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黄芪桂枝五物汤治疗非小细胞肺癌软脑膜转移患者培美曲塞鞘内化疗神经毒性的随机对照研究
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作者 李会颖 陈鑫 +4 位作者 谢宇 蒋澄 林永娟 俞婷婷 尹震宇 《中国肺癌杂志》 北大核心 2026年第2期124-130,共7页
背景与目的 软脑膜转移(leptomeningeal metastasis, LM)是非小细胞肺癌(non-small cell lung cancer,NSCLC)的严重并发症,培美曲塞鞘内化疗能有效延长患者生存,但较高的神经毒性发生率已成为限制其临床应用的关键因素。本研究拟探讨黄... 背景与目的 软脑膜转移(leptomeningeal metastasis, LM)是非小细胞肺癌(non-small cell lung cancer,NSCLC)的严重并发症,培美曲塞鞘内化疗能有效延长患者生存,但较高的神经毒性发生率已成为限制其临床应用的关键因素。本研究拟探讨黄芪桂枝五物汤对NSCLC伴LM患者培美曲塞鞘内化疗神经毒性的干预效果及安全性。方法 采用前瞻性、随机、双盲、对照设计纳入220例NSCLC伴LM患者,按照随机数字表法分为治疗组(黄芪桂枝五物汤+鞘内化疗)和对照组(模拟剂+鞘内化疗),每组110例。观察两组神经毒性发生率、毒性等级、疾病控制率(disease control rate, DCR)、无进展生存期(progression-free survival, PFS)、总生存期(overall survival,OS)、生活质量及不良反应。结果 治疗组神经毒性发生率为29.1%,显著低于对照组的51.8%(P<0.001);治疗组1-2级和3-4级神经毒性发生率均低于对照组(P<0.010);神经传导检测显示:治疗组腓肠神经感觉神经动作电位波幅高于对照组(P=0.012),正中神经、尺神经传导速度呈改善趋势。治疗组DCR为76.4%,高于对照组的69.1%(P=0.045);治疗组中位PFS(7.8 vs 6.1个月,P<0.001)和OS(10.5 vs 8.9个月,P=0.007)均进一步延长。治疗组生活质量及中医证候评分改善高于对照组(P<0.05),两组不良反应发生率相当。结论 黄芪桂枝五物汤可有效降低NSCLC伴LM患者培美曲塞鞘内化疗所致神经毒性,提高化疗耐受性和生存获益,安全性良好。 展开更多
关键词 肺肿瘤 软脑膜转移 培美曲塞 神经毒性 黄芪桂枝五物汤
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过瘤胃蛋氨酸对泌乳高峰期奶牛生产性能、瘤胃发酵、消化率和血液生化的影响
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作者 周琳琳 曹容容 +8 位作者 李荣荣 辛晨 李玉龙 米虎伟 张瑞 王腊梅 张俊 姚军虎 曹阳春 《家畜生态学报》 北大核心 2026年第2期32-39,共8页
为了探究过瘤胃蛋氨酸(Rumen-protected methionine,RPM)对泌乳高峰期奶牛生产性能和全肠道消化率的影响,试验选取16头处于泌乳高峰期,体重、生理状况相似的健康荷斯坦奶牛,随机分为2组。对照组每日饲喂基础TMR日粮,RPM组每头牛在基础... 为了探究过瘤胃蛋氨酸(Rumen-protected methionine,RPM)对泌乳高峰期奶牛生产性能和全肠道消化率的影响,试验选取16头处于泌乳高峰期,体重、生理状况相似的健康荷斯坦奶牛,随机分为2组。对照组每日饲喂基础TMR日粮,RPM组每头牛在基础日粮的基础上,每日单独补饲15 g RPM。结果表明:(1)泌乳高峰期奶牛日粮中添加RPM不影响体重、体况评分和干物质采食量(DMI)(P>0.05);(2)添加RPM对奶牛的产奶量和乳成分影响不显著(P>0.05);(3)添加RPM有降低瘤胃丁酸含量的趋势(P=0.069);(4)添加RPM不影响奶牛的表观消化率(P>0.05);(5)RPM显著提高了奶牛血浆尿素氮和二氧化碳水平(P<0.05);(6)RPM对血液中蛋氨酸的含量没有影响,脯氨酸浓度显著降低(P<0.05),具有降低血浆精氨酸和天冬氨酸含量的趋势(0.05<P<0.10)。总体而言,泌乳高峰期奶牛补饲RPM可能通过提高蛋氨酸吸收率、氨基酸代谢和机体蛋白合成改善泌乳高峰期奶牛健康状况。 展开更多
关键词 过瘤胃蛋氨酸 泌乳高峰期奶牛 表观消化率 生产性能 血液生化
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用于高温电容器薄膜的长链支化聚丙烯/环烯烃共聚物共混物的制备
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作者 刘炬阳 王博 +7 位作者 HIZBULLAH 张翀 陈新 邢照亮 郭少玮 苏尧天 陈风涛 董金勇 《高分子学报》 北大核心 2026年第2期442-459,共18页
设计并合成了一种长链支化聚丙烯(LCB-PP)/环烯烃共聚物(COC)的共混物,为开发耐高温聚丙烯电容膜提供了一种新方法.首先使用优选的Ph_(2)C(Cp)(Flu)ZrCl_(2)/C(C_(6)H_(5)_(3))(B(C_(6)F_(5))_(4))茂金属催化剂体系,通过调控降冰片烯与... 设计并合成了一种长链支化聚丙烯(LCB-PP)/环烯烃共聚物(COC)的共混物,为开发耐高温聚丙烯电容膜提供了一种新方法.首先使用优选的Ph_(2)C(Cp)(Flu)ZrCl_(2)/C(C_(6)H_(5)_(3))(B(C_(6)F_(5))_(4))茂金属催化剂体系,通过调控降冰片烯与乙烯的比例合成得到了具有高玻璃化转变温度的COC树脂.随后,将所得COC分别与基于ω-烯烃基甲基二氯硅烷共聚合-水解化学合成得到的LCB-PP以及商用双向拉伸聚丙烯(BOPP)按照一定比例进行熔融共混,制备得到了一系列linear-PP/COC和LCB-PP/COC共混物样品,并对其结构与性能进行了系统表征.结果表明,PP/COC共混物具有更高的结晶温度和热变形温度,有利于其在高温环境下的应用.同时,LCB结构作为成核位点能够促进成核,细化聚丙烯相的球晶尺寸,进而增大球晶密度.此外,LCB结构对分子链缠结作用的提升能够限制分子链的运动,同时抑制熔融加工过程中COC颗粒的迁移聚集,促进其均匀分散,使PP/COC共混物的加工稳定性明显提升. 展开更多
关键词 长链支化聚丙烯 环烯烃共聚物 聚丙烯/环烯烃共聚物共混物 耐高温性能
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DaMYB75 and DaMYB56 antagonistically regulate anthocyanin biosynthesis by binding to the DaANS promoter in Dioscorea alata 被引量:1
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作者 xin chen Jingyu Sun +11 位作者 Nan Shan Asjad Ali Sha Luo Shenglin Wang Qianglong Zhu Yao Xiao Zihao Li Yufan Fang Jiali Lin Xiaorong chen Qinghong Zhou Yingjin Huang 《The Crop Journal》 2026年第1期255-270,共16页
The yam Dioscorea alata L.is widely cultivated globally.Purple-fleshed varieties of this important crop have enhanced market value due to their high anthocyanin contents,but how anthocyanin biosynthesis in D.alata tub... The yam Dioscorea alata L.is widely cultivated globally.Purple-fleshed varieties of this important crop have enhanced market value due to their high anthocyanin contents,but how anthocyanin biosynthesis in D.alata tubers is regulated remains poorly understood.In this study,we identified and functionally validated key transcription factors that regulate anthocyanin biosynthesis based on a comparative transcriptome and metabolome analysis of three D.alata cultivars with different colored tubers(dark purple,light purple,and white).The anthocyanin glycoside cyanidin-3-O-(2′′-O-glucosyl)glucoside was abundant during early tuber development,and we determined that its accumulation is regulated in opposite manners by two R2R3-MYB transcription factors:DaMYB75 and DaMYB56.Yeast two-hybrid and bimolecular fluorescence complementation assays in Nicotiana benthamiana and co-expression assays in D.alata demonstrated that DaMYB75 promotes anthocyanin biosynthesis by specifically activating the promoter of the late anthocyanin biosynthesis gene DaANS and enhancing its expression through an interaction with DabHLH72.By contrast,DaMYB56 is a negative regulator of anthocyanin biosynthesis that binds to the DaANS promoter together with DabHLH72.Furthermore,the methylation levels of the DaMYB75 promoter were significantly lower in purple tubers than in white tubers.These findings shed light on the regulation of anthocyanin biosynthesis by MYBs and provide the basis for genetically improving anthocyanin content in D.alata. 展开更多
关键词 Dioscorea alata L Anthocyanin biosynthesis DaMYB75 DaMYB56 DNA methylation
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FOXI3 establishes the ectodermal niche in pharyngeal arches for cranial neural crest cells and their lineages
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作者 xin chen Siyi Wu +15 位作者 Ying chen chenlong Li xingmei Feng Yaoyao Fu Yongchang Zhu Yiyuan chen Lin chen Run Yang Ranran Dai Jing Zhang Aijuan He xin Wang Duan Ma Bingtao Hao Tianyu Zhang Jing Ma 《Bone Research》 2026年第1期242-258,共17页
Craniofacial development relies on the migration of cranial neural crest cells(CNCCs)to the first and second pharyngeal arches,followed by their differentiation into various cell types during embryogenesis.Although th... Craniofacial development relies on the migration of cranial neural crest cells(CNCCs)to the first and second pharyngeal arches,followed by their differentiation into various cell types during embryogenesis.Although the CNCC migration has been well-studied,the role of the niche in relation to CNCC remains unclear.Variants in FOXI3 have been implicated in craniofacial microsomia(CFM),yet the molecular mechanisms remain unexplored.FOXI3 is expressed in the ectoderm and auricle epidermis,but not in CNCCs or cartilage.Deletion of Foxi3 in the mouse CNCCs did not disrupt mandible and auricular development,further confirming that FOXI3 does not directly regulate CNCCs.However,Foxi3 deficiency in the ectoderm reduced the production of chondrogenesis-related cytokines derived from ectodermal cells,such as TGF-β1.This impairment affected CNCC proliferation through cell communication,subsequently altering the development of the mandible and auricle.These results emphasize the critical role of FOXI3 in establishing the microenvironment supporting CNCC function.Furthermore,FOXI3 directly regulates target genes associated with translation,thereby orchestrating cytokine production in epidermal cells.The validation using auricle sample from a CFM patient carrying FOXI3 mutation further supports our findings.These insights highlight the function of FOXI3 in creating the niche necessary for CNCC development and provide a basis for understanding the molecular mechanisms driving CFM pathogenesis. 展开更多
关键词 ectodermal niche molecular mechanisms cranial neural crest cells craniofacial development auricle epidermisbut craniofacial microsomia cfm foxi differentiation various cell types
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Multifaceted Role of RIMBP2 in Promoting Hearing in Murine Cochlear Hair Cells
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作者 Menghui Liao xin chen +13 位作者 Ling Lu Qing Liu Rongrong Guo Yuyang Qiu Yangnan Hu Yuhua Zhang Qiaojun Fang Panpan Zhang Yige Li Shuijin He Mingliang Tang Huawei Li Geng-Lin Li Renjie Chai 《Neuroscience Bulletin》 2026年第2期270-284,共15页
The mammalian cochlea relies on outer and inner hair cells(OHCs/IHCs)for sound amplification and signal transmission.Rab3-interacting molecular binding protein 2(RIMBP2),expressed in receptor cells and neurons at syna... The mammalian cochlea relies on outer and inner hair cells(OHCs/IHCs)for sound amplification and signal transmission.Rab3-interacting molecular binding protein 2(RIMBP2),expressed in receptor cells and neurons at synaptic active zones,remains poorly characterized in hearing.We therefore generated a Rimbp2 knockout(KO)mouse model(Rimbp^(2-/-)),which exhibited severe hearing loss with elevated thresholds,prolonged latencies,and reduced amplitudes in auditory brainstem response Wave I.OHC loss via apoptosis was correlated with threshold elevation.In IHCs,patch-clamp recordings revealed reduced exocytosis,including a diminished readily-releasable pool,impaired sustained release,and blocked fast endocytosis.Immunostaining showed unchanged ribbon synapse numbers but positional shifts in the basal pole of KO IHCs.These findings demonstrated RIMBP2’s essential role in OHC survival and its broader regulatory functions in IHC synaptic transmission than previously recognized. 展开更多
关键词 RIMBP2 HEARING Hair cell Apoptosis Ribbon synapse EXOCYTOSIS
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Spin-state engineering of octahedral Co via tetrahedral Ni in NiCo_(2)O_(4)for electrocatalytic glucose oxidation to formate
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作者 Zihao Wang Xiran Wang +10 位作者 Baoqi Jia Yilin Zuo Lin Zhou Zining Yan Zanyang Zhu Yonghao Xiao Yunfei Zhang Yufan Yang xin chen Lizhen Liu xin Zhao 《Journal of Energy Chemistry》 2026年第1期605-617,I0013,共14页
Electrocatalytic glucose oxidation to high-value chemicals provides a sustainable route for biomass valorization.NiCo-based catalysts have emerged as promising candidates for glucose oxidation reaction owing to the in... Electrocatalytic glucose oxidation to high-value chemicals provides a sustainable route for biomass valorization.NiCo-based catalysts have emerged as promising candidates for glucose oxidation reaction owing to the intrinsic activity of Ni and Co catalytic centers.However,the dynamic evolution and atomic-scale synergy between these centers remain elusive.Herein,we fabricated NiCo_(2)O_(4)nanosheets supported on nickel foam,where Ni preferentially occupies tetrahedral sites to regulate the electronic configuration of octahedral Co.Experimental and theoretical results demonstrate that the incorporation of tetrahedral Ni induces low-to-intermediate spin transition in octahedral Co,thereby optimizing eg orbital occupancy and stabilizing active sites.This spin-state engineering establishes Ni-Co synergistic catalytic centers for the selective oxidation of glucose to formate(FA).At higher potential(≥1.4 V vs.RHE),octahedral Co undergoes reconstruction into excessive active CoOOH and CoO_(2)species,resulting in glucose overoxidation to CO_(2)and intensified competitive oxygen evolution.In contrast,at lower potentials(<1.4 V vs.RHE),tetrahedral Ni facilitates electron delocalization across the Ni–O–Co lattice,thereby stabilizing octahedral Co for glucose adsorption and oxidation.Subsequently,a coupled electrocatalytic system was constructed,achieving 80.7%FA yield with 91.3%Faradaic efficiency(FE)at NiCo_(2)O_(4)anode and H2 evolution rate of 696μmol h^(−1)with 99.9%FE at Pt cathode for 2 h under 1.35 V vs.RHE.This work provides a deep insight into spin-state regulation of the catalytic center,offering valuable guidance for rational catalyst design. 展开更多
关键词 Electrocatalysis Glucose oxidation Biomass valorization Spin-state regulation FORMATE
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Investigation of the therapeutic effects of Jianpi Huazhi Wan on ulcerative colitis via colonic transcriptomics and gut microbiota interaction
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作者 Yi-Yu Shi Ning Xu +6 位作者 Cui-Ping Yan Ying-Jun Fu xin chen Juan Li Guang chen Lin Liu Yu Wu 《Traditional Medicine Research》 2026年第8期53-64,共12页
Background:Jianpi Huazhi Wan(JPHZW)is the hospital preparation of Nantong Hospital of Traditional Chinese Medicine.The clinical effect of JPHZW on gastrointestinal diseases is remarkable,but its mechanism of action is... Background:Jianpi Huazhi Wan(JPHZW)is the hospital preparation of Nantong Hospital of Traditional Chinese Medicine.The clinical effect of JPHZW on gastrointestinal diseases is remarkable,but its mechanism of action is not clear.This study aimed to investigate the therapeutic effects of JPHZW and explore its mechanism of action through colonic transcriptomics and gut microbiota analysis.Methods:An ulcerative colitis(UC)mice model was established to evaluate the therapeutic effect of JPHZW.The expression levels of specific inflammatory factors in colon tissue were determined by ELISA.Colonic transcriptome sequencing was performed to identify candidate targets.The effects of JPHZW on gut microbiota were analyzed using 16S rRNA sequencing.Finally,relevant signaling pathways were verified via Western blotting to elucidate the mechanism of action of JPHZW.Results:JPHZW significantly improved the DAI Score and reduced the expression levels of pro-inflammatory factors,such as MCP-1,IL-17A,and IFN-γ,while increasing the expression levels of anti-inflammatory factors,such as IL-4,EGF,and GM-CSF in UC mice.Colonic transcriptome sequencing revealed that the Peroxisome PPAR-γ/NF-κB signaling pathway was closely associated with JPHZW’s anti-UC effect.Furthermore,WB analysis demonstrated that JPHZW treatment significantly inhibited the upregulation the expression of NF-κB and significantly upregulated the expression of PPAR-γ.In addition,16S rRNA sequencing analysis indicated that the relative abundance of beneficial bacteria was improved.Conclusion:These findings demonstrate that JPHZW alleviates DSS-induced ulcerative colitis in mice by regulating the PPAR-γ/NF-κB signaling pathway to suppress inflammatory factors,while simultaneously improving gut microbiota composition by increasing the relative abundance of beneficial bacteria. 展开更多
关键词 Jianpi Huazhi Wan ulcerative colitis inflammatory factors gut microbiota transcriptome sequencing
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Study on the Motion Characteristics of Floating Bubbles near the Wall Based on OpenFOAM
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作者 Jie Cui Tao Xia +2 位作者 Zhaoyu Qu xin chen Mingyuan Li 《哈尔滨工程大学学报(英文版)》 2026年第1期32-45,共14页
In this study,the dynamic characteristics of microscale floating bubbles near the vertical wall are studied.This occurrence is common in industrial and natural phenomena.Although many studies have been conducted on mi... In this study,the dynamic characteristics of microscale floating bubbles near the vertical wall are studied.This occurrence is common in industrial and natural phenomena.Although many studies have been conducted on microscale bubbles,few studies investigate floating bubbles with very small Reynolds number(Re)near the wall,which is the main research goal of this study.Therefore,this study establishes a model for the ascent of small-scale bubbles near a vertical wall using the interFoam solver in OpenFOAM.This study investigates the influences of diverse viscosity parameters,varying distances from the wall,and different gas flow rates on the terminal velocity,deformation,and motion trajectory of bubbles.The results reveal that as liquid viscosity increases,the Re of bubbles gradually decreases and reaches a minimum of 0.012,which is similar to the Re of micrometer-sized bubbles in water.The characteristics of the wall-induced force in the longitudinal direction are closely related to the changes in liquid viscosity.Under low-viscosity conditions,the induced lift is the principal form of action,whereas under high-viscosity conditions,it is primarily manifested as induced drag. 展开更多
关键词 Rising bubble Viscosity Low Reynolds number Near wall bubbles OPENFOAM
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Event-triggered distributed average tracking in the presence of external disturbances
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作者 Jianhong Zhuang Zhenbing Qiu +3 位作者 xin chen chen Fei Lan Gao Peng Jiang 《Control Theory and Technology》 2026年第1期54-65,共12页
The focus of this paper is on distributed average tracking(DAT)in the context of external disturbances,utilizing an event-triggered control mechanism.First,an event-triggered anti-disturbance DAT(ETAD-DAT)algorithm is... The focus of this paper is on distributed average tracking(DAT)in the context of external disturbances,utilizing an event-triggered control mechanism.First,an event-triggered anti-disturbance DAT(ETAD-DAT)algorithm is proposed to reduce communication load in networked control systems by redesigning existing anti-disturbance DAT algorithms and disturbance observers.Furthermore,a fully distributed event-triggering condition is employed to schedule event times for each agent.Simulation results demonstrate that the proposed ETAD-DAT algorithm is able to achieve accurate average tracking of multiple time-varying reference signals despite the presence of external disturbances,while the communication efficiency can be improved obviously. 展开更多
关键词 Distributed average tracking Event-triggered control Anti-disturbance control Multi-agent networks
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Micro/nanoplastics and eye health:a review
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作者 Lun He Jiang Zheng +6 位作者 Xiao-Kun Han Tian-Yu Tao Jing Zeng Wei Luo xin chen Jun-Ming Wang Xiang-Yin Sha 《International Journal of Ophthalmology(English edition)》 2026年第2期405-413,共9页
Micro/nanoplastics(M/NPs)have become pervasive environmental pollutants,posing significant risks to human health through various exposure routes,including ingestion,inhalation,and direct contact.This review systematic... Micro/nanoplastics(M/NPs)have become pervasive environmental pollutants,posing significant risks to human health through various exposure routes,including ingestion,inhalation,and direct contact.This review systematically examined the potential impacts of M/NPs on ocular health,focusing on exposure pathways,toxicological mechanisms,and resultant damage to the eye.Ocular exposure to M/NPs can occur via direct contact and oral ingestion,with the latter potentially leading to the penetration of particles through ocular biological barriers into ocular tissues.The review highlighted that M/NPs can induce adverse effects on the ocular surface,elevate intraocular pressure,and cause abnormalities in the vitreous and retina.Mechanistically,oxidative stress and inflammation are central to M/NP-induced ocular damage,with smaller particles often exhibiting greater toxicity.Overall,this review underscored the potential risks of M/NPs to ocular health and emphasized the need for further research to elucidate exposure mechanisms,toxicological pathways,and mitigation strategies. 展开更多
关键词 micro/nanoplastics EXPOSURE OCULAR TOXICITY
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Mechanism of Zixinyin oral liquid in the treatment of insomnia based on network pharmacology and molecular docking 被引量:1
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作者 Shuang-Lin Qin xin chen +4 位作者 Si-Wen Hui Meng-Wei Xu Rui Peng Xiao-Ji Wang Qing Min 《Drug Combination Therapy》 2022年第2期17-24,共8页
Objective:To explore the molecular mechanism of Zixinyin oral liquid(ZOL)in the treatment of insomnia.Methods:The compounds and action targets of four herbal medicines in ZOL were collected via Traditional Chinese Med... Objective:To explore the molecular mechanism of Zixinyin oral liquid(ZOL)in the treatment of insomnia.Methods:The compounds and action targets of four herbal medicines in ZOL were collected via Traditional Chinese Medicine Systems Pharmacology Database and Analysis Platform.Genes corresponding to the targets were queried from the UniProt database.Genecards database was searched to screen the related targets of insomnia.A Gene Ontologyfunction enrichment analysis and a Kyoto Encyclopedia of Genes and Genomespathway enrichment analysis were performed by Database for Annotation,Visualization and Integrated Discovery.AutoDock software was used for molecular docking to verify the results of network analysis.Results:A total of 47 effective compounds and 187 potential targets of ZOL were screened out from the four drugs.A total of 2592 disease targets were screened out from the genecards database,and there were 1576 genes whose relevance score≥0.5.46 genes were obtained by taking the intersection of 187 potential targets of ZOL and 1,576 targets of insomnia.A total of 3,405 entries were obtained from Gene Ontologyfunctional enrichment(P<0.05).A total of 195 signaling pathways were obtained through a Kyoto Encyclopedia of Genes and Genomespathway analysis(P<0.05).Tumor necrosis factor,interleukin 17and hypoxia inducible factor-1signaling pathways were closely related to insomnia.The results of molecular docking show that all the core compounds of ZOL had a certain degree of affinity with gamma-aminobutyric acid receptor subunit alpha-1(GABRA1)and tumor necrosis factor-α(TNF-α).Paeoniflorgenone shows the highest affinity with GABRA1,and beta-sitosterol shows the highest affinity withTNF-α.ZOLmay have a therapeutic effect on insomnia through its action on targets such as GABRA1 and TNF-α,meanwhile regulating many signaling pathways. 展开更多
关键词 Zixinyin oral liquid INSOMNIA network pharmacology molecular docking GABRA1 TNF-Α
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培美曲塞鞘内化疗在EGFR阳性非小细胞肺癌软脑膜转移患者中的疗效与安全性评估 被引量:1
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作者 张田利 陈鑫 +5 位作者 蒋澄 林永娟 谢宇 李会颖 尹震宇 俞婷婷 《中国肺癌杂志》 北大核心 2025年第8期567-575,共9页
背景与目的软脑膜转移(leptomeningeal metastasis,LM)在晚期非小细胞肺癌(non-small cell lung cancer,NSCLC)患者中的发病率逐年上升,但其治疗手段有限,预后较差。鞘内注射培美曲塞(intrathecal Pemetrexed,IP)在LM治疗领域具有广泛... 背景与目的软脑膜转移(leptomeningeal metastasis,LM)在晚期非小细胞肺癌(non-small cell lung cancer,NSCLC)患者中的发病率逐年上升,但其治疗手段有限,预后较差。鞘内注射培美曲塞(intrathecal Pemetrexed,IP)在LM治疗领域具有广泛的应用前景。本研究旨在评估IP在表皮生长因子受体(epidermal growth factor receptor,EGFR)突变阳性NSCLC-LM患者中的疗效、安全性及最佳联合应用模式,以期为此类患者探寻更精准的个体化治疗策略提供真实世界数据支持。方法回顾性收集2018年1月至2024年6月在南京大学医学院附属鼓楼医院接受IP治疗的104例EGFR突变阳性NSCLC-LM患者的临床资料、治疗方案和生存数据。系统分析入组患者的总生存期(overall survival,OS)、无进展生存期(progression-free survival,PFS)、临床有效率和不良反应(adverse events,AEs)。结果104例EGFR突变阳性NSCLC-LM患者的中位PFS为9.6个月,中位OS为13.0个月,6个月和1年OS率分别为80.8%和56.5%,临床有效率为77.9%。常见的AEs是骨髓抑制(58.7%)和转氨酶升高(25.0%)。9例(8.7%)患者出现4级骨髓抑制,给予对症治疗后恢复正常。亚组分析显示,卡氏体能状态(Karnofsky performance status,KPS)评分≥60分的患者OS显著长于KPS<60分患者(14.4 vs 9.0个月,P=0.0022)。规律接受贝伐珠单抗治疗的LM患者中位OS明显高于未接受贝伐珠单抗治疗者(19.2 vs 10.5个月,P=0.0011)。结论IP治疗在EGFR突变阳性NSCLC-LM患者中具有良好的疗效和安全性,联合贝伐珠单抗可发挥协同抗肿瘤作用,进一步改善预后。 展开更多
关键词 肺肿瘤 软脑膜转移 表皮生长因子受体 鞘内注射化疗 培美曲塞
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基于物理信息深度学习的高分子流变学研究:挑战、方法与应用 被引量:1
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作者 祁纪浩 陈欣 +5 位作者 庞志威 林增 王超元 刘虎 沙金 白志山 《高分子学报》 北大核心 2025年第11期1910-1925,共16页
高分子流变学旨在理解材料从微观到宏观的流动与变形特性,但传统建模方法在处理复杂非线性、多尺度模拟及数据解析方面长期面临挑战.物理信息深度学习(PIDL)通过将流变学物理定律嵌入深度神经网络,减少对大量数据的依赖,提高模型泛化能... 高分子流变学旨在理解材料从微观到宏观的流动与变形特性,但传统建模方法在处理复杂非线性、多尺度模拟及数据解析方面长期面临挑战.物理信息深度学习(PIDL)通过将流变学物理定律嵌入深度神经网络,减少对大量数据的依赖,提高模型泛化能力和物理合理性,为解决高分子流变学面临的挑战提供新的途径.通过探讨PIDL的基本原理,包括其模型架构、物理信息损失函数设计(如MSE、MAE及稀疏/残差损失)和损失函数优化方法(如梯度下降、自适应权重调整),并分析PIDL在高分子流变学中的具体应用,涵盖了概率模型、生成式模型、神经算子、图神经网络和强化学习等多种模型架构,展示其在参数优化、流变特性预测、逆问题求解及数字孪生集成等方面的潜力.尽管PIDL展现出显著优势,但仍面临数据获取成本高、模型可解释性弱、多尺度求解精度不足及鲁棒性等问题.未来发展方向包括利用多保真技术、物理信息增强数据、优化算法、结合数字孪生、推断因果关系以及应用元学习和可解释人工智能(XAI)来提升模型性能和实用性. 展开更多
关键词 物理信息深度学习 高分子流变学 建模与仿真 智能预测与优化
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人工智能驱动的化学教学组织形式创新路径探究 被引量:2
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作者 马逍 王俊杰 +5 位作者 陈鑫 李京城 赵丽红 孙雪萍 程绍娟 王芳 《大学化学》 2025年第9期99-106,共8页
本文探讨了人工智能(AI)技术在化学教学组织形式中的创新路径,并通过具体的案例来揭示AI如何改变传统教学。针对传统化学教学中的不足,提出了基于AI技术的自适应学习系统、智能实验平台与虚拟实验室,以及合作学习与智能协作三大创新路... 本文探讨了人工智能(AI)技术在化学教学组织形式中的创新路径,并通过具体的案例来揭示AI如何改变传统教学。针对传统化学教学中的不足,提出了基于AI技术的自适应学习系统、智能实验平台与虚拟实验室,以及合作学习与智能协作三大创新路径。自适应学习系统通过个性化数据分析,为学生动态调整学习路径,解决了“一刀切”教学模式的问题;虚拟实验室和智能实验平台则打破了物理实验的局限,为学生提供安全、灵活的实验操作环境;智能协作工具在合作学习中优化了分组方式,并通过实时反馈提升学习效率。然而,上述创新路径在推广过程中仍面临教育资源分配不均、教师技术掌握不足等挑战。本文建议通过优化资源配置、强化教师培训和推动虚拟与传统教学结合,进一步提升AI技术在化学教育中的应用效果。展望未来,AI技术将继续为化学教学提供创新动力,推动教育模式的智能化转型,为实现教育公平和教学质量的提升提供重要支持。 展开更多
关键词 人工智能 自适应学习系统 智能实验平台 虚拟实验平台 智能协作
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高剂量伏美替尼联合培美曲塞鞘内化疗治疗EGFR突变型非小细胞肺癌软脑膜转移的疗效与安全性分析
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作者 陈鑫 贺明阳 +9 位作者 陈岑 蒋澄 李会颖 林永娟 俞婷婷 谢宇 郭爱斌 黄明敏 尹震宇 张田利 《中国肺癌杂志》 北大核心 2025年第12期905-915,共11页
背景与目的 软脑膜转移(leptomeningeal metastasis,LM)是表皮生长因子受体(epidermal growth factor receptor,EGFR)突变型非小细胞肺癌(non-small cell lung cancer,NSCLC)的严重并发症,预后极差。第三代EGFR-酪氨酸激酶抑制剂(EGFR-t... 背景与目的 软脑膜转移(leptomeningeal metastasis,LM)是表皮生长因子受体(epidermal growth factor receptor,EGFR)突变型非小细胞肺癌(non-small cell lung cancer,NSCLC)的严重并发症,预后极差。第三代EGFR-酪氨酸激酶抑制剂(EGFR-tyrosine kinase inhibitors,EGFR-TKIs)增加剂量虽可提升中枢神经系统药物浓度,但其单药疗效仍不足以有效控制疾病进展。培美曲塞鞘内注射(intrathecal Pemetrexed,IP)能够绕过血脑屏障,直接作用于脑脊液,为LM的局部治疗提供了新途径。然而,目前关于高剂量第三代EGFR-TKIs伏美替尼(160 mg/d)联合IP治疗EGFR突变型NSCLC-LM的临床疗效与安全性的研究数据仍较缺乏。因此,本研究旨在评估该联合方案在此类难治性患者中的有效性及安全性,以期为临床实践提供真实世界证据。方法 选择2021年6月至2024年12月南京大学医学院附属鼓楼医院收治的40例EGFR突变型NSCLC-LM患者,其治疗方案均为高剂量伏美替尼(160 mg/d)联合IP治疗。通过系统收集患者的临床病例资料及随访信息,分析其颅内无进展生存期(intracranial progression-free survival,iPFS)和总生存期(overall survival,OS)、总体反应率和不良事件。生存分析采用Kaplan-Meier法,预后影响因素通过Cox比例风险回归进行多变量分析。结果 中位随访时间20.0个月,高剂量伏美替尼联合IP治疗在EGFR突变型NSCLCLM患者中展现出显著疗效:总体反应率为85.0%,iPFS为9.6个月,中位OS为12.6个月,6、12和24个月的OS率分别为79.9%、53.9%和27.0%。多因素分析表明,联合贝伐珠单抗治疗是独立的保护性预后因素[风险比(hazard ratio,HR)=0.283,95%CI:0.114-0.702,P=0.006],而基线卡氏体能状态(Karnofsky performance status,KPS)评分较差是独立危险因素(HR=3.069,95%CI:1.313-7.170,P=0.010)。安全性方面,主要不良事件为骨髓抑制(42.5%)、转氨酶升高(22.5%)和消化道反应(恶心和/或呕吐20.0%),多数为1-2级。仅报告1例4级骨髓抑制,经支持治疗后好转。结论高剂量伏美替尼联合IP在EGFR突变型NSCLC-LM患者中表现出显著疗效和可控的安全性,联合贝伐珠单抗可能进一步增加临床获益,为难治性患者提供了有前景的治疗策略。 展开更多
关键词 肺肿瘤 软脑膜转移 表皮生长因子受体 伏美替尼 培美曲塞鞘内化疗
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社会美育视域下的非遗活化研究——以“中国传统制茶技艺及其相关习俗”浙江省6个相关项目为中心 被引量:3
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作者 包静 辛琛 +1 位作者 崔雅 朱阳 《中国茶叶》 2025年第2期86-92,共7页
在“社会美育”与“非遗活化”之间建立一种链接,是对非物质文化遗产可持续发展的全面探索,也为社会美育的学术视角提供新的思路。2022年,“中国传统制茶技艺及其相关习俗”被列入联合国教科文组织人类非物质文化遗产代表作名录,浙江省... 在“社会美育”与“非遗活化”之间建立一种链接,是对非物质文化遗产可持续发展的全面探索,也为社会美育的学术视角提供新的思路。2022年,“中国传统制茶技艺及其相关习俗”被列入联合国教科文组织人类非物质文化遗产代表作名录,浙江省6个相关项目是该遗产项目重要组成部分。运用美育的理论与实践机制,探讨项目的历史文化价值、精神价值和审美价值,一方面通过文化机构、代表性传承人以及社区等多元主体的保护实践为非遗动态发展注入新的活力,另一方面本遗产项目的活化对于提升公众文化自觉、促进地方社会发展有着多重意义,进而实现非遗的活态存续。 展开更多
关键词 社会美育 非遗保护 价值 实践群体 活态传承
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高效靶向示踪钙钛矿纳米系统光电增效抗肿瘤
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作者 李坚 张毓 +8 位作者 闫融融 孙开媛 刘晓晴 梁子尚 焦忆楠 卜晖 陈欣 赵晋津 施剑林 《物理化学学报》 北大核心 2025年第5期124-144,共21页
金属卤化物钙钛矿由于其多维度的晶体结构和优良的荧光成像/示踪及光电转换性质,使其成为一种非常具有前瞻性的光电增效治疗肿瘤材料。然而,传统卤化物钙钛矿纳米晶的水稳定性问题,限制了其应用于生物成像和光电增效肿瘤治疗的药物递送... 金属卤化物钙钛矿由于其多维度的晶体结构和优良的荧光成像/示踪及光电转换性质,使其成为一种非常具有前瞻性的光电增效治疗肿瘤材料。然而,传统卤化物钙钛矿纳米晶的水稳定性问题,限制了其应用于生物成像和光电增效肿瘤治疗的药物递送纳米系统研究。本文将甲氨蝶呤-壳聚糖-叶酸(MTX-CS-FA)成功与钙钛矿纳米晶体CsSn_(0.5)Pb_(0.5)Br_(3)(PeNCs)铆钉连接,制备出了可以在水中稳定228 d且发绿光的PeNCs@MTX-CS-FA纳米载药体系。在可见光照射下,新型PeNCs@MTX-CS-FA纳米载药体系增效抗肿瘤治疗原理:钙钛矿纳米晶体产生电子和活性氧(ROS);钙钛矿光生空穴耗竭过表达的谷胱甘肽(GSH);甲氨蝶呤(MTX)抑制二氢叶酸还原酶(DHFR)活性,导致肿瘤细胞的脂质过氧化,上述三点共同作用抑制肿瘤细胞的增殖、促进肿瘤细胞凋亡。在动物体内实验中,采用小鼠移植肿瘤模型,累积用药量达2.4mg PeNCs@MTX-CS-FA纳米载药系统时,肿瘤体积减少了约63.68%和肿瘤重量下降了约63.26%。通过生物安全性评估实验证实,在治疗剂量下,小鼠肝、肾等器官功能正常,说明纳米体系具有良好的生物安全性,并且研究发现钙钛矿纳米颗粒经小鼠肠道排出,小鼠粪便呈现出与原始钙钛矿晶体相同的绿色荧光,金属卤化物钙钛矿纳米载药体系在生物成像和光电催化化疗方面呈现优异的增效抗肿瘤治疗效果。 展开更多
关键词 肿瘤治疗 生物成像 钙钛矿纳米颗粒 光电催化化疗
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ICU患者口腔健康评估工具的范围综述
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作者 逄慧敏 郭小靖 +1 位作者 辛晨 盖玉彪 《中国护理管理》 北大核心 2025年第6期950-955,共6页
目的 :总结、分析国内外用于ICU患者的口腔健康评估工具的使用现状,为护理人员选择评估ICU患者口腔健康的适宜工具提供参考依据。方法 :依据范围综述研究方法,系统检索中英文数据库中的相关文献,检索时限为建库至2024年11月30日。筛选... 目的 :总结、分析国内外用于ICU患者的口腔健康评估工具的使用现状,为护理人员选择评估ICU患者口腔健康的适宜工具提供参考依据。方法 :依据范围综述研究方法,系统检索中英文数据库中的相关文献,检索时限为建库至2024年11月30日。筛选符合纳入标准的ICU患者口腔健康评估工具,对工具进行汇总和分析。结果:纳入16篇文献,包含14种口腔健康评估工具,评估内容主要包括年龄、口腔状况、声音、疼痛、吞咽功能、呼吸支持和营养支持等。结论 :ICU患者口腔健康评估工具各有特点,但评价效果不明确,临床应用受限,需要进一步验证和完善。 展开更多
关键词 重症监护室 口腔健康 评估工具 范围综述
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脊髓损伤患者基于脑电图的康复治疗疗效评价
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作者 刘佳林 辛辰 +2 位作者 魏慧 岳寿伟 尹森 《颈腰痛杂志》 2025年第5期791-796,共6页
目的探究脊髓损伤(SCI)患者在接受下肢反馈康复训练系统与综合康复治疗联合干预后,其脑电图(EEG)功率谱密度值(PSD)的前后变化与下肢运动功能恢复之间的关联性。方法本研究纳入山东大学齐鲁医院康复医学中心及其联盟医疗机构2022年9月至... 目的探究脊髓损伤(SCI)患者在接受下肢反馈康复训练系统与综合康复治疗联合干预后,其脑电图(EEG)功率谱密度值(PSD)的前后变化与下肢运动功能恢复之间的关联性。方法本研究纳入山东大学齐鲁医院康复医学中心及其联盟医疗机构2022年9月至2024年12月收治的40名SCI患者,随机分配至对照组(20例)和试验组(20例)。所有患者均接受综合康复治疗,而试验组在此基础上额外接受下肢反馈康复训练系统治疗,整个治疗周期为8周。研究分别在训练开始前(0周)和训练结束后(8周),对两组患者的脊髓损伤步行指数Ⅱ(WISCI-Ⅱ)、功能独立性评定量表运动评分(FIM-L)、脊髓独立性评估量表Ⅲ(SCIM-Ⅲ)、下肢运动评分量表(LEMS)评分以及大脑皮层感觉运动区EEGβ频带的PSD值进行测量与记录。结果在治疗结束后,对照组患者的WISCI-Ⅱ量表评分相较于治疗前有所增加,而试验组患者的各项量表评分在治疗后均呈现出明显的增加趋势。康复治疗完成后,两组患者在进行运动想象(MI)时,大脑皮层感觉运动区的β频带部分通道的PSD值均有所下降。试验组在训练后的β频带部分通道的PSD值明显低于对照组。试验组的β频带CZ通道PSD值与WISCI-Ⅱ量表得分之间呈负相关关系。结论脑电图中CZ通道的PSD值可作为评估SCI患者下肢运动功能恢复情况的客观指标。 展开更多
关键词 脊髓损伤 康复 下肢反馈康复训练系统 脑电图 运动功能 运动想象
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