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风险管理理念干预措施在医疗器械不良事件中的效用
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作者 朱波 明玛 +2 位作者 马小明 孟申 王菊莉 《中国医学装备》 2025年第9期98-102,108,共6页
目的:探讨风险管理理念干预措施在医疗器械不良事件中的效用,以减少不良事件发生率、提升医疗器械使用的安全性和有效性。方法:采用风险管理理念干预措施对医疗器械进行风险评估与分级管理,实时监测医疗器械运行状态,制定医疗器械使用... 目的:探讨风险管理理念干预措施在医疗器械不良事件中的效用,以减少不良事件发生率、提升医疗器械使用的安全性和有效性。方法:采用风险管理理念干预措施对医疗器械进行风险评估与分级管理,实时监测医疗器械运行状态,制定医疗器械使用标准操作规程对医疗器械进行风险管理。选取2022年1月至2024年3月复旦大学附属中山医院青浦分院临床在用的2 222件常规医疗器械,采用不按比例分配的分层随机抽样法将其中1 064件器械(随机值≤0.48)应用常规管理方法,另外1 158件器械(随机值>0.48)应用风险干预管理方法。对比分析两种管理方法医疗器械不良事件发生率、医疗器械清洗合格率和湿包率,以及护理人员的医疗器械知识水平评分。结果:采用风险干预管理方法的1 158件医疗器械中非手术科室、手术科室和诊断相关科室不良事件发生率分别为0.69%(8/1 158)、1.90%(22/1 158)和3.11%(36/1 158),均低于常规管理方法1 064件医疗器械的3.85%(41/1 064)、4.98%(53/1 064)和8.93%(95/1 064),差异均有统计学意义(x^(2)=25.716、16.143、33.852,P<0.05);医疗器械不同风险等级不良事件发生率低于常规管理方法,差异有统计学意义(x^(2)=7.625,P<0.05);医疗器械清洗合格率高于常规管理方法,湿包率低于常规管理方法,差异均有统计学意义(x^(2)=9.091、17.540,P<0.05);护理人员的医疗器械组成、使用规范、清洗灭菌、缺陷检查、保养及注意事项知识水平及总得分均高于常规管理方法,差异均有统计学意义(t=2.158、2.422、2.544、2.391、2.152、4.528,P<0.05)。结论:风险管理理念干预措施能够显著降低医疗器械不良事件发生率,提高医疗器械清洗合格率,提升护理人员医疗器械认知。 展开更多
关键词 医疗器械 不良事件 风险管理 干预措施 主动监测
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Algorithms for online fault tolerance server consolidation
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作者 Boyu Li Bin Wu +6 位作者 meng shen Hao Peng Weisheng Li Hong Zhang Jie Gan Zhihong Tian Guangquan Xu 《Digital Communications and Networks》 2025年第2期514-523,共10页
We study a novel replication mechanism to ensure service continuity against multiple simultaneous server failures.In this mechanism,each item represents a computing task and is replicated intoξ+1 servers for some int... We study a novel replication mechanism to ensure service continuity against multiple simultaneous server failures.In this mechanism,each item represents a computing task and is replicated intoξ+1 servers for some integerξ≥1,with workloads specified by the amount of required resources.If one or more servers fail,the affected workloads can be redirected to other servers that host replicas associated with the same item,such that the service is not interrupted by the failure of up toξservers.This requires that any feasible assignment algorithm must reserve some capacity in each server to accommodate the workload redirected from potential failed servers without overloading,and determining the optimal method for reserving capacity becomes a key issue.Unlike existing algorithms that assume that no two servers share replicas of more than one item,we first formulate capacity reservation for a general arbitrary scenario.Due to the combinatorial nature of this problem,finding the optimal solution is difficult.To this end,we propose a Generalized and Simple Calculating Reserved Capacity(GSCRC)algorithm,with a time complexity only related to the number of items packed in the server.In conjunction with GSCRC,we propose a robust replica packing algorithm with capacity optimization(RobustPack),which aims to minimize the number of servers hosting replicas and tolerate multiple server failures.Through theoretical analysis and experimental evaluations,we show that the RobustPack algorithm can achieve better performance. 展开更多
关键词 Cloud computing Server consolidation REPLICA Fault tolerance
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Broadband ultrasound generator over fiber-optic tip for in vivo emotional stress modulation
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作者 Jiapu Li Xinghua Liu +10 位作者 Zhuohua Xiao shengjiang Yang Zhanfei Li Xin Gui meng shen He Jiang Xuelei Fu Yiming Wang Song Gong Tuan Guo Zhengying Li 《Opto-Electronic Science》 2025年第7期1-12,共12页
Ultrasonic neuromodulation has gained recognition as a promising therapeutic approach.A miniature transducer capable of generating suitable-strength and broadband ultrasound is of great significance for achieving high... Ultrasonic neuromodulation has gained recognition as a promising therapeutic approach.A miniature transducer capable of generating suitable-strength and broadband ultrasound is of great significance for achieving high spatial precision ultrasonic neural stimulation.However,the ultrasound transducer with the above integrated is yet to be challenged.Here,we developed a fiber-optic photoacoustic emitter(FPE)with a diameter of 200μm,featuring controllable sound intensity and a broadband response(−6 dB bandwidth:162%).The device integrates MXene(Ti_(3)C_(2)Tx),known for its exceptional photothermal properties,and polydimethylsiloxane,which offers a high thermal expansion coefficient.This FPE,exhibiting high spatial precision(lateral:163.3μm,axial:207μm),is capable of selectively activating neurons in targeted regions.Using the TetTagging method to selectively express a cfos-promoter-inducible mCHERRY gene within the medial prefrontal cortex(mPFC),we found that photoacoustic stimulation significantly and temporarily activated the neurons.In vivo fiber photometry demonstrated that photoacoustic stimulation induced substantial calcium transients in mPFC neurons.Furthermore,we confirmed that photoacoustic stimulation of the mPFC using FPE markedly alleviates acute social defeat stress-induced emotional stress in mice.This work demonstrates the potential of FPEs for clinical applications,with a particular focus on modulating neural activity to regulate emotions. 展开更多
关键词 fiber-optic photoacoustic emitter ultrasonic nerve stimulation high spatial precision
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Ferritin as a diagnostic, differential diagnostic, and prognostic marker for immune-related adverse events 被引量:8
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作者 Weihong Zhang Yuan meng +10 位作者 Lin Yang meng shen Li Zhou Runmei Li Yang Wang Weijiao Du Yanjuan Xiong Ying Han Xinwei Zhang Liang Liu Xiubao Ren 《Cancer Biology & Medicine》 SCIE CAS CSCD 2021年第4期1109-1117,共9页
Objective:Distinguishing immune-related adverse events(irAEs)caused by immune checkpoint inhibitors(ICIs)from the AEs caused by chemotherapy,targeted therapy,or infection is highly difficult.This study offers new insi... Objective:Distinguishing immune-related adverse events(irAEs)caused by immune checkpoint inhibitors(ICIs)from the AEs caused by chemotherapy,targeted therapy,or infection is highly difficult.This study offers new insights into evaluating the diagnosis,differential diagnostic,and prognostic value of ferritin for irAEs induced by ICIs.Methods:From December 1,2018,to April 1,2019,we examined 318 patients with malignant tumors who received serum ferritin monitoring.The cohort comprised 231 patients treated with PD-1 inhibitor or combination with chemotherapy,and 87 patients treated with chemotherapy.Of the 231 patients,90 had irAEs(irAE group),70 had non-irAEs(non-irAE group),67 had no AEs(no irAE-non irAE group),and 4 had unclassified AEs.In the 87 patients,60 had AEs(AE group),and 27 had no AEs(no AE group).Statistical analyses were conducted with nonparametric Mann-Whitney tests.Results:At the onset of AEs in the irAE group,ferritin(normal range,35–150μg/L)rose to a median of 927μg/L(range,117–17,825μg/L)from 86μg/L at baseline(range,29–421μg/L)(P<0.001).Ferritin levels at the onset of AEs in the irAE group were significantly higher than those in the non-irAE group(median,81μg/L;range,32–478μg/L)(P<0.001)and the AE group(median,103μg/L;range,23–712μg/L)(P<0.001).After treatment in the irAE group,ferritin continuously decreased to a normal range in recovered patients,showed no significant changes in stable patients,and continued to rise in patients who died.Conclusions:Ferritin can be used as a diagnostic,differential diagnostic,and prognostic marker for irAEs in patients treated with ICIs. 展开更多
关键词 FERRITIN diagnosis PROGNOSIS irAEs PD-1 CHEMOTHERAPY
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针对鼠伤寒沙门氏菌致病性岛Ⅲ筛选中药活性成分作为鼠伤寒沙门氏菌潜在毒力抑制剂
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作者 崔梦弟 陶欧 +7 位作者 王媛媛 杨玉磊 缪素芬 侯俊玲 邓晓鹏 沈蒙 贾珊珊 张玫 《Journal of Traditional Chinese Medical Sciences》 CAS 2023年第4期493-501,528,共10页
目的:筛选中药活性成分作为鼠伤寒沙门氏菌致病性岛III(Salmonella pathogenicity island III,SPI-3)潜在毒力抑制剂。方法:通过分子对接技术明确中药成分与SPI-3中的MgtC蛋白的潜在结合关系。使用β-半乳糖苷酶测定法评估中药成分对mgt... 目的:筛选中药活性成分作为鼠伤寒沙门氏菌致病性岛III(Salmonella pathogenicity island III,SPI-3)潜在毒力抑制剂。方法:通过分子对接技术明确中药成分与SPI-3中的MgtC蛋白的潜在结合关系。使用β-半乳糖苷酶测定法评估中药成分对mgtC转录的影响。最后,通过评估细菌生长曲线和关键代谢基因的转录水平研究药物对细菌生长的影响。结果:所有27个候选中药成分均显示出与MgtC结合的潜力。阿魏酸、对羟基肉桂酸、牛蒡子苷和掌叶防己碱使mgtC的转录活性降低了15%以上。这四个成分对mgtC转录的最低抑制浓度分别为:阿魏酸16μM;对羟基肉桂酸40μM;牛蒡子苷80μM;掌叶防己碱160μM。此外,我们证实这四种成分均未抑制细菌生长。结论:在本研究中,我们建立了一种基于β-半乳糖苷酶测定法的鼠伤寒沙门氏菌毒力抑制剂筛选方法。以SPI-3为靶标,筛选了27种中药成分,发现有4种对鼠伤寒沙门氏菌毒力具有潜在的强效抑制作用。这为未来从草药中开发新型抗生素提供了先导化合物。这种方法也可用于筛选其他致病菌的毒力抑制剂。 展开更多
关键词 鼠伤寒沙门氏菌 毒力抑制剂 鼠伤寒沙门氏菌致病性岛III mgtC 中药成分
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Study on Electrokinetic Remediation of Cadmium-contaminated Soil 被引量:4
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作者 meng shen Yanqiu CHEN +4 位作者 Hui HAN Xin WEN Min SHAO Mingxin WANG Yushan WAN 《Agricultural Biotechnology》 CAS 2019年第1期135-139,共5页
In order to improve electrokinetic remediation efficiency of cadmium-contaminated soil,the effects of electric field intensity,remediation time and electrolyte on removal rate of total Cd in Cd-contaminated soil by el... In order to improve electrokinetic remediation efficiency of cadmium-contaminated soil,the effects of electric field intensity,remediation time and electrolyte on removal rate of total Cd in Cd-contaminated soil by electrokinetic remediation were studied through the preparation of Cd-contaminated soil and the construction of electrokinetic remediation equipment. The results showed that under the same condition,with the electric field intensity increasing from 2. 5 to 3 V/cm,the total Cd removal rate increased by 10. 62%,and with the increase of the electric field intensity from 3 to 3. 5 V/cm,the removal rate increased by 1. 87%;when the remediation time was prolonged from 72 to 96 h,the removal rate of total Cd increased by 6. 68%,and with the remediation time prolonged from 96 to120 h,the removal rate of total Cd increased by 8. 75%; and with the remediation time prolonged from 120 to 144 h,the removal rate of total Cd only increased by1. 07%. Compared with citric acid as the electrolyte,the acetic acid group improved the remediation efficiency by 12. 14% and the total energy consumption by62. 13%,while the hydrochloric acid group improved the remediation efficiency by 18. 04% and the total energy consumption by 187. 9%. Comprehensively from total Cd removal rate and energy consumption,the remediation effect was the best under the electric field intensity of 3 V/cm and the electrokinetic time of 120 h with acetic acid as the electrolyte,which achieved a total Cd removal rate of 41. 95%. 展开更多
关键词 ELECTROKINETIC REMEDIATION CADMIUM contamination ELECTROLYTE BENTONITE
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Assimilating satellite SST/SSH and in-situ T/S profiles with the Localized Weighted Ensemble Kalman Filter 被引量:1
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作者 meng shen Yan Chen +1 位作者 Pinqiang Wang Weimin Zhang 《Acta Oceanologica Sinica》 SCIE CAS CSCD 2022年第2期26-40,共15页
The Localized Weighted Ensemble Kalman Filter(LWEnKF)is a new nonlinear/non-Gaussian data assimilation(DA)method that can effectively alleviate the filter degradation problem faced by particle filtering,and it has gre... The Localized Weighted Ensemble Kalman Filter(LWEnKF)is a new nonlinear/non-Gaussian data assimilation(DA)method that can effectively alleviate the filter degradation problem faced by particle filtering,and it has great prospects for applications in geophysical models.In terms of operational applications,along-track sea surface height(AT-SSH),swath sea surface temperature(S-SST)and in-situ temperature and salinity(T/S)profiles are assimilated using the LWEnKF in the northern South China Sea(SCS).To adapt to the vertical S-coordinates of the Regional Ocean Modelling System(ROMS),a vertical localization radius function is designed for T/S profiles assimilation using the LWEnKF.The results show that the LWEnKF outperforms the local particle filter(LPF)due to the introduction of the Ensemble Kalman Filter(EnKF)as a proposal density;the RMSEs of SSH and SST from the LWEnKF are comparable to the EnKF,but the RMSEs of T/S profiles reduce significantly by approximately 55%for the T profile and 35%for the S profile(relative to the EnKF).As a result,the LWEnKF makes more reasonable predictions of the internal ocean temperature field.In addition,the three-dimensional structures of nonlinear mesoscale eddies are better characterized when using the LWEnKF. 展开更多
关键词 data assimilation Localized Weighted Ensemble Kalman Filter northern South China Sea sea surface height sea surface temperature temperature and salinity profiles mesoscale eddy
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无基础疾病年轻女性肺结核死亡一例并文献复习
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作者 叶盛 唐小苗 +1 位作者 孟燊 雷伟 《中国呼吸与危重监护杂志》 CAS CSCD 北大核心 2022年第3期153-157,共5页
目的探讨重症肺结核的临床特征及诊治要点。方法总结苏州大学附属第一医院呼吸与危重症医学科1例肺结核死亡病例的临床特征、诊治经过及转归,同时检索Pubmed数据库2012年1月—2022年3月发表的对肺结核死亡病例进行分析、研究的相关文章... 目的探讨重症肺结核的临床特征及诊治要点。方法总结苏州大学附属第一医院呼吸与危重症医学科1例肺结核死亡病例的临床特征、诊治经过及转归,同时检索Pubmed数据库2012年1月—2022年3月发表的对肺结核死亡病例进行分析、研究的相关文章。结果患者女,25岁,因“间断咳嗽咳痰1年余,加重伴胸闷气短5 d”入院。既往无基础疾病。经结核菌涂片及肺泡灌洗液高通量测序技术诊断为肺结核,入院时处于休克代偿期,入院后迅速出现急性呼吸窘迫综合征,经积极抗结核、有创机械通气、主动脉内球囊反搏、连续肾脏替代治疗后,病情仍持续恶化,入院后第3天死亡。从数据库中检索到肺结核死亡病例269例。对其中244例患者的既往疾病史分析发现,年轻人以人类免疫缺陷病毒混合感染居首位,老年人以各种慢性病为主。269例患者均因感染性休克、呼吸衰竭及多器官功能障碍综合征最终死亡,其中低钠血症是不可忽视的并发症之一。患者从入院到死亡发生时间最短7 d,最长的平均时间仅为35 d。结论肺结核可发展为感染性休克、多器官功能障碍综合征,重症肺结核预后不良,死亡率高。应加强结核病的健康宣教。 展开更多
关键词 重症肺结核 感染性休克 多器官功能障碍综合征 高通量测序技术 死亡
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BER Analysis of NOMA with Max-Min Relay Selection 被引量:1
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作者 meng shen Zihao Huang +1 位作者 Xianfu Lei Lisheng Fan 《China Communications》 SCIE CSCD 2021年第7期172-182,共11页
In contrast with orthogonal multiple access(OMA)technologies,non-orthogonal multiple access(NOMA)technology can achieve higher spectral effi-ciency and support more users simultaneously.Multiple relays can be deployed... In contrast with orthogonal multiple access(OMA)technologies,non-orthogonal multiple access(NOMA)technology can achieve higher spectral effi-ciency and support more users simultaneously.Multiple relays can be deployed in NOMA networks,in order to combat fading and thus increase the transmission reliability.In the existing works on cooperative NOMA networks with multiple relays,the decoding error at the relays and the imperfect successive interference cancellation(SIC)are not taken into account simultaneously.In this work,we consider the bit error rate(BER)analysis of relay-aided NOMA networks,where max-min relay selection is employed.Particularly,closed-form BER expressions are derived for NOMA networks with Rayleigh fading,in the existence of the relay decoding error and imperfect SIC.The asymptotic BER performance is then obtained to provide some useful insights into the system design such as the diversity order.Finally,simulation results illustrate the correctness of the derived expressions.The presented results reveal the effects of imperfect SIC and relay decoding error on the performance of cooperative NOMA networks. 展开更多
关键词 NOMA bit error rate relay decoding error imperfect SIC
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Extracorporeal membrane oxygenation states basilar artery thrombectomy and left posterior cerebral artery stent thrombectomy:A case report
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作者 Li-Shan Ding Hao Liang +4 位作者 Ming Zheng meng shen Zhao-Jun Li Rui-Peng Song Qing-Liang Chen 《World Journal of Clinical Cases》 SCIE 2024年第18期3589-3595,共7页
BACKGROUND Extracorporeal membrane oxygenation(ECMO)is a new type of extracorporeal respiratory and circulatory assistance device.It can drain venous blood out of the body and inject it into veins or arteries after be... BACKGROUND Extracorporeal membrane oxygenation(ECMO)is a new type of extracorporeal respiratory and circulatory assistance device.It can drain venous blood out of the body and inject it into veins or arteries after being oxygenated by an oxygenator(membrane lung)to replace lung and heart functions in a short time.ECMO can provide tissue blood perfusion and gas exchange almost equivalent to cardiac output and extend the effective treatment time window for patients with acute circulatory failure to restore cardiopulmonary function.CASE SUMMARY We report a case of an 81-year-old woman who underwent whole cerebral angiography,basilar artery thrombectomy and stent thrombectomy in the posterior artery of the left brain after implantation of ECMO.The patient was admitted to the hospital due to myocardial infarction.Considering that the cause of the patient’s disturbance of consciousness was unknown and cerebrovascular accident could not be ruled out after the implantation of ECMO,the department of Radioactive Intervention performed cerebral angiography.And the result of the angiography indicated vascular occlusion.After the basilar artery thrombectomy and stent thrombectomy in the posterior artery of the left brain,the patency of the occlusive vessel was achieved.CONCLUSION Although the patient eventually died of circulatory failure,the result of this case verifies the feasibility of cerebral angiography and thrombectomy in patients with implanted ECMO in the intubated state. 展开更多
关键词 Extracorporeal membrane oxygenation Blood circulation failure Nerve intervention Stent thrombectomy Case report
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Study on CeO_2/CuFe_2O_4 Catalytic Ozonation of Resorcinol
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作者 Min SHAO Anwei WANG +2 位作者 Hui HAN meng shen Yushan WAN 《Agricultural Biotechnology》 CAS 2019年第2期220-225,共6页
In order to improve the catalytic ozonation effect of resorcinol, the spinel CuFe_2O_4 was modified by doped CeO_2, and X-ray diffraction(XRD) and scanning electron microscopy(SEM) were used for characterization analy... In order to improve the catalytic ozonation effect of resorcinol, the spinel CuFe_2O_4 was modified by doped CeO_2, and X-ray diffraction(XRD) and scanning electron microscopy(SEM) were used for characterization analysis. The effects of composite catalyst CeO_2/CuFe_2O_4 dosage, ozone dosage, initial pH and reaction temperature on degradation were studied, and the stability of the catalyst was tested. The results showed that the composite effect of CeO_2/CuFe_2O_4 prepared by combustion method was good, and the catalyst presented a laminated structure, in which 30 wt% CeO_2/CuFe_2O_4 degradation effect was significant. The removal rate of resorcinol using CeO_2/CuFe_2O_4 composite catalyst was higher than that using ozone or CuFe_2O_4 separately by 41.8% and 11.9%, respectively. In a reaction with resorcinol concentration of 100 mg/L, the catalyst dosage of 1.0 g/L, the ozone dosage of 2.5 mg/(L·min), at pH=9, temperature of 20 ℃, for reaction time of 40 min, the resorcinol removal rate was 88.5%. The catalyst CeO_2/CuFe_2O_4 still showed good degradation effect after repeatedly using for 10 times, and the dissolution rate of metal ions was lower than that of CuFe_2O_4. 展开更多
关键词 CATALYTIC OZONATION CeO2/CuFe2O4 RESORCINOL STABILITY
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Design and Implementation of Long-Term Single-Lead ECG Monitor
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作者 meng shen Shijing Xue 《Journal of Biosciences and Medicines》 2015年第4期18-23,共6页
Some heart diseases need long-term monitoring to diagnose. In this paper, we present a wearable single lead ECG monitoring device with low power consumption based on MSP430 and single-lead ECG front-end AD8232, which ... Some heart diseases need long-term monitoring to diagnose. In this paper, we present a wearable single lead ECG monitoring device with low power consumption based on MSP430 and single-lead ECG front-end AD8232, which could acquire and store patient’s ECG data for 7 days continuously. This device is available for long-term wearing with a small volume. Also, it could detect user’s motion status with an acceleration sensor and supports Bluetooth 4.0 protocol. So it could be expanded to be a dynamic heart rate monitor and/or sleep quality monitor combined with smart phone. The device has huge potential of application for health care of human daily life. 展开更多
关键词 SINGLE LEAD ECG LONG-TERM MONITOR Low Power CONSUMPTION
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A New Comprehensive Evaluation System for Thermo-Tolerance in Tomato at Different Growth Stage
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作者 Mintao Sun Fangling Jiang +2 位作者 Chuan Zhang meng shen Zhen Wu 《Journal of Agricultural Science and Technology(B)》 2016年第3期151-167,共17页
With global warming,heat stress is becoming a more frequent event and a major limiting factor for crop production.The evaluation of thermo-tolerance is essential for the cultivators to obtain the heat resistant genoty... With global warming,heat stress is becoming a more frequent event and a major limiting factor for crop production.The evaluation of thermo-tolerance is essential for the cultivators to obtain the heat resistant genotypes and breeders to improve the thermo-tolerance of plants.Therefore,it is very important to perfect the existing evaluation system for thermo-tolerance.In this study,30 tomato genotypes were treated with heat stress at germination,seedling and flowering stages.Each index was different and diverse in different tomato genotypes by doing variability analysis,difference analysis and Student's t test.Before principal component analysis(PCA),a positive treatment for the negative and moderation indexes was performed.After correlation analysis,the authors performed PCA(including dimensionality reduction(DR),no dimensionality reduction(NDR)and optimal index(OI)),combining with subordinate function(SF),weight and cluster analysis.No matter at germination or seedling stage,the members of the groups were basically identical for DR,NDR and OI.Then 10 tomato genotypes were chosen from 30 randomly for verification.Compared all the evaluation systems,OI was the simplest and also could get as credible results as other methods.Therefore,in this study,OI could be adopted and improve the efficiency during the evaluation.At germination stage,germination power(GP)can accurately evaluate the thermo-tolerance,and at seedling stage,it was fresh weight(FW),internode length(IL)and dry matter percentage of seedling(DMP).Finally,all the indexes in the three stages were applied correlation analysis.Seedling stage showed significant positive correlation with flowering stage.In conclusion,this work improves the current system and set up a new comprehensive evaluation method named OI,which also improves the efficiency,guarantees reliability in screening thermo-tolerance of tomato for cultivators and expedites the process of breeding for resistance. 展开更多
关键词 TOMATO THERMO-TOLERANCE principal component analysis subordinate function cluster analysis comprehensive evaluation.
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Single-cell RNA sequencing reveals Shen-Bai-Jie-Du decoction retards colorectal tumorigenesis by regulating the TMEM131–TNF signaling pathway-mediated differentiation of immunosuppressive dendritic cells 被引量:2
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作者 Yuquan Tao Yinuo Ma +14 位作者 Limei Gu Ye Zhang Qinchang Zhang Lisha Zhou Jie Pan meng shen Xuefei Zhuang Linmei Pan Weixing shen Chengtao Yu Dan Dong Dong Zhang Tingsheng Ling Yang Sun Haibo Cheng 《Acta Pharmaceutica Sinica B》 2025年第7期3545-3560,共16页
Colorectal tumorigenesis generally progresses from adenoma to adenocarcinoma,accompanied by dynamic changes in the tumor microenvironment(TME).A randomized controlled trial has confirmed the efficacy and safety of She... Colorectal tumorigenesis generally progresses from adenoma to adenocarcinoma,accompanied by dynamic changes in the tumor microenvironment(TME).A randomized controlled trial has confirmed the efficacy and safety of Shen-Bai-Jie-Du decoction(SBJDD)in preventing colorectal tumorigenesis.However,the mechanism remains unclear.In this study,we employed single-cell RNA sequencing(scRNA-seq)to investigate the dynamic evolution of the TME and validated cell infiltration with multiplex immunohistochemistry and flow cytometry.Bulk RNA sequencing was utilized to assess the underlying mechanisms.Our results constructed the mutually verifiable single-cell transcriptomic atlases in Apc^(Min/+)mice and clinical patients.There was a marked accumulation of CCL22^(+)dendritic cells(DCs)and an enhanced immunosuppressive action,which SBJDD and berberine reversed.Combined treatment with cholesterol and lipopolysaccharide induced characteristic gene expression of CCL22^(+)DCs,which may represent“exhausted DCs”.Intraperitoneal injection of these DCs after SBJDD treatment eliminated its therapeutic effects.TMEM131 derived CCL22+DCs generation by TNF signaling pathway and may be a potential target of berberine in retarding colorectal tumorigenesis.These findings emphasize the role of exhausted DCs and the regulatory mechanisms of SBJDD and berberine in colorectal cancer(CRC),suggesting that the multi-component properties of SBJDD may help restore TME homeostasis and offer novel cancer therapy. 展开更多
关键词 Single-cell RNA sequencing Colorectal tumorigenesis Tumor microenvironment Traditional Chinese medicine CCL22^(+)dendriticcells CD4^(+)regulatory T cells TMEM131 TNF signaling pathway
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Effects of ulinastatin therapy in deep vein thrombosis prevention after brain tumor surgery:A single-center randomized controlled trial
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作者 Yun-Na Tao Qian Han +5 位作者 Wei Jiao Li-Kun Yang Fang Wang Shan Xue meng shen Yu-Hai Wang 《World Journal of Clinical Cases》 SCIE 2023年第31期7583-7592,共10页
BACKGROUND Venous thromboembolism(VTE)is a common neurosurgical complication after brain tumor resection,and its prophylaxis has been widely studied.There are no effective drugs in the clinical management of venous th... BACKGROUND Venous thromboembolism(VTE)is a common neurosurgical complication after brain tumor resection,and its prophylaxis has been widely studied.There are no effective drugs in the clinical management of venous thromboembolism,and there is an absence of evidence-based medicine concerning the treatment of severe multiple traumas.AIM To explore whether ulinastatin(UTI)can prevent VTE after brain tumor resection.METHODS The present research included patients who underwent brain tumor resection.Patients received UTIs(400,000 IU)or placebos utilizing computer-based random sequencing(in a 1:1 ratio).The primary outcome measures were the incidence of VTE,coagulation function,pulmonary emboli,liver function,renal function,and drug-related adverse effects.RESULTS A total of 405 patients were evaluated between January 2019 and December 2021,and 361 of these were initially enrolled in the study to form intention-to-treat,which was given UTI(n=180)or placebo(n=181)treatment in a random manner.There were no statistically significant differences in baseline clinical data between the two groups.The incidence of VTE in the UTI group was remarkably improved compared with that in the placebo group.UTI can improve coagulation dysfunction,pulmonary emboli,liver function,and renal function.No significant difference was identified between the two groups in the side effects of UTI-induced diarrhea,vomiting,hospital stays,or hospitalization costs.The incidence of allergies was higher in the UTI group than in the placebo group.CONCLUSION The findings from the present research indicated that UTI can decrease the incidence of VTE and clinical outcomes of patients after brain tumor resection and has fewer adverse reactions. 展开更多
关键词 ULINASTATIN Venous thromboembolism Brain tumor resection Randomized control trial OUTCOME
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Osimertinib exacerbates immune checkpoint inhibitor-related severe adverse events by activating the IL-6/JAK/STAT3 pathway in macrophages
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作者 Yuan Li Yanping Chen +3 位作者 Yuan meng meng shen Fan Yang Xiubao Ren 《Cancer Biology & Medicine》 CSCD 2024年第12期1156-1170,共15页
Objective:The combination of epithelial growth factor receptor tyrosine kinase inhibitors(EGFR-TKIs)and immune checkpoint inhibitors(ICIs)leads to an increased incidence of severe immune-related adverse events(irAEs).... Objective:The combination of epithelial growth factor receptor tyrosine kinase inhibitors(EGFR-TKIs)and immune checkpoint inhibitors(ICIs)leads to an increased incidence of severe immune-related adverse events(irAEs).However,the mechanisms underlying macrophages in irAEs have not been elucidated.Methods:An osimertinib and ICI-induced irAE mouse model was constructed.Lung micro-CT scans were used to assess the degree of inflammatory infiltration.Hematoxylin-eosin staining was used to analyze the histopathologic inflammatory infiltration in mouse liver and lung tissues.Flow cytometry was used to detect the percentages of T cells,NK cells,and macrophages and the expression of EGFR.Enzyme-linked immunosorbent assay(ELISA)was used to detect the serum interleukin(IL)-6,alanine transaminase(ALT),ferritin,and tumor necrosis factor(TNF)-αlevels.Total RNA extracted from mouse liver macrophages was analyzed by RNA-seq.Simple Western blot analysis was used to detect the IL-6/JAK/STAT3 pathway activation state.Results:Osimertinib combined with ICIs upregulated EGFR expression on macrophages with increased serum IL-6,ALT,and ferritin levels.RNA-seq and simple Western blot analysis of mouse liver macrophages confirmed that that the IL-6/JAK/STAT3 pathway was activated in the combination treatment group.Ruxolitinib blocked the IL-6/JAK/STAT3 pathway and significantly decreased the serum IL-6,ALT,and ferritin levels in the combination treatment group.Conclusions:An osimertinib and ICI-induced irAE mouse model was constructed that showed osimertinib combined with ICIs inhibited EGFR phosphorylation and activated the IL-6/JAK/STAT3 signaling pathway in mouse liver macrophages,which led to the release of relevant cytokines. 展开更多
关键词 Osimertinib ICIS irAEs MACROPHAGES IL-6/JAK/STAT3
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铁电体热释电循环的能量转换机理
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作者 曹万强 沈孟 +2 位作者 张清风 陈勇 郭全胜 《科学通报》 EI CAS CSCD 北大核心 2023年第8期972-980,共9页
环境中的废热可以被铁电体在变温和变电场的热释电循环中转换为电能.然而,铁电体的极化强度随外界条件的变化一直是待解的难题.本文根据电场作用下铁电体中偶极子在三维空间转动的唯象理论,引入偶极子的耦合效应解决了极化强度在一定初... 环境中的废热可以被铁电体在变温和变电场的热释电循环中转换为电能.然而,铁电体的极化强度随外界条件的变化一直是待解的难题.本文根据电场作用下铁电体中偶极子在三维空间转动的唯象理论,引入偶极子的耦合效应解决了极化强度在一定初始条件下随温度和电场的变化规律,推导出了奥尔森热释电循环中温度和电场对极化强度和热释电转换效率的影响规律.通过数值模拟得到如下结论:热释电循环的等高温线与电滞回线的上曲线重合;等低温线在电滞回线的中线与上线之间,由所加最大电场决定;热释电循环时,低温端的温度越接近居里点,以及高温端的温度略高于居里点,会有较高且较为稳定的热释电转换效率.上述结论与实验结果基本相符. 展开更多
关键词 铁电体 能量转换 热释电循环 极化强度 热释电
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面向个人热管理的降温纺织品 被引量:16
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作者 曾少宁 胡佳雨 +13 位作者 张曼妮 向远卓 吴嘉威 苏敏钰 张雨琪 沈梦 洪平 黄朝林 陈敏 周宁 侯冲 周华民 张定宇 陶光明 《科学通报》 EI CAS CSCD 北大核心 2022年第11期1167-1179,共13页
高温环境下人体的局部微环境热调控对人类健康具有重大意义.纺织品作为人体与外界环境的一道防护屏障,对个人的热舒适管理有重要作用.普通纺织品由于缺乏高效的温度调控机制,难以应对周围环境的剧烈温度变化,尤其是在高温场景下如何实... 高温环境下人体的局部微环境热调控对人类健康具有重大意义.纺织品作为人体与外界环境的一道防护屏障,对个人的热舒适管理有重要作用.普通纺织品由于缺乏高效的温度调控机制,难以应对周围环境的剧烈温度变化,尤其是在高温场景下如何实现有效的降温是亟须解决的难题.通过物理光学、材料科学和纺织工程等多学科交叉融合而衍生的降温纺织品,有望以更加有效和个性化的方式满足个体温度的调节需求,将通过多学科交叉创新的科学研究助力体育运动与医疗健康的智能化发展.本文重点讨论了降温纺织品的基本机制、研究进展和应用场景,阐述其发展方向和产业化潜力,并展望降温纺织品在多元化运动和智能化医疗中的广阔前景. 展开更多
关键词 降温纺织品 个人热管理 辐射降温 可穿戴技术 功能织物
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Scalable and Privacy-Preserving Data Sharing Based on Blockchain 被引量:21
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作者 Bao-Kun Zheng Lie-Huang Zhu +4 位作者 meng shen Feng Gao Chuan Zhang Yan-Dong Li Jing Yang 《Journal of Computer Science & Technology》 SCIE EI CSCD 2018年第3期557-567,共11页
With the development of network technology and cloud computing, data sharing is becoming increasingly popular, and many scholars have conducted in-depth research to promote its flourish. As the scale of data sharing e... With the development of network technology and cloud computing, data sharing is becoming increasingly popular, and many scholars have conducted in-depth research to promote its flourish. As the scale of data sharing expands, its privacy protection has become a hot issue in research. Moreover, in data sharing, the data is usually maintained in multiple parties, which brings new challenges to protect the privacy of these multi-party data. In this paper, we propose a trusted data sharing scheme using blockchain. We use blockchain to prevent the shared data from being tampered, and use the Paillier cryptosystem to realize the confidentiality of the shared data. In the proposed scheme, the shared data can be traded, and the transaction information is protected by using the (p, t)-threshold Paillier cryptosystem. We conduct experiments in cloud storage scenarios and the experimental results demonstrate the efficiency and effectiveness of the proposed scheme. 展开更多
关键词 data sharing PRIVACY-PRESERVING cloud computing blockchain Paillier cryptosystem
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人体肠道菌群对肿瘤发生和治疗效果的影响 被引量:6
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作者 盂坤 朱婉琦 邢力刚 《肿瘤研究与临床》 CAS 2018年第7期493-497,共5页
人体微生物与人体健康、疾病相关,其在抵御病原体入侵、参与免疫调节和肿瘤发生发展方面起重要作用。研究发现恶性肿瘤患者的自身菌群多呈现失调状态,尤其是肠道菌群的失调,可通过影响肠道稳态、肠道代谢、免疫功能等方面促进肿瘤的... 人体微生物与人体健康、疾病相关,其在抵御病原体入侵、参与免疫调节和肿瘤发生发展方面起重要作用。研究发现恶性肿瘤患者的自身菌群多呈现失调状态,尤其是肠道菌群的失调,可通过影响肠道稳态、肠道代谢、免疫功能等方面促进肿瘤的发生、发展。另外,肠道菌群中各菌种之间的比例变化检查可作为一种非侵入性的筛查方法及早期发现恶性肿瘤的预测诊断指标。文章总结了近期关于肠道菌群与疾病的相关性研究以及可能引起恶性肿瘤的机制,有望为恶性肿瘤预防和治疗提供新思路。 展开更多
关键词 肿瘤 肠道菌群 机制 诊断
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