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Association between serum retinol-binding protein and lower limb atherosclerosis risk in type 2 diabetes mellitus
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作者 yu-ling Zhang Gui-Liang Peng +6 位作者 Wei-Ling Leng Yu Lian Li-Qing Cheng Xing Li yu-lin wang Ling Zhou Min Long 《World Journal of Diabetes》 2025年第3期76-88,共13页
BACKGROUND Serum retinol-binding protein(RBP)is the primary transport protein of circulating vitamin A.RBP has a crucial role in maintaining nutrient metabolism and physiologic homeostasis.Several studies have indicat... BACKGROUND Serum retinol-binding protein(RBP)is the primary transport protein of circulating vitamin A.RBP has a crucial role in maintaining nutrient metabolism and physiologic homeostasis.Several studies have indicated that serum RBP participates in the progression of diabetes and diabetes-related complications.However,the impact of serum RBP on lower limb atherosclerosis has not been determined in individuals with type 2 diabetes mellitus(T2DM).AIM To determine the association between serum RBP and lower limb atherosclerosis in individuals with T2DM.METHODS This retrospective study enrolled 4428 eligible T2DM patients and divided the patients into non-lower limb atherosclerosis(n=1913)and lower limb atherosclerosis groups(n=2515)based on lower limb arterial ultrasonography results.At hospital admission,baseline serum RBP levels were assessed,and all subjects were categorized into three groups(Q1-Q3)based on RBP tertiles.Logistic regression,restricted cubic spline regression,subgroup analysis,and machine learning were used to assess the association between RBP levels and lower limb atherosclerosis risk.RESULTS Among 4428 individuals with T2DM,2515(56.80%)had lower limb atherosclerosis.Logistic analysis showed that lower limb atherosclerosis risk increased by 1%for every 1 unit rise in serum RBP level(odds ratio=1.01,95%confidence interval:1.00-1.02,P=0.004).Patients in the highest tertile group(Q3)had a higher lower limb atherosclerosis risk compared to the lowest tertile group(Q1)(odds ratio=1.36,95%confidence interval:1.12-1.67,P=0.002).The lower limb atherosclerosis risk gradually increased with an increase in RBP tertile(P for trend=0.005).Restricted cubic spline analysis indicated a linear correlation between serum RBP levels and lower limb atherosclerosis risk(non-linear P<0.05).Machine learning demonstrated the significance and diagnostic value of serum RBP in predicting lower limb atherosclerosis risk.CONCLUSION Elevated serum RBP levels correlate with an increased lower limb atherosclerosis risk in individuals with T2DM. 展开更多
关键词 Retinol-binding protein Type 2 diabetes mellitus Lower limb atherosclerosis Peripheral arterial disease BIOMARKER
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经胃入路自然腔道内镜保胆手术3例 被引量:10
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作者 王毓麟 夏时海 +5 位作者 李海 高放 齐丽娜 夏文中 杨淑娴 李进 《世界华人消化杂志》 CAS 2018年第23期1423-1428,共6页
经自然腔道内镜手术(natural orifice transluminal endoscopic surgery,NOTES)具有无疤痕、微创等优势,近年来得到了临床应用及发展.本文中对胆囊单发、多发结石及合并胆囊息肉3例患者实施经胃入路NOTES保胆手术均取得了成功,且无不良... 经自然腔道内镜手术(natural orifice transluminal endoscopic surgery,NOTES)具有无疤痕、微创等优势,近年来得到了临床应用及发展.本文中对胆囊单发、多发结石及合并胆囊息肉3例患者实施经胃入路NOTES保胆手术均取得了成功,且无不良反应发生.经胃入路保胆手术为胆囊结石及胆囊息肉患者提供了一个新的治疗术式和方法,值得进一步研究及探讨. 展开更多
关键词 经自然腔道内镜手术 经胃入路保胆手术
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针刺调控慢性疲劳综合征中枢机制研究进展 被引量:5
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作者 李彬彬 冯楚文 +7 位作者 屈媛媛 孙忠人 陈涛 王玉琳 王庆勇 鲁菁 邵玉莹 杨添淞 《World Journal of Acupuncture-Moxibustion》 CAS CSCD 2023年第3期198-203,共6页
Chronic fatigue syndrome is a neurological disorder characterized by extreme fatigue that lasts for a long time and doesn't alleviate with rest.The number of the cases has been increasing during the era of COVID-1... Chronic fatigue syndrome is a neurological disorder characterized by extreme fatigue that lasts for a long time and doesn't alleviate with rest.The number of the cases has been increasing during the era of COVID-19 pandemic.Acupuncture may have some effect on chronic fatigue syndrome,but its mechanism remains unclear.This article was to summarize the specific manifestations of abnormal central mechanism in patients with chronic fatigue syndrome through laboratory tests and neuroimaging.It was found from the laboratory evaluation that there were changes in the structure of the frontal cortex,thalamus and other brain tissues;factors,including IFN-a and IL-10 in cerebrospinal fluid were found abnormal;results of oxidative and nitrosative stress and changes in neurobiochemical substances,e.g.hypothalamus hormone levels and neurotransmitter concentrations,were observed.With magnetic resonance imaging and positron emission tomography,it was shown that the partial brain of persons with chronic fatigue syndrome had morphological changes with diminished grey matter and white;changes in cerebral blood flow velocity caused by decreased perfusion and functional activity with abnormal connectivity in brain were detected.In addition,there was significant decrease in glucose metabolism accompanied with neuroinflammatory response;metabolic disorders of serotonergic,cholinergic,glutamatergic and yaminobutyric acid energy neurotransmitters were also discovered.The regulatory effect of acupuncture on the above central neurological abnormalities in chronic fatigue syndrome model animals was elaborated,and the direction for further research was analyzed in order to provide ideas for further research on the central mechanism of acupuncture treatment for chronic fatigue syndrome. 展开更多
关键词 ACUPUNCTURE Central mechanism Chronic fatigue syndrome Neuroimaging technology Long COVID-19 Sequelae of COVID-19
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Modeling Method for Flexible Energy Behaviors in CNC Machining Systems 被引量:4
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作者 Yu-Feng Li yu-lin wang +2 位作者 Yan He Yan wang Shen-Long Lin 《Chinese Journal of Mechanical Engineering》 SCIE EI CAS CSCD 2018年第1期156-166,共11页
CNC machining systems are inevitably confronted with frequent changes in energy behaviors because they are widely used to perform various machining tasks. It is a challenge to understand and analyze the flexible energ... CNC machining systems are inevitably confronted with frequent changes in energy behaviors because they are widely used to perform various machining tasks. It is a challenge to understand and analyze the flexible energy behaviors in CNC machining systems. A method to model flexible energy behaviors in CNC machining systems based on hierarchical objected-oriented Petri net(HOONet) is proposed. The structure of the HOONet is constructed of a high-level model and detail models. The former is used to model operational states for CNC machining systems, and the latter is used to analyze the component models for operational states. The machining parameters having great impacts on energy behaviors in CNC machining systems are declared with the data dictionary in HOONet models. A case study based on a CNC lathe is presented to demonstrate the proposed modeling method. The results show that it is effective for modeling flexible energy behaviors and providing a fine-grained description to quantitatively analyze the energy consumption of CNC machining systems. 展开更多
关键词 Energy behaviors CNC machining systems Modeling method HOONet
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Exploration of the Relation between Input Noise and Generated Image in Generative Adversarial Networks
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作者 Hao-He Liu Si-Qi Yao +1 位作者 Cheng-Ying Yang yu-lin wang 《Journal of Electronic Science and Technology》 CAS CSCD 2022年第1期70-80,共11页
In this paper,we propose a hybrid model aiming to map the input noise vector to the label of the generated image by the generative adversarial network(GAN).This model mainly consists of a pre-trained deep convolution ... In this paper,we propose a hybrid model aiming to map the input noise vector to the label of the generated image by the generative adversarial network(GAN).This model mainly consists of a pre-trained deep convolution generative adversarial network(DCGAN)and a classifier.By using the model,we visualize the distribution of two-dimensional input noise,leading to a specific type of the generated image after each training epoch of GAN.The visualization reveals the distribution feature of the input noise vector and the performance of the generator.With this feature,we try to build a guided generator(GG)with the ability to produce a fake image we need.Two methods are proposed to build GG.One is the most significant noise(MSN)method,and the other utilizes labeled noise.The MSN method can generate images precisely but with less variations.In contrast,the labeled noise method has more variations but is slightly less stable.Finally,we propose a criterion to measure the performance of the generator,which can be used as a loss function to effectively train the network. 展开更多
关键词 Deep convolution generative adversarial network(DCGAN) deep learning guided generative adversarial network(GAN) visualization
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A multimode digital controller IC for flyback converter with high accuracy primary-side feedback 被引量:3
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作者 Jian-ping QIU Le-nian HE yu-lin wang 《Journal of Zhejiang University-Science C(Computers and Electronics)》 SCIE EI 2013年第8期652-662,共11页
A digital controller IC for the flyback converter with primary-side feedback is proposed. The controller is used for adapter charger or LED driver applications. To obtain high accuracy for the primary-side feedback, a... A digital controller IC for the flyback converter with primary-side feedback is proposed. The controller is used for adapter charger or LED driver applications. To obtain high accuracy for the primary-side feedback, a digital primary-side sensing technology is adopted, which can auto-track the knee point of the primary auxiliary winding voltage. Furthermore, an internal digital compensator eliminates the need for external loop compensation components while achieving excellent line and load regulation. The controller could output both constant voltage and constant current depending on the load current. Pulse width modulation and pulse frequency modulation are used in constant voltage mode while quasi-resonant control is used in constant current mode. The digital controller is validated by using FPGA. 展开更多
关键词 MULTIMODE Digital control Primary-side sensing Quasi-resonant control Constant voltage (CV) Constant current (CC) LED driver
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