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儿童肺炎支原体肺炎50例临床特征与高凝状态研究 被引量:16
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作者 余刚 崇蕾 +1 位作者 苏苗赏 张海邻 《医学研究杂志》 2019年第2期114-116,共3页
目的探讨儿童肺炎支原体肺炎(MPP)的临床特征和血液高凝状态。方法随机选择50例在2017年6月1日~12月31日笔者医院住院的肺炎支原体肺炎患儿,非MPP组为同期笔者医院儿童外科行斜疝手术的患儿30例,搜集临床资料和血液高凝状态相关指标。... 目的探讨儿童肺炎支原体肺炎(MPP)的临床特征和血液高凝状态。方法随机选择50例在2017年6月1日~12月31日笔者医院住院的肺炎支原体肺炎患儿,非MPP组为同期笔者医院儿童外科行斜疝手术的患儿30例,搜集临床资料和血液高凝状态相关指标。结果 50例MPP患儿男性23例,女性27例,男性与女性之比为0. 85∶1,平均年龄5. 22±2. 65岁(最大14岁,最小1岁)。所有患儿均有咳嗽,发热48例、头痛1例、胸痛2例、胸腔积液5例、大叶性肺炎15例、肺不张3例。MPP组的凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)、D二聚体(DD)、纤维蛋白原(Fib)明显高于非MPP组,差异有统计学意义(P <0. 05)。结论MPP主要发生于学龄前及学龄期儿童,临床特征主要为发热、咳嗽,血液存在高凝状态,是否引起血栓性疾病尚不明确。 展开更多
关键词 肺炎支原体肺炎 儿童 高凝状态 D二聚体
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Optimizing mold electromagnetic stirring parameters for coordinated control of initial shell solidification quality in large round blooms under four-port submerged entry nozzle for feeding
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作者 Tao Wang Chang-jun Xu +3 位作者 chong lei Lu-hao Ren Wen Wang Hong-lin Guo 《Journal of Iron and Steel Research International》 2025年第8期2389-2402,共14页
A coupled computational model of molten steel within the mold was developed,encompassing electromagnetic fields,fluid flow,heat transfer,shell formation,stress,and strain.The model was verified through comparison with... A coupled computational model of molten steel within the mold was developed,encompassing electromagnetic fields,fluid flow,heat transfer,shell formation,stress,and strain.The model was verified through comparison with plant measurements,showing reasonable agreement in electromagnetic field distribution,solidification endpoint,and shell thickness.Results indicate that coordinating the submerged entry nozzle(SEN)and mold electromagnetic stirring(M-EMS)effectively regulates the solidification quality of the initial shell.Adjusting M-EMS current frequency changes the impact position of the molten steel jet from the four-port SEN,while increasing current intensity reduces the jet impact intensity.Adjusting the M-EMS parameters can enhance the initial shell uniformity.Furthermore,in areas directly impacted by the steel jet from the four-port SEN,a relationship between brittle temperature range(BTR)width and total mechanical strain was found,and the larger the BTR width,the smaller the corresponding total mechanical strain.The BTR width provides a discriminant method to avoid hot tearing.Appropriate M-EMS parameters are obtained and applied,and the plant trials show a significant improvement in hot tearing near the surface of round blooms. 展开更多
关键词 Mold electromagnetic stirring Large-size round bloom Hot tearing SOLIDIFICATION Alloy steel
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儿科学硕士研究生专业课程改革的实践和思考——以儿科疾病诊治进展课程为例 被引量:1
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作者 崇蕾 朱将虎 +2 位作者 苏苗赏 张海邻 李昌崇 《浙江医学教育》 2020年第5期1-3,共3页
立足医教协同背景,积极推进儿科学硕士研究生专业课程建设,引导学生自主学习,培养学生创新思维,提高学生综合能力,使之成为高层次应用型临床医学人才是目前面临的重大课题。本文主要介绍了温州医科大学儿科学硕士研究生专业课程改革的... 立足医教协同背景,积极推进儿科学硕士研究生专业课程建设,引导学生自主学习,培养学生创新思维,提高学生综合能力,使之成为高层次应用型临床医学人才是目前面临的重大课题。本文主要介绍了温州医科大学儿科学硕士研究生专业课程改革的思路和举措以及取得的一些初步成效,并对改革实践中遇到的问题进行了探讨。 展开更多
关键词 医教协同 儿科学 课程改革 创新能力 思考
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煤矿智能带式输送机运输系统关键技术综述 被引量:11
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作者 种磊 李智源 《煤炭工程》 北大核心 2022年第S01期32-36,共5页
围绕平硐式开采的井工煤矿运输系统存在的问题,分别阐述煤矿智能带式输送机运输系统的六大关键技术,即集中智能控制技术、智能数据监测技术、智能巡检技术、井下煤仓智能放煤技术、智能煤仓进煤技术以及其他智能技术。其中集中智能控制... 围绕平硐式开采的井工煤矿运输系统存在的问题,分别阐述煤矿智能带式输送机运输系统的六大关键技术,即集中智能控制技术、智能数据监测技术、智能巡检技术、井下煤仓智能放煤技术、智能煤仓进煤技术以及其他智能技术。其中集中智能控制技术涉及胶带起停控制、运行监控、变频调速等技术;井下煤仓智能放煤以及智能煤仓刮板进煤等技术,则是将主运输系统需要人员的岗位彻底减掉。煤矿智能带式输送机运输系统采用温度振动在线监测系统、钢丝绳芯带面在线检测系统、视频智能识别与分析系统、带式输送机及变电所温度监控系统的智能数据监测技术与智能巡检等技术,实时有效的监管主运输系统的运行状态。该通过基于多信息集中整合、智能感知、多参量数据提炼等智能化技术,可实现在线故障诊断预警、及时发现隐患、减员提效等功能。 展开更多
关键词 主运输系统 监测技术 巡检技术 智能感知 无人值守
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One Step Quick Detection of Cancer Cell Surface Marker by Integrated NiFe-based Magnetic Biosensing Cell Cultural Chip 被引量:6
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作者 Chenchen Bao lei Chen +4 位作者 Tao Wang chong lei Furong Tian Daxiang Cui Yong Zhou 《Nano-Micro Letters》 SCIE EI CAS 2013年第3期213-222,共10页
RGD peptides has been used to detect cell surface integrin and direct clinical effective therapeutic drug selection. Herein we report that a quick one step detection of cell surface marker that was realized by a speci... RGD peptides has been used to detect cell surface integrin and direct clinical effective therapeutic drug selection. Herein we report that a quick one step detection of cell surface marker that was realized by a specially designed NiF e-based magnetic biosensing cell chip combined with functionalized magnetic nanoparticles. Magnetic nanoparticles with 20-30 nm in diameter were prepared by coprecipitation and modified with RGD-4C, and the resultant RGD-functionalized magnetic nanoparticles were used for targeting cancer cells cultured on the NiF e-based magnetic biosensing chip and distinguish the amount of cell surface receptor-integrin.Cell lines such as Calu3, Hela, A549, CaF br, HEK293 and HUVEC exhibiting different integrin expression were chosen as test samples. Calu3, Hela, HEK293 and HUVEC cells were successfully identified. This approach has advantages in the qualitative screening test. Compared with traditional method, it is fast, sensitive, low cost,easy-operative, and needs very little human intervention. The novel method has great potential in applications such as fast clinical cell surface marker detection, and diagnosis of early cancer, and can be easily extended to other biomedical applications based on molecular recognition. 展开更多
关键词 Magnetic impedance Cancer cell Targeted detection Biosensing system Cell cultural chip
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基于深度学习与百度AI的菜谱推荐与健康分析微信小程序设计 被引量:1
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作者 潘伟杰 冲蕾 +3 位作者 李霖奇 王唯佳 施倩倩 陈思枫 《智能计算机与应用》 2024年第5期257-264,共8页
本程序主要任务是在前作的基础上做出一些改良。前作[1]是以深度学习为核心,开发了一个可以进行食谱推荐和健康分析的微信小程序。本论文中,将利用基于TensorFlow搭建的神经网络模型;通过使用微信的相应接口,在百度AI的基础上,实现对用... 本程序主要任务是在前作的基础上做出一些改良。前作[1]是以深度学习为核心,开发了一个可以进行食谱推荐和健康分析的微信小程序。本论文中,将利用基于TensorFlow搭建的神经网络模型;通过使用微信的相应接口,在百度AI的基础上,实现对用户的卡路里摄入动态监控。本文旨在用丰富的组件来拓展小程序的相关页面。其中,Vant组件完善菜品界面;ECharts组件完善卡路里曲线;利用Python中重量级框架Scrapy和Django,实现搜索关键词、词云图以及其他可视化图标的功能;同时对小程序的界面进行了一定程度的美化。 展开更多
关键词 微信小程序 云函数 深度学习 TensorFlow
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基于深度学习与百度AI的菜谱推荐与健康分析微信小程序设计 被引量:1
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作者 陈沁仪 冲蕾 +3 位作者 于泽昊 张泽权 王展纯 邹星雨 《智能计算机与应用》 2022年第6期146-154,共9页
本作品贴合当下时代潮流,以深度学习为核心,建立能够实现菜谱推荐与健康分析的微信小程序。使用基于TensorFlow搭建的神经网络模型,上传部署至腾讯云云函数,用以对用户在前端页面的选择进行预测并排序;调用微信相关接口,实现基于百度AI... 本作品贴合当下时代潮流,以深度学习为核心,建立能够实现菜谱推荐与健康分析的微信小程序。使用基于TensorFlow搭建的神经网络模型,上传部署至腾讯云云函数,用以对用户在前端页面的选择进行预测并排序;调用微信相关接口,实现基于百度AI的菜品识别功能对用户的卡路里摄入动态监控,在页面中显示今日摄入的卡路里总和;使用WeUI相关组件显示近一周卡路里摄入变化曲线,更加简洁。综上,本作品能够对用户的健康起到一定的监督作用。 展开更多
关键词 微信小程序 云函数 深度学习 TensorFlow
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FGF10信号通路与肺发育及相关疾病机制的研究进展 被引量:3
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作者 吴媛媛 蔡格甫 +1 位作者 崇蕾 张金三 《智慧健康》 2021年第19期44-48,共5页
成纤维细胞生长因子10(Fibroblast growth factor 10,FGF10)在小鼠肺发育早期就开始在远端肺芽间质细胞中动态表达。FGF10表达时空性特征对FGF10通过其主要受体FGFR2b,参与诱导肺芽的发生、肺分枝的形成及肺泡的发育至关重要。FGF10的... 成纤维细胞生长因子10(Fibroblast growth factor 10,FGF10)在小鼠肺发育早期就开始在远端肺芽间质细胞中动态表达。FGF10表达时空性特征对FGF10通过其主要受体FGFR2b,参与诱导肺芽的发生、肺分枝的形成及肺泡的发育至关重要。FGF10的表达水平受多条信号通路调控,T-box转录因子4(Tbx4)低表达会降低FGF10的转录水平,进而抑制肺芽的形成;高水平的音猬因子(Sonic hedgehog,Shh)可下调FGF10信号,降低脂原型成纤维细胞(Lipofibroblast,LIF)的分化;成骨蛋白4(Bone morphogenesis protein 4,Bmp4)与FGF10之间的反馈调节可控制上皮-间质细胞间"交流"从而促进气道平滑肌细胞(Airway smooth muscle cells,ASMCs)的形成以及肺芽生长。FGF10表达缺失可加重支气管肺发育不良(Bronchopulmonary dysplasia,BPD)、慢性阻塞性肺疾病(Chronic obstructive pulmonary disease,COPD)、特发性肺纤维化疾病(Idiopathic pulmonary fibrosis,IPF)等疾病的发生发展。该综述主要总结了FGF10在肺发育过程和相关肺疾病中的作用及进展。 展开更多
关键词 成纤维细胞生长因子10 肺脏发育 肺脏疾病 上皮细胞 间充质细胞
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Multi-parameter assessment method for seismic resilience of subway stations based on economic losses and recovery paths
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作者 Dongming ZHANG Chenlong ZHANG +2 位作者 chong lei Zhongkai HUANG Hongwei HUANG 《Frontiers of Structural and Civil Engineering》 2025年第5期782-807,共26页
The recurring occurrence of seismic hazards constitutes a significant and imminent threat to subway stations.Consequently,a meticulous assessment of the seismic resilience of subway stations becomes imperative for enh... The recurring occurrence of seismic hazards constitutes a significant and imminent threat to subway stations.Consequently,a meticulous assessment of the seismic resilience of subway stations becomes imperative for enhancing urban safety and ensuring sustained functionality.This study strives to introduce a probabilistic framework tailored to assess the seismic resilience of stations when confronted with seismic hazards.The framework aims to precisely quantify station resilience by determining the integral ratio between the station performance curve and the corresponding station recovery time.To achieve this goal,a series of finite element models of the soil-station system were developed and employed to investigate the impact of site type,seismic intensity,and station structural type on the dynamic response of the station.Then,the seismic fragility functions were generated by developing the relationships between seismic intensity and damage index,taking into account multidimensional uncertainties encompassing factors such as earthquake characteristics and construction quality.The resilience assessment was subsequently conducted based on the station’s fragility and the corresponding economic loss,while also considering the recovery path and recoverability.Additionally,the impacts of diverse factors,including structural characteristics,site types,functional recovery models,and peak ground acceleration(PGA)intensities,on the resilience of stations with distinct structural forms were also discussed.This work contributes to the resilience-based design and management of metro networks to support adaptation to seismic hazards,thereby facilitating the efficient allocation of resources by relevant decision makers. 展开更多
关键词 subway stations seismic resilience seismic fragility recovery models parameter analysis site types
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Changes in early postoperative outcomes and complications observed in a single center during the 2022 COVID-19 pandemic wave in China:A single-center ambispective cohort study
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作者 Lini Wang Ziyu Zheng +6 位作者 Shouqiang Zhu Gang Luo Baobao Gao Yumei Ma Shuai Xu Hailong Dong chong lei 《Chinese Medical Journal》 SCIE CAS CSCD 2023年第14期1708-1718,共11页
Background:Currently,the effect of the 2022 nationwide coronavirus disease 2019(COVID-19)wave on the perioperative prognosis of surgical patients in China is unclear.Thus,we aimed to explore its influence on postopera... Background:Currently,the effect of the 2022 nationwide coronavirus disease 2019(COVID-19)wave on the perioperative prognosis of surgical patients in China is unclear.Thus,we aimed to explore its influence on postoperative morbidity and mortality in surgical patients.Methods:An ambispective cohort study was conducted at Xijing Hospital,China.We collected 10-day time-series data from December 29 until January 7 for the 2018-2022 period.The primary outcome was major postoperative complications(Clavien-Dindo class III-V).The association between COVID-19 exposure and postoperative prognosis was explored by comparing consecutive 5-year data at the population level and by comparing patients with and without COVID-19 exposure at the patient level.Results:The entire cohort consisted of 3350 patients(age:48.5±19.2 years),including 1759 females(52.5%).Overall,961(28.7%)underwent emergency surgery,and 553(16.5%)had COVID-19 exposure(from the 2022 cohort).At the population level,major postoperative complications occurred in 5.9%(42/707),5.7%(53/935),5.1%(46/901),9.4%(11/117),and 22.0%(152/690)patients in the 2018-2022 cohorts,respectively.After adjusting for potential confounding factors,the 2022 cohort(80%patients with COVID-19 history)had a significantly higher postoperative major complication risk than did the 2018 cohort(adjusted risk difference[aRD],14.9%(95%confidence interval[CI],11.5-18.4%);adjusted odds ratio[aOR],8.19(95%CI,5.24-12.81)).At the patient level,the incidence of major postoperative complications was significantly greater in patients with(24.6%,136/553)than that in patients without COVID-19 history(6.0%[168/2797];aRD,17.8%[95%CI,13.6-22.1%];aOR,7.89[95%CI,5.76-10.83]).Secondary outcomes of postoperative pulmonary complications were consistent with primary findings.These findings were verified through sensitivity analyses using time-series data projections and propensity score matching.Conclusion:Based on a single-center observation,patients with recent COVID-19 exposure were likely to have a high incidence of major postoperative complications.Registration:NCT05677815 at https://clinicaltrials.gov/. 展开更多
关键词 COVID-19 DECISION-MAKING SURGERY Omicron Postoperative complications
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Association of cardiopulmonary bypass with acute kidney injury in patients undergoing coronary artery bypass grafting:a retrospective cohort study
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作者 Hairong Gong Taoyuan Zhang +1 位作者 Hailong Dong chong lei 《Chinese Medical Journal》 SCIE CAS CSCD 2023年第23期2889-2891,共3页
To the Editor:Acute kidney injury(AKI)is a frequent complication of both cardiac and major non-cardiac surgeries.Cardiopulmonary bypass(CPB)-assisted cardiac surgery was associated with a higher incidence of AKI than ... To the Editor:Acute kidney injury(AKI)is a frequent complication of both cardiac and major non-cardiac surgeries.Cardiopulmonary bypass(CPB)-assisted cardiac surgery was associated with a higher incidence of AKI than other surgeries without CPB,suggesting that CPB might be a risk factor for cardiac surgery-associated AKI(CSA-AKI).[1]However,previous studies have demonstrated conflicting results regarding the association of CPB and CSA-AKI,as the diagnosis of AKI has been made according to different criteria.[2-5]The most recent definition of AKI from an AKI Work Group,Kidney Disease:Improving Global Outcomes(KDIGO),allows for the determination of AKI based on a decline in the glomerular filtration rate(GFR)with subsequent increase in serum creatinine or a period of oliguria.[6]We performed a retrospective cohort study to evaluate the association of CPB and postoperative AKI,using the KDIGO definition among patients undergoing on-pump or off-pump coronary artery bypass graft(CABG). 展开更多
关键词 BYPASS CORONARY PATIENTS
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