期刊文献+
共找到65篇文章
< 1 2 4 >
每页显示 20 50 100
经内镜逆行胰胆管造影术与腹腔镜胆道手术在肝内外胆管结石治疗中的疗效评价 被引量:49
1
作者 谷化剑 郭宇廷 +4 位作者 韩民 喻超 陈自力 潘耀振 孙诚谊 《中国内镜杂志》 北大核心 2017年第8期32-37,共6页
目的探讨经内镜逆行胰胆管造影术(ERCP)与腹腔镜胆道手术在肝内外胆管结石治疗中的疗效。方法对110例肝内胆管结石位于Ⅰ和Ⅱ级肝管与378例单纯胆总管结石患者行ERCP+内镜下十二指肠乳头括约肌切开术(EST)+经内镜鼻胆管引流术(ENBD),或... 目的探讨经内镜逆行胰胆管造影术(ERCP)与腹腔镜胆道手术在肝内外胆管结石治疗中的疗效。方法对110例肝内胆管结石位于Ⅰ和Ⅱ级肝管与378例单纯胆总管结石患者行ERCP+内镜下十二指肠乳头括约肌切开术(EST)+经内镜鼻胆管引流术(ENBD),或腹腔镜胆道探查取石术(LBDEL)联合激光碎石术,术中胆管一期缝合或放置T管,比较两种术式的围手术期并发症及术后恢复情况。结果 110例肝内胆管结石患者结石残余率为31.82%,其中ERCP组(51.06%)残余结石率高于LBDEL组(17.46%)(P<0.05),术后恢复LBDEL组优于ERCP组。378例单纯胆总管结石患者结石残余率为8.20%,其中ERCP组(3.68%)残余结石率低于LBDEL组(11.63%)(P<0.05);术后恢复情况两组差异无统计学意义(P>0.05)。术后并发症中LBDEL组胆漏与肺部感染发生率高于ERCP组;腹腔感染、急性胰腺炎、消化道出血及消化道穿孔方面ERCP组发生率高于LBDEL组。单纯胆总管结石患者ERCP治疗时出现2例消化道穿孔导致死亡。结论 LBDEL和ERCP治疗胆总管结石具有相同的临床疗效,但在肝内胆管结石治疗中ERCP优势不明显,术后并发症发生率高。LBDEL治疗肝内外胆管结石疗效显著,可保持Oddi括约肌的完整性,该项技术易于普及到基层医院,令广大患者受益。 展开更多
关键词 肝内胆管结石 胆总管结石 经内镜逆行胰胆管造影术(ERCP) 十二指肠乳头括约肌切开术(EST) 腹腔镜胆道探查取石术
暂未订购
内镜下黏膜切除术治疗胃息肉的疗效及对血清ProGRP、PGI水平的影响 被引量:27
2
作者 华婷琰 华娴 +2 位作者 闵寒 杨建龙 陆筱祎 《现代生物医学进展》 CAS 2023年第9期1731-1735,共5页
目的:探讨内镜下黏膜切除术治疗胃息肉的疗效及对血清胃泌素释放肽前体(ProGRP)、胃蛋白酶原I(PGI)水平的影响。方法:选取我院2019年8月到2022年8月收治的120例胃息肉患者作为研究对象,依照手术方式的不同进行分组,其中将选择常规内镜... 目的:探讨内镜下黏膜切除术治疗胃息肉的疗效及对血清胃泌素释放肽前体(ProGRP)、胃蛋白酶原I(PGI)水平的影响。方法:选取我院2019年8月到2022年8月收治的120例胃息肉患者作为研究对象,依照手术方式的不同进行分组,其中将选择常规内镜下电凝切除术治疗的60例患者分为对照组,选择内镜下黏膜切除术治疗的60例患者分为观察组。对比两组患者不良反应发生情况与治疗费用,手术前与手术后血清ProGRP、PGI表达水平以及炎症因子表达水平,对比两组患者整体切除率和并发症发生情况。结果:两组患者总治疗费用对比无差异(P>0.05),观察组患者术后不良反应发生率较对照组低(P<0.05);两组患者手术前血清ProGRP、PGI水平对比无差异(P>0.05),治疗后两组患者均降低,且观察组较对照组低(P<0.05);两组患者手术前PCT、CRP、IL-6、IL-2对比无明显差异(P>0.05),手术后两组患者PCT、CRP、IL-6、IL-2均升高,且观察组低于对照组(P<0.05);两组患者胃息肉均被完整切除,整体切除率对比无差异;且观察组穿孔、迟发性出血以及感染等并发症发生率虽低于对照组,但比较无差异(P>0.05)。结论:对胃息肉患者采取内镜下黏膜切除术与常规内镜下电凝切除术均能够完整的切除胃息肉,且治疗费用相当。而应用内镜下黏膜切除术能够降低患者ProGRP、PGI水平,降低机体炎症因子反应,且并发症发生率较低,值得临床应用推广。 展开更多
关键词 内镜下黏膜切除术 胃息肉 胃蛋白酶原Ⅰ 胃泌素释放肽前体 炎症因子
原文传递
Small molecular chelator for comprehensive regulation of tumor lactate levels in synergy with photodynamic therapy for cancer treatment
3
作者 Haiqing Zhong Xufang Ying +8 位作者 Xiaoyan Bao Linjie Wu Yiying Lu Qi Dai Qiyao Yang Xin Tan Donghang Xu Jianqing Gao min han 《Asian Journal of Pharmaceutical Sciences》 2025年第4期201-213,共13页
An increasing number of studies have focused on depleting lactate and modulating the tumor’s lactic microenvironment to interfere with tumor progression,particularly in breast cancer.Lactate accumulation in tumors co... An increasing number of studies have focused on depleting lactate and modulating the tumor’s lactic microenvironment to interfere with tumor progression,particularly in breast cancer.Lactate accumulation in tumors contributes to a highly acidic microenvironment that promotes cancer cell survival and resistance to therapies.However,existing lactate depletion agents,primarily enzymes and macromolecules,fall short of clinical applications due to poor stability and their ability to only perform solitary lactate depletion without interfering with the transport process.Consequently,the development of stable molecules that deplete lactate and interfere with lactate transport is critically needed.Therefore,in this study,chlorin e6(Ce6)-gadolinium chloride(GdCl_(3))-flavin adenine dinucleotide(FAD)/tamoxifen(TAM)molecular chelates were prepared.The chelates fully interfered with lactate transport,depleted lactate in the tumor microenvironment,mitigated photodynamic therapy resistance,and realized synergistic photodynamic-hormonal therapy.FAD has promising capabilities in regulating lactate levels and mitigating acidic microenvironments.However,a strategy for depleting lactate by chelating the coenzyme FAD to form nanoparticles has not yet been reported.Tamoxifen disrupts tumor development and interferes with lactate transport by binding to estrogen receptor and inhibiting the expression of monocarboxylate transporter.In addition,coupling with Gd^(3+)increased the solubility of Ce6,thereby improving the photodynamic therapy effectiveness.This innovative strategy improves therapeutic efficacy and offers a promising approach for breast cancer treatment. 展开更多
关键词 Nano drug delivery system Lactate depletion Lactate modulation Hormone therapy Photodynamic therapy
暂未订购
Comparative assessment of antitumor effects between doxorubicin and mitochondria-targeted doxorubicin in combination with radiotherapy
4
作者 JIANMIAO YANG XIAOYAN SUN +4 位作者 TIANTIAN WANG HAIQING ZHONG min han WUPING SHUAI DONGhanG XU 《Oncology Research》 2025年第6期1423-1436,共14页
Objectives:Triphenylphosphine(TPP)and Doxorubicin(DOX)were conjugated to obtain Triphenylphosphine-Doxorubicin(TPP-DOX),which was applied in tumor cells for enhancement of DOX in mitochondria targeting.The study focus... Objectives:Triphenylphosphine(TPP)and Doxorubicin(DOX)were conjugated to obtain Triphenylphosphine-Doxorubicin(TPP-DOX),which was applied in tumor cells for enhancement of DOX in mitochondria targeting.The study focused on investigating the anti-tumor effect of TPP-DOX in combination with radiotherapy throughout in vitro and in vivo studies.Methods:TPP-DOX was synthesized using the carbodiimide method.In vitro experiments were conducted with 4T1 cells(mouse breast cancer cell line)to assess apoptosis induction,mitochondrial targeting,reactive oxygen species(ROS)production,and mitochondrial membrane potential.The research evaluates the effects of TPP-DOX,DOX,and their combinations with radiotherapy.A nude mouse tumor heterograft model was established to investigate the synergistic effect of TPP-DOX and radiotherapy.Results:TPP-DOX was successfully synthesized and scrupulously verified.In vitro experiments showed that compared to DOX,TPP-DOX exhibited enhanced tumor cytotoxicity,improved cellular uptake in 4T1 cells,and increased apoptosis induction.Combined with radiotherapy,TPP-DOX promoted mitochondrial ROS production,reduced mitochondrial membrane potential,and amplified its anti-tumor effect.In vivo experiment confirmed that TPP-DOX combined with radiotherapy exhibited superior anti-tumor activity,promoted tumor tissue apoptosis,inhibited tumor angiogenesis,and showed a favorable in vivo safety profile.Conclusion:The study confirmed that when combined with radiotherapy,TPP-DOX promoted tumor cell apoptosis,and effectively enhanced the anti-tumor effect.In sensitive cells,TPP-DOX demonstrates comparable efficacy to DOX when combined with radiotherapy.TPP-DOX holds significant potential for a broader spectrum of applications and emerges as a valuable candidate for clinical application.These findings provide a promising and efficient therapeutic strategy for tumor treatment with improved efficacy and safety. 展开更多
关键词 Mitochondrial-targeting Triphenylphosphine-doxorubicin(TPP-DOX) RADIOTHERAPY ANTITUMOR
暂未订购
全科医师规范化培训中“全程双导师制”的实践探索 被引量:8
5
作者 王燕 丁志良 +3 位作者 闵寒 黄岳青 黄敏 郭鉴玲 《全科医学临床与教育》 2019年第12期1057-1058,共2页
为推动医疗服务重心下移和诊疗资源下沉,缓解群众看病就医难问题,提高重点人群健康服务水平,我国以发展社区卫生服务事业为着力点,推出了一系列政策举措。2015年国务院办公厅印发了《关于推进分级诊疗制度建设的指导意见》,提出“基层... 为推动医疗服务重心下移和诊疗资源下沉,缓解群众看病就医难问题,提高重点人群健康服务水平,我国以发展社区卫生服务事业为着力点,推出了一系列政策举措。2015年国务院办公厅印发了《关于推进分级诊疗制度建设的指导意见》,提出“基层首诊、双向转诊、急慢分治、上下联动”的分级诊疗模式。十九大报告中健康中国战略亦提出必须加强基层医疗卫生服务体系和全科医师队伍建设。 展开更多
关键词 重心下移 十九大报告 实践探索 全科医师 人群健康 双向转诊 全程双导师制 政策举措
在线阅读 下载PDF
PDCA循环护理管理在消化内镜诊疗中的应用效果 被引量:3
6
作者 王皓 顾毅敏 闵寒 《中西医结合护理(中英文)》 2024年第1期151-153,共3页
目的评价在消化内镜诊疗中应用PDCA循环护理管理的作用和价值。方法选取苏州市立医院消化内科收治的120例接受消化内镜诊治的患者为研究对象,将实施常规护理管理的60例患者设为对照组(2021年5~10月),实施PDCA循环护理管理的60例患者设... 目的评价在消化内镜诊疗中应用PDCA循环护理管理的作用和价值。方法选取苏州市立医院消化内科收治的120例接受消化内镜诊治的患者为研究对象,将实施常规护理管理的60例患者设为对照组(2021年5~10月),实施PDCA循环护理管理的60例患者设为观察组(2021年11月至2022年4月)。比较2组的消化内镜清洗消毒质量、患者配合度、不良事件发生率与感染发生率。结果观察组消化内镜清洗消毒质量4个方面的评分均较对照组更高(P均<0.05)。观察组的患者总配合率为96.67%,较对照组的85.00%更高(P<0.05)。观察组呛咳、躁动、器械损伤以及中途终止的不良事件总发生率为6.67%,较对照组的20.00%更低,且感染发生率1.67%也较对照组的11.67%更低(P均<0.05)。结论PDCA循环护理管理对消化内镜清洗消毒质量、患者配合度提升可产生积极作用,同时也能显著降低不良事件发生率及感染发生率。 展开更多
关键词 消化内镜 PDCA循环 不良事件 感染 清洗消毒
暂未订购
基于“互联网+”的多媒体教学模式在全科师资培训中的探索和思考 被引量:1
7
作者 闵寒 丁志良 +3 位作者 王燕 项渊月 姜隽 黄敏 《科教文汇》 2019年第20期87-88,共2页
基于目前我国全科师资培训存在的诸多问题,苏州市立医院全科住培基地把握提高培训过程中的互动性这一关键,通过"互联网+"与医学教育的融合,在网上设置教学查房和模拟诊疗等方式,不断提升培训学员的参与度,使之能更好、更规范... 基于目前我国全科师资培训存在的诸多问题,苏州市立医院全科住培基地把握提高培训过程中的互动性这一关键,通过"互联网+"与医学教育的融合,在网上设置教学查房和模拟诊疗等方式,不断提升培训学员的参与度,使之能更好、更规范地培养合格全科师资,从而加强基层医疗卫生服务体系建设、推进家庭医生签约服务、建立分级诊疗制度、维护和增进人民群众健康。 展开更多
关键词 全科师资培训 "互联网+" 基层医疗卫生服务
在线阅读 下载PDF
1例家族性腺瘤性息肉病家系的遗传学分析 被引量:5
8
作者 黄超 闵寒 +4 位作者 张金坤 杨柳 周春晓 凌鑫 余强 《胃肠病学》 2019年第5期269-273,共5页
背景:腺瘤性结肠息肉病(APC)基因突变与家族性腺瘤性息肉病(FAP)发病风险密切相关。目的:探讨1例FAP家系的遗传学病因。方法:1例反复便血的患者接受内镜检查、病理学分析、家族史调查后诊断为FAP,应用新一代测序(NGS)技术对该FAP家系成... 背景:腺瘤性结肠息肉病(APC)基因突变与家族性腺瘤性息肉病(FAP)发病风险密切相关。目的:探讨1例FAP家系的遗传学病因。方法:1例反复便血的患者接受内镜检查、病理学分析、家族史调查后诊断为FAP,应用新一代测序(NGS)技术对该FAP家系成员进行遗传学分析。结果:该家系中存在APC基因杂合突变c.2800_2803delACTT(p.T934fs),使APC基因发生移码突变,导致该基因氨基酸编码发生改变,形成结构异常的蛋白。该突变可导致较为严重的FAP症状,早发结直肠腺瘤和癌变。结论:NGS可更早、更准确地对患者进行诊断和治疗,为遗传病的早期预防提供新的检测方法。p.T934fs杂合突变是引起该FAP家系发病的根本原因,受累成员需行息肉切除手术,以避免结肠恶化癌变。 展开更多
关键词 结肠腺瘤息肉病 基因 APC 移码突变 系谱
暂未订购
“互联网+”在全科技能考核考官培训中应用的效果评价 被引量:8
9
作者 姜隽 闵寒 +1 位作者 项渊月 黄敏 《中国全科医学》 CAS 北大核心 2019年第28期3486-3489,共4页
背景近年来,随着全科医生培养与使用激励机制相关文件的出台,全科医生的培养工作越来越重要。而我国全科医生队伍建设水平与深化医改、建设健康中国的需求还有较大差距,因此培养一批专业素养强、能力水平高的带教师资和考核队伍,对培养... 背景近年来,随着全科医生培养与使用激励机制相关文件的出台,全科医生的培养工作越来越重要。而我国全科医生队伍建设水平与深化医改、建设健康中国的需求还有较大差距,因此培养一批专业素养强、能力水平高的带教师资和考核队伍,对培养服务能力强的全科医生意义重大。目的通过采取“互联网+”的多媒体教学模式,探索有效提高培训效果的可行性模式,为江苏省全科专业住院医师规范化培训、师资(含考官)培训提出可行性建议。方法2018年3—4月选取2018年参加江苏省全科医学技能考核考官培训的学员共226名。对临床医生参加考官采用“互联网+班级、互联网+评分、互联网+效评”开展培训,并在培训前后采用学员自填形式对培训效果(考核流程、考核项目和内容、考核评分标准、考官职责和任务的了解程度)进行评价。结果培训后学员对考核流程、考核项目和内容、考核评分标准、考官职责和任务的了解程度评分高于培训前(P<0.05)。在有应答的学员中55名既往担任过全科考官,158名既往未担任过全科考官。培训后既往担任过全科考官及既往未担任过全科考官学员对考核流程、考核项目和内容、考核评分标准、考官职责和任务的了解程度评分高于培训前(P<0.05);培训前既往担任过全科考官学员对考核流程、考核项目和内容、考核评分标准、考官职责和任务的了解程度评分高于既往未担任过全科考官学员(P<0.05);培训后既往担任过全科考官与既往未担任过全科考官学员对考核流程、考核项目和内容、考核评分标准、考官职责和任务的了解程度评分比较,差异均无统计学意义(P>0.05)。结论 “互联网+”的多媒体教学模式在全科技能考核考官培训中达到了较好的培训效果。 展开更多
关键词 师资培训 全科医学 互联网+ 教育考核 江苏省
暂未订购
荜茇酰胺通过STAT3介导表观遗传调控下调胃癌细胞TERT表达的研究 被引量:4
10
作者 段超勤 闵寒 +1 位作者 邹晓平 陈志荣 《胃肠病学》 2020年第8期467-471,共5页
背景:荜茇酰胺(PL)是提取自中药荜茇的一种生物碱类化合物,许多研究表明,PL在体内、体外对多种肿瘤细胞具有抗肿瘤作用,但具体机制有待进一步探讨。目的:探讨PL对胃癌细胞TERT表达的调控机制。方法:分别以不同浓度PL、AG490处理胃癌细胞... 背景:荜茇酰胺(PL)是提取自中药荜茇的一种生物碱类化合物,许多研究表明,PL在体内、体外对多种肿瘤细胞具有抗肿瘤作用,但具体机制有待进一步探讨。目的:探讨PL对胃癌细胞TERT表达的调控机制。方法:分别以不同浓度PL、AG490处理胃癌细胞,CCK-8和平板集落形成实验检测胃癌细胞活性,实时荧光定量PCR检测TERT mRNA表达,蛋白质印迹法检测TERT、STAT3、p-STAT3、DNMT1蛋白表达,TRAP-ELISA法检测端粒酶活性,萤光素酶报告基因检测TERT基因启动子活性。结果:与对照组相比,PL组胃癌细胞活性明显下降,集落形成能力明显降低,TERT mRNA和蛋白表达、端粒酶活性明显下降,p-STAT3和DNMT1蛋白表达下降。AG490可明显抑制胃癌细胞活性以及p-STAT3、DNMT1、TERT蛋白表达。结论:PL可显著抑制胃癌细胞生长,其机制可能是通过STAT3介导的表观遗传调控TERT表达,有望成为治疗胃癌新的靶点药物。 展开更多
关键词 荜茇酰胺 胃肿瘤 表观遗传调控 端粒酶逆转录酶 STAT3转录因子
暂未订购
基于EQ-5D-3L量表的胃癌患者生命质量调查及影响因素评价 被引量:6
11
作者 张凤凤 闵寒 +1 位作者 赵春华 朱彦博 《现代肿瘤医学》 CAS 北大核心 2021年第21期3788-3791,共4页
目的:对胃癌患者健康相关生命质量进行测量并分析影响因素,为改善胃癌患者预后和提高患者生命质量提供依据。方法:选取2018年12月至2019年12月在苏州大学附属第一医院诊治的胃癌患者为研究对象,通过欧洲五维健康量表(EQ-5D-3L量表)进行... 目的:对胃癌患者健康相关生命质量进行测量并分析影响因素,为改善胃癌患者预后和提高患者生命质量提供依据。方法:选取2018年12月至2019年12月在苏州大学附属第一医院诊治的胃癌患者为研究对象,通过欧洲五维健康量表(EQ-5D-3L量表)进行问卷调查,单因素分析采用t检验及方差分析,多因素采用多元逐步线性回归模型,统计软件为SAS 9.4。结果:研究共计纳入93名患者。五维度的健康状况分析显示,比例最高的维度是“疼痛或者不舒服”占19.4%,“自我照顾”比例最低占11.8%。患者的健康描述系统指数评分平均为(0.89±0.15)分,直观式健康评分平均为(78.03±18.79)分。单因素分析显示,医保类型、生活习惯、有无合并症及肿瘤家族史为患者生命质量的影响因素(P<0.05)。多因素分析显示,有肿瘤家族史、合并糖尿病及吸烟生活习惯是患者生命质量的影响因素(P<0.05)。结论:医生在临床诊疗过程中应选择合适的个体化治疗方案,加强对主要影响因素的干预,提高患者生命质量。 展开更多
关键词 胃癌 生命质量 EQ-5D-3L量表 影响因素
暂未订购
家庭化产房系统在智慧病房建设中的探索和实践 被引量:3
12
作者 薛健辉 闵寒 张余华 《中国卫生信息管理杂志》 2024年第3期437-441,共5页
目的构建家庭化产房系统,方便医护人员实时检查孕产妇状态,满足孕产妇的不同需求,辅助实现现代化、人性化、智能化的产科服务。方法基于B/S架构,采用平台化的后台支撑架构,整合医院已有的多个临床业务系统,从产房设施环境、优质便民服... 目的构建家庭化产房系统,方便医护人员实时检查孕产妇状态,满足孕产妇的不同需求,辅助实现现代化、人性化、智能化的产科服务。方法基于B/S架构,采用平台化的后台支撑架构,整合医院已有的多个临床业务系统,从产房设施环境、优质便民服务和产科医护闭环管理3个方面进行信息互联、构建家庭化产房系统。结果建立了涵盖数据采集系统、智能监测系统、实时交互系统和联通其他辅助系统的家庭化产房系统,该系统应用后降低了医院成本,提升了医疗质量和孕产妇及家属的满意度。结论家庭化产房系统的建设与应用打通了临床业务系统和智能终端的数据流,为孕产妇及其家属带来了参与监护和决策的新方式,打造了一个现代化的家庭化产房,提升了医疗质量和满意度。 展开更多
关键词 家庭化产房 智慧病房 数据流 智能监测
暂未订购
彩色多普勒超声对乳腺癌微钙化的诊断价值及微钙化与预后的关系 被引量:48
13
作者 韩敏 路红 +2 位作者 马文娟 张宇 张淑苹 《中国现代医学杂志》 CAS 北大核心 2021年第22期85-90,共6页
目的探讨彩色多普勒超声对乳腺癌微钙化的诊断价值并分析微钙化与预后的关系。方法回顾性分析2017年6月—2018年6月天津医科大学肿瘤医院收治的乳腺癌患者420例临床资料。以术后病理诊断为金标准,评估彩色多普勒超声对微钙化的诊断效能... 目的探讨彩色多普勒超声对乳腺癌微钙化的诊断价值并分析微钙化与预后的关系。方法回顾性分析2017年6月—2018年6月天津医科大学肿瘤医院收治的乳腺癌患者420例临床资料。以术后病理诊断为金标准,评估彩色多普勒超声对微钙化的诊断效能。根据预后情况,将420例患者分为预后良好组(346例)和预后不良组(74例),采用单因素分析及多因素Logistics回归分析探究乳腺癌患者预后不良的危险因素。结果超声微钙化影像学特点主要表现为肿块内部及其周边存在点状强回声,以及乳腺腺体内可见沿导管走形方向分布的点状强回声;伴钙化的肿块表现为边缘不光整,形态不规则,边缘毛刺,部分纵横比>1。其中部分微钙化患者腺体内沿导管走形方向分布的强回声光点,该类钙化提示可能有导管内癌或原位癌,患者预后较好;超声诊断乳腺癌微钙化的准确率为71.4%(95%CI:0.672,0.845),敏感性为74.2%(95%CI:0.703,0.871),特异性为62.8%(95%CI:0.575,0.726),阳性预测值为86.1%(95%CI:0.744,0.943),阴性预测值为43.8%(95%CI:0.363,0.579)。多因素Logistic回归分析结果显示:肿瘤直径≥2 cm[O^R=2.401(95%CI:1.105,5.216)]、有淋巴结转移[O^R=2.583(95%CI:1.494,4.466)]、微钙化[O^R=5.376(95%CI:2.105,13.729)]是乳腺癌患者术后预后不良的危险因素(P<0.05);TNM分期为Ⅰ、Ⅱ期[O^R=0.269(95%CI:0.160,0.452)]、术后放疗[O^R=0.345(95%CI:0.202,0.590)]、术后化疗[O^R=0.310(95%CI:0.179,0.537)]是乳腺癌患者术后预后不良的保护因素(P<0.05)。结论彩色多普勒超声对乳腺癌微钙化具有一定诊断价值。乳腺癌手术患者预后受多种因素影响,微钙化是患者预后不良的独立影响因素。 展开更多
关键词 彩色多普勒超声 乳腺癌 微钙化 诊断效能 预后
暂未订购
A large-scale functional approach to uncover human genes and pathways in Drosophila 被引量:6
14
作者 Rong Xu Kejing Deng +8 位作者 Yi Zhu Yue Wu Jing Ren min Wan Shouyuan Zhao Xiaohui Wu min han Yuan Zhuang Tian Xu 《Cell Research》 SCIE CAS CSCD 2008年第11期1114-1127,共14页
We demonstrate the feasibility of performing a systematic screen for human gene functions in Drosophila by assaying for their ability to induce overexpression phenotypes. Over 1 500 transgenic fly lines corresponding ... We demonstrate the feasibility of performing a systematic screen for human gene functions in Drosophila by assaying for their ability to induce overexpression phenotypes. Over 1 500 transgenic fly lines corresponding to 236 human genes have been established. In all, 51 lines are capable of eliciting a phenotype suggesting that the human genes are functional. These heterologous genes are functionally relevant as we have found a similar mutant phenotype caused either by a dominant negative mutant form of the human ribosomal protein L8 gene or by RNAi downregulation of the Drosophila RPL8. Significantly, the Drosophila RPL8 mutant can be rescued by wild-type human RPL8. We also provide genetic evidence that Drosophila RPL8 is a new member of the insulin signaling pathway. In summary, the functions of many human genes appear to be highly conserved, and the ability to identify them in Drosophila represents a powerful genetic tool for large-scale analysis of human transcripts in vivo. 展开更多
关键词 DROSOPHILA human gene GAL4/UAS genetic screen RPL8 insulin signaling
在线阅读 下载PDF
Association between mandibular posterior alveolar morphology and growth pattern in a Chinese population with normal occlusion 被引量:8
15
作者 min han Rong-yang WANG +8 位作者 Hong LIU Xiu-juan ZHU Fu-lan WEI Tao LV Na-na WANG Li-hua HU Guo-ju LI Dong-xu LIU Chun-ling WANG 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2013年第1期25-32,共8页
Objective:To investigate the relationship between growth patterns and mandibular posterior tooth-alveolar bone complex morphology in a Chinese population with normal occlusion.Methods:Forty-five patients with normal o... Objective:To investigate the relationship between growth patterns and mandibular posterior tooth-alveolar bone complex morphology in a Chinese population with normal occlusion.Methods:Forty-five patients with normal occlusion(23 males,22 females) were included in this study.Among these patients,20 displayed the vertical growth pattern,and 20 had the horizontal growth pattern,while the remaining patients displayed the average growth pattern.All of the patients underwent dental cone beam computed tomography(CBCT),which included the region of the mandibular posterior teeth and the alveolar.A linear regression analysis and a correlation analysis between the facial height index(FHI) and the alveolar bone morphology were performed.Results:The inclination of the molars,the thickness of the cortical bone,and the height of the mandibular bone differed significantly between patients with the horizontal growth pattern and those with the vertical growth pattern(P<0.05).Significant positive correlations were found between:the FHI and the inclination of the molars;the FHI and the thickness of the cortical bone;and the FHI and the height of the mandibular bone.Conclusions:The mandibular posterior tooth-alveolar bone complex morphology may be affected by growth patterns. 展开更多
关键词 Cone beam computed tomography (CBCT) Growth pattern Alveolar morphology Normal occlusion
原文传递
重组人内皮抑素结合化疗对晚期非小细胞肺癌患者血清LMTK-3、IGFBP-7的影响 被引量:14
16
作者 韩敏 王坚 王久胜 《中国现代医学杂志》 CAS 2018年第9期55-59,共5页
目的探讨重组人内皮抑素结合化疗对晚期非小细胞肺癌患者血清Lemur酪氨酸激酶3(LMTK-3)、胰岛素样生长因子结合蛋白7(IGFBP-7)的影响。方法选取2012年1月-2015年1月于该院收治的NSCLC患者86例为研究对象,按随机数字表法分为观察组和对照... 目的探讨重组人内皮抑素结合化疗对晚期非小细胞肺癌患者血清Lemur酪氨酸激酶3(LMTK-3)、胰岛素样生长因子结合蛋白7(IGFBP-7)的影响。方法选取2012年1月-2015年1月于该院收治的NSCLC患者86例为研究对象,按随机数字表法分为观察组和对照组,每组43例。对照组患者采取吉西他滨+顺铂化疗。观察组在对照组基础上联合恩度治疗。对两组患者的临床疗效、不良反应、外周血血管内皮生长因子(VEGF)、胰岛素样生长因子1(IGF-1)、LMTK-3、IGFBP表达水平进行评价。结果观察组治疗客观有效率、总有效率高于对照组(P<0.05),观察组的疗效优于对照组,差异有统计学意义(P<0.05)。两组患者的不良反应发生率并差异无统计学意义(P>0.05)。两组患者治疗后VEGF、IGF-1及LMTK-3水平较治疗前更低,GFBP水平较治疗后更高,差异有统计学意义(P<0.05),且观察组治疗后VEGF、IGF-1及LMTK-3水平较对照组更低,IGFBP-7更高,差异有统计学意义(P<0.05)。结论重组人内皮抑素联合化疗可有效降低NSCLC患者的血清LMTK3水平,升高血清IGFBO-7水平,患者的疗效良好,不良反应较低。 展开更多
关键词 重组人内皮抑素 化疗 晚期非小细胞肺癌 Lemur酪氨酸激酶3 胰岛素样生长因子结合蛋白-7
暂未订购
Data-Driven Based Fault Prognosis for Industrial Systems:A Concise Overview 被引量:22
17
作者 Kai Zhong min han Bing han 《IEEE/CAA Journal of Automatica Sinica》 EI CSCD 2020年第2期330-345,共16页
Fault prognosis is mainly referred to the estimation of the operating time before a failure occurs,which is vital for ensuring the stability,safety and long lifetime of degrading industrial systems.According to the re... Fault prognosis is mainly referred to the estimation of the operating time before a failure occurs,which is vital for ensuring the stability,safety and long lifetime of degrading industrial systems.According to the results of fault prognosis,the maintenance strategy for underlying industrial systems can realize the conversion from passive maintenance to active maintenance.With the increased complexity and the improved automation level of industrial systems,fault prognosis techniques have become more and more indispensable.Particularly,the datadriven based prognosis approaches,which tend to find the hidden fault factors and determine the specific fault occurrence time of the system by analysing historical or real-time measurement data,gain great attention from different industrial sectors.In this context,the major task of this paper is to present a systematic overview of data-driven fault prognosis for industrial systems.Firstly,the characteristics of different prognosis methods are revealed with the data-based ones being highlighted.Moreover,based on the different data characteristics that exist in industrial systems,the corresponding fault prognosis methodologies are illustrated,with emphasis on analyses and comparisons of different prognosis methods.Finally,we reveal the current research trends and look forward to the future challenges in this field.This review is expected to serve as a tutorial and source of references for fault prognosis researchers. 展开更多
关键词 DATA-DRIVEN fault prognosis feature extraction industrial systems
在线阅读 下载PDF
Genetic diagnosis strategy of hereditary non-polyposis colorectal cancer 被引量:4
18
作者 Jian-Qiu Sheng Hong Zhang +11 位作者 min Ji Lei Fu Hong Mu ming-Zhi Zhang Ji-Sheng Huang min han Ai-Qin Li Zhi Wei Zi-Qin Sun Zi-Tao Wu Chang-Hong Xia Shi-Rong Li 《World Journal of Gastroenterology》 SCIE CAS CSCD 2009年第8期983-989,共7页
AIM: To study the characteristics of mismatch repair gene mutation of Chinese hereditary non-polyposis colorectal cancer (HNPCC) and hMLH1 gene promoter methylation, and to improve the screening strategy and explore t... AIM: To study the characteristics of mismatch repair gene mutation of Chinese hereditary non-polyposis colorectal cancer (HNPCC) and hMLH1 gene promoter methylation, and to improve the screening strategy and explore the pertinent test methods. METHODS: A systematic analysis of 30 probands from HNPCC families in the north of China was performed by immunohistochemistry, microsatellite instability (MSI), gene mutation and methylation detection. RESULTS: High frequency microsatellite instability occurred in 25 probands (83.3%) of HNPCC family. Loss of hMLH1 and hMSH2 protein expression accounted for 88% of all microsatellite instability. Pathogenic muta-tion occurred in 14 samples and 3 novel mutational sites were discovered. Deletion of exons 1-6, 1-7 and 8 of hMSH2 was detected in 3 samples and no large fragment deletion was found in hMLH1. Of the 30 probands, hMLH1 gene promoter methylation occurred in 3 probands. The rate of gene micromutation detection combined with large fragment deletion detection was 46.7%-56.7%. The rate of the two methods in combination with methylation detection was 63.3%. CONCLUSION: Scientific and rational detection strategy can improve the detection rate of HNPCC. Based on traditional molecular genetics and combined with epigenetics, multiple detection methods can accurately diagnose HNPCC. 展开更多
关键词 Hereditary non-polyposis colorectal cancer Gene mutation Mismatch repair HMSH2 HMLH1 Large fragment deletion METHYLATION
暂未订购
Evaluating the efficacy of endoscopic sphincterotomy on biliary-type sphincter of Oddi dysfunction: A retrospective clinical trial 被引量:5
19
作者 Li-Kun Ren Zhi-Yuan Cai +6 位作者 Xun Ran Neng-Hong Yang Xing-Zhi Li Hao Liu Chang-Wei Wu Wen-Ying Zeng min han 《World Journal of Clinical Cases》 SCIE 2021年第32期9835-9846,共12页
BACKGROUND Although endoscopic sphincterotomy(EST)has a positive therapeutic effect on biliary-type sphincter of Oddi dysfunction(SOD),some patients still have little relief after EST,which implies that other function... BACKGROUND Although endoscopic sphincterotomy(EST)has a positive therapeutic effect on biliary-type sphincter of Oddi dysfunction(SOD),some patients still have little relief after EST,which implies that other functional abdominal pain may also be present with biliary-type SOD and interfere with the diagnosis and treatment of it.AIM To retrospectively assess EST as a treatment for biliary-type SOD and analyze the importance of functional gastrointestinal disorder(FGID)in guiding endoscopic treatment of SOD.METHODS Clinical data of 79 patients with biliary-type SOD(type I and type II)treated with EST at Affiliated Hospital of Guizhou Medical University from January 2014 to January 2019 were retrospectively collected to evaluate the clinical therapeutic effect of EST.The significance of relationship between FGID and biliary-type SOD was analyzed.RESULTS Seventy-nine patients with biliary-type SOD received EST,including 29 type 1 patients and 50 type 2 patients.The verbal rating scale-5(VRS-5)scores before EST were all 3 or 4 points,and the scores decreased after EST;the difference was statistically significant(P<0.05).After EST,the serum indexes of alanine aminotransferase,aspartate aminotransferase,alkaline phosphatase and total bilirubin in biliary-type SOD were significantly lower than before(P<0.05).After EST,67(84.8%)and 8(10.1%)of the 79 patients with biliary-type SOD had obviously effective(VRS-5=0 points)and effective treatment(VRS-5=1-2 points),with an overall effectiveness rate of 94.9%(75/79).There was no difference in VRS-5 scores between biliary-type SOD patients with or without FGID before EST(P>0.05).Of 12 biliary-type SOD(with FGID)patients,11 had abdominal pain after EST;of 67 biliary-type SOD(without FGID)patients,0 had abdominal pain after EST.The difference was statistically significant(P<0.05).The 11 biliary-type SOD(with FGID)patients with recurrence of symptoms,the recurrence time was about half a year after the EST,and the symptoms were significantly relieved after regular medical treatment.There were 4 cases of postendoscopic retrograde cholangiopancreatography pancreatitis(5.1%),and no cholangitis,bleeding or perforation occurred.Patients were followed up for 1 year to 5 years after EST,with an average follow-up time of 2.34 years,and there were no long-term adverse events such as sphincter of Oddi restenosis or cholangitis caused by intestinal bile reflux during the follow-up.CONCLUSION EST is a safe and effective treatment for SOD.For patients with type I and II SOD combined with FGID,single EST or medical treatment has limited efficacy.It is recommended that EST and medicine be combined to improve the cure rate of such patients. 展开更多
关键词 Sphincter of Oddi dysfunction Endoscopic sphincterotomy Functional gastrointestinal disorders Functional dyspepsia Functional heartburn Irritable bowel syndrome Curative effect
暂未订购
Cloning and Sequence Analysis of Genome from the Inner Mongolia Strain of the Endogenous Betaretroviruses (enJSRV) 被引量:4
20
作者 Yu WANG Shu-ying LIU +2 位作者 Jian-yun LI min han Zhen-ling WANG 《Virologica Sinica》 SCIE CAS CSCD 2008年第1期15-24,共10页
In order to amplify the complete genome of enJSRV from the strain of Inner Mongolia (enJSRV-NM), we used enJSRV-specific and JSRV-specific DNA probes in dot blot hybridization. Seven pairs of primers were designed bas... In order to amplify the complete genome of enJSRV from the strain of Inner Mongolia (enJSRV-NM), we used enJSRV-specific and JSRV-specific DNA probes in dot blot hybridization. Seven pairs of primers were designed based on Genbank sequences. Seven fragments were obtained by PCR and were cloned into the PMD19-T vectors. The recombinant plasmids were sequenced and analyzed. The results showed that the genome was 7 942 bp in length and contained four overlapping open reading frames corresponding to the gag, pro, pol and env genes as well as an additional open reading frame (orf-x) that overlaps the 3' end of the pol gene. The nucleotide acid sequences of the enJSRV-NM loci were compared with the sequences of South Africa enJS56A1 strain (Accession No. AF153615) and USA JSRV21 strain (Accession No. AF105220). The nucleotide acid identities were 99.2% and 92.3% respectively. Two zinc fingers were found in the NC region in the predicted amino acid sequence. However, the YXXM motif, which is a reliable molecular marker for the infectious exogenous virus, was not found in the TM region. It was found that the enJSRV-NM region was 90%-98% identical at the amino acid level to its exogenous infectious counterparts in most of the retroviral genome. This is the first nucleotide sequence of enJSRV reported in P.R China. The resource work has provided a wide range of information useful not only for expression genomics and annotation of genomic DNA sequence, but also for further research on the clinical diagnosis of OPA. 展开更多
关键词 Jaagsiekte sheep retrovirus (JSRV) Endogenous betaretroviruses (enJSRV) Ovine pulmonaryadenocarcinoma (OPA) Dot blot hybridization
在线阅读 下载PDF
上一页 1 2 4 下一页 到第
使用帮助 返回顶部