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Efficacy and safety of Huzhang Granule,a compound Chinese herbal medicine,for acute gouty arthritis:A double-blind,randomized controlled trial 被引量:2
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作者 Hao Wang Si-ting Chen +8 位作者 Xiao-jie Ding Le Kuai Liang Hua Xin Li Yi-fei Wang ming zhang Bin Li Rui-ping Wang Mi Zhou 《Journal of Integrative Medicine》 SCIE CAS CSCD 2024年第3期270-278,共9页
Background:Acute gouty arthritis(AGA)is an inflammatory joint disease with a high prevalence.Typical medical interventions,including nonsteroidal anti-inflammatory drugs,colchicine and glucocorticoids,can have serious... Background:Acute gouty arthritis(AGA)is an inflammatory joint disease with a high prevalence.Typical medical interventions,including nonsteroidal anti-inflammatory drugs,colchicine and glucocorticoids,can have serious adverse reactions.Huzhang Granule(HZG),a compound Chinese herbal medicine,has been used to treat AGA for more than 30 years with satisfactory effects and no significant adverse reactions.However,the efficacy and safety of HZG in AGA patients remains unknown.Objective:The present investigation was designed to examine the efficacy and safety profile of HZG in managing AGA patients.Design,setting,participants and interventions:The current study was conducted as a noninferiority,randomized controlled clinical trial on 180 eligible enrolled participants.Participants were randomly assigned into the HZG and etoricoxib groups.Treatments were administered for 5 d,during which the HZG group received HZG and placebo etoricoxib,while the etoricoxib group received etoricoxib and placebo HZG in the same ratio(1:1).Main outcome measures:The primary outcome was pain experienced by the patient in the gout-afflicted joint from days 2 to 5 of the treatment window.The pain level was measured via a visual analogue scale,ranging from 0 mm to 100 mm.The secondary outcomes comprised joint tenderness and swelling,reduction of inflammatory biomarkers,and the patient’s and investigator’s global evaluations of therapeutic response.Results:The mean reduction in pain was-51.22 mm(95%confidence interval[CI],[-53.42,-49.03]mm)for the HZG and-52.00 mm(95%CI,[-54.06,-49.94]mm)for the etoricoxib groups.The mean difference between the two groups was 0.78 mm(95%CI,[-2.25,3.81]mm).All additional efficacy endpoints,covering decreased inflammation and pain relief,yielded compelling proof of noninferiority.Patients in the HZG group exhibited a comparatively lower rate of adverse events compared to those in the etoricoxib group(4.44%vs 13.33%;P≤0.05).Conclusion:HZG and etoricoxib groups demonstrated similar levels of analgesic effectiveness.The safety and efficacy of HZG indicates that it can be used as a potential therapeutic option for treating AGA. 展开更多
关键词 Acute gouty arthritis Huzhang Granule Randomized controlled trial BLIND
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Design and experimental study of a field-reversed configuration plasma thruster prototype 被引量:1
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作者 Yuxuan HUANG ming zhang +5 位作者 Yong YANG Fangwei LYU Xiaopeng YI Chaofan LYU Yisong zhang Bo RAO 《Plasma Science and Technology》 2025年第3期118-126,共9页
The field-reversed configuration(FRC)plasma thruster driven by rotating magnetic field(RMF),abbreviated as the RMF-FRC thruster,is a new type of electric propulsion technology that is expected to accelerate the deep s... The field-reversed configuration(FRC)plasma thruster driven by rotating magnetic field(RMF),abbreviated as the RMF-FRC thruster,is a new type of electric propulsion technology that is expected to accelerate the deep space exploration.An experimental prototype,including diagnostic devices,was designed and constructed based on the principles of the RMF-FRC thruster,with an RMF frequency of 210 kHz and a maximum peak current of 2 kA.Under the rated operating conditions,the initial plasma density was measured to be 5×10^(17)m^(-3),and increased to 2.2×10^(19)m^(-3)after the action of RMF.The coupling efficiency of RMF was about 53%,and the plasma current reached 1.9 kA.The axial magnetic field changed in reverse by 155 Gauss,successfully reversing the bias magnetic field of 60 Gauss,which verifies the formation of FRC plasma.After optimization research,it was found that when the bias magnetic field is 100 Gauss,the axial magnetic field reverse variation caused by FRC is the highest at 164 Gauss.The experimental results are discussed and strategies are proposed to improve the performance of the prototype. 展开更多
关键词 rotating magnetic field(RMF) field-reversed configuration(FRC) plasma thrusters plasma current
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间变性淋巴瘤激酶抑制剂不良反应管理西南专家建议(2021年版) 被引量:24
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作者 王可 李娟 +9 位作者 孙建国 李力 张西 张建勇 余敏 叶贤伟 张明 张瑜 姚文秀 黄媚娟 《中国肺癌杂志》 CAS CSCD 北大核心 2021年第12期815-828,共14页
间变性淋巴瘤激酶(anaplastic lymphoma kinase,ALK)融合基因作为肿瘤驱动基因,对非小细胞肺癌(non-small cell lung cancer,NSCLC)的发生和发展至关重要,而靶向ALK融合基因已成为ALK阳性NSCLC患者的主要治疗手段。第一、二代ALK抑制剂(... 间变性淋巴瘤激酶(anaplastic lymphoma kinase,ALK)融合基因作为肿瘤驱动基因,对非小细胞肺癌(non-small cell lung cancer,NSCLC)的发生和发展至关重要,而靶向ALK融合基因已成为ALK阳性NSCLC患者的主要治疗手段。第一、二代ALK抑制剂(ALK inhibitor,ALKi)克唑替尼、塞瑞替尼、阿来替尼、恩沙替尼已在中国上市并广泛应用。然而,针对ALKi不良反应尚无统一的管理指导规范,在一定程度上降低甚至限制了ALKi的临床使用及患者获益。本文由四川省肿瘤学会肺癌专业委员会及四川省肿瘤性疾病医疗质量控制中心牵头,针对国内已经获批上市的ALKi,参考国内外临床研究和相关文献,并结合专家实践经验,总结出《ALKi不良反应管理专家建议(2021年版)》,以期为临床提供切实可行的ALKi不良反应的管理策略。 展开更多
关键词 间变性淋巴瘤激酶抑制剂 肺肿瘤 不良反应 专家建议
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Adaptive scale model reconstruction for radio synthesis imaging 被引量:2
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作者 Li zhang Li-Gong Mi +6 位作者 Long Xu ming zhang Dan-Yang Li Xiang Liu Feng Wang Yi-Fan Xiao Zhong-Zu Wu 《Research in Astronomy and Astrophysics》 SCIE CAS CSCD 2021年第3期117-127,共11页
A sky model from CLEAN deconvolution is a particularly effective high dynamic range reconstruction in radio astronomy,which can effectively model the sky and remove the sidelobes of the point spread function(PSF)cause... A sky model from CLEAN deconvolution is a particularly effective high dynamic range reconstruction in radio astronomy,which can effectively model the sky and remove the sidelobes of the point spread function(PSF)caused by incomplete sampling in the spatial frequency domain.Compared to scale-free and multi-scale sky models,adaptive-scale sky modeling,which can model both compact and diffuse features,has been proven to have better sky modeling capabilities in narrowband simulated data,especially for large-scale features in high-sensitivity observations which are exactly one of the challenges of data processing for the Square Kilometre Array(SKA).However,adaptive scale CLEAN algorithms have not been verified by real observation data and allow negative components in the model.In this paper,we propose an adaptive scale model algorithm with non-negative constraint and wideband imaging capacities,and it is applied to simulated SKA data and real observation data from the Karl G.Jansky Very Large Array(JVLA),an SKA precursor.Experiments show that the new algorithm can reconstruct more physical models with rich details.This work is a step forward for future SKA image reconstruction and developing SKA imaging pipelines. 展开更多
关键词 methods:data analysis techniques:image processing techniques:interferometric
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罗霄山脉大型真菌区系分析与资源评价 被引量:13
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作者 邓旺秋 李泰辉 +6 位作者 宋宗平 张明 徐隽彦 黄浩 钟祥荣 王超群 贺勇 《生物多样性》 CAS CSCD 北大核心 2020年第7期896-904,共9页
本文采用踏查法对罗霄山脉地区大型真菌资源进行了为期5年的调查,共采集标本5,100多号。结合形态学与分子生物学方法,鉴定出大型真菌2门7纲20目72科218属672种,其中幕阜山脉115种、九岭山脉168种、武功山脉77种、万洋山脉220种、诸广山... 本文采用踏查法对罗霄山脉地区大型真菌资源进行了为期5年的调查,共采集标本5,100多号。结合形态学与分子生物学方法,鉴定出大型真菌2门7纲20目72科218属672种,其中幕阜山脉115种、九岭山脉168种、武功山脉77种、万洋山脉220种、诸广山脉193种;新增罗霄山脉新记录属37个、新记录种514种。对罗霄山脉大型真菌物种组成分析表明,含10种以上的优势科有18科,其物种数占物种总数的73.36%,为多孔菌科、蘑菇科、粉褶蕈科等;含5种以上的优势属有34属,其物种数占物种总数的55.36%,包括粉褶蕈属(Entoloma)、鹅膏属(Amanita)、小皮伞属(Marasmius)等;在该山脉发现中国特有属2个,中国特有种46个。大型真菌资源利用价值评估表明,罗霄山脉有食用菌133种、药用菌136种、毒菌87种,部分种类具有良好的应用前景。本研究为该地区大型真菌资源的保护、利用和管理提供了较重要的科学依据。 展开更多
关键词 真菌区系 多样性 优势类群 经济真菌
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翼状胬肉切除联合自体角膜缘结膜移植术后绷带镜的应用 被引量:29
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作者 张秀丽 杨星 +1 位作者 张明 刘钊 《国际眼科杂志》 CAS 北大核心 2019年第5期867-869,共3页
目的:探讨翼状胬肉切除联合自体角膜缘结膜移植术后应用角膜绷带镜的临床效果。方法:随机对照临床试验。选取2017-11/2018-10在我院眼科接受手术治疗的原发性翼状胬肉患者92例92眼,按随机数字表法分为角膜绷带镜组和弹性绷带组,每组各4... 目的:探讨翼状胬肉切除联合自体角膜缘结膜移植术后应用角膜绷带镜的临床效果。方法:随机对照临床试验。选取2017-11/2018-10在我院眼科接受手术治疗的原发性翼状胬肉患者92例92眼,按随机数字表法分为角膜绷带镜组和弹性绷带组,每组各46眼。两组患者均接受翼状胬肉切除联合自体角膜缘结膜移植术,术毕角膜绷带镜组患者配戴角膜接触镜,弹性绷带组患者在术毕结膜囊内涂红霉素眼膏,弹性绷带包眼。裂隙灯显微镜观察术后第1、4、7d角膜上皮创面,对角膜上皮愈合情况进行评分;运用评价视觉模拟评分法评价术后7d疼痛情况;运用问卷评分法评价术后7d舒适情况(包括异物感、流泪)。结果:术后第1d和第7d两组患者角膜上皮愈合情况无明显差异,而术后第4d角膜绷带镜组患者角膜上皮愈合优于弹性绷带组(P<0.05)。此外,角膜绷带镜组患者术后7d疼痛感评分低于弹性绷带组,眼部舒适度评分高于弹性绷带组(P<0.05)。结论:角膜绷带镜不仅可以有效促进角膜上皮愈合,还可以有效减轻疼痛,提高眼部舒适感。 展开更多
关键词 翼状胬肉 角膜绷带镜 弹性绷带 疼痛
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经鼻蝶显微手术治疗功能性垂体腺瘤的复发危险因素分析 被引量:10
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作者 张明 宋锦宁 +4 位作者 吴媛 黄廷钦 赵君杰 马旭东 高李贵 《中国现代医学杂志》 CAS 2019年第20期49-54,共6页
目的分析经鼻蝶显微手术治疗功能性垂体腺瘤(FPAs)术后复发的危险因素,并构建判断FPAs术后复发的风险模型。方法回顾性分析2010年10月-2017年10月西安交通大学第一附属医院及西安交通大学第二附属医院共112例经鼻蝶显微手术切除FPAs患... 目的分析经鼻蝶显微手术治疗功能性垂体腺瘤(FPAs)术后复发的危险因素,并构建判断FPAs术后复发的风险模型。方法回顾性分析2010年10月-2017年10月西安交通大学第一附属医院及西安交通大学第二附属医院共112例经鼻蝶显微手术切除FPAs患者的临床资料,应用医院门诊病历系统联合电话回访收集患者术后复诊情况,按患者随访结局分为复发组18例和未复发组94例。采用单因素分析和Cox回归分析判定FPAs患者术后复发的相关危险因素。结果两组患者性别、年龄、肿瘤病理分型及是否首次手术比较,差异无统计学意义(P>0.05);两组患者术后Knosp分级、肿瘤直径、术后肿瘤残留、Ki-67表达情况及辅助治疗比较,差异有统计学意义(P<0.05)。经Cox多元回归分析发现,肿瘤直径[=3.120(95%CI:1.248,7.798),P=0.015]、术后肿瘤残余[RR=3.246(95%CI:1.289,8.178),P=0.012]及Ki-67表达[RR=1.151(95%CI:0.826,4.871),P=0.034]是影响FPAs患者术后复发的独立危险因素。结论肿瘤直径较大、术后肿瘤残余及Ki-67≥3%是FPAs患者术后复发的高危因素。早期识别复发高风险患者,及早实施应对措施可改善患者预后。 展开更多
关键词 垂体疾病 内镜检查 随访研究 复发 危险因素
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3D打印结合微创钢板内固定技术在胫骨远端骨折中的临床应用 被引量:13
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作者 张明 徐俊华 +3 位作者 丁凡 刘融 陈令斌 张奕 《中国现代医学杂志》 CAS 2019年第22期48-52,共5页
目的探讨3D打印结合微创钢板内固定技术治疗胫骨远端骨折的临床疗效。方法选取2017年1月—2017年10月于武汉科技大学附属普仁医院骨科确诊的闭合性胫骨远端骨折患者24例,按照随机数字表法将其分为3D微创组和常规微创组;患者均行胫腓骨下... 目的探讨3D打印结合微创钢板内固定技术治疗胫骨远端骨折的临床疗效。方法选取2017年1月—2017年10月于武汉科技大学附属普仁医院骨科确诊的闭合性胫骨远端骨折患者24例,按照随机数字表法将其分为3D微创组和常规微创组;患者均行胫腓骨下段CT扫描。3D微创组数据以医学数字成像及通信格式输出,数据经Mimics软件处理后输入3D打印机,制作出与骨折部位比例1∶1的骨折模型,术前模拟复位,制定个性化手术方案;常规微创组按常规MIPPO技术行骨折内固定术。比较两组患者手术时间、术中出血量、术中透视次数;采用Burwell-Charnley标准评价骨折复位情况;采用AOFAS踝关节评分系统评价患者术后12个月踝关节功能恢复情况。结果两组Burwell-Charnley影像学评价比较,差异无统计学意义(P>0.05);3D微创组手术时间、术中出血量和术中透视次数少于常规微创组(P<0.05);两组术后踝关节AOFAS评分比较,差异无统计学意义(P>0.05)。结论应用3D打印结合微创钢板内固定技术治疗胫骨远端骨折较传统微创手术具有明显优势,可以为胫骨远端骨折治疗提供新的思路。 展开更多
关键词 成像 三维 外科手术 微创性 胫骨骨折
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Influence of Diisocyanate on Polyurethane Elastomers Which Crosslinked by β-Cyclodextrin 被引量:2
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作者 An Xie ming zhang Shin-Ichi Inoue 《Open Journal of Organic Polymer Materials》 CAS 2016年第3期99-111,共13页
A series of polyurethane elastomers (PUEs) were synthesized by using β-cyclodextrin (β-CD) as cross-linker from aliphatic, alicyclic, aromatic diisocyanates, and polyol. The PUEs were characterized by Fourier Transf... A series of polyurethane elastomers (PUEs) were synthesized by using β-cyclodextrin (β-CD) as cross-linker from aliphatic, alicyclic, aromatic diisocyanates, and polyol. The PUEs were characterized by Fourier Transform Infrared Spectroscopy (FTIR), Scanning Electron Microscopy (SEM), Differential Scanning Calorimetry (DSC), Dynamic Mechanical Analysis (DMA), swelling test, hardness test and tensile test. The influence of diisocyanate on microphase separation and properties of PUEs was evaluated. 展开更多
关键词 CYCLODEXTRIN Polyurethane Elastomer Microphase Separation CROSS-LINKER
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Management of perifoveal exudative vascular anomalous complex with laser treatment: a case report
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作者 Qing Chen Bin-Jian Wang +2 位作者 Yu-Zhu Gao Xue Wu ming zhang 《International Journal of Ophthalmology(English edition)》 2025年第5期965-968,共4页
Dear Editor,We describe a case diagnosed with exudative perifoveal vascular anomalous complex(ePVAC)successfully treated with focal laser photocoagulation(577 nm),achieving a favorable prognosis with best-corrected vi... Dear Editor,We describe a case diagnosed with exudative perifoveal vascular anomalous complex(ePVAC)successfully treated with focal laser photocoagulation(577 nm),achieving a favorable prognosis with best-corrected visual acuity(BCVA)of 20/20.Additionally,we discussed the identification of a possible early-onset non-ePVAC.The ePVAC is characterized as an isolated,aneurysmal abnormity near the macula and usually accompanied by cystic macular edema(ME)[1-2]. 展开更多
关键词 cystic macular edema me focal laser photocoagulation best corrected visual acuity laser treatment macular edema early onset non epvac exudative perifoveal vascular anomalous complex epvac successfully perifoveal exudative vascular anomalous complex
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Anime Generation through Diffusion and Language Models:A Comprehensive Survey of Techniques and Trends
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作者 Yujie Wu Xing Deng +4 位作者 Haijian Shao Ke Cheng ming zhang Yingtao Jiang Fei Wang 《Computer Modeling in Engineering & Sciences》 2025年第9期2709-2778,共70页
The application of generative artificial intelligence(AI)is bringing about notable changes in anime creation.This paper surveys recent advancements and applications of diffusion and language models in anime generation... The application of generative artificial intelligence(AI)is bringing about notable changes in anime creation.This paper surveys recent advancements and applications of diffusion and language models in anime generation,focusing on their demonstrated potential to enhance production efficiency through automation and personalization.Despite these benefits,it is crucial to acknowledge the substantial initial computational investments required for training and deploying these models.We conduct an in-depth survey of cutting-edge generative AI technologies,encompassing models such as Stable Diffusion and GPT,and appraise pivotal large-scale datasets alongside quantifiable evaluation metrics.Review of the surveyed literature indicates the achievement of considerable maturity in the capacity of AI models to synthesize high-quality,aesthetically compelling anime visual images from textual prompts,alongside discernible progress in the generation of coherent narratives.However,achieving perfect long-form consistency,mitigating artifacts like flickering in video sequences,and enabling fine-grained artistic control remain critical ongoing challenges.Building upon these advancements,research efforts have increasingly pivoted towards the synthesis of higher-dimensional content,such as video and three-dimensional assets,with recent studies demonstrating significant progress in this burgeoning field.Nevertheless,formidable challenges endure amidst these advancements.Foremost among these are the substantial computational exigencies requisite for training and deploying these sophisticated models,particularly pronounced in the realm of high-dimensional generation such as video synthesis.Additional persistent hurdles include maintaining spatial-temporal consistency across complex scenes and mitigating ethical considerations surrounding bias and the preservation of human creative autonomy.This research underscores the transformative potential and inherent complexities of AI-driven synergy within the creative industries.We posit that future research should be dedicated to the synergistic fusion of diffusion and autoregressive models,the integration of multimodal inputs,and the balanced consideration of ethical implications,particularly regarding bias and the preservation of human creative autonomy,thereby establishing a robust foundation for the advancement of anime creation and the broader landscape of AI-driven content generation. 展开更多
关键词 Diffusion models language models anime generation image synthesis video generation stable diffusion AIGC
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Neolithic to Bronze Age human maternal genetic history in Yunnan,China
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作者 Xinyu Wei ming zhang +30 位作者 Rui Min Zhilong Jiang Jiayang Xue Zhonghua Zhu Haibing Yuan Xiaorui Li Dongyue Zhao Peng Cao Feng Liu Qingyan Dai Xiaotian Feng Ruowei Yang Xiaohong Wu Changcheng Hu Minmin Ma Xu Liu Yang Wan Fan Yang Ranchao Zhou Lihong Kang Guanghui Dong Wanjing Ping Tianyi Wang Bo Miao Fan Bai Yuxin Zheng Yuxiao Liu Melinda A.Yang Wenjun Wang E.Andrew Bennett Qiaomei Fu 《Journal of Genetics and Genomics》 2025年第4期483-493,共11页
Yunnan in southwest China is a geographically and ethnically complex region at the intersection of southern China and Southeast Asia,and a focal point for human migrations.To clarify its maternal genetic history,we ge... Yunnan in southwest China is a geographically and ethnically complex region at the intersection of southern China and Southeast Asia,and a focal point for human migrations.To clarify its maternal genetic history,we generated 152 complete mitogenomes from 17 Yunnan archaeological sites.Our results reveal distinct genetic histories segregated by geographical regions.Maternal lineages of ancient populations from northwestern and northern Yunnan exhibit closer affinities with past and present-day populations from northern East Asia and Xizang,providing important genetic evidence for the migration and interaction of populations along the Tibetan-Yi corridor since the Neolithic.Between 5500 and 1800 years ago,central Yunnan populations maintained their internal genetic relationships,including a 7000-year-old basal lineage of the rare and widely dispersed haplogroup M61.At the Xingyi site,changes in mitochondrial DNA haplogroups occurred between the Late Neolithic and Bronze Age,with haplogroups shifting from those predominant in the Yellow River region to those predominant in coastal southern China.These results highlight the high diversity of Yunnan populations during the Neolithic to Bronze Age. 展开更多
关键词 Ancient DNA YUNNAN Genetic history Mitochondrial genomes NEOLITHIC Bronze age
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Intensive care unit outcomes and prognostic factors of esophageal cancer:A cross-sectional study in Chinese cancer-specialized hospitals
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作者 Jiang-Feng Tang Rui Xia +32 位作者 Xue-Zhong Xing Chang-Song Wang Gang Ma Hong-Zhi Wang Biao Zhu Jiang-Hong Zhao Dong-Min Zhou Li zhang ming-Guang Huang Rong-Xi Quan Yong Ye Guo-Xing zhang Zheng-Ying Jiang Bing Huang Shan-Ling Xu Yun Xiao Lin-Lin zhang Rui-Yun Lin Shu-Liang Ma Yu-An Qiu Zhen Zheng Ni Sun Le-Wu Xian Ji Li ming zhang Zhi-Jun Guo Yong Tao Xiang-Zhe Zhou Wei Chen Dao-Xie Wang Ji-Yan Chi Dong-Hao Wang Kai-Zhong Liu 《World Journal of Gastrointestinal Oncology》 2025年第8期267-276,共10页
BACKGROUND Esophageal cancer patients had the highest intensive care unit(ICU)admitted rate in cancer patients.But their prognosis and evaluation methods were rarely studied.AIM To depict the short-term mortality outc... BACKGROUND Esophageal cancer patients had the highest intensive care unit(ICU)admitted rate in cancer patients.But their prognosis and evaluation methods were rarely studied.AIM To depict the short-term mortality outcome and identify the potential prognostic factors of esophageal cancer patients admitted into ICU.METHODS A multicenter cross-sectional study was performed from May 10,2021 to July 10,2021 at ICU departments of 37 cancer specialized hospitals in China.Patients aged≥14 years with ICU duration≥24 hours were included.Clinical records of patients with primary esophageal cancer diagnosis were reviewed.Patients were separated into groups according to the 90 days survival.Characteristics between groups were compared.Single and multi-variate regression tests were applied to analyze the correlated factors of ICU outcomes.Predictive values of disease severity scores were assessed using receiver operating characteristic curve analysis.RESULTS Total 180 esophageal cancer patients were included.The 90 days mortality was 22.2%.Patients with mortality outcome showed differences from those survived mostly in disease severity and unplanned transfer from clinical ward.The current evaluation tools,including Sequential Organ Failure Assessment and Acute Physiology and Chronic Health Evaluation II scores had low accuracy in prediction of short-term death.ICU admitted esophageal cancer patients have poor prognosis,especially those with acute illness.CONCLUSION The prognostic tools for these patients need to be further optimized. 展开更多
关键词 Intensive care unit Prognostic factors Esophageal cancer Chinese cancer-specialized hospitals Short-term mortality Disease severity scores
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Stoma occlusion caused by abdominal cocoon after abdominal abscess surgery:A case report
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作者 Rui Xu Li-Xin Sun +4 位作者 Yan Chen Chuang Ding ming zhang Teng-Fei Chen Ling-Yong Kong 《World Journal of Clinical Cases》 2025年第15期16-21,共6页
BACKGROUND Abdominal cocoons(ACs)lack characteristic clinical manifestations and are main-ly intestinal obstructions that are difficult to distinguish from intestinal obstruc-tion caused by other causes,resulting in d... BACKGROUND Abdominal cocoons(ACs)lack characteristic clinical manifestations and are main-ly intestinal obstructions that are difficult to distinguish from intestinal obstruc-tion caused by other causes,resulting in difficult preoperative diagnosis and misdiagnosis and mistreatment.There are no reports of enterostomy occlusion caused by ACs in the literature at home and abroad.CASE SUMMARY Here,we report a 16-year-old female patient with intestinal obstruction due to AC.She was treated with abdominal surgery three times.First,she underwent a laparotomy for peritonitis after trauma from a traffic accident.During the pro-cedure,pelvic empyema,severe intestinal adhesions,and damage to the serous layer of the rectum were found,but no significant intestinal rupture and perfo-ration were found.As a precaution,she underwent a prophylactic ileostomy after a flush in her abdomen.The second and third surgeries were for treatment of recurrent stoma obstruction.The patient’s condition was complicated for a long period,but after comprehensive treatment by our department,the patient was successfully discharged from the hospital and is currently recovering well.CONCLUSION Currently,abdominal contrast-enhanced computed tomography is the best imaging modality for pre-operative evaluation of AC,but most patients are diagnosed only after intrao-perative exploration.For the treatment of typical or severe ACs,the primary me-thod of removal and healing of ACs is complete removal of the abdominal fibrous membrane.Finding a breakthrough in the anatomy is the key to the success of the surgery. 展开更多
关键词 Intraabdominal abscess Ventral cocoons ILEUS Stoma occlusion Surgical complications Case report
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早期糖尿病眼底黄斑区形态及视功能改变的临床研究 被引量:3
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作者 史强 董晓敏 +2 位作者 张明 程育宏 裴澄 《国际眼科杂志》 CAS 北大核心 2020年第9期1519-1523,共5页
目的:分析糖尿病患者(DM)在未出现糖尿病视网膜病变(DR)前的黄斑区神经纤维层形态学、对比敏感度及黄斑视野阈值的变化。方法:选取2015-01/2017-01在我院住院的双眼均未出现DR的2型DM患者59例(DR0组)与40例体检正常者(正常组)及40例双... 目的:分析糖尿病患者(DM)在未出现糖尿病视网膜病变(DR)前的黄斑区神经纤维层形态学、对比敏感度及黄斑视野阈值的变化。方法:选取2015-01/2017-01在我院住院的双眼均未出现DR的2型DM患者59例(DR0组)与40例体检正常者(正常组)及40例双眼均为轻度非增殖性糖尿病视网膜病变患者(DR1组),每位被检查者均取右眼纳入研究。分别对其黄斑区神经纤维层形态学及对比敏感度、黄斑视野阈值进行对比分析。结果:正常组、DR0组及DR1组的黄斑中心凹厚度(FT)分别为244.45±22.863、237.53±18.240、240.78±23.946μm。三组受试者间FT、黄斑中心区视神经纤维层(RNFL),周边区RNFL平均厚度无差异(P>0.05),黄斑中心凹体积(FV),旁中心区RNFL三组间均有差异(P<0.05)。三组受试者在3、6、12、18c/d的对比敏感度和黄斑中心MS、MS1~4、MS5~16、MS1~16的视敏度阈值比较均有差异(P<0.05)。结论:DM患者在发生DR前会出现RNFL变薄和FV减小、视功能对比敏感度下降和视野的改变;光学相干断层扫描、对比敏感度和视野检查可为DR早期筛查及及干预提供了重要依据。 展开更多
关键词 糖尿病视网膜病变 对比敏感度 黄斑区神经纤维层厚度 黄斑视野
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Genome-wide enhancer RNA profiling adds molecular links between genetic variation and human cancers
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作者 Yi-Min Cai Ze-Qun Lu +27 位作者 Bin Li Jin-Yu Huang ming zhang Can Chen Lin-Yun Fan Qian-Ying Ma Chun-Yi He Shuo-Ni Chen Yuan Jiang Yan-Min Li Cai-Bo Ning Fu-Wei zhang Wen-Zhuo Wang Yi-Zhuo Liu Heng zhang Meng Jin Xiao-Yang Wang Jin-Xin Han Zhen Xiong ming Cai Chao-Qun Huang Xiao-Jun Yang Xu Zhu Ying Zhu Xiao-Ping Miao Shao-Kai zhang Yong-Chang Wei Jian-Bo Tian 《Military Medical Research》 2025年第4期488-511,共24页
Background:Dysregulation of enhancer transcription occurs in multiple cancers.Enhancer RNAs(eRNAs)are transcribed products from enhancers that play critical roles in transcriptional control.Characterizing the genetic ... Background:Dysregulation of enhancer transcription occurs in multiple cancers.Enhancer RNAs(eRNAs)are transcribed products from enhancers that play critical roles in transcriptional control.Characterizing the genetic basis of eRNA expression may elucidate the molecular mechanisms underlying cancers.Methods:Initially,a comprehensive analysis of eRNA quantitative trait loci(eRNAQTLs)was performed in The Cancer Genome Atlas(TCGA),and functional features were characterized using multi-omics data.To establish the first eRNAQTL profiles for colorectal cancer(CRC)in China,epigenomic data were used to define active enhancers,which were subsequently integrated with transcription and genotyping data from 154 paired CRC samples.Finally,largescale case-control studies(34,585 cases and 69,544 controls)were conducted along with multipronged experiments to investigate the potential mechanisms by which candidate eRNAQTLs affect CRC risk.Results:A total of 300,112 eRNAQTLs were identified across 30 different cancer types,which exert their influence on eRNA transcription by modulating chromatin status,binding affinity to transcription factors and RNA-binding proteins.These eRNAQTLs were found to be significantly enriched in cancer risk loci,explaining a substantial proportion of cancer heritability.Additionally,tumor-specific eRNAQTLs exhibited high responsiveness to the development of cancer.Moreover,the target genes of these eRNAs were associated with dysregulated signaling pathways and immune cell infiltration in cancer,highlighting their potential as therapeutic targets.Furthermore,multiple ethnic population studies have confirmed that an eRNAQTL rs3094296-T variant decreases the risk of CRC in populations from China(OR=0.91,95%CI 0.88–0.95,P=2.92×10^(-7))and Europe(OR=0.92,95%CI 0.88–0.95,P=4.61×10^(-6)).Mechanistically,rs3094296 had an allele-specific effect on the transcription of the eRNA ENSR00000155786,which functioned as a transcriptional activator promoting the expression of its target gene SENP7.These two genes synergistically suppressed tumor cell proliferation.Our curated list of variants,genes,and drugs has been made available in CancereRNAQTL(http://canernaqtl.whu.edu.cn/#/)to serve as an informative resource for advancing this field.Conclusion:Our findings underscore the significance of eRNAQTLs in transcriptional regulation and disease heritability,pinpointing the potential of eRNA-based therapeutic strategies in cancers. 展开更多
关键词 Enhancer RNA(eRNA) eRNA quantitative trait loci(eRNAQTLs) Genome-wide association study(GWAS) ENSR00000155786 SENP7
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Transformer-Enhanced Intelligent Microgrid Self-Healing:Integrating Large Language Models and Adaptive Optimization for Real-Time Fault Detection and Recovery
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作者 Qiang Gao Lei Shen +9 位作者 Jiaming Shi Xinfa Gu Shanyun Gu Yuwei Ge Yang Xie Xiaoqiong Zhu Baoguo Zang ming zhang Muhammad Shahzad Nazir Jie Ji 《Energy Engineering》 2025年第7期2767-2800,共34页
The rapid proliferation of renewable energy integration and escalating grid operational complexity have intensified demands for resilient self-healing mechanisms in modern power systems.Conventional approaches relying... The rapid proliferation of renewable energy integration and escalating grid operational complexity have intensified demands for resilient self-healing mechanisms in modern power systems.Conventional approaches relying on static models and heuristic rules exhibit limitations in addressing dynamic fault propagation and multimodal data fusion.This study proposes a Transformer-enhanced intelligent microgrid self-healing framework that synergizes large languagemodels(LLMs)with adaptive optimization,achieving three key innovations:(1)Ahierarchical attention mechanism incorporating grid impedance characteristics for spatiotemporal feature extraction,(2)Dynamic covariance estimation Kalman filtering with wavelet packet energy entropy thresholds(Daubechies-4 basis,6-level decomposition),and(3)A grouping-stratified ant colony optimization algorithm featuring penalty-based pheromone updating.Validated on IEEE 33/100-node systems,our framework demonstrates 96.7%fault localization accuracy(23%improvement over STGCN)and 0.82-s protection delay,outperforming MILP-basedmethods by 37%in reconfiguration speed.The system maintains 98.4%self-healing success rate under cascading faults,resolving 89.3%of phase-toground faults within 500 ms through adaptive impedance matching.Field tests on 220 kV substations with 45%renewable penetration show 99.1%voltage stability(±5%deviation threshold)and 40%communication efficiency gains via compressed GOOSE message parsing.Comparative analysis reveals 12.6×faster convergence than conventional ACO in 1000-node networks,with 95.2%robustness against±25%load fluctuations.These advancements provide a scalable solution for real-time fault recovery in renewable-dense grids,reducing outage duration by 63%inmulti-agent simulations compared to centralized architectures. 展开更多
关键词 Large language model MICROGRID fault localization grid self-healing mechanism improved ant colony optimization algorithm
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In-situ temperature-and pressure-preserved sampler for marine natural gas hydrates:Principles,techniques,and field application
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作者 Chenghang Fu Le Zhao +5 位作者 Ling Chen Guikang Liu Han Wu mingzhu Qi ming zhang Heping Xie 《International Journal of Mining Science and Technology》 2025年第12期2073-2088,共16页
Marine gas hydrates are highly sensitive to temperature and pressure fluctuations,and deviations from in-situ conditions may cause irreversible changes in phase state,microstructure,and mechanical properties.However,c... Marine gas hydrates are highly sensitive to temperature and pressure fluctuations,and deviations from in-situ conditions may cause irreversible changes in phase state,microstructure,and mechanical properties.However,conventional samplers often fail to maintain sealing and thermal stability,resulting in low sampling success rates.To address these challenges,an in-situ temperature-and pressure-preserved sampler for marine applications has been developed.The experimental results indicate that the selfdeveloped magnetically controlled pressure-preserved controller reliably achieves autonomous triggering and self-sealing,provides an initial sealing force of 83 N,and is capable of maintaining pressures up to 40 MPa.Additionally,a custom-designed intelligent temperature control chip and high-precision sensors were integrated into the sampler.Through the design of an optimized heat transfer structure,a temperature-preserved system was developed,achieving no more than a 0.3℃ rise in temperature within 2 h.The performance evaluation and sampling operations of the sampler were conducted at the Haima Cold Seep in the South China Sea,resulting in the successful recovery of hydrate maintained under in-situ pressure of 13.8 MPa and a temperature of 6.5℃.This advancement enables the acquisition of high-fidelity hydrate samples,providing critical support for the safe exploitation and scientific analysis of marine gas hydrate resources. 展开更多
关键词 Marine resources Natural gas hydrate In-situ pressure-preserved sampling In-situ temperature-preserved sampling Deep-sea submersibles
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Assessment of bone strength and fracture behavior of degenerative vertebrae through quantifying morphology and density distribution
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作者 Meng zhang He Gong ming zhang 《Acta Mechanica Sinica》 2025年第1期211-225,共15页
Lumbar degeneration leads to changes in geometry and density distribution of vertebrae,which could further influence the mechanical property and behavior.This study aimed to quantitatively describe the variations in s... Lumbar degeneration leads to changes in geometry and density distribution of vertebrae,which could further influence the mechanical property and behavior.This study aimed to quantitatively describe the variations in shape and density distribution for degenerated vertebrae by statistical models,and utilized the specific statistical shape model(SSM)/statistical appearance model(SAM)modes to assess compressive strength and fracture behavior.Highly detailed SSM and SAM were developed based on the 75 L1 vertebrae of elderly men,and their variations in shape and density distribution were quantified with principal component(PC)modes.All vertebrae were classified into mild(n=22),moderate(n=29),and severe(n=24)groups according to the overall degree of degeneration.Quantitative computed tomography-based finite element analysis was used to calculate compressive strength for each L1 vertebra,and the associations between compressive strength and PC modes were evaluated by multivariable linear regression(MLR).Moreover,the distributions of equivalent plastic strain(PEEQ)for the vertebrae assigned with the first modes of SSM and SAM at mean±3SD were investigated.The Leave-One-Out analysis showed that our SSM and SAM had good performance,with mean absolute errors of 0.335±0.084 mm and 64.610±26.620 mg/cm3,respectively.A reasonable accuracy of bone strength prediction was achieved by using four PC modes(SSM 1,SAM 1,SAM 4,and SAM 5)to construct the MLR model.Furthermore,the PEEQ values were more sensitive to degeneration-related variations of density distribution than those of morphology.The density variations may change the deformity type(compression deformity or wedge deformity),which further affects the fracture pattern.Statistical models can identify the morphology and density variations in degenerative vertebrae,and the SSM/SAM modes could be used to assess compressive strength and fracture behavior.The above findings have implications for assisting clinicians in pathological diagnosis,fracture risk assessment,implant design,and preoperative planning. 展开更多
关键词 Statistical shape model Statistical appearance model Lumbar degeneration Compressive strength Fracture behavior
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Organometallic modification of silica with europium endowing the fiuorescence properties: The key technique for numerical quality monitoring
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作者 Junqing Wu Yiyang zhang +4 位作者 Qingqing Hong Hui Yang Lifeng zhang ming zhang Lei Yu 《Chinese Chemical Letters》 2025年第4期153-156,共4页
The micro-dispersion structure of silica fillers exerts significant infiuences on the performance characteristics of rubber-based products. How to monitor this parameter is an important issue in the rubber industry, b... The micro-dispersion structure of silica fillers exerts significant infiuences on the performance characteristics of rubber-based products. How to monitor this parameter is an important issue in the rubber industry, but there is currently no suitable technical solution for numerical monitoring that can be applied in automatic production line. The labeling of silica in rubber is a challenge that bottlenecks the development of numerical quality monitoring technology. In this work, we employed the organometallic europium to modify silica endowing the fiuorescence properties for characterization. It provides more feasible solutions for visually studying the relationship between the submicroscopic structure and macroscopic properties of inorganic-filled polymers, and is the key foundation for achieving numerical monitoring of rubber filler qualities in industry. 展开更多
关键词 FLUORESCENCE SILICA FILLERS Hybrid material Composites
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