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图谱菜单结合IKAP模式在部队消化性溃疡患者院外健康行为的应用研究
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作者 郑翠霞 万丽丽 +7 位作者 纪鹏云 王艳红 李娅 徐娜 宣佶 高青 崔绘丽 王芳 《医学研究与战创伤救治》 北大核心 2025年第7期756-761,共6页
目的探讨运用图谱菜单结合信息-知识-信念-行为(IKAP)模式对部队消化性溃疡(PU)患者院外健康行为的影响。方法采用便利抽样法选取东部战区总医院2022年11月至2023年12月就诊于消化科,且首次诊断为PU的部队患者162例为研究对象,采用随机... 目的探讨运用图谱菜单结合信息-知识-信念-行为(IKAP)模式对部队消化性溃疡(PU)患者院外健康行为的影响。方法采用便利抽样法选取东部战区总医院2022年11月至2023年12月就诊于消化科,且首次诊断为PU的部队患者162例为研究对象,采用随机数字表法分为对照组和观察组各81例。对照组采取传统健康教育模式,观察组采取图谱菜单结合IKAP模式进行健康教育。比较两组患者健康行为、积极度、治疗效果、PU的复发率及并发症情况。结果观察组干预前及干预后1个月患者健康行为、积极度与对照组比较,差异无统计学意义(P>0.05),干预后3个月、6个月患者健康行为、积极度明显高于对照组,其中观察组积极度第四级水平67例(85.90%),对照组第四级水平56例(71.79%),PU的复发率观察组为5.12%,对照组为16.67%,差异均有统计学意义(P<0.05)。观察组患者疗效高于对照组,并发症的发生率低于对照组,但差异无统计学意义(P>0.05)。结论对部队PU患者采用图谱菜单结合IKAP模式进行健康宣教,能够提高部队PU患者的健康行为、积极度和治疗效果,降低PU复发率和并发症发生率,保障参训率、训练质量和战斗力。 展开更多
关键词 图谱菜单 IKAP模式 消化性溃疡 健康行为
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Mechanism prediction and experimental verification of Maxing Shigan Decoction against influenza A virus infection based on UPLC-MS/MS and network pharmacology
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作者 jiawang HUANG jianing SHI +6 位作者 Yang LIU Zhiying FENG jingmin FU Siyu WANG xuan ji Rong YU Ling LI 《Digital Chinese Medicine》 2025年第4期532-542,共11页
Objective To investigate the chemical compositions of Maxing Shigan Decoction(麻杏石甘汤,MXSGD)and elucidate its anti-influenza A virus(IAV)mechanism from prediction to validation.Methods Ultra high-performance liquid... Objective To investigate the chemical compositions of Maxing Shigan Decoction(麻杏石甘汤,MXSGD)and elucidate its anti-influenza A virus(IAV)mechanism from prediction to validation.Methods Ultra high-performance liquid chromatography-tandem mass spectrometry(UPLC-MS/MS)was employed to analyze the chemical compositions of MXSGD.Network pharmacology theories were used to screen and identify shared targets of both the potential targets of active ingredients of MXSGD and IAV.A protein-protein interaction(PPI)network was then constructed,followed by Gene Ontology(GO)and Kyoto Encyclopedia of Genes and Genomes(KEGG)enrichment analyses.The binding stability between core bioactive compounds and key targets was validated by molecular docking and dynamic simulations.A total of 24 BALB/c mice were infected with IAV to build IAV mouse models.After successful modelling,the mouse models were randomly divided into model,MXSGD high-dose(2.8 g/kg),MXSGD low-dose(1.4 g/kg),and oseltamivir(20.14 mg/kg)groups,with an additional normal mice as control group(n=6 per group).The treatments were administered by gavage daily between 8:00 a.m.and 10:00 a.m.for five consecutive days.Upon completion of the administration,the body weight ratio,lung index,protein content in the bronchoalveolar lavage fluid(BALF),and the levels of inflammatory factors including interleukin(IL)-6 and tumor necrosis factor(TNF)-αin mice were measured to preliminarily analyze the therapeutic efficacy of MXSGD against IAV infection.Furthermore,the expression levels of mechanistic target of rapamycin(mTOR),hypoxia inducible factor(HIF)-1α,and vascular endothelial growth factor(VEGF)proteins in the HIF-1 signaling pathway,which was enriched by network pharmacology,were detected by Western blot.Results A total of 212 chemical components in MXSGD were identified by the UPLC-MS/MS method.These chemical components can be classified into 9 primary categories and 31 secondary categories.After intersecting the chemical component targets with IAV-related targets,a total of 567 potential MXSGD components targeting IAV were identified.The construction of PPI network and the results of both GO and KEGG enrichment analyses revealed that the anti-IAV effects of MXSGD were associated with multiple pathways,including apoptosis,TNF,HIF-1,and IL-17 signaling pathways.The results of molecular docking demonstrated that the binding energies between the core compound 1-methoxyphaseollin and key targets including HIF-1α,mTOR,and VEGF were all lower than–5.0 kcal/mol.Furthermore,molecular dynamics simulations confirmed the structural stability of the resulting complexes.Animal experiments showed that compared with the normal controls,IAV-infected mice showed significantly reduced body weight ratio,markedly increased lung index,protein content in BALF,and the levels of inflammatory factors such as IL-6 and TNF-α(P<0.01),thereby causing damage to the lung tissue;consequently,the expression levels of mTOR,HIF-1α,and VEGF proteins in the lung tissues of these mice were significantly elevated(P<0.01).However,after MXSGD treatment,the mouse models presented a significant increase in body weight ratio,as well as marked decreases in lung index,protein content in BALF,and the levels of inflammatory factors including IL-6 and TNF-α(P<0.01).Furthermore,the therapy alleviated IAV-induced injuries and significantly downregulated the expression levels of mTOR,HIF-1α,and VEGF proteins in lung tissues(P<0.01 or P<0.05).Conclusion MXSGD exerts anti-IAV effects through multi-component,multi-target,and multi-pathway synergism.Among them,1-methoxyphaseollin is identified as a potential key component,which alleviates virus-induced lung injury and inflammatory response via the regulation of HIF-1 signaling pathway,providing experimental evidence for the clinical application of MXSGD. 展开更多
关键词 Influenza A virus Maxing Shigan Decoction UPLC-MS/MS Network pharmacology Hypoxia inducible factor(HIF)-1 signaling pathway
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子午流注择时穴位按压用于肠梗阻导管置管患者效果评价
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作者 崔绘丽 宣佶 +6 位作者 郑翠霞 刘国印 潘湘 仇玉平 陈曦 邵梅 陈叶 《中国药业》 2025年第S2期138-140,共3页
目的探讨子午流注择时穴位按压用于肠梗阻导管置管患者的临床疗效。方法选取医院消化科2021年5月至2022年5月收治的肠梗阻导管置管患者60例,采用便利抽样法分为对照组和观察组,各30例。两组均采用置管后常规治疗,观察组加用子午流注择... 目的探讨子午流注择时穴位按压用于肠梗阻导管置管患者的临床疗效。方法选取医院消化科2021年5月至2022年5月收治的肠梗阻导管置管患者60例,采用便利抽样法分为对照组和观察组,各30例。两组均采用置管后常规治疗,观察组加用子午流注择时穴位按压。结果与对照组比较,观察组患者置管后第2,3天的导管游走长度显著延长,到达梗阻点时间显著缩短,置管后第3天的胃肠减压引流量显著减少,腹痛腹胀缓解时间显著缩短(P<0.05)。两组患者并发症发生率无显著差异(P>0.05)。结论子午流注择时穴位按压用于肠梗阻导管置管患者,能提高导管游走长度,缩短导管到达梗阻点时间,可缓解腹痛腹胀。 展开更多
关键词 子午流柱 穴位按压 肠梗阻导管置管 耳穴埋籽
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藏药郎庆阿塔对肝纤维化疗效机制的理论探讨 被引量:2
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作者 宣佶 安振涛 田耀洲 《吉林中医药》 2018年第8期873-875,共3页
肝纤维化是慢性肝病向肝硬化发展的必经阶段,阻断或逆转其发生发展对肝硬化的治疗具有重要意义。藏药郎庆阿塔是治疗肝纤维化的有效方剂,历史悠久,疗效显著。通过对郎庆阿塔治疗肝纤维的疗效作用从中医药对肝纤维化的认识、郎庆阿塔的... 肝纤维化是慢性肝病向肝硬化发展的必经阶段,阻断或逆转其发生发展对肝硬化的治疗具有重要意义。藏药郎庆阿塔是治疗肝纤维化的有效方剂,历史悠久,疗效显著。通过对郎庆阿塔治疗肝纤维的疗效作用从中医药对肝纤维化的认识、郎庆阿塔的组方意义及其组分药物的药理研究作用等方面进行分析,临床发现肝纤维化的病位在肝,与脾密切相关,多为虚实夹杂,且以实为主,其中热、瘀是影响其发生发展和转归的关键因素,并认为该方对肝纤维化的疗效作用,是建立在中医理、法、方、药的理论基础之上,且与辨证用药的传统中药功效理论及所含药物的药理作用相关。 展开更多
关键词 郎庆阿塔 肝纤维化 藏医药 中医病机
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抗凝治疗在肝硬化患者脾切除术后减少PVT的疗效及安全性研究 被引量:2
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作者 甄勇 王兵济 +6 位作者 杜华劲 高学健 王仔平 宣佶 张尊庶 王传泰 耿家宝 《肝脏》 2022年第2期169-173,共5页
目的 探讨抗凝治疗在肝硬化患者行脾脏切除术后,减少门静脉系统血栓(PVT)发生风险的疗效及安全性。方法 选择2015年12月至2020年6月在滁州市第一人民医、东部战区总医院秦淮医疗区住院行脾脏切除术的肝硬化患者106例,对照组50例,试验组5... 目的 探讨抗凝治疗在肝硬化患者行脾脏切除术后,减少门静脉系统血栓(PVT)发生风险的疗效及安全性。方法 选择2015年12月至2020年6月在滁州市第一人民医、东部战区总医院秦淮医疗区住院行脾脏切除术的肝硬化患者106例,对照组50例,试验组56例。试验组患者术后24 h,给予低分子量肝素(皮下注射,1次/日,1周)联合华法林(口服,24周)抗凝治疗。对照组未予抗凝治疗。比较两组患者术后PVT发生率、肝功指标、Child-Pugh评分、门静脉直径、门静脉血流速度、并发症发生率、平均住院时间等。结果 抗凝组、对照组术后PVT发生率分别为2周16.1%和44%,4周12.5%和40%,12周8.9%和38.0%,24周7.1%和34.0%,48周7.1%和32.0%。术后2周、4周、12周、24周、48周抗凝组的TBil、DBil、ALT、Child-Pugh评分均低于对照组,P<0.05。术后2周、4周、12周、24周、48周抗凝组的门静脉平均直径小于对照组,血流速度高于对照组,P<0.05。术后48周试验组、对照组并发症的发生率分别为:消化道出血3.6%、10.0%,肝性脑病1.8%、8.0%,肠坏死1.8%、6.0%,P>0.05;腹水14.3%、32.0%,P<0.05。抗凝组平均住院时间(10.8±2.9)d,小于对照组[(15.9±4.6)d],P<0.05。抗凝治疗期间,未见明显不良反应。结论 抗凝治疗可有效减少肝硬化患者脾切术后PVT的发生风险,安全性良好。 展开更多
关键词 肝硬化 脾切除 抗凝治疗 门静脉系统血栓 安全性
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锂硫电池用高度环化硫化聚丙烯腈的制备
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作者 姬璇 汪佳裕 +3 位作者 王安邦 王维坤 姚明 黄雅钦 《电化学》 CAS CSCD 北大核心 2022年第12期60-70,共11页
硫化聚丙烯腈因其不溶解机制和有效缓解锂硫电池中多硫化物“穿梭效应”,被认为是具有吸引力的锂硫电池正极候选材料。硫化聚丙烯腈的导电聚合物骨架具有优异的电子导电性,同时共轭主链能有效解决充放电过程中硫正极体积变化引起的正极... 硫化聚丙烯腈因其不溶解机制和有效缓解锂硫电池中多硫化物“穿梭效应”,被认为是具有吸引力的锂硫电池正极候选材料。硫化聚丙烯腈的导电聚合物骨架具有优异的电子导电性,同时共轭主链能有效解决充放电过程中硫正极体积变化引起的正极结构坍塌问题。因硫化聚丙烯腈的固-固反应机理,有效克服了传统硫正极在醚类电解液中多硫化物溶解及穿梭效应的问题,具有高正极活性物质利用率、出色的循环稳定性和结构稳定性等优势。有许多研究工作致力于通过硫化促进剂来提高硫化聚丙烯腈的硫含量,进而提高材料的能量密度。其中,硫化聚丙烯腈主链的环化度与循环稳定性的关系引起了我们的关注。在该研究工作中,通过在硫化过程中引入无水硫酸铜和正乙基正苯基二硫代氨基甲酸锌(ZDB)合成了SPAN-C-V复合材料。无水硫酸铜和ZDB的共同引入降低了聚丙烯腈环化反应的起始温度,同时提高了产物SPAN-C-V内碳碳双键的含量,在提高了材料硫含量的同时提高了其环化度。以SPAN-C-V为正极活性物质所组装的锂硫电池展现出良好的循环稳定性和倍率性能:在0.2 C(1 C=600 mAh·kg^(-1))下循环100次后的可逆容量为601 mAh·kg^(-1),容量保持率为93%。该工作对于硫化聚丙烯腈材料的发展提供了参考。 展开更多
关键词 硫化聚丙烯腈 CUSO4 正乙基正苯基二硫代氨基甲酸锌 环化度 锂硫电池
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Expression of miR-1304 in patients with esophageal carcinoma and risk factors for recurrence 被引量:5
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作者 Yun-Gang Luo Li-Wei Duan +4 位作者 xuan ji Wen-Yuan jia Yun Liu Mao-Lei Sun Guo-Min Liu 《World Journal of Gastroenterology》 SCIE CAS 2020年第6期670-685,共16页
BACKGROUND Esophageal carcinoma is a malignant gastrointestinal tumor with a very poor prognosis.MicroRNA(miR)-1304 is a newly discovered non-coding RNA,which shows differential expression in other cancers,and its cli... BACKGROUND Esophageal carcinoma is a malignant gastrointestinal tumor with a very poor prognosis.MicroRNA(miR)-1304 is a newly discovered non-coding RNA,which shows differential expression in other cancers,and its clinical value in esophageal carcinoma remains unclear.AIM To explore the expression of miR-1304 in patients with esophageal carcinoma and its clinical value.METHODS The expression of miR-1304 in patients with esophageal carcinoma was analyzed based on the data on miR in esophageal carcinoma downloaded from The Cancer Genome Atlas database.Quantitative real-time polymerase chain reaction was adopted to determine the expression of miR-1304 in the tissues and serum of patients.The clinical diagnostic value of miR-1304 and independent factors for recurrence and prognosis of esophageal carcinoma were then analyzed.The potential target genes of miR-1304 were predicted,and then analyzed based on gene ontology,Kyoto Encyclopedia of Genes,and Genomes,and protein-protein interaction.RESULTS The expression of miR-1304 in the tissues and serum of patients with esophageal carcinoma increased,and was also increased according to the database.Patients with high expression of miR-1304 suffered increased rates of tumor≥3 cm,low differentiation and stage II+III.miR-1304 had a diagnostic value in identifying esophageal carcinoma,tumor size,differentiation and TNM stage.Tumor size,differentiation,TNM stage,and miR-1304 were independent risk factors for recurrence of esophageal carcinoma,and they had certain predictive and diagnostic value for the recurrence of esophageal carcinoma.Seventy-eight patients showed a 3-year survival rate of 38.46%,and patients with high expression of miR-1304 had a relatively lower survival rate.Multivariate analysis revealed that tumor size,differentiation,recurrence and miR-1304 were independent factors for the prognosis of patients.MiRTarBase,miRDB,and Targetscan predicted 20 target genes in total.Gene ontology enrichment analysis found 18 functions with aP<0.05,and Kyoto Encyclopedia of Genes,and Genomes analysis found 11 signal pathways with aP<0.05.String analysis of protein co-expression found 269 relationship pairs,of which co-expression with epidermal growth factor was the most common.CONCLUSION miR-1304 can be used as a potential indicator for the diagnosis and recurrence of esophageal carcinoma and for survival of patients with this disease. 展开更多
关键词 miR-1304 RECURRENCE PROGNOSIS Diagnosis Bioinformatics analysis The Cancer Genome Atlas Esophageal carcinoma
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内镜下改良硬化剂注射联合套扎治疗Ⅲ度内痔出血合并肝硬化的分析 被引量:5
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作者 丁之昊 徐华兵 +4 位作者 宣佶 张敏芬 仇玉平 张鹏举 汪芳裕 《医学研究与战创伤救治》 CAS 北大核心 2023年第4期409-411,共3页
肝硬化合并内痔出血行内痔切除术会有进一步出血的风险,保守治疗效果较差。本文报道1例Ⅲ度内痔出血合并肝硬化的患者行改良后的内镜下硬化剂联合套扎治疗,术后内痔症状明显改善,无出血等相关并发症,现报道如下。1病例资料患者男性,74岁... 肝硬化合并内痔出血行内痔切除术会有进一步出血的风险,保守治疗效果较差。本文报道1例Ⅲ度内痔出血合并肝硬化的患者行改良后的内镜下硬化剂联合套扎治疗,术后内痔症状明显改善,无出血等相关并发症,现报道如下。1病例资料患者男性,74岁,汉族,因“大便有肿物脱出、出血5年,加重5 d”入院。2017年无明显诱因下出现大便时有肿块脱出,需用手还纳;排便带血,为黄色成形便表面覆盖鲜红色鲜血;偶有排便时肛门口疼痛感;偶有肛门瘙痒,肛周分泌物,平素大便不畅。于2019年行内镜下内痔套扎治疗后,未见明显好转。于普通外科门诊咨询,建议保守治疗。本次入院5 d前症状加重。 展开更多
关键词 内痔 肝硬化 内镜 硬化剂联合套扎
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Comprehensive multi-omics analysis identified core molecular processes in esophageal cancer and revealed GNGT2 as a potential prognostic marker 被引量:3
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作者 Guo-Min Liu xuan ji +5 位作者 Tian-Cheng Lu Li-Wei Duan Wen-Yuan jia Yun Liu Mao-Lei Sun Yun-Gang Luo 《World Journal of Gastroenterology》 SCIE CAS 2019年第48期6890-6901,共12页
BACKGROUND Esophageal cancer is one of the most poorly diagnosed and fatal cancers in the world.Although a series of studies on esophageal cancer have been reported,the molecular pathogenesis of the disease remains el... BACKGROUND Esophageal cancer is one of the most poorly diagnosed and fatal cancers in the world.Although a series of studies on esophageal cancer have been reported,the molecular pathogenesis of the disease remains elusive.AIM To investigate comprehensively the molecular process of esophageal cancer.METHODS Differential expression analysis was performed to identify differentially expressed genes(DEGs)in different stages of esophageal cancer from The Cancer Genome Atlas data.Exacting gene interaction modules were generated,and hub genes in the module interaction network were found.Further,through survival analysis,methylation analysis,pivot analysis,and enrichment analysis,some important molecules and related functions/pathways were identified to elucidate potential mechanisms in esophageal cancer.RESULTS A total of 7457 DEGs and 14 gene interaction modules were identified.These module genes were significantly involved in the positive regulation of protein transport,gastric acid secretion,insulin-like growth factor receptor binding,and other biological processes as well as p53 signaling pathway,epidermal growth factor signaling pathway,and epidermal growth factor receptor signaling pathway.Transcription factors(including hypoxia inducible factor 1A)and noncoding RNAs(including colorectal differentially expressed and hsa-miR-330-3p)that significantly regulate dysfunction modules were identified.Survival analysis showed that G protein subunit gamma transducin 2(GNGT2)was closely related to survival of esophageal cancer.DEGs with strong methylation regulation ability were identified,including SST and SH3GL2.Furthermore,the expression of GNGT2 was evaluated by quantitative real time polymerase chain reaction,and the results showed that GNGT2 expression was significantly upregulated in esophageal cancer patient samples and cell lines.Moreover,cell counting kit-8 assay revealed that GNGT2 could promote the proliferation of esophageal cancer cell lines.CONCLUSION This study not only revealed the potential regulatory factors involved in the development of esophageal cancer but also deepens our understanding of its underlying mechanism. 展开更多
关键词 Esophageal cancer Molecular pathogenesis Enrichment analysis Gene interaction module Regulatory factors GNGT2
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A comprehensive framework for assessing the spatial drivers of flood disasters using an Optimal Parameter-based Geographical Detector-machine learning coupled model 被引量:2
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作者 Luyi Yang xuan ji +6 位作者 Meng Li Pengwu Yang Wei jiang Linyan Chen Chuanjian Yang Cezong Sun Yungang Li 《Geoscience Frontiers》 SCIE CAS CSCD 2024年第6期121-136,共16页
Flood disasters pose serious threats to human life and property worldwide.Exploring the spatial drivers of flood disasters on a macroscopic scale is of great significance for mitigating their impacts.This study propos... Flood disasters pose serious threats to human life and property worldwide.Exploring the spatial drivers of flood disasters on a macroscopic scale is of great significance for mitigating their impacts.This study proposes a comprehensive framework for integrating driving-factor optimization and interpretability,while considering spatial heterogeneity.In this framework,the Optimal Parameter-based Geographic Detector(OPGD),Recursive Feature Estimation(RFE),and Light Gradient Boosting Machine(LGBM)models were utilized to construct the OPGD–RFE–LGBM coupled model to identify the essential driving factors and simulate the spatial distribution of flood disasters.The SHapley Additive ExPlanation(SHAP)interpreter was employed to quantitatively explain the driving mechanisms behind the spatial distribution of flood disasters.Yunnan Province,a typical mountainous and plateau area in Southwest China,was selected to implement the proposed framework and conduct a case study.For this purpose,a flood disaster inventory of 7332 historical events was prepared,and 22 potential driving factors related to precipitation,surface environment,and human activity were initially selected.Results revealed that flood disasters in Yunnan Province exhibit high spatial heterogeneity,with geomorphic zoning accounting for 66.1%of the spatial variation in historical flood disasters.The OPGD–RFE–LGBM coupled model offers clear advantages over a single LGBM in identifying essential driving factors and quantitatively analyzing their impacts.Moreover,the simulation performance shows a slight improvement(a 6%average decrease in RMSE and an average increase of 1%in R2)even with reduced factor data.Factor explanatory analysis indicated that the combination of the essential driving factor sets varied across different subregions;nevertheless,precipitation-related factors,such as precipitation intensity index(SDII),wet days(R10MM),and 5-day maximum precipitation(RX5day),were the main driving factors controlling flood disasters.This study provides a quantitative analytical framework for the spatial drivers of flood disasters at large scales with significant heterogeneity,offering a reference for disaster management authorities in developing macro-strategies for disaster prevention. 展开更多
关键词 Flood disaster Spatial driving factors Spatial heterogeneity Machine learning Optimal Parameter-based Geographical DETECTOR Yunnan Province
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膜协同低温等离子体组合式废水消毒净化装置的效果研究 被引量:3
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作者 汪勇 宣佶 +4 位作者 杨艳 陈得生 姚佳新 魏玮 琚泽友 《华南国防医学杂志》 CAS 2019年第12期844-845,870,共3页
目的研究膜处理协同低温等离子体消毒废水的实际效果。方法对膜协同低温等离子体组合式野外生化洗消方舱的4种典型化学毒剂[沙林毒剂(GB)、维埃克斯神经毒剂(Vx)、梭曼神经毒剂(GD)和芥子气(HD)]的消毒净化能力进行测试。结果针对常见的... 目的研究膜处理协同低温等离子体消毒废水的实际效果。方法对膜协同低温等离子体组合式野外生化洗消方舱的4种典型化学毒剂[沙林毒剂(GB)、维埃克斯神经毒剂(Vx)、梭曼神经毒剂(GD)和芥子气(HD)]的消毒净化能力进行测试。结果针对常见的4种典型化学毒剂染毒的水,利用膜协同低温等离子体净化消毒废水的效果完全达到军队战时饮用水卫生标准的要求。结论膜协同低温等离子体净化消毒废水有很好的可行性和可靠性,值得在军队中推广应用。 展开更多
关键词 洗消净化 膜处理 低温等离子
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成人急性胰腺炎住院病人疼痛管理的最佳证据总结 被引量:2
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作者 崔绘丽 施旼艳 +6 位作者 江方正 葛卿 郑翠霞 宣佶 甄永祺 刘国印 陈叶 《全科护理》 2023年第31期4325-4329,共5页
目的:总结成人急性胰腺炎住院病人疼痛管理的最佳证据。方法:计算机检索BMJ best practice、Up To Date、CINAHL等关于成人急性胰腺炎病人疼痛管理的所有证据,经过方法学质量评价后,根据主题对证据进行提取与汇总。结果:纳入文献14篇,... 目的:总结成人急性胰腺炎住院病人疼痛管理的最佳证据。方法:计算机检索BMJ best practice、Up To Date、CINAHL等关于成人急性胰腺炎病人疼痛管理的所有证据,经过方法学质量评价后,根据主题对证据进行提取与汇总。结果:纳入文献14篇,其中指南2篇、专家共识3篇、文献综述4篇等,从疼痛评估、干预策略、教育与培训3个方面总结了16条最佳证据。结论:将16条最佳证据结合临床情景,为成人急性胰腺炎住院病人疼痛的综合管理提供循证依据。 展开更多
关键词 成人 急性胰腺炎 疼痛 循证护理 最佳证据
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Sequence modulation of tunneling barrier and charge transport across histidine doped oligo-alanine molecular junctions
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作者 Baili Li xuan ji +6 位作者 Lixian Tian Xianneng Song Ziyan Wang Hira Khalid Xi Yu Lejia Wang Wenping Hu 《Chinese Chemical Letters》 SCIE CAS CSCD 2021年第12期3782-3786,共5页
Series tunneling across peptides composed of various amino acids is one of the main charge transport mechanisms for realizing the function of protein. Histidine, more frequently found in redox active proteins, has bee... Series tunneling across peptides composed of various amino acids is one of the main charge transport mechanisms for realizing the function of protein. Histidine, more frequently found in redox active proteins, has been proved to be efficient tunneling mediator. While how it exactly modulates charge transport in a long peptide sequence remains poorly explored. In this work, we studied charge transport of a model peptide junction, where oligo-alanine peptide was doped by histidine at different position,and the series of peptides were self-assembled into a monolayer on gold electrode with soft EGa In as top electrode to form molecular junction. It was found that histidine increased the overall conductance of the peptide, meanwhile, its position modulated the conductance as well. Quantitative analysis by transport model and ultraviolet photoelectron spectroscopy(UPS) indicated a sequence dependent energy landscape of the tunneling barrier of the junction. Density-functional theory(DFT) calculation on the electronic structure of histidine doped oligo-alanine peptides revealed localized highest occupied molecular orbital(HOMO) on imidazole group of the histidine, which decreased charge transport barrier. 展开更多
关键词 Charge transport Molecular junction Peptide sequence Self-assembled monolayer TUNNELING
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基于碳电极的分子电子器件
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作者 薛俊红 纪璇 +3 位作者 陈聪 丁小海 于曦 胡文平 《化学进展》 SCIE CAS CSCD 北大核心 2024年第1期1-17,共17页
基于分子的电子器件以分子的本征电子结构为器件单元,在分子水平上构筑电子器件,是跨越分子电荷传递机制研究的理想实验平台,也为在微纳尺度上实现新型功能电子器件提供了新颖的策略。实现微纳电极间隙及稳定的电极-分子的连接是开发重... 基于分子的电子器件以分子的本征电子结构为器件单元,在分子水平上构筑电子器件,是跨越分子电荷传递机制研究的理想实验平台,也为在微纳尺度上实现新型功能电子器件提供了新颖的策略。实现微纳电极间隙及稳定的电极-分子的连接是开发重现性高的分子器件的关键。碳材料因其化学稳定性高、表面化学丰富而在分子器件的构筑中得到了越来越广泛的应用。本文总结回顾了以碳作为电极构筑分子器件的研究状况,讨论了碳材料在分子器件构筑中稳定性高、成本低和可量产等突出优势以及在大面积分子器件和单分子器件中的应用与研究进展。展示了以碳电极构筑的分子开关、分子整流等功能分子器件以及分子-电子传输构效关系等研究方面的丰富成果。最后分析了目前基于碳基分子器件研究面临的挑战,对碳电极-分子界面的化学连接、基于碳电极的分子器件的功能化以及未来分子器件的集成化做了展望。 展开更多
关键词 分子电子学 碳电极材料 单分子电子器件 大面积分子电子器件
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UJS-LTP-MTT洗消系统对金黄色葡萄球菌沾染物和污染水的洗消净化效能研究
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作者 宣佶 张剑峰 +4 位作者 魏玮 相芳 姚佳新 张敏芬 汪勇 《医疗卫生装备》 CAS 2022年第8期20-24,共5页
目的:研究UJS-LTP-MTT洗消系统对金黄色葡萄球菌沾染物的洗消效果和对被金黄色葡萄球菌污染的水的净化效果。方法:采用UJS-LTP-MTT洗消系统的超薄射流(ultrathin jet stream,UJS)喷头(UJS组)和普通淋浴喷头(普通淋浴组)冲洗在金黄色葡... 目的:研究UJS-LTP-MTT洗消系统对金黄色葡萄球菌沾染物的洗消效果和对被金黄色葡萄球菌污染的水的净化效果。方法:采用UJS-LTP-MTT洗消系统的超薄射流(ultrathin jet stream,UJS)喷头(UJS组)和普通淋浴喷头(普通淋浴组)冲洗在金黄色葡萄球菌菌液中浸泡过的覆漆钢板、生猪皮和背部脱毛的家兔,在洗消0、30、60和90 s取样进行细菌培养,比较2组检测出的菌落数。采用UJS-LTP-MTT洗消系统的低温等离子体(low temperature plasma,LTP)模块和膜处理技术(membrane treatment technology,MTT)模块对被金黄色葡萄球菌污染的水进行净化处理,取样进行细菌培养,比较处理前后与空白对照的菌落数。采用SPSS 19.0软件进行统计学分析。结果:洗消90 s时,UJS组检测到的菌落数显著少于普通淋浴组(P<0.05)。经LTP模块和MTT模块净化处理后的菌液样本无细菌生长,而未经处理的菌液样本菌落数显著多于空白对照和处理后的菌液样本中的菌落数(P<0.05)。结论:UJS喷头对不同金黄色葡萄球菌沾染物的洗消效果明显优于普通淋浴喷头,LTP模块联合MTT模块能有效净化被金黄色葡萄球菌污染的水源,UJS-LTP-MTT洗消系统可为应对自然灾害或安全事故发生后的金黄色葡萄球菌污染提供有效的洗消净化方法。 展开更多
关键词 UJS-LTP-MTT洗消系统 超薄射流 低温等离子体 膜处理技术 金黄色葡萄球菌 洗消 净化
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难治性胃巨大溃疡合并大出血抢救成功1例的诊治体会及文献复习
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作者 程正源 文卫 +1 位作者 宣佶 徐华兵 《现代医学》 2020年第1期103-105,共3页
目的:提高对胃巨大溃疡所致上消化道大出血的诊疗认识。方法:分析我科胃巨大溃疡患者突发大出血的临床资料1例,并结合文献进行讨论。结果:该患者突发大出血后一度生命垂危,后经内外科积极配合,抢救获得成功。结论:对胃巨大溃疡出血患者... 目的:提高对胃巨大溃疡所致上消化道大出血的诊疗认识。方法:分析我科胃巨大溃疡患者突发大出血的临床资料1例,并结合文献进行讨论。结果:该患者突发大出血后一度生命垂危,后经内外科积极配合,抢救获得成功。结论:对胃巨大溃疡出血患者要严密监测生命体征,并应及时行急诊胃镜检查,明确溃疡情况;经常规内科保守治疗,但仍有呕血或便血者应及时行内镜下治疗或进行外科干预。 展开更多
关键词 胃巨大溃疡 大出血 内外科配合
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溃疡性结肠炎回肠储袋肛管吻合术后克罗恩病样储袋的影响因素分析
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作者 阎逸楠 魏娟 +9 位作者 杨钊 杨雅 陶慧 李留影 王泓钦 赵元一 朱峰 宣佶 龚剑峰 汪芳裕 《中华炎性肠病杂志(中英文)》 2025年第3期211-217,共7页
目的探索回肠储袋肛管吻合术(IPAA)术后的溃疡性结肠炎(UC)患者中克罗恩病样储袋(CDP)的发生率,并分析其临床特征及危险因素。方法采用回顾性队列研究方法。纳入南京大学附属金陵医院从2003年11月至2024年11月中行IPAA术的182例UC患者... 目的探索回肠储袋肛管吻合术(IPAA)术后的溃疡性结肠炎(UC)患者中克罗恩病样储袋(CDP)的发生率,并分析其临床特征及危险因素。方法采用回顾性队列研究方法。纳入南京大学附属金陵医院从2003年11月至2024年11月中行IPAA术的182例UC患者的临床数据,根据是否发生CDP将患者分为两组。分析两组患者的临床特点及预后,并采用Cox回归进一步分析CDP的危险因素。结果共纳入182例UC患者,中位随访时间为45.00(30.00,75.25)个月。CDP组23例(12.64%),无CDP组159例(87.36%)。与无CDP组相比,CDP组的患者的体质量指数(BMI)更低(Z=-2.87,P=0.004),且更倾向于出现术后极早期的储袋炎(χ^(2)=4.50,P=0.034)。回肠造口还纳至发生CDP的中位时间为12.00(6.00,28.00)个月。Cox回归分析显示,术前BMI<18.5kg/m2(HR=2.84,95%CI:1.24~6.49,P=0.013)和术后极早期储袋炎(HR=3.11,95%CI:1.22~7.93,P=0.018)与CDP的风险增高有关。结论术前低BMI和术后3个月内出现的储袋炎症是CDP的危险因素。应密切监测高危患者,早期识别干预。 展开更多
关键词 溃疡性结肠炎 克罗恩病样储袋炎 回肠储袋肛管吻合术
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高压氧治疗对小鼠非酒精性脂肪性肝病的保护作用及其机制
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作者 朱汉龙 陈璐 +8 位作者 朱文龙 丁静 蒋康 陶慧 周洁 宣佶 杨妙芳 蒋铭佐 汪芳裕 《中华肝脏病杂志》 北大核心 2025年第4期366-374,共9页
目的探讨高压氧治疗对小鼠非酒精性脂肪性肝病的疗效及其机制。方法将21只8周龄雄性C57BL/6J小鼠分为3组,分别为对照组(正常饮食)、模型组(高脂高胆固醇饮食)、高压氧组(高脂高胆固醇饮食+高压氧治疗),每组小鼠各7只。治疗结束后比较3... 目的探讨高压氧治疗对小鼠非酒精性脂肪性肝病的疗效及其机制。方法将21只8周龄雄性C57BL/6J小鼠分为3组,分别为对照组(正常饮食)、模型组(高脂高胆固醇饮食)、高压氧组(高脂高胆固醇饮食+高压氧治疗),每组小鼠各7只。治疗结束后比较3组小鼠体质量、血清转氨酶和血脂的变化,通过苏木精-伊红染色、油红O染色、天狼星红染色以及F4/80免疫组织化学染色观察肝脏组织病理学改变,通过RT-qPCR和蛋白质印迹方法检测氧化应激及炎性因子的表达水平。各组间的比较采用单因素方差分析。结果高压氧组小鼠肝脏组织病理学明显改善,血清学丙氨酸转氨酶、天冬氨酸转氨酶及胆固醇水平分别为(77.50±13.59)U/L、(156.06±23.68)U/L和(4.80±0.53)mmol/L,显著低于模型组[(109.43±16.88)U/L、(216.62±18.79)U/L和(5.86±0.53)mmol/L,P<0.05],同时伴有较低的脂质沉积、巨噬细胞浸润和纤维化水平;此外,经高压氧治疗后,肝脏组织抗氧化应激蛋白核转录因子红系2相关因子2[(0.30±0.06)和(2.16±1.21),P<0.05]和血红素加氧酶-1[(0.48±0.19)和(1.01±0.18),P<0.05]的表达较模型组有上升趋势,转录水平上也得到了验证(P<0.05)。同时,相较于模型组,高压氧组小鼠肝组织肿瘤坏死因子-α[(2.60±0.71)和(0.66±0.15),P<0.05]、白细胞介素-1β[(2.41±1.01)和(0.78±0.23),P<0.05]、白细胞介素-6[(3.61±2.17)和(0.94±0.25),P<0.05]的mRNA表达均降低,而在蛋白水平上,予以高压氧处理后的肿瘤坏死因子-α[(7.50±4.73)和(1.05±0.58),P<0.05]、白细胞介素-1β[(1.65±0.35)和(1.02±0.02),P<0.05]的含量也较模型组减少。结论高压氧治疗可以通过调节肝脏氧化应激及炎症水平从而减缓非酒精性脂肪性肝病小鼠的疾病进展。 展开更多
关键词 高压氧疗法 非酒精性脂肪性肝病 代谢相关脂肪性肝病 非酒精性脂肪性肝炎 氧化应激 炎症
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Noninvasive Monitoring of Programmed Death-Ligand 2 Expression with Positron Emission Tomography using ^(68)Ga-labeled Peptide Antagonist in Preclinical and Exploratory Human Studies
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作者 Yajie Zhao Xiaoqin Yin +5 位作者 Ming Zhou Wanqian Rao xuan ji Xiaobo Wang XiaoXiong Xiao Shuo Hu 《Research》 2025年第3期311-321,共11页
While the expression of programmed death ligand-1(PD-L1)is associated with response to immune therapy,PD-L1-negative patients may still benefit from immune treatment.Programmed death ligand-2(PD-L2),another crucial im... While the expression of programmed death ligand-1(PD-L1)is associated with response to immune therapy,PD-L1-negative patients may still benefit from immune treatment.Programmed death ligand-2(PD-L2),another crucial immune checkpoint molecule interacting with PD-1,correlates with the efficacy of various tumor immune therapies.This study investigates the expression of PD-L2 in non-small cell lung cancer(NSCLC)patients following anti-PD-1 therapy and its predictive value for clinical survival outcomes.Additionally,we explore the noninvasive,real-time,and dynamic quantitative analysis potential of PD-L2 positron emission tomography(PET)imaging in transplanted tumors.We utilized[^(68)Ga]Ga-labeled peptide HN11-1 for PD-L2 PET imaging.The results indicate a higher response rate to anti-PD-1 therapy in patients positive for both PD-L1 and PD-L2,with PD-L2 status independently predicting progression-free survival(PFS)with pembrolizumab treatment.Furthermore,[^(68)Ga]Ga-HN11-1 PET imaging demonstrates specificity in assessing PD-L2 status.Overall,we confirm the correlation between high PD-L2 expression and favorable PFS in NSCLC patients post anti-PD-1 therapy and highlight the promising potential of[^(68)Ga]Ga-HN11-1 as a specific tracer for PD-L2 in preclinical and initial human trials. 展开更多
关键词 exploratory human studies noninvasive monitoring Ga labeled peptide antagonist immune checkpoint molecule positron emission tomography immune therapypd l negative preclinical studies programmed death ligand
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Harnessing conversion bridge strategy by organic semiconductor in polymer matrix memristors for highperformance multi-modal neuromorphic signal processing
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作者 Weijia Dong xuan ji +9 位作者 Chuanbin An Chenhui Xu Xuwen Zhang Bin Zhao Yuqian Liu Shiyu Wang Xi Yu Xinjun Liu Yang Han Yanhou Geng 《InfoMat》 2025年第5期73-89,共17页
Organic memristors,integrating chemically designed resistive switching and mechanical flexibility,present promising hardware opportunities for neuromorphic computing,particularly in the development of next-generation ... Organic memristors,integrating chemically designed resistive switching and mechanical flexibility,present promising hardware opportunities for neuromorphic computing,particularly in the development of next-generation wearable artificial intelligence devices.However,challenges persist in achieving high yield,controllable switching,and multi-modal information processing.In this study,we introduce an efficient distribution of conversion bridges(EDCB)strategy by dispersing organic semiconductor(poly[2,5-bis(3-tetradecylthiophen-2-yl)thieno[3,2-b]thiophene],PBTTT)in elastomer(polystyrene-block-poly(ethylene-ran-butylene)-block-polystyrene,SEBS).This innovative approach results in memristors with exceptional yield,high stretchability,and reliable switching performance.By fine-tuning the semiconductor content,we shift the primary charge carriers from ions to electrons,realizing modulable non-volatile,and volatile duo-mode memristors.This advancement enables multi-modal signal processing at distinct operational mechanisms—non-volatile mode for image recognition in convolutional neural networks(CNNs)and volatile mode for dynamic classification and prediction in reservoir computing(RC).A fully analog RC hardware system is further demonstrated by integrating the distinct volatile and non-volatile modes of the EDCB-based memristor into the dynamic neuron network and the linear regression layer of the RC respectively,achieving high accuracy in online arrhythmia detection tasks.Our work paves the way for high-yield organic memristors with mechanical flexibility,advancing efficient multi-mode neuromorphic computing within a unified memristor system integrating volatile and non-volatile functionalities. 展开更多
关键词 convolutional neural network neuromorphic computing organic memristors reservoir computing stretchable electronics
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