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Robust Optimization Control for Cyber-Physical Systems Subject to Jamming Attack:A Nested Game Approach
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作者 min shi Yuan Yuan 《IEEE/CAA Journal of Automatica Sinica》 2025年第6期1286-1288,共3页
Dear Editor,With the advances in computing and communication technologies,the cyber-physical system(CPS),has been used in lots of industrial fields,such as the urban water cycle,internet of things,and human-cyber syst... Dear Editor,With the advances in computing and communication technologies,the cyber-physical system(CPS),has been used in lots of industrial fields,such as the urban water cycle,internet of things,and human-cyber systems[1],[2],which has to face up to malicious cyber-attacks towards cyber communication of control commands.Specifically,jamming attack is regarded as one of the most common attacks of decreasing network performance.Game theory is widely regarded as a method of accurately describing the interaction between jamming attacker and legitimate user[3].In the cyber layer,the signal game model has been utilized to describe the transmission between the attacker and defender[4].However,most previous game theoretical researches are not feasible to meet the demands of industrial CPSs mainly due to the shared communication network nature.Specifically,it leads to incomplete information for players of game owing to various network-induced phenomena and employed communication protocols.In the physical layer,the secure control[5]and estimation[6]under attack detection have been studied for CPSs.However,these methods not only rely heavily on signals injection detection,but also have no access to smart attackers who launch covert attacks so that data receivers cannot observe the attack behaviour[7].Accordingly,the motivation arising here is to tackle the nested game problem for CPSs subject to jamming attack. 展开更多
关键词 decreasing network performancegame theory cyber physical systems signal game model robust optimization game theory industrial fields jamming attack urban water cycleinternet
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Gut microbiota and the colorectal cancer tumor microenvironment:From carcinogenic mechanisms to therapeutic opportunities
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作者 Zi-Ke Chen Jia-Wei Zhao +2 位作者 Yu-Gang Wang Chen Wang min shi 《World Journal of Gastrointestinal Oncology》 2026年第1期114-121,共8页
Colorectal cancer(CRC)is ranked as the third most common tumor globally,representing approximately 10%of all cancer cases,and is the second primary cause of cancer-associated mortality.Existing therapeutic approaches ... Colorectal cancer(CRC)is ranked as the third most common tumor globally,representing approximately 10%of all cancer cases,and is the second primary cause of cancer-associated mortality.Existing therapeutic approaches demonstrate limited efficacy against CRC,partially due to the immunosuppressive tumor microenvironment(TME).In recent years,substantial evidence indicates that dysbiosis of the gut microbiota and its metabolic products is closely associated with the initiation,progression,and prognostic outcomes of CRC.In this minireview,we systematically elaborate on how these microbes and their metabolites directly impair intestinal epithelial integrity,activate cancer-associated fibroblasts,remodel tumor vasculature,and critically,sculpt an immunosuppressive landscape by modulating T cells,dendritic cells,and tumor-associated macrophages.We highlight the translational potential of targeting the gut microbiota,including fecal microbiota transplantation,probiotics,and engineered microbial systems,to reprogram the TME and overcome resistance to immunotherapy and chemotherapy.A deeper understanding of the microbiota-TME axis is essential for developing novel diagnostic and therapeutic paradigms for CRC. 展开更多
关键词 Gut microbiota Tumor immune microenvironment Colorectal cancer Tumor stromal cells Immune cells
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The impact of migration on the food consumption and nutrition of left-behind family members: Evidence from a minority mountainous region of southwestern China 被引量:4
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作者 min shi HOU Ling-ling +2 位作者 Hermann Waibel HUANG Ji-kun MU Yue-ying 《Journal of Integrative Agriculture》 SCIE CAS CSCD 2019年第8期1780-1792,共13页
While migration is widely recognized as a valid option for improving farmers’ income, the welfare effects of migration on left-behind family members are ambiguous. This study examines the impacts of migration on left... While migration is widely recognized as a valid option for improving farmers’ income, the welfare effects of migration on left-behind family members are ambiguous. This study examines the impacts of migration on left-behind family members’ food consumption and nutrient intake, particularly in remote rural areas in China. Based on household survey data collected from 611 smallholder rubber farmers in Xishuangbanna Dai Autonomous Prefecture of southwestern China, the empirical results suggest that the migration of family members contributes to improving household net income, whereas it negatively affects left-behind family members’ consumption of grain and pork. Migration also leads to a decrease in left-behind family members’ nutrient intake. Surprisingly, the economic returns of farmers’ migration not only do not foster the transformation of household food consumption from a staple food-dominated dietary structure to one including more meat and dairy products but also reduce left-behind family members’ nutrient intake. This study adds to the literature on the impact of farmers’ migration. The findings have important implications for better understanding the impacts of migration on farmers’ livelihood and human capital development in rural China. 展开更多
关键词 MIGRATION food CONSUMPTION NUTRITION LEFT-BEHIND
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Dissolved organic matter accelerates microbial degradation of 17 alpha-ethinylestradiol in the presence of iron mineral 被引量:1
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作者 Huan He min shi +8 位作者 Xiaoxia Yang Juhong Zhan Yanting Lin Ziwei Guo Zhicheng Liao Chaochao Lai Xiaomin Ren Bin Huang Xuejun Pan 《Journal of Environmental Sciences》 SCIE EI CAS CSCD 2024年第5期364-376,共13页
Dissolved organic matter(DOM)and iron minerals widely existing in the natural aquatic environment can mediate the migration and transformation of organic pollutants.However,the mechanism of interaction between DOM and... Dissolved organic matter(DOM)and iron minerals widely existing in the natural aquatic environment can mediate the migration and transformation of organic pollutants.However,the mechanism of interaction between DOM and iron minerals in the microbial degradation of pollutants deserves further investigation.In this study,the mechanism of 17 alphaethinylestradiol(EE2)biodegradation mediated by humic acid(HA)and three kinds of iron minerals(goethite,magnetite,and pyrite)was investigated.The results found that HA and iron minerals significantly accelerated the biodegradation process of EE2,and the highest degradation efficiency of EE2(48%)was observed in the HA-mediated microbial system with pyrite under aerobic conditions.Furthermore,it had been demonstrated that hydroxyl radicals(HO·)was the main active substance responsible for the microbial degradation of EE2.HO·is primarily generated through the reaction between hydrogen peroxide secreted by microorganisms and Fe(II),with aerobic conditions being more conducive.The presence of iron minerals and HA could change the microbial communities in the EE2 biodegradation system.These findings provide new information for exploring the migration and transformation of pollutants by microorganisms in iron-rich environments. 展开更多
关键词 Dissolved organic matter Iron mineral 17 alpha-ethinylestradiol BIODEGRADATION
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Effects of Sm Co-doping on Luminescent Properties of Sr4Al14O25:M (M=Mn4+, Cr3+) Phosphors
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作者 Yu-dong Xu Xu-dong Peng +4 位作者 Lei Wang min shi Yuan Zhang Quan Wang San Qi 《Chinese Journal of Chemical Physics》 SCIE CAS CSCD 2015年第6期-,共6页
关键词 PHOSPHOR CO-DOPING Strontium aluminates Energy transfer
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人口老龄化、乡镇食物市场与农村居民膳食质量 被引量:1
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作者 闵师 杨敏达 +1 位作者 潘聪 赵龙强 《食物经济与管理》 2025年第1期44-55,共12页
在农村人口老龄化加速背景下,强化农村食物流通网络建设对改善农村居民膳食质量、缩小城乡营养鸿沟具有重要的现实意义。本文基于2022年吉林、山东、湖北三省1080个农户家庭食物消费调查数据,实证分析了人口老龄化与乡镇食物市场对农村... 在农村人口老龄化加速背景下,强化农村食物流通网络建设对改善农村居民膳食质量、缩小城乡营养鸿沟具有重要的现实意义。本文基于2022年吉林、山东、湖北三省1080个农户家庭食物消费调查数据,实证分析了人口老龄化与乡镇食物市场对农村居民膳食质量的影响机制。研究发现:第一,人口老龄化对农村居民膳食质量具有显著负向影响,而乡镇食物市场能够有效地促进农村居民膳食质量提升,同时缓解人口老龄化引致的膳食质量衰减效应;第二,供给充足性、空间可及性、经济可负担性与膳食营养信息获取是人口老龄化与乡镇食物市场影响农村居民膳食质量的重要机制;第三,人口老龄化与乡镇食物市场对农村居民膳食质量的影响因家庭饮食决策者性别、家庭宗族网络强弱、村庄人口规模、村庄是否有即时性餐饮场所而存在异质性。研究发现有助于理解农村居民膳食质量的关键影响因素,为完善人口老龄化应对政策体系和促进城乡食物市场一体化发展提供决策依据。 展开更多
关键词 膳食质量 人口老龄化 乡镇食物市场 农村居民
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“双循环”背景下我国粮食安全韧性及风险管控战略研究 被引量:41
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作者 青平 邓秀新 +7 位作者 闵师 李剑 李晓云 王玉泽 陈通 王正聪 吴伟荣 赵龙强 《中国工程科学》 CSCD 北大核心 2023年第4期26-38,共13页
保障国家粮食安全是建设现代农业强国的重要基础,在“双循环”背景下探讨增强我国粮食安全韧性及风险管控能力,兼具理论价值和现实意义。本文阐释了“双循环”背景下粮食安全韧性及风险管控的科学内涵,剖析了当前我国粮食安全韧性及风... 保障国家粮食安全是建设现代农业强国的重要基础,在“双循环”背景下探讨增强我国粮食安全韧性及风险管控能力,兼具理论价值和现实意义。本文阐释了“双循环”背景下粮食安全韧性及风险管控的科学内涵,剖析了当前我国粮食安全韧性及风险管控能力的现状与特点、影响因素和可行路径。研究认为,农业生产基础条件、粮食生产科技水平、粮食生产方式、粮食生产支持政策、国际贸易环境是影响粮食安全韧性及风险管控能力的关键因素;提高粮食供应的稳定性、提升粮食生产的抗逆性、加强粮食生产的可持续性、保持政策制度的连贯性、增强国内与国际市场的协同性是增强粮食安全韧性及风险管控能力的可行路径。为此建议,筑牢粮食产能基础、提升粮食技术支撑、强化智能监测管理、加快保障制度建设、优化粮食进出口贸易,以此增强“双循环”背景下我国粮食安全韧性及风险管控能力。 展开更多
关键词 粮食安全韧性 风险管控 “双循环” 大食物观 粮食贸易
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增塑剂对聚氯乙烯溶胶凝胶塑化流变性能的影响 被引量:9
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作者 吉玉碧 王醴均 +4 位作者 杨照 石敏 罗恒 龚维 谭红 《高分子材料科学与工程》 EI CAS CSCD 北大核心 2019年第1期64-69,共6页
研究了不同增塑剂制备的聚氯乙烯(PVC)溶胶复数黏度(η)随温度或时间的流变性能变化情况,并探讨了引起流变性能差异的原因。结果表明,随温度升高或时间延长,η呈先降低,后由缓慢上升至急速上升,形成1个肩峰并达到最大值,最后又逐步减小... 研究了不同增塑剂制备的聚氯乙烯(PVC)溶胶复数黏度(η)随温度或时间的流变性能变化情况,并探讨了引起流变性能差异的原因。结果表明,随温度升高或时间延长,η呈先降低,后由缓慢上升至急速上升,形成1个肩峰并达到最大值,最后又逐步减小的非正态分布趋势。各PVC溶胶在流变曲线的前3个阶段,η差异明显——第1阶段,η主要与增塑剂黏度成正比;第2、第3阶段——η主要与增塑剂的增塑效率和溶解度参数有关;第4阶段——约在160℃或30min后,各流变曲线趋于重合,η的大小无明显差异。 展开更多
关键词 聚氯乙烯 溶胶 增塑剂 流变 黏度
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不同加工方法对乙烯-辛烯共聚物/聚乳酸共混物相结构与性能的影响 被引量:3
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作者 孙静 黄安荣 +5 位作者 罗珊珊 石敏 蒋团辉 高鑫 隋元明 韦良强 《高分子材料科学与工程》 EI CAS CSCD 北大核心 2021年第4期166-173,共8页
采用普通共混方法及原位微纤技术制备了乙烯-辛烯共聚物(POE)/聚乳酸(PLA)共混物,通过扫描电镜、力学性能测试和动态流变性能测试对材料形貌及性能进行表征。结果表明,对于POE/PLA普通共混物,PLA以球形颗粒分布在POE基体中,材料的拉伸应... 采用普通共混方法及原位微纤技术制备了乙烯-辛烯共聚物(POE)/聚乳酸(PLA)共混物,通过扫描电镜、力学性能测试和动态流变性能测试对材料形貌及性能进行表征。结果表明,对于POE/PLA普通共混物,PLA以球形颗粒分布在POE基体中,材料的拉伸应力-应变曲线无明显的屈服行为,PLA质量分数为20%时,材料拉伸强度为6.6 MPa;PLA的加入提高了材料的储能模量(G′)和损耗模量(G″)。对于POE/PLA微纤共混物,PLA在POE中形成了PLA微纤,当微纤的质量分数为10%时,材料的拉伸应力应变呈现双屈服行为,随微纤含量增加双屈服行为更明显。POE-20试样在应变为23%发生第1次屈服,在应变为240%发生第2次屈服,材料拉伸强度为8.8 MPa,其拉伸强度比相同PLA含量的普通共混物高33.3%,G′在低频区出现1个平台。 展开更多
关键词 乙烯-辛烯共聚物 聚乳酸 原位微纤 流变性能 拉伸性能
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Adoptive cell therapy in colorectal cancer:Advances in chimeric antigen receptor T cells
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作者 Meng-Yan Chen Chen Wang +1 位作者 Yu-Gang Wang min shi 《World Journal of Gastrointestinal Oncology》 2025年第7期110-124,共15页
Colorectal cancer(CRC)is the third most common cancer worldwide and remains a major treatment challenge,particularly in advanced and metastatic stages.Current standard treatments have limited efficacy,underscoring the... Colorectal cancer(CRC)is the third most common cancer worldwide and remains a major treatment challenge,particularly in advanced and metastatic stages.Current standard treatments have limited efficacy,underscoring the urgent need for innovative strategies.Adoptive cell therapy(ACT),which involves in vitro expansion or genetic engineering of immune cells,is a promising approach to bolster anti-tumor immune responses.Key ACT modalities include chimeric antigen receptor(CAR)T cells,tumor-infiltrating lymphocytes(TILs),and T cell receptor(TCR)-engineered T cells.CAR-T cell therapy has shown success in hematological malignancies but faces significant challenges in solid tumors like CRC.These challenges include antigen heterogeneity,an immunosuppressive tumor microenvironment,on-target off-tumor toxicity,among other factors.To address these limitations,combinatorial approaches,such as immune checkpoint inhibitors,cytokines,and advanced gene-editing tools like CRISPR/Cas9,are being actively explored.These strategies aim to enhance CAR-T cell specificity,improve resistance to immunosuppressive signals,and optimize in vivo functionality.This review summarizes ACT approaches for CRC,with a focus on CAR-T therapy.It briefly introduces TILs and TCR-T cells,while emphasizing the major challenges faced by CAR-T therapy in solid tumors and discusses potential strategies to improve therapeutic outcomes. 展开更多
关键词 Colorectal cancer Adoptive cell therapy IMMUNOTHERAPY Chimeric antigen receptor T cells Tumor-infiltrating lymphocytes T-cell receptor-engineered T cells
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Long-term outcomes of early transjugular intrahepatic portosystemic shunts in patients with acute variceal bleeding and cirrhosis
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作者 Xin Tang Ju-Bo Liang +4 位作者 Chen Wang Jia-Li Ma Rong-Rong Jia Yu-Gang Wang min shi 《World Journal of Hepatology》 2025年第6期85-94,共10页
BACKGROUND Early transjugular intrahepatic portosystemic shunts(TIPS)is a therapeutic option for acute variceal bleeding(AVB),offering a low risk of rebleeding.However,the long-term outcomes of early TIPS remain uncle... BACKGROUND Early transjugular intrahepatic portosystemic shunts(TIPS)is a therapeutic option for acute variceal bleeding(AVB),offering a low risk of rebleeding.However,the long-term outcomes of early TIPS remain unclear.AIM To evaluate the long-term outcomes for early TIPS compared with standard treatment in patients with cirrhosis and AVB.METHODS We retrospectively analyzed the clinical data of patients with AVB who underwent early TIPS or standard treatment between January 2014 and December 2023.The primary outcome was overall survival(OS).RESULTS A total of 37 patients with AVB underwent early TIPS,while 65 patients received standard treatment.Compared with the standard treatment group,the rates of uncontrolled bleeding or rebleeding in the early TIPS group were significantly lower(10.8%vs 50.8%,P<0.001).Over a median follow-up of 46 months,no statistically significant differences were observed in terms of OS(P=0.507).The presence of comorbidities was identified as an independent predictor of OS(adjusted hazard ratio=3.81;95%confidence interval:1.16-12.46).Notably,new or worsening ascites occurred less frequently in the early TIPS group(13.5%vs 38.5%,P=0.008).There was no significant difference in the rate of overt hepatic encephalopathy between the two groups(45.9%vs 36.9%,P=0.372).CONCLUSION While early TIPS is not associated with a long-term survival benefit compared with standard treatment for AVB,it is associated with reduced risks of rebleeding and ascites. 展开更多
关键词 Early transjugular intrahepatic portosystemic shunt Long-term outcome Acute variceal bleeding CIRRHOSIS COMORBIDITIES
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Future directions in prognostic modeling for dengue-induced severe hepatitis
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作者 Chen Wang Hong Hu +2 位作者 Yun Song Yu-Gang Wang min shi 《World Journal of Hepatology》 2025年第6期263-268,共6页
A study published by Teerasarntipan et al in the World Journal of Gastroenterology provides valuable insights into prognostic scoring for acute liver failure and inhospital mortality in patients with dengue-induced se... A study published by Teerasarntipan et al in the World Journal of Gastroenterology provides valuable insights into prognostic scoring for acute liver failure and inhospital mortality in patients with dengue-induced severe hepatitis.Their findings validate the model for end-stage liver disease score as the most reliable predictor while demonstrating the utility of the simpler Easy Albumin-Bilirubin score.Despite these findings,current prognostic models face limitations in realworld clinical applications.This letter discusses the strengths and weaknesses of current prognostic models,proposes future directions for improving prognostic accuracy and clinical implementations.This letter also broadens the horizons of prognostic models for liver dysfunction caused by other viral infections. 展开更多
关键词 DENGUE HEPATITIS PROGNOSIS MODELS Artificial intelligence
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Coral calcium hydride promotes peripheral mitochondrial division and reduces AT-Ⅱ cells damage in ARDS via activation of the Trx2/Myo19/Drp1 pathway
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作者 Qian Li Yang Ang +15 位作者 Qing-Qing Zhou min shi Wei Chen Yujie Wang Pan Yu Bing Wan Wanyou Yu Liping Jiang Yadan shi Zhao Lin Shaozheng Song Manlin Duan Yun Long Qi Wang Wentao Liu Hongguang Bao 《Journal of Pharmaceutical Analysis》 2025年第3期610-624,共15页
Acute respiratory distress syndrome(ARDS)is a common respiratory emergency,but current clinical treatment remains at the level of symptomatic support and there is a lack of effective targeted treatment measures.Our pr... Acute respiratory distress syndrome(ARDS)is a common respiratory emergency,but current clinical treatment remains at the level of symptomatic support and there is a lack of effective targeted treatment measures.Our previous study confirmed that inhalation of hydrogen gas can reduce the acute lung injury of ARDS,but the application of hydrogen has flammable and explosive safety concerns.Drinking hydrogen-rich liquid or inhaling hydrogen gas has been shown to play an important role in scavenging reactive oxygen species and maintaining mitochondrial quality control balance,thus improving ARDS in patients and animal models.Coral calcium hydrogenation(CCH)is a new solid molecular hydrogen carrier prepared from coral calcium(CC).Whether and how CCH affects acute lung injury in ARDS remains unstudied.In this study,we observed the therapeutic effect of CCH on lipopolysaccharide(LPS)induced acute lung injury in ARDS mice.The survival rate of mice treated with CCH and hydrogen inhalation was found to be comparable,demonstrating a significant improvement compared to the untreated ARDS model group.CCH treatment significantly reduced pulmonary hemorrhage and edema,and improved pulmonary function and local microcirculation in ARDS mice.CCH promoted mitochondrial peripheral division in the early course of ARDS by activating mitochondrial thioredoxin 2(Trx2),improved lung mitochondrial dysfunction induced by LPS,and reduced oxidative stress damage.The results indicate that CCH is a highly efficient hydrogen-rich agent that can attenuate acute lung injury of ARDS by improving the mitochondrial function through Trx2 activation. 展开更多
关键词 Coral calcium hydrogenation ARDS Mitochondria Peripheral division Trx2
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Active non-bonding oxygen mediate lattice oxygen oxidation on NiFe_(2)O_(4)achieving efficient and stable water oxidation
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作者 Jiangyu Tang Xiao Wang +5 位作者 Yunfa Wang min shi Peng Huo Jianxiang Wu Qiaoxia Li Qunjie Xu 《Chinese Journal of Catalysis》 2025年第5期164-175,共12页
The oxygen evolution reaction(OER)serves as a fundamental half–reaction in the electrolysis of water for hydrogen production,which is restricted by the sluggish OER reaction kinetics and unable to be practically appl... The oxygen evolution reaction(OER)serves as a fundamental half–reaction in the electrolysis of water for hydrogen production,which is restricted by the sluggish OER reaction kinetics and unable to be practically applied.The traditional lattice oxygen oxidation mechanism(LOM)offers an advantageous route by circumventing the formation of M-OOH^(*)in the adsorption evolution mechanism(AEM),thus enhancing the reaction kinetics of the OER but resulting in possible structural destabilization due to the decreased M–O bond order.Fortunately,the asymmetry of tetrahedral and octahedral sites in transition metal spinel oxides permits the existence of non-bonding oxygen,which could be activated by rational band structure design for direct O-O coupling,where the M–O bond maintains its initial bond order.Here,non-bonding oxygen was introduced into NiFe_(2)O_(4)via annealing in an oxygen-deficient atmosphere.Then,in-situ grown sulfate species on octahedral nickel sites significantly improved the reactivity of the non-bonding oxygen electrons,thereby facilitating the transformation of the redox center from metal to oxygen.LOM based on non-bonding oxygen(LOMNB)was successfully activated within NiFe_(2)O_(4),exhibiting a low overpotential of 206 mV to achieve a current density of 10 mA cm^(-2)and excellent durability of stable operation for over 150 h.Additionally,catalysts featuring varying band structures were synthesized for comparative analysis,and it was found that the reversible redox processes of non-bonding oxygen and the accumulation of non-bonding oxygen species containing 2p holes are critical prerequisites for triggering and sustaining the LOMNB pathway in transition metal spinel oxides.These findings may provide valuable insights for the future development of spinel-oxide-based LOM catalysts. 展开更多
关键词 Non-bonding oxygen Lattice oxygen oxidation mechanism Oxygen evolution reaction NiFe_(2)O_(4) Spinel oxide
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Integrating tumor location into artificial intelligence-based prognostic models in cancer
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作者 Chen Wang Meng-Yan Chen +1 位作者 Yu-Gang Wang min shi 《World Journal of Clinical Oncology》 2025年第8期272-278,共7页
This letter is a commentary on the findings of Huang et al,who emphasize the prognostic value of tumor location in gastric cancer.Analyzing data from 3287 patients using Kaplan-Meier and multivariate Cox models,the au... This letter is a commentary on the findings of Huang et al,who emphasize the prognostic value of tumor location in gastric cancer.Analyzing data from 3287 patients using Kaplan-Meier and multivariate Cox models,the authors found that the tumor location correlated with patient prognosis following surgery.Patients with tumors situated nearer to the stomach’s proximal end were associated with shorter survival periods and poorer outcomes.Notably,gender-based differences in tumor markers,particularly carbohydrate antigen 72-4,further highlight the need for sex-specific influence on the tumor location.Despite increasing recognition of tumor location as a prognostic factor,its role remains unclear in clinical prediction models for various cancers.This letter highlights the potential of incorporating tumor location into artificial intelligence-based prognostic tools to enhance prognostic models.It also outlines a stepwise framework for developing these models,from retrospective training to prospective multicenter validation and clinical implementation.In addition,it addresses the technical,ethical,and interoperability challenges critical to successful real-world prognosis. 展开更多
关键词 Tumor location PROGNOSIS Artificial intelligence Artificial intelligence-based prognostic tools Clinical prediction models
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Tos改良联合进路钛听骨植入鼓室成形的疗效观察 被引量:1
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作者 史敏 唐凤珠 +3 位作者 瞿申红 陆秋天 王涛 袁弘 《中国内镜杂志》 2018年第9期7-10,共4页
目的观察符合条件的慢性化脓性中耳炎患者行Tos改良联合入路清理病变并一期植入钛人工听骨行鼓室成形的效果。方法回顾性分析34例在该院施行Tos改良联合入路乳突开放并植入钛人工听骨行鼓室成形的慢性化脓性中耳炎病例,总结患者手术前... 目的观察符合条件的慢性化脓性中耳炎患者行Tos改良联合入路清理病变并一期植入钛人工听骨行鼓室成形的效果。方法回顾性分析34例在该院施行Tos改良联合入路乳突开放并植入钛人工听骨行鼓室成形的慢性化脓性中耳炎病例,总结患者手术前后听力及影像学特点,观察手术前后言语频率气导听阈变化。结果以术中听骨破坏情况分组,镫骨板上结构缺失组植入全听骨赝复体(TORP)后听力改善(36.25±6.12)dB HL;砧蹬关节中段组植入部分听骨赝复体(PORP)后听力改善(13.18±3.37)dB HL。术后无钛听骨移位、感染,听力改善有效率97.06%(P<0.05)。1~3个月全部干耳。结论 Tos改良联合入路鼓室成形并一期植入钛人工听骨能有效地清理中耳病变,尤其是清理后鼓室的隐匿病变,并有效提高听力,术前高分辨率CT(HRCT)发现乳突气化不良,尤其有乙状窦前移、脑板低位和面神经低位等不利于暴露的解剖变异时,可优先选择此术式。 展开更多
关键词 Tos改良联合进路 鼓室成形术 钛听骨植入
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盐酸羟考酮缓释片12小时滴定方案用于中重度癌痛患者的有效性和安全性-前瞻性随机开放多中心平行对照研究 被引量:17
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作者 石志永 何钎铖 +22 位作者 郭银红 王燕 邵银仙 薛宏怡 林晓骥 陈传军 诸静文 郭俊华 应申鹏 肖建军 赵春花 邢旻琰 陈韵 蔡国英 寿佳威 宋斌斌 余国林 史敏 王永辉 王剑 邵婷婷 黄芳芳 张沂平 《中国肿瘤临床》 CAS CSCD 北大核心 2021年第20期1040-1046,共7页
目的:阿片类药物是中、重度癌痛治疗的首选药物。目前以缓释阿片类药物为背景的滴定方法的剂量调整时机和方式还需进一步探索。本研究旨在评估盐酸羟考酮缓释片12 h滴定方案用于中重度癌痛患者的有效性和安全性。方法:选择2018年2月至2... 目的:阿片类药物是中、重度癌痛治疗的首选药物。目前以缓释阿片类药物为背景的滴定方法的剂量调整时机和方式还需进一步探索。本研究旨在评估盐酸羟考酮缓释片12 h滴定方案用于中重度癌痛患者的有效性和安全性。方法:选择2018年2月至2019年12月浙江省24家医院收治的中重度阿片类药物未耐受癌痛患者114例[数字分级法(numerical rating scale,NRS)≥4分]作为研究对象。筛选出合并1次以上爆发痛且存在中重度以上疼痛(NRS≥4分)患者87例,按盐酸羟考酮缓释片调整的时间不同分为试验组(12 h滴定组,n=45)和对照组(24 h滴定组,n=42)。试验组起始给予盐酸羟考酮缓释片10 mg并根据疼痛情况给予即释吗啡补救镇痛,12 h后根据即释吗啡量调整剂量,剂量调整为背景剂量+12 h内即释吗啡剂量。对照组起始剂量给予盐酸羟考酮缓释片10 mg q12h,并根据疼痛情况给予即释吗啡补救镇痛,24 h后剂量调整为背景剂量+24 h内即释吗啡剂量/2。比较两组24、48、72 h的疼痛缓解率、不良反应发生率、即释吗啡补救镇痛情况及使用量、生活质量评分,以及镇痛满意度。结果:给药后24、48、72 h,试验组和对照组均显示出较高的疼痛缓解率,组间比较差异无统计学意义(P>0.05)。相对于对照组,试验组在24、48及72 h补救镇痛次数及剂量均显著减少(P<0.05)。两组患者不良反应大多数为轻中度,发生率比较差异无统计学意义(P>0.05)。镇痛满意度水平均较高,组间比较差异无统计学意义(P>0.05)。结论:在中重度癌痛患者应用盐酸羟考酮缓释片为背景的滴定方案中,12 h调整剂量能有效减少补救镇痛次数及剂量,维持较高的镇痛缓解率和镇痛满意度,安全性良好。 展开更多
关键词 缓释阿片类药物 滴定 癌痛 爆发痛
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鼻内镜下扁桃体腺样体等离子切除术对重度鼾症所致发育不良的治疗效果 被引量:27
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作者 刘然 史敏 +2 位作者 黄永 陈国均 陈燕荣 《中国内镜杂志》 2019年第4期32-36,共5页
目的探讨扁桃体腺样体重度肥大阻塞气道、引起睡眠鼾症而致身高和(或)体重发育不达标的患儿,进行鼻内镜下等离子扁桃体腺样体切除术后1年,其生长发育达标的情况。方法随访因扁桃体腺样体重度肥大引起睡眠鼾症导致身高和(或)体重发育不... 目的探讨扁桃体腺样体重度肥大阻塞气道、引起睡眠鼾症而致身高和(或)体重发育不达标的患儿,进行鼻内镜下等离子扁桃体腺样体切除术后1年,其生长发育达标的情况。方法随访因扁桃体腺样体重度肥大引起睡眠鼾症导致身高和(或)体重发育不达标的患儿47名,收集其术前病史,包括睡眠质量、有无缺氧、发育情况、精神注意力和手术情况,并记录术前和术后6个月、术后1年身高和体重达标情况,统计分析身高体重术前术后的增长情况和达标率。结果患儿年龄2~5岁,平均月龄(48.45±11.36)个月,术前均有严重的睡眠打鼾,伴有张口呼吸和睡眠呼吸暂停41例(87.2%),白天注意力不集中35例(74.5%),进行鼻内镜扁桃体腺样体等离子切除术,术后6个月和1年身高增长平均为(6.27±1.73)和(11.88±2.35)cm,体重增长分别为(1.96±0.42)和(3.58±0.79)kg。术后1年身高体重按标准,身高达标40例(85.11%),体重达标36例(76.60%),均达标32例(68.09%)。结论儿童鼾症会影响患儿身高体重发育,尤其是重度阻塞,经鼻内镜扁桃体腺样体等离子切除术后,可促进恢复生长发育,有手术指征的患儿应尽早手术,以免耽误儿童黄金生长发育期。 展开更多
关键词 儿童鼾症 鼻内镜扁桃体腺样体切除 等离子 生长发育不良
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农产品区域公用品牌助力乡村产业振兴:理论逻辑、现实挑战与实践路径 被引量:26
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作者 闵师 青平 《世界农业》 CSSCI 2024年第12期26-36,共11页
农产品区域公用品牌建设通过提高农产品竞争力和推动乡村产业结构调整为实现乡村产业振兴注入新动能。本文从资源配置效应、规模经济效应、结构升级效应、品牌经济效应和协同共享效应五个维度厘清了农产品区域公用品牌建设与乡村产业振... 农产品区域公用品牌建设通过提高农产品竞争力和推动乡村产业结构调整为实现乡村产业振兴注入新动能。本文从资源配置效应、规模经济效应、结构升级效应、品牌经济效应和协同共享效应五个维度厘清了农产品区域公用品牌建设与乡村产业振兴之间的理论逻辑,剖析了农产品区域公用品牌助力乡村产业振兴面临的现实挑战,并据此提出了相对应的实践路径。研究发现,农产品区域公用品牌建设与维护难度大、市场竞争日趋激烈、生产能力和管理水平低、品牌难以有效运作等是制约农产品区域公用品牌助力乡村产业振兴实现的关键因素。为此,本文提出多措施推进品牌建设、全过程确保品牌品质、全方位优化供应管理和多方面加大政策支持,以提升农产品区域公用品牌建设助力乡村产业振兴的效率。 展开更多
关键词 农产品 区域公用品牌 乡村产业振兴
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Interleukin-8, a promising predictor for prognosis of pancreatic cancer 被引量:18
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作者 Ying Chen min shi +4 位作者 Guan-Zhen Yu Xiao-Ran Qin Gang Jin Peng Chen ming-Hua Zhu 《World Journal of Gastroenterology》 SCIE CAS CSCD 2012年第10期1123-1129,共7页
AIM: To investigate the value of interleukin-8 (IL-8), a pro-inflammatory chemokine, in predicting the prognosis of pancreatic cancer. METHODS: Expression of IL-8 and its receptor CXCR1 was assessed by immunohistochem... AIM: To investigate the value of interleukin-8 (IL-8), a pro-inflammatory chemokine, in predicting the prognosis of pancreatic cancer. METHODS: Expression of IL-8 and its receptor CXCR1 was assessed by immunohistochemistry in pancreatic cancer and chronic pancreatitis samples. Enzyme-linked immunosorbent assay was used to detect the serum IL-8 levels in pancreatic cancer patients. Human pancreatic cancer tissues were heterotopically transplanted to the immune-deficiency mice to evaluate the effect of serum IL-8 on the tumorigenesis of the cancer samples.RESULTS: IL-8 and CXCR1 proteins were both overexpressed in pancreatic adenocarcinoma samples (55.6% and 65.4%, respectively) compared with the matched para-cancer tissues (25.9% and 12.3%, P < 0.01), or chronic pancreatitis (0% and 25%, P < 0.05). Serum IL-8 levels in pancreatic cancer patients (271.1 ± 187.7 ng/mL) were higher than in other digestive system tumors, such as gastric cancer (41.77 ± 9.11 ng/mL, P = 0.025), colorectal carcinoma (78.72 ± 80.60 ng/mL, P = 0.032) and hepatocellular carcinoma (59.60 ± 19.80 ng/mL, P = 0.016). In vivo tumorigenesis analysis further proved that tumor tissues from patients with higher serum IL-8 levels grew faster than those with lower IL-8 levels. CONCLUSION: IL-8 can be a fine serum marker for predicting the prognosis pancreatic cancer. 展开更多
关键词 Pancreatic cancer INTERLEUKIN-8 CXCR1 IMMUNOHISTOCHEMISTRY Tumor implantation Enzymelinked immunosorbent assay
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