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国内外血液制品企业产品研发现状及产业发展态势 被引量:1
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作者 徐雅楠 霍记平 +6 位作者 吴强 余鼎 梁洪 付瑞 马文利 张伟 赵志刚 《医药导报》 北大核心 2025年第8期1272-1280,共9页
国内外血液制品产业在产品研发与技术创新方面各有特色。国外企业在免疫球蛋白类、凝血因子类及重组血浆蛋白类产品开发领域积累了较为成熟的经验,尤其在特异性免疫球蛋白的开发、长效制剂的优化及生产工艺改进方面持续取得进展。中国... 国内外血液制品产业在产品研发与技术创新方面各有特色。国外企业在免疫球蛋白类、凝血因子类及重组血浆蛋白类产品开发领域积累了较为成熟的经验,尤其在特异性免疫球蛋白的开发、长效制剂的优化及生产工艺改进方面持续取得进展。中国企业近年来在相关领域也取得了积极的成果,例如在人免疫球蛋白工艺改造及重组凝血因子新产品的开发上表现出良好的发展势头,但在重组蛋白技术应用、高效血浆资源利用及生产工艺先进性等方面仍有一定的提升空间。同时,在专利技术储备、关键材料供应与疾病流行病学数据获取等方面也存在瓶颈。随着基因重组技术、给药技术创新及数字化转型的深入推进,以及个体化治疗的发展,血液制品行业有望迎来更广阔的发展空间。中国血液制品企业可进一步加强技术积累、提升生产工艺水平,强化血浆资源高效利用,促进国内产业持续稳定地发展,从而提升市场竞争力。 展开更多
关键词 血液制品 免疫球蛋白 凝血因子 重组血浆蛋白 研发 临床试验
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Synthesis and evaluation of smart drugs with integrated functions for identifying and treating oxidative microenvironments associated with cellular ferroptosis 被引量:1
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作者 Yibo Zhang Rui Cai +7 位作者 yu ding Jiangye Zhang Changxu Ning Jiangcheng Zeng Zhongxiang Zhou Shisheng Wang yueqing Li Xiuhan Guo 《Smart Molecules》 2025年第2期58-64,共7页
Ferroptosis is a novel form of cell death driven by oxidative damage,and is implicated in various pathological conditions,including neurodegenerative diseases,retinal damage,and ischemia-reperfusion injury of organs.I... Ferroptosis is a novel form of cell death driven by oxidative damage,and is implicated in various pathological conditions,including neurodegenerative diseases,retinal damage,and ischemia-reperfusion injury of organs.Inhibiting ferroptosis has shown great promise as a therapeutic strategy for these diseases,underscoring the urgent need to develop effective ferroptosis inhibitors.Although Ferrostatin-1(Fer-1)is a potent ferroptosis inhibitor,its susceptibility to oxidation and metabolic inactivation limits its clinical utility.In this study,the accumulation of peroxides and the resulting oxidative damage in the cellular microenvironment during ferroptosis were utilized to design Ferrostatin-1 prodrugs with reactive oxygen species-responsive features.This approach led to the development of a series of ferroptosis inhibitors that were capable of recognizing oxidative damage in diseased areas,allowing for targeted release and improved stability.The novel compounds demonstrated significant inhibitory effects and selectivity against RSL-3-induced ferroptosis in HK-2 cells,with compound a1 exhibiting an EC50 of 15.4�0.7μM,outperforming Fer-1.These compounds effectively identify the oxidative microenvironment associated with ferroptosis,enabling the targeted release of Fer-1,which prevents lipid peroxide accumulation and inhibits ferroptosis.This strategy holds promise for treating diseases related to ferroptosis,offering a targeted and intelligent therapeutic approach. 展开更多
关键词 ferroptosis inhibitor oxidative microenvironment recognizing space-time controlled release
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提升血液制品生产效率的模式优化策略
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作者 李泽宇 徐杨 +3 位作者 刘云鹏 卢奎林 余鼎 杨悦 《中国新药杂志》 北大核心 2025年第13期1351-1358,共8页
本文探讨了血液制品企业的生物制品合作生产模式的优化策略,从国际监管和企业实践的角度出发,分析血液制品合作生产的不同模式及其对提高生产效率和应对供应短缺的重要性。我国现行法规对血液制品的委托生产有较多限制,与美国和欧盟相... 本文探讨了血液制品企业的生物制品合作生产模式的优化策略,从国际监管和企业实践的角度出发,分析血液制品合作生产的不同模式及其对提高生产效率和应对供应短缺的重要性。我国现行法规对血液制品的委托生产有较多限制,与美国和欧盟相比更为严格,但在特定情况下,如应对血液制品供应短缺,我国也进行了政策上的灵活调整。通过对国际三大血液制品企业的案例分析,展示了模块化生产场地设置和中间产品转移方案的灵活性。本文借鉴国际监管和企业实践,提出了探索血浆冷沉淀和中间组分常规调拨、实现集团内血液制品品种优化、预留血浆资源加快研发新型血液制品等建议,旨在提升国内血液制品生产效率和品种多样性,以满足公共卫生需求。 展开更多
关键词 血液制品 合作生产模式 生产优化 委托生产 中间产品转移
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TGF-β1 mediates hypoxia-preconditioned olfactory mucosa mesenchymal stem cells improved neural functional recovery in Parkinson’s disease models and patients
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作者 Yi Zhuo Wen-Shui Li +20 位作者 Wen Lu Xuan Li Li-Te Ge Yan Huang Qing-Tao Gao yu-Jia Deng Xin-Chen Jiang Zi-Wei Lan Que Deng Yong-Heng Chen Yi Xiao Shuo Lu Feng Jiang Zuo Liu Li Hu yu Liu yu ding Zheng-Wen He De-An Tan Da Duan Ming Lu 《Military Medical Research》 2025年第5期686-715,共30页
Background:Parkinson’s disease(PD)is a neurodegenerative disorder characterized by the degeneration of dopaminergic neurons in the substantia nigra(SN).Activation of the neuroinflammatory response has a pivotal role ... Background:Parkinson’s disease(PD)is a neurodegenerative disorder characterized by the degeneration of dopaminergic neurons in the substantia nigra(SN).Activation of the neuroinflammatory response has a pivotal role in PD.Mesenchymal stem cells(MSCs)have emerged as a promising therapeutic approach for various nerve injuries,but there are limited reports on their use in PD and the underlying mechanisms remain unclear.Methods:We investigated the effects of clinical-grade hypoxia-preconditioned olfactory mucosa(hOM)-MSCs on neural functional recovery in both PD models and patients,as well as the preventive effects on mouse models of PD.To assess improvement in neuroinflammatory response and neural functional recovery induced by hOM-MSCs exposure,we employed single-cell RNA sequencing(scRNA-seq),assay for transposase accessible chromatin with high-throughput sequencing(ATAC-seq)combined with full-length transcriptome isoform-sequencing(ISO-seq),and functional assay.Furthermore,we present the findings from an initial cohort of patients enrolled in a phaseⅠfirstinhuman clinical trial evaluating the safety and efficacy of intraspinal transplantation of hOM-MSC transplantation into severe PD patients.Results:A functional assay identified that transforming growth factor-β1(TGF-β1),secreted from hOM-MSCs,played a critical role in modulating mitochondrial function recovery in dopaminergic neurons.This effect was achieved through improving microglia immune regulation and autophagy homeostasis in the SN,which are closely associated with neuroinflammatory responses.Mechanistically,exposure to hOM-MSCs led to an improvement in neuroinflammation and neural function recovery partially mediated by TGF-β1 via activation of the anaplastic lymphoma kinase/phosphatidylinositol-3-kinase/protein kinase B(ALK/PI3K/Akt)signaling pathway in microglia located in the SN of PD patients.Furthermore,intraspinal transplantation of hOM-MSCs improved the recovery of neurologic function and regulated the neuroinflammatory response without any adverse reactions observed in patients with PD.Conclusions:These findings provide compelling evidence for the involvement of TGF-β1 in mediating the beneficial effects of hOM-MSCs on neural functional recovery in PD.Treatment and prevention of hOM-MSCs could be a promising and effective neuroprotective strategy for PD.Additionally,TGF-β1 may be used alone or combined with hOM-MSCs therapy for treating PD. 展开更多
关键词 Parkinson’s disease(PD) Hypoxia-preconditioned Olfactory mucosa mesenchymal stem cells(OM-MSCs) Transforming growth factor-β1(TGF-β1) MICROGLIA PI3K/Akt signaling pathway Immune regulation Autophagy
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ABVD方案治疗复发/难治弥漫大B细胞淋巴瘤的临床分析 被引量:3
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作者 曾蓉 雷昊 +3 位作者 谢蓉 汤静 于丁 吴辉菁 《临床肿瘤学杂志》 CAS 北大核心 2020年第1期40-44,共5页
目的研究吡柔比星+博来霉素+长春新碱+氮烯咪胺(ABVD)方案挽救化疗复发/难治弥漫大B细胞淋巴瘤(DLBCL)的疗效和安全性。方法回顾性分析2011年1月至2017年3月收治的无法接受强烈化疗或自体造血干细胞移植(ASCT),接受ABVD方案挽救化疗的复... 目的研究吡柔比星+博来霉素+长春新碱+氮烯咪胺(ABVD)方案挽救化疗复发/难治弥漫大B细胞淋巴瘤(DLBCL)的疗效和安全性。方法回顾性分析2011年1月至2017年3月收治的无法接受强烈化疗或自体造血干细胞移植(ASCT),接受ABVD方案挽救化疗的复发/难治DLBCL患者35例。ABVD方案如下:吡柔比星25 mg/m^2静滴d_1、d_(15),博来霉素10 mg/m^2静滴d_1、d_(15),长春新碱1.4 mg/m^2静滴d_1、d_(15),氮烯咪胺375 mg/m^2静滴d_1、d_(15)。28天为1个周期,化疗6个周期。观察近期疗效、1年生存率、总生存时间(OS)和不良反应。结果随访截止于2019年3月,中位随访14.4个月。全组患者经ABVD方案挽救化疗后,获CR 8例、PR 17例、SD 6例、PD 4例;有效率(RR)为71.5%,疾病控制率(DCR)为88.6%。中位缓解持续时间为3.5个月(95%CI:3.13~3.87个月),1年生存率为45.7%,中位OS为13.0个月(95%CI:11.90~14.10个月)。25例国际预后指数(IPI)评分低中危组患者(0~2分)的RR、DCR、1年生存率、中位OS分别为84.0%、100.0%、60.0%和14.0个月(95%CI:12.71~15.30个月),均高于10例中高危组患者(3~4分)的40.0%、60.0%、10.0%和6.0个月(95%CI:3.65~8.35个月),差异均有统计学意义(P<0.05);而不同CD5表达情况以及ABVD方案不同治疗线程的患者上述指标的差异均无统计学意义(P>0.05)。全组主要不良反应为骨髓抑制和消化道反应,发生率分别为61.8%(24/35)和14.3%(5/35),以1~2级为主。结论 ABVD方案对多次化疗、无法接受强烈化疗或ASCT的低中危型复发/难治DLBCL疗效可靠、耐受性好,值得进一步临床研究。 展开更多
关键词 弥漫大B细胞淋巴瘤(DLBCL) 复发/难治 化学治疗 不良反应
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地铁隧道下穿大型运营铁路站场施工影响分析
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作者 胡晓龙 俞定 《工程与建设》 2025年第5期1148-1150,1160,共4页
城市轨道交通盾构隧道在穿越既有运营建筑群施工过程中,地层损失引发的扰动效应与沉降控制是工程安全的核心问题。本研究以某城市轨道交通盾构区间下穿特等铁路车站站房及站场路基工程为背景,针对复杂地层条件下隧道与既有结构物相互作... 城市轨道交通盾构隧道在穿越既有运营建筑群施工过程中,地层损失引发的扰动效应与沉降控制是工程安全的核心问题。本研究以某城市轨道交通盾构区间下穿特等铁路车站站房及站场路基工程为背景,针对复杂地层条件下隧道与既有结构物相互作用机理开展系统性研究。通过建立三维有限元数值模型,结合地层损失解析解,对盾构隧道施工引起的沉降槽形态进行理论预测,同时采用分布式光纤监测系统与自动化全站仪构建三维立体监测网络,实现了施工全过程动态监测。研究结果表明,基于土体硬化本构模型的地层参数反演分析显示,数值模拟预测的站房基础最大沉降值为2.65 mm,路基区域最大沉降值为6.88 mm。实际监测数据显示,通过优化盾构掘进参数及实施分仓补偿注浆技术,最终站房基础实测最大沉降为1.3 mm,路基区域沉降为0.8 mm,分别较理论值降低50.9%和88.4%。研究证实,基于监测数据的参数动态调整机制可将地表沉降速率控制在2 mm/d以内,满足铁路线路沉降控制标准。研究成果可为类似穿越工程提供系统的风险评估方法和控制基准,具有重要的工程应用价值。 展开更多
关键词 盾构隧道 铁路车站 地层损失 数值模型 监测
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Cross-platform mission planning for UAVs under carrier delivery mode
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作者 Junhong Jin Genlai Zhang +6 位作者 Xin Li Xichao Su Chen Lu yujie Cheng yu ding Lei Wang Xinwei Wang 《Defence Technology(防务技术)》 2025年第11期76-97,共22页
As battlefield scale enlarges,cross-platform collaborative combat provides an appealing paradigm for modern warfare.Complicated constraints and vast solution space pose great challenge for reasonable and efficient mis... As battlefield scale enlarges,cross-platform collaborative combat provides an appealing paradigm for modern warfare.Complicated constraints and vast solution space pose great challenge for reasonable and efficient mission planning,where path planning and target assignment are tightly coupled.In this paper,we focus on UAV mission planning under carrier delivery mode(e.g.,by aircraft carrier,ground vehicle,or transport aircraft) and design a three-layer hierarchical solution framework.In the first layer,we simultaneously determine delivery points and target set division by clustering.To address the safety concerns of radar risk and UAV endurance,an improved density peak clustering algorithm is developed by constraint fusio n.In the second layer,mission planning within each cluster is viewed as a coope rative multiple-task assignment problem.A hybrid heuristic algorithm that integrates a voting-based heuristic solution generation strategy(VHSG) and a stochastic variable neighborhood search(SVNS),called VHSG-SVNS,is proposed for rapid solution.Based on the results of the first two layers,the third layer transforms carrier path planning into a multiple-vehicle routing problem with time window.The cost between any two nodes is calculated by the A~* algorithm,and the genetic algorithm is then implemented to determine the global route.Finally,a practical mission scenario containing 200 targets is used to validate the effectiveness of the designed framework,where three layers cooperate well with each other to generate satisfactory combat scheduling.Comparisons are made in each layer to highlight optimum-seeking capability and efficiency of the proposed algorithms.Works done in this paper provide a simple but efficient solution framework for cross-platform cooperative mission planning problems,and can be potentially extended to other applications such as post-disaster search and rescue,forest surveillance and firefighting,logistics pick and delivery,etc. 展开更多
关键词 Cross-platform mission planning UAV Carrier delivery mode Clustering algorithm Heuristic optimization algorithm
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Analysis of anxiety and depression and influencing factors in non-Hodgkin's lymphoma of the nasal cavity and paranasal sinus
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作者 Xu-Dong Gao Jin Zhang +3 位作者 An Li yu ding Bo Zhao Lan Li 《World Journal of Psychiatry》 2025年第4期43-50,共8页
BACKGROUND Natural killer(NK)/T-cell non-Hodgkin's lymphoma(NHL)in the nasal cavities and paranasal sinuses accounts for approximately 10%of all lymphomas,and the occurrence of nasal NHL is related to Epstein-Barr... BACKGROUND Natural killer(NK)/T-cell non-Hodgkin's lymphoma(NHL)in the nasal cavities and paranasal sinuses accounts for approximately 10%of all lymphomas,and the occurrence of nasal NHL is related to Epstein-Barr virus infection.AIM To explore the anxiety and depression status of patients with NK/T-cell NHL in the nasal cavities and paranasal sinuses and analyzes the relevant influencing factors.METHODS A retrospective analysis was performed,which included 30 patients with primary nasal NK/T-cell NHL treated in Shaanxi Provincial People’s Hospital from January 2017 to January 2023.An additional 50 healthy volunteers were selected as the control group.Both groups were assessed using the self-rating anxiety scale(SAS)and Self-rating(SDS).SDS and SAS scores of patients with NHL at different disease stages were analyzed,and they were further grouped into negative emotion(NE)(n=19)and non-NE(n=11)groups based on their depression and anxiety.Factors affecting the occurrence of NEs in patients with NHL were analyzed using univariate and multivariate logistic regression models.RESULTS Patients with NHL exhibited higher SDS and SAS scores than healthy controls.Moreover,patients with NHL at stages III and IV had higher SDS and SAS scores than those in stage I.Among the 30 patients,there were 13 patients with depression(43.3%),16 patients with anxiety(53.3%),and 10 patients with both anxiety and depression(33.3%).Univariate analysis identified a higher proportion of people in the NE group with stage III-IV NHL,an educational level≤high school,and a monthly household income<5000 yuan compared with the non-NE group.Multiple logistic regression analysis further revealed that stage III-IV was a risk factor for NEs in patients with NHL.CONCLUSION The stage of NK/T-cell NHL in nasal cavities and paranasal sinuses is closely related to patient anxiety and depression.The higher the staging,the greater the incidence of anxiety and depression. 展开更多
关键词 Nasal cavities and paranasal sinuses Natural killer/T-cells Non-Hodgkin's lymphoma ANXIETY DEPRESSION
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Covert communication towards a flying warden in UAV-assisted MEC system
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作者 Yangting CHEN yu ding +5 位作者 Binyu CHEN Peiyuan SI Weidang LU Di LIN Zhutian YANG Su HU 《Chinese Journal of Aeronautics》 2025年第10期84-95,共12页
Due to the high flexibility of Unmanned Aerial Vehicles(UAVs),equipping Mobile Edge Computing(MEC)servers on UAVs can effectively and rapidly handle the high computing requirements of computation-intensive tasks.Howev... Due to the high flexibility of Unmanned Aerial Vehicles(UAVs),equipping Mobile Edge Computing(MEC)servers on UAVs can effectively and rapidly handle the high computing requirements of computation-intensive tasks.However,the Line-of-Sight(LoS)transmission between the UAV and ground users makes the offloading information be easily monitored.Therefore,this paper proposes a covert communication scheme against a flying warden in UAV-assisted MEC system.In the proposed scheme,the UAV server assists ground users in completing the computation of offloading tasks.To reduce the possibility of the flying warden detecting the transmission behavior of ground users to the UAV server,a ground jamming device sends jamming signals to the flying warden.The minimum computing capacity of the system is maximized by jointly optimizing ground users’resources and the UAV server’s trajectory under the constraint of system covertness.Due to the multivariable coupling,the optimization problem is non-convex.The optimization problem is first transformed into a tractable form,and then the optimizing solution is iteratively obtained using Successive Convex Approximation(SCA)and Block Coordinate Descent(BCD)algorithms.Numerical results show that,compared to the benchmark schemes,the proposed scheme effectively enhances the computing capacity of the system while meeting the system’s covertness requirements. 展开更多
关键词 Unmanned Aerial Vehicle(UAV) Mobile Edge Computing(MEC) Covert communication Joint optimization Trajectory optimization
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Analysis of Spatial Variation Characteristics of Soil Nutrients and Evaluation of Soil Fertility in Small-scale Mountain Tea Gardens
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作者 Xiangping LI yu ding +3 位作者 Zhiming MU Xiang FANG Haiyan LIU Qinhong LIAO 《Asian Agricultural Research》 2025年第12期38-45,共8页
[Objectives]To elucidate the spatial variation characteristics and fertility status of soil nutrients in small-scale mountain tea gardens and to inform precise fertilization and nutrient management practices in these ... [Objectives]To elucidate the spatial variation characteristics and fertility status of soil nutrients in small-scale mountain tea gardens and to inform precise fertilization and nutrient management practices in these tea gardens.[Methods]Based on soil nutrient data collected from 72 sampling points in the tea garden in 2021,which covers an area of approximately 2.4 km^(2),the spatial variation characteristics were analyzed using geostatistical methods.Spatial distribution maps of soil pH,total nitrogen,available phosphorus,and available potassium were generated employing the ordinary Kriging interpolation method in Surfer 23 software.Furthermore,a quantitative assessment of soil fertility was performed utilizing the fuzzy comprehensive evaluation method.[Results]The majority of the soil in the tea garden was acidic.The average values for pH,organic matter,total nitrogen,available phosphorus,and available potassium were 4.66,14.4 g/kg,0.9 g/kg,6.2 mg/kg,and 78.1 mg/kg,respectively.The pH exhibited the lowest coefficient of variation at 12.85%,indicating low variability.The coefficients of variation for organic matter,total nitrogen,and available potassium ranged from 31.94%to 49.88%,reflecting moderate variability.In contrast,the coefficient of variation for available phosphorus was 243.41%,indicating high variability.The distribution of soil pH and available phosphorus in the study area was relatively uniform.In contrast,total nitrogen content exhibited a spatial pattern characterized by higher concentrations in the western region and lower concentrations in the eastern region.Organic matter content displayed a spatial distribution pattern with lower values centrally and higher values along the periphery.The distribution of available potassium content was marked by several pronounced"elevations"and"depressions",with notably lower levels observed in the northeastern region of the garden.Total nitrogen and organic matter were the most significant contributors to the integrated fertility index(I_(IFI)),each with a weight value of 0.29,whereas pH had the lowest weight value of 0.14.The proportions of tea garden soils categorized under I_(IFI)grades I to V were 0.26%,69.55%,25.89%,4.30%,and 0.0022%,respectively.[Conclusions]It is recommended that the application of phosphorus fertilizer should be reduced in the study area,whereas the use of potassium fertilizer should be increased in the northeastern region.Additionally,the incorporation of organic and nitrogen fertilizers is advised to improve the soil s capacity for water and nutrient retention. 展开更多
关键词 Tea garden Soil nutrient Spatial variation Fertility evaluation
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Interparticle-friction-induced anomalous colloid structure
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作者 Fuzhou Liu yu ding +3 位作者 Longfei Li Ke Cheng Fangfu Ye Mingcheng Yang 《Chinese Physics B》 2025年第1期150-160,共11页
Interparticle frictional interactions are ubiquitous in colloidal systems,exerting a profound influence on their structural and physical attributes.In this study,we employed Brownian dynamics simulations to explore th... Interparticle frictional interactions are ubiquitous in colloidal systems,exerting a profound influence on their structural and physical attributes.In this study,we employed Brownian dynamics simulations to explore the non-equilibrium dynamics in colloidal systems,focusing particularly on the role of tangential friction and its influence on the macroscopic physical properties of colloids.We found that the disruption of instantaneous time-reversal symmetry by tangential frictional interactions can trigger the self-assembly of colloidal systems into intricate network configurations,and these novel structures exhibit unique depletion force and rheological properties that set them apart from traditional colloidal gel systems.These findings not only help deepen our comprehension of the self-assembly phenomena in non-equilibrium colloidal systems but also offer fresh insights for the development of colloidal materials with tailored characteristics. 展开更多
关键词 COLLOIDS NETWORKS SELF-ASSEMBLY Brownian dynamics
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一种减小相控阵天线球面近场测量截断误差的方法 被引量:3
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作者 于丁 张虎勇 +2 位作者 陈佩玉 杨林 傅德民 《电波科学学报》 EI CSCD 北大核心 2018年第4期470-476,共7页
在相控阵天线球面近场测量中,有限扫描面和相控阵天线波束扫描将会引起较大的截断误差.为了解决这一问题,提出利用基于遗传算法参数优化的余弦窗函数对近场数据进行加权处理的方法来有效减小截断误差.以半波振子组成的矩形平面阵作为待... 在相控阵天线球面近场测量中,有限扫描面和相控阵天线波束扫描将会引起较大的截断误差.为了解决这一问题,提出利用基于遗传算法参数优化的余弦窗函数对近场数据进行加权处理的方法来有效减小截断误差.以半波振子组成的矩形平面阵作为待测天线,对相控阵天线球面近场测量进行了计算机模拟.模拟结果表明,通过对近场数据进行加余弦窗的处理并用遗传算法对参数进行优化能够大大减小相控阵天线波束扫描时的有限扫描面截断误差,从而证实了文中所提出方法的正确性和有效性. 展开更多
关键词 相控阵天线 球面近场测量 截断误差 余弦窗函数 遗传算法
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新综合判识方法对雾霾现象的影响
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作者 马晓璐 于丁 苟雨辰 《气象水文海洋仪器》 2025年第4期74-77,共4页
为了研究气溶胶和能见度两种方法综合判识雾霾现象的差异,文章基于东营3个国家基本气象站2016-2023年雾霾现象分钟数据,运用统计方法对两种方法判识出的雾霾现象日数及日频率变化进行对比分析。结果表明:两种方法对雾的判识结果基本一致... 为了研究气溶胶和能见度两种方法综合判识雾霾现象的差异,文章基于东营3个国家基本气象站2016-2023年雾霾现象分钟数据,运用统计方法对两种方法判识出的雾霾现象日数及日频率变化进行对比分析。结果表明:两种方法对雾的判识结果基本一致,但与能见度判识相比,气溶胶判识的霾现象明显增多,轻雾明显减少,这是霾的湿度阈值升高导致的;与能见度判识相比,每日19:00至次日06:00,气溶胶综合判识霾小时出现频率为上升趋势,其中02:00-06:00霾出现频率从低谷时段变为高峰时段;采用气溶胶综合判识后,轻雾日数减少46%、霾日数增多1.1倍。研究结果为优化视程障碍现象综合判识方法提供参考。 展开更多
关键词 雾霾现象 综合判识方法 对比分析
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≤10 kg婴幼儿先天性心脏病的围手术期治疗 被引量:1
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作者 吕瑛 于丁 +3 位作者 刘凌 于洁 王军 黄建成 《河北医科大学学报》 CAS 2024年第5期519-523,共5页
目的评估低体重(≤10 kg)婴幼儿先心病的外科手术效果,总结临床经验。方法回顾性分析心外科低体重(≤10 kg)婴幼儿先心病1382例的临床资料。男性665例,女性717例;年龄6 d~3岁,平均(9.58±1.84)个月;体重1.6~10.0 kg,平均(8.82±... 目的评估低体重(≤10 kg)婴幼儿先心病的外科手术效果,总结临床经验。方法回顾性分析心外科低体重(≤10 kg)婴幼儿先心病1382例的临床资料。男性665例,女性717例;年龄6 d~3岁,平均(9.58±1.84)个月;体重1.6~10.0 kg,平均(8.82±1.13)kg。其中1305例在全身麻醉下行心脏畸形根治术,77例行姑息手术。结果全组手术顺利,术后死亡13例,占0.94%。死亡原因:低心排综合征7例,恶性心律失常1例,低氧血症5例(其中严重肺部感染2例)。结论低体重婴幼儿先心病的外科手术治疗是安全可行且有价值的,临床效果肯定,但必须正确掌握手术时机,缩短手术时间,严格进行围手术期管理,提高手术疗效。 展开更多
关键词 心脏病 婴儿 出生时低体重 外科手术
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体外应用HDAC抑制剂TSA诱导骨髓细胞分化为MDSC的实验研究 被引量:1
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作者 赵曙光 高伟年 +1 位作者 于丁 陈子英 《现代免疫学》 CAS 北大核心 2021年第2期94-98,共5页
为探讨利用广谱组蛋白去乙酰化酶(histone deacetylase, HDAC)抑制剂曲古抑菌素A(trichostatin A,TSA)调控骨髓(bone marrow, BM)细胞分化、发育及炎性因子转录,体外诱导BM细胞分化为髓源性抑制细胞(myeloid-derived suppressor cell, M... 为探讨利用广谱组蛋白去乙酰化酶(histone deacetylase, HDAC)抑制剂曲古抑菌素A(trichostatin A,TSA)调控骨髓(bone marrow, BM)细胞分化、发育及炎性因子转录,体外诱导BM细胞分化为髓源性抑制细胞(myeloid-derived suppressor cell, MDSC)的细胞群,应用TSA及重组小鼠GM-CSF(recombinant mouse GM-CSF,rmGM-CSF)体外培养BM细胞7 d后,用FACS检测MDSC相关抗原CD11b、Gr-1的表达,并通过ELISA检测培养上清液中炎性因子IL-6的分泌水平,经磁珠分选、纯化MDSC,行混合淋巴细胞培养,鉴定其免疫抑制活性。结果显示,TSA+rmGM-CSF可诱导BM细胞分化为纯度为59.7%的CD11b^(+)Gr-1^(+)MDSC细胞群,该细胞群经Gr-1^(+)磁珠分选可获得93.8%的CD11b^(+)Gr-1^(+)MDSC,混合淋巴细胞培养显示MDSC具有抑制异基因CD4^(+)CD25^(-)T细胞增殖的能力,该抑制活性弱于Treg。该研究提示,HDAC抑制剂TSA与GM-CSF联合应用可高效诱导BM细胞分化为MDSC。 展开更多
关键词 组蛋白去乙酰化酶 骨髓细胞 髓源性抑制细胞
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38例负压辅助愈合系统治疗心脏开胸手术难愈性切口的效果 被引量:1
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作者 闫芳 刘艳兵 +5 位作者 刘杰 于丁 陈子英 王华君 李培豪 吴青浓 《宁夏医科大学学报》 2020年第9期937-940,共4页
目的探讨负压辅助治疗系统(Vacuum-assisted closure,VAC)治疗心外科难愈性切口的临床疗效。方法选取河北医科大学第二医院心脏外科2015年2月至2018年8月期间行心外科手术切口愈合不良的患者38例,按不同治疗方法分为VAC治疗组(18例)和... 目的探讨负压辅助治疗系统(Vacuum-assisted closure,VAC)治疗心外科难愈性切口的临床疗效。方法选取河北医科大学第二医院心脏外科2015年2月至2018年8月期间行心外科手术切口愈合不良的患者38例,按不同治疗方法分为VAC治疗组(18例)和普通换药组(20例),比较两组患者全身情况、切口感染、创面大小、创面细菌培养、实验室检查结果、疼痛评分、抗生素应用、住院花费情况。结果两组患者全身情况、白细胞、血红蛋白及白蛋白比较差异均无统计学意义(P均>0.05),VAC治疗组换药次数、抗生素使用时间、治疗时间均少于普通换药组(P均<0.01),两组患者治疗费用差异无统计学意义(P>0.05),VAC治疗组疼痛视觉评分低于普通换药组(P<0.05)。并且VAC治疗组患者治疗2~4次,可使创面新生大量新鲜肉芽组织。结论VAC治疗比传统换药更能有效促进心外科难愈性切口的愈合。 展开更多
关键词 心脏外科 负压辅助治疗系统 难愈性切口 疗效分析
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重组人血管内皮抑制素联合常用含铂化疗方案治疗晚期非小细胞肺癌的Ⅳ期临床研究 被引量:37
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作者 恩度Ⅳ期临床研究协作组 秦叔逵 +21 位作者 苗静 韩宝惠 王金万 卢铀 张沂平 于丁 蔡晓虹 刘永煜 梁军 梅晓冬 万欢英 陈公琰 黄云超 李凯 胡成平 樊青霞 张树才 周彩存 姚晨 石明亮 任晋生 孙燕 《临床肿瘤学杂志》 CAS 北大核心 2019年第4期289-298,共10页
目的按照国家食品药品监督管理局(SFDA)批复文件的要求,在国家1.1类生物新药-新型重组人血管内皮抑制素(Endostar,恩度)上市后,进一步观察和评价其联合化疗药物广泛用于临床治疗晚期非小细胞肺癌(NSCLC)患者的安全性和有效性。方法本研... 目的按照国家食品药品监督管理局(SFDA)批复文件的要求,在国家1.1类生物新药-新型重组人血管内皮抑制素(Endostar,恩度)上市后,进一步观察和评价其联合化疗药物广泛用于临床治疗晚期非小细胞肺癌(NSCLC)患者的安全性和有效性。方法本研究为单臂、开放性、大样本、多中心的Ⅳ期临床协作研究,在全国154家大型三级甲等医院同时开展,共入组了2725例Ⅲ/Ⅳ期NSCLC患者。研究仅设立试验组,在四种常规的含铂化疗方案基础上,联合应用恩度治疗;按照药物说明书,即在化疗周期的第1~14天给予恩度(7.5 mg/m^2,静脉滴注,每天1次),连续给药14天,休息1周后继续下一个周期的治疗。主要研究终点为安全性,次要研究终点为客观有效率(ORR)、疾病控制率(DCR)、疾病进展期(TTP)和总生存期(OS)。安全性和有效性评价分别采用NCI CTC AE 3.0版和RECIST 1.0版标准。结果联合治疗的总体不良事件(AE)的发生率为94.1%,最常见的AE为白细胞减少、贫血、粒细胞减少和血小板降低,主要与采用含铂方案化疗有关,其中可能与恩度相关AE的发生率为32.6%;未观察到新的非预期的恩度相关性AE。全分析集(FAS集)中,恩度联合含铂化疗方案的ORR为20.1%,DCR为80.7%;中位TTP为7.6个月,中位OS为16.8个月,1年生存率为62.0%,2年生存率为38.3%。进一步亚组分析,初治患者、女性、肺腺癌、无远处转移和体力状况评分≥80分是预后良好的相关因素。符合方案集(PPS集)的结果与FAS集基本相似,中位TTP为7.4个月,中位OS为17.6个月,1年和2年生存率分别为63.7%和39.8%。结论本研究是在恩度上市后,联合四种常用的含铂化疗方案治疗晚期NSCLC的大样本、规范化Ⅳ期临床试验,结果数据充分表明恩度联合含铂化疗方案治疗晚期NSCLC患者的安全性良好,可以明显提高ORR和DCR,同时延长患者的TTP和OS,因此,值得在临床上进一步应用和推广。 展开更多
关键词 重组人血管内皮抑制素 含铂化疗方案 晚期非小细胞肺癌 Ⅳ期临床研究 安全性 有效性
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阿帕替尼联合EGFR-TKI一线治疗EGFR敏感突变的晚期非鳞非小细胞肺癌的疗效和安全性分析 被引量:8
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作者 陈润芝 雷昊 +3 位作者 徐慧婷 薛畅 于丁 吴辉菁 《临床肿瘤学杂志》 CAS 2021年第12期1131-1135,共5页
目的观察阿帕替尼联合表皮生长因子受体酪氨酸激酶抑制剂(EGFR-TKI)一线治疗EGFR敏感突变的晚期非鳞非小细胞肺癌(nsNSCLC)的疗效及不良反应。方法拟计划入组2016年8月至2018年8月本院初治伴EGFR敏感突变的Ⅲb~Ⅳ期nsNSCLC患者20例,给... 目的观察阿帕替尼联合表皮生长因子受体酪氨酸激酶抑制剂(EGFR-TKI)一线治疗EGFR敏感突变的晚期非鳞非小细胞肺癌(nsNSCLC)的疗效及不良反应。方法拟计划入组2016年8月至2018年8月本院初治伴EGFR敏感突变的Ⅲb~Ⅳ期nsNSCLC患者20例,给予甲磺酸阿帕替尼联合EGFR-TKI治疗直至疾病进展(PD)或不良反应无法耐受停药,采用RECIST 1.1版和NCI-CTCAE 4.0版标准评价疗效和安全性,根据随访数据进行生存分析。结果入组过程中期因3级及以上不良反应发生率高达88.3%(5/6),于2017年8月中止研究,共入组患者6例,其中男性4例、女性2例,年龄范围55~83岁,中位年龄69岁;Ⅲb期1例,Ⅳ期5例;接受阿帕替尼联合吉非替尼4例、阿帕替尼联合埃克替尼2例。6例患者中,持续联合用药2例的总有效率(ORR)为100%,中位无进展生存期(PFS)和总生存期(OS)分别为17.6和32.8个月,余4例患者联合用药后因3级及以上不良反应需要临床干预停用阿帕替尼后单用EGFR-TKI治疗,ORR为50%,中位PFS和OS分别为15.0和25.6个月。最常见的3~4级不良反应为手足综合征1例(16.7%)、口腔黏膜炎1例(16.7%)、食欲减退2例(33.3%)、肝功能异常1例(16.7%)、肾功能异常1例(16.7%)和高血压1例(16.7%)。结论EGFR敏感突变的晚期nsNSCLC患者阿帕替尼联合EGFR-TKI用药后PFS、OS可疑获益,但不良反应明显,不推荐其作为一线方案治疗伴EGFR敏感突变的晚期nsNSCLC。联合用药显著增加患者3~4级不良反应,主要为手足综合征、口腔黏膜炎、食欲减退、肝功能不全。低龄(<65岁)患者联合用药可能受益,可尝试在临床使用。 展开更多
关键词 非鳞非小细胞肺癌 阿帕替尼 表皮生长因子受体酪氨酸激酶抑制剂 疗效
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宫颈弹性成像技术在自发性早产孕妇孕期检查中的应用
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作者 刘莹 娄可新 +4 位作者 李欣 郁丁 孙杰 刘学奎 刘敏 《影像研究与医学应用》 2024年第3期17-19,22,共4页
目的:探讨宫颈弹性成像技术在自发性早产孕妇孕期检查中的应用价值。方法:选取2021年8月—2023年8月在徐州市中心医院超声科进行常规产检的431例孕妇为研究对象,所有孕妇均随访至分娩,且在孕期内定期进行超声检查。利用宫颈弹性成像技... 目的:探讨宫颈弹性成像技术在自发性早产孕妇孕期检查中的应用价值。方法:选取2021年8月—2023年8月在徐州市中心医院超声科进行常规产检的431例孕妇为研究对象,所有孕妇均随访至分娩,且在孕期内定期进行超声检查。利用宫颈弹性成像技术对所有孕妇进行产前超声检查并记录宫颈在孕期内的变化。根据孕妇孕周及分娩时间,将孕妇分为足月产组和早产组,回顾性比较两组孕妇宫颈参数的变化。结果:两组孕妇在入组时的一般资料差异无统计学意义,在孕20~24周,早产组孕妇的宫颈长度低于足月产组(3.67±0.55 vs 4.21±0.61),差异有统计学意义,且这种现象在孕晚期持续存在(3.34±0.71 vs 3.94±0.52)。早产组孕妇的宫颈硬度比(76.54±6.21)在孕20~24周也低于足月产组(83.34±5.14),差异有统计学意义(P<0.05)。早产组孕妇的对比指数和宫颈内口应变平均值在孕20~24周和孕28~35周也与足月产组比较差异有统计学意义(P<0.05)。结论:宫颈弹性成像技术可以在孕中晚期对孕妇宫颈状况进行筛查,提示可能出现的自发性早产的发生,在临床中具有一定的研究价值。 展开更多
关键词 宫颈弹性成像 自发性早产 超声
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生成式人工智能社会实验的伦理问题及治理 被引量:26
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作者 俞鼎 李正风 《科学学研究》 CSSCI CSCD 北大核心 2024年第1期3-9,共7页
2022年年末以来,以ChatGPT为代表的生成式人工智能(AIGC)驱动了大语言模型(LLM)从“判别范式的弱人工智能”转向“生成范式的强人工智能”的范式变革,并将“强拟人化”特性介入了人工智能社会实验场景。这种特性源于实验者长期以反映真... 2022年年末以来,以ChatGPT为代表的生成式人工智能(AIGC)驱动了大语言模型(LLM)从“判别范式的弱人工智能”转向“生成范式的强人工智能”的范式变革,并将“强拟人化”特性介入了人工智能社会实验场景。这种特性源于实验者长期以反映真实世界对话场景的大型文本数据语料库来训练LLM的结果,所具有的类人心智功能表现出涌现、创制、泛化等特点并衍生了“不诚实拟人化”的新伦理特征,这些又反过来对AIGC社会实验造成了负面影响。本文通过揭示并解析该实验场景内的拟人化认知倾向滥用、理智德性消减、多元化偏见风险叠加与“实验者效应”非道德强化等拟人化伦理问题,提出应基于“制度-原则-策略-引导”四维视角,来前瞻性构建AIGC社会实验的伦理治理机制。 展开更多
关键词 生成式人工智能 社会实验 强拟人化 拟人化伦理
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