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Value Evaluation for Urban Medical Groups in China:A Case From Dapeng New District in Shenzhen
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作者 yan cui Leiyu Shi +2 位作者 Shilan Tang yansui yang Lijie Ren 《Health Care Science》 2025年第3期206-214,共9页
Background:An urban medical group in Dapeng New District was established in 2017 with the objective of enhancing outcomes for common diseases and reinforcing primary care by integrating high‐level hospitals with prim... Background:An urban medical group in Dapeng New District was established in 2017 with the objective of enhancing outcomes for common diseases and reinforcing primary care by integrating high‐level hospitals with primary health services.This study aimed to evaluate the performance of the urban medical group using the triangular value chain framework.Methods:The evaluation was conducted using the Donabedian model,focusing on three key dimensions:safety and quality,accessibility,and affordability.Longitudinal data were collected from 2016 to 2022 through government annual reports,the medical insurance bureau,and hospital information systems.Preprogram and postprogram outcome measurements were compared to assess differences and trends,providing a clear picture of the program's effectiveness.Results:Accessibility improved significantly,with the number of hospital beds per 1000 residents increasing from 2.62 in 2017 to 3.76 in 2022.The availability of general practitioners(GPs)also rose markedly,from 0 per 10,000 residents in 2017 to 6.27 in 2022.Regarding safety and quality,the proportion of complex medical procedures conducted within the New District expanded substantially,from 7.35%in 2017 to 38.11%in 2021.Additionally,there was an enhancement in the standardized management rate of chronic diseases.Affordability assessments showed that the proportion of medical income derived from the medical insurance fund increased by nearly 22.81 percentage points between 2012 and 2021.By 2021,75.02%of medical patients were covered by medical insurance,representing an increase of approximately 44 percentage points from 31.19%in 2012.Conclusions:The implementation of the urban medical group in Dapeng New District has led to substantial improvements in healthcare accessibility,safety and quality,and affordability.Future initiatives will focus on advancing the“Dapeng Mode”to generate exemplary healthcare outcomes and minimize disparities in basic health services and health status between urban and rural populations.The reform agenda includes piloting payment reforms and innovative payment models within the Dapeng group,complemented by a health assessment and performance incentive system aimed at encouraging healthcare institutions to prioritize health management. 展开更多
关键词 Donabedian model integrated care medical consortium triangular value chain triple aims urban medical group value evaluation
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Materials,processes,devices and applications of magnetoresistive random access memory
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作者 Meiyin yang yan cui +1 位作者 Jingsheng Chen Jun Luo 《International Journal of Extreme Manufacturing》 2025年第1期277-306,共30页
Magnetoresistive random access memory(MRAM)is a promising non-volatile memory technology that can be utilized as an energy and space-efficient storage and computing solution,particularly in cache functions within circ... Magnetoresistive random access memory(MRAM)is a promising non-volatile memory technology that can be utilized as an energy and space-efficient storage and computing solution,particularly in cache functions within circuits.Although MRAM has achieved mass production,its manufacturing process still remains challenging,resulting in only a few semiconductor companies dominating its production.In this review,we delve into the materials,processes,and devices used in MRAM,focusing on both the widely adopted spin transfer torque MRAM and the next-generation spin-orbit torque MRAM.We provide an overview of their operational mechanisms and manufacturing technologies.Furthermore,we outline the major hurdles faced in MRAM manufacturing and propose potential solutions in detail.Then,the applications of MRAM in artificial intelligent hardware are introduced.Finally,we present an outlook on the future development and applications of MRAM. 展开更多
关键词 spin transfer torque-magnetoresistive random access memory(STT-MRAM) spin-orbit torque(SOT)MRAM materials for MRAM field-free writing of SOT-MRAM MRAM process artificial intelligence
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Distinguishing between wild-caught and captive-bred Common Pheasantusing methylation rate of skeletal muscle DNA
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作者 Wenhui Wang Lijun Lin +15 位作者 Yue Ma yan cui Qi Zhang Jincheng yang Yongheng Zhou Liangyu cui Boyang Liu Chang Su Mengjia Yu Yuwei Gao Peng Gao Yujia Du Yu Zhou Elizabeth Kamili Shuhui yang yanchun Xu 《Avian Research》 2025年第2期264-274,共11页
Illegal hunting and trafficking of wildlife and their derivatives extort unprecedented population decline of relatively many species pushing them towards extinction.Notwithstanding contemporary counteracting intervent... Illegal hunting and trafficking of wildlife and their derivatives extort unprecedented population decline of relatively many species pushing them towards extinction.Notwithstanding contemporary counteracting interventions at international,regional,national and local levels,wildlife farming is advocated as an alternative approach to minimize pressure on wild populations.For wildlife farming to be an effective conservation tool,the integration of wildlife forensics is inevitable to allow distinction between captive-bred and wild-caught species.To this end,we analyzed methylation rates of skeletal muscle samples(pectoralis major,triceps brachii,gastrocnemius,biceps femoris,and neck muscles)from 60 captive-bred and 30 wild-caught Common Pheasant.A total of 13,507 differentially methylated regions were identified between five wild-caught and five captive-bred individuals through whole-genome methylation sequencing(WGBS).Based on the selected five methylation sites,LOC116231076,LOC116242223,ATAD2B,EGFL6,and HS2ST,quantitative detection technique was developed using methylation-sensitive high-resolution melting curve(MS-HRM)to measure methylation rates.The results showed significant differences in methylation rates at all differential sites between wild-caught and captive-bred individuals(|t|=0.67–33.10,P=0.000–0.042).The discrimination accuracy rate of each locus was highest in the gastrocnemius muscle and lowest in the neck muscle.The discrimination accuracy rate on LOC116231076,LOC116242223,ATAD2B,EGFL6,and HS2ST methylation sites for gastrocnemius muscle was 64.98%,100.00%,68.54%,63.79%,and 63.70%,respectively;and for neck muscle it was 67.42%,68.06%,83.61%,65.04%,and68.85%,respectively.The united discrimination accuracy rate of the five loci were 100.00%for gastrocnemius muscle,99.78%for biceps femoris muscle,97.52%for pectoralis major muscle,93.96%for triceps brachii muscle,and 91.63%for neck muscle,respectively.The panel also revealed excellent repeatability,reproducibility,sensitivity and universality to mammals and avian species.This study establishes an effective,accurate and low-cost identification technology for the identification of wild and farmed Common Pheasant,and also provides a reference for the development of identification methods for other species. 展开更多
关键词 CAPTIVE Common Pheasant DNA methylation Methylation-sensitive high-resolution melting curve Source identification WILD
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基于电子应变片的聚丙烯纤维增强混凝土材料韧性测试方法研究
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作者 张娜 鄢翠 +1 位作者 黄颖 覃媛媛 《国外电子测量技术》 2025年第6期214-219,共6页
聚丙烯纤维与混凝土基体的弹性模量差异显著,导致界面应变梯度大,传统应变片难以精准捕捉微应变。为此,引入高灵敏度电子应变片,测试聚丙烯纤维增强混凝土材料韧性。通过电子应变片数据采集系统,探究了聚丙烯纤维掺量、长度及养护时间... 聚丙烯纤维与混凝土基体的弹性模量差异显著,导致界面应变梯度大,传统应变片难以精准捕捉微应变。为此,引入高灵敏度电子应变片,测试聚丙烯纤维增强混凝土材料韧性。通过电子应变片数据采集系统,探究了聚丙烯纤维掺量、长度及养护时间对混凝土韧性的影响。实验采用水泥等材料制备出混凝土基础材料,倒入不同掺量聚丙烯纤维制备出试件,粘贴电子应变片施加不同等级荷载获得各个试件的应力-应变曲线,根据该曲线计算出不同聚丙烯掺量下混凝土韧性变化,不同聚丙烯长度对混凝土韧性影响。实验结果显示:荷载上升,试件应力变化趋于陡峭,荷载小则趋势平缓,荷载加载初期混凝土处于弹性变形阶段;曲线进入峰值后因混凝土裂缝破坏应力-应变转为下降,纤维增强混凝土裂缝扩散、承载力下降。0.15%聚丙烯纤维可提升混凝土延性与韧性,5 mm纤维长度效果最佳,能显著提升抗折强度和韧性系数。 展开更多
关键词 混凝土 弹性模量 电子应变片 数据采集系统 荷载
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Synergistic promotion strategy of “dual-site” and “dual-path” to enhance the C–C coupling between CO_(2) and HCHO driven by photoelectrocatalysis
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作者 Hongqiang yang Jianfeng Zheng +6 位作者 Guoyu Wang Yifei Gao Yatao yang Jia Li Xiaojin Han yan cui Zhanggen Huang 《Journal of Energy Chemistry》 2025年第1期39-49,共11页
Photoelectrocatalytic coupling CO_(2)and volatile organic compounds (VOCs) is a promising green strategy for the synergistic conversion of the two carbon-containing resources to C2products.The catalytic efficiency is ... Photoelectrocatalytic coupling CO_(2)and volatile organic compounds (VOCs) is a promising green strategy for the synergistic conversion of the two carbon-containing resources to C2products.The catalytic efficiency is always at the mercy of chemical inertness of CO_(2)and the competitive hydrogen evolution of H2O.Herein,a modified g-C_(3)N_(4)/ZnAl-LDH Z-scheme heterojunction catalyst with dual reaction site was rationally designed and precisely constructed.The Faraday efficiency of ethanol reached 68.67%with a corresponding formation rate of 227.3μmol g^(-1)h^(-1).As revealed by in-situ characterizations and density functional theory calculations,CO_(2)and HCHO were absorbed at Zn site and N site,respectively.Then,*CO generated from CO_(2)and HCHO was converted to*CH_(3)O and*CHO on the dual-active-site heterojunction.The detailed reaction mechanism experiments indicated that C–C coupling only occurred between*CO and*CH_(3)O in electrocatalysis process.Apart from the“*CO+*CH_(3)O”path,another“*CO+*CHO”coupling path was also detected in photoelectrocatalytic process.The selectivity of ethanol was significantly enhanced due to the synthesis of dual-site catalyst and the dual-path coupling path between CO_(2)and HCHO simultaneously driven by light and electricity. 展开更多
关键词 g-C_(3)N_(4)/ZnAl-LDH heterojunction Z-scheme C-C coupling ETHANOL
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玫瑰和桂花复配提取物的体外护肤功效研究
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作者 陈志雄 夏金 +3 位作者 朱廷恒 晏翠 洪妮 曹平 《中国民族民间医药》 2025年第11期30-34,共5页
目的:研究大马士革玫瑰和桂花复配提取液(ROT)的体外美白、抗氧化、抗衰老等护肤功效。方法:采用CCK-8法测定ROT对B16F10细胞生长活性的影响,通过自由基清除能力实验检测ROT清除DPPH和ABTS能力,通过氢氧化钠裂解法测定ROT对B16F10细胞... 目的:研究大马士革玫瑰和桂花复配提取液(ROT)的体外美白、抗氧化、抗衰老等护肤功效。方法:采用CCK-8法测定ROT对B16F10细胞生长活性的影响,通过自由基清除能力实验检测ROT清除DPPH和ABTS能力,通过氢氧化钠裂解法测定ROT对B16F10细胞中黑色素含量的影响,通过弹性蛋白酶抑制实验研究ROT对体外弹性蛋白酶的影响,通过鸡胚尿囊膜方法检测ROT的眼刺激性。结果:体积浓度为0.1%~2%的ROT对B16F10细胞的生长活性没有影响,经过DPPH和ABTS检测实验显示出0.5%~2%ROT清除自由基的能力均达到90%,黑色素含量影响实验表明0.1%~2%ROT均能明显抑制B16F10细胞中黑色素的生成,弹性蛋白酶抑制实验结果表明0.1%~2%ROT均能抑制弹性蛋白酶的活性,且具有浓度依赖性,鸡胚尿囊膜方法结果表明ROT无眼刺激性。结论:ROT具有显著的清除DPPH和ABTS能力,以及抑制B16F10细胞黑色素生成和抑制弹性蛋白酶活性的体外护肤功效,且没有眼刺激性;推测ROT作为一种护肤活性物具有体外美白、抗氧化、抗衰老护肤功效的潜力,且具有一定的安全性。 展开更多
关键词 玫瑰和桂花复配提取物 体外功效 细胞 安全性
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New N-acetyl-L-cysteine derivatives synthesized by the degradation of proanthocyanidins as high biological activity antioxidants
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作者 Yuxuan Wang Ruifang Bai +2 位作者 Siqi Luo Meng Huang yan cui 《Journal of Polyphenols》 2021年第1期14-31,共18页
A novel degradation method was investigated to synthesize highly biologically active flavan-3-ol derivatives in the presence of N-acetyl-L-cysteine(NAC)as a nucleophile under acidic conditions for polymerized proantho... A novel degradation method was investigated to synthesize highly biologically active flavan-3-ol derivatives in the presence of N-acetyl-L-cysteine(NAC)as a nucleophile under acidic conditions for polymerized proanthocyanidins degradation.The reaction conditions were optimized by the combination of single-factor test and central composite experimental design(CCD).Grape seed proanthocyanidins were reacted with NAC at a ratio of 1:3 with 0.3 M methanolic HC1,a temperature of 55°C,and a reaction time of 50 mins.Most of the degradation products were separated and prepared by one-step high-speed countercurrent chromatography(HSCCC)and preparative high-performance liquid chromatography(prep-HPLC).Three monomeric pro anthocyanidins and four new N-acetyl-L-cysteine derivatives were isolated from degradation products with total degradation yield of 55.44%and high purity over 95%.Furthermore,the neuroprotective abilities of these compounds to H2O2-treated PC-12 neuroblastoma cells were evaluated.NAC derivatives showed better antioxidant activity than their corresponding underivatized monomers and NAC,indicating that they had a better performance in protecting PC-12 cells from oxidative stress damage. 展开更多
关键词 N-ACETYL-L-CYSTEINE PROANTHOCYANIDINS HSCCC antioxidant activity
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Humanβ-defensin-1 affects the mammalian target of rapamycin pathway and autophagy in colon cancer cells through long noncoding RNA TCONS_00014506 被引量:4
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作者 Yu-Xin Zhao yan cui +9 位作者 Xin-Hong Li Wen-Hong yang Shi-Xiang An Jia-Xian cui Min-Yu Zhang Jing-Kun Lu Xuan Zhang Xiu-Mei Wang Li-Li Bao Peng-Wei Zhao 《World Journal of Gastrointestinal Oncology》 SCIE 2024年第4期1465-1478,共14页
BACKGROUND Colorectal cancer has a low 5-year survival rate and high mortality.Humanβ-defensin-1(hBD-1)may play an integral function in the innate immune system,contributing to the recognition and destruction of canc... BACKGROUND Colorectal cancer has a low 5-year survival rate and high mortality.Humanβ-defensin-1(hBD-1)may play an integral function in the innate immune system,contributing to the recognition and destruction of cancer cells.Long non-coding RNAs(lncRNAs)are involved in the process of cell differentiation and growth.AIM To investigate the effect of hBD-1 on the mammalian target of rapamycin(mTOR)pathway and autophagy in human colon cancer SW620 cells.METHODS CCK8 assay was utilized for the detection of cell proliferation and determination of the optimal drug concentration.Colony formation assay was employed to assess the effect of hBD-1 on SW620 cell proliferation.Bioinformatics was used to screen potentially biologically significant lncRNAs related to the mTOR pathway.Additionally,p-mTOR(Ser2448),Beclin1,and LC3II/I expression levels in SW620 cells were assessed through Western blot analysis.RESULTS hBD-1 inhibited the proliferative ability of SW620 cells,as evidenced by the reduction in the colony formation capacity of SW620 cells upon exposure to hBD-1.hBD-1 decreased the expression of p-mTOR(Ser2448)protein and increased the expression of Beclin1 and LC3II/I protein.Furthermore,bioinformatics analysis identified seven lncRNAs(2 upregulated and 5 downregulated)related to the mTOR pathway.The lncRNA TCONS_00014506 was ultimately selected.Following the inhibition of the lncRNA TCONS_00014506,exposure to hBD-1 inhibited p-mTOR(Ser2448)and promoted Beclin1 and LC3II/I protein expression.CONCLUSION hBD-1 inhibits the mTOR pathway and promotes autophagy by upregulating the expression of the lncRNA TCONS_00014506 in SW620 cells. 展开更多
关键词 Colon cancer Humanβ-defensin-1 LncRNA Mammalian target of rapamycin AUTOPHAGY
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Extracellular vesicles derived from mesenchymal stem cells mediate extracellular matrix remodeling in osteoarthritis through the transport of microRNA-29a 被引量:4
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作者 Fan yang Wan-Qi Xiong +7 位作者 Chen-Zhi Li Ming-Jian Wu Xiu-Zhi Zhang Chun-Xiao Ran Zhen-Hao Li yan cui Bao-Yi Liu De-Wei Zhao 《World Journal of Stem Cells》 SCIE 2024年第2期191-206,共16页
BACKGROUND Knee osteoarthritis(KOA)is a common orthopedic condition with an uncertain etiology,possibly involving genetics and biomechanics.Factors like changes in chondrocyte microenvironment,oxidative stress,inflamm... BACKGROUND Knee osteoarthritis(KOA)is a common orthopedic condition with an uncertain etiology,possibly involving genetics and biomechanics.Factors like changes in chondrocyte microenvironment,oxidative stress,inflammation,and immune responses affect KOA development.Early-stage treatment options primarily target symptom relief.Mesenchymal stem cells(MSCs)show promise for treatment,despite challenges.Recent research highlights microRNAs(miRNAs)within MSC-released extracellular vesicles that can potentially promote cartilage regeneration and hinder KOA progression.This suggests exosomes(Exos)as a promising avenue for future treatment.While these findings emphasize the need for effective KOA progression management,further safety and efficacy validation for Exos is essential.AIM To explore miR-29a’s role in KOA,we’ll create miR-29a-loaded vesicles,testing for early treatment in rat models.METHODS Extraction of bone marrow MSC-derived extracellular vesicles,preparation of engineered vesicles loaded with miR-29a using ultrasonication,and identification using quantitative reverse transcription polymerase chain reaction;after establi-shing a rat model of KOA,rats were randomly divided into three groups:Blank control group injected with saline,normal extracellular vesicle group injected with normal extracellular vesicle suspension,and engineered extrace-llular vesicle group injected with engineered extracellular vesicle suspension.The three groups evaluation,histological detection,and immunohistochemical detection to compare and evaluate the progress of various forms of arthritis.RESULTS General behavioral observation results showed that the extracellular vesicle group and engineered extracellular vesicle group had better performance in all four indicators of pain,gait,joint mobility,and swelling compared to the blank control group.Additionally,the engineered extracellular vesicle group had better pain relief at 4 wk and better knee joint mobility at 8 wk compared to the normal extracellular vesicle group.Imaging examination results showed that the blank control group had the fastest progression of arthritis,the normal extracellular vesicle group had a relatively slower progression,and the engineered extracellular vesicle group had the slowest progression.Gross histological observation results showed that the blank control group had the most obvious signs of arthritis,the normal extracellular vesicle group showed signs of arthritis,and the engineered extracellular vesicle group showed no significant signs of arthritis.Using the Pelletier gross score evaluation,the engineered extracellular vesicle group had the slowest progression of arthritis.Results from two types of staining showed that the articular cartilage of rats in the normal extracellular vesicle and engineered extracellular vesicle groups was significantly better than that of the blank control group,and the engineered extracellular vesicle group had the best cartilage cell and joint surface condition.Immunohistochemical detection of type II collagen and proteoglycan showed that the extracellular matrix of cartilage cells in the normal extracellular vesicle and engineered extracellular vesicle groups was better than that of the blank control group.Compared to the normal extracellular vesicle group,the engineered extracellular vesicle group had a better regulatory effect on the extracellular matrix of cartilage cells.CONCLUSION Engineered Exos loaded with miR-29a can exert anti-inflammatory effects and maintain extracellular matrix stability,thereby protecting articular cartilage,and slowing the progression of KOA. 展开更多
关键词 EXOSOMES OSTEOARTHRITIS Mesenchymal stem cells MicroRNA-29a Intra-articular injection
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Clinical analysis of colistin sulfate in the treatment of pneumonia caused by carbapenem-resistant Gram-negative bacteria 被引量:3
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作者 Hai-Chang Xu yan cui +6 位作者 Xue-Ying Wang Hai-Bo Wu Wei Li Dan Wang Na Lin Lin Lin Ying-Hui Zhang 《World Journal of Clinical Cases》 SCIE 2024年第13期2173-2181,共9页
BACKGROUND Multidrug-resistant Gram-negative bacteria,exacerbated by excessive use of antimicrobials and immunosuppressants,are a major health threat.AIM To study the clinical efficacy and safety of colistin sulfate i... BACKGROUND Multidrug-resistant Gram-negative bacteria,exacerbated by excessive use of antimicrobials and immunosuppressants,are a major health threat.AIM To study the clinical efficacy and safety of colistin sulfate in the treatment of carbapenem-resistant Gram-negative bacilli-induced pneumonia,and to provide theoretical reference for clinical diagnosis and treatment.METHODS This retrospective analysis involved 54 patients with Gram-negative bacilli pneumonia admitted to intensive care unit of The General Hospital of the Northern Theater Command of the People's Liberation Army of China from August 2020 to June 2022.After bacteriological culture,the patients'airway secretions were collected to confirm the presence of Gram-negative bacilli.The patients were divided into the experimental and control groups according to the medication used.The research group consisted of 28 patients who received polymyxin sulfate combined with other drugs through intravenous,nebulization,or intravenous combined with nebulization,with a daily dosage of 1.5–3.0 million units.The control group consisted of 26 patients who received standard dosages of other antibiotics(including sulbactam sodium for injection,cefoperazone sodium sulbactam for injection,tigecycline,meropenem,or vaborbactam).RESULTS Of the 28 patients included in the research group,26 patients showed improvement,treatment was ineffective for two patients,and one patient died,with the treatment efficacy rate of 92.82%.Of the 26 patients in the control group,18 patients improved,treatment was ineffective for eight patients,and two patients died,with the treatment efficacy rate of 54.9%;significant difference was observed between the two groups(P<0.05).The levels of white blood cell(WBC),procalcitonin(PCT),and C-reactive protein(CRP)in both groups were significantly lower after treatment than before treatment(P<0.05),and the levels of WBC,PCT,and CRP in the research group were significantly lower than those in the control group(P<0.05).Compared with before treatment,there were no significant changes in aspartate aminotransferase,creatinine,and glomerular filtration rate in both groups,while total bilirubin and alanine aminotransferase decreased after treatment(P<0.05)with no difference between the groups.In patients with good clinical outcomes,the sequential organ failure assessment(SOFA)score was low when treated with inhaled polymyxin sulfate,and specific antibiotic treatment did not improve the outcome.Sepsis and septic shock as well as a low SOFA score were independent factors associated with good clinical outcomes.CONCLUSION Polymyxin sulfate has a significant effect on the treatment of patients with multiple drug-resistant Gram-negative bacilli pneumonia and other infections in the lungs and is safe and reliable.Moreover,the administration route of low-dose intravenous injection combined with nebulization shows better therapeutic effects and lower adverse reactions,providing new ideas for clinical administration. 展开更多
关键词 Colistin sulfate Extensively drug-resistant PNEUMONIA Intravenous combined with nebulization Sepsis NEPHROTOXICITY NEUROTOXICITY
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家庭中心护理干预在小儿肺炎中的应用效果对患者肺功能的影响 被引量:4
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作者 闫翠 卢璐 陈姝 《黑龙江医学》 2024年第8期1006-1008,共3页
目的:探究家庭中心护理干预在小儿肺炎中的应用效果对患者肺功能的影响。方法:选取2018年3月—2020年3月信阳市中医院收治的130例小儿肺炎患儿作为研究对象,按照电脑随机设置对照组和观察组,每组各65例,前者行常规护理,后者行家庭中心... 目的:探究家庭中心护理干预在小儿肺炎中的应用效果对患者肺功能的影响。方法:选取2018年3月—2020年3月信阳市中医院收治的130例小儿肺炎患儿作为研究对象,按照电脑随机设置对照组和观察组,每组各65例,前者行常规护理,后者行家庭中心护理干预。比较两组患儿生存质量评分、各项指标变化、住院时间、并发症发生率及机械通气时间。结果:对照组患儿生存质量评分明显低于观察组,差异有统计学意义(t=13.961、15.502、13.784、12.161,P<0.05);观察组患儿接受护理后各项指标变化均优于对照组,差异有统计学意义(t=3.154、2.614、7.345、3.815,P<0.05);对照组并发症发生率高于观察组,且住院时间、机械通气时间均长于观察组,差异有统计学意义(χ^(2)=7.648;t=4.784、4.451,P<0.05)。结论:对于小儿肺炎患儿给予家庭中心护理干预措施,不仅能提升患儿生存质量,还能降低患儿住院时间及机械通气时间,有利于预后效果,增强肺功能的应用效果。 展开更多
关键词 家庭中心护理干预 小儿肺炎 应用效果 肺功能
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Deep learning CNN-APSO-LSSVM hybrid fusion model for feature optimization and gas-bearing prediction
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作者 Jiu-Qiang yang Nian-Tian Lin +3 位作者 Kai Zhang yan cui Chao Fu Dong Zhang 《Petroleum Science》 SCIE EI CAS CSCD 2024年第4期2329-2344,共16页
Conventional machine learning(CML)methods have been successfully applied for gas reservoir prediction.Their prediction accuracy largely depends on the quality of the sample data;therefore,feature optimization of the i... Conventional machine learning(CML)methods have been successfully applied for gas reservoir prediction.Their prediction accuracy largely depends on the quality of the sample data;therefore,feature optimization of the input samples is particularly important.Commonly used feature optimization methods increase the interpretability of gas reservoirs;however,their steps are cumbersome,and the selected features cannot sufficiently guide CML models to mine the intrinsic features of sample data efficiently.In contrast to CML methods,deep learning(DL)methods can directly extract the important features of targets from raw data.Therefore,this study proposes a feature optimization and gas-bearing prediction method based on a hybrid fusion model that combines a convolutional neural network(CNN)and an adaptive particle swarm optimization-least squares support vector machine(APSO-LSSVM).This model adopts an end-to-end algorithm structure to directly extract features from sensitive multicomponent seismic attributes,considerably simplifying the feature optimization.A CNN was used for feature optimization to highlight sensitive gas reservoir information.APSO-LSSVM was used to fully learn the relationship between the features extracted by the CNN to obtain the prediction results.The constructed hybrid fusion model improves gas-bearing prediction accuracy through two processes of feature optimization and intelligent prediction,giving full play to the advantages of DL and CML methods.The prediction results obtained are better than those of a single CNN model or APSO-LSSVM model.In the feature optimization process of multicomponent seismic attribute data,CNN has demonstrated better gas reservoir feature extraction capabilities than commonly used attribute optimization methods.In the prediction process,the APSO-LSSVM model can learn the gas reservoir characteristics better than the LSSVM model and has a higher prediction accuracy.The constructed CNN-APSO-LSSVM model had lower errors and a better fit on the test dataset than the other individual models.This method proves the effectiveness of DL technology for the feature extraction of gas reservoirs and provides a feasible way to combine DL and CML technologies to predict gas reservoirs. 展开更多
关键词 Multicomponent seismic data Deep learning Adaptive particle swarm optimization Convolutional neural network Least squares support vector machine Feature optimization Gas-bearing distribution prediction
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Simulated Microgravity can Promote the Apoptosis and Change Inflammatory State of Kupffer Cells
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作者 Jun Ge Fei Liu +12 位作者 Hongyun Nie Yuan Yue Kaige Liu Haiguan Lin Hao Li Tao Zhang Hongfeng yan Bingxin Xu Hongwei Sun Jianwu yang Shaoyan Si Jinlian Zhou yan cui 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2024年第10期1117-1127,共11页
Objective In this study,we analyzed the transcriptome sequences of Kupffer cells exposed to simulated microgravity for 3 d and conducted biological experiments to determine how microgravity initiates apoptosis in Kupf... Objective In this study,we analyzed the transcriptome sequences of Kupffer cells exposed to simulated microgravity for 3 d and conducted biological experiments to determine how microgravity initiates apoptosis in Kupffer cells.Methods Rotary cell culture system was used to construct a simulated microgravity model.GO and KEGG analyses were conducted using the DAVID database.GSEA was performed using the R language.The STRING database was used to conduct PPI analysis.qPCR was used to measure the IL1B,TNFA,CASP3,CASP9,and BCL2L11 mRNA expressions.Western Blotting was performed to detect the level of proteins CASP3 and CASP 9.Flow cytometry was used to detect apoptosis and mitochondrial membrane cells.Transmission electron microscopy was used to detect changes in the ultrastructure of Kupffer cells.Results Transcriptome Sequencing indicated that simulated microgravity affected apoptosis and the inflammatory state of Kupffer cells.Simulated microgravity improved the CASP3,CASP9,and BCL2L11 expressions in Kupffer cells.Annexin-V/PI and JC-1 assays showed that simulated microgravity promoted apoptosis in Kupffer cells.Simulated microgravity causes M1 polarization in Kupffer cells.Conclusion Our study found that simulated microgravity facilitated the apoptosis of Kupffer cells through the mitochondrial pathway and activated Kupffer cells into M1 polarization,which can secrete TNFA to promote apoptosis. 展开更多
关键词 MICROGRAVITY APOPTOSIS Kupffer cell POLARIZATION
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Current and Potential Roles of Ferroptosis in Bladder Cancer
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作者 Wen-xin AN Radheshyam Gupta +3 位作者 Kun ZHAI Ya-ru WANG Wan-hai XU yan cui 《Current Medical Science》 SCIE CAS 2024年第1期51-63,共13页
Ferroptosis,a type of regulated cell death driven by iron-dependent lipid peroxidation,is mainly initiated by extramitochondrial lipid peroxidation due to the accumulation of iron-dependent reactive oxygen species.Fer... Ferroptosis,a type of regulated cell death driven by iron-dependent lipid peroxidation,is mainly initiated by extramitochondrial lipid peroxidation due to the accumulation of iron-dependent reactive oxygen species.Ferroptosis is a prevalent and primitive form of cell death.Numerous cellular metabolic processes regulate ferroptosis,including redox homeostasis,iron regulation,mitochondrial activity,amino acid metabolism,lipid metabolism,and various disease-related signaling pathways.Ferroptosis plays a pivotal role in cancer therapy,particularly in the eradication of aggressive malignancies resistant to conventional treatments.Multiple studies have explored the connection between ferroptosis and bladder cancer,focusing on its incidence and treatment outcomes.Several biomolecules and tumor-associated signaling pathways,such as p53,heat shock protein 1,nuclear receptor coactivator 4,RAS-RAF-MEK,phosphatidylinositol 3-kinase-AKT-mammalian target of rapamycin,and the Hippo-tafazzin signaling system,exert a moderating influence on ferroptosis in bladder cancer.Ferroptosis inducers,including erastin,artemisinin,conjugated polymer nanoparticles,and quinazolinyl-arylurea derivatives,hold promise for enhancing the effectiveness of conventional anticancer medications in bladder cancer treatment.Combining conventional therapeutic drugs and treatment methods related to ferroptosis offers a promising approach for the treatment of bladder cancer.In this review,we analyze the research on ferroptosis to augment the efficacy of bladder cancer treatment. 展开更多
关键词 ferroptosis bladder cancer ferroptosis-associated tumor signaling pathway ferroptosis inducer
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Transient diabetes mellitus with ABCC8 variant successfully treated with sulfonylurea:Two case reports and review of literature
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作者 Ling-Hua Shen yan cui +6 位作者 Dong-Xia Fu Wei yang Sheng-Nan Wu Hui-Zhen Wang Hai-Hua yang Yong-Xing Chen Hai-yan Wei 《World Journal of Diabetes》 SCIE 2024年第8期1811-1819,共9页
BACKGROUND Transient neonatal diabetes mellitus(TNDM)is a rare form of diabetes mellitus that usually presents within the first 6 mo of life.Patients often enter remission within several months,although relapse can oc... BACKGROUND Transient neonatal diabetes mellitus(TNDM)is a rare form of diabetes mellitus that usually presents within the first 6 mo of life.Patients often enter remission within several months,although relapse can occur later in life.Mutations in the ABCC8 gene,which encodes the sulfonylurea receptor 1 of the ATP-sensitive potassium channel in pancreatic beta cells,are associated with TNDM and permanent neonatal diabetes.This study describes a novel de novo c.3880C>T heterozygous ABCC8 variant that causes TNDM and can be treated with sulfonylurea therapy.CASE SUMMARY We retrospectively analyzed 2 Chinese patients with TNDM who were diagnosed,treated,or referred for follow-up between September 2017 and September 2023.The patients were tested for mutations using targeted next-generation sequencing.Patients with neonatal diabetes mellitus caused by a c.3880C>T heterozygous missense variant in the ABCC8 gene have not been reported before.Both children had an onset of post-infectious diabetic ketoacidosis,which is worth noting.At a follow-up visit after discontinuing insulin injection,oral glyburide was found to be effective with no adverse reactions.CONCLUSION Early genetic testing of neonatal diabetes mellitus aids in accurate diagnosis and treatment and helps avoid daily insulin injections that may cause pain. 展开更多
关键词 Neonatal diabetes mellitus ABCC8 Sulfonylurea receptors 1 KATP channels SULFONYLUREA GLYBURIDE Insulinulin Case report
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四种中草药提取物抗过敏和抗炎症效果研究
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作者 陈志雄 洪妮 +2 位作者 曹平 晏翠 白珊珊 《中国美容医学》 CAS 2024年第12期1-6,共6页
目的:本研究旨在证明由马齿苋、苦参、獐芽菜和玉兰花四种中草药提取物组合而成的复合物(Portulaca oleracea,sophora flavescens ait,swertia and magnolia complex,PSSM)以及含有PSSM基础配方产品具有抗过敏和抗炎活性。方法:本研究采... 目的:本研究旨在证明由马齿苋、苦参、獐芽菜和玉兰花四种中草药提取物组合而成的复合物(Portulaca oleracea,sophora flavescens ait,swertia and magnolia complex,PSSM)以及含有PSSM基础配方产品具有抗过敏和抗炎活性。方法:本研究采用CCK-8法测定PSSM对RBL-2H3细胞增殖速率的影响,并结合紫外吸收法和酶联免疫吸附法测定PSSM对RBL-2H3细胞中β-HEX释放率、细胞组胺水平和TNF-α水平的影响;采用小鼠耳肿胀试验和背部炎症试验验证含PSSM的基础配方产品对迟发性过敏和接触性皮炎的缓解作用。结果:一定体积浓度范围内的PSSM对RBL-2H3细胞的增殖没有影响,PSSM和PSSM基础配方产品在抗敏和抗炎上均有显著效果,其中2%PSSM和2%PSSM基础配方产品效果最佳,2%PSSM对RBL-2H3细胞中β-HEX释放的抑制率可达47.1%。结论:一定浓度的PSSM及其基础配方产品在抗敏和抗炎症上有显著效果,可为纯天然化妆品原料开发提供参考。 展开更多
关键词 中草药 提取物 化妆品 抗过敏 抗炎症 马齿苋 苦参 獐芽菜 玉兰花
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浅谈脐疗的中医内涵 被引量:51
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作者 梁冰雪 袁天慧 +2 位作者 闫翠 王陵军 冼绍祥 《中华中医药杂志》 CAS CSCD 北大核心 2018年第10期4329-4332,共4页
脐,又名"神阙""命蒂",是中国古人养生治病的要穴。脐带的发生与分离是新生命生长发育的关键阶段,断脐是先天与后天的重要分水岭。出生前,先天之炁通过脐带输送至子体,循先天之经放射状网络全身;出生后,先天之炁逐... 脐,又名"神阙""命蒂",是中国古人养生治病的要穴。脐带的发生与分离是新生命生长发育的关键阶段,断脐是先天与后天的重要分水岭。出生前,先天之炁通过脐带输送至子体,循先天之经放射状网络全身;出生后,先天之炁逐渐蛰伏于脐之深部,继而后天之气循奇经八脉沟通脐与十二正经。因此,脐是人体重要的黄金点、太极点。脐除了具有生物结构全息的特点外,还具有更高层面的信息全息。脐疗不仅可通过后天之经发挥作用,还可通过激发先天之炁产生独特疗效。目前各种脐疗方法在我国蓬勃发展,硕果颇多,文章尝试从理论层面介绍有关脐疗的中医内涵以及常见运用。 展开更多
关键词 神阙 生物全息 先天之燕 神机气立学说
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化妆品抑制黑色素生成的机理研究进展
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作者 晏翠 陈志雄 +1 位作者 洪妮 姚红 《广东化工》 CAS 2024年第21期91-92,62,共3页
随着技术的进步,化妆品逐渐变成人们不可缺少的一部分,尤其美白类化妆品更是现代女性所追求的。为了进一步了解关于美白的相关内容,本文对细胞黑色素含量和酪氨酸酶活性抑制、非细胞酪氨酸酶抑制法以及斑马鱼胚胎黑色素含量等进行美白... 随着技术的进步,化妆品逐渐变成人们不可缺少的一部分,尤其美白类化妆品更是现代女性所追求的。为了进一步了解关于美白的相关内容,本文对细胞黑色素含量和酪氨酸酶活性抑制、非细胞酪氨酸酶抑制法以及斑马鱼胚胎黑色素含量等进行美白功效分析,然后结合其他美白功效方法比较,叙述了目前可以证明美白化妆品原料和配方的功效检测方法。 展开更多
关键词 美白 酪氨酸酶 黑色素含量 斑马鱼 功效评价
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小儿外感发热施行以降低核心体温为基础的中医综合护理干预效果
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作者 卢璐 闫翠 陈姝 《黑龙江医学》 2024年第7期856-858,共3页
目的:观察小儿外感发热施行以降低核心体温为基础的中医综合护理干预效果。方法:选取2017年5月—2020年6月信阳市中医院收治的102例外感发热患儿作为研究对象,采用随机数表法分为对照组和观察组,各组各51例,对照组采用中医常规护理,观... 目的:观察小儿外感发热施行以降低核心体温为基础的中医综合护理干预效果。方法:选取2017年5月—2020年6月信阳市中医院收治的102例外感发热患儿作为研究对象,采用随机数表法分为对照组和观察组,各组各51例,对照组采用中医常规护理,观察组采用以降低核心体温为基础的中医综合护理干预,比较两组患儿体温变化、退热起效时间、病程持续时间、痊愈时间、临床疗效情况。结果:治疗后,观察组患儿肛温、腋温水平与对照组相比更低,差异有统计学意义(t=2.413、4.088,P<0.05);观察组患儿退热起效时间、病程持续时间、痊愈达标时间与对照组相比更低,差异有统计学意义(t=4.676、14.677、3.631,P<0.05);观察组患儿临床疗效水平较对照组更高,差异有统计学意义(Z=3.289,P<0.05)。结论:外感发热患儿施行以降低核心体温为基础的中医综合护理干预,以肛温测量结果为导向,结合清天河水、中药贴敷和中药熏洗,患儿的体温下降更快,退热时间更短,病程持续时间缩短,临床疗效更佳。 展开更多
关键词 小儿 外感发热 核心体温 中医护理
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