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Computational screening-aided design of transition metal-doped CeO_(2)as NH_(3)-SCR catalysts
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作者 Bo-Yu Wu Zhuo-Shen Huang +5 位作者 Dan-Feng Zhao Fa-Jie Hu Bao-Xiang Peng ning pu Shen-Gen Zhang Xiu-Bing Huang 《Rare Metals》 2025年第9期6303-6318,共16页
Transition metal-doped CeO_(2)catalysts exhibit great potentials for the selective catalytic reduction(SCR)of nitrogen oxide(NOx)with NH_(3)(NH_(3)-SCR).However,traditional research mainly relies on a lot of experimen... Transition metal-doped CeO_(2)catalysts exhibit great potentials for the selective catalytic reduction(SCR)of nitrogen oxide(NOx)with NH_(3)(NH_(3)-SCR).However,traditional research mainly relies on a lot of experiments to find out effective catalysts,which wastes a lot of time and resources.Screening out effective CeO_(2)-based catalysts for low-temperature NH_(3)-SCR via density functional theory(DFT)calculations is crucial for the rational design and synthesis of efficient catalysts.Herein,transition metal(M=Co,Cr,Cu,Fe,Mn,Mo,Nb,Ni,Ta,Ti,V,and W)-doped CeO_(2)catalysts were screened out via accelerated DFT calculations for NH_(3)-SCR of nitric-oxide(NO)using three theoretical terms;(i)an adsorption energy of NH_(3),(ii)an adsorption energy of NO,and(iii)the reaction energies between NO with O_(2)and lattice oxygen.The theoretically predicted trend in catalytic performance is as follows:CeO_(2)-Mn,-Cu,-Mo>CeO_(2)-Fe,-Co,-Ni,-V,-Cr>CeO_(2)-W,-Ti>CeO_(2)-Nb,-Ta.The theoretical prediction was well verified via experimental NH_(3)-SCR activity of NO at low temperatures(90–300℃),demonstrating CeO_(2)-Mo as efficient NH_(3)-SCR catalyst across a broad temperature range.Temperature-programmed desorption of NH_(3)and in situ diffuse reflectance infrared Fourier transforms spectroscopy further indicated that metal doping significantly enhanced the NH_(3)adsorption capacity and strength of CeO_(2)in the medium-to low-temperature range.Consequently,accelerated DFT calculations provide a useful tool with great potentials for predicting the catalytic performance. 展开更多
关键词 Density functional theory calculations Transition metal doping Cerium oxide Selective catalytic reduction catalysts
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实习医生人文关怀教育中存在的问题与对策 被引量:16
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作者 明宗娟 和平 +6 位作者 史红阳 李维 张秋红 邓文静 钟玉洁 宁璞 刘原 《医学教育研究与实践》 2019年第5期800-803,共4页
随着生物心理社会医学模式的转变及"健康中国2030"目标的确立,作为一名优秀的医生除具有扎实的医学理论和丰富的临床经验外,还需要广博深厚的医学人文素养。只有在医学教育中渗透人文关怀教育,才有可能培养出符合社会发展和... 随着生物心理社会医学模式的转变及"健康中国2030"目标的确立,作为一名优秀的医生除具有扎实的医学理论和丰富的临床经验外,还需要广博深厚的医学人文素养。只有在医学教育中渗透人文关怀教育,才有可能培养出符合社会发展和时代需求的合格医学人才。临床实习过程是医学生即将开始其职业生涯的关键时期,也是其医德医风树立的重要阶段,目前重专业技术轻人文素养的现象在临床实习中表现突出,极其有必要对实习医生加强人文关怀教育。本文分析了实习医生人文素养缺失的现状和原因,并结合我院自身特色和实际经验探讨了提高实习医生人文素养的对策。 展开更多
关键词 人文关怀教育 实习医生 问题与对策
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Polyoxometalates-derived Pt-Mo_(2)C cluster heterostructure for co-catalytic alkaline hydrogen evolution reaction
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作者 Han-Qing Cai Qing-He Yang +7 位作者 Lu-Lu Chen Rui-Li Gao Mei-Hong Liao Jia-Shen Xing Wen-Bo Zhou ning pu Jing Gu Yi-Chao Huang 《Rare Metals》 2025年第7期4701-4711,共11页
Constructing clus ter heterostructures with strongly coupled interfaces is of great importance to accelerating the catalytic reactions that involve multiple intermediates.Herein,a strongly coupled cluster heterostruct... Constructing clus ter heterostructures with strongly coupled interfaces is of great importance to accelerating the catalytic reactions that involve multiple intermediates.Herein,a strongly coupled cluster heterostructure composed of platinum and molybdenum carbide(Pt@Mo_(2)C)derived from polyoxometalate clusters is designed to achieve excellent alkaline hydrogen evolution reaction.The Pt@Mo_(2)C cluster exhibits strong electronic interactions between Pt and Mo_(2)C,working together to facilitate the H_(2)O dissociation by concurrently binding intermediates(Pt-H*and Mo-OH*),thus accelerating the kinetics of the rate-determining Volmer step.Theoptimized Pt@Mo_(2)C exhibits a high mass activity of12.1 A·mgpt^(-1),19.2 times higher than that of 20%Pt/C in alkaline media.Moreover,it can be stabilized at a current density of 100 mA·cm^(-2)for more than 200 h.This work demonstrated the superiority of the cluster heterostructures and co-catalytic effect towards the development of highly efficient electrocatalysts. 展开更多
关键词 POLYOXOMETALATES CLUSTER HETEROSTRUCTURES Elctrocatalysis Hydrogen evolution reaction
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三维超声虚拟器官计算机辅助分析技术监测胎儿小脑体积 被引量:3
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作者 贺惠琴 马明霞 +1 位作者 宁璞 彭翠 《中国介入影像与治疗学》 北大核心 2021年第8期479-483,共5页
目的观察三维超声虚拟器官计算机辅助分析(VOCAL)技术监测胎儿小脑体积的可行性。方法选取18~32周孕妇450名(单胎妊娠),按孕周将胎儿分为15组,每个孕周30胎。以经腹二维超声测量胎儿小脑横径、经腹三维超声VOCAL技术监测胎儿小脑体积,采... 目的观察三维超声虚拟器官计算机辅助分析(VOCAL)技术监测胎儿小脑体积的可行性。方法选取18~32周孕妇450名(单胎妊娠),按孕周将胎儿分为15组,每个孕周30胎。以经腹二维超声测量胎儿小脑横径、经腹三维超声VOCAL技术监测胎儿小脑体积,采用Pearson相关分析观察小脑体积与孕周及小脑横径的相关性,并建立拟合回归方程。结果胎儿小脑横径、小脑体积符合正态分布,随孕周增加有逐渐增大趋势。Pearson相关分析结果显示,胎儿小脑体积与孕周呈正相关(r=0.93,P<0.01),曲线拟合回归方程为Y(小脑体积)=13.90-1.57X(孕周)+0.05X2(R2=0.91,P<0.05),并与小脑横径呈正相关(r=0.94,P<0.01),曲线拟合回归方程为Y(小脑体积)=0.63-0.12X(小脑横径)+0.01X2(R2=0.90,P<0.05)。结论三维超声VOCAL技术可监测胎儿小脑体积;胎儿小脑体积与孕周及小脑横径呈正相关。 展开更多
关键词 胎儿 小脑 超声检查 产前 虚拟器官计算机辅助分析
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苦柯胺B调控NLRP3/Caspase-1/GSDMD焦亡通路减轻脂多糖诱导的巨噬细胞炎症 被引量:1
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作者 宁璞 柯蕊 +1 位作者 和平 杨拴盈 《广西医科大学学报》 CAS 2024年第7期1009-1016,共8页
目的:探讨苦柯胺B(KB)对脂多糖(LPS)诱导的人单核细胞白血病THP-1细胞核苷酸结合寡聚化结构域样受体蛋白3(NLRP3)/半胱氨酸蛋白酶-1(Caspase-1)/消皮素D(GSDMD)焦亡通路的调控作用。方法:THP-1细胞经100 ng/mL佛波酯(PMA)诱导24 h成为... 目的:探讨苦柯胺B(KB)对脂多糖(LPS)诱导的人单核细胞白血病THP-1细胞核苷酸结合寡聚化结构域样受体蛋白3(NLRP3)/半胱氨酸蛋白酶-1(Caspase-1)/消皮素D(GSDMD)焦亡通路的调控作用。方法:THP-1细胞经100 ng/mL佛波酯(PMA)诱导24 h成为巨噬细胞,采用CCK-8法检测KB对细胞活力的影响,确定合适的浓度用于后续实验;由LPS联合三磷酸腺苷(ATP)诱导建立巨噬细胞炎症损伤模型(LPS组),采用不同浓度KB及NLRP3炎症小体抑制剂MCC950处理细胞,通过实时荧光定量PCR(RT-qPCR)法检测各组NLRP3、Caspase-1、凋亡相关斑点样蛋白(ASC)、白细胞介素(IL)-1β、GSDMD及高迁移率族蛋白B1(HMGB-1)mRNA表达,采用western blotting法检测炎症小体组分及焦亡相关蛋白的表达,酶联免疫吸附试验(ELISA)测定细胞上清液IL-1β的含量,检测细胞上清液乳酸脱氢酶(LDH)释放量,Annexin-V-PE/7-AAD染色检测细胞凋亡。结果:KB浓度为12.5~400μmol/L范围内对THP-1细胞活力无明显影响。与对照组(未处理细胞)比较,LPS组NLRP3、Caspase-1、IL-1β、GSDMD、HMGB-1 m RNA表达上调,经MCC950或KB处理后,上述mRNA表达水平较LPS组下降(均P<0.05)。与对照组比较,LPS组NLRP3、Caspase-1、Cleaved Caspase-1、GSDMD、GSDMD-NT、HMGB1蛋白表达量均较对照组升高,经MCC950或KB处理后上述蛋白表达下调,细胞培养上清液中IL-1β分泌量和LDH释放量降低(均P<0.05),细胞凋亡减少。结论:KB可通过抑制NLRP3/Caspase-1/GSDMD通路介导的焦亡来改善LPS诱导的THP-1细胞炎症。 展开更多
关键词 苦柯胺B 炎症小体 NLRP3/Caspase-1/GSDMD通路 焦亡 巨噬细胞
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Basophils as a potential therapeutic target in cancer 被引量:2
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作者 Jicheng ZHANG Hanlin YIN +4 位作者 Qiangda CHEN Guochao ZHAO Wenhui LOU Wenchuan WU ning pu 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2021年第12期971-984,共14页
Basophils,which are considered as redundant relatives of mast cells and the rarest granulocytes in peripheral circulation,have been neglected by researchers in the past decades.Previous studies have revealed their vit... Basophils,which are considered as redundant relatives of mast cells and the rarest granulocytes in peripheral circulation,have been neglected by researchers in the past decades.Previous studies have revealed their vital roles in allergic diseases and parasitic infections.Intriguingly,recent studies even reported that basophils might be associated with cancer development,as activated basophils synthesize and release a variety of cytokines and chemokines in response to cancers.However,it is still subject to debate whether basophils function as tumor-protecting or tumor-promoting components;the answer may depend on the tumor biology and the microenvironment.Herein,we reviewed the role of basophils in cancers,and highlighted some potential and promising therapeutic strategies. 展开更多
关键词 BASOPHIL CANCER CYTOKINE CHEMOKINE Tumor microenvironment
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Functional characterization of a Δ6 fatty acid desaturase gene and its 5′-upstream region cloned from the arachidonic acid-rich microalga Myrmecia incisa Reisigl(Chlorophyta) 被引量:1
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作者 ZHANG Li CAO Haisheng +1 位作者 ning pu ZHOU Zhigang 《Journal of Oceanology and Limnology》 SCIE CAS CSCD 2018年第6期2308-2321,共14页
It is suggested that Δ6 fatty acid desaturase(FAD) plays a critical role in the biosynthesis of polyunsaturated fatty acids in plants and microalgae. But why does it adapt to the changed environments such as nitrogen... It is suggested that Δ6 fatty acid desaturase(FAD) plays a critical role in the biosynthesis of polyunsaturated fatty acids in plants and microalgae. But why does it adapt to the changed environments such as nitrogen starvation is seldom understood. One Δ6 FAD gene( MiD6 fad) from an arachidonic acidrich microalga M yrmecia incisa Reisigl(Chlorophyta) was first heterologously expressed in S accharomyces cerevisiae for the identification of function. The fatty acid profile of transgenic yeast detected by gas chromatography-mass spectrometry illustrated that the enzyme MiD6 FAD could convert linoleic and ?-linolenic acids to γ-linolenic and stearidonic acids, respectively, demonstrating that M iD6 fad encoded a Δ6 FAD. A 1 965-bp fragment of the cloned 2 347-bp 5′-upstream region of M iD6 fad was next subcloned and fused upstream with green fluorescent protein(GFP) gene to replace the GAL1 promoter of the vector pYES2. The generated construct was transformed into S. cerevisiae for function determination. Confocal microscopic images of the transformed line illustrated that this inserted fragment could drive GFP expression, which was further verified by fluorescence intensity quantification and Western blot analysis using antiGFP antibody. The conversion efficiency(approximately 2%-3%) of MiD6 FAD was much lower than the reported ? 3 FAD and Δ6 elongase in this microalga, suggesting that MiD6 FAD catalysed the possible ratelimiting step for ArA biosynthesis. The presence of several putative c is-acting regulatory elements in this identified promoter sheds new light on the regulation mechanism research of Δ6 FAD transcription for the ArA production in M. incisa in changing environmental factors. 展开更多
关键词 arachidonic acid(ArA) fatty ACID desaturase(FAD) green fl uorescent protein(GFP) green MICROALGA Saccharomyces cerevisiae 5′-upstream region(5′-USR)
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右肾动静脉畸形出血1例
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作者 宁璞 匡永芳 吴丽文 《中国医学影像技术》 CSCD 北大核心 2020年第10期1526-1526,共1页
患者女,35岁,因"尿频、尿急、尿痛伴血尿8年,再发2天"入院,于急诊科置入导尿管1天;5年前因"血尿"接受双肾穿刺活检术。查体:留置导尿管引流出淡红色血尿,余未见明显异常。实验室检查:血红蛋白58g/L,尿潜血(+++)。超... 患者女,35岁,因"尿频、尿急、尿痛伴血尿8年,再发2天"入院,于急诊科置入导尿管1天;5年前因"血尿"接受双肾穿刺活检术。查体:留置导尿管引流出淡红色血尿,余未见明显异常。实验室检查:血红蛋白58g/L,尿潜血(+++)。超声:右肾大小正常,集合系统分离值为13.5mm,右侧肾盂至输尿管上段见42.8mm×18.6mm低回声血管团,边界尚清,内部回声较均匀,CDFI于团块内部未见明显血流信号,周围肾窦内见五彩镶嵌血流信号(图1A);膀胱充盈差,内可见水囊,膀胱内右后壁见50.5mm×27.0mm低回声团块,边界清晰,形态规则,内部回声不均匀,CDFI未见明显血流信号(图1B)。 展开更多
关键词 动静脉畸形 超声检查 多普勒 彩色 血管造影术
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Growth behavior and electronic regulation of Pt on various Mo-based supports for hydrogen evolution electrocatalysis 被引量:1
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作者 Lulu Chen Yichao Huang +10 位作者 Jiajun Wang Meihong Liao Zhiyuan Liu Meiqi Liu Hanqing Cai Lin Wang Lidong Gao Dawei Hu Lianming Zhao ning pu Zhuangjun Fan 《Science China Chemistry》 2025年第5期1837-1846,共10页
Insight into the growth behavior and electronic regulation of platinum(Pt)on various transition metal supports is paramount in developing high-performing electrocatalysts for hydrogen evolution reactions(HER).Herein,w... Insight into the growth behavior and electronic regulation of platinum(Pt)on various transition metal supports is paramount in developing high-performing electrocatalysts for hydrogen evolution reactions(HER).Herein,we studied the influence of molybdenum-based supports(MoX,X=C,N,P,and S)on the growth behavior and electronic regulation of Pt.We found that the formation energy variations between Pt single atom and clusters on MoX supports play a pivotal role in the growth behavior of Pt.Moreover,the electronic regulation of Pt induced by metal-support interaction may reflect the valence changes of Pt in PtMoX/C.The Pt-MoC/C catalyst with a moderate valence state of Pt exhibits the best HER activity with an overpotential of 12.0 mV at 10 mA cm^(-2)and a mass activity of 27.1 A mg_(Pt)^(-)1,12.3 times as high as that of commercial 20 wt%Pt/C.This work provides constructive guidance for the design of high-performance HER catalysts. 展开更多
关键词 electronic structures single atom CLUSTERS ELECTROCATALYSIS hydrogen evolution reaction
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不同时期成人重症社区获得性肺炎预后及病原体的变迁 被引量:22
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作者 张莉 宁璞 +1 位作者 荣芳 高占成 《中华医学杂志》 CAS CSCD 北大核心 2017年第5期332-337,共6页
目的:比较不同时期入住重症监护病房成人重症社区获得性肺炎(CAP)患者的预后及病原体变化,并评估重症CAP患者死亡的危险因素。方法回顾性分析186例北京大学人民医院呼吸与危重症医学科的重症CAP患者记录基础资料、入院时的临床资料及实... 目的:比较不同时期入住重症监护病房成人重症社区获得性肺炎(CAP)患者的预后及病原体变化,并评估重症CAP患者死亡的危险因素。方法回顾性分析186例北京大学人民医院呼吸与危重症医学科的重症CAP患者记录基础资料、入院时的临床资料及实验室检查、病原学检测、治疗过程、住院天数、预后等,对比3个时期患者的预后:Ⅰ期(2000年1月1日至2006年10月31日),Ⅱ期(2006年11月1日至2010年12月31日),Ⅲ期(2011年1月1日至2015年12月31日),采用Cox风险回归分析死亡的危险系数及相关危险因素,并比较3期患者病原学检测情况。结果16年186例重症CAP患者病死65例,总病死率34.9%,3期分别为41.4%,35.3%,27.7%;调整混杂因素后,对比3期病死的危险系数分别为1.394(Ⅰ期对比Ⅱ期,95.0%CI 0.774~2.514,P=0.269),1.900(Ⅰ期对比Ⅲ期,95.0%CI 1.053~3.429,P=0.033),1.379(Ⅱ期对比Ⅲ期,95.0%CI 0.800~2.375,P=0.248),Ⅰ期与Ⅲ期比较差异有统计学意义(P<0.05),Ⅰ期与Ⅱ期、Ⅱ期与Ⅲ期相比差异无统计学意义(P>0.05)。单因素Cox回归模型分析显示,尿素氮≥7.14 mmol/L、多肺叶浸润、感染性休克及急性心力衰竭、急性肾衰为病死的预测危险因素;多因素Cox回归模型分析显示,多肺叶浸润(HR=3.951,95.0%CI 2.252~6.929,P=0.001)和感染性休克(HR=2.044,95.0%CI 1.131~3.692,P=0.018)为病死的独立危险因素。186例患者中有104例(55.9%)检测出病原体,金黄色葡萄球菌(18株)、嗜肺军团菌(16株)及肺炎链球菌(13株)为常见病原体。除流感病毒(P=0.033)外,3期病原体分布差异无统计学意义(P>0.05)。结论重症CAP患者病死率呈下降趋势,多肺叶浸润和感染性休克是死亡的独立危险因素。随着时间推移,重症CAP病原谱有所变化,病毒检出率逐渐升高。 展开更多
关键词 社区获得性感染 肺炎 预后 病原
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11例隐源性机化性肺炎的临床分析及诊治探讨 被引量:5
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作者 明宗娟 钟玉洁 +3 位作者 宁璞 张秋红 李维 杨拴盈 《国际呼吸杂志》 2019年第22期1717-1723,共7页
目的分析隐源性机化性肺炎(COP)的临床表现并探讨其诊断条件、治疗方法,旨在提高对该病的警惕性和诊治水平。方法回顾性分析2012年1月至2018年7月西安交通大学医学院第二附属医院收治的11例COP患者的临床资料,包括临床症状、体征、实验... 目的分析隐源性机化性肺炎(COP)的临床表现并探讨其诊断条件、治疗方法,旨在提高对该病的警惕性和诊治水平。方法回顾性分析2012年1月至2018年7月西安交通大学医学院第二附属医院收治的11例COP患者的临床资料,包括临床症状、体征、实验室检查、影像学改变、肺功能及病理学检查等。结果11例患者中,男7例,女4例,年龄40~73岁,5例现吸烟或既往吸烟。除1例系体检发现外,其余10例均有呼吸道症状,如咳嗽、活动后呼吸困难及发热等,体征较为特异的为病变部位的爆裂音。血常规示白细胞正常或者轻度升高,C反应蛋白和血沉升高较为常见甚至显著,降钙素原均未见异常。胸部CT主要表现为斑片状浸润影、实变影及磨玻璃影,双下肺和胸膜下分布为主。血气可以正常,或轻度低氧血症,重者亦可见呼吸衰竭。典型COP的肺功能为限制性肺通气功能障碍和弥散功能下降。COP的确诊还需病理学依据,治疗主要选择糖皮质激素,整体预后良好。结论COP的临床表现缺乏特异性,极易误诊,辅助检查及影像学特征为COP的诊断提供了重要线索,但确诊有赖于临床-影像-病理的综合诊断。COP预后良好,糖皮质激素治疗有效。 展开更多
关键词 糖皮质激素类 隐源性机化性肺炎 临床表现 影像学特征
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三维超声VOCAL技术监测胎儿后颅窝池容积的临床研究 被引量:1
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作者 贺惠琴 肖祎炜 +3 位作者 舒爽 马明霞 宁璞 彭翠 《重庆医学》 CAS 2020年第19期3240-3243,共4页
目的采用三维超声虚拟器官计算器辅助分析(VOCAL)技术监测并建立健康胎儿的后颅窝池容积参考值范围,探讨后颅窝池容积与孕周、后颅窝池宽度的相关性。方法选择符合条件的18~32周健康胎儿450例,按孕周分为15组,应用经腹三维超声VOCAL技... 目的采用三维超声虚拟器官计算器辅助分析(VOCAL)技术监测并建立健康胎儿的后颅窝池容积参考值范围,探讨后颅窝池容积与孕周、后颅窝池宽度的相关性。方法选择符合条件的18~32周健康胎儿450例,按孕周分为15组,应用经腹三维超声VOCAL技术测量后颅窝池容积,进行统计学分析。结果18~32周健康胎儿后颅窝池容积的参考值范围为0.23~2.00 cm3;后颅窝池容积与孕周呈正相关(r=0.984,P<0.001),拟合线性回归方程为Y=-1.364+0.089X;后颅窝池容积与后颅窝池宽度呈正相关(r=0.686,P<0.001),拟合线性回归方程为Y=-0.733+0.263X。结论成功建立了18~32周健康胎儿后颅窝池容积的参考值范围,拟合了后颅窝池容积与孕周、后颅窝池宽度的相关性方程,为产前筛查胎儿后颅窝池异常提供理论依据。 展开更多
关键词 三维超声 VOCAL 胎儿 后颅窝池 容积
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基于UPLC-MS/MS的不同病原体感染社区获得性肺炎患者血清代谢组学特征谱分析
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作者 宁璞 郑雅莉 高占成 《国际呼吸杂志》 2024年第11期1285-1297,共13页
目的分析不同病原体感染的社区获得性肺炎(CAP)患者血清代谢组学特征谱。方法本研究为观察性研究。采用目的抽样法从北京大学人民医院呼吸与危重症医学科建立的国内多中心肺炎研究平台及生物样本库中选取2013年1月至2018年2月住院的CAP... 目的分析不同病原体感染的社区获得性肺炎(CAP)患者血清代谢组学特征谱。方法本研究为观察性研究。采用目的抽样法从北京大学人民医院呼吸与危重症医学科建立的国内多中心肺炎研究平台及生物样本库中选取2013年1月至2018年2月住院的CAP患者, 根据病原体不同将CAP患者分为3组:细菌性CAP组(22例)、病毒性CAP组(10例)、非典型病原体性CAP组(13例)。选取同时期样本库中18名健康人群为健康对照组。采用超高效液相色谱-质谱(UPLC-MS/MS)技术对各组血清样本进行非靶向代谢组学检测, 进行主成分分析(PCA)和正交偏最小二乘法判别分析(OPLS-DA), 以变量权重>1和假发现率<0.05为标准, 筛选各组CAP患者血清中发生变化的代谢产物, 通过MetaboAnalyst 6.0和KEGG数据库分析发病关键代谢通路。联合S-plot协方差>0.1为条件, 筛选各组CAP患者与健康对照者血清的显著差异代谢产物。结果细菌性CAP组中男18例, 女4例, 中位年龄49.8岁;病毒性CAP组中男7例, 女3例, 中位年龄53.0岁;非典型病原体性CAP组中男6例, 女7例, 中位年龄43.0岁;健康对照组中男14名, 女4名, 中位年龄55.5岁。4组人群在性别、年龄、吸烟史方面差异均无统计学意义(均P>0.05)。细菌性CAP组患者外周血白细胞计数高于病毒性CAP组和非典型病原体性CAP组, 差异均有统计学意义(均P<0.05);细菌性CAP组患者C反应蛋白水平、CURB-65评分、肺炎严重程度评分均高于非典型病原体性CAP组, 差异均有统计学意义(均P<0.05);3组CAP患者在外周血中性粒细胞比例、红细胞沉降率、降钙素原、氧合指数、是否采用机械通气、脓毒症合并症、住院天数、住院期间死亡率方面差异均无统计学意义(均P>0.05)。非靶向代谢组学检测共鉴定出775种具有二级质谱信息的代谢产物, PCA显示4组人群样本具有较好分离度, OPLS-DA显示两两组别间样本均区分显著。与健康对照组相比, 细菌性CAP患者血清中有32种代谢产物水平升高, 25种降低, 发生显著变化的代谢通路主要涉及某些氨基酸代谢、淀粉和蔗糖、磷酸肌醇、丁酸代谢、花生四烯酸及α-亚麻酸代谢等。病毒性CAP患者血清中170种代谢产物水平升高, 68种降低, 其中氨基酸代谢的大部分途径, 甘油磷脂、鞘磷脂代谢等脂类代谢途径, 某些碳水化合物代谢途径、嘧啶代谢、硫代谢、生物素代谢等28条通路变化显著。非典型病原体性CAP患者血清中122种代谢产物水平升高, 76种降低。部分氨基酸代谢、脂类代谢和某些维生素代谢通路变化显著。联合S-plot筛选后, 与健康对照组相比, 细菌性CAP患者血清中L-乙酰肉碱、乙酰左旋肉碱水平升高, 2-酮己酸、甘油磷脂酰胆碱、酮亮氨酸、硫酸普拉睾酮、亚麻酸水平降低。病毒性CAP患者血清中L-脯氨酸、硫酸对甲酚水平降低。非典型病原体性CAP患者血清中2-羟基丁酸、二羟基杏仁酸、SM(d18∶1/16∶0)水平升高。结论不同病原体感染的CAP患者血清代谢谱存在差异。细菌性CAP某些氨基酸代谢、淀粉和蔗糖、磷酸肌醇、丁酸代谢、花生四烯酸和α-亚麻酸代谢途径变化显著;除氨基酸及脂类代谢外, 病毒性CAP嘧啶代谢、硫代谢、生物素代谢通路变化显著;而非典型病原体性CAP某些维生素代谢途径变化较为显著。 展开更多
关键词 肺炎 代谢组学 社区获得性肺炎 病原体 超高效液相色谱-质谱 代谢通路
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PD-1 immunotherapy in pancreatic cancer:current status 被引量:2
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作者 ning pu Wenhui Lou Jun Yu 《Journal of Pancreatology》 2019年第1期6-10,共5页
Pancreatic ductal adenocarcinoma is the known kind of tumor biologically featured as high malignant degree, lack of effective methods for diagnosis and treatment, which reflects its unpleasant prognosis. Recently, wit... Pancreatic ductal adenocarcinoma is the known kind of tumor biologically featured as high malignant degree, lack of effective methods for diagnosis and treatment, which reflects its unpleasant prognosis. Recently, with the breakthrough of burgeoning therapeutic methods, the flush of dawn for pancreatic cancer nearly arrives. Nowadays, besides surgery, neoadjuvant chemoradiotherapy, tumor vaccine therapy, and immunotherapy all show their active situation and obtain certain clinical efficacy, but that is still limited to pancreatic cancer. However, the appearance and development of programmed cell death-1 (PD-1) immune checkpoint inhibitor may final improve survival of pancreatic cancer. This article aims to deeply understand the value of PD-1 immune checkpoint inhibitor in pancreatic cancer and validly provide the evidence for treatment by means of performing a systematic review on the current status in the fields of the mechanism and application of anti-PD-1 in pancreatic cancer, associations with surgery, PD- 1-related side effects and prospections. 展开更多
关键词 Checkpoint inhibitor IMMUNOTHERAPY Pancreatic cancer PD-1 PROGNOSIS
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The impact of lymph node involvement on adjuvant chemotherapy and survival in patients with resected invasive intraductal papillary mucinous neoplasm:a propensity score matching study based on SEER database and external validation
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作者 Wei Gan ning pu +11 位作者 Jiande Han Hanlin Yin Qiangda Chen Lei Zhang Wenchuan Wu Huaxiang Xu Chenye Shi Junyi He Yun Jin Wenhui Lou Wenquan Wang Liang Liu 《Journal of Pancreatology》 2025年第4期220-228,共9页
Background:Limited knowledge and guidelines exist for invasive intraductal papillary mucinous neoplasm(IPMN).This study aims to explore the significance of lymph node involvement on adjuvant chemotherapy(ACT)for invas... Background:Limited knowledge and guidelines exist for invasive intraductal papillary mucinous neoplasm(IPMN).This study aims to explore the significance of lymph node involvement on adjuvant chemotherapy(ACT)for invasive IPMN.Materials and methods:Patients diagnosed with invasive IPMN were selected from both the Surveillance,Epidemiology,and End Results(SEER)database and our hospital.Kaplan-Meier analysis,Cox proportional hazards model,and propensity score matching(PSM)were used in this study.Results:In the SEER group,multivariate analysis involving 775 patients revealed that several factors including age,tumor differentiation,the American Joint Committee on Cancer(AJCC)T staging,N staging,and tumor node metastasis classification(TNM)stage significantly influenced overall survival(OS)and cancer-specific survival(CSS).Turning to the Zhongshan Hospital group(ZS group),which had 94 recruited patients,multivariate analysis for OS,CSS,and recurrence-free survival(RFS)showed that AJCC N staging emerged as the most significant risk factor,with hazard ratio(HR)values of 4.664,4.955,and 3.175,respectively.In subgroup analysis,ACT provided survival advantages for patients with positive lymph node metastasis(LNM).In a PSM analysis focused on patients with positive LNM,the comparison revealed that ACT emerged as a critical factor influencing both OS and CSS(both P<.005).Especially,these patients younger than 60 years old or those with AJCC-T2-N+staging were found to get apparently benefit from ACT as revealed by our subgroup interaction analysis.Conclusion:LNM plays a pivotal role in the management of invasive IPMN patients who underwent surgery,and ACT might be a beneficial therapeutic option for individuals concurrent with LNM,particularly among those younger than 60 years old,or with AJCC-T2-N+staging. 展开更多
关键词 Adjuvant chemotherapy Invasive IPMN Lymph node metastasis Survival
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