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郑州地铁地下车站给排水管道冬季防冻保温方案
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作者 王辉 江琴 +4 位作者 杨广伟 刘军 侯广明 毛天广 高怡 《城市轨道交通研究》 北大核心 2025年第8期237-242,共6页
[目的]在我国北方的冬季,在城市轨道交通地下车站风道、出入口等与室外连通处设置的给排水管道经常出现冻结、爆管现象,需要科学、合理地确定地铁车站管道冬季防冻保温方案,并确定电伴热系统的设置范围。[方法]以郑州地铁城郊线某地下... [目的]在我国北方的冬季,在城市轨道交通地下车站风道、出入口等与室外连通处设置的给排水管道经常出现冻结、爆管现象,需要科学、合理地确定地铁车站管道冬季防冻保温方案,并确定电伴热系统的设置范围。[方法]以郑州地铁城郊线某地下车站为例,选取该站出入口及活塞风道中的7个典型测点,对7个测点的环境温度进行监测分析。基于训练熟练的神经网络模型,选取了2个最不利工况,对这2个最不利工况下各测点的环境温度实际值和仿真值进行对比。采用COMSOLMultiphysics软件,模拟了特定区域内多种管径类型给排水管道内水温的变化规律。[结果及结论]提出了郑州地铁地下车站给排水管道冬季防冻保温及电伴热系统的设置方案。与既有方案相比,所提方案减小了电伴热系统的设置范围,减少了建设投资,降低了运营期的运维成本。 展开更多
关键词 地铁 地下车站 给排水管道 电伴热系统 防冻保温措施
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肺癌日间化疗病房的建立与管理模式 被引量:11
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作者 牛艳洁 崔少华 +5 位作者 赵怡卓 潘峰 倪怡倩 刘俊 顾爱琴 姜丽岩 《临床与病理杂志》 2018年第6期1373-1376,共4页
日间化疗病房的建立是医院肿瘤患者治疗发展的趋势。上海交通大学附属胸科医院于2017年5月建立并运行肺癌日间化疗病房,收治日间化疗的肺癌患者。上海交通大学附属胸科医院自2017年5月下旬运行日间化疗病房,截至2017年9月,共出院3 370人... 日间化疗病房的建立是医院肿瘤患者治疗发展的趋势。上海交通大学附属胸科医院于2017年5月建立并运行肺癌日间化疗病房,收治日间化疗的肺癌患者。上海交通大学附属胸科医院自2017年5月下旬运行日间化疗病房,截至2017年9月,共出院3 370人,月均出院783人,日均出院36人,5~9月出院人次分别为72,547,702,1 034,1 015。日间化疗病房运行后患者生活质量提高,满意度调查为99.8%;同时开设日间病房有效实现了患者分流,提高了医疗资源利用率。 展开更多
关键词 肺癌 日间化疗 化疗模式 化疗管理
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新疆喇嘛苏铜矿床成因:来自石榴子石元素地球化学的证据 被引量:2
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作者 王晓彤 刘军 +1 位作者 何军成 孙鹏 《矿床地质》 CAS CSCD 北大核心 2023年第2期347-365,共19页
喇嘛苏矿床是中国西天山地区首例大型铜矿床,矿体主要产于花岗闪长斑岩与碳酸盐岩的接触带矽卡岩中。石榴子石在矽卡岩中大量发育,是矽卡岩的主要造岩矿物,分为外矽卡岩带红棕色粗粒石榴子石(Grt-Ⅰ)、外矽卡岩带浅棕色细粒石榴子石(Grt... 喇嘛苏矿床是中国西天山地区首例大型铜矿床,矿体主要产于花岗闪长斑岩与碳酸盐岩的接触带矽卡岩中。石榴子石在矽卡岩中大量发育,是矽卡岩的主要造岩矿物,分为外矽卡岩带红棕色粗粒石榴子石(Grt-Ⅰ)、外矽卡岩带浅棕色细粒石榴子石(Grt-Ⅱ)、外矽卡岩带黄绿色不等粒石榴子石(Grt-Ⅲ)3类。文章对不同产状石榴子石开展了电子探针分析和LA-ICP-MS原位微区分析,探讨了石榴子石成因及其对成矿过程的指示。喇嘛苏矿床内3类石榴子石均以钙铁榴石为主,其次为钙铝榴石,具有相似的微量元素组成,亏损Rb、Ba、Sr等大离子亲石元素,富集Th、U、Nb、Ce高场强元素。3类石榴子石的稀土元素特征差别较大,其中,Grt-Ⅰ类石榴子石的∑REE为101.47×10^(-6)~262.87×10^(-6),具有较陡峭的REE配分模式,LREE/HREE为3.81~68.50,具有正Eu异常;Grt-Ⅱ类石榴子石核部的∑REE为163.49×10^(-6)~249.52×10^(-6),显示负Eu异常,LREE/HREE为2.00~4.71,而外环带的∑REE为46.34×10^(-6)~99.99×10^(-6),显示正Eu异常,LREE/HREE为18.06~177.23;Grt-Ⅲ类石榴子石的∑REE为31.71×10^(-6)~219.02×10^(-6),具有平坦的REE模式分配,显示正Eu异常,LREE/HREE为2.16~9.07。研究结果表明,喇嘛苏成矿流体系统是从开放体系趋向封闭体系进行演化,流体从渗滤交代演变为扩散交代,依次形成Grt-Ⅰ类、Grt-Ⅱ类和Grt-Ⅲ类石榴子石。3类石榴子石总体上形成于相对氧化的流体中,而流体的高氧逸度能够抑制Cu以硫化物的形式过早沉淀,有利于Cu在岩浆热液中运移和聚集,最终提高早期岩浆热液的成矿潜力。 展开更多
关键词 地球化学 石榴子石 矽卡岩 喇嘛苏 西天山
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一种基于MobileNet的火灾烟雾检测方法 被引量:3
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作者 徐梓涵 刘军 +2 位作者 张苏沛 肖澳文 杜壮 《武汉工程大学学报》 CAS 2019年第6期580-585,共6页
提出了基于图像序列的火灾烟雾检测方法。首先使用K-近邻(K-NN)背景减除器预测前景区域,对该区域进行形态学操作后得到可能出现火焰或烟雾的区域。其次,使用轻量神经网络MobileNet对火焰和烟雾进行分类。该模型具有流线型架构,同时采用d... 提出了基于图像序列的火灾烟雾检测方法。首先使用K-近邻(K-NN)背景减除器预测前景区域,对该区域进行形态学操作后得到可能出现火焰或烟雾的区域。其次,使用轻量神经网络MobileNet对火焰和烟雾进行分类。该模型具有流线型架构,同时采用depthwise separate convolution,使得该模型可以运行在嵌入式设备和普通PC机上。实验首先在数据集上完成分类模型训练,使用多种标准进行评估。结果表明:该方法能够在嵌入式设备等计算能力有限的设备上实现火灾烟雾检测。与其他模型相比,该方法在没有明显损失准确度的情况下大幅提高了检测效率。 展开更多
关键词 火灾烟雾 检测 MobileNet K-近邻算法
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Gas phase tricholoethylene removal at low concentration using activated carbon fiber 被引量:4
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作者 liujun HUANGZheng-hong +1 位作者 WANGZhan-sheng KANGFei-yu 《Journal of Environmental Sciences》 SCIE EI CAS CSCD 2004年第1期53-55,共3页
The breakthrough adsorption behaviors of gas phase trichloroethylene in a packed bed of activated carbon fibers(ACF) were investigated. The specific surface area of the ACF was 600 m 2/g, 1400 m 2/g and 1600 m 2/g,... The breakthrough adsorption behaviors of gas phase trichloroethylene in a packed bed of activated carbon fibers(ACF) were investigated. The specific surface area of the ACF was 600 m 2/g, 1400 m 2/g and 1600 m 2/g, respectively, and the concentration of trichloroethylene ranged from 270 mg/m 3 to 2700 mg/m 3. Results showed that the capacity of adsorption increased with increasing specific surface area, the relationship between the logarithms of 10% breakthrough time and concentration was approximately linear over the experimental range, the breakthrough time decreased with increasing temperature and humidity. The breakthrough curves at different inlet concentration or different temperature can be predicted by several simple theoretical models with good agreements. 展开更多
关键词 TRICHLOROETHYLENE activated carbon fiber ADSORPTION breakthrough curve
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基于区块链的公平多方不可否认协议 被引量:5
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作者 苑博奥 刘军 李戈 《密码学报》 CSCD 2018年第5期546-555,共10页
多方不可否认协议有着广泛的应用场景,诸如多方电子支付和视频会议等.在这些应用场景中,各参与方互不信任,有着事后否认曾参与协议的可能,多方不可否认协议便是为解决这一问题而产生的一类密码协议.为实现协议的公平性,现有的多方不可... 多方不可否认协议有着广泛的应用场景,诸如多方电子支付和视频会议等.在这些应用场景中,各参与方互不信任,有着事后否认曾参与协议的可能,多方不可否认协议便是为解决这一问题而产生的一类密码协议.为实现协议的公平性,现有的多方不可否认协议都依赖于可信第三方TTP的参与,中心化的TTP成为了协议的性能瓶颈,同时,在现实中很难保证TTP的完全可信,给协议带来了潜在的安全威胁.在区块链中,所有的节点通过共识算法共同维护一个公开链结构,提供了类似去中心化TTP的功能,有助于解决由中心化TTP带来的性能和安全问题.本文基于公开链结构,提出一个完全无TTP参与的多方不可否认协议,并用形式化分析方法证明了协议满足不可否认性、公平性和时限性.与经典协议进行对比,所提协议在各项指标中均显示了良好的性能. 展开更多
关键词 多方不可否认协议 区块链 无TTP 不可否认性 公平性 时限性
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智能泵站研究 被引量:10
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作者 唐鸿儒 赵林章 +4 位作者 朱正伟 刘军 樊锦川 钱江 包加桐 《中国农村水利水电》 北大核心 2022年第8期128-131,共4页
智能泵站建设是实现智慧水利的基础和数据源头之一,是智慧水利的典型应用。智能泵站是应用先进测量、工业互联网、数据融合、人工智能、大数据等技术实现对泵站的主机组、变配电设备、水工建筑物等对象和调度运行管理活动的全面感知、... 智能泵站建设是实现智慧水利的基础和数据源头之一,是智慧水利的典型应用。智能泵站是应用先进测量、工业互联网、数据融合、人工智能、大数据等技术实现对泵站的主机组、变配电设备、水工建筑物等对象和调度运行管理活动的全面感知、可靠传输、智能数据存储和融合、高效协同、智能监控、预测性维护、规范管理和数据服务等。首先介绍了智能泵站系统体系结构,包括感知层、通信层、数据层、应用层和交互层。然后,介绍了统一数据平台中的数据建模、异构系统的数据采集和整合、智能存储策略、数据共享发布四个关键部分的要求。详细描述了智能泵站相关的智能监控、优化调度运行、智能安全监测、智能检修、智能检查、智能管理、数据分析与可视化、掌上泵站共8个智能应用的内容和要求。建设智能泵站是实现泵站安全、高效、经济运行和精细化管理的基础。 展开更多
关键词 智能泵站 体系结构 数据平台
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十二指肠Brunner腺腺瘤7例临床病理特征 被引量:1
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作者 刘军 袁春艳 +3 位作者 陈永其 浦文兰 杨媛媛 谢蕴 《临床与病理杂志》 2018年第5期1129-1133,共5页
分析7例十二指肠Brunner腺腺瘤(duodenal Brunner’s gland adenoma,BGA)的临床病理特征并将内镜检查的诊断结果与术后组织病理检查结果进行比较。7例患者中有症状者4例,其中伴发腹痛3例,呕吐1例,十二指肠溃疡1例,黑便1例。所有患者均... 分析7例十二指肠Brunner腺腺瘤(duodenal Brunner’s gland adenoma,BGA)的临床病理特征并将内镜检查的诊断结果与术后组织病理检查结果进行比较。7例患者中有症状者4例,其中伴发腹痛3例,呕吐1例,十二指肠溃疡1例,黑便1例。所有患者均接受胃镜检查,诊断BGA仅1例,息肉样病变5例,其他1例。7例患者中采用手术治疗1例,内镜下切除治疗6例。术前内镜检查结果与术后组织病理学诊断一致者仅1例。BGA是一种良性肿瘤,发生率比较低,临床表现缺乏特异性,术前诊断困难,组织病理学检查和胃镜检查对本病的诊断和治疗方法选择(外科手术或内镜下切除)具有重要价值。 展开更多
关键词 十二指肠 BRUNNER腺腺瘤 组织病理学 胃镜检查术 诊断 治疗
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管理会计价值创造之运行路径研究——以铁路运输企业为例 被引量:7
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作者 刘军 《管理会计研究》 2019年第1期63-71,88,共10页
本文在对管理会计价值创造分析的基础上,通过运用相关管理会计工具方法,将价值管理循环与企业生产经营管理过程相结合,将抽象的价值创造落实到具体的活动载体,构建了铁路运输企业管理会计价值创造活动的运行路径,对同类型企业管理会计... 本文在对管理会计价值创造分析的基础上,通过运用相关管理会计工具方法,将价值管理循环与企业生产经营管理过程相结合,将抽象的价值创造落实到具体的活动载体,构建了铁路运输企业管理会计价值创造活动的运行路径,对同类型企业管理会计的深入应用具有较大的参考和借鉴意义。 展开更多
关键词 管理会计 价值创造 运行路径 铁路运输企业
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Analysis of the Countermeasures on Strengthening the Quality Management of Civil Engineering Construction Project
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作者 liujun 《外文科技期刊数据库(文摘版)工程技术》 2022年第7期027-030,共4页
As we all know, quality management will play a key role in the implementation of civil engineering, and will take an active and effective organization and management, to bring a significant guarantee for the engineeri... As we all know, quality management will play a key role in the implementation of civil engineering, and will take an active and effective organization and management, to bring a significant guarantee for the engineering quality and safety of civil construction projects. Therefore, the general phenomenon in the current implementation of civil engineering construction projects should be studied, so as to provide feasible management measures, and strive to improve the actual effect of engineering project construction management. 展开更多
关键词 civil engineering construction project quality management COUNTERMEASURES
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Effect of Coupling Agent on PBS-based Composites
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作者 LIShengjie LILiangzhao +2 位作者 liujun HEXiangji HUANGSiqi 《外文科技期刊数据库(文摘版)工程技术》 2022年第8期100-104,共5页
In this paper, poly (butylene succinate) (PBS) and poly (butylene adipate/terephthalate) (PBAT) were used as matrix, rice hull powder and wollastonite as filler, diphenyl methane diisocyanate (MDI) and silane coupling... In this paper, poly (butylene succinate) (PBS) and poly (butylene adipate/terephthalate) (PBAT) were used as matrix, rice hull powder and wollastonite as filler, diphenyl methane diisocyanate (MDI) and silane coupling agent KH550 as crosslinking agents, and a series of composites were prepared by melt blending method. The effects of different coupling agents and dosage on composites were explored. It was characterized by universal mechanical testing machine and melt flow rate meter. The results showed that with the addition of PBAT and filler, the tensile strength of the composites decreased, while the notched impact strength of the composites increased in different degrees compared with that of pure PBS. MDI is more effective than KH550 in increasing melt viscosity. 展开更多
关键词 polybutylene succinate poly (adipic acid/butylene terephthalate) rice hull powder DIPHENYLMETHANE
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Vertical Cavity Surface Emitting Lasers
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作者 SUNYan-fang LITe +9 位作者 NINGYong-qiang YANChang-ling SHANXiao-nan LUGuo-guang HEChun-feng WANGChao LIUYun TAOGe-tao liujun WANGLi-jun 《光机电信息》 2005年第4期17-23,共7页
The development and application of vertical-cavity surface-emitting lasers (VCSELs) are summarized in this paper. The emphasis is focused on the high power single and 2-D arrays bottom-emitting VCSELs with a wavelengt... The development and application of vertical-cavity surface-emitting lasers (VCSELs) are summarized in this paper. The emphasis is focused on the high power single and 2-D arrays bottom-emitting VCSELs with a wavelength of 980nm. A distinguished device performance is achieved. The maximum continuous-wave (CW) output power of large aperture single devices with active diameters up to 500μm is as high as 1.95W at room temperature, which is to our knowledge the highest value reported for a single device. Size dependence of the output power, the threshold current and the differential resistance are discussed. A 16 elements array with 200μm aperture size (250μm center spacing) of individual elements shows a CW output power of 1.32W at room temperature. 展开更多
关键词 VCSEL 垂直腔面发射激光器 数量相关性 二维阵列
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Discussion on the Necessity of Doctor-patient Communication Skills Training for Pharmaceutical Undergraduates under the New Doctor-patient Relationship
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作者 LIUYuanyuan ZHANWenwen +1 位作者 MIAOLinyi liujun 《外文科技期刊数据库(文摘版)教育科学》 2022年第3期040-043,共4页
Objective: to explore the ways to improve the pharmaceutical practice and employment adaptability of undergraduate students majoring in pharmacy. Methods: the differences between traditional pharmaceutical education a... Objective: to explore the ways to improve the pharmaceutical practice and employment adaptability of undergraduate students majoring in pharmacy. Methods: the differences between traditional pharmaceutical education and practical needs and the problems of pharmaceutical curriculum were discussed, and the importance of communication skills training between doctors and patients was analyzed. Results & conclusion: strengthening the training of communication skills between doctors and patients for undergraduates majoring in pharmacy is of great significance in easing the doctor-patient conflicts, reducing the doctor-patient disputes and building a harmonious relationship between doctors and patients. 展开更多
关键词 pharmaceutical education doctor-patient relationship doctor-patient communication
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昆明市HIV感染者病耻感现状及影响因素分析 被引量:7
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作者 廖斌 李丽 +6 位作者 张潇文 刘俊 梁军 何文婕 王晶莹 洪彪 李怡 《国际病毒学杂志》 2019年第6期399-403,共5页
目的了解昆明市HIV感染者病耻感现状,并分析产生病耻感的原因及影响因素.方法采取系统抽样的方法,从昆明市现存活的HIV感染者中抽取样本进行调查,调查内容包括一般人口学资料、HIV防治相关知识及艾滋病相关的病耻感,其中,HIV感染者的病... 目的了解昆明市HIV感染者病耻感现状,并分析产生病耻感的原因及影响因素.方法采取系统抽样的方法,从昆明市现存活的HIV感染者中抽取样本进行调查,调查内容包括一般人口学资料、HIV防治相关知识及艾滋病相关的病耻感,其中,HIV感染者的病耻感采用简化艾滋病耻辱量表(BHSS量表)进行调查.结果共调查962例HIV感染者,其中男696例,女266例,BHSS量表平均得分为(11.29±3.35)分,汉族、现住址在城镇、不知晓艾滋病防治知识的感染者BHSS量表平均得分较高.多重线性分析结果显示,汉族、现住址在城镇、确诊年数少、艾滋病防治知识知晓率低的感染者,其病耻感强.结论昆明市HIV感染者均有不同程度的病耻感,政府及相关专业机构应采取适当的反歧视宣传及干预措施,减少外在社会歧视给感染者带来的内在羞耻感. 展开更多
关键词 HIV感染者 BHSS量表 病耻感 影响因素
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碘125粒子植入联合化疗治疗纵隔转移非小细胞肺癌的疗效 被引量:4
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作者 曾晓 谢志斌 +2 位作者 刘钧 丁秋丽 杨明 《晓庄学院学报(医学版)》 2022年第3期137-141,共5页
目的:观察和评估碘125粒子植入联合化疗治疗纵隔转移性非小细胞肺癌的疗效.方法:回顾性分析2019年7月~2022年1月期间在孝感市中心医院住院治疗的46例纵隔转移的非小细胞肺癌患者,根据是否接受了碘125粒子植入治疗将患者分为粒子联合化... 目的:观察和评估碘125粒子植入联合化疗治疗纵隔转移性非小细胞肺癌的疗效.方法:回顾性分析2019年7月~2022年1月期间在孝感市中心医院住院治疗的46例纵隔转移的非小细胞肺癌患者,根据是否接受了碘125粒子植入治疗将患者分为粒子联合化疗组和化疗组.搜集患者基线及随访数据资料,对比分析两组的疗效及不良反应.结果:粒子联合化疗组瘤体大小客观缓解率、上腔静脉阻塞缓解百分比明显高于化疗组;粒子联合化疗组不良反应发生率与化疗组无明显差异.结论:碘125粒子植入联合化疗治疗纵隔转移性非小细胞肺癌的疗效优于单纯化疗且不增加不良反应发生率. 展开更多
关键词 碘125粒子 非小细胞肺癌 纵隔转移 上腔静脉阻塞综合征
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Effect of angiotensin converting enzyme inhibitor on the calcium transients and calcium handling proteins in ventricular myocytes from rats with heart failure 被引量:2
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作者 WANGLi-chun MAHong +11 位作者 HEJian-gui LIAOXin-xue CHENWen-fang LENGXiu-yu MALi MAIWei-yi TAOJun ZENGWu-tao liujun DONGYu-gang TANGAn-li FENGChong 《Chinese Medical Journal》 SCIE CAS CSCD 2005年第9期731-737,共7页
Background Chronic heart failure (CHF) is associated with calcium transients and calcium handling proteins. Angiotensin converting enzyme (ACE) inhibitor has been demonstrated to have beneficial effect on CHF. Yet st... Background Chronic heart failure (CHF) is associated with calcium transients and calcium handling proteins. Angiotensin converting enzyme (ACE) inhibitor has been demonstrated to have beneficial effect on CHF. Yet studies addressed to the relationship between ACE inhibitor and calcium transients in CHF are rare. The aim of this study was to investigate the influence of ACE inhibitor (perindopril) on the contractility and calcium transients and calcium handling proteins in ventricular myocytes from rats with experimental heart failure.Methods Male Wistar rats were randomized to heart failure group treated with perindopril (CHF-T, 3 mg·kg -1 ·d -1 ), heart failure group without treatment (CHF-C) and sham-operated group (PS). Heart failure was induced by abdominal aortic constriction. All groups were further followed up for 12 weeks. Left ventricular myocytes were then isolated. Single cell shortening fraction and [Ca 2+ ]_i were simultaneously measured by laser scanning confocal microscope under the field stimulation (1.0 Hz). Reverse transcriptase-polymerase chain reaction (RT-PCR) and Western blot were performed to evaluate the changes of mRNA and protein of Na +-Ca 2+ exchanger (NCX_1), sarcoplasmic reticulum Ca 2+ -ATPase (SERCA_2) and phospholamban (PLB).Results The fraction of cell shortening (FS%) and [Ca 2+ ]_ imax (nmol/L) were significantly reduced in group CHF-C compared with group PS (FS%: 7.51±1.15 vs 13.21±1.49;[Ca 2+ ]_ imax :330.85±50.05 vs 498.16±14.07; both P <0.01), and restored at least partially in CHF-T group. In CHF-C group, the left ventricular mRNA of NCX_1 and PLB were significantly upregulated in comparing with PS group (R_ NCX1/β-Actin : 0.51±0.12 vs 0.19±0.06, P <0.01; R_ PLB/β-Actin : 0.26±0.12 vs 0.20±0.08, P <0.05), while SERCA_2 mRNA was downregulated (0.48±0.10 vs 0.80±0.11, P <0.01). The mRNA levels of NCX_1 and SERCA_2 in CHF-T group were between the CHF-C and PS group, and the differences of the latter two groups were significant (all P <0.05). In CHF-C and CHF-T groups, the protein expression of NCX_1 were 1.141±0.047 and 1.074±0.081 times of that in PS group respectively (both P <0.05), and SERCA_2 protein levels were 0.803±0.100 and 0.893±0.084 times of that in PS group respectively (both P <0.05). The protein expression of NCX_1 and SERCA_2 in the CHF-C and CHF-T groups is significantly different (both P <0.05).ConclusionACE inhibitor could improve cardiac function of failing heart through directly enhancing the contractility of single cardiomyocyte, and these effects are probably mediated by its roles in preventing the deleterious changes of calcium transients and calcium handling proteins in CHF. 展开更多
关键词 angiotensin converting enzyme inhibitor · calcium transient · calcium handling protein · chronic heart failure · laser scanning confocal microscope
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Antibiotic-loaded articulating cement spacers in two- stage revision for infected total knee arthroplasty: indi- vidual antibiotic treatment and early results of 21 cases 被引量:1
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作者 JIA Yu-tao ZHANG Yu +5 位作者 DING Chuan ZHANG Na ZHANG Dong-liang SUN Zhen-hui TIAN Meng-qiang liujun 《Chinese Journal of Traumatology》 CAS 2012年第4期212-221,共10页
Objective: To detail our early experi- ence and technique of a modified two-stage reimplantation protocol using antibiotic-loaded articulating cement spac- ers (ALACSs) for treatment of late periprosthetic infectio... Objective: To detail our early experi- ence and technique of a modified two-stage reimplantation protocol using antibiotic-loaded articulating cement spac- ers (ALACSs) for treatment of late periprosthetic infection after total knee arthroplasty (TKA). Methods: From January 2006 to February 2009, a series of 21 patients (21 knees) with late infected TKAs were treated by radical debridement and removal of all components and cement, and then articulating spacers were implanted using antibiotic-impregnated bone cement. For this purpose, 4 g vancomycin powder was mixed with per 40 g cement. Gradu- ated knee motion and partial weight bearing activity were encouraged in the interval period. Each patient received an individual systemic organism-sensitive antimicrobial therapy for 4.9 (range, 2-8) weeks followed by a second-stage TKA revision. All the patients were regularly followed up using the American Knee Society Scoring System. Results: Each case underwent a successful two-stage exchange and had infection eradicated, none had recurrent infection after an average of 32.2 (range, 17-54) months of follow-up. Preoperatively, the mean knee score was 53.5 points, function score was 27.3 points, pain score was 25.7 points, range of motion (ROM) was 82.0°, extensor lag was 2°. Between stages, the mean knee score was increased to 61.3 points, function score to 45 points, pain score to 35 points, ROM to 88.2°, and extensor lag to 3.4°. At final fol- low-up, the mean knee score was further increased to 82.1 points, function score to 74.5 points, pain score to 42.1 points, ROM to 94.3°, and knee extension lag to 1.9°. The interval period was 11.5 (range, 6-32) weeks. The amount of bone loss was unchanged between stages. No patient de- veloped noticeable dysfunction of the liver or kidney or other complications such as impaired wound healing, deep venous thrombosis, pulmonary embolism, cerebrovascular accidents, etc. Conclusions: Treating infected TKA with ALACS avoids spacer-related bone loss, preserves knee function between stages, and eradicates infection effectively with- out significant complications. The early clinical results are inspiring. The authors believe that radical and repeated (if needed) debridement, individual application of systemic antibiotics, and reasonable timing judgement upon the sec- ondary revision are all key factors related to a successful outcome with two-stage reimplantation procedure for in- fected TKA. 展开更多
关键词 Arthroplasty replacement knee Pros- thesis-related infections REPLANTATION
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The dynamic changes of glutamate immunoreactivity in cochleae inner hair cells of guinea pigs after noise exposure
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作者 LIXingqi TANZulin +4 位作者 liujun ZHAOLidong SUNQing SUNJianhe LIJianxiong 《Chinese Journal of Acoustics》 2004年第4期325-330,共6页
To investigate the glutamate-like immunoreactivity (Glu-IR) changes in inner hair cells (IHCs) of guinea pigs cochlear after noise exposure. Guinea pigs were distributed into 6 groups including control group (g1), and... To investigate the glutamate-like immunoreactivity (Glu-IR) changes in inner hair cells (IHCs) of guinea pigs cochlear after noise exposure. Guinea pigs were distributed into 6 groups including control group (g1), and groups of immediately (g2), 8 hours (g3), 1 day (g4), 3 days (g5) and 7days (g6) after noise exposure. The experimental groups were exposed to 120 dBLp 1/3 octave 4 kHz narrow band noise for 4 hours to ruin the organ of Corti. The first turn of the organ of Corti was dissected to make ultrathin sections and under went immunoelectron study. The density of gold particles of Glu-IR in IHCs was measured. Results showed that Glu-IR in IHCs after noise exposure changed dynamically. The density of gold particle in IHCs of g2 significantly increased (p < 0.001) compared with gl and decreased in g3 (p < 0.001), whereas there were no significant difference in the groups of g4, g5 and g6 (p > 0.05). The results suggest that there may be glutamate autoreceptors in the membrane of IHCs and the glutamate released from pre-synapse may act on these autoreceptors in a postitive feedback manner, which induced [Ca2+] increased in IHCs immediately after noise exposure. Glutamate synthetase system was activated by Ca2+ and more glutamic acid was produced. In the group of 8 hours after noise exposure, glutamic acid decreased in IHCs because of its over-releasing into synapses. Glu-IR's recovery to normal level indicated that the glutamate-glutamine cycle may exist in guinea pig cochlea. 展开更多
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