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黄芪桂枝五物汤治疗非小细胞肺癌软脑膜转移患者培美曲塞鞘内化疗神经毒性的随机对照研究
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作者 李会颖 陈鑫 +4 位作者 谢宇 蒋澄 林永娟 俞婷婷 尹震宇 《中国肺癌杂志》 北大核心 2026年第2期124-130,共7页
背景与目的 软脑膜转移(leptomeningeal metastasis, LM)是非小细胞肺癌(non-small cell lung cancer,NSCLC)的严重并发症,培美曲塞鞘内化疗能有效延长患者生存,但较高的神经毒性发生率已成为限制其临床应用的关键因素。本研究拟探讨黄... 背景与目的 软脑膜转移(leptomeningeal metastasis, LM)是非小细胞肺癌(non-small cell lung cancer,NSCLC)的严重并发症,培美曲塞鞘内化疗能有效延长患者生存,但较高的神经毒性发生率已成为限制其临床应用的关键因素。本研究拟探讨黄芪桂枝五物汤对NSCLC伴LM患者培美曲塞鞘内化疗神经毒性的干预效果及安全性。方法 采用前瞻性、随机、双盲、对照设计纳入220例NSCLC伴LM患者,按照随机数字表法分为治疗组(黄芪桂枝五物汤+鞘内化疗)和对照组(模拟剂+鞘内化疗),每组110例。观察两组神经毒性发生率、毒性等级、疾病控制率(disease control rate, DCR)、无进展生存期(progression-free survival, PFS)、总生存期(overall survival,OS)、生活质量及不良反应。结果 治疗组神经毒性发生率为29.1%,显著低于对照组的51.8%(P<0.001);治疗组1-2级和3-4级神经毒性发生率均低于对照组(P<0.010);神经传导检测显示:治疗组腓肠神经感觉神经动作电位波幅高于对照组(P=0.012),正中神经、尺神经传导速度呈改善趋势。治疗组DCR为76.4%,高于对照组的69.1%(P=0.045);治疗组中位PFS(7.8 vs 6.1个月,P<0.001)和OS(10.5 vs 8.9个月,P=0.007)均进一步延长。治疗组生活质量及中医证候评分改善高于对照组(P<0.05),两组不良反应发生率相当。结论 黄芪桂枝五物汤可有效降低NSCLC伴LM患者培美曲塞鞘内化疗所致神经毒性,提高化疗耐受性和生存获益,安全性良好。 展开更多
关键词 肺肿瘤 软脑膜转移 培美曲塞 神经毒性 黄芪桂枝五物汤
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Approaching the Intrinsic Electron Mobility Limit of Bilayer MoS_(2) via a Combined Twist-Angle and Stress-Engineering Strategy
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作者 Chennan Song yu xie 《Chinese Physics Letters》 2026年第3期300-315,共16页
Bilayer MoS2 is a promising channel candidate for extending Moore’s law,owing to its optimal channel thickness and improved suppression of extrinsic scattering compared to monolayers.However,its intrinsic phonon-limi... Bilayer MoS2 is a promising channel candidate for extending Moore’s law,owing to its optimal channel thickness and improved suppression of extrinsic scattering compared to monolayers.However,its intrinsic phonon-limited electron mobility is severely limited by enhanced K–Q intervalley scattering arising from the multivalley conduction band feature inherent to the bilayer structure.To overcome this bottleneck,we propose a“valley separation engineering”strategy that combines a twist angle near 30°with applied stress.Our first-principles calculations demonstrate that although valley separation can be continuously increased using this strategy,the electron mobility saturates at∼200 cm^(2)⋅V^(−1)⋅s^(−1).The saturation is attributed to the competition between the reduced effective mass and enhanced intravalley scattering induced by phonon softening once the detrimental intervalley scattering is effectively suppressed by sufficient valley separation.This study establishes a theoretical upper limit for the intrinsic electron transport of bilayer MoS2 masked by severe intervalley scattering. 展开更多
关键词 extending moore s lawowing electron mobility BILAYER MOS multivalley conduction band feature k q intervalley scattering suppression extrinsic scattering bilayer mos
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培美曲塞鞘内化疗在EGFR阳性非小细胞肺癌软脑膜转移患者中的疗效与安全性评估 被引量:1
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作者 张田利 陈鑫 +5 位作者 蒋澄 林永娟 谢宇 李会颖 尹震宇 俞婷婷 《中国肺癌杂志》 北大核心 2025年第8期567-575,共9页
背景与目的软脑膜转移(leptomeningeal metastasis,LM)在晚期非小细胞肺癌(non-small cell lung cancer,NSCLC)患者中的发病率逐年上升,但其治疗手段有限,预后较差。鞘内注射培美曲塞(intrathecal Pemetrexed,IP)在LM治疗领域具有广泛... 背景与目的软脑膜转移(leptomeningeal metastasis,LM)在晚期非小细胞肺癌(non-small cell lung cancer,NSCLC)患者中的发病率逐年上升,但其治疗手段有限,预后较差。鞘内注射培美曲塞(intrathecal Pemetrexed,IP)在LM治疗领域具有广泛的应用前景。本研究旨在评估IP在表皮生长因子受体(epidermal growth factor receptor,EGFR)突变阳性NSCLC-LM患者中的疗效、安全性及最佳联合应用模式,以期为此类患者探寻更精准的个体化治疗策略提供真实世界数据支持。方法回顾性收集2018年1月至2024年6月在南京大学医学院附属鼓楼医院接受IP治疗的104例EGFR突变阳性NSCLC-LM患者的临床资料、治疗方案和生存数据。系统分析入组患者的总生存期(overall survival,OS)、无进展生存期(progression-free survival,PFS)、临床有效率和不良反应(adverse events,AEs)。结果104例EGFR突变阳性NSCLC-LM患者的中位PFS为9.6个月,中位OS为13.0个月,6个月和1年OS率分别为80.8%和56.5%,临床有效率为77.9%。常见的AEs是骨髓抑制(58.7%)和转氨酶升高(25.0%)。9例(8.7%)患者出现4级骨髓抑制,给予对症治疗后恢复正常。亚组分析显示,卡氏体能状态(Karnofsky performance status,KPS)评分≥60分的患者OS显著长于KPS<60分患者(14.4 vs 9.0个月,P=0.0022)。规律接受贝伐珠单抗治疗的LM患者中位OS明显高于未接受贝伐珠单抗治疗者(19.2 vs 10.5个月,P=0.0011)。结论IP治疗在EGFR突变阳性NSCLC-LM患者中具有良好的疗效和安全性,联合贝伐珠单抗可发挥协同抗肿瘤作用,进一步改善预后。 展开更多
关键词 肺肿瘤 软脑膜转移 表皮生长因子受体 鞘内注射化疗 培美曲塞
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高剂量伏美替尼联合培美曲塞鞘内化疗治疗EGFR突变型非小细胞肺癌软脑膜转移的疗效与安全性分析
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作者 陈鑫 贺明阳 +9 位作者 陈岑 蒋澄 李会颖 林永娟 俞婷婷 谢宇 郭爱斌 黄明敏 尹震宇 张田利 《中国肺癌杂志》 北大核心 2025年第12期905-915,共11页
背景与目的 软脑膜转移(leptomeningeal metastasis,LM)是表皮生长因子受体(epidermal growth factor receptor,EGFR)突变型非小细胞肺癌(non-small cell lung cancer,NSCLC)的严重并发症,预后极差。第三代EGFR-酪氨酸激酶抑制剂(EGFR-t... 背景与目的 软脑膜转移(leptomeningeal metastasis,LM)是表皮生长因子受体(epidermal growth factor receptor,EGFR)突变型非小细胞肺癌(non-small cell lung cancer,NSCLC)的严重并发症,预后极差。第三代EGFR-酪氨酸激酶抑制剂(EGFR-tyrosine kinase inhibitors,EGFR-TKIs)增加剂量虽可提升中枢神经系统药物浓度,但其单药疗效仍不足以有效控制疾病进展。培美曲塞鞘内注射(intrathecal Pemetrexed,IP)能够绕过血脑屏障,直接作用于脑脊液,为LM的局部治疗提供了新途径。然而,目前关于高剂量第三代EGFR-TKIs伏美替尼(160 mg/d)联合IP治疗EGFR突变型NSCLC-LM的临床疗效与安全性的研究数据仍较缺乏。因此,本研究旨在评估该联合方案在此类难治性患者中的有效性及安全性,以期为临床实践提供真实世界证据。方法 选择2021年6月至2024年12月南京大学医学院附属鼓楼医院收治的40例EGFR突变型NSCLC-LM患者,其治疗方案均为高剂量伏美替尼(160 mg/d)联合IP治疗。通过系统收集患者的临床病例资料及随访信息,分析其颅内无进展生存期(intracranial progression-free survival,iPFS)和总生存期(overall survival,OS)、总体反应率和不良事件。生存分析采用Kaplan-Meier法,预后影响因素通过Cox比例风险回归进行多变量分析。结果 中位随访时间20.0个月,高剂量伏美替尼联合IP治疗在EGFR突变型NSCLCLM患者中展现出显著疗效:总体反应率为85.0%,iPFS为9.6个月,中位OS为12.6个月,6、12和24个月的OS率分别为79.9%、53.9%和27.0%。多因素分析表明,联合贝伐珠单抗治疗是独立的保护性预后因素[风险比(hazard ratio,HR)=0.283,95%CI:0.114-0.702,P=0.006],而基线卡氏体能状态(Karnofsky performance status,KPS)评分较差是独立危险因素(HR=3.069,95%CI:1.313-7.170,P=0.010)。安全性方面,主要不良事件为骨髓抑制(42.5%)、转氨酶升高(22.5%)和消化道反应(恶心和/或呕吐20.0%),多数为1-2级。仅报告1例4级骨髓抑制,经支持治疗后好转。结论高剂量伏美替尼联合IP在EGFR突变型NSCLC-LM患者中表现出显著疗效和可控的安全性,联合贝伐珠单抗可能进一步增加临床获益,为难治性患者提供了有前景的治疗策略。 展开更多
关键词 肺肿瘤 软脑膜转移 表皮生长因子受体 伏美替尼 培美曲塞鞘内化疗
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共聚焦拉曼光谱在皮肤屏障功能评估和经皮吸收研究中的应用
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作者 杨武成 谢宇 +3 位作者 魏剑 范瑞芳 谭建华 席绍峰 《日用化学工业(中英文)》 北大核心 2025年第4期508-515,共8页
在皮肤研究领域,共聚焦拉曼光谱是一项新兴的分析技术。它可以用于皮肤生理学分析,获得有关皮肤分子组成和结构的数据,并且该技术还具有高空间分辨率、非侵入性以及无需提前对目标物质进行标记(如使用荧光染料标记)的优点。基于以上优点... 在皮肤研究领域,共聚焦拉曼光谱是一项新兴的分析技术。它可以用于皮肤生理学分析,获得有关皮肤分子组成和结构的数据,并且该技术还具有高空间分辨率、非侵入性以及无需提前对目标物质进行标记(如使用荧光染料标记)的优点。基于以上优点,这项技术具有成为实验室标准化分析技术的巨大潜力。但共聚焦拉曼光谱技术目前仍处在一个不断发展和完善的阶段,文章介绍了共聚焦拉曼光谱的原理,重点强调了该技术的优点,并概述了共聚焦拉曼光谱技术在皮肤研究,特别是皮肤屏障功能和活性物质经皮吸收研究中的应用。同时分析了共聚焦拉曼光谱的局限性,并展望了共聚焦拉曼光谱的未来发展趋势。 展开更多
关键词 经皮吸收 共聚焦拉曼光谱 皮肤屏障 局限性
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薯蓣皂苷对脓毒症模型大鼠肾功能损伤的作用及其机制
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作者 何益平 尹进军 +2 位作者 余勰 张林 孙勇 《中国药业》 2025年第15期58-62,共5页
目的探讨薯蓣皂苷对脓毒症模型大鼠肾功能损伤的作用及作用机制。方法通过结扎盲肠和穿刺方法复制脓毒症模型大鼠,将建模成功的40只大鼠随机分为模型组[B组,等量0.5%羧甲基纤维素钠(CMC-Na)],薯蓣皂苷低、中、高剂量组(C_(1)组、C_(2)组... 目的探讨薯蓣皂苷对脓毒症模型大鼠肾功能损伤的作用及作用机制。方法通过结扎盲肠和穿刺方法复制脓毒症模型大鼠,将建模成功的40只大鼠随机分为模型组[B组,等量0.5%羧甲基纤维素钠(CMC-Na)],薯蓣皂苷低、中、高剂量组(C_(1)组、C_(2)组、C_(3)组,20,40,80 mg/kg),地塞米松组(D组,10 mg/kg),各8只;另选取8只大鼠作为假手术组(A组,等量0.5%CMC-Na),除不结扎盲肠和不用针头穿刺外,其余操作相同。建模15 min后,各组大鼠分别肌肉注射相应药物或0.5%CMC-Na。苏木精-伊红(HE)染色,观察肾脏组织形态;采用全自动生化分析仪检测血肌酐(SCr)和尿素氮(BUN)水平;采用酶联免疫吸附试验(ELISA)法检测中性粒细胞明胶酶相关脂质运载蛋白(NGAL)、肾损伤分子1(KIM-1)、白细胞介素6(IL-6)、白细胞介素1β(IL-1β)、肿瘤坏死因子-α(TNF-α)水平;采用硫代巴比妥酸比色法检测肾脏组织丙二醛(MDA)浓度,采用黄嘌呤氧化酶法检测肾脏组织超氧化物歧化酶(SOD)活性;采用免疫印迹(Western blot)法检测肾脏组织核转录因子红系2相关因子2(Nrf2)、血红素加氧酶-1(HO-1)、核苷酸结合结构域富含亮氨酸重复序列和含热蛋白结构域受体3(NLRP3)蛋白表达水平。结果B组大鼠系膜增生,肾小管萎缩,大量炎性细胞浸润肾小管;C_(1)组大鼠系膜增生,大量炎性细胞浸润肾小管;C_(2)组大鼠炎性细胞浸润现象缓解;C_(3)组大鼠可观察到正常肾小管。与B组比较,C_(1)组、C_(2)组、C_(3)组大鼠血清SCr,BUN,KIM-1,IL-6,IL-1β,TNF-α水平和肾脏组织NLRP3蛋白表达水平均显著降低(P<0.05),肾脏组织HO-1蛋白表达水平均显著升高(P<0.05);C_(2)组、C_(3)组大鼠血清NGAL水平均显著降低(P<0.05),肾脏组织SOD活性均显著增强(P<0.05),Nrf2蛋白表达水平均显著升高(P<0.05);C_(3)组大鼠肾脏组织MDA浓度显著降低(P<0.05)。结论薯蓣皂苷可能通过激活Nrf2/HO-1信号通路而抑制NLRP3炎性小体表达,减轻炎性反应和氧化应激反应,从而减轻脓毒症肾功能损伤。 展开更多
关键词 薯蓣皂苷 脓毒症 肾功能损伤 核转录因子红系2相关因子2/血红素加氧酶-1信号通路 核苷酸结合结构域富含亮氨酸重复序列和含热蛋白结构域受体3 作用机制
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Morphology engineering of MIL-88A-derived 0D/1D/2D nanocomposites toward wideband microwave absorption 被引量:2
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作者 Jie Mei Juhua Luo +4 位作者 Tianyi Zhao Shenyu Jiang yuhan Wu Ziyang Dai yu xie 《Journal of Materials Science & Technology》 2025年第23期65-75,共11页
Metal-organic frameworks(MOFs)have been widely applied in the field of electromagnetic wave absorption(EMWA)on account of unique morphology,simple fabrication,and ultra-high porosity.Nevertheless,the facile method of ... Metal-organic frameworks(MOFs)have been widely applied in the field of electromagnetic wave absorption(EMWA)on account of unique morphology,simple fabrication,and ultra-high porosity.Nevertheless,the facile method of protecting its structure from being destroyed remains challenging.Herein,we proposed a hydrothermal method combined with a carbonization strategy to construct the 0D/1D/2D Fe_(3)C@NC@Mo_(2)C/Fe_(3)C composites.Owing to the incorporation of polydopamine(PDA),the carbon shell formed during high-temperature carbonization effectively protected the original MIL-88A rod-like structure,and the 2D Mo_(2)C nano-sheets and 1D Fe_(3)C nanoparticles were coated on the surface of 1D Fe_(3)C nanorods.With the increase in carbonization temperature,the EMWA properties of the composites presented a trend of first increasing and then decreasing.Impressively,the composites(at 750℃)exhibited praiseworthy EMWA performances with a minimum reflection loss value of−43.70 dB at 8.00 GHz,alongside a maximum effective absorption bandwidth of 6.08 GHz(11.20-17.28 GHz).Density functional theory calculations confirmed the distinctive charge distribution resulting from the heterointerface,which is beneficial to the polarization loss and conductive loss.As a result,the outstanding EMWA performance was credited to the distinctive hierarchical structure,appropriate impedance matching,numerous heterogeneous interfaces,and magnetic loss.Moreover,Radar cross-section calculations indicated that the composites have tremendous potential for practical application.Thus,this work may pave new avenues for designing high-performance and structure-controllable absorbing materials. 展开更多
关键词 Microstructure design Hierarchical structure Microstructure protection Electromagnetic wave absorption
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合成MRI定量参数与乳腺浸润性导管癌分子分型及细胞增殖活性关系研究 被引量:7
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作者 郑蕊 谢瑜 +2 位作者 薛珂 张冬雪 李卓琳 《中国肿瘤临床》 CAS CSCD 北大核心 2023年第14期728-732,共5页
目的:探讨合成MRI定量参数与乳腺浸润性导管癌(invasive ductal carcinoma,IDC)不同分子分型及细胞增殖活性的关系。方法:回顾性分析2020年7月至2022年2月于昆明医科大学第三附属医院就诊并经病理证实的112例乳腺IDC患者临床病理资料,... 目的:探讨合成MRI定量参数与乳腺浸润性导管癌(invasive ductal carcinoma,IDC)不同分子分型及细胞增殖活性的关系。方法:回顾性分析2020年7月至2022年2月于昆明医科大学第三附属医院就诊并经病理证实的112例乳腺IDC患者临床病理资料,均行合成MRI检查,使用ITK-SNAP软件勾画并测量病灶定量参数T1、T2及质子密度(proton density,PD)值。根据雌激素受体(estrogen receptor,ER)、孕激素受体(progesterone receptor,PR)、人类表皮生长因子受体-2(human epidermal growth factor receptor-2,HER-2)和肿瘤增殖核抗原Ki-67表达情况对病灶进行分组,比较乳腺IDC不同分子分型及细胞增殖活性的合成MRI定量参数差异。结果:112例患者中共有112个乳腺IDC病灶,其中Luminal A型40个、Luminal B型49个、HER-2过表达型8个及三阴性乳腺癌15个。ER阳性/阴性、PR阳性/阴性、HER-2阳性/阴性组之间T1、T2值差异均无统计学意义(均P>0.05),Ki-67高表达组的T1和T2值均高于低表达组(均P<0.05),Luminal A型组的T1、T2值均低于Luminal B型和三阴性乳腺癌组,HER-2过表达型组的T2值低于Luminal B型及三阴性乳腺癌组(均P<0.05)。PD值在不同分子分型及Ki-67表达水平中差异均无统计学意义(均P>0.05)。结论:合成MRI定量参数中T1、T2值对乳腺IDC不同分子分型及细胞增殖活性指标Ki-67鉴别具有一定价值,但PD值价值有限。 展开更多
关键词 磁共振成像 合成MRI 定量参数 乳腺 浸润性导管癌 分子分型 KI-67
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Nanoparticle-Mediated Transport of Energy-Related Pollutants in Marine Sediments:Implications for Offshore Infrastructure Durability and Environmental Risks
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作者 yu xie 《Sustainable Marine Structures》 2025年第2期75-88,共14页
This research conducted a systematic study on the processes of migration of energy-related pollutants caused by nanoparticles in marine sediments,as well as their impacts on the durability of offshore infrastructure.W... This research conducted a systematic study on the processes of migration of energy-related pollutants caused by nanoparticles in marine sediments,as well as their impacts on the durability of offshore infrastructure.While focused on representative nanoparticles(nano-TiO_(2),nano-Fe_(3)O_(4),and carbon nanotubes)and select energy pollutants,experimental data showed these materials greatly enhanced the movement of pollutants,increasing migration distances from 1.6 to 2.9 times.The carbon nanotubes possessed the greatest carrying effect,increasing the phenanthrene migration distance by 286 percent.The study determined surface properties of nanoparticles,pH of the liquid environment,ionic concentration,and organic matter level as major elements impacting pollutant mobility.Laboratory simulations,while controlled and reproducible,necessarily simplified the complex dynamics of real marine environments.Nanoparticle-sorbate systems were found to be effective in enhancing the deterioration rate of materials used in offshore constructions,with CNTPAHs composites causing carbon steel to corrode by 183% more than if PAHs were used without the composites.This change in corrosion behaviour was shown in other tests to be caused by a change in dynamics of the corrosion products'structural constituents and the various electrochemical properties present on the surface of the material.Samples of concrete showed a spend of 90 days in the composite system resulted in a 26.8% decrease in compressive strength compared to control conditions which had only a 15.3%.Therefore,taking into account the results,strategies were formulated to ensure durability for offshore infrastructure including surface modified anticorrosion coatings,surveillance and alert systems,and integrated protective systems.Future field validation studies are needed to verify these laboratory findings under actual marine conditions.This study helps to comprehend the behaviour of nanoparticles in intricate marine ecosystems,providing support for the sustainable advancement of offshore infrastructure and the protection of the marine environment. 展开更多
关键词 Nanoparticles Energy Pollutants Marine Sediments Pollutant Migration Corrosion Mechanism Offshore Infrastructure Environmental Risk
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Reverse floc-flotation of talc from chalcopyrite by using polyvinyl acetate as a flocculant: Adsorption and bubble capture studies
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作者 yu xie Wanzhong Yin +2 位作者 Qi Liu Daowei Wang Wenju Sun 《International Journal of Mining Science and Technology》 2025年第10期1775-1788,共14页
Chalcopyrite is often intergrown with talc,which,after grinding,forms ultrafine particles(<10μm)that readily coat chalcopyrite surfaces,hindering flotation and causing significant losses in tailings.This study eva... Chalcopyrite is often intergrown with talc,which,after grinding,forms ultrafine particles(<10μm)that readily coat chalcopyrite surfaces,hindering flotation and causing significant losses in tailings.This study evaluates polyvinyl acetate(PVAc),a thermoplastic polymer,as a selective flocculant to enhance reverse flot ation separation of chalcopyrite from ultrafine talc.Flotation tests showed that at a PVAc dosage of 40 mg/L,talc can be effectively and selectively removed,enabling efficient separation.Laser particle size analysis and scanning electron microscopy-energy dispersive spectrometry(SEM-EDS)confirmed that PVAc promotes selective talc aggregation without affecting chalcopyrite.X-ray photoelectron spectroscopy(XPS)and density functional theory(DFT)calculations revealed that hydrogen bonding between PVAc ester groups and surface hydroxyls on talc drives the flocculation,while chalcopyrite lacks suitable binding sites.PVAc adsorption also enhances talc hydrophobicity.Furthermore,particle-bubble coverage angle measurements and extended Derjaguin-Landau-Verwey-Overbeek(DLVO)theory theoretical calculations demonstrated that PVAc-induced flocculation increases attractive interactions between talc and bubbles,shifting the total interaction energy from repulsive to attractive and promoting bubble-particle attachment.This study clarifies the selective adsorption and flocculation mechanisms of PVAc and reveals the coupling of flocculation and flotation of ultrafine talc from a particle-bubble capture perspective,while expanding the potential of ester-based polymers for ultrafine mineral recovery. 展开更多
关键词 CHALCOPYRITE Ultrafine talc Polyvinyl acetate Floc-flotation Flocculant adsorption Bubble capture
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MicroRNA-30a、microRNA-181a在原发免疫性血小板减少症中的表达及其临床意义 被引量:4
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作者 谭琳 谢瑜 +1 位作者 杨坚 黄颖 《中国现代医学杂志》 CAS 北大核心 2021年第24期63-68,共6页
目的检测原发免疫性血小板减少症(ITP)患者外周血单个核细胞(PBMC)microRNA-30a(miR-30a)、microRNA-181a(miR-181a)的表达,并分析其临床意义。方法选取2020年1月—2020年12月昆明医科大学第一附属医院收治的ITP患者48例作为ITP组,另取... 目的检测原发免疫性血小板减少症(ITP)患者外周血单个核细胞(PBMC)microRNA-30a(miR-30a)、microRNA-181a(miR-181a)的表达,并分析其临床意义。方法选取2020年1月—2020年12月昆明医科大学第一附属医院收治的ITP患者48例作为ITP组,另取同期该院40例化疗后骨髓抑制血小板减少患者作为对照组,体检健康者45例作为健康组。检测3组血小板计数(PLT)、平均血小板体积(MPV),采用实时荧光定量聚合酶链反应检测PBMC中miR-30a、miR-181a的表达,分析miR-30a、miR-181a与血小板参数的相关性,以及对ITP的诊断价值。结果ITP组miR-30a、miR-181a相对表达量高于对照组和健康组(P<0.05);ITP组PLT、MPV低于对照组和健康组(P<0.05)。miR-30a与PLT、MPV呈负相关(r=-0.278和-0.247,P<0.05),与出血分级呈正相关(r=0.221,P<0.05);miR-181a与PLT、MPV呈负相关(r=-0.224和-0.301,P<0.05),与出血分级呈正相关(r=0.236,P<0.05)。miR-30a[O^R=1.876(95%CI:1.230,6.336)]和miR-181a[O^R=2.665(95%CI:1.365,8.558)]升高是发生ITP的独立危险因素(P<0.05)。以miR-30a、miR-181a及其回归系数建立临床模型的多元回归方程Logistic(P)=-4.115+1.305×MPV-1.258×miR-30a-1.664×miR-181a。该临床模型诊断ITP的标准误为0.055,AUC为0.889(95%CI:0.662,0.956),敏感性为75.25%(95%CI:1.123,2.084)、特异性为88.24%(95%CI:1.672,2.583)。结论miR-30a、miR-181a与ITP发生相关,通过miR-30a、miR-181a建立个体化临床模型可准确判断ITP的发生,且具有较高的临床实用价值。 展开更多
关键词 原发免疫性血小板减少症 microRNA-30a microRNA-181a 临床模型 预测
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Construction of gradient hierarchical and hetero-interfaces structure for ultra-broad microwave absorption
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作者 Chunwei Lei Jian Li +3 位作者 yuhan Wu yu xie yun Ling Juhua Luo 《Nano Materials Science》 2025年第2期249-258,共10页
Currently,carbon materials derived from biomass are widely sought after as electromagnetic absorbing(EMWA)materials owing to the unique structure,as well as the wide range of natural acquisition pathways,economic viab... Currently,carbon materials derived from biomass are widely sought after as electromagnetic absorbing(EMWA)materials owing to the unique structure,as well as the wide range of natural acquisition pathways,economic viability,and simple processing.However,due to the high dielectric properties,mismatched impedance and single attenuation mechanism,they cannot achieve efficient EMWA performance.Herein,the biomass carbon/Co/porous carbon magnetic composites with a layered gradient structure were fabricated by in-situ deposition of ZIF-67 on the lotus leaf base and then pyrolysis at high temperature.By adjusting the pyrolysis temperature,the sample obtained at 650℃ achieved a minimum reflection value(RLmin)of-34.2dB at a matching thickness of 2.6mm,and a maximum effective absorption bandwidth(EAB)of 7.12GHz.The results indicate that this magnetic composite with a multi-sized layered gradient porous structure has a good electron transport network,a large number of heterogeneous interfaces,and dipole polarization centers,which are conducive to multiple reflection and scattering of microwaves,conduction loss,interface loss,magnetic loss,and impedance matching of materials.Therefore,this work provided a reference for optimizing the EMWA performance of carbon materials and designing a layered gradient porous magnetic composite with multi-sized structure. 展开更多
关键词 Porous structure Multiple interfaces Ultra-broad absorption Microwave absorption
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Observation of Ice-Like Two-Dimensional Flakes on Self-Assembled Protein Monolayer without Nanoconfinement under Ambient Conditions
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作者 Wuxian Peng Linbo Li +7 位作者 Xiyue Bai Ping Yi yu xie Lejia Wang Wei Du Tao Wang Jian-Qiang Zhong yuan Li 《Nano-Micro Letters》 2025年第8期237-250,共14页
Directly correlating the morphology and composition of interfacial water is vital not only for studying water icing under critical conditions but also for understanding the role of protein–water interac-tions in bio-... Directly correlating the morphology and composition of interfacial water is vital not only for studying water icing under critical conditions but also for understanding the role of protein–water interac-tions in bio-relevant systems.In this study,we present a model system to study two-dimensional(2D)water layers under ambient conditions by using self-assembled monolayers(SAMs)supporting the physisorp-tion of the Cytochrome C(Cyt C)protein layer.We observed that the 2D island-like water layers were uniformly distributed on the SAMs as characterized by atomic force microscopy,and their composition was confirmed by nano-atomic force microscopy-infrared spectroscopy and Raman spectroscopy.In addition,these 2D flakes could grow under high-humidity conditions or melt upon the introduction of a heat source.The formation of these flakes is attributed to the activation energy for water desorption from the Cyt C being nearly twofold high than that from the SAMs.Our results provide a new and effective method for further understanding the water–protein interactions. 展开更多
关键词 Self-assembled monolayers 2D ice-like water Water-protein interactions Ice phase transition
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Electronic structure and carrier mobility of BSb nanotubes
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作者 Lantian Xue Chennan Song +4 位作者 Miaomiao Jian Qiang Xu yuhao Fu Pengyue Gao yu xie 《Chinese Physics B》 2025年第3期183-188,共6页
High-mobility semiconductor nanotubes have demonstrated great potential for applications in high-speed transistors,single-charge detection,and memory devices.Here we systematically investigated the electronic properti... High-mobility semiconductor nanotubes have demonstrated great potential for applications in high-speed transistors,single-charge detection,and memory devices.Here we systematically investigated the electronic properties of single-walled boron antimonide(BSb)nanotubes using first-principles calculations.We observed that rolling the hexagonal boron antimonide monolayer into armchair(ANT)and zigzag(ZNT)nanotubes induces compression and wrinkling effects,significantly modifying the band structures and carrier mobilities through band folding andπ^(*)-σ^(*)hybridization.As the chiral index increases,the band gap and carrier mobility of ANTs decrease monotonically,where electron mobility consistently exceeds hole mobility.In contrast,ZNTs exhibit a more complex trend:the band gap first increases and then decreases,and the carrier mobility displays oscillatory behavior.In particular,both ANTs and ZNTs could exhibit significantly higher carrier mobilities compared to hexagonal monolayer and zinc-blende BSb,reaching 10^(-3)-10^(-7) cm^(-2)·V^(-1)·s^(-1).Our findings highlight strong curvature-induced modifications in the electronic properties of single-walled BSb nanotubes,demonstrating the latter as a promising candidate for high-performance electronic devices. 展开更多
关键词 ab initio calculations NANOTUBES electronic structure carrier mobility
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Recent Progress of Electrospun Nanofiber-Based Composite Materials for Monitoring Physical,Physiological,and Body Fluid Signals
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作者 Fang Guo Zheng Ren +6 位作者 Shanchi Wang yu xie Jialin Pan Jianying Huang Tianxue Zhu Si Cheng yuekun Lai 《Nano-Micro Letters》 2025年第12期132-177,共46页
Flexible electronic skin(E-skin)sensors offer innovative solutions for detecting human body signals,enabling human-machine interactions and advancing the development of intelligent robotics.Electrospun nanofibers are ... Flexible electronic skin(E-skin)sensors offer innovative solutions for detecting human body signals,enabling human-machine interactions and advancing the development of intelligent robotics.Electrospun nanofibers are particularly wellsuited for E-skin applications due to their exceptional mechanical properties,tunable breathability,and lightweight nature.Nanofiber-based composite materials consist of three-dimensional structures that integrate one-dimensional polymer nanofibers with other functional materials,enabling efficient signal conversion and positioning them as an ideal platform for next-generation intelligent electronics.Here,this review begins with an overview of electrospinning technology,including far-field electrospinning,near-field electrospinning,and melt electrospinning.It also discusses the diverse morphologies of electrospun nanofibers,such as core-shell,porous,hollow,bead,Janus,and ribbon structure,as well as strategies for incorporating functional materials to enhance nanofiber performance.Following this,the article provides a detailed introduction to electrospun nanofiber-based composite materials(i.e.,nanofiber/hydrogel,nanofiber/aerogel,nanofiber/metal),emphasizing their recent advancements in monitoring physical,physiological,body fluid,and multi-signal in human signal detection.Meanwhile,the review explores the development of multimodal sensors capable of responding to diverse stimuli,focusing on innovative strategies for decoupling multiple signals and their state-of-the-art advancements.Finally,current challenges are analyzed,while future prospects for electrospun nanofiber-based composite sensors are outlined.This review aims to advance the design and application of next-generation flexible electronics,fostering breakthroughs in multifunctional sensing and health monitoring technologies. 展开更多
关键词 Flexible sensor ELECTROSPINNING Nanofibrous membrane Composite materials
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A Transactional-Behavior-Based Hierarchical Gated Network for Credit Card Fraud Detection
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作者 yu xie MengChu Zhou +3 位作者 Guanjun Liu Lifei Wei Honghao Zhu Pasquale De Meo 《IEEE/CAA Journal of Automatica Sinica》 2025年第7期1489-1503,共15页
The task of detecting fraud in credit card transactions is crucial to ensure the security and stability of a financial system,as well as to enforce customer confidence in digital payment systems.Historically,credit ca... The task of detecting fraud in credit card transactions is crucial to ensure the security and stability of a financial system,as well as to enforce customer confidence in digital payment systems.Historically,credit card companies have used rulebased approaches to detect fraudulent transactions,but these have proven inadequate due to the complexity of fraud strategies and have been replaced by much more powerful solutions based on machine learning or deep learning algorithms.Despite significant progress,the current approaches to fraud detection suffer from a number of limitations:for example,it is unclear whether some transaction features are more effective than others in discriminating fraudulent transactions,and they often neglect possible correlations among transactions,even though they could reveal illicit behaviour.In this paper,we propose a novel credit card fraud detection(CCFD)method based on a transaction behaviour-based hierarchical gated network.First,we introduce a feature-oriented extraction module capable of identifying key features from original transactions,and such analysis is effective in revealing the behavioural characteristics of fraudsters.Second,we design a transaction-oriented extraction module capable of capturing the correlation between users’historical and current transactional behaviour.Such information is crucial for revealing users’sequential behaviour patterns.Our approach,called transactional-behaviour-based hierarchical gated network model(TbHGN),extracts two types of new transactional features,which are then combined in a feature interaction module to learn the final transactional representations used for CCFD.We have conducted extensive experiments on a real-world credit card transaction dataset with an increase in average F1 between 1.42%and 6.53%and an improvement in average AUC between 0.63%and 2.78%over the state of the art. 展开更多
关键词 Credit card fraud detection(CCFD) feature extraction gated recurrent network transactional behavior
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Synthesis of Ni/MnO/C nano-microspheres with synergistic effects of dielectric and magnetic loss for efficient microwave absorption
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作者 Chunwei Lei Jian Li +4 位作者 Bo Xu yu xie yun Ling Juhua Luo Wei Zhang 《Chinese Chemical Letters》 2025年第7期244-250,共7页
NiMn-MOF was prepared via one-step hydrothermal method,and then Ni/MnO/C composites were synthesized by high-temperature pyrolysis.The findings indicate that the sample acquired at the pyrolysis temperature of 700℃ d... NiMn-MOF was prepared via one-step hydrothermal method,and then Ni/MnO/C composites were synthesized by high-temperature pyrolysis.The findings indicate that the sample acquired at the pyrolysis temperature of 700℃ demonstrate superior microwave absorption capabilities.The minimum reflection value achieves-19.2 dB at a thickness of 1.4mm,and the effective absorption bandwidth extends to 5.04 GHz at a mere 1.6mm.The exceptional microwave absorption proficiency can be ascribed to the multiple reflections and scattering generated by the material’s unique porous spherical structure,optimized impedance matching,suitable conduction loss,rich interfacial and dipole polarization,and magnetic loss.This study presents a straightforward procedural technique for the fabrication of effective composite absorbers. 展开更多
关键词 Magnetic-dielectric synergy Heterogeneous interface engineering Impedance matching Microwave absorption
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Asymmetric Alkyl Chain Engineering of Non-fullerene Acceptors for Efficient Organic Solar Cells
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作者 Chun-yu Qiao Qian xie +9 位作者 Jie Fang Dong-Dong Xia yue-Feng Zhang Jia-Li Wang Sheng-Yong You Lang Jiang Bin Huang Wei-Wei Li Chao-Wei Zhao yu xie 《Chinese Journal of Polymer Science》 2025年第6期994-1000,I0010,共8页
The asymmetric molecular design strategy,with advantages in modulating the molecular dipole moment and intermolecular interactions and achieving more favorable molecular packing and orientation,has been an effective a... The asymmetric molecular design strategy,with advantages in modulating the molecular dipole moment and intermolecular interactions and achieving more favorable molecular packing and orientation,has been an effective approach for designing high-performance nonfullerene acceptors(NFAs).Herein,two asymmetric NFAs,Y-CN-2F and Y-CN-2Cl,were designed and synthesized by introducing a linear alkyl chain terminated with the 4-cyanobiphenyl group,a well-known mesogenic unit,at one of the inner pyrrole positions instead of the normal 2-butyloctyl branched alkyl chain.The difference between Y-CN-2F and Y-CN-2Cl is the terminated IC-groups,which was modified with F and Cl halogens,respectively.Both NFAs displayed strong absorption in the near-infrared to visible-light range,which is complementary to that of typical medium-bandgap donor polymers.After optimization with D18 donor in organic solar cells(OSCs),Y-CN-2F and Y-CN-2Cl provided comparable power conversion efficiencies(PCEs)of 15.33%and 15.88%.While the D18:Y-CN-2F based devices displayed higher fill factors(FFs),those based on D18:Y-CN-2Cl exhibited higher current densities and open-circuit voltages.The Y-CN-2Cl film showed longer light absorption than YCN-2F,which is beneficial for more light harvesting.Moreover,D18:Y-CN-2Cl displayed a lower fluorescence lifetime and faster carrier transfer processes,which could be attributed to its higher mobility.For the D18:Y-CN-2F blended film,a more pronounced fiber network structure and balanced carrier mobility were observed,which contributed to the higher FFs values.This work presents new efforts to develop more asymmetric NFAs with specific functional segments for efficient organic electronics. 展开更多
关键词 Asymmetric strategy Side-chain engineering Non-fullerene acceptors Organic solar cells
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Prediction of New Functional Fluorooxoborates with Expected Anionic Framework:A Case of CaB_(3)O_(5)F
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作者 Ke-Wang Zhang Wen-Qi Jin +4 位作者 Ke Li Abudukadi Tudi Lin-Lin Liu Cong-Wei xie yu xie 《Chinese Physics Letters》 2025年第3期85-92,共8页
The prediction of new fluorooxoborates as ultraviolet(UV)/deep ultraviolet(DUV)opto-electronic functional materials from a largely unexplored chemical space is a challenging task.It has been suggested that the anionic... The prediction of new fluorooxoborates as ultraviolet(UV)/deep ultraviolet(DUV)opto-electronic functional materials from a largely unexplored chemical space is a challenging task.It has been suggested that the anionic frameworks formed by B–O and B–O–F units significantly determine the physical properties of fluorooxoborates.Therefore,the rational design of anionic frameworks could facilitate the materials discovery process.Herein,we propose that a candidate anionic framework can be efficiently derived from an existing one by slightly altering its oxygen content.Following this idea,we hypothesized the existence of a 1D[B_(3)O_(5)F]_(∞)chain from the wellknown 2D[B_(6)O_(9)F_(2_)]_(∞)layer.Accordingly,seven CaB_(3)O_(5)F structures with the expected anionic framework were successfully predicted.First-principles calculations show that all these structures have potential in the UV/DUV birefringent or nonlinear optical(NLO)material field,indicating that the 1D[B_(3)O_(5)F]_(∞)chain is indeed a promising anionic framework for achieving UV/DUV birefringent and NLO performance. 展开更多
关键词 process BORATE ANIONIC
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The Establishment of Mathematical Models for the Composition Analysis and Identification of Ancient Glass Products
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作者 Jenny Zhang Ding Li +1 位作者 yu xie Junfeng Xiang 《Open Journal of Applied Sciences》 2023年第11期2149-2171,共23页
Glass is the precious material evidence of the trade of the early Silk Road. The ancient glass was easily affected by the environmental impact and weathering, and the change of composition ratios affected the correct ... Glass is the precious material evidence of the trade of the early Silk Road. The ancient glass was easily affected by the environmental impact and weathering, and the change of composition ratios affected the correct judgment of its category. In this paper, mathematical models and methods such as Chi-square test, weighted average method, principal component analysis, cluster analysis, binary classification model and grey correlation analysis were used comprehensively to analyze the data of sample glass products combined with their categories. The results showed that the weathered high-potassium glass could be divided into 12, 9, 10 and 27, 7, 22 and so on. 展开更多
关键词 Principal Component Analysis System Clustering Sensitivity Analysis Binary Classification Model Logistic Regression Analysis Grey Correlation Analysis
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