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放射暴露对早发女性乳腺癌幸存者罹患第二原发癌的风险研究
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作者 师金 刘建 +3 位作者 杨昕 李道娟 梁迪 贺宇彤 《中国肿瘤临床》 北大核心 2026年第1期24-31,共8页
目的:对暴露于放射线的早发乳腺癌患者(诊断年龄<50岁)罹患第二原发癌(second primary malignancies,SPMs)的风险进行综合量化评价。方法:在监测、流行病学和最终结果数据库中纳入2000至2018年的早发乳腺癌患者。估计SPMs的累积发生... 目的:对暴露于放射线的早发乳腺癌患者(诊断年龄<50岁)罹患第二原发癌(second primary malignancies,SPMs)的风险进行综合量化评价。方法:在监测、流行病学和最终结果数据库中纳入2000至2018年的早发乳腺癌患者。估计SPMs的累积发生率,通过泊松回归评估放射线暴露(radiation exposure,RE)组和放射线未暴露(non-radiation exposure,NRE)组SPMs的相关风险。竞争风险模型识别SPMs发病的危险因素,构建列线图模型并进行效果评价和风险分层。结果:RE组和NRE组分别为88483例和68085例,10年SPMs累积发病率分别为3.38%和2.62%。年龄在20~30岁、30~40岁和40~50岁患者因放射线导致SPMs的相对风险分别为1.10、1.31和1.32。亚组分析中,RE组与NRE组相比,SPMs发病风险更高。早发乳腺癌幸存者发生SPMs的危险因素中,暴露放射线(HR=1.04,95%CI:1.01~1.12)与SPMs的风险增加相关。预测模型的时间依赖ROC曲线显示,6年、8年和10年的AUC值分别为0.631、0.621和0.607。风险分层将早发乳腺癌患者分为低、中和高风险组,3组累积发病率分别为1.53%、3.75%和7.21%(P<0.05)。结论:早发乳腺癌幸存者仍存在较高的因暴露放射线导致的SPMs的发病风险,应加大此类人群的监测力度,早期识别高风险患者。 展开更多
关键词 早发 乳腺癌 第二原发癌 放射暴露 预测
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脑启发的“低慢小”目标视觉感知研究现状与展望
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作者 王刚 杨欣 +4 位作者 高晋 李椋 朱鹏飞 胡卫明 王以政 《中国科学基金》 北大核心 2026年第1期65-72,共8页
移动速度慢、雷达反射面小的“低慢小”目标需要引入光电传感器(红外/可见光等),协同雷达应对杂波干扰和电磁压制等,进而基于深度学习等目标视觉感知技术实现智能化光电信息处理。然而,“低慢小”目标外观弱隐、背景复杂、场景多变,当... 移动速度慢、雷达反射面小的“低慢小”目标需要引入光电传感器(红外/可见光等),协同雷达应对杂波干扰和电磁压制等,进而基于深度学习等目标视觉感知技术实现智能化光电信息处理。然而,“低慢小”目标外观弱隐、背景复杂、场景多变,当前主流的智能感知技术仍面临虚警/漏检率高、计算能效比差、可信可靠性不足等问题。如何借鉴人类视觉系统(Human Visual System,HVS)获取、感知和认知加工视觉信息的优势特性,提高“低慢小”目标视觉感知的关键性能和智能化水平,已成为业内新的研究热点。本文将在介绍相关技术发展现状的同时,进一步对该领域研究的未来发展趋势进行讨论和展望。 展开更多
关键词 视觉感知 人类视觉系统 “低慢小”目标 深度学习 表观—运动建模
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航空发动机矢量喷管多保真协同仿真方法研究
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作者 路明标 韦广健 +1 位作者 杨鑫 董学智 《风机技术》 2026年第1期70-77,共8页
针对现代航空发动机矢量喷管在多保真度仿真流程中存在的几何拓扑不稳定、网格生成困难及自动化批处理能力不足等问题,本文提出了一种基于CAESES与ANSYS的参数化建模与模板化网格自动生成一体化方法。通过骨架驱动建模与语义化边界命名... 针对现代航空发动机矢量喷管在多保真度仿真流程中存在的几何拓扑不稳定、网格生成困难及自动化批处理能力不足等问题,本文提出了一种基于CAESES与ANSYS的参数化建模与模板化网格自动生成一体化方法。通过骨架驱动建模与语义化边界命名,实现了大范围参数扰动下几何与网格的稳定生成。流程集成清华大学航空发动机研究院开发的GPCS性能协同仿真平台,将0D总体性能模型与3D喷管高保真模型有效耦合,构建了低涵道比涡扇发动机的多学科、多保真度协同仿真体系。结果表明,该流程能够在连续工况变化下实现几何、网格与性能分析的自动化联动,显著提升了仿真批处理效率和工程适用性,为发动机设计优化与不确定性分析提供了有力支撑。 展开更多
关键词 矢量喷管 多保真仿真 参数化建模 网格自动生成 协同仿真 低涵道比涡扇
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Acute liver failure caused by amino acid or organic acid related inborn errors of metabolism
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作者 Ying Zhou Chi Chen xin yang 《Hepatobiliary & Pancreatic Diseases International》 2026年第1期112-114,共3页
Inborn errors of metabolism(IEMs)are a large group of disorders resulting from deficient activities in several metabolic pathways due to the dysfunction of a distinct enzyme associated with a biochemical pathway[1,2].... Inborn errors of metabolism(IEMs)are a large group of disorders resulting from deficient activities in several metabolic pathways due to the dysfunction of a distinct enzyme associated with a biochemical pathway[1,2].Toxic intermediates will be produced due to the dysfunction of biochemical pathways.The liver is responsible for many essential metabolic processes,therefore it becomes one of the most severely affected organ by metabolic diseases[3].Early onset of liver disorders in IEMs includes jaundice,hepatomegaly,splenomegaly,ascites,hepatic encephalopathy,and liver failure[4].In infants and young children under 3 years old with acute liver failure(ALF),IEMs account for 18.9%-43%[5]. 展开更多
关键词 biochemical pathway toxic intermediates metabolic diseases early acute liver failure inborn errors metabolism iems organic acid dysfunction distinct enzyme metabolic processestherefore metabolic pathways
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Introduction and impact of the young breast cancer in China consensus
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作者 xin yang Chao Dong Qiang Liu 《Cancer Biology & Medicine》 2026年第1期8-14,共7页
Introduction,Breast cancer is the most common cancer type in adolescents and young adults<40 years of age,accounting for 30%of cancers in this age group1.Breast cancer in the young presents significant challenges f... Introduction,Breast cancer is the most common cancer type in adolescents and young adults<40 years of age,accounting for 30%of cancers in this age group1.Breast cancer in the young presents significant challenges for patients and society,including more aggressive tumor biology,poor prognosis,genetic susceptibility,fertility preservation,and complex psychosocial issues.Moreover,because of the markedly younger median age of breast cancer,the proportion of young breast cancer patients in China is significantly higher than Western countries2.The first Young Breast Cancer in China(YBCC)consensus meeting was held in Guangzhou,China in December 2021 to address exclusive challenges and requirements facing young patients with breast cancer.Chinese medical experts from multiple specialties had an extensive discussion and formulated a consensus over several hot topics in young patients with breast cancer.The“Expert Consensus on the Diagnosis and Treatment of Young Breast Cancer in China(2022 edition)”published in the Chinese Medical Journal has garnered significant attention3,highlighting enormous interest in the YBCC consensus in the medical community and public. 展开更多
关键词 CONSENSUS breast cancerthe DIAGNOSIS breast cancer China CHALLENGES young breast cancer treatment
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Origin and Transformation of Nitrate in Karst Cave Groundwater in the Middle Reaches of the Qingjiang River
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作者 Xiuli Li xin yang +3 位作者 Weiqi Zhang Huan yang xin Huang Chaoyong Hu 《Journal of Earth Science》 2026年第1期241-250,共10页
Nitrate pollution is a severe threat to the fragile ecosystems in karst regions.However,our knowledge of the sources and transformations of nitrate in karst cave groundwater is still limited.This study aimed to invest... Nitrate pollution is a severe threat to the fragile ecosystems in karst regions.However,our knowledge of the sources and transformations of nitrate in karst cave groundwater is still limited.This study aimed to investigate the temporal and spatial patterns of nitrate dynamics in the underground water of karst caves located on the south bank of the Qingjiang River in central China,through a comprehensive application of multiple approaches,such as hydrochemistry,nitrogen and oxygen isotope compositions of nitrate,and a Bayesian isotope mixing model(SIMMR).During the sampling period(from December 2018 to December 2019),the nitrate concentration did not show an apparent temporal variation;meanwhile,no water samples in this study had a nitrate concentration higher than the limit for drinking water,but the nitrate concentration in karst underground rivers is significantly higher than that in surface water.The results of the comprehensive analyses revealed that the predominant nitrate sources included nitrification in soil and chemical fertilizer,which had mean percentages of 43%and 32%,respectively.The source contribution varied in the outlet water among different caves.The soil-derived nitrate in the underground water from the Shizi Cave accounted for the highest proportion(49%),while chemical-fertilizer-derived nitrate in the underground water from the Mishui Cave accounted for the highest proportion(36%).The dualisotope signatures of nitrate supported a major influence on nitrogen dynamics in the cave underground from nitrification.These findings suggest that nitrate carried by underground rivers in karst caves should be alerted when making the nitrate balance in rivers flowing through karst areas. 展开更多
关键词 karst area cave underground water RIVER NITRATE source
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对比SMILE与FS-LASIK治疗近视及散光对角膜参数影响的差异
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作者 辛杨 戚伟 谢韵竹 《生物医学工程与临床》 2026年第2期185-190,共6页
目的研究小切口飞秒激光角膜基质透镜取出术(SMILE)及飞秒激光辅助的准分子激光原位角膜磨镶术(FSLASIK)在纠正近视和散光方面的成效、安全性及对角膜参数的影响,指导手术方式的选择。方法选择近视及近视合并散光患者600例,其中男性283... 目的研究小切口飞秒激光角膜基质透镜取出术(SMILE)及飞秒激光辅助的准分子激光原位角膜磨镶术(FSLASIK)在纠正近视和散光方面的成效、安全性及对角膜参数的影响,指导手术方式的选择。方法选择近视及近视合并散光患者600例,其中男性283例,女性317例;年龄19~36岁,平均年龄27.03岁;疾病类型,近视515例,近视合并散光85例;球镜度数-3.00~-6.80 D,平均球镜度数-5.02 D;柱镜度数-0.28~-1.10 D,平均柱镜度数-0.69 D。根据治疗方案不同,分为SMILE组和FS-LASIK组,每组各300例。观察两组手术安全性、有效性、手术前后角膜参数等差异。结果SMILE组与FS-LASIK组手术眼安全性指数、有效性指数比较,差异无统计学意义(P>0.05)。术后6个月两组最佳矫正视力(BCVA)、球镜度数和柱镜度数比较,差异无统计学意义(P>0.05),而SMILE组和FS-LASIK组术后6个月BCVA、球镜度数和柱镜度数较术前改善[SMILE组:(0.92±0.12)logMAR vs(0.09±0.03)logMAR、(0.20±0.07)D vs(-5.05±0.55)D、(0.40±0.12)D vs(-0.70±0.21)D。FS-LASIK组:(0.91±0.10)logMAR vs(0.09±0.04)logMAR、(0.20±0.06)D vs(-5.00±0.60)D、(0.39±0.10)D vs(-0.68±0.24)D](P<0.05)。两组术前及术后6个月角膜后表面高度、角膜最薄点高度、角膜阻力因子和角膜滞后量比较,差异无统计学意义(P>0.05),而SMILE组和FS-LASIK组术后6个月角膜阻力因子和角膜滞后量均较术前降低[SMILE组:(7.01±1.51)mm Hg vs(11.54±2.26)mm Hg、(8.06±1.05)mmHg vs(10.87±2.10)mmHg;FS-LASIK组:(7.05±1.40)mmHg vs(11.60±2.12)mmHg、(8.10±1.09)mmHg vs(10.95±2.09)mm Hg](P<0.05)。SMILE组术后1周和1个月眼压低于FS-LASIK组[SMILE组:(15.45±1.03)mm Hg和(14.35±1.01)mm Hg;FS-LASIK组:(16.67±1.14)mm Hg和(15.76±1.04)mm Hg](P<0.05)。SMILE组与FS-LASIK组术后并发症比较,差异无统计学意义(3.00%vs 3.67%。P>0.05)。结论SMILE方案矫正近视及近视合并散光的效果和安全性及对角膜参数的影响与FS-LASIK无明显差异,两种术式治疗均有较好治疗效果,但SMILE术后眼压降低更快。 展开更多
关键词 SMILE FS-LASIK 近视 散光 角膜参数
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Unlocking the hidden health benefits of guggulsterone isolated from ancient spices:a comprehensive review
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作者 xin yang Chunli Ge +7 位作者 Jiao Song Dan Hu Qingchu Tan Runchun Xu Ming yang Li Han Qiyue yang Dingkun Zhang 《Chinese Journal of Natural Medicines》 2026年第2期145-155,共11页
Guggulsterone(GS)is a bioactive compound primarily extracted from the oleo-gum resin of plants in the Commiphora and Boswellia genera.Modern pharmacological studies have demonstrated that GS possesses a broad spectrum... Guggulsterone(GS)is a bioactive compound primarily extracted from the oleo-gum resin of plants in the Commiphora and Boswellia genera.Modern pharmacological studies have demonstrated that GS possesses a broad spectrum of biological activities,with notable therapeutic potential in inflammatory disorders,neurodegenerative conditions,diabetes mellitus,and various cancers.In this review,we systematically analyzed relevant literature published up to 2024 from the CNKI,Web of Science,ScienceDirect,and PubMed databases to summarize the current understanding of GS's pharmacological effects,toxicity profile,and pharmacokinetic properties.The findings indicate that GS exerts potent antioxidant,anti-inflammatory,anticancer,antiviral,antidepressant,lipid-lowering,and cardiovascular protective effects,primarily through modulation of key signaling pathways such as the Janus kinase(JAK)-signal transducer and activator of transcription 3(STAT3),nuclear factor erythroid 2-related factor 2(Nrf2)/heme oxygenase-1(HO-1),Nrf2/Keap1,nuclear factor kappa-B(NF-κB),AMPK,phosphoinositide 3-kinase(PI3K)/protein kinase B(Akt),and mitogen-activated protein kinase(MAPK)/activator protein-1(AP-1).Additionally,GS may help overcome limitations associated with conventional chemotherapy by modulating drug resistance via regulation of p-glycoprotein activity.Following hepatic metabolism mediated by cytochrome P450 enzymes,GS does not appear to cause significant adverse effects.This review provides a comprehensive synthesis of the sources,pharmacological actions,safety,pharmacokinetics,and potential applications of GS.Future research should focus on structural modification of GS,development of novel formulations,and exploration of synergistic combinations with other therapeutic agents to broaden its clinical utility. 展开更多
关键词 GUGGULSTERONE Pharmacological activities PHARMACOKINETICS TOXICOLOGY
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Effects of Lipoxin A4 Pretreatment on Cognitive Function of Aged Rats after Global Cerebral Ischemia Reperfusion 被引量:5
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作者 Hui-sheng WU Pei-pei GUO +5 位作者 Zhao JIN xin-yi LI xin yang Jan-juan KE Yan-lin WANG Xiao-bo FENG 《Current Medical Science》 SCIE CAS 2018年第4期666-671,共6页
The aim of the present study was to investigate the effect of lipoxin A4 (LXA4) pretreatment on cognitive function of aged rats after global cerebral ischemia reperfusion, and to explore its possible mechanism. Thir... The aim of the present study was to investigate the effect of lipoxin A4 (LXA4) pretreatment on cognitive function of aged rats after global cerebral ischemia reperfusion, and to explore its possible mechanism. Thirty-six aged male Sprague-Dawley rats were randomly divided into three groups (n=12 each): sham-operation group (S group), global cerebral ischemia reperfusion group (I/R group) and LXA4-pretreatment group (L group). The rat model of global cerebral ischemia reperfusion was established by occlusion of the bilateral common carotid artery with hypotension. The cognitive function of rats was determined by a step-down type passive avoidance test and Morris Water Maze test on the third day after reperfusion. Rats were sacrificed after Water Maze test and the pathological changes ofhippocampal CA1 region were observed and the related inflammatory mediators were determined. As compared with S group, the escape latency in I/R group was prolonged from the first day to the fifth day, while that in L group was prolonged from the first day to the third day. The retention time in I/R group and L group in the first quadrant was shortened. The reaction time, frequency of reaction mistake and frequency of escape mistake in I/R group increased, and the latent period shortened. The frequency of escape mistake in L group increased, and the damage in the hippocampal CAI region of I/R group and L group was obvious. The levels of S-10013, TNF-α, IL-1β, IL-10 and NF-κB in I/R group and L group increased. As compared with I/R group, the escape latency in L group was shortened from the first day to the fifth day, and the retention time in the first quadrant prolonged. The reaction time, frequency of reaction mistake and frequency of escape mistake in L group decreased, and the latent period prolonged. The damage in the hippocampal CA1 region of L group was alleviated as well. The levels of S-10013, TNF-α, IL-1β and NF-κB in L group decreased, and those of IL-10 increased. It can be concluded that LXA4 pretreatment can improve the cognitive function in aged rats after global cerebral ischemia reperfusion probably by inhibiting the inflammatory reaction. 展开更多
关键词 LIPOXIN cerebral ischemia reperfusion PRETREATMENT cognitive function
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Characterization of aerosol optical properties, chemical composition and mixing states in the winter season in Shanghai, China 被引量:3
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作者 Yong Tang Yuanlong Huang +5 位作者 Ling Li Hong Chen Jianmin Chen xin yang Song Gao Deborah S.Gross 《Journal of Environmental Sciences》 SCIE EI CAS CSCD 2014年第12期2412-2422,共11页
Physical and chemical properties of ambient aerosols at the single particle level were studied in Shanghai from December 22 to 28, 2009. A Cavity-Ring-Down Aerosol Extinction Spectrometer(CRD-AES) and a nephelometer... Physical and chemical properties of ambient aerosols at the single particle level were studied in Shanghai from December 22 to 28, 2009. A Cavity-Ring-Down Aerosol Extinction Spectrometer(CRD-AES) and a nephelometer were deployed to measure aerosol light extinction and scattering properties, respectively. An Aerosol Time-of-Flight Mass Spectrometer(ATOFMS)was used to detect single particle sizes and chemical composition. Seven particle types were detected. Air parcels arrived at the sampling site from the vicinity of Shanghai until mid-day of December 25, when they started to originate from North China. The aerosol extinction,scattering, and absorption coefficients all dropped sharply when this cold, clean air arrived.Aerosol particles changed from a highly aged type before this meteorological shift to a relatively fresh type afterwards. The aerosol optical properties were dependent on the wind direction.Aerosols with high extinction coefficient and scattering Angstrom exponent(SAE) were observed when the wind blew from the west and northwest, indicating that they were predominantly fine particles. Nitrate and ammonium correlated most strongly with the change in aerosol optical properties. In the elemental carbon/organic carbon(ECOC) particle type, the diurnal trends of single scattering albedo(SSA) and elemental carbon(EC) signal intensity had a negative correlation. We also found a negative correlation(r =-0.87) between high mass-OC particle number fraction and the SSA in a relatively clean period, suggesting that particulate aromatic components might play an important role in light absorption in urban areas. 展开更多
关键词 Aerosol optical properties Chemical composition CRDS ATOFMS
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Living environment shaped residents’willingness to pay for ecosystem services in Yangtze River Middle Reaches Megalopolis,China 被引量:1
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作者 Guanshi Zhang Qi Zhang +3 位作者 xin yang Ruying Fang Hongjuan Wu Sen Li 《Geography and Sustainability》 CSCD 2023年第3期213-221,共9页
Profound understanding on the diversity of local residents’willingness to pay(WTP)for ecosystem services(ESs)may aid evaluation of policy impacts by uncovering trade-offs and synergies for achieving sustainable envir... Profound understanding on the diversity of local residents’willingness to pay(WTP)for ecosystem services(ESs)may aid evaluation of policy impacts by uncovering trade-offs and synergies for achieving sustainable environmental resource management.However,the reasons for the spatial preference heterogeneity of WTP are still unclear.In this study,an extensive survey with 4,580 residents in the Yangtze River Middle Reaches Megalopolis(YRMRM),central China,was carried out to investigate the public’s WTP to maintain and improve ESs.We identified key influencing factors and explored how they shaped the preference heterogeneity in WTP by random forest model and surface fitting method.Our results showed that 81.4% of residents reported WTP for ESs greater than zero.Water supply,waste treatment,food supply and raw material supply were the preferred ESs for residents.Living environment factors(i.e.,extent of farmland,water and forest near the residence)were found as the key drivers of WTP.Proximity to farmland,water and forests resulted in high WTP values for a series of specific ESs.The reasons for the heterogeneity of WTP are(1)the difference in proximity to farmland,water and forest(i.e.,the contributor to ESs),(2)the divergence of local residents’preferences for ESs.This study disclosed the heterogeneity and causes of public preferences in YRMRM,which could help policy and decision makers to develop eco-compensation initiatives towards conservative and sustainable use of the environmental resources. 展开更多
关键词 Ecosystem services Willingness to pay Living environment Spatial heterogeneity Yangtze River Middle Reaches Megalopolis
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乙苯选择性氧化制苯乙酮催化体系新进展
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作者 董鹏 刘英炀 +2 位作者 马伟 辛洋 张静 《当代化工》 2025年第8期1900-1910,共11页
苯乙酮作为医药、香料及高分子材料的关键中间体,其绿色高效合成技术备受关注。采用乙苯直接催化氧化法,对比传统工艺的污染问题,凸显了乙苯氧化路径的环境友好性,同时此工艺也存在一些技术挑战,即乙苯C—H键活化能高、易深度氧化。系... 苯乙酮作为医药、香料及高分子材料的关键中间体,其绿色高效合成技术备受关注。采用乙苯直接催化氧化法,对比传统工艺的污染问题,凸显了乙苯氧化路径的环境友好性,同时此工艺也存在一些技术挑战,即乙苯C—H键活化能高、易深度氧化。系统评述了钴基、钒基、分子筛、贵金属及非贵金属氧化物等催化体系,揭示其活性位点设计、氧化还原特性与稳定性差异;阐明溶剂、氧化剂、温度等条件的影响机制,并基于自由基链式与晶格氧协同路径提出载体优化、掺杂改性及复合策略。未来需突破贵金属依赖,开发低成本非贵金属催化剂,集成绿色工艺以实现高效、低耗的工业化应用。 展开更多
关键词 乙苯 苯乙酮 催化剂 反应机理
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乡村振兴背景下河北省脱贫劳动力稳定就业现状问题与对策 被引量:1
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作者 蔡宁 辛阳 +3 位作者 许皓月 孙海芳 杨梦佳 王雪 《河北农业科学》 2025年第1期21-24,共4页
乡村振兴战略的实施对脱贫劳动力就业创业提出新要求。基于河北省面源数据,对脱贫劳动力就业现状、存在问题进行深入研究,从培育新兴产业、培育新型经营主体、加强舆论宣传、创新培训模式、强化政策激、转变政府职能6个方面提出对策建议。
关键词 河北省 乡村振兴 脱贫劳动力 稳定就业
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四维血流心脏磁共振评估儿童室性期前收缩心室血流动力学特征及其对负荷程度的预测价值
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作者 冯凯 杨林林 +5 位作者 党玉雪 辛洋 钟庆军 王颖 侯阳 马跃 《磁共振成像》 北大核心 2025年第11期39-48,共10页
目的应用四维血流心脏磁共振(four-dimensional flow cardiac magnetic resonance imaging,4D Flow CMR)对室性期前收缩(premature ventricular complexes,PVCs)患儿左室血流及动能(kinetic energy,KE)特征进行分析,评估左室血流动力学... 目的应用四维血流心脏磁共振(four-dimensional flow cardiac magnetic resonance imaging,4D Flow CMR)对室性期前收缩(premature ventricular complexes,PVCs)患儿左室血流及动能(kinetic energy,KE)特征进行分析,评估左室血流动力学变化与左室功能及PVCs负荷的关系,并探究4D Flow指标对PVCs患儿室性期前收缩负荷程度的预测价值。材料与方法纳入中国医科大学附属盛京医院2024年1月至2025年1月接受4D Flow CMR扫描的PVCs的患儿,将病例组按照24小时动态心电图监测中室性期前收缩负荷程度分为两亚组:低负荷组(PVCs-M组,室性期前收缩负荷≤1‰)和高负荷组(PVCs-S组,室性期前收缩负荷>1‰),并纳入接受CMR检查的无心肺疾病儿童做为对照组。所有患儿均于24小时动态心电图检查后行CMR扫描。采用平衡稳态自由进动序列采集心脏电影序列,测定左/右心室每搏输出量指数(left/right ventricular stroke volumeindex,L/RVSVi)、左室射血分数(left ventricular ejection fraction,LVEF)等功能参数。采用三维回顾性心电图触发导航仪门控4D Flow序列进行全心血流扫描,通过后处理软件测定左室血流成分和KE。比较病例组与对照组间、病例组内亚组间各CMR常规指标及血流动力学指标的差异。通过二元logistic回归筛选评估负荷程度的预测指标,并利用受试者工作特征曲线分析CMR各指标的预测效能。结果本研究共入组49例受试者,其中对照组14名,病例组35名,其中PVCs-M组16名,PVCs-S组19名。对照组和病例组年龄、性别和心率差异均无统计学意义(P>0.05)。CMR常规指标中,病例组与对照组差异均无统计学意义,病例组中PVCs-S组的RVEDVi较PVCs-M组降低[(77.82±17.73)mL/m^(2)vs.(65.97±13.23)mL/m2,P=0.030]。4D Flow指标中,病例组直接血流低于对照组(31.70%±11.69%vs.38.49%±6.13%,P=0.045),而时间偏差增加[25.80(0,34.40)ms vs.0(0,0)ms,P=0.001]。同时,与PVCs-M组相比,PVCs-S组剩余容积增加[20.31%(19.08%,30.20%)vs.16.65%(13.71%,23.21%),P=0.016],直接血流与收缩期KEi_(EDV)减少[28.16%±8.60%vs.35.90%±13.66%,P=0.049;5.59(4.47,6.41)μJ/mL vs.7.76(7.09,8.33)μJ/mL,P=0.003]。将病例组内亚组间P<0.05的指标进行二元多因素logistic回归分析,得出RVEDVi、剩余容积及收缩期KEi_(EDV)与PVCs患儿负荷程度独立相关。构建上述指标单独及联合应用时预测PVCs负荷的联合预测模型,发现联合预测模型与单独指标相比具有更高的预测能力(AUC=0.924,P<0.001)。结论4D Flow CMR能够在自由呼吸状态下测定PVCs患儿左室血流成分和KE特征的异常变化,且这些变化与左心功能密切相关。4D Flow CMR指标中收缩期KEi_(EDV)、RVEDVi和剩余容积与PVCs患儿室性期前收缩负荷程度独立相关,三个指标联合应用的预测模型对PVCs负荷程度具有较高的预测价值,有望用于PVCs患儿临床危险程度分层和预测预后。 展开更多
关键词 室性期前收缩 儿童 心脏磁共振成像 四维血流 血流动力学
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Return to work in young and middle-aged colorectal cancer survivors:Factors influencing self-efficacy,fear,resilience,and financial toxicity 被引量:2
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作者 Dan Hu Yue Li +6 位作者 Hua Zhang Lian-Lian Wang Wen-Wen Liu xin yang Ming-Zhao Xiao Hao-Ling Zhang Juan Li 《World Journal of Gastroenterology》 SCIE CAS 2025年第1期79-92,共14页
BACKGROUND Return to work(RTW)serves as an indication for young and middle-aged colorectal cancer(CRC)survivors to resume their normal social lives.However,these survivors encounter significant challenges during their... BACKGROUND Return to work(RTW)serves as an indication for young and middle-aged colorectal cancer(CRC)survivors to resume their normal social lives.However,these survivors encounter significant challenges during their RTW process.Hence,scientific research is necessary to explore the barriers and facilitating factors of returning to work for young and middle-aged CRC survivors.AIM To examine the current RTW status among young and middle-aged CRC survivors and to analyze the impact of RTW self-efficacy(RTW-SE),fear of progression(FoP),eHealth literacy(eHL),family resilience(FR),and financial toxicity(FT)on their RTW outcomes.METHODS A cross-sectional investigation was adopted in this study.From September 2022 to February 2023,a total of 209 participants were recruited through a convenience sampling method from the gastrointestinal surgery department of a class A tertiary hospital in Chongqing.The investigation utilized a general information questionnaire alongside scales assessing RTW-SE,FoP,eHL,FR,and FT.To analyze the factors that influence RTW outcomes among young and middle-aged CRC survivors,Cox regression modeling and Kaplan-Meier survival analysis were used.RESULTS A total of 43.54%of the participants successfully returned to work,with an average RTW time of 100 days.Cox regression univariate analysis revealed that RTW-SE,FoP,eHL,FR,and FT were significantly different between the non-RTW and RTW groups(P<0.05).Furthermore,Cox regression multivariate analysis identified per capita family monthly income,job type,RTW-SE,and FR as independent influencing factors for RTW(P<0.05).CONCLUSION The RTW rate requires further improvement.Elevated levels of RTW-SE and FR were found to significantly increase RTW among young and middle-aged CRC survivors.Health professionals should focus on modifiable factors,such as RTW-SE and FR,to design targeted RTW support programs,thereby facilitating their timely reintegration into mainstream society. 展开更多
关键词 Return to work Colorectal neoplasms Return-to-work self-efficacy Fear of progression Family resilience Financial toxicity
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高粘接力聚磷酸胆碱抗凝涂层的制备与性能
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作者 黄芷怡 王琪 +1 位作者 杨欣 张秋红 《高分子学报》 北大核心 2025年第10期1766-1776,共11页
在血液接触式医疗器械(如体外循环系统、血管支架等)的临床应用中,现有涂层技术面临界面黏附强度与抗凝血性能的协同优化难以兼具的问题.基于此,本研究开发了一种可交联磷酸胆碱(PC)聚合物涂层,通过分子结构设计同步实现界面强黏附强度... 在血液接触式医疗器械(如体外循环系统、血管支架等)的临床应用中,现有涂层技术面临界面黏附强度与抗凝血性能的协同优化难以兼具的问题.基于此,本研究开发了一种可交联磷酸胆碱(PC)聚合物涂层,通过分子结构设计同步实现界面强黏附强度与抗凝效果的提升.采用浸涂/喷涂等涂覆工艺,在基底表面可形成稳定的抗凝涂层.其分子结构中,磷酸胆碱基团通过模拟细胞膜磷脂双分子层结构赋予材料表面生物惰性,可控交联基团保障涂层界面黏附强度达3.8 MPa(玻璃基底).动态接触角测试证明涂层表面存在组分自发迁移效应,暴露于血液环境中时,PC基团富集于界面形成仿生屏障.体外实验表明,该涂层可使凝血时间延长72.5%,溶血率低于5%(符合国家医用材料标准).细胞毒性评估证实材料符合生物相容性要求.本研究为解决血液接触器械表面抗凝血改性与界面黏附强度难以兼顾的行业难题提供了思路,在植入式医疗器械领域展现出重要应用价值. 展开更多
关键词 磷酸胆碱 涂层 抗凝 交联 粘接性
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Targeting TrkB–PSD-95 coupling to mitigate neurological disorders 被引量:1
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作者 xin yang Yu-Wen Alvin Huang John Marshall 《Neural Regeneration Research》 SCIE CAS 2025年第3期715-724,共10页
Tropomyosin receptor kinase B(TrkB)signaling plays a pivotal role in dendritic growth and dendritic spine formation to promote learning and memory.The activity-dependent release of brain-derived neurotrophic factor at... Tropomyosin receptor kinase B(TrkB)signaling plays a pivotal role in dendritic growth and dendritic spine formation to promote learning and memory.The activity-dependent release of brain-derived neurotrophic factor at synapses binds to pre-or postsynaptic TrkB resulting in the strengthening of synapses,reflected by long-term potentiation.Postsynaptically,the association of postsynaptic density protein-95 with TrkB enhances phospholipase Cγ-Ca^(2+)/calmodulin-dependent protein kinaseⅡand phosphatidylinositol 3-kinase-mechanistic target of rapamycin signaling required for long-term potentiation.In this review,we discuss TrkB-postsynaptic density protein-95 coupling as a promising strategy to magnify brain-derived neurotrophic factor signaling towards the development of novel therapeutics for specific neurological disorders.A reduction of TrkB signaling has been observed in neurodegenerative disorders,such as Alzheimer's disease and Huntington's disease,and enhancement of postsynaptic density protein-95 association with TrkB signaling could mitigate the observed deficiency of neuronal connectivity in schizophrenia and depression.Treatment with brain-derived neurotrophic factor is problematic,due to poor pharmacokinetics,low brain penetration,and side effects resulting from activation of the p75 neurotrophin receptor or the truncated TrkB.T1 isoform.Although TrkB agonists and antibodies that activate TrkB are being intensively investigated,they cannot distinguish the multiple human TrkB splicing isoforms or cell type-specific functions.Targeting TrkB–postsynaptic density protein-95 coupling provides an alternative approach to specifically boost TrkB signaling at localized synaptic sites versus global stimulation that risks many adverse side effects. 展开更多
关键词 Angelman syndrome AUTISM brain-derived neurotrophic factor DEPRESSION neurodegenerative disorder neurodevelopmental disorder postsynaptic density protein-95 synaptic plasticity TRKB
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一步核酸扩增技术在乳腺癌前哨淋巴结活检中的应用研究进展 被引量:1
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作者 杨鑫 孙晓(综述) 王永胜(审校) 《中国肿瘤临床》 北大核心 2025年第5期259-263,共5页
一步核酸扩增(one-step nucleic acid amplification,OSNA)技术是一种分子诊断技术,通过检测前哨淋巴结(sentinel lymph node,SLN)中细胞角蛋白19mRNA的表达水平来评估淋巴结的转移状态。其具有快速、准确、半定量、可重复性高的特点,... 一步核酸扩增(one-step nucleic acid amplification,OSNA)技术是一种分子诊断技术,通过检测前哨淋巴结(sentinel lymph node,SLN)中细胞角蛋白19mRNA的表达水平来评估淋巴结的转移状态。其具有快速、准确、半定量、可重复性高的特点,为临床医生提供全面的淋巴结诊断信息。对于避免二次腋窝淋巴结清扫术(axillary lymph node dissection,ALND)或过度ALND具有重要意义。乳腺癌降阶梯处理模式是当前外科医生追求的治疗策略,前哨淋巴结活检(SLN biopsy,SLNB)可以帮助患者获得更精准、更为个性化的治疗,从而在保证治疗效果的同时减少不必要的治疗强度和副作用。本文就OSNA检测在SLNB中的应用进行综述。 展开更多
关键词 乳腺癌 一步核酸扩增技术 前哨淋巴结活检 淋巴结转移诊断 新辅助治疗
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火麻仁对SW620结肠癌细胞ATAD2表达的抑制作用及化学成分研究
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作者 辛杨 杨清竹 +2 位作者 王海军 王伟明 赵明 《中国中医药科技》 2025年第2期222-226,共5页
目的:探究火麻仁对SW620结肠癌细胞的抑制作用及其化学成分。方法:以RT-qPCR技术为检测手段,考察火麻仁乙醇提取液对结肠癌SW620细胞三磷酸腺苷家族蛋白2(ATPase family AAA domain-containing protein 2,ATAD2)基因表达水平的影响;采... 目的:探究火麻仁对SW620结肠癌细胞的抑制作用及其化学成分。方法:以RT-qPCR技术为检测手段,考察火麻仁乙醇提取液对结肠癌SW620细胞三磷酸腺苷家族蛋白2(ATPase family AAA domain-containing protein 2,ATAD2)基因表达水平的影响;采用超高效液相色谱/四级杆-静电场轨道阱质谱,分别对液相色谱流动相种类、柱温、梯度洗脱条件,质谱分辨率、喷雾电压等条件进行优化,对火麻仁乙醇提取液中的化学成分进行定性检测。结果:火麻仁乙醇提取液可抑制结肠癌SW620细胞ATAD2的基因表达;在火麻仁提取液中共定性检测到22个化学成分。结论:火麻仁乙醇提取液具有潜在的抗结肠癌活性,其潜在活性成分包括脂肪酸类、黄酮类及生物碱类。 展开更多
关键词 火麻仁 ATAD2 化学成分 超高效液相色谱/四级杆-静电场轨道阱质谱
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Adjuvant lenvatinib in combination with transarterial chemoembolization for hepatocellular carcinoma patients with high risk of postoperative recurrence:A multicenter prospective cohort study 被引量:3
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作者 Jin-Hong Chen Lu Lu +19 位作者 Xiao-Yun Zhang Bang-De Xiang Xiao Xu Xiang-Cheng Li Zhi-Yong Huang Tian-Fu Wen Liu-Ping Luo Jing Huang Jian-Hong Zhong Zhi-Kun Liu Chang-Xian Li xin Long Wen-Wei Zhu xin yang Chao-Qun Wang Hu-Liang Jia Ju-Bo Zhang Yong-Yi Zeng Cai-De Lu Lun-Xiu Qin 《Hepatobiliary & Pancreatic Diseases International》 2025年第3期277-285,共9页
Background:The high recurrent rate after surgery hinders the survival of patients with hepatocellular carcinoma(HCC).This prospective cohort study aimed to evaluate the efficacy and safety of lenvatinib plus transarte... Background:The high recurrent rate after surgery hinders the survival of patients with hepatocellular carcinoma(HCC).This prospective cohort study aimed to evaluate the efficacy and safety of lenvatinib plus transarterial chemoembolization(TACE)as an adjuvant therapy in HCC patients with high risk of recurrence.Methods:Patients were enrolled from eight hepatobiliary centers in China.The primary endpoint was disease-free survival(DFS).The secondary endpoints were overall survival(OS)and safety.Additionally,propensity score matching(PSM)and other three propensity score analyses were performed to balance the potential baseline bias to validate the conclusion.The adverse events(AEs)were recorded throughout the study.The study was registered at Clinical Trials.gov(NCT03838796).Results:A total of 297 patients were enrolled,with 147 in the LEN+TACE group and 150 in the TACE group.Before PSM,the LEN+TACE group achieved significantly better DFS than the TACE group(19.0 vs.10.0 months,P=0.011).PSM analysis identified 111 matched pairs.After PSM,the LEN+TACE group also showed better DFS(19.0 vs.9.0 months,P=0.018).Other three propensity score analyses yielded similar DFS benefit tendency.Furthermore,favorable OS was also obtained in the LEN+TACE group before PSM.Lenvatinib related AEs of grade 3 or 4 occurred in 28.6%of the patients in the LEN+TACE group.Conclusions:Adjuvant lenvatinib plus TACE might be a promising adjuvant approach for HCC patients with high risk of recurrence,which could significantly prolong DFS and potentially OS with a manageable safety profile. 展开更多
关键词 Hepatocellular carcinoma Lenvatinib Transarterial chemoembolization Postoperative recurrence Disease-free survival
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