality was 11.9%during 26(15–47)months of follow-up.Before TAVR,cumulative mortality was higher with an increase in the risk stratum level(log-rank,both P<0.001);each increase in the risk stratum level resulted in an increased risk of death(hazard ratio(HR)2.53,95%confidential interval(CI)1.54–4.18,P<0.001),which was independent of age,sex,estimated glomerular filtration rate(eGFR),hemoglobin,albumin,and valve type(HR 1.76,95%CI 1.01–3.07,P=0.047).Similar results were observed at 30 d after TAVR.COMPERA 2.0 can serve as a useful tool for risk stratification in patients with SAS undergoing TAVR,indicating its potential application in the management of PH-LHD.Further validation is needed in patients with confirmed post-capillary PH by right heart catheterization. 展开更多
关键词 COMPERA 2.0 MORTALITY Aortic stenosis Pulmonary hypertension
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Idiopathic Interstitial Pneumonias (IIPs): Review of Clinical, Radiographic and High-Resolution Computed Tomography (HRCT)
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作者 Zoheb Gulab Shaikh cheng li Yiming li 《Advances in Computed Tomography》 2016年第2期19-29,共11页
Making a confident diagnosis is a complex task for a specific form of interstitial lung disease and providing appropriate management in an attempt to achieve normalization of the disease can put up an alarming process... Making a confident diagnosis is a complex task for a specific form of interstitial lung disease and providing appropriate management in an attempt to achieve normalization of the disease can put up an alarming process for the clinicians. A set of diffuse and restrictive lung diseases incorporate with idiopathic interstitial pneumonias, showing inflammation and fibrosis of the interstitium due to parenchymal damage. High-resolution computed tomography (HRCT) has magnified the diagnostic standpoint in stepwise identification and classified various patterns in the evaluation of interstitial lung disease. The aim of our review is to elaborate clinical, radiographic and typical and atypical HRCT findings of idiopathic interstitial pneumonias by correlating with its differential diagnosis. Idiopathic pulmonary fibrosis is the most predominant idiopathic interstitial pneumonias and its diagnosis needs to omit all other well-known causes of interstitial lung diseases. According to the 2011 evidence-based guidelines, usual interstitial pneumonia can be diagnosed by HRCT when all criteria are fulfilled. Non-specific interstitial pneumonia is distinguished by bilateral patchy ground-glass opacities and irregular linear/reticular opacities. Respiratory bronchiolitis associated-interstitial lung disease and desquamative interstitial pneumonia show centrolobular nodules and ground-glass opacities as imaging patterns. Cryptogenic organizing pneumonia consists of patchy peripheral or peribronchial consolidations, while ground-glass opacities with tendency for migration, which is evolving to fibrosis, in acute interstitial pneumonia. Lymphoid interstitial pneumonia and idiopathic pleuro-parenchymal fibroelastosis are classified under rare idiopathic interstitial pneumonias. HRCT images help radiologists in diagnosis and mapping specific patterns of idiopathic interstitial pneumonias. This article reviews the stages of evolution in HRCT features for idiopathic interstitial pneumonias. 展开更多
关键词 HRCT Interstitial Lung Disease Idiopathic Interstitial Pneumonias RADIOLOGY
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IFIT3介导线粒体活性氧通路在脓毒症急性期突触损伤中的作用
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作者 韩晓曼 周游 +7 位作者 雷一鸣 杜佳敏 李婧 罗梓茜 程利 严娟娟 魏捷 周晨亮 《中国急救医学》 2026年第2期92-99,共8页
目的明确脓毒症相关脑病(sepsis-associated encephalopathy,SAE)急性期(发病6 h)海马突触损伤的关键分子及其作用机制,阐释脓毒症认知障碍(sepsis-induced cognitive impairment,SICI)的早期神经元损伤途径。方法采用蛋白质组学对脂多... 目的明确脓毒症相关脑病(sepsis-associated encephalopathy,SAE)急性期(发病6 h)海马突触损伤的关键分子及其作用机制,阐释脓毒症认知障碍(sepsis-induced cognitive impairment,SICI)的早期神经元损伤途径。方法采用蛋白质组学对脂多糖(lipopolysaccharide,LPS)处理6 h后小鼠海马组织进行差异蛋白筛查并确定候选靶点,在体外构建干扰素诱导蛋白含四肽重复序列3(interferon-induced protein with tetratricopeptide repeats 3,IFIT3)过表达的HT22神经元细胞模型,分为对照组、LPS组、IFIT3过表达组、LPS+IFIT3组、Visomitin预处理组及CY-09共处理组6组。检测线粒体活性氧(mitochondrial reactive oxygen species,mtROS)水平、白细胞介素-1β(IL-1β)释放及突触后致密蛋白95(postsynaptic density protein 95,PSD95)和突触素(synaptophysin,SYN)表达变化。结果LPS处理6 h后小鼠海马中IFIT3表达显著上调。在炎症背景下,IFIT3过表达进一步促进mtROS积累,增强IL-1β释放,并导致PSD95和SYN表达下降。上游清除mtROS的Visomitin能够显著改善突触蛋白丢失,其保护效应优于单纯阻断NOD样受体家族含pyrin结构域蛋白3(NOD-like receptor family pyrin domain containing 3,NLRP3)活化的CY-09。结论IFIT3在炎症背景下参与并放大急性期海马突触损伤过程,其效应与mtROS-NLRP3炎症小体相关级联激活密切相关,提示急诊脓毒症早期脑保护策略中,早期上游靶向mtROS的脑保护策略可能优于单点抑制NLRP3。 展开更多
关键词 脓毒症 干扰素诱导蛋白含四肽重复序列3 线粒体活性氧 炎症小体 突触损伤
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主动脉夹层患者术后谵妄临床预测模型的系统评价
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作者 张美 丁敏 +5 位作者 周旻 高键 嵇初敏 成李 虞正红 虞奋 《上海护理》 2026年第1期39-44,共6页
目的系统评价主动脉夹层患者术后发生谵妄的临床预测模型。方法检索the Cochrane Library、PubMed、Web of Science、Embase、中国生物医学文献数据库、中国知网、万方数据库以及维普数据库中与主动脉夹层患者术后谵妄风险预测模型相关... 目的系统评价主动脉夹层患者术后发生谵妄的临床预测模型。方法检索the Cochrane Library、PubMed、Web of Science、Embase、中国生物医学文献数据库、中国知网、万方数据库以及维普数据库中与主动脉夹层患者术后谵妄风险预测模型相关的研究,检索时限从建库至2025年3月。两名研究人员独立进行文献筛选、数据提取以及纳入研究的偏倚风险评估。结果最终纳入10项研究,涉及10个主动脉夹层患者术后谵妄临床预测模型。评价结果显示,偏倚风险方面,10项研究均为高风险;适用性方面,1项研究为高风险、6项研究为低风险、3项研究为不清楚。纳入模型曲线下面积为0.771~0.980,标准差为0.005。最常见预测因子包括年龄、肾损伤、深低温停循环持续时间等。结论主动脉夹层患者术后谵妄临床预测模型的整体预测性能一般,模型偏倚风险较高,临床适用性需进一步验证。 展开更多
关键词 主动脉夹层 谵妄 预测模型 系统评价
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中药穴位贴敷联合常规西药治疗冠心病心绞痛疗效的Meta分析
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作者 靳莉莉 刘新灿 +6 位作者 兰真真 陈云 陈志豪 成丽 胡婷 张高静 刘岱岳 《中国中医急症》 2026年第1期1-7,18,共8页
目的 评估中药穴位贴敷联合常规西药对冠心病心绞痛患者的临床治疗效果。方法 通过计算机检索万方、知网、维普、中国生物医学文献库、PubMed、Embase、Cochrane Library及Web of Science数据库,检索时间设定为建库起至2024年5月,检索... 目的 评估中药穴位贴敷联合常规西药对冠心病心绞痛患者的临床治疗效果。方法 通过计算机检索万方、知网、维普、中国生物医学文献库、PubMed、Embase、Cochrane Library及Web of Science数据库,检索时间设定为建库起至2024年5月,检索内容为穴位贴敷联合常规西药治疗冠心病心绞痛疗效的随机对照试验。应用风险评估工具对纳入的研究进行质量评价,采用RevMan 5.4专业软件进行荟萃分析(Meta分析)。结果 纳入21篇文献,共1 800名患者。Meta分析结果显示:与常规西药治疗相比,中药穴位贴敷联合常规西药治疗冠心病心绞痛在提高临床疗效[OR=3.91,95%CI(2.92,5.24),P<0.000 01]、心电图疗效[OR=1.64,95%CI(1.20,2.23),P=0.002]、硝酸甘油减停率[OR=3.37,95%CI(2.06,5.49),P<0.000 01]、中医证候疗效[OR=2.38,95%CI(1.29,4.38),P=0.005],减少心绞痛发作频率[SMD=-1.80,95%CI(-2.36,-1.24),P<0.000 01]、心绞痛发作持续时间[SMD=-1.97,95%CI(-3.07,-0.86),P=0.000 5],降低总胆固醇[SMD=-0.61,95%CI(-1.13,-0.08),P=0.02]、甘油三酯[SMD=-1.30,95%CI(-2.51,-0.10),P=0.03]方面有明显疗效;低密度脂蛋白胆固醇[SMD=-0.52,95%CI(-1.06,0.01),P=0.06]、高密度脂蛋白胆固醇[SMD=0.61,95%CI(-0.05,1.26),P=0.07]的改善差异无统计学意义。结论 中药穴位贴敷联合常规西药治疗冠心病心绞痛较单独使用常规西药效果更佳。 展开更多
关键词 冠心病 心绞痛 中药穴位贴敷 随机对照试验 系统评价 荟萃分析
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基于模型试验的废石格网-尾砂联合筑坝渗流与固结特性研究
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作者 曹邑泽 王雷 +2 位作者 眭素刚 成立 叶胜利 《矿冶》 2026年第1期9-17,共9页
废石格网筑坝法是一种创新性的尾矿处置工艺,通过废石与尾矿联合堆存,旨在改善尾砂的力学性能并加速其渗透固结进程。本文以龙都尾矿坝为工程背景,基于相似原理开展了废石格网尾矿坝室内模型试验,系统研究了不同废石颗粒级配、格网尺寸... 废石格网筑坝法是一种创新性的尾矿处置工艺,通过废石与尾矿联合堆存,旨在改善尾砂的力学性能并加速其渗透固结进程。本文以龙都尾矿坝为工程背景,基于相似原理开展了废石格网尾矿坝室内模型试验,系统研究了不同废石颗粒级配、格网尺寸对尾矿坝浸润线埋深与单位渗流量的影响规律,并在确定最优级配与格网间距的基础上,进一步分析了不同坝坡比对尾砂静力学性质的影响。试验结果表明:采用粗颗粒含量最高的c级配废石格网时,坝体浸润线降低最为显著,单位渗流量亦达到最优;减小废石格网中心间距可进一步提升渗流量,同时促使浸润线下降;坝坡越缓,浸润线位置越低。固结特性方面,尾砂孔隙比随深度增加逐渐减小,符合自重固结规律;不同坝坡条件下,尾砂黏聚力均随取样深度增加而提高,固结后内摩擦角也略有增大。本研究为废石-尾矿联合筑坝的工程设计与参数优化提供了依据,并对推动尾矿坝荷载分担机制与协同筑坝技术的深入研究具有指导意义。 展开更多
关键词 废石格网 尾矿坝 模型试验 渗流特性 固结力学
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产妇产后创伤后应激障碍症状的网络分析
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作者 聂小菲 程利 +5 位作者 张桃桃 李锦慧 程卓婷 程妍 徐蔡洁 李君艳 《护理学杂志》 北大核心 2026年第2期98-103,共6页
目的 构建产妇产后创伤后应激障碍症状的网络模型,识别网络中的核心症状与桥梁症状,为制订精准干预对策提供依据。方法 采用横断面调查设计,便利抽取十堰市3所三甲综合医院近一年内有分娩经历的产妇作为研究对象,采用一般资料调查表、... 目的 构建产妇产后创伤后应激障碍症状的网络模型,识别网络中的核心症状与桥梁症状,为制订精准干预对策提供依据。方法 采用横断面调查设计,便利抽取十堰市3所三甲综合医院近一年内有分娩经历的产妇作为研究对象,采用一般资料调查表、城市分娩创伤量表进行调查,应用R4.4.3软件进行产后创伤后应激障碍症状网络分析。结果 获得有效样本686例,其中24例(3.50%)被诊断为产后创伤后应激障碍。症状“与创伤相关的梦境”和“创伤事件闪回”,“回避与创伤事件相关的想法或感觉”和“回避易使人联想起创伤事件的活动或情景”之间具有最强的边连接,正则化偏相关系数分别为0.385和0.359;“高警觉”(rs=1.198)和“回避与创伤事件相关的想法或感觉”(rs=1.133)节点强度最高;“与创伤相关的负性情绪”中介度(rb=70)和紧密度(rc=0.00404)最高;“回避与创伤事件相关的想法或感觉”和“回避易使人联想起创伤事件的活动或情景”桥梁强度最高。结论 产妇产后创伤后应激障碍症状的网络模型显示症状之间存在复杂关联模式,高警觉、与创伤相关的负性情绪为两大核心症状,回避与创伤事件相关的想法或感觉、回避易使人联想起创伤事件的活动或情景为两大桥梁症状。应将这些关键核心症状作为干预靶点,有效阻断症状之间的恶性循环,缓解产妇产后创伤后应激障碍症状,促进其心理康复。 展开更多
关键词 产妇 产后 创伤事件 创伤后应激障碍 症状网络分析 网络模型 核心症状 桥梁症状
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