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Density Functional Theory Study on the Histidine-assisted Mechanism of Arylamine N-Acetyltransferase Acetylation
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作者 乔青安 高善民 +3 位作者 靳月庆 陈鑫 孙孝敏 杨传路 《Chinese Journal of Structural Chemistry》 SCIE CAS CSCD 北大核心 2008年第9期1127-1133,共7页
Arylamine N-acetyltransferases (NATs, EC 2.3.1.5) catalyze the N-acetylation of primary arylamines, and play a key role in the biotransformation and metabolism of drugs, carcinogens, etc. In this paper, three possib... Arylamine N-acetyltransferases (NATs, EC 2.3.1.5) catalyze the N-acetylation of primary arylamines, and play a key role in the biotransformation and metabolism of drugs, carcinogens, etc. In this paper, three possible reaction mechanisms are investigated and the results indicate that if the acetyl group directly transfers from the donor to the acceptor, the high activation energies will make it hard to obtain the target products. When using histidine to mediate the acetylation process, these energies will drop in the 15-45 kJ/mol range. If the histidine residue is protonated, the corresponding energies will be decreased by about 35-87 kJ/mol. The calculations predict an enzymatic acetylation mechanism that undergoes a thiolate-imidazolium pair, which agrees with the experimental results very well. 展开更多
关键词 arylamine N-acetyltransferase density functional theory acetyl group transfer histidine-assisted mechanism
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Optimization of microwave-assisted extraction of bioactive alkaloids from lotus plumule using response surface methodology 被引量:4
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作者 Wei Xiong Xianqiang Chen +3 位作者 Guangping Lv Dejun Hu Jing Zhao Shaoping Li 《Journal of Pharmaceutical Analysis》 CAS 2016年第6期382-388,共7页
In this work,a fast and efficient microwave-assisted extraction(MAE) method was developed to extract main bioactive alkaloids from lotus plumue.To optimize MAE conditions,three main factors were selected using univari... In this work,a fast and efficient microwave-assisted extraction(MAE) method was developed to extract main bioactive alkaloids from lotus plumue.To optimize MAE conditions,three main factors were selected using univariate approach experiments,and then central composite design(CCD).The optimal extraction conditions were as follows:methanol concentration of 65%,microwave power of 200 W,and extraction time of 260 s.A high performance liquid chromatography–diode array detector(HPLC–DAD) method was established to quantitatively analyze these phytochemicals in different lotus plumule samples and in different part of lotus.Chromatographic separation was carried out on an Agilent Zorbax Extend-C_(18) column(4.6 mm×150 mm,3.5 μm).Gradient elution was applied with the mobile phase constituted with 0.1% triethylamine in water(A)and acetonitrile(B):40%-70% B at 0-8 min,70%-100% B at 8–9 min,100% B for 2 min,and then equilibrated with 40% B for 2 min. 展开更多
关键词 LOTUS plumule functionAL FOOD MICROWAVE-assistED EXTRACTION ALKALOIDS
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A Computational Study on Water-assisted Ammonolysis of N-Methyl β-Sultam 被引量:1
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作者 HE Mao-xia FENG Da-cheng YU Ling-juan CAI Zheng-ting 《Chemical Research in Chinese Universities》 SCIE CAS CSCD 2006年第1期94-98,共5页
The ring opening of β-sultam v/a an H2O-assisted ammonolysis process was studied by using Density Functional Theory(DFT) method at the B3LYP/6-31G level as a further step in the theoretical investigation of the amm... The ring opening of β-sultam v/a an H2O-assisted ammonolysis process was studied by using Density Functional Theory(DFT) method at the B3LYP/6-31G level as a further step in the theoretical investigation of the ammonolysis reaction of β-sultams. The calculated pathways are analogous to those previously described for the non-assisted ammonolysis reaction. Solvent effects were assessed by using the polarized continuum model(PCM) method. The results show that mode 1 and pathway a in channel Ⅱ are the most favorable ones in both the cases. The energy barrier of the cleavage of C-S bonds producing P1 is the highest among all the energy barriers. The presence of a solvent in the continuum model disfavors the reaction, whereas the participation of water in the ammonolysis reaction plays a positive role and reduces the active energy greatly. The relative energies of all the transition states in the assisted ammonolysis are 20-80 kJ/mol lower than those for the non-assisted reaction. 展开更多
关键词 AMMONOLYSIS Water-assisted mechanism Density functional Theory(DFT) β-Sultam
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Do Continuous Flow LVADS Improve Diastolic Dysfunction? 被引量:1
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作者 Nandini Nair Sudhir Thotakura Enrique Gongora 《Open Journal of Organ Transplant Surgery》 2014年第3期23-28,共6页
Background: Ventricular assist devices are now used as a bridge to recovery/decision/transplant or as destination therapy in end-stage heart failure. Continued improvements in technology and pump design have made impl... Background: Ventricular assist devices are now used as a bridge to recovery/decision/transplant or as destination therapy in end-stage heart failure. Continued improvements in technology and pump design have made implantation an easier process with reduced operative risks and pump-related adverse events. Considering the beneficial effects of these devices in the clinical setting, it seemed logical to address the long-term effect of the continuous flow pumps on diastolic dysfunction. Methods: This study addresses the effect of HeartMate IITM(HMII) support for 284+/-97 days on echocardiographic parameters of diastolic function. Data from fifteen patients was retrospectively studied status post left ventricular assist device (LVAD) implantation. The data at approximately 1-year post implantation was compared with that obtained prior to implantation. Statistical analyses were performed using the Microsoft Excel Program/MSExcel Stats. Echocardiographic measurements were carried out in accordance with the American Society of Echocardiography guidelines. Results: Of all the echocardiographic parameters assessed only E/Ea and calculated left atrial pressure (LAP) showed a statistically significant decrease. Two parameters that showed a trend towards significance are Ea (septal) and global functional index (p = 0.05). Conclusions: Continuous Flow LVAD support appears to improve diastolic dysfunction. This study has limitations in that we used a single type of continuous flow device (HeartMate IITM) and was conducted as a retrospective analysis. Further studies with larger populations and longer support are required to validate this finding. 展开更多
关键词 CONTINUOUS Flow Device DIASTOLIC function HeartMate IITM LEFT VENTRICULAR assist Devise
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Radial Basis Function Networks Applied in Bacterial Classification Based on MALDI-TOF-MS
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作者 HARRINGTON Peter de B. VOORHEES Kent J. REES Jon 《Chemical Research in Chinese Universities》 SCIE CAS CSCD 2002年第4期453-457,共5页
The radial basis function networks were applied to bacterial classification based on the matrix-assisted laser desorption/ionization time-of-flight mass spectrometric (MALDI-TOF-MS) data. The classification of bacteri... The radial basis function networks were applied to bacterial classification based on the matrix-assisted laser desorption/ionization time-of-flight mass spectrometric (MALDI-TOF-MS) data. The classification of bacteria cultured at different time was discussed and the effect of the network parameters on the classification was investigated. The cross-validation method was used to test the trained networks. The correctness of the classification of different bacteria investigated changes in a wide range from 61.5% to 92.8%. Owing to the complexity of biological effects in bacterial growth, the more rigid control of bacterial culture conditions seems to be a critical factor for improving the rate of correctness for bacterial classification. 展开更多
关键词 Radial basis function network Matrix-assisted laser desorption/ionization Time-of-flight mass spectrometry BACTERIUM CLASSIFICATION
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Photon-assisted electronic and spin transport through two T-shaped three-quantum-dot molecules embedded in an Aharonov-Bohm interferometer
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作者 白继元 李立 +4 位作者 贺泽龙 叶树江 赵树军 党随虎 孙伟民 《Chinese Physics B》 SCIE EI CAS CSCD 2017年第11期460-468,共9页
We investigate the time-modulated electronic and spin transport properties through two T-shaped three-quantum-dot molecules embedded in an Aharonov-Bohm(A-B) interferometer. By using the Keldysh non-equilibrium Gree... We investigate the time-modulated electronic and spin transport properties through two T-shaped three-quantum-dot molecules embedded in an Aharonov-Bohm(A-B) interferometer. By using the Keldysh non-equilibrium Green's function technique, the photon-assisted spin-dependent average current is analyzed. The T-shaped three-quantum-dot molecule A-B interferometer exhibits excellent controllability in the average current resonance spectra by adjusting the interdot coupling strength, Rashba spin-orbit coupling strength, magnetic flux, and amplitude of the time-dependent external field.Efficient spin filtering and multiple electron-photon pump functions are exploited in the multi-quantum-dot molecule A-B interferometer by a time-modulated external field. 展开更多
关键词 non-equilibrium Green's function photon-assisted electron transport Aharonov-Bohm interferometer Rashba spin-orbit coupling
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基于超声组织追踪应变技术早期评估左心辅助装置植入患者右心室功能
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作者 纪淑姣 徐高俊 +1 位作者 郭迎春 朱好辉 《中国医学影像学杂志》 北大核心 2025年第6期633-637,680,共6页
目的基于超声组织追踪应变技术评价左心辅助装置(LVAD)植入前后右心室功能。资料与方法回顾性收集2021年9月—2023年12月河南省胸科医院行LVAD手术患者15例,分析患者术前、术后1个月及术后3个月后右心室游离壁应变、右心室整体纵向应变... 目的基于超声组织追踪应变技术评价左心辅助装置(LVAD)植入前后右心室功能。资料与方法回顾性收集2021年9月—2023年12月河南省胸科医院行LVAD手术患者15例,分析患者术前、术后1个月及术后3个月后右心室游离壁应变、右心室整体纵向应变、右心室面积变化率、三尖瓣环收缩期位移、三尖瓣环侧壁收缩期峰值速度及心内结构变化。结果15例LVAD患者手术成功率为93%,1例植入术后急性心力衰竭死亡,14例患者术后均恢复较好。14例术前及术后右心室游离壁应变基底段、中段、心尖段逐渐减低,术后较术前减低,心尖段更明显。右心室游离壁应变术后1个月、3个月较术前减低[15.80(7.00),8.47(4.90),12.00(5.20)],术后3个月较术后1个月回升,差异均有统计学意义(P均<0.05);右心室三尖瓣环收缩期位移术后较术前减小(P<0.05)。术后1个月、3个月左侧房室大小较术前减小,差异有统计学意义(P<0.05);右心室面积变化率及右侧房室大小较术前稍大,差异无统计学意义(P>0.05);术前及术后左心室射血分数差异无统计学意义(P>0.05)。结论LVAD术后右心室功能减低,术后3个月逐渐回升,右心室游离壁应变参数变化更敏感。 展开更多
关键词 心力衰竭 超声心动描记术 心脏辅助装置 心室功能 应变
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Assistive Devices and Clothing: Exploring Adaptive Clothing Needs for Women with Lower Limb Prostheses Using the FEA Model 被引量:1
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作者 Mastourah Al Asmari Mirahan Farag Zedan 《Open Journal of Applied Sciences》 2024年第10期2901-2922,共22页
This study aimed to comprehensively investigate the essential considerations in designing adaptive clothing for women with lower limb prostheses in Saudi Arabia. Employing a qualitative methodology, the research entai... This study aimed to comprehensively investigate the essential considerations in designing adaptive clothing for women with lower limb prostheses in Saudi Arabia. Employing a qualitative methodology, the research entailed semi-structured, in-depth interviews with women utilizing lower limb prostheses and prosthetic specialists. This approach was selected to unearth pivotal design prerequisites and comprehend the specific challenges these women encounter within the realm of clothing. The utilization of selective sampling facilitated the collection of intricate and valuable insights. A Functional, Expressive, and Aesthetic (FEA) User Needs model was utilized to scrutinize participant feedback. Functional requisites encompass ease of dressing and undressing, accessibility to the prosthetic limb, comfort, mobility with the prosthesis, and appropriate fit. Additionally, participants highlighted various expressive needs, including privacy preservation, modesty, camouflaging disability appearances, maintaining alignment with non-disabled women’s fashion, and considerations about the aesthetic aspects of garments. 展开更多
关键词 assistive Devices Adaptive Clothing Lower Limb Prosthetics functional Expressive and Aesthetic (FEA) Model
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Microwave-Assisted Au and Ag Nanoparticle Synthesis: An Energy Phase-Space Projection Analysis
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作者 Victor J. Law Denis P. Dowling 《American Journal of Analytical Chemistry》 CAS 2023年第4期149-174,共26页
Microwave-assisted synthesis of gold and silver nanoparticles, as a function of Green Chemistry, non Green Chemistry, and four applicator types are reported. The applicator types are Domestic microwave ovens, commerci... Microwave-assisted synthesis of gold and silver nanoparticles, as a function of Green Chemistry, non Green Chemistry, and four applicator types are reported. The applicator types are Domestic microwave ovens, commercial temperature controlled microwave chemistry ovens (TCMC), digesters, and axial field helical antennae. For each of these microwave applicators the process energy budget where estimated (Watts multiplied by process time = kJ) and energy density (applied energy divided by suspension volume = kJ·ml<sup>-1</sup>) range between 180 ± 176.8 kJ, and 79.5 ± 79 kJ·ml<sup>-1</sup>, respectively. The axial field helical field an-tenna applicator is found to be the most energy efficient (0.253 kJ·m<sup>-1</sup> per kJ, at 36 W). Followed by microwave ovens (4.47 ± 3.9 kJ·ml<sup>-1</sup> per 76.83 ± 39 kJ), and TCMC ovens (2.86 ± 2.3 kJ·m<sup>-1</sup> per 343 ± 321.5 kJ). The digester applicators have the least energy efficiency (36.2 ± 50.7 kJ·m<sup>-1</sup> per 1010 ± 620 kJ). A comparison with reconstructed ‘non-thermal’ microwave oven inactivation microorganism experiments yields a power-law signature of n = 0.846 (R<sup>2</sup> = 0.7923) four orders of magnitude. The paper provides a discussion on the Au and Ag nanoparticle chemistry and bio-chemistry synthesis aspects of the microwave applicator energy datasets and variation within each dataset. The visual and analytical approach within the energy phase-space projection enables a nanoparticle synthesis route to be systematically characterized, and where changes to the synthesis are to be mapped and compared directly with historical datasets. In order to help identify lower cost nanoparticle synthesis, in addition to potentially reduce synthesis energy to routes informed changes to potentially reduce synthesis energy budget, along with nanoparticle morphology and yield. 展开更多
关键词 Turkevich Microwave-assisted Synthesis Ag AU HYDROXYAPATITE Nanoparticle functionALIZATION Energy Phase-Space Projection
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基于数据挖掘分析吴克明教授“补肾养血活血”理论治疗卵巢储备功能低下的用药规律 被引量:1
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作者 严谨 杨皓博 吴克明 《现代中医药》 2025年第2期109-114,共6页
目的探究卵巢储备功能低下(decline in ovarian reserbe,DOR)患者的中医体质、中医证型分布特点及吴克明教授临床治疗的用药规律。方法遵循流行病学调查方法,采用《中医体质分类与判定表》对DOR患者进行打分和体质分类,参考《中医妇科... 目的探究卵巢储备功能低下(decline in ovarian reserbe,DOR)患者的中医体质、中医证型分布特点及吴克明教授临床治疗的用药规律。方法遵循流行病学调查方法,采用《中医体质分类与判定表》对DOR患者进行打分和体质分类,参考《中医妇科常见病诊疗指南》及《中医妇科学》中“不孕症”“月经病”等证候分类,进行辨证分型,并收集吴克明教授门诊治疗DOR的中药处方信息。采用中医传承辅助平台(V2.5)进行挖掘分析相关用药规律。结果在所收集124例DOR患者的体质信息中,阳虚质36例,占29.03%;血瘀质19例,占15.32%;平和质16例,占12.9%;而气郁质、阴虚质、气虚质等占较少比例。中医证型分类中肾虚血瘀证共48例、脾肾阳虚证27例、肝郁肾虚证22例、气血两虚证14例、肝肾阴虚证13例。使用中医传承辅助平台对124例门诊处方进行数据挖掘,得出核心组方为:肉苁蓉、菟丝子、淫羊藿、枸杞子、覆盆子、黄精、当归、山萸肉、熟地黄、牡丹皮、香附。结论通过中医辅助平台对临床收集124例DOR患者的体质类型及其中药处方进行分析,阳虚质、血瘀质和肾虚血瘀证、脾肾阳虚证患者占比最多,而核心组方药物主要为肉苁蓉、菟丝子、淫羊藿、当归等,其中肉苁蓉、菟丝子、淫羊藿补肾精温肾阳,当归养血活血调经,初步揭示了吴克明教授在补肾养血活血法指导下临床治疗DOR的用药规律,并为不同体质类型、中医证型分类下DOR的临床治疗提供一定参考依据。 展开更多
关键词 卵巢储备功能低下 中医传承辅助平台 数据挖掘 名医经验 体质 吴克明
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罗哌卡因连续胸椎旁神经阻滞对胸腔镜肺叶切除术患者的影响
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作者 李楠 孙双春 +1 位作者 延育强 张勤 《国际医药卫生导报》 2025年第5期801-805,共5页
目的评估罗哌卡因连续胸椎旁神经阻滞(CTPVB)对胸腔镜肺叶切除术患者认知功能、镇痛效果及炎症因子的影响。方法本研究为随机对照试验。选取2023年1月至12月西安市中心医院行胸腔镜肺叶切除术的80例非小细胞肺癌患者作为研究对象,按信... 目的评估罗哌卡因连续胸椎旁神经阻滞(CTPVB)对胸腔镜肺叶切除术患者认知功能、镇痛效果及炎症因子的影响。方法本研究为随机对照试验。选取2023年1月至12月西安市中心医院行胸腔镜肺叶切除术的80例非小细胞肺癌患者作为研究对象,按信封法分为对照组(40例)和研究组(40例)。对照组男24例,女16例;年龄(43.24±5.79)岁;美国麻醉医师协会(ASA)分级Ⅰ级16例,Ⅱ级24例;病理分期Ⅰa、Ⅰb、Ⅱa、Ⅱb、Ⅲa期各15、11、6、5、3例。研究组男22例,女18例;年龄(44.13±5.62)岁;ASA分级Ⅰ级17例,Ⅱ级23例;病理分期Ⅰa、Ⅰb、Ⅱa、Ⅱb、Ⅲa期各14、13、5、6、2例。对照组给予全身麻醉,研究组给予罗哌卡因CTPVB(麻醉诱导前在超声引导下行患侧CTPVB,探头平行于肋间隙行穿刺点定位,使用平面内穿刺法至T4~T8节段,在各椎旁间隙注射0.5%罗哌卡因5 ml,用针刺皮肤痛觉消退法确定神经阻滞效果,CTPVB起效15 min后开始全身麻醉)联合全身麻醉。比较两组患者术后恢复情况、认知功能[简易智力状态检查量表(MMSE)]、静息和咳嗽时的疼痛程度[视觉模拟评分法(VAS)]、镇痛情况、炎症因子[白细胞介素(IL)-6、IL-8、肿瘤坏死因子-α(TNF-α)]水平、不良反应发生情况。采用χ^(2)、t检验进行统计学分析。结果研究组术后恢复情况优于对照组[拔管时间:(19.95±7.83)min比(26.36±8.02)min、苏醒时间:(10.96±6.78)min比(21.53±9.24)min、术后监护室停留时间:(52.85±10.23)min比(61.31±10.13)min],差异均有统计学意义(均P<0.05)。术后24 h,研究组MMSE评分为(26.55±2.42)分,高于对照组的(24.30±2.52)分,差异有统计学意义(P<0.05)。术后1 h、6 h、12 h,研究组在静息及咳嗽状态下的VAS评分均低于对照组(均P<0.05)。研究组镇痛情况优于对照组[丙泊酚用量:(582.68±75.31)mg比(674.74±80.95)mg、芬太尼用量:(209.86±28.74)μg比(347.43±30.58)μg、首次按压镇痛泵时间:(11.13±4.86)h比(7.94±5.38)h、镇痛泵按压次数:(2.35±0.86)次比(4.25±1.35)次](均P<0.05)。术后24 h、48 h,研究组IL-6、IL-8、TNF-α水平均低于对照组(均P<0.05)。研究组不良反应发生率与对照组比较[32.50%(13/40)比47.50%(19/40)],差异无统计学意义(P>0.05)。结论罗哌卡因CTPVB可改善胸腔镜肺叶切除术患者的术后认知功能、镇痛效果,减轻手术引起的全身炎症反应,对术后恢复有积极影响。 展开更多
关键词 连续胸椎旁神经阻滞 罗哌卡因 胸腔镜肺叶切除术 认知功能 镇痛效果 炎症因子
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正向反馈式心理干预联合强化膀胱功能训练对机器人辅助原位新膀胱术后病人康复的影响
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作者 徐迪 孙莺莹 陆欣宜 《全科护理》 2025年第20期3885-3888,共4页
目的:探讨正向反馈式心理干预联合强化膀胱功能训练对机器人辅助原位新膀胱术后病人康复的影响。方法:选取医院2022年6月—2024年6月接收的94例行机器人辅助原位新膀胱术治疗的膀胱癌病人,按接收时间分组,将2022年6月—2023年5月接收的4... 目的:探讨正向反馈式心理干预联合强化膀胱功能训练对机器人辅助原位新膀胱术后病人康复的影响。方法:选取医院2022年6月—2024年6月接收的94例行机器人辅助原位新膀胱术治疗的膀胱癌病人,按接收时间分组,将2022年6月—2023年5月接收的47例病人纳入对照组,给予常规护理;另将2023年6月—2024年6月接收的47例病人纳入观察组,在常规护理基础上给予正向反馈式心理干预联合强化膀胱功能训练。两组均干预至术后3个月,比较两组病人负面心理、膀胱功能训练依从性、膀胱功能恢复情况及生活质量变化。结果:干预后,观察组病人焦虑、抑郁评分均低于对照组(P<0.05);观察组病人的膀胱功能训练依从率高于对照组(P<0.05);观察组病人的膀胱容量、尿流率、膀胱逼尿肌压力值均大于对照组(P<0.05);观察组膀胱癌病人生活质量量表(FACT-BL)评分高于对照组(P<0.05)。结论:正向反馈式心理干预联合强化膀胱功能训练能够减轻机器人辅助原位新膀胱术病人负面心理,提高其膀胱功能训练依从性,促使其膀胱功能恢复,从而改善其生活质量。 展开更多
关键词 正向反馈式心理干预 强化膀胱功能训练 机器人辅助原位新膀胱术 负面心理 膀胱功能
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Modeling and Simulation of Laser Assisted Turning of Hard Steels
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作者 Omar Abdulghani Mohamed Sobih +1 位作者 Amro Youssef Abdel-Monem El-Batahgy 《Modeling and Numerical Simulation of Material Science》 2013年第4期106-113,共8页
This research work is focused on simulation of laser assisted turning as a new solution for machining of hard steels. A transient, three-dimensional model was developed to predict the temperature distribution of a rot... This research work is focused on simulation of laser assisted turning as a new solution for machining of hard steels. A transient, three-dimensional model was developed to predict the temperature distribution of a rotated cylindrical steel workpiece subjected to a localized heating using a moving Gaussian laser beam. In this regard, a User-Defined Function was created to overcome the problem of a moving Gaussian heat source’ definition. This User-Defined Function was compiled into a finite volume software package (Fluent), where three-dimensional single precision solver was used for analysis. Based on this model, simulation of the surface temperature of 32 mm diameter workpiece of AISI51 50H steel was performed as a function of time at a specific distance behind the laser beam spot, which is corresponding to 30° angle from the laser beam. The simulation results were compared with other published data of the same steel type where a close agreement was obtained. The verified model was used for simulation of laser assisted turning of 20 mm diameter workpiece of AISI D2 tool steel. The cutting depth, behind the laser beam, was set at a distance corresponding to 60° angle from the laser beam for having sufficient access for handling both laser head and cutting tool. This cutting depth was studied as a function of different lasers and machining parameters. The results indicated that the optimum parameters for successful laser-assisted turning process of the concerned steels are 800 W laser power, 5 mm laser beam spot diameter, 20 sec preheating time, 0.8 mm/sec laser scanning speed, 300 rpm rotational speed and 0.8 mm/sec feed rate. These parameters ensure easy/successful cutting of 1 mm depth in one pass without deteriorating the properties of the remaining bulk material. It can be deduced that the developed model might provide a useful tool for online process control of different steel types regardless of their physical properties and geometries. 展开更多
关键词 LASER assistED TURNING HARD STEELS THREE-DIMENSIONAL Modeling User-Defined function Temperature Distribution
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机器人辅助根治性膀胱切除术联合原位新膀胱术在膀胱癌患者中的应用
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作者 李萍 陈慧 庄君龙 《机器人外科学杂志(中英文)》 2025年第5期824-827,832,共5页
目的:探讨机器人辅助根治性膀胱切除术联合原位新膀胱术在膀胱癌患者中的应用效果。方法:选取2021年10月—2023年10月南京大学医学院附属鼓楼医院收治的84例行机器人辅助根治性膀胱切除术联合原位新膀胱术患者,记录并分析所有患者手术... 目的:探讨机器人辅助根治性膀胱切除术联合原位新膀胱术在膀胱癌患者中的应用效果。方法:选取2021年10月—2023年10月南京大学医学院附属鼓楼医院收治的84例行机器人辅助根治性膀胱切除术联合原位新膀胱术患者,记录并分析所有患者手术时间、术中出血量、术后住院时间、手术前后的性功能、控尿功能及并发症发生率。结果:84例患者均顺利完成手术,手术时间为(430.28±39.45)min,术中出血量为(263.40±38.65)mL,住院时间为(9.78±1.68)d。术后患者的亚利桑那性体验量表(ASEX)评分显著降低、国际勃起功能指数问卷表-5(IIEF-5)评分明显升高(P<0.05);与术后3个月相比,术后6个月与术后12个月患者的控尿率均显著提高(P<0.05);84例患者术后1例出现吻合口狭窄,2例出现尿漏,11例出现尿道感染,并发症总发生率为16.67%。结论:机器人辅助根治性膀胱切除术联合原位新膀胱术治疗膀胱癌的效果显著,有利于改善患者性功能,促进控尿功能恢复。 展开更多
关键词 膀胱癌 机器人辅助手术 根治性膀胱切除术 原位新膀胱术 性功能
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上肢机器人辅助干预脑卒中的文献计量分析 被引量:3
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作者 秦晴 刘叶 +2 位作者 叶海燕 李晨 陈迪 《中国康复理论与实践》 北大核心 2025年第1期85-98,共14页
目的分析机器人辅助干预脑卒中患者上肢功能的研究进展。方法在Web of Science核心合集中检索自建库至2024年11月关于机器人辅助疗法应用于脑卒中患者上肢功能康复的文献,采用Citespace 6.4.R1工具对该领域文献的来源国家、作者、机构... 目的分析机器人辅助干预脑卒中患者上肢功能的研究进展。方法在Web of Science核心合集中检索自建库至2024年11月关于机器人辅助疗法应用于脑卒中患者上肢功能康复的文献,采用Citespace 6.4.R1工具对该领域文献的来源国家、作者、机构、学科领域、关键词和引文关系等进行文献计量分析,并且绘制知识图谱。结果共纳入英文文献198篇,发文量呈上升趋势,中国、意大利、美国发文量较大,发文量最多的机构是罗马生物医学自由大学,发文量最多的作者是Rosati Giulio。共现频率前3位的关键词有motor recovery、activities of daily living、neuroplasticity。突现强度较高的关键词包括rehabilitation robotics、virtual reality、upper limb rehabilitation等。基于关键词聚类的研究重点方向主要有:对上肢运动功能、感觉功能、日常生活活动能力改善和大脑神经可塑性的相关研究。研究涉及基础医学、临床医学、生物医学工程、康复医学、控制科学与工程等领域。结论机器人辅助干预脑卒中患者上肢功能是一种创新的康复手段。研究热点聚焦于通过机器人辅助干预方法的设计及其效果,研究发现机器人辅助作业疗法可以有效改善患者的上肢功能,促进神经功能重塑,改善上肢主导的日常生活活动能力,并且能够激发患者积极性和康复信心。未来的研究应当更加聚焦于机器人辅助疗法与人工智能、虚拟现实等新兴技术的融合,探索其在精准康复、个性化康复方案制定等方面的应用潜力。 展开更多
关键词 脑卒中 机器人辅助干预 上肢功能 康复 文献计量学
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计算机辅助认知矫正对老年精神分裂症患者社会及执行功能的影响
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作者 杨倩倩 陈鹏 马毓 《国际精神病学杂志》 2025年第5期1415-1418,共4页
目的探讨老年精神分裂症患者应用计算机辅助认知矫正对其社会、执行功能的影响。方法纳入2020年1月~2024年10月本院老年精神分裂症100例,按随机数表方式设观察、对照组,各50例。对照组给予常规干预,观察组予以计算机辅助认知矫正治疗。... 目的探讨老年精神分裂症患者应用计算机辅助认知矫正对其社会、执行功能的影响。方法纳入2020年1月~2024年10月本院老年精神分裂症100例,按随机数表方式设观察、对照组,各50例。对照组给予常规干预,观察组予以计算机辅助认知矫正治疗。评估并比较两组社会功能缺陷筛选量表(Social Disability Screening Schedule,SDSS)、个人和社会功能量表(Personal and Social Performance Scale,PSP)、威斯康星卡片分类测验(Wisconsin Card Sorting Test,WCST)评分。结果观察组干预后SDSS评分低于对照组,PSP评分高于对照组(P<0.05);观察组干预后WCST完成分类数、总应答数、正确数评分均高于对照组,总错误数低于对照组(P<0.05)。结论计算机辅助认知矫正用于老年精神分裂症可改善患者社会及执行功能。 展开更多
关键词 计算机辅助认知矫正治疗 老年患者 精神分裂症 社会功能 执行功能
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孤独症谱系障碍多模态磁共振脑影像模式识别 被引量:2
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作者 单晓龙 陈华富 段旭君 《心理科学进展》 北大核心 2025年第4期548-564,共17页
孤独症谱系障碍(Autism spectrum disorder,ASD)是一组高度复杂的神经发育障碍。ASD患病率日趋升高、异质性强、会造成终生影响,但其神经病理机制仍不清楚。磁共振多模态脑影像为揭示ASD的影像学脑机制提供了新的手段。基于单模态磁共... 孤独症谱系障碍(Autism spectrum disorder,ASD)是一组高度复杂的神经发育障碍。ASD患病率日趋升高、异质性强、会造成终生影响,但其神经病理机制仍不清楚。磁共振多模态脑影像为揭示ASD的影像学脑机制提供了新的手段。基于单模态磁共振脑影像的研究已经发现了ASD在大脑结构、功能及脑网络层面都表现出了广泛的异常,其异常区域包括了杏仁核、梭状回、眶额皮层、内侧前额叶、前扣带、颞顶联合区以及脑岛等,这些脑区大多都涉及到了“社会脑”网络。虽然图像级融合、特征级融合、决策级融合的多模态脑影像分析框架在揭示被试神经机制过程中提供了多维度、多层级的信息,但是基于多模态磁共振脑影像融合的ASD研究还处于起步阶段。基于磁共振脑影像的ASD辅助诊断及亚型划分有望为临床诊疗提供客观依据。未来的研究可以构建一个融合多模态脑影像的分析框架,结合大脑功能、结构以及网络等多维度信息,全面刻画ASD发生发展规律,揭示其非典型神经发育机制。除此之外,未来的研究需要深入挖掘ASD“社会脑”网络异常机制,探索ASD社交障碍环路,寻找潜在精准神经调控靶点,助力临床实现ASD精准诊疗。 展开更多
关键词 孤独症谱系障碍 多模态磁共振 大脑功能和结构 辅助诊断 亚型分类
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玉米芯多糖提取的工艺优化及其 在功能性饼干中的应用
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作者 刘树桦 胡浩斌 韩明虎 《美食研究》 北大核心 2025年第3期78-84,I0008-I0010,共10页
为实现玉米芯的高效资源化利用,优化复合酶协同超声提取玉米芯多糖(CCPs)工艺,测定CCPs的理化性质与抗氧化活性,并比较添加玉米芯粉的饼干与普通饼干在营养成分及质构特性上的差异。结果表明:在液料比20∶1(mL/g)、超声时间30 min、酶... 为实现玉米芯的高效资源化利用,优化复合酶协同超声提取玉米芯多糖(CCPs)工艺,测定CCPs的理化性质与抗氧化活性,并比较添加玉米芯粉的饼干与普通饼干在营养成分及质构特性上的差异。结果表明:在液料比20∶1(mL/g)、超声时间30 min、酶解温度40℃、酶用量3%(以玉米芯粉质量计)条件下,CCPs提取率达17.33%;其最高持水力和持油力分别为4.8和3.1 g/g,且具有较强的抗氧化能力;玉米芯饼干在营养成分和质构特性上均显著优于普通饼干。该研究为玉米副产物的深度开发利用提供了理论与实践依据。 展开更多
关键词 废弃物资源化 玉米芯多糖 复合酶-超声辅助提取 功能性饼干
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数字技术辅助步行康复在脑卒中后偏瘫患者中的应用研究进展 被引量:1
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作者 池岩 张迪 +1 位作者 高鹤枭 姜雪 《实用医学杂志》 北大核心 2025年第15期2426-2434,共9页
随着人口老龄化趋势的加剧,脑卒中的发病率逐年上升。这种疾病通常伴随着神经功能受损,导致运动功能障碍,进而影响步行的稳定性和协调性,严重影响患者的日常生活及精神心理状态。近年来,数字技术辅助步行康复训练在脑卒中康复中展现出... 随着人口老龄化趋势的加剧,脑卒中的发病率逐年上升。这种疾病通常伴随着神经功能受损,导致运动功能障碍,进而影响步行的稳定性和协调性,严重影响患者的日常生活及精神心理状态。近年来,数字技术辅助步行康复训练在脑卒中康复中展现出巨大的潜力。结合虚拟现实技术、智能反馈系统以及远程康复等现代数字技术,数字技术辅助步行康复训练不仅能够为患者提供个性化的康复方案,还能通过沉浸式训练、实时反馈以及远程监控等促进患者步行功能的恢复。本文综述了数字技术在脑卒中后偏瘫患者步行功能障碍中的应用现状、有效性及存在的不足,旨在更好地把握脑卒中后步行功能训练的新方向,探寻更为有效的康复治疗方法帮助患者恢复步行功能。 展开更多
关键词 偏瘫 脑卒中 步行功能 数字技术辅助步行康复训练 虚拟现实
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Cavernous Nerve Graft Reconstruction with a Novel Artificial Conduit during Robot-Assisted Laparoscopic Radical Prostatectomy
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作者 Yoshiyuki Matsui Toshinari Yamasaki +2 位作者 Takahiro Inoue Tomomi Kamba Osamu Ogawa 《Open Journal of Urology》 2015年第8期118-122,共5页
The interposition sural nerve graft has been attempted occasionally during radical prostatectomy for the recovery of continence and erectile function;however, nerve autograft may result in adverse events for the patie... The interposition sural nerve graft has been attempted occasionally during radical prostatectomy for the recovery of continence and erectile function;however, nerve autograft may result in adverse events for the patient. Here, we present our initial experiences using NerbridgeTM, a novel conduit for peripheral nerve regeneration, rather than utilizing sural nerve grafting, in robot-assisted laparoscopic radical prostatectomy to overcome autograft problems such as prolongation of operation time and postoperative abnormal sensation. This novel artificial conduit interposition can be technically feasible when combined with robotic surgery, and prospective randomized controlled trials with high patients-numbers and long follow-up periods are warranted. 展开更多
关键词 ROBOT-assistED Laparoscopic Radical Prostatectomy (RALP) Nerbridge CAVERNOUS NERVE GRAFT RECONSTRUCTION Erectile function
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