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术前恶性不除外手术病理确诊肺部良性病变297例患者临床-放射-病理特征分析:一项中国单中心回顾性队列研究 被引量:15
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作者 留永健 陈闽江 +13 位作者 郭超 钟巍 叶秋月 赵静 周晴 高晓星 刘潇衍 梁红格 石岳泉 蒋德利娜 刘洪生 徐燕 李单青 王孟昭 《中国肺癌杂志》 CAS CSCD 北大核心 2020年第9期792-799,共8页
背景与目的随着癌症早筛意识的提高,低剂量计算机断层扫描(low-dose computed tomography,LDCT)用于肺癌筛查在中国广泛开展。尽管有部分胸部LDCT筛查所见的肺部病灶是肿瘤病灶,但大多数的肺部结节是良性病变。如何有效的对肺部病灶进... 背景与目的随着癌症早筛意识的提高,低剂量计算机断层扫描(low-dose computed tomography,LDCT)用于肺癌筛查在中国广泛开展。尽管有部分胸部LDCT筛查所见的肺部病灶是肿瘤病灶,但大多数的肺部结节是良性病变。如何有效的对肺部病灶进行术前鉴别,如何降低部分可避免手术的良性疾病的手术切除比例,是需要关注的问题。方法本研究纳入2017年1月1日-2018年12月31日期间北京协和医院诊治的,术前考虑肺部恶性病变不能除外,经手术病理确认为良性病变的患者,回顾性分析患者临床信息。结果 297例患者纳入本研究,占我院肺部病灶行肺部手术治疗患者的9.8%。197例(66.3%)患者因体检行LDCT筛查发现肺部病灶。肺部病变胸部CT影像学评估情况,可评估的323个病灶,平均长径为(17.9±12.1)mm,直径≥8 mm的占91.0%,实性最多见(212/323, 65.6%),此类肺部病灶可有毛刺征(71/323, 22.0%)、分叶征(94/323, 29.1%)、胸膜牵拉征(81/323, 25.1%)、血管集束征(130/323, 40.2%)、空泡征(23/323, 7.1%)等,提示恶性病变的影像学特征。292例(98.3%)行电视辅助胸腔镜手术(video-assisted thoracoscopic surgery, VATS),232例(78.1%)患者行肺楔形切除术,13例(4.4%)行肺段切除术,51例(17.2%)患者行肺叶切除术。4例(1.3%)患者出现手术并发症。术后病理类型前3位的是感染性疾病98例(33.0%)、炎性结节96例(32.3%)和错构瘤64例(21.5%)。结论因术前不能排除恶性而行手术切除的肺部良性病灶,影像学表现以实性病灶多见,但多具有提示恶性的影像学特征。VATS可作为一种明确病原病理的重要活检方式。此类病灶病理结果以感染性疾病和炎性结节最为常见,错构瘤第三。 展开更多
关键词 肺部良性病变 肺结节 肺肿瘤 肺癌筛查
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Cold spray additive manufacturing of Invar 36 alloy:microstructure,thermal expansion and mechanical properties 被引量:8
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作者 Chaoyue Chen Yingchun Xie +7 位作者 Longtao liu Ruixin Zhao Xiaoli Jin shanqing li Renzhong Huang Jiang Wang Hanlin liao Zhongming Ren 《Journal of Materials Science & Technology》 SCIE EI CAS CSCD 2021年第13期39-51,共13页
In this work,the Invar 36 alloys were manufactured using cold spray(CS)additive manufacturing technique.The systematic investigations were made on the microstructural evolution,thermal expansion and mechanical propert... In this work,the Invar 36 alloys were manufactured using cold spray(CS)additive manufacturing technique.The systematic investigations were made on the microstructural evolution,thermal expansion and mechanical properties under as-sprayed(AS)and heat-treated(HT)conditions.XRD(X-ray diffraction)and ICP-AES(inductively coupled plasma atomic emission spectroscopy)analyses show that no phase transformation,oxidation,nor element content change have occurred.The X-ray computed tomography(XCT)exhibited a near fully dense structure with a porosity of 0.025%in the helium-produced sample under as-sprayed condition,whereas the nitrogen-produced samples produced at 5 MPa and 800℃show more irregular pore defects.He-AS sample shows a more prominent grain refinement than that of nitrogen samples due to the more extensive plastic deformation.The post heat-treatment exhibited a promoted grain growth,inter-particle diffusion,as well as the formation of annealing twins.Between25℃and 200℃,the nitrogen samples possessed lower CTE(coefficient of thermal expansion)values(1.53×10^(-6)/℃)compared with those produced by casting and laser additive manufacturing.The He-AS samples exhibited a noticeable negative CTE value between 25℃and 200℃,which may due to the significant compressive residual stress(-272 MPa)compensating its displacement with temperature increase during CTE test.The N2-HT and He-HT Invar 36 samples present a notable balance between strength and ductility.In conclusion,the CS technique can be considered as a potential method to produce the Invar36 component with high thermal and mechanical performance. 展开更多
关键词 Cold spray Additive manufacturing Invar 36 alloy Coefficient of thermal expansion Tensile test
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GREEN QUASIFUNCTION METHOD FOR FREE VIBRATION OF CLAMPED THIN PLATES 被引量:5
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作者 shanqing li Hong Yuan 《Acta Mechanica Solida Sinica》 SCIE EI 2012年第1期37-45,共9页
The Green quasifunction method is employed to solve the free vibration problem of clamped thin plates.A Green quasifunction is established by using the fundamental solution and boundary equation of the problem.This fu... The Green quasifunction method is employed to solve the free vibration problem of clamped thin plates.A Green quasifunction is established by using the fundamental solution and boundary equation of the problem.This function satisfies the homogeneous boundary condition of the problem.The mode shape differential equation of the free vibration problem of clamped thin plates is reduced to Fredholm integral equation of the second kind by Green formula.Irregularity of the kernel of integral equation is overcome by choosing a suitable form of the normalized boundary equation.Two examples demonstrate the validity of the present method.Comparison with both the series solution and ANSYS finite-element solution shows fine agreement.The present method is a novel and effective mathematical one. 展开更多
关键词 Green function integral equation R-function clamped thin plates free vibration
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Mechanism and kinetic properties of NO_3-initiated atmospheric degradation of DDT
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作者 Cai liu shanqing li +3 位作者 Rui Gao Juan Dang Wenxing Wang Qingzhu Zhang 《Journal of Environmental Sciences》 SCIE EI CAS CSCD 2014年第3期601-607,共7页
In this article, the NO3 radical-initiated atmospheric oxidation degradation of DDT was theoretically investigated using molecular orbital theory calculations. All the calculations of intermediates, transition states ... In this article, the NO3 radical-initiated atmospheric oxidation degradation of DDT was theoretically investigated using molecular orbital theory calculations. All the calculations of intermediates, transition states and products were performed at the MPWB1K/6-311+G(3df,2p)//MPWB1K/6- 31+G(d,p) level of theory. Several energetically favorable reaction pathways were revealed. The formation mechanisms of secondary pollutants were presented and discussed. The rate constants were deduced over the temperature range of 273-333 K using canonical variational transition-state (CVT) theory with the small curvature tunneling (SCT) method. Our study shows that H abstraction from the alkyl group and NO3 addition to the Ca atom of the benzene ring are the dominant reaction pathways. The rate-temperature formula of the overall rate constants is k(T)(DDT+NO3) = (7.21 ~ 10-15)exp(-153.81/T) cm3/(mol.sec) over the possible atmospheric temperature range of 273-333 K. The atmospheric lifetime of DDT determined by NO3 radical is about 52.5 days, which indicates that it can be degraded in the gas phase within several months. 展开更多
关键词 DDT NO3 radicals atmospheric oxidation reaction mechanism rate constants
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SUMOylation-triggered ALIX activation modulates extracellular vesicles circTLCD4-RWDD3 to promote lymphatic metastasis of non-small cell lung cancer 被引量:3
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作者 Xiayao Diao Chao Guo +19 位作者 Hanhao Zheng Ke Zhao Yuming Luo Mingjie An Yan lin Jiancheng Chen Yuanlong li Yuting li Xuehan Gao Jiaqi Zhang Mengxin Zhou Wenliang Bai Lei liu Guige Wang Lanjun Zhang Xiaotian He Rusi Zhang Zhihua li Changhao Chen shanqing li 《Signal Transduction and Targeted Therapy》 SCIE CSCD 2023年第12期5887-5903,共17页
Lymph node(LN)metastasis is one of the predominant metastatic routes of non-small cell lung cancer(NSCLC)and is considered as a leading cause for the unsatisfactory prognosis of patients.Although lymphangiogenesis is ... Lymph node(LN)metastasis is one of the predominant metastatic routes of non-small cell lung cancer(NSCLC)and is considered as a leading cause for the unsatisfactory prognosis of patients.Although lymphangiogenesis is well-recognized as a crucial process in mediating LN metastasis,the regulatory mechanism involving lymphangiogenesis and LN metastasis in NSCLC remains unclear.In this study,we employed high-throughput sequencing to identify a novel circular RNA(circRNA),circTLCD4-RWDD3,which was significantly upregulated in extracellular vesicles(EVs)from LN metastatic NSCLC and was positively associated with deteriorated OS and DFS of patients with NSCLC from multicenter clinical cohort.Downregulating the expression of EV-packaged circTLCD4-RWDD3 inhibited lymphangiogenesis and LN metastasis of NSCLC both in vitro and in vivo.Mechanically,circTLCD4-RWDD3 physically interacted with hnRNPA2B1 and mediated the SUMO2 modification at K108 residue of hnRNPA2B1 by upregulating UBC9.Subsequently,circTLCD4-RWDD3-induced SUMOylated hnRNPA2B1 was recognized by the SUMO interaction motif(SIM)of ALIX and activated ALIX to recruit ESCRT-III,thereby facilitating the sorting of circTLCD4-RWDD3 into NSCLC cell-derived EVs.Moreover,EV-packaged circTLCD4-RWDD3 was internalized by lymphatic endothelial cells to activate the transcription of PROX1,resulting in the lymphangiogenesis and LN metastasis of NSCLC.Importantly,blocking EV-mediated transmission of circTLCD4-RWDD3 via mutating SIM in ALIX or K108 residue of hnRNPA2B1 inhibited the lymphangiogenesis and LN metastasis of NSCLC in vivo.Our findings reveal a precise mechanism underlying SUMOylated hnRNPA2B1-induced EV packaging of circTLCD4-RWDD3 in facilitating LN metastasis of NSCLC,suggesting that EV-packaged circTLCD4-RWDD3 could be a potential therapeutic target against LN metastatic NSCLC. 展开更多
关键词 METASTASIS inhibited LYMPHATIC
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MoP nanoparticles encapsulated in N-doped carbon nanotubes as sulfur host for advanced lithium-sulfur batteries
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作者 Guozhi Wu shanqing li +4 位作者 Zheng Chen Ajiao Sun Jie Yang Sang Woo Joo Jiarui Huang 《Nano Research》 SCIE EI CSCD 2024年第4期2736-2745,共10页
The low electrical conductivity of sulfur,strong volume expansion,shuttle effect,and sluggish redox reactions in Li-S batteries limit their practical application.MoP nanoparticles encapsulated in nitrogen-doped carbon... The low electrical conductivity of sulfur,strong volume expansion,shuttle effect,and sluggish redox reactions in Li-S batteries limit their practical application.MoP nanoparticles encapsulated in nitrogen-doped carbon nanotubes(MoP/NC NTs)were synthesized using MoO_(3) nanorods as templates via a polypyrrole coating,heat-carbonization,MoO_(3) partial reduction,ammonia washing,and phosphorization.The MoP/NC NTs had a hollow nanostructure with a high specific surface area,which can alleviate the volume expansion of the cathode and the shuttle effect of polysulfides.The encapsulated MoP nanoparticles can anchor the polysulfides and enhance the redox reaction kinetics.Thus,the MoP/NC NTs combined with sulfur(MoP/S/NC NTs)exhibited 440.8 mAh·g^(-1) over 500 cycles at 1.0 A·g^(-1) with a decay rate of 0.06%per cycle.The density functional theory calculations and X-ray photoelectron spectroscopy results confirmed that MoP/NC NTs could anchor polysulfides and alleviate the shuttle effect by chemical interactions.This study supplies a novel route to prepare nanoparticle-embedded in N-doped carbon nanotubes for advanced Li-S battery. 展开更多
关键词 MOP N-doped carbon NANOTUBE lithium-sulfur battery cathode
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Cancer situation in China:an analysis based on the global epidemiological data released in 2024 被引量:18
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作者 Xiayao Diao Chao Guo +11 位作者 Yukai Jin Bowen li Xuehan Gao Xin Du Zhenchong Chen Minju Jo Yi Zeng Chao Ding Wenwu liu Jianrong Guo shanqing li Haibo Qiu 《Cancer Communications》 2025年第2期178-197,共20页
Background:Cancer remains a major cause of mortality and a significant economic burden in China.Exploring the disparities in cancer patterns and control strategies between China and developed countries may offer valua... Background:Cancer remains a major cause of mortality and a significant economic burden in China.Exploring the disparities in cancer patterns and control strategies between China and developed countries may offer valuable insights for policy formulation and enhance cancer management efforts.This study examined the incidence,mortality,and disability-adjusted life year(DALY)burden of cancer in China,and compared these metrics with those observed in the United States(US)and the United Kingdom(UK).Methods:Data on cancer incidence,mortality,and DALYs for China,the US,and the UK were sourced from the GLOBOCAN 2022 online database and the Global Burden of Disease 2021 study(GBD 2021).We utilized Joinpoint regression models to analyze trends in cancer incidence and mortality across these countries,calculating annual percent changes(APCs)and determining the optimal joinpoints.Results:In 2022,China recorded around 4,824,703 new cancer cases and 2,574,176 cancer-related deaths,contributing to 71,037,170 DALYs.China exhibited a lower cancer incidence rate compared to the US and the UK.Although cancer-related mortality in China is slightly lower than that in the UK,it is significantly higher than that in the US.Additionally,China experienced significantly higher DALY rates compared to both the US and UK.The cancer landscape in China was also undergoing significant changes,with a rapid rise in the incidence and burden of lung,colorectal,breast,cervical,and prostate cancers.Meanwhile,the incidence and burden of stomach cancer continued to decline.Although the incidence of liver and esophageal cancers was decreasing,the burden of liver cancer was increasing,while the burden of esophageal cancer remained largely unchanged.Conclusions:The cancer profile of China is shifting from that of a developing country to one more typical of a developed country.The ongoing population aging and the rise in unhealthy lifestyles are expected to further escalate the cancer burden in China.Consequently,it is crucial for Chinese authorities to revise the national cancer control program,drawing on successful strategies from developed countries,while also accounting for the regional diversity in cancer types across China. 展开更多
关键词 cancer pattern China disability-adjusted life year GBD 2021 GLOBOCAN 2022 incidence mortality risk factor United Kingdom United States
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Physical activity and cancer risk:a dose-response analysis for the Global Burden of Disease Study 2019 被引量:4
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作者 Xiayao Diao Yudong ling +11 位作者 Yi Zeng Yueqian Wu Chao Guo Yukai Jin Xiaojiang Chen Shoucheng Feng Jianrong Guo Chao Ding Feiyu Diao Zhicheng Du shanqing li Haibo Qiu 《Cancer Communications》 SCIE 2023年第11期1229-1243,共15页
Objective Adopting a healthy lifestyle,including regular physical activity,is widely believed to decrease cancer risk.This study aimed to quantitatively establish the dose-response relationships between total physical... Objective Adopting a healthy lifestyle,including regular physical activity,is widely believed to decrease cancer risk.This study aimed to quantitatively establish the dose-response relationships between total physical activity and the risk of breast,colon,lung,gastric,and liver cancers.Methods A systematic review and dose-response analysis were conducted using PubMed and Embase from January 1,1980 to March 20,2023.Prospective cohort studies that examined the association between physical activity and the risks of any of the 5 outcomes were included.The search was confined to publications in the English language with a specific focus on human studies.Physical activity is standardized by using the data from US National Health and Nutrition Examination Surveys(NHANES)and the Global Burden of Disease 2019 database.Results A total of 98 studies,involving a combined population of 16,418,361 individuals,were included in the analysis.Among the included studies,57 focused on breast cancer,17 on lung cancer,23 on colon cancer,5 on gastric cancer,and 7 on liver cancer.Overall,elevated levels of physical activity exhibited an inverse correlation with the risk of cancer.The dose-response curve for lung cancer exhibited a non-linear pattern,with the greatest benefit risk reduction observed at 13,200 MET-minutes/week of physical activity,resulting in a 14.7%reduction in risk(relative risk 0.853,uncertainty interval 0.798 to 0.912)compared to the inactive population.In contrast,the dose-response curves for colon,gastric,breast,and liver cancers showed linear associations,indicating that heightened levels of total physical activity were consistently associated with reduced cancer risks.However,the increase in physical activity yielded a smaller risk reduction for colon and gastric cancers compared to breast and liver cancers.Compared to individuals with insufficient activity(total activity level<600 MET-minutes/week),individuals with high levels of activity(≥8,000 MET-minutes/week)experienced a 10.3%(0.897,0.860 to 0.934)risk reduction for breast cancer;5.9%(0.941,0.884 to 1.001)for lung cancer;7.1%(0.929,0.909 to 0.949)for colon cancer;5.1%(0.949,0.908 to 0.992)for gastric cancer;17.1%(0.829,0.760 to 0.903)for liver cancer.Conclusions This study demonstrated a significant inverse relationship between total physical activity and the risk of breast,gastric,liver,colon,and lung cancers. 展开更多
关键词 cancer risk dose-response analysis Global Burden of Disease physical activity
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Lymphatic metastasis in non-small cell lung cancer: recent discoveries and novel therapeutic targets 被引量:2
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作者 Xiayao Diao Chao Guo shanqing li 《Cancer Communications》 SCIE 2022年第12期1403-1406,共4页
1 LYMPHATIC METASTASIS AND LYMPHANGIOGENESIS IN NON-SMALL CELL LUNG CANCER Lung cancer is the 2nd most common and 1st deadliest cancer worldwide[1].It presents an enormous burden on society in China,because of its hig... 1 LYMPHATIC METASTASIS AND LYMPHANGIOGENESIS IN NON-SMALL CELL LUNG CANCER Lung cancer is the 2nd most common and 1st deadliest cancer worldwide[1].It presents an enormous burden on society in China,because of its high incidence andmortality rate[2,3].About 80%-85%of lung cancers are non-small cell lung cancer(NSCLC).Lymphatic metastasis is a critical event in disease progression that influences clinical treatment and determines the prognosis for NSCLC[4]. 展开更多
关键词 METASTASIS LUNG CANCER
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