期刊文献+
共找到1,714篇文章
< 1 2 86 >
每页显示 20 50 100
严重型子宫腺肌症患者NLR和血清Sirt6、MDM2蛋白水平及与复发的关系
1
作者 王茜 熊德玲 +1 位作者 胡又丹 李莹 《检验医学与临床》 2026年第2期244-250,共7页
目的 探讨严重型子宫腺肌症患者中性粒细胞与淋巴细胞比值(NLR)和血清沉默调节蛋白6(Sirt6)、鼠双微基因2(MDM2)蛋白水平及与复发的关系。方法 选取2019年1月至2021年12月达州市中西医结合医院收治的163例严重型子宫腺肌症患者(严重组)... 目的 探讨严重型子宫腺肌症患者中性粒细胞与淋巴细胞比值(NLR)和血清沉默调节蛋白6(Sirt6)、鼠双微基因2(MDM2)蛋白水平及与复发的关系。方法 选取2019年1月至2021年12月达州市中西医结合医院收治的163例严重型子宫腺肌症患者(严重组)、80例局限型子宫腺肌症患者(局限组)及80例轻微型子宫腺肌症患者(轻微组)作为研究对象。比较3组NLR及血清Sirt6、MDM2蛋白水平。根据病灶切除术后2年复发情况,将严重型子宫腺肌症患者分为复发组和未复发组,对比2组临床资料。采用多因素Logistic回归分析严重型子宫腺肌症患者复发的影响因素。绘制受试者工作特征(ROC)曲线分析NLR及血清Sirt6、MDM2蛋白对严重型子宫腺肌症患者复发的预测价值。另选取2022年1月至2023年1月达州市中西医结合医院收治的60例严重型子宫腺肌症患者作为验证集,采用K折交叉验证法验证NLR及血清Sirt6、MDM2蛋白联合模型预测价值。结果 (1)血清Sirt6水平为严重组<局限组<轻微组,且两两比较,差异均有统计学意义(P<0.05)。NLR及血清MDM2蛋白水平为严重组>局限组>轻微组,且两两比较,差异均有统计学意义(P<0.05)。(2)复发组血清Sirt6水平及术后应用促性腺激素释放激素类似物占比低于未复发组,血清MDM2蛋白水平、NLR及子宫体积、痛经评分大于未复发组,差异均有统计学意义(P<0.05)。(3)多因素Logistic回归分析结果显示,校正子宫体积这一混杂因素后,血清Sirt6水平升高仍是严重型子宫腺肌症患者复发的保护因素(P<0.05),NLR和血清MDM2蛋白水平升高仍是严重型子宫腺肌症患者复发的危险因素(P<0.05)。(4)NLR、血清Sirt6、MDM2蛋白单独预测严重型子宫腺肌症患者复发的曲线下面积(AUC)分别为0.786、0.749、0.759,三者联合预测严重型子宫腺肌症患者复发的AUC为0.917,明显高于各指标单独预测的AUC(P<0.05)。(5)NLR及血清Sirt6、MDM2蛋白联合模型在外部验证中的预测准确度达94.83%。结论 NLR及血清Sirt6、MDM2蛋白在严重型子宫腺肌症患者中呈异常表达,均与复发有关,三者联合有助于提高严重型子宫腺肌症患者复发的预测价值。 展开更多
关键词 严重型 子宫腺肌症 复发 沉默调节蛋白 鼠双微基因2 中性粒细胞与淋巴细胞比值
暂未订购
AlO_(2):A novel two-dimensional material with a high negative Poisson's ratio for the adsorption of volatile organic compounds
2
作者 Xinghong Cai Qiang Yang +4 位作者 Yao Tong Lanyin Liu Wutang Zhang Sam Zhang Min Wang 《Chinese Chemical Letters》 2025年第2期529-535,共7页
We propose and investigate a novel stable two-dimensional(2D)AlO_(2)with anomalous stoichiometric ratios based on first-principles calculation.2D AlO_(2)has metallic properties.It possesses the rare in-plane and out-o... We propose and investigate a novel stable two-dimensional(2D)AlO_(2)with anomalous stoichiometric ratios based on first-principles calculation.2D AlO_(2)has metallic properties.It possesses the rare in-plane and out-of-plane negative Poisson's ratio(NPR)phenomenon,originating from its special sawtooth-like structure.The absolute value of the NPR decreases as the number of layers increases.The adsorption of volatile organic compounds(VOCs)including CH_(2)O,C_(2)H_(3)Cl and C_(6)H_(6)by AlO_(2)exhibit small adsorption distance,large adsorption energy,large charge transfer and significant density of states(DOS)changes,indicating the presence of strong interactions.The desorption time of each gas molecule on the AlO_(2)surface is also evaluated,and the results further suggest that the desorption of VOCs can be controlled by changing the temperature to achieve the recycling of AlO_(2).These interesting properties make 2D AlO_(2)a promising material for electronic,mechanical and sensing applications for VOCs. 展开更多
关键词 AlO_(2) Negative Poisson's ratio VOCs Two-dimensional material First-principles calculations
原文传递
Manipulating local CO_(2)/H_(2)O ratio in electrocatalytic CO_(2)reduction toward multi-carbon product
3
作者 Na Qiu Wei Lu Hai-Qing Wang 《Rare Metals》 2025年第1期60-80,共21页
Electrocatalytic CO_(2)reduction reaction(CO_(2)RR)has been developed as a promising and attractive strategy to close the anthropogenic carbon cycle.Among various reduction products,multi-carbon(C_(2+))oxygenate and h... Electrocatalytic CO_(2)reduction reaction(CO_(2)RR)has been developed as a promising and attractive strategy to close the anthropogenic carbon cycle.Among various reduction products,multi-carbon(C_(2+))oxygenate and hydrocarbon compounds are desirable value-added fuels or chemicals.Extensive researches have revealed the crucial role of local CO_(2)and H_(2)O concentrations(or the adsorption of ^(*)CO and ^(*)H)close to the electrode/catalyst surface in manipulating multi-carbon generation pathways.In this mini reviews,we mainly summarized the recent progress of this field over the past five years.The modulating strategies for the hydrogen and carbon species ratio can be divided into three categories,i.e.,catalyst morphology,electrolyte composition and mass transfer.The effectiveness of the aforementioned strategies in promoting multi-carbon product selectivity was discussed in detail from the perspectives of tuning the local CO_(2)and H_(2)O concentrations and the subsequent thermodynamic-and kinetic-controlled ^(*)CO and ^(*)H ratios.Finally,the critical challenges remaining in balancing the ratio of CO_(2)and H_(2)O as well as potential upgrading directions for future research are addressed. 展开更多
关键词 CO_(2)reduction Electrocatalysis Multi-carbon product CO_(2)/H_(2)O ratio Local environment
原文传递
肌肉与脂肪比值对非超重/肥胖2型糖尿病的预测价值研究
4
作者 李纪新 邱林杰 +6 位作者 任燕 王文茹 李美洁 栗文婕 邹姹姹 吴梓敬 张晋 《中国全科医学》 北大核心 2026年第6期726-732,共7页
背景非超重/肥胖人群的2型糖尿病(T2DM)发病隐匿,早期识别T2DM的危险因素,具有重要意义。肌肉与脂肪比值(MFR)在代谢性疾病预测中的应用广泛,但在T2DM领域,尤其在非超重/肥胖T2DM中研究尚少。目的探究MFR与非超重/肥胖人群T2DM的相关性... 背景非超重/肥胖人群的2型糖尿病(T2DM)发病隐匿,早期识别T2DM的危险因素,具有重要意义。肌肉与脂肪比值(MFR)在代谢性疾病预测中的应用广泛,但在T2DM领域,尤其在非超重/肥胖T2DM中研究尚少。目的探究MFR与非超重/肥胖人群T2DM的相关性及其预测价值。方法本研究纳入2021—2024年在中国中医科学院西苑医院参加健康体检的非超重/肥胖成年人,以是否患有T2DM作为分组依据比较基线水平;运用Logistic回归和线性回归分析MFR与非超重/肥胖人群T2DM发生风险及空腹血糖(FPG)的相关性;为判断研究结果的稳健性,本研究依据性别、年龄、是否吸烟、是否饮酒、是否患有高血压进行了亚组分析;绘制受试者工作特征(ROC)曲线,评估MFR对非超重/肥胖人群T2DM发生风险的预测价值。结果本研究共纳入非超重/肥胖受试者1021名,包含T2DM患者113例。Logistic回归和线性回归分析结果显示,在未经协变量调整的模型1中,非超重/肥胖个体的MFR每上升1个单位,T2DM发生风险降低为原来的0.36(OR=0.36,95%CI=0.22~0.60,P<0.001),FPG降低0.26个单位(β=-0.26,95%CI=-0.39~-0.14,P<0.001)。在完全调整协变量的模型3中,MFR每上升1个单位,T2DM发生风险降低为原来的0.29(OR=0.29,95%CI=0.12~0.69,P=0.005),FPG降低0.28个单位(β=-0.28,95%CI=-0.49~-0.08,P=0.007)。当MFR作为分类变量时,在模型3中,MFR Q4组的T2DM发生风险降低为MFR Q1组的0.34(OR=0.34,95%CI=0.12~0.93,P=0.036),且FPG降低0.36个单位(β=-0.36,95%CI=-0.63~-0.09,P=0.009)。亚组分析显示,MFR与FPG水平的相关性在吸烟和高血压人群中更为显著。MFR预测非超重/肥胖人群T2DM发生风险的ROC曲线下面积(AUC)为0.6354(95%CI=0.5786~0.6874),最佳临界值为1.0801,灵敏度为46.90%,特异度为75.44%。结论在非超重肥胖人群中MFR与T2DM发生风险及FPG的水平呈非线性负相关,MFR具有一定预测效能,可用于非超重/肥胖人群T2DM发生风险的早期预测。 展开更多
关键词 糖尿病 2 血糖 肌肉与脂肪比值 相关性研究 预测模型
暂未订购
Association between uric acid to high-density lipoprotein ratio and mental health symptoms in people with type 2 diabetes
5
作者 Hui Xu Dong-Juan He +6 位作者 Cheng Luo Xian-Mei Yu Cheng-Zheng Duan Da Sun De-Jun Wu Xiao-Qiang Mao Wei-Feng Jiang 《World Journal of Diabetes》 2025年第10期249-260,共12页
BACKGROUND The association between the uric acid-to-high-density lipoprotein cholesterol ratio(UHR)and mental health among individuals with type 2 diabetes mellitus(T2DM)has not been thoroughly investigated.AIM To exa... BACKGROUND The association between the uric acid-to-high-density lipoprotein cholesterol ratio(UHR)and mental health among individuals with type 2 diabetes mellitus(T2DM)has not been thoroughly investigated.AIM To examine the link between UHR and symptoms of depression and anxiety in patients with T2DM.METHODS A cross-sectional analysis was carried out from March 2023 to April 2024,involving participants diagnosed with T2DM.Data on sociodemographic characteristics,clinical parameters,and UHR values were systematically gathered.The Self-Rating Depression Scale(SDS)and Self-Rating Anxiety Scale(SAS)were utilized to evaluate depressive and anxiety symptoms,respectively.To assess the relationships between UHR and SDS/SAS scores,linear regression models were employed,incorporating adjustments for potential confounding variables.Additionally,smooth curve fitting and threshold effect analyses were conducted to explore potential nonlinear relationships.RESULTS A total of 285 patients with T2DM were included.Initial univariate analysis demonstrated a significant positive correlation between elevated UHR levels and higher SDS and SAS scores.Multivariate regression analysis revealed that a one-unit rise in UHR was associated with a 1.13-point increase in SDS scores(95%CI:0.69-1.58)and a 0.57-point increase in SAS scores(95%CI:0.20-0.93).After controlling for confounders,UHR remained positively correlated with SDS(β=1.55,95%CI:0.57-2.53)and SAS(β=0.72,95%CI:0.35-1.09).Nonlinear analysis identified critical thresholds at UHR values of 5.02 for SDS and 4.00 for SAS,beyond which the relationships between UHR and psychological symptom scores became markedly stronger(P<0.05).CONCLUSION Higher UHR levels are significantly linked to exacerbated depressive and anxiety symptoms in patients with T2DM.These results indicate that UHR may function as a promising biomarker to identify individuals at greater risk of mental health complications within this population. 展开更多
关键词 ANXIETY DEPRESSION Type 2 diabetes mellitus Uric acid High-density lipoprotein cholesterol Uric acid-to-highdensity lipoprotein cholesterol ratio
暂未订购
Evolution of global O_(3)-NO_(x)-VOCs sensitivity before and after the COVID-19 from the ratio of formaldehyde to NO_(2) from satellite observations
6
作者 Dakang Wang Dongchuan Pu +13 位作者 Isabelle De Smedt Lei Zhu Xiankun Yang Wenfu Sun Hui Xia Zhaolong Song Xicheng Li Juan Li Aoxing Zhang Xu Feng Yuyang Chen Xin Yang Tzung-May Fu Jinnian Wang 《Journal of Environmental Sciences》 2025年第10期102-113,共12页
Ozone production sensitivity is widely used to reveal the chemical dominant precursors of urban ozone rise.Here,we diagnose the impact of the decline in global human production activities level caused by the COVID-19 ... Ozone production sensitivity is widely used to reveal the chemical dominant precursors of urban ozone rise.Here,we diagnose the impact of the decline in global human production activities level caused by the COVID-19 on ozone sensitivity through the ratio of formaldehyde(HCHO)and NO_(2)(FNR=HCHO/NO_(2))observations from the TROPOspheric Monitoring Instrument.We use a relative uncertainty threshold to clean the satellite FNR,and our satellite FNR present a good correlation(R=0.6248)with U.S.Environmental Protection Agency observations.We found that the outbreak of the COVID-19 did not change the pattern of global ozone sensitivity,while the global regimes was transforming or strengthening to VOC-limited regimes due to the significant decline of human production activities levels.During the COVID-19,ozone sensitivity in Eastern China and East Africa continued to shift to VOC-limited regimes,while India,Western Europe and North America first moved to NOx-limited regimes,and then changed to VOC-limited regimes with the resumption of production and the increase in travel.The clustering results tell that urban ozone sensitivity tends to shift towards NOx-limited regimes as economic growing.The ozone formation in cities with lower FNR and per capita gross domestic product(GDP)are more sensitive to changes in VOCs,while cities with higher FNR and per capita GDP are more sensitive to variations in NOx.Cities with intermediate FNR and GDP are good evidence of the existence of transitional regimes.Our study identifies the driving role of urban economics in orienting the evolution of ozone sensitivity regimes. 展开更多
关键词 Ozone sensitivity Satellite formaldehyde(HCHO)and NO_(2) Formaldehyde-to-NO_(2)ratio Gross domestic product(GDP)
原文传递
Associations of nontraditional lipoprotein ratios with future cardiovascular events in patients with type 2 diabetes mellitus
7
作者 Si-Min Deng Xin-Qun Hu Xiang-Yu Zhang 《World Journal of Diabetes》 2025年第6期130-142,共13页
BACKGROUND Patients with type 2 diabetes mellitus(T2DM)face a heightened risk of future cardiovascular events.It is therefore important to stratify these patients according to their future cardiovascular event risk to... BACKGROUND Patients with type 2 diabetes mellitus(T2DM)face a heightened risk of future cardiovascular events.It is therefore important to stratify these patients according to their future cardiovascular event risk to allow early intervention and improve prognosis.Recent proposals have indicated that nontraditional lipoprotein ratios may be superior predictors of cardiovascular events compared to traditional lipid parameters.However,further evidence is required for widespread clinical ap-plication.AIM To elucidate the associations of nontraditional lipoprotein ratios with future cardiovascular events in patients with T2DM.METHODS This study performed post-hoc analysis of data obtained during a clinical trial involving 10182 participants.To ascertain the correlations between nontraditional lipoprotein ratios and future cardiovascular events,including major adverse cardiovascular events(MACEs)and congestive heart failure(CHF).We employed univariable and multivariable-adjusted Cox proportional hazards regression models.Potential dose-response relationships and threshold values were explored by conducting restricted cubic spline analyses and two-piecewise linear regression models.Possible relevant interactions influencing independent relationships were tested using subgroup and interaction analyses.RESULTS After adjustment for confounding factors,all nontraditional lipoprotein ratios studied were strongly associated with MACE risk in patients with T2DM.In comparison with patients in the lowest quartile,the hazard ratios(95%confidence intervals)of those in the highest quartile were 1.50(1.29-1.73),1.51(1.30-1.74),1.50(1.29-1.73),and 1.30(1.12-1.50)for total cholesterol/high-density lipoprotein cholesterol(HDL-C),low-density lipoprotein cholesterol/HDL-C,non-HDL-C/HDL-C,and remnant cholesterol/HDL-C,respectively.Similar findings were noted for CHF.Dose-response relationships between nontraditional lipoprotein ratios and MACE were observed,with threshold values of 7.29,6.29,and 2.15 for total cholesterol/HDL-C,non-HDL-C/HDL-C,and remnant cholesterol/HDL-C,respectively.However,no notable dose-response relationships were detected between nontraditional lipoprotein ratios and CHF.CONCLUSION Elevated nontraditional lipoprotein ratios may independently predict the risk of MACE and CHF in patients with T2DM. 展开更多
关键词 Nontraditional lipoprotein ratios Future cardiovascular events PROGNOSIS Major adverse cardiovascular events Type 2 diabetes mellitus Congestive heart failure
暂未订购
Effect of Cu/HZSM-5 sorbents with different Si/Al ratios on the adsorption and oxidation performance of H_(2)S
8
作者 Kaini Ma Kai Li +5 位作者 Ping Ning Jiayu Feng Jiacheng Bao Lei Shi Xiangyu Wang Xin Sun 《Journal of Environmental Sciences》 2025年第5期161-173,共13页
This study employed a wet impregnation method to synthesize five types of Cu/HZSM-5 adsorbents with Si/Al ratios of 25,50,85,200,and 300,used for the removal of H_(2)S in lowtemperature,low-oxygen environments.The imp... This study employed a wet impregnation method to synthesize five types of Cu/HZSM-5 adsorbents with Si/Al ratios of 25,50,85,200,and 300,used for the removal of H_(2)S in lowtemperature,low-oxygen environments.The impact of different Si/Al ratios on the adsorption oxidative performance of Cu_(30)/HZSM-5–85 adsorbents was investigated.According to the performance test results,Cu_(30)/HZSM-5–85 exhibited the highest breakthrough capacity,reaching 231.75 mg H_(2)S/g_(sorbent).Cu/HZSM-5 sorbent maintains a strong ability to remove H_(2)S even under humid conditions and shows excellent water resistance.XRD,BET,and XPS results revealed that CuO is the primary active species,with Cu_(30)/HZSM-5–85 having the largest surface area and highest CuO content,providing more active sites for H_(2)S adsorption.H_(2)-TPR and O_(2)-TPD results confirmed that Cu_(30)/HZSM-5–85 sorbent exhibits outstanding redox properties and oxygen storage capacity,contributing to excellent oxygen transferability in the molecular sieve adsorption-oxidation process.With notable characteristics such as a large surface area,high desulfurization efficiency,and water resistance,Cu_(30)/HZSM-5–85 sorbents hold significant importance for industrial applications. 展开更多
关键词 H_(2)S Si/Al ratio Adoration-oxidation Cu/HZSM-5-85(HZSM-5 with Si/Al ratio of 85 loaded Cu)
原文传递
Effect of SiO_(2) mass ratio on high-Ti vanadium titanomagnetite sintering at basicity of 2.0
9
作者 Peng Hu Jun-jie Zeng +5 位作者 Yu-xiao Xue Rui Wang Yong-da Li Ning-yu Zhang Shuo Zhang Xue-wei Lv 《Journal of Iron and Steel Research International》 2025年第4期849-860,共12页
The effect of(CaO+SiO_(2))mass ratio on high-Ti vanadium titanomagnetite sintering was systematically studied at the fixed basicity(CaO/SiO_(2))of 2.0.The results show that sinter matrix strength is improved with(CaO+... The effect of(CaO+SiO_(2))mass ratio on high-Ti vanadium titanomagnetite sintering was systematically studied at the fixed basicity(CaO/SiO_(2))of 2.0.The results show that sinter matrix strength is improved with(CaO+SiO_(2))mass ratio while the total iron content is reduced.Thermodynamic analysis indicates that the increase in(CaO+SiO_(2))mass ratio from 15.0 to 22.5 wt.%contributes to the formation of liquid phase,especially silico-ferrite of calcium and aluminum(SFCA).In addition,the formation of perovskite is inhibited and liquid phase fluidity is improved.The porosity of sinter matrix is reduced by 34.5%and SFCA amount is increased by 47.2%when(CaO+SiO_(2))mass ratio is increased from 15.0 to 18.0 wt.%.With the further increase in(CaO+SiO_(2))mass ratio,the structure of sinter matrix is too dense and the improved extent of SFCA amount is increasingly low.The appropriate(CaO+SiO_(2))mass ratio should be 18.0 wt.%overall.Under this condition,sinter matrix strength is greatly improved by over 13.5%compared with the base case and the total iron content can be maintained at about 49 wt.%. 展开更多
关键词 High-Ti vanadium titanomagnetite (CaO+SiO_(2))mass ratio Sintering process Liquid phase formation Consolidation characteristics
原文传递
2型糖尿病患者TCBI与尿白蛋白/肌酐比值的相关性及临床意义
10
作者 丁艺 尚东胜 +3 位作者 邓霞 王林仙 卜寒莉 庄琴 《临床误诊误治》 2026年第2期41-48,共8页
目的探讨2型糖尿病(T2DM)患者三酰甘油(TG)-总胆固醇(TC)-体质量(BW)指数(TCBI)与尿白蛋白/肌酐比值(UACR)的相关性及临床意义。方法选择2018年1月至2023年11月就诊的T2DM患者600例,收集患者一般资料及TG、TC、UACR等指标。将受试者依... 目的探讨2型糖尿病(T2DM)患者三酰甘油(TG)-总胆固醇(TC)-体质量(BW)指数(TCBI)与尿白蛋白/肌酐比值(UACR)的相关性及临床意义。方法选择2018年1月至2023年11月就诊的T2DM患者600例,收集患者一般资料及TG、TC、UACR等指标。将受试者依据计算出的TCBI值分为低TCBI组、中TCBI组和高TCBI组,每组200例;依据UACR分为正常白蛋白尿组314例、微量白蛋白尿组232例和大量白蛋白尿组54例。应用Pearson相关性分析T2DM患者TCBI与临床特征相关性。多因素Logistic回归分析T2DM患者发生白蛋白尿的危险因素,并评估TCBI对白蛋白尿发生风险的预测价值。结果高TCBI组lgUACR高于低、中TCBI组,中TCBI组对数转化后尿白蛋白/肌酐比值(lgUACR)高于低TCBI组(P<0.05)。大量白蛋白尿组TCBI水平高于正常及微量白蛋白尿组,微量白蛋白尿组高于正常白蛋白尿组(P<0.05)。TCBI与年龄(r=-0.14,P<0.01)、病程(r=-0.11,P<0.01)、高密度脂蛋白胆固醇(r=-0.12,P<0.01)呈负相关,与lgUACR(r=0.27,P<0.01)、体质量指数(r=0.30,P<0.01)、糖化血红蛋白(r=0.12,P<0.01)、空腹血糖(r=0.19,P<0.01)、低密度脂蛋白胆固醇(r=0.23,P<0.01)、血尿素(r=0.09,P<0.01)、血尿酸(r=0.25,P<0.01)、对数转化后胰岛素抵抗指数(r=0.14,P<0.01)呈正相关。多因素Logistic回归分析显示,TCBI为T2DM患者发生白蛋白尿的独立危险因素(P<0.01)。TCBI预测T2DM患者发生白蛋白尿曲线下面积为0.715,敏感度为63.6%,特异度为71.0%。结论在T2DM患者中,TCBI升高与UACR升高相关,增加了白蛋白尿发生的风险,且对白蛋白尿的发生具有一定预测价值。 展开更多
关键词 2型糖尿病 白蛋白尿 三酰甘油 总胆固醇 体质量 营养指数 尿白蛋白/肌酐比值 糖尿病肾病
暂未订购
MHR与2型糖尿病患者发生急性心肌梗死及冠状动脉狭窄严重程度的相关性分析
11
作者 宋蔚 高云龙 +4 位作者 尹心语 付沛舒 温泽宇 曹慧丽 杨滨 《中国动脉硬化杂志》 2026年第1期57-64,共8页
[目的]探讨单核细胞与高密度脂蛋白胆固醇(HDLC)比值(MHR)对2型糖尿病(T2DM)患者发生急性心肌梗死(AMI)及冠状动脉狭窄程度的预测价值。[方法]采用回顾性病例对照研究,纳入自2022年1月至2023年3月期间因胸痛就诊于山西医科大学第二医院... [目的]探讨单核细胞与高密度脂蛋白胆固醇(HDLC)比值(MHR)对2型糖尿病(T2DM)患者发生急性心肌梗死(AMI)及冠状动脉狭窄程度的预测价值。[方法]采用回顾性病例对照研究,纳入自2022年1月至2023年3月期间因胸痛就诊于山西医科大学第二医院的137例合并AMI的T2DM患者(心肌梗死组),并通过倾向性评分匹配法选取137例未合并AMI的T2DM患者(非心肌梗死组),两组均行冠状动脉造影术。分析MHR与T2DM患者发生AMI的风险及冠状动脉狭窄程度的相关性。[结果]心肌梗死组单核细胞计数和MHR显著高于非心肌梗死组(P<0.001),而HDLC水平显著低于非心肌梗死组(P=0.005)。多因素Logistic回归分析结果显示,MHR是T2DM患者发生AMI的独立危险因素(OR=62.30,95%CI:12.21~317.78,P<0.001)。ROC曲线分析表明,MHR预测T2DM患者发生AMI的曲线下面积为0.704(灵敏度为0.796,特异度为0.540)。基于MHR二分位数的多变量Logistic回归分析显示,在调整混杂因素后,T2DM患者中高MHR组(MHR≥0.38)较低MHR组(MHR<0.38)发生AMI的风险增加了1.978倍(OR=2.978,95%CI:1.744~5.086,P<0.001)。多因素线性回归分析结果表明,T2DM患者MHR每上升1.0,其Gensini评分相应增加47.177分(β=47.177,95%CI:25.165~69.188,P<0.001)。[结论] MHR与T2DM患者AMI发生风险呈正相关,且与T2DM患者冠状动脉狭窄的严重程度呈正相关。通过监测MHR水平,能够实现对T2DM患者发生AMI及其冠状动脉狭窄程度的早期预测。 展开更多
关键词 急性心肌梗死 2型糖尿病 单核细胞与高密度脂蛋白胆固醇比值 冠状动脉狭窄
暂未订购
Effect of Zn and Ti mole ratio on microstructure and photocatalytic properties of magnetron sputtered TiO_2-ZnO heterogeneous composite film 被引量:2
12
作者 白力静 寇钢 +1 位作者 龚振瑶 赵志明 《Transactions of Nonferrous Metals Society of China》 SCIE EI CAS CSCD 2013年第12期3643-3649,共7页
Series of TiO 2-ZnO heterojunction composite films with different n(Zn)/n(Ti) ratios were prepared by UDP450 magnetron sputter ion plating equipment, and the mole ratio of Zn to Ti was controlled by adjusting the ... Series of TiO 2-ZnO heterojunction composite films with different n(Zn)/n(Ti) ratios were prepared by UDP450 magnetron sputter ion plating equipment, and the mole ratio of Zn to Ti was controlled by adjusting the current values of sputtering target. The effects of n(Zn)/n(Ti) on the microstructures of TiO2-ZnO films were investigated by SEM, AFM, Raman and XPS, and their photocatalytic decomposition of methyl orange solutions was evaluated. The results show that an increase in n(Zn)/n(Ti) typically results in a decrease in the grain size of composite films firstly and then an increase of grain size, while an increase in n(Zn)/n(Ti) leads to an increase in film roughness firstly and then a decrease in film roughness. Both grain size and roughness of TiO2-ZnO films reach the maximum and minimum at n(Zn)/n(Ti) of 1/9.3, respectively. The n(Zn)/n(Ti) shows little effect on the valences of Zn and Ti elements, which mainly exist in the form of TiO2 and ZnO phases. The n(Zn)/n(Ti) has influence on the amount of anatase/rutile TiO2 heterojunction in the film. With increase of the n(Zn)/n(Ti), the absorption intensity of the composite film increases and the absorption region extends to 450 nm, which is redshifted as much as 150 nm in comparison with the pure TiO2 films. However, the photocatalytic abilities of heterogeneous composite films do not depend on the n(Zn)/n(Ti) but rather on the microstructures of the TiO2-ZnO composite films. Degradation rate of the film reaches the maximum and the photocatalytic decomposition of pollutants works best when n(Zn)/n(Ti)=1:9.3. 展开更多
关键词 magnetron sputtering TiO2-ZnO thin films Zn to Ti mole ratio MICROSTRUCTURE PHOTOCATALYTIC
在线阅读 下载PDF
冠心病合并2型糖尿病患者中医证型、NLR、PLR与预后的相关性 被引量:1
13
作者 吴定坤 鞠娟 +8 位作者 邢俊武 陈磊垚 翟慧媛 伯广干 苏晓叶 李敏 朱云仙 谭家力 李冲 《贵州医科大学学报》 2025年第7期1067-1074,共8页
目的 探究冠心病(coronary atherosclerotic heart disease, CAHD)合并2型糖尿病(diabetes mellitus type 2,T2DM)中医证型与中性粒细胞/淋巴细胞比值(neutrophil-to-lymphocyte ratio, NLR)、血小板/淋巴细胞比值(platelet-to-lymphocy... 目的 探究冠心病(coronary atherosclerotic heart disease, CAHD)合并2型糖尿病(diabetes mellitus type 2,T2DM)中医证型与中性粒细胞/淋巴细胞比值(neutrophil-to-lymphocyte ratio, NLR)、血小板/淋巴细胞比值(platelet-to-lymphocyte ratio, PLR)的相关性,以及不同证型NLR、PLR与患者预后的相关性。方法 选取CAHD合并T2DM的患者98例作为研究对象,收集其中医四诊信息;通过聚类分析法将其分为气阴两虚夹痰夹瘀证组(n=32)、气虚痰瘀证组(n=45)和阳虚血瘀证组(n=21),比较3组患者的一般资料和实验室指标,以及出院1个月后主要心血管不良事件(major cardiovascular adverse events, MACE)发生情况;根据患者是否发生MACE分为预后不良组(n=34)和预后良好组(n=64),分析不同证型、NLR及PLR与患者预后不良的相关性,采用多因素logistic回归分析影响CAHD合并T2DM患者预后不良的危险因素,采用受试者工作特征(receiver operating characteristic curve, ROC)曲线下面积(area under curve,AUC)评价NLR和PLR对患者预后不良的诊断价值。结果 CAHD合并T2DM患者共39类主要中医四诊信息;3组患者的CAHD病程、T2DM病程、心肌梗死史、NLR及PLR水平比较,差异有统计学意义(P<0.05),其中阳虚血瘀证组患者的CAHD病程、T2DM病程、心肌梗死史、PLR及NLR水平均高于其他两种证型组(P<0.05);阳虚血瘀证组患者的MACE发生率明显高于其他两种证型(P<0.05),NLR和PLR是影响患者预后的独立影响因素;NLR联合PLR对CAHD合并T2DM预后不良具有较好的诊断价值。结论 CAHD合并T2DM患者中,阳虚血瘀证患者NLR和PLR水平高,预后差,表明NLR和PLR是预测其不良预后的关键指标。 展开更多
关键词 冠心病 2型糖尿病 中医证型 中性粒细胞/淋巴细胞比值 血小板/淋巴细胞比值
暂未订购
La_(2)O_(3)对SiO_(2)-CaO-Al_(2)O_(3)-MgO熔体电导率影响
14
作者 王金明 郭文涛 +1 位作者 金永丽 赵增武 《稀土》 北大核心 2025年第1期81-88,共8页
电导率是稀土矿渣玻璃陶瓷熔融过程中最重要的物性参数之一,研究电导率对玻璃熔体熔炼工艺优化有指导作用。为了研究尾矿玻璃陶瓷生产制造的熔融过程中稀土对熔体电导率的作用,使用分析纯试剂根据玻璃陶瓷主要化学成分制备玻璃陶瓷熔体... 电导率是稀土矿渣玻璃陶瓷熔融过程中最重要的物性参数之一,研究电导率对玻璃熔体熔炼工艺优化有指导作用。为了研究尾矿玻璃陶瓷生产制造的熔融过程中稀土对熔体电导率的作用,使用分析纯试剂根据玻璃陶瓷主要化学成分制备玻璃陶瓷熔体样品,采用交流四电极法研究稀土对玻璃熔体电导率的影响规律,并结合红外光谱技术分析解释熔体电导率的变化机理。研究结果表明,硅酸盐熔体中添加La_(2)O_(3)或提高CaO/SiO_(2)比值会使熔体网络结构解聚,有效提高熔体电导率,且电导率的活化能(Activation energy of electrical conductivity)与La_(2)O_(3)含量和CaO/SiO_(2)比呈负相关关系;CaO/SiO_(2)比值较低时,La_(2)O_(3)含量对活化能影响更加显著,且红外光谱曲线硅酸盐结构带高波数段变化更明显,说明熔体结构发生更强烈的解聚效应;La_(2)O_(3)在CaO/SiO_(2)比值较低时对熔体网络结构和电导率的影响更大。 展开更多
关键词 电导率 活化能 CaO/SiO_(2)比 La_(2)O_(3) 硅酸盐
原文传递
剪切波弹性成像联合APRI诊断2型糖尿病合并NAFLD患者肝纤维化程度价值研究 被引量:2
15
作者 曾艾 王聪 +3 位作者 李敏 赵伊婷 张琴 何梅 《实用肝脏病杂志》 2025年第3期382-385,共4页
目的探讨应用剪切波弹性成像检测联合天冬氨酸氨基转移酶/血小板比率指数(APRI)诊断2型糖尿病(T2DM)合并非酒精性脂肪性肝病(NAFLD)患者肝纤维化程度的价值。方法2021年1月~2023年12月我院诊治的T2DM合并NAFLD患者73例,使用瞬时弹性成像... 目的探讨应用剪切波弹性成像检测联合天冬氨酸氨基转移酶/血小板比率指数(APRI)诊断2型糖尿病(T2DM)合并非酒精性脂肪性肝病(NAFLD)患者肝纤维化程度的价值。方法2021年1月~2023年12月我院诊治的T2DM合并NAFLD患者73例,使用瞬时弹性成像(TE)行肝硬度检测(LSM),使用超声剪切波弹性成像检查获得杨氏模量值。常规临床检测,计算APRI。绘制受试者工作特征(ROC)曲线,分析指标的诊断效能,采用Kappa一致性分析评估剪切波弹性成像联合APRI与TE诊断的一致性。结果以LSM>7.4 kPa诊断为进展期肝纤维化,本组发现进展期肝纤维化患者19例(26.0%);存在进展期肝纤维化患者体质指数、合并糖尿病肾病比率、血清AST、ALT水平、LSM、APRI和杨氏模量值分别为(30.7±2.8)kg/m 2、42.1%、(92.3±10.5)U/L、(120.5±9.6)U/L、(12.7±3.1)kPa、(1.2±0.4)和(10.7±3.1)kPa,均显著高于非进展期肝纤维化患者[分别为(25.2±2.4)kg/m 2、20.4%、(49.8±8.1)U/L、(47.8±7.3)U/L、(6.1±1.6)kPa、(0.8±0.3)和((5.1±1.6))kPa,P<0.05];ROC分析显示杨氏模量值联合APRI诊断T2DM合并NAFLD患者进展期肝纤维化的AUC为0.891,其敏感度为94.7%,特异度为74.1%,显著优于两指标单独预测(P<0.05);剪切波弹性成像联合APRI诊断T2DM合并NAFLD患者进展期肝纤维化与TE检测诊断的Kappa值为0.563(P<0.05),一致性中等。结论剪切波弹性成像联合APRI对T2DM合并NAFLD患者肝纤维化具有一定诊断价值。 展开更多
关键词 非酒精性脂肪性肝病 2型糖尿病 肝纤维化 剪切波弹性成像 天冬氨酸氨基转移酶/血小板比率指数 诊断
暂未订购
2型糖尿病患者白细胞介素6、C反应蛋白、中性粒细胞与淋巴细胞比值和血管病变的关系 被引量:1
16
作者 牛启兵 黄亚龙 +1 位作者 陈泉 周聪 《血管与腔内血管外科杂志》 2025年第2期150-154,共5页
目的探讨白细胞介素6(IL-6)、C反应蛋白(CRP)、中性粒细胞与淋巴细胞比值(NLR)这些炎症标志物和2型糖尿病(T2DM)患者合并血管病变的关系及其在临床诊断中的价值。方法收集2020年9月至2023年12月于甘肃省人民医院就诊的130例T2DM患者的... 目的探讨白细胞介素6(IL-6)、C反应蛋白(CRP)、中性粒细胞与淋巴细胞比值(NLR)这些炎症标志物和2型糖尿病(T2DM)患者合并血管病变的关系及其在临床诊断中的价值。方法收集2020年9月至2023年12月于甘肃省人民医院就诊的130例T2DM患者的临床资料,根据是否伴有血管病变将患者分为血管病变组[n=60,动脉内膜中层厚度(CIMT)≥0.9 mm,超声显示血管壁突入管腔]和无血管病变组(n=70,CIMT﹤0.9 mm)。分析T2DM患者合并血管病变的危险因素,并利用受试者工作特征(ROC)曲线评估炎症标志物对T2DM患者合并血管病变的诊断价值。结果血管病变组患者IL-6水平﹥9 pg/ml的比例、CRP水平和NLR均明显高于无血管病变组患者,差异均有统计学意义(P﹤0.05)。多因素分析结果显示,IL-6水平、CRP水平和NLR为T2DM患者合并血管病变的危险因素(P﹤0.05)。相关性分析结果显示,CRP水平与NLR呈正相关(r=0.858,P﹤0.05),NLR与IL-6水平亦呈正相关(r=0.254,P﹤0.05),且CRP水平与NLR的相关性最显著。ROC曲线分析结果显示,IL-6水平、CRP水平和NLR预测T2DM患者是否合并血管病变的曲线下面积分别为0.644(95%CI:0.550~0.738)、0.625(95%CI:0.528~0.722)和0.687(95%CI:0.597~0.778)。结论IL-6、CRP和NLR是T2DM患者合并血管病变的危险因素,在临床诊断中具有一定的诊断价值。 展开更多
关键词 白细胞介素6 C反应蛋白 中性粒细胞与淋巴细胞比值 2型糖尿病 血管病变
暂未订购
2型糖尿病患者舒张末期室间隔厚度与尿白蛋白/肌酐比值相关性的研究
17
作者 王丽娟 刘胜男 +6 位作者 马红梅 武振亚 李凡凡 李京娟 杨睿斐 刘媛媛 王金羊 《中国糖尿病杂志》 北大核心 2025年第8期561-565,共5页
目的探讨T2DM患者舒张末期室间隔厚度(IVSd)与UACR的相关性。方法选取2021年3月至2023年4月于甘肃省人民医院内分泌科住院的T2DM患者757例,根据UACR分为≤30 mg/g的单纯T2DM组(n=388)、30~300 mg/g的微量蛋白尿组(Mic,n=260)和≥300 mg/... 目的探讨T2DM患者舒张末期室间隔厚度(IVSd)与UACR的相关性。方法选取2021年3月至2023年4月于甘肃省人民医院内分泌科住院的T2DM患者757例,根据UACR分为≤30 mg/g的单纯T2DM组(n=388)、30~300 mg/g的微量蛋白尿组(Mic,n=260)和≥300 mg/g的大量蛋白尿组(Mac,n=109)。收集各组一般临床资料及生化指标,彩色多普勒超声心动图记录左室射血分数(LVEF)、左室短轴缩短率(LVFS)、IVSd、舒张末期左室后壁厚度(LVPWd)、左心房前后径(LAD)。Pearson相关分析IVSd、LVPWd与肾功能指标的相关性。Logistic回归分析T2DM患者合并蛋白尿的影响因素。受试者工作特征(ROC)曲线分析DM病程、IVSd对T2DM患者合并蛋白尿的预测价值。结果T2DM、Mic、Mac组DM病程、SBP、FIns、Hb A1c、血肌酐(Scr)、24 h尿总蛋白定量(24 hUTP)、UACR、UAER、IVSd、LVPWd依次升高(P<0.05),e GFR、LVEF依次降低(P<0.05)。Mic组年龄高于T2DM组(P<0.05)。Mac组DBP、FPG高于T2DM、Mic组(P<0.05)。Pearson相关分析显示,IVSd、LVPWd与24 hUTP、UACR、UAER、Scr呈正相关(P<0.05),与e GFR呈负相关(P<0.05)。Logistic回归分析显示,DM病程、IVSd是T2DM患者合并蛋白尿的影响因素。ROC曲线分析显示,IVSd的曲线下面积为0.620,敏感度为43.3%,特异度为76.8%。结论DM病程、IVSd是T2DM患者合并蛋白尿的影响因素,随着IVSd的增加,T2DM患者出现蛋白尿风险升高。 展开更多
关键词 糖尿病 2 舒张末期室间隔厚度 尿白蛋白/肌酐比值
原文传递
基于Al_(2)O_(3)纳米流体冷却液的质子交换膜燃料电池传热及输出性能评估
18
作者 雷基林 李杰 +4 位作者 刘懿 戈志晖 杞卓玲 邓晰文 王东方 《内燃机工程》 北大核心 2025年第4期149-158,共10页
构建了一个耦合冷却通道的三维多相非等温质子交换膜燃料电池(proton exchange membrane fuel cell,PEMFC)电化学模型,探讨Al_(2)O_(3)纳米流体对PEMFC传热及输出性能的影响。通过膜平均温度、膜平均水含量、膜均匀温度指数(index of un... 构建了一个耦合冷却通道的三维多相非等温质子交换膜燃料电池(proton exchange membrane fuel cell,PEMFC)电化学模型,探讨Al_(2)O_(3)纳米流体对PEMFC传热及输出性能的影响。通过膜平均温度、膜平均水含量、膜均匀温度指数(index of uniform temperature,IUT)来评估传热性能,并通过净功率密度及功耗比评估在PEMFC冷却系统中使用Al_(2)O_(3)纳米流体的可行性。结果表明,Al_(2)O_(3)纳米流体表现出比乙二醇冷却液更优异的冷却性能,其在冷却液低流速范围内的冷却性能更加突出,使膜平均温度显著降低,从而提高膜平均水含量。然而,该纳米流体冷却液在提升冷却效果的同时可能会引起膜温度分布均匀性的下降。具体而言,当冷却液流速为0.1 m/s,输出电压为0.6 V时,膜平均温度由359.66 K降至353.10 K,膜平均水含量从9.91增至11.53,而IUT由1.71上升至1.96。Al_(2)O_(3)纳米流体能够在冷却液低流速范围内显著提高PEMFC的输出性能,使净功率密度上升约3.3%。此外,在相同冷却条件下,Al_(2)O_(3)纳米流体能够在改善PEMFC冷却性能的同时降低由冷却液引起的寄生功率。 展开更多
关键词 质子交换膜燃料电池 Al_(2)O_(3)纳米流体 传热 功耗比
在线阅读 下载PDF
C肽/血糖比值对初诊2型糖尿病酮症的临床影响
19
作者 陈小罗 王丽 +3 位作者 张艳 姜惠 孙璐 柳迎昭 《黑龙江医学》 2025年第18期2205-2208,共4页
目的:探讨C肽/血糖比值(CPI)与初诊2型糖尿病酮症的关系,分析初诊2型糖尿病酮症患者的临床特征,为临床上对糖尿病酮症的早期干预治疗提供参考。方法:回顾性分析2020年1—12月在江苏大学附属人民医院内分泌科住院的56例初诊2型糖尿病合... 目的:探讨C肽/血糖比值(CPI)与初诊2型糖尿病酮症的关系,分析初诊2型糖尿病酮症患者的临床特征,为临床上对糖尿病酮症的早期干预治疗提供参考。方法:回顾性分析2020年1—12月在江苏大学附属人民医院内分泌科住院的56例初诊2型糖尿病合并酮症患者作为观察组,同时选取同期住院的67例初诊2型糖尿病非酮症患者作为对照组。观察两组患者初诊时体重指数(BMI)、空腹C肽/空腹血糖比值(FCPI)、糖化血红蛋白(HbA1c)、年龄等因素对尿酮体的影响。予胰岛素泵短期强化降糖后计算Δ空腹C肽/空腹血糖(ΔFCPI)、Δ餐后2 h C肽/餐后2 h血糖(ΔPCPI)水平,同时分析CPI对尿酮体的影响。结果:尿酮体与年龄(r=-0.438)、空腹C肽(r=-0.305)、FCPI(r=-0.414)呈负相关,与HBA1C(r=0.301)、空腹血糖(r=0.374)、eGFR(r=0.231)呈正相关;强化治疗后,与Δ餐后2 h C肽(r=-0.277)、ΔPCPI(r=-0.276)呈负相关。logistic回归分析结果显示,年龄、初诊时FCPI及强化治疗后ΔPCPI为初诊2型糖尿病发生酮症的危险因素(OR=0.913、0.883、0.387)。结论:发病年龄小及C肽/血糖比值低会增加初诊2型糖尿病酮症患者发病的风险,临床工作中需加强对年轻糖尿病患者的教育,重视早期胰岛功能筛查。 展开更多
关键词 C肽/血糖比值 2型糖尿病 酮症 糖化血红蛋白
暂未订购
Epitaxial growth of MOCVD-derived YBCO films by modulation of Cu(tmhd)_2 concentration 被引量:3
20
作者 Jie Xiong Fei Zhang +3 位作者 Xin Liu Rui-Peng Zhao Xiao-Hui Zhao Bo-Wan Tao 《Rare Metals》 SCIE EI CAS CSCD 2014年第1期70-74,共5页
Metal-organic chemical vapor deposition was applied to fabricate YBa2Cu3OT-a (YBCO) films on singlecrystal LaA103 (001) substrates for its high deposition rate, easy adjustment on film composition, and low require... Metal-organic chemical vapor deposition was applied to fabricate YBa2Cu3OT-a (YBCO) films on singlecrystal LaA103 (001) substrates for its high deposition rate, easy adjustment on film composition, and low requirement on vacuum apparatus. The effects of Cu(tmhd)2 concentra- tion in the precursor on the properties of YBCO films were systematically investigated. X-ray diffraction (XRD) reveals that the mole ratio of Cu/Ba in the precursor from 0.77 to 0.97 is helpful to improve the crystallization and out-of-plane orientation of YBCO films; however, it hardly affects the inplane texture. Scanning electron microscope (SEM) shows the dense, crack-free but rough surface, on which there are Cu-O and Ba-Cu-O outgrowths identified by energy-dispersive spectrometer (EDS). As the mole ratio of Cu/Ba increasing, the average size of Ba-Cu-O precipitates keeps increasing and the film composition becomes inhomoge- neous at the mole ratio of Cu/Ba of 0.97. The 250 nm thick YBCO film prepared at the mole ratio of Cu/Ba of 0.91 shows the critical current density (Jc) of 4.0 MA.cm-2 (77 K, 0 T). 展开更多
关键词 MOCVD YBCO Cu(tmhd)2 concentration Cu/Ba ratio
原文传递
上一页 1 2 86 下一页 到第
使用帮助 返回顶部