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Topical administration of GLP-1 eyedrops improves retinal ganglion cell function by facilitating presynaptic GABA release in early experimental diabetes
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作者 Yu-Qi Shao Yong-Chen Wang +6 位作者 Lu Wang Hang-Ze Ruan Yun-Feng Liu Ti-Hui Zhang Shi-Jun Weng Xiong-Li Yang Yong-Mei Zhong 《Neural Regeneration Research》 2026年第2期800-810,共11页
Diabetic retinopathy is a prominent cause of blindness in adults,with early retinal ganglion cell loss contributing to visual dysfunction or blindness.In the brain,defects inγ-aminobutyric acid synaptic transmission ... Diabetic retinopathy is a prominent cause of blindness in adults,with early retinal ganglion cell loss contributing to visual dysfunction or blindness.In the brain,defects inγ-aminobutyric acid synaptic transmission are associated with pathophysiological and neurodegenerative disorders,whereas glucagon-like peptide-1 has demonstrated neuroprotective effects.However,it is not yet clear whether diabetes causes alterations in inhibitory input to retinal ganglion cells and whether and how glucagon-like peptide-1 protects against neurodegeneration in the diabetic retina through regulating inhibitory synaptic transmission to retinal ganglion cells.In the present study,we used the patch-clamp technique to recordγ-aminobutyric acid subtype A receptor-mediated miniature inhibitory postsynaptic currents in retinal ganglion cells from streptozotocin-induced diabetes model rats.We found that early diabetes(4 weeks of hyperglycemia)decreased the frequency of GABAergic miniature inhibitory postsynaptic currents in retinal ganglion cells without altering their amplitude,suggesting a reduction in the spontaneous release ofγ-aminobutyric acid to retinal ganglion cells.Topical administration of glucagon-like peptide-1 eyedrops over a period of 2 weeks effectively countered the hyperglycemia-induced downregulation of GABAergic mIPSC frequency,subsequently enhancing the survival of retinal ganglion cells.Concurrently,the protective effects of glucagon-like peptide-1 on retinal ganglion cells in diabetic rats were eliminated by topical administration of exendin-9-39,a specific glucagon-like peptide-1 receptor antagonist,or SR95531,a specific antagonist of theγ-aminobutyric acid subtype A receptor.Furthermore,extracellular perfusion of glucagon-like peptide-1 was found to elevate the frequencies of GABAergic miniature inhibitory postsynaptic currents in both ON-and OFF-type retinal ganglion cells.This elevation was shown to be mediated by activation of the phosphatidylinositol-phospholipase C/inositol 1,4,5-trisphosphate receptor/Ca2+/protein kinase C signaling pathway downstream of glucagon-like peptide-1 receptor activation.Moreover,multielectrode array recordings revealed that glucagon-like peptide-1 functionally augmented the photoresponses of ON-type retinal ganglion cells.Optomotor response tests demonstrated that diabetic rats exhibited reductions in visual acuity and contrast sensitivity that were significantly ameliorated by topical administration of glucagon-like peptide-1.These results suggest that glucagon-like peptide-1 facilitates the release ofγ-aminobutyric acid onto retinal ganglion cells through the activation of glucagon-like peptide-1 receptor,leading to the de-excitation of retinal ganglion cell circuits and the inhibition of excitotoxic processes associated with diabetic retinopathy.Collectively,our findings indicate that theγ-aminobutyric acid system has potential as a therapeutic target for mitigating early-stage diabetic retinopathy.Furthermore,the topical administration of glucagon-like peptide-1 eyedrops represents a non-invasive and effective treatment approach for managing early-stage diabetic retinopathy. 展开更多
关键词 diabetic retinopathy glucagon-like peptide-1 inhibitory synaptic transmission miniature inhibitory postsynaptic currents NEUROdEGENERATION NEUROPROTEcTION patch-clamp recording protein kinase c signaling pathway visual function
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Emerging Role of 2D Materials in Photovoltaics:Efficiency Enhancement and Future Perspectives
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作者 Ghulam Dastgeer Muhammad Wajid Zulfiqar +7 位作者 Sobia Nisar Rimsha Zulfiqar Muhammad Imran Swagata Panchanan Subhajit Dutta Kamran Akbar Alberto Vomiero Zhiming Wang 《Nano-Micro Letters》 2026年第1期843-895,共53页
The growing global energy demand and worsening climate change highlight the urgent need for clean,efficient and sustainable energy solutions.Among emerging technologies,atomically thin two-dimensional(2D)materials off... The growing global energy demand and worsening climate change highlight the urgent need for clean,efficient and sustainable energy solutions.Among emerging technologies,atomically thin two-dimensional(2D)materials offer unique advantages in photovoltaics due to their tunable optoelectronic properties,high surface area and efficient charge transport capabilities.This review explores recent progress in photovoltaics incorporating 2D materials,focusing on their application as hole and electron transport layers to optimize bandgap alignment,enhance carrier mobility and improve chemical stability.A comprehensive analysis is presented on perovskite solar cells utilizing 2D materials,with a particular focus on strategies to enhance crystallization,passivate defects and improve overall cell efficiency.Additionally,the application of 2D materials in organic solar cells is examined,particularly for reducing recombination losses and enhancing charge extraction through work function modification.Their impact on dye-sensitized solar cells,including catalytic activity and counter electrode performance,is also explored.Finally,the review outlines key challenges,material limitations and performance metrics,offering insight into the future development of nextgeneration photovoltaic devices encouraged by 2D materials. 展开更多
关键词 2d materials Photovoltaics Interface engineering Work function tuning Energy harvesting
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肺炎支原体感染性大叶性肺炎患儿血清CRP,D-二聚体,LDH和SAA表达与病情关系
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作者 陶亚男 毛庆东 陈启锋 《中国病原生物学杂志》 北大核心 2026年第1期41-45,共5页
目的探讨肺炎支原体感染性大叶性肺炎(MP-LP)患儿血清C反应蛋白(CRP),D-二聚体(D-Dimer),乳酸脱氢酶(LDH)和淀粉样蛋白A(SAA)水平与病情严重程度的相关性。方法采用前瞻性研究,纳入98例MP-LP患儿作为研究组,依据病情严重程度分为轻症组(... 目的探讨肺炎支原体感染性大叶性肺炎(MP-LP)患儿血清C反应蛋白(CRP),D-二聚体(D-Dimer),乳酸脱氢酶(LDH)和淀粉样蛋白A(SAA)水平与病情严重程度的相关性。方法采用前瞻性研究,纳入98例MP-LP患儿作为研究组,依据病情严重程度分为轻症组(n=58)与重症组(n=40)。同期选取100例普通肺炎支原体肺炎患儿作为对照组。收集患儿临床资料,并检测各组血清CRP、D-Dimer、LDH、SAA水平;多因素Logistic回归分析MP-LP患儿病情加重的风险因素;绘制受试者工作特征曲线(ROC)分析血清CRP、D-Dimer、LDH、SAA水平对MP-LP的诊断效能及病情评估价值。结果研究组血清CRP、D-Dimer、LDH、SAA水平均显著高于对照组(P<0.05)。与轻症组相比,重症组血清CRP、D-Dimer、LDH、SAA水平显著升高(P<0.05)。多因素Logistic回归分析显示,血清CRP、D-Dimer、LDH、SAA水平升高均为MP-LP患儿病情进展为重症的危险因素(P<0.05)。ROC曲线分析表明,血清CRP、D-Dimer、LDH、SAA单独诊断MP-LP的AUC分别为0.792、0.751、0.772、0.787,联合诊断的AUC为0.924,显著优于各指标单独诊断(Z_(联合-CRP)=4.158、Z_(联合-D-Dimer)=4.866、Z_(联合-LDH)=4.662、Z_(联合-SAA)=4.751,均P<0.01)。在病情评估方面,四项指标单独评估的AUC分别为0.802、0.812、0.810、0.778,联合评估的AUC为0.919,显著优于各指标单独评估(Z_(联合-CRP)=2.258、Z_(联合-D-Dimer)=2.696、Z_(联合-LDH)=2.340、Z_(联合-SAA)=2.622,均P<0.05)。结论血清CRP、D-Dimer、LDH及SAA水平与MP-LP患儿病情严重程度相关,联合检测可提高诊断和病情评估效能,为临床早期干预及机制研究提供参考。 展开更多
关键词 肺炎支原体 大叶性肺炎 c反应蛋白 d-二聚体 乳酸脱氢酶 淀粉样蛋白A 病情
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25-羟基维生素D、C反应蛋白水平预测妊娠期糖尿病患者不良妊娠结局的价值
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作者 曾阳阳 张燕利 刘秀华 《大医生》 2026年第1期7-10,共4页
目的分析25-羟基维生素D[25-(OH)D]、C反应蛋白(CRP)水平对妊娠期糖尿病(GDM)患者不良妊娠结局的预测价值,为临床提供参考。方法选取2024年1月至2025年1月扬州大学医学院附属盐城妇幼保健院收治的78例GDM患者为GDM组,另选取同期于扬州... 目的分析25-羟基维生素D[25-(OH)D]、C反应蛋白(CRP)水平对妊娠期糖尿病(GDM)患者不良妊娠结局的预测价值,为临床提供参考。方法选取2024年1月至2025年1月扬州大学医学院附属盐城妇幼保健院收治的78例GDM患者为GDM组,另选取同期于扬州大学医学院附属盐城妇幼保健院进行产检的50名健康孕妇为对照组,根据妊娠结局不同将GDM组患者分为不良组(31例)和良好组(47例),进行回顾性分析。比较GDM组与对照组研究对象、不良组与良好组患者25-(OH)D、CRP水平;采用受试者操作特征(ROC)曲线分析25-(OH)D、CRP水平预测GDM患者不良妊娠结局的价值。结果与对照组比较,GDM组患者25-(OH)D水平更低,CRP水平更高(均P<0.05)。与良好组比较,不良组患者25-(OH)D水平更低,CRP水平更高(均P<0.05)。ROC曲线分析结果显示,25-(OH)D、CRP水平单独及联合预测GDM患者不良妊娠结局的曲线下面积(AUC)分别为0.892、0.751、0.916,敏感度分别为0.806、0.774、0.871,特异度分别为0.851、0.766、0.851(均P<0.05)。结论GDM患者25-(OH)D水平降低、CRP水平升高,且联合检测上述指标对于预测GDM患者不良妊娠结局具有更好的效能。 展开更多
关键词 25-羟基维生素d c反应蛋白 妊娠期糖尿病 妊娠结局 预测价值
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3D Printing of Tough Hydrogel Scaffolds with Functional Surface Structures for Tissue Regeneration
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作者 Ke Yao Gaoying Hong +11 位作者 Ximin Yuan Weicheng Kong Pengcheng Xia Yuanrong Li Yuewei Chen Nian Liu Jing He Jue Shi Zihe Hu Yanyan Zhou Zhijian Xie Yong He 《Nano-Micro Letters》 SCIE EI CAS 2025年第2期18-45,共28页
Hydrogel scaffolds have numerous potential applications in the tissue engineering field.However,tough hydrogel scaffolds implanted in vivo are seldom reported because it is difficult to balance biocompatibility and hi... Hydrogel scaffolds have numerous potential applications in the tissue engineering field.However,tough hydrogel scaffolds implanted in vivo are seldom reported because it is difficult to balance biocompatibility and high mechanical properties.Inspired by Chinese ramen,we propose a universal fabricating method(printing-P,training-T,cross-linking-C,PTC&PCT)for tough hydrogel scaffolds to fill this gap.First,3D printing fabricates a hydrogel scaffold with desired structures(P).Then,the scaffold could have extraordinarily high mechanical properties and functional surface structure by cycle mechanical training with salting-out assistance(T).Finally,the training results are fixed by photo-cross-linking processing(C).The tough gelatin hydrogel scaffolds exhibit excellent tensile strength of 6.66 MPa(622-fold untreated)and have excellent biocompatibility.Furthermore,this scaffold possesses functional surface structures from nanometer to micron to millimeter,which can efficiently induce directional cell growth.Interestingly,this strategy can produce bionic human tissue with mechanical properties of 10 kPa-10 MPa by changing the type of salt,and many hydrogels,such as gelatin and silk,could be improved with PTC or PCT strategies.Animal experiments show that this scaffold can effectively promote the new generation of muscle fibers,blood vessels,and nerves within 4 weeks,prompting the rapid regeneration of large-volume muscle loss injuries. 展开更多
关键词 3d printing Tough hydrogel scaffold functional surface structure Tissue regeneration BIOMATERIALS
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Two vicinal C(sp^(3))-F bonds functionalization of perfluoroalkyl halides (PFAHs)
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作者 Jun Jiang Hui Dai Tao Tu 《Chinese Chemical Letters》 2025年第7期4-5,共2页
Organofluorines play a crucial role in medicine,agrochemicals,and materials science.Adding fluorine to molecules creates structures with specific beneficial properties or tunes properties through interactions with the... Organofluorines play a crucial role in medicine,agrochemicals,and materials science.Adding fluorine to molecules creates structures with specific beneficial properties or tunes properties through interactions with their environment.Many popular pharmaceuticals and agrochemicals contain fluorine because it enhances hydrogen bonding at protein’s active sites. 展开更多
关键词 vicinal c sp f bonds materials science organofluorines medicine fluorine functionalization tunes properties agrochemicals enhances hydrogen bonding
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Association between metabolic dysfunction-associated steatotic liver disease,vitamin D3,and diabetic gastric motility disorders in type 2 diabetes mellitus
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作者 Xu Cui Zheng Liang 《World Journal of Hepatology》 2025年第11期283-285,共3页
This letter comments on a study linking metabolic dysfunction-associated steatotic liver disease(MASLD),vitamin D3,and severe gastric autonomic neuropathy(diabetic gastric motility disorders)in type 2 diabetes mellitu... This letter comments on a study linking metabolic dysfunction-associated steatotic liver disease(MASLD),vitamin D3,and severe gastric autonomic neuropathy(diabetic gastric motility disorders)in type 2 diabetes mellitus(T2DM).We question the necessity of excluding patients with severe cataract(unable to complete fundus exams),as the focus on T2DM-MASLD correlation may render other T2DM complications less relevant.We emphasize vitamin D3’s multifaceted relevance:It associates with T2DM(high-dose supplementation reduces onset risk),MASLD(serum levels predict risk),smooth muscle function,immunity,and T2DM-related fractures via advanced glycation end products.We propose correlating MASLD severity with vitamin D3 levels and diabetic gastric motility disorders in validation analyses(e.g.,correlation,area under the curve)to refine factor analysis.Additionally,based on the authors’note of vitamin D3-tryptophan metabolism links,we call for deeper integration of metabolic pathways to clarify vitamin D3’s role in smooth muscle electrophysiology,leveraging the team’s prior research insights. 展开更多
关键词 diabetic gastric motility disorders Metabolically-dysfunction-associated steatotic liver disease Vitamin d3 Type 2 diabetes mellitus Smooth muscle Electrophysiological function
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Vibration energy harvesting of a three-directional functionally graded pipe conveying fluids
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作者 Tianchi YU Feng LIANG Hualin YANG 《Applied Mathematics and Mechanics(English Edition)》 2025年第5期795-812,共18页
This paper proposes a novel three-directional functionally graded(3D FG)vibration energy harvesting model based on a bimorph pipe structure.A rectangular pipe has material properties that vary continuously along the a... This paper proposes a novel three-directional functionally graded(3D FG)vibration energy harvesting model based on a bimorph pipe structure.A rectangular pipe has material properties that vary continuously along the axial,width,and height directions,and a steady fluid flows inside the pipe.Two piezoelectric layers are attached to the upper and lower surfaces of the pipe,and are connected in series with a load resistance.The output electricity is predicted theoretically and validated by finite element(FE) simulation.The complex mechanisms regulating the energy harvesting performance are investigated,focusing particularly on the effects of 3D FG material(FGM) parameters,load resistance,fluid-structure interaction(FSI),and geometry.Numerical results indicate that among several material gradient parameters,the axial gradient index has the most significant impact.Increasing the axial and height gradient indices can markedly enhance the energy harvesting performance.The optimal resistances differ between the first two modes.Overall,the maximum power is generated at lower resistances.The FSI effect can also improve the energy harvesting performance;however,higher flow velocities may destabilize the system,causing failure of harvesting energy.This research is capable of providing new insights into the design of a pipe energy harvester in engineering applications. 展开更多
关键词 vibration energy harvesting three-directional functionally graded material(3d FGM) fluid-conveying pipe fluid-structure interaction(FSI) electro-mechanical coupling
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Expansion of functional human salivary acinar cell spheroids with reversible thermo-ionically crosslinked 3D hydrogels
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作者 Jose G.Munguia-Lopez Sangeeth Pillai +5 位作者 Yuli Zhang Amatzia Gantz Dimitria B.Camasao Showan N.Nazhat Joseph M.Kinsella Simon D.Tran 《International Journal of Oral Science》 2025年第3期368-378,共11页
Xerostomia(dry mouth)is frequently experienced by patients treated with radiotherapy for head and neck cancers or with Sjögren’s syndrome,with no permanent cure existing for this debilitating condition.To this e... Xerostomia(dry mouth)is frequently experienced by patients treated with radiotherapy for head and neck cancers or with Sjögren’s syndrome,with no permanent cure existing for this debilitating condition.To this end,in vitro platforms are needed to test therapies directed at salivary(fluid-secreting)cells.However,since these are highly differentiated secretory cells,the maintenance of their differentiated state while expanding in numbers is challenging.In this study,the efficiency of three reversible thermo-ionically crosslinked gels:(1)alginate–gelatin(AG),(2)collagen-containing AG(AGC),and(3)hyaluronic acid-containing AG(AGHA),to recapitulate a native-like environment for human salivary gland(SG)cell expansion and 3D spheroid formation was compared.Although all gels were of mechanical properties comparable to human SG tissue(~11 kPa)and promoted the formation of 3D spheroids,AGHA gels produced larger(>100 cells/spheroid),viable(>93%),proliferative,and well-organized 3D SG spheroids while spatially and temporally maintaining the high expression of key SG proteins(aquaporin-5,NKCC1,ZO-1,α-amylase)for 14 days in culture.Moreover,the spheroids responded to agonist-induced stimulation by increasingα-amylase secretory granules.Here,we propose alternative lowcost,reproducible,and reversible AG-based 3D hydrogels that allow the facile and rapid retrieval of intact,highly viable 3D-SG spheroids. 展开更多
关键词 secretory cellsthe xerostomia vitro platforms head neck cancers test therapies functional human salivary acinar cell spheroids reversible thermo ionically crosslinked d hydrogels Sjogren's syndrome
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Interfacial analysis of a penny-shaped one-dimensional hexagonal functionally graded piezoelectric quasicrystal film on a temperature-dependent substrate
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作者 Kai LUO Cuiying FAN +2 位作者 Minghao ZHAO CSLU Huayang DANG 《Applied Mathematics and Mechanics(English Edition)》 2025年第12期2297-2316,共20页
In this paper,we investigate the interfacial behavior of a thin,penny-shaped,one-dimensional(1D)hexagonal functionally graded(FG)piezoelectric quasicrystal(PQC)film bonded on a temperature-dependent elastic substrate ... In this paper,we investigate the interfacial behavior of a thin,penny-shaped,one-dimensional(1D)hexagonal functionally graded(FG)piezoelectric quasicrystal(PQC)film bonded on a temperature-dependent elastic substrate under thermal and electrical loads.The problem is modeled as axisymmetric based on the membrane theory,with the peeling stress and bending moment being disregarded.A potential theory method,combined with the Hankel transform technique,is utilized to derive the displacement field on the substrate surface.With perfect interfacial bonding assumption,an integral equation governing the phonon interfacial shear stress is formulated and numerically solved by the Chebyshev polynomials.Explicit expressions are derived for the interfacial shear stress,the internal stresses within the PQC film and the substrate,the axial strain,and the stress intensity factors(SIFs).Numerical simulations are conducted to investigate the effects of the film's aspect ratio,material inhomogeneity,material mismatch,and temperature-dependent material properties on its mechanical response.The results provide insights for the functional design and reliability assessment of FG PQC film/substrate systems. 展开更多
关键词 one-dimensional(1d)hexagonal piezoelectric quasicrystal(PQc)film functionally graded(FG)material three-dimensional(3d)interfacial behavior stress intensity factor(SIF) temperature-dependent material property
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Research progress on the functions of vitamins in body 被引量:6
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作者 高玲燕 马骁 刘晓 《Journal of Chinese Pharmaceutical Sciences》 CAS CSCD 2016年第5期329-341,共13页
Vitamins are natural materials essential for maintaining the normal physical function of the live cells. It has been reported that 13 vitamins are needed in our body, included vitamin A, B vitamins (thiamine, ribofla... Vitamins are natural materials essential for maintaining the normal physical function of the live cells. It has been reported that 13 vitamins are needed in our body, included vitamin A, B vitamins (thiamine, riboflavin, niacin, pantothenic acid, pyridoxine, biotin, folic acid and cobalamin), vitamin C, vitamin D, vitamin E and vitamin K. Nowadays, the functions of vitamins have been extensively investigated. The objective of this paper is to summarize the new functions of vitamins, aiming to provide suggestions on the usage of various vitamins in clinical application. 展开更多
关键词 Vitamin A Vitamin B Vitamin c Vitamin d Vitamin E Vitamin K functionS
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血清胱抑素C联合SOFA评分对急诊科脓毒症患者28 d病死率的预测价值 被引量:1
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作者 张向群 刘波 +2 位作者 张红彬 武军元 梅雪 《中国急救医学》 2025年第7期612-619,共8页
目的探讨血清胱抑素C(Cystatin C)联合序贯器官衰竭评估(SOFA)评分对急诊科脓毒症患者28 d病死率的预测效能。方法本研究为回顾性队列研究,纳入2022年至2024年期间在首都医科大学附属北京朝阳医院急诊科诊断为脓毒症的436例成年患者。... 目的探讨血清胱抑素C(Cystatin C)联合序贯器官衰竭评估(SOFA)评分对急诊科脓毒症患者28 d病死率的预测效能。方法本研究为回顾性队列研究,纳入2022年至2024年期间在首都医科大学附属北京朝阳医院急诊科诊断为脓毒症的436例成年患者。收集患者入院时Cystatin C、降钙素原(PCT)、SOFA评分、乳酸(Lac)水平等临床指标。通过受试者工作特征(ROC)曲线分析评估Cystatin C、SOFA评分及其联合模型对脓毒症28 d病死率的预测效能,并使用多因素Logistic回归分析独立预测因子。采用Kaplan-Meier生存分析绘制生存曲线,比较不同Cystatin C水平和联合评分模型下脓毒症患者的生存情况。结果本研究纳入436例脓毒症患者,28 d病死率为22.7%。死亡组患者年龄显著高于存活组(岁:82 vs.73,P<0.001),卧床率较高(11.1%vs.5.6%,P=0.058)。血清Cystatin C、Lac和SOFA评分在死亡组中的中位数均显著高于存活组(P<0.001)。Cystatin C与天门冬氨酸氨基转移酶(AST,r=0.115,P=0.017)、丙氨酸氨基转移酶(ALT,r=0.134,P=0.005)、白细胞(WBC,r=0.141,P=0.003)、Lac(r=0.131,P=0.006)、PCT(r=0.262,P<0.001)、C-反应蛋白(CRP,r=0.171,P<0.001)以及SOFA评分(r=0.333,P<0.001)均呈正相关。多因素Logistic回归分析显示,年龄(OR=1.052,95%CI 1.015~1.090,P=0.012)、PCT(OR=1.138,95%CI 1.052~1.231,P=0.001)、Lac(OR=1.369,95%CI 1.219~1.537,P<0.001)、Cystatin C(OR=1.785,95%CI 1.141~2.794,P=0.011)和SOFA评分(OR=1.346,95%CI 1.232~1.471,P<0.001)为28 d病死率的独立预测因子。ROC曲线分析显示,Cystatin C、PCT、Lac和SOFA评分的曲线下面积(AUC)分别为0.748(95%CI 0.693~0.803)、0.824(5%CI 0.778~0.87)、0.789(95%CI 0.732~0.846)和0.835(95%CI 0.779~0.891),Cystatin C与SOFA评分联合模型的AUC为0.848(95%CI 0.794~0.902)。生存分析结果表明,高Cystatin C组的28 d病死率显著高于低Cystatin C组(log-rank P<0.001),Cystatin C与SOFA评分联合的生存曲线显示出较高的区分效能(log-rank P<0.001)。结论Cystatin C联合SOFA评分可提高急诊科脓毒症患者28 d病死率的预测效能,弥补了SOFA评分在早期肾功能不全和炎症负荷评估方面的不足。该联合模型为临床早期识别高风险患者和优化治疗方案提供了重要依据。 展开更多
关键词 脓毒症 胱抑素c 序贯器官衰竭评估评分 28 d病死率 急诊科
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他汀类药物对高龄卧床住院患者血清CRP、D-D、LDL-C的影响及对静脉血栓栓塞症的预防作用
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作者 胡琼 曾雪琴 +3 位作者 余倩 李璐 韩婧 刘维佳 《贵州医药》 2025年第10期1518-1522,共5页
目的 探讨他汀类药物对高龄卧床住院患者住院期间发生静脉血栓栓塞(venous thromboembolism, VTE)的预防价值。方法 采用回顾性分析方法,随机调取2023年1月至2025年1月我院内科收治的280例高龄卧床住院患者临床资料,分析药物使用情况。... 目的 探讨他汀类药物对高龄卧床住院患者住院期间发生静脉血栓栓塞(venous thromboembolism, VTE)的预防价值。方法 采用回顾性分析方法,随机调取2023年1月至2025年1月我院内科收治的280例高龄卧床住院患者临床资料,分析药物使用情况。选取入院前规律服用他汀类药物14天的患者为他汀组(n=128),入院前14 d未服用他汀类药物的患者为非他汀组(n=152)。观察分析两组发生肺血栓栓塞、深静脉血栓栓塞情况及性别、年龄、基础疾病、治疗方案、血脂、炎性标志物、凝血标志物等各项指标情况。结果 他汀组患者VTE发生率4.68%(6/128)显著低于非他汀组的9.21%(14/152)(P<0.05),其中他汀组下肢深静脉血栓发生率2.34%(3/128)显著低于非他汀组7.23%(11/152)(P<0.05)。与非他汀组相比,他汀组患者白细胞计数(white blood cell count, WBC)、血清C反应蛋白(C-reactive protein, CRP)水平、D二聚体(D-Dimer, D-D)水平、总胆固醇(total cholesterol, TC)水平、低密度脂蛋白胆固醇(low-density lipoprotein cholesterol, LDL-C)水平均显著降低(P<0.05)。Logistic多因素回归分析提示血清D-D、CRP、LDL水平是VTE发生的独立影响因素,差异有统计学意义(P<0.05)。结论 他汀类药物能降低高龄卧床住院患者血清CRP、D-D、LDL-C水平,降低高龄卧床患者VTE的发生风险,对预防高龄卧床住院患者发生VTE具有一定的保护作用。 展开更多
关键词 高龄卧床 静脉血栓栓塞症 c反应蛋白 d二聚体 低密度脂蛋白胆固醇
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血清25-(OH)D3、IgA/C3比值、LMR与过敏性紫癜患儿病情的关系及对肾脏受累的评估作用研究 被引量:1
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作者 倪黎 裴峰 +2 位作者 吕文静 谭心海 靳超 《现代生物医学进展》 2025年第7期1213-1221,共9页
目的:分析血清25-羟基维生素D3[25-(OH)D3]、免疫球蛋白A(Ig A)/补体C3(C3)比值、淋巴细胞和单核细胞比值(LMR)与过敏性紫癜(HSP)患儿病情的关系及对肾脏受累的评估作用。方法:选取2019年1月至2023年12月我院收治的152例HSP患儿,根据病... 目的:分析血清25-羟基维生素D3[25-(OH)D3]、免疫球蛋白A(Ig A)/补体C3(C3)比值、淋巴细胞和单核细胞比值(LMR)与过敏性紫癜(HSP)患儿病情的关系及对肾脏受累的评估作用。方法:选取2019年1月至2023年12月我院收治的152例HSP患儿,根据病情严重程度将患儿分为轻度组(82例)、中度组(47例)、重度组(23例),根据是否存在肾脏受累将患儿分为受累组(46例)和未受累组(106例)。采用多因素Logistic回归分析影响HSP患儿肾脏受累的因素,使用受试者工作特征(ROC)曲线分析血清25-(OH)D3、Ig A/C3比值和LMR对HSP患儿肾脏受累的预测价值。结果:重度组血清25-(OH)D3、LMR低于中度组和轻度组(P<0.05),Ig A/C3比值高于中度组和轻度组(P<0.05)。受累组血清25-(OH)D3,LMR低于未受累组(P<0.05),Ig A/C3比值高于未受累组(P<0.05)。发病至确诊时间较长,Ig A/C3比值升高是HSP患儿肾脏受累的危险因素(P<0.05),血清25-(OH) D3升高、LMR升高是保护因素(P <0.05)。血清25-(OH) D3、Ig A/C3比值、LMR单独预测HSP患儿肾脏受累的曲线下面积(AUC)为0.771、0.729、0.773,三者联合预测的AUC为0.886,高于单独预测。结论:HSP患儿血清25-(OH) D3降低,LMR降低,Ig A/C3比值升高与病情加重以及肾脏受累有关,血清25-(OH)D3、Ig A/C3比值、LMR三者联合检测在预测HSP病情严重程度和肾脏受累方面具有较高价值。 展开更多
关键词 过敏性紫癜 疾病严重程度 肾脏受累 25-羟基维生素d3 免疫球蛋白A 补体c3 淋巴细胞和单核细胞比值
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25(OH)D、NT-proBNP、PCT、CRP水平与新生儿感染性疾病严重程度的关系
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作者 宋焕清 李晶晶 +1 位作者 刘园园 霍志芳 《热带医学杂志》 2025年第10期1367-1371,共5页
目的探讨25羟维生素D[25(OH)D]、氨基末端脑钠肽前体(NT-proBNP)、降钙素原(PCT)、C反应蛋白(CRP)表达水平与新生儿感染性疾病严重程度的关系,为新生儿感染性疾病早期诊断提供依据。方法选取郑州大学第二附属医院2021年10月-2024年10月... 目的探讨25羟维生素D[25(OH)D]、氨基末端脑钠肽前体(NT-proBNP)、降钙素原(PCT)、C反应蛋白(CRP)表达水平与新生儿感染性疾病严重程度的关系,为新生儿感染性疾病早期诊断提供依据。方法选取郑州大学第二附属医院2021年10月-2024年10月收治的128例感染性疾病新生儿为研究组,另选取同期住院非感染新生儿128例为对照组。研究组根据新生儿危重病例评分将其分为极危重组(n=31)、危重组(n=38)、非危重组(n=59)。分析研究组新生儿基础疾病情况,比较研究组和对照组、不同疾病严重程度组血清25(OH)D、NT-proBNP、PCT、CRP水平,通过Pearson进行相关性分析,采用受试者工作特征(ROC)曲线分析血清25(OH)D、NT-proBNP、PCT、CRP水平对新生儿感染性疾病的诊断价值。结果128例新生儿感染性疾病的基础疾病包括肺炎41例占32.03%,消化道疾病28例占21.88%,新生儿黄疸25例占19.53%,新生儿脑膜炎17例占13.28%,脓毒症15例占11.72%,尿路感染2例占1.56%。研究组血清NT-proBNP、PCT、CRP水平均高于对照组,血清25(OH)D水平则低于对照组,差异均有统计学意义(t=131.510、87.027、104.624、28.808,P均<0.05)。极危重组血清NT-proBNP、PCT、CRP水平高于危重组和非危重组,血清25(OH)D水平低于危重组和非危重组,差异均有统计学意义(F=2739.082、85.378、46.641、387.549,P均<0.05)。新生儿感染性疾病严重程度与血清25(OH)D水平成负相关(r=-0.805,P<0.05),与血清NT-proBNP、PCT、CRP水平则成正相关(r=0.629、0.903、0.744,P均<0.05)。血清25(OH)D、NT-proBNP、PCT、CRP水平单一及联合检测评估新生儿感染性疾病的曲线下面积(AUC)分别为0.705、0.773、0.721、0.718、0.921,敏感度分别为62.50%、74.22%、70.31%、76.56%、84.37%,特异度分别为70.31%、71.87%、72.66%、60.16%、81.25%,其中联合检测的AUC最高(P<0.001)。结论血清25(OH)D、NT-proBNP、PCT、CRP水平在新生儿感染性疾病中均呈异常表达,且与患儿病情严重程度具有一定关系,四者联合检测对新生儿感染性疾病具有较高诊断价值。 展开更多
关键词 新生儿 感染性疾病 25羟维生素d 氨基末端脑钠肽前体 降钙素原 c反应蛋白
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C-D-C模式在直肠癌患者病程管理中的探索与实践
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作者 张洁 王丹丹 +6 位作者 张悦 徐渊莲 杨茜 王新静 曹星雪 陆宇晗 武爱文 《医院管理论坛》 2025年第1期68-72,共5页
加速康复外科(ERAS)策略的有效实施,极大地缩减了患者的住院时间,减轻了医疗负担,并加速了患者的康复进程。然而,这一进步也伴随着一系列挑战,包括患者出院时准备不足、居家康复期间伤口及造口管理缺乏专业指导,以及相关症状控制效果不... 加速康复外科(ERAS)策略的有效实施,极大地缩减了患者的住院时间,减轻了医疗负担,并加速了患者的康复进程。然而,这一进步也伴随着一系列挑战,包括患者出院时准备不足、居家康复期间伤口及造口管理缺乏专业指导,以及相关症状控制效果不佳等问题。本研究引入以个案管理师、出院准备服务护理师及伤口/造口专科护士为核心的“C-D-C”管理模式,对直肠癌患者实施全病程的精细化管理。通过团队建设、岗位协同、信息化管理和“互联网+”助力健康教育等创新举措,为患者提供了安全、高效、便捷的全病程医疗服务,有效提升了患者的康复质量与满意度。 展开更多
关键词 病程管理 直肠癌 c-d-c模式
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无线VR多视角3D视频中基于深度强化学习的主动3C资源分配
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作者 陈雷 《武汉大学学报(工学版)》 北大核心 2025年第2期334-342,共9页
在基于移动边缘计算(mobile edge computing,MEC)的第5代移动通信网络(5th generation mobile communication network,5G)中,针对无线虚拟现实(virtual reality,VR)用户在小小区间频繁切换而降低业务体验质量(quality of experience,QoE... 在基于移动边缘计算(mobile edge computing,MEC)的第5代移动通信网络(5th generation mobile communication network,5G)中,针对无线虚拟现实(virtual reality,VR)用户在小小区间频繁切换而降低业务体验质量(quality of experience,QoE)的问题。考虑建立多视角3维(3-dimensional,3D)视频的主动缓存、计算和通信(caching,computing and communication,3C)资源分配数学模型,并采用深度强化学习(deep reinforcement learning,DRL)算法进行求解。将多视角3D视频的主动资源分配系统建模为联合视角选择和小基站3C资源分配的马尔科夫决策过程(Markov decision process,MDP),提出了一种基于深度确定性策略梯度(deep deterministic policy gradient,DDPG)算法来寻找有效解。仿真结果表明,与另外2种算法相比,所提算法可以为无线VR用户在小小区间移动时提供更好的业务体验。 展开更多
关键词 无线虚拟现实 多视角3d视频 3c资源分配 深度强化学习
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血钙、CRP、D-D与儿童急性胰腺炎严重程度的关联性及其对胰腺炎预后的预测效能
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作者 黄丽芳 叶红 +2 位作者 张睿 陈玉云 张晶晶 《临床荟萃》 2025年第12期1078-1081,共4页
目的 探讨入院血钙、C反应蛋白(CRP)与D-二聚体(D-D)与儿童重度急性胰腺炎(severe acute pancreatitis,SAP)的关联性及其预测胰腺炎预后的效能。方法 回顾性分析2021年12月-2025年8月就诊于我院符合诊断急性胰腺炎(acute pancreatitis,... 目的 探讨入院血钙、C反应蛋白(CRP)与D-二聚体(D-D)与儿童重度急性胰腺炎(severe acute pancreatitis,SAP)的关联性及其预测胰腺炎预后的效能。方法 回顾性分析2021年12月-2025年8月就诊于我院符合诊断急性胰腺炎(acute pancreatitis,AP)的71例患儿的临床资料。比较入院时不同病情程度AP患儿血钙、CRP和D-D水平,以Spearman分析入院时血钙、CRP与D-D和AP严重程度的相关性,利用ROC曲线评估其对胰腺炎预后的预测效能。结果 轻症组血钙(2.2±0.3)mmol/L,重症组血钙(1.9±0.5) mmol/L,差异有统计学意义(P<0.05);轻症组CRP[3.8(2.3,11.4)] mg/L,重症组CRP[78.6(24.8,104.5)] mg/L,差异有统计学意义(P<0.05);轻症组D-D[0.5(0.2,1.5)] mg/L,重症组[3.1(1.7,8.1)]mg/L,差异有统计学意义(P<0.05)。Spearman相关性分析显示,入院时血钙与AP患儿严重程度呈负相关,CRP、D-D与AP患儿严重程度呈正相关。ROC曲线结果显示,血钙预测AP患儿预后的AUC为0.766,CRP预测的AUC为0.748,D-D预测的AUC为0.741,差异均有统计学意义。结论 入院时血钙、CRP与D-D在AP患儿中检测水平存在差异性,且与AP患儿严重程度密切相关,血钙、CRP与D-D可作为判断AP严重程度及预测AP预后的良好指标。 展开更多
关键词 胰腺炎 血钙 c反应蛋白 d-二聚体 相关性 预后
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2.5D C/SiC复合材料磁场/液体辅助皮秒激光制孔试验研究
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作者 刘畅 王科骄 李丞 《航空制造技术》 北大核心 2025年第1期54-63,共10页
2.5D C/SiC复合材料是航空国防领域耐高温构件用关键复合材料,其高硬度、高耐磨性使该材料的高质量微孔加工异常困难。本文提出了一种基于磁场/液体辅助(MLM)的2.5D C/SiC复合材料皮秒激光制孔工艺,通过提取微孔的出/入口直径、锥度、... 2.5D C/SiC复合材料是航空国防领域耐高温构件用关键复合材料,其高硬度、高耐磨性使该材料的高质量微孔加工异常困难。本文提出了一种基于磁场/液体辅助(MLM)的2.5D C/SiC复合材料皮秒激光制孔工艺,通过提取微孔的出/入口直径、锥度、氧化、重铸层等特征,与皮秒激光加工(PM)、磁场辅助加工(MM)、液体辅助加工(LM)3种工艺进行了对比研究。结果表明,基于MLM的皮秒激光加工能够有效降低微孔的入口直径,同时增大出口直径,在两组不同的试验参数下分别获得了锥度1.3°及1.1°的微孔,比PM工艺的锥度分别降低了18.75%和45%,比MM工艺的锥度分别降低了13.33%和31.25%,比LM工艺的锥度分别降低了91.22%和79.63%。此外,利用EDS能谱分析、拉曼光谱以及XPS技术对制备的微孔开展了微观组织分析。可以发现,MLM工艺更有效地减少了孔壁的石墨化缺陷。其中,液体辅助避免了微孔入口处的氧化,同时清晰地观察到裸露的纤维和基体,有效避免了热损伤和重铸层缺陷。在皮秒激光制孔中,MLM的主要作用机制体现在液体的冷却效应、隔绝氧气机制,以及磁场纵向拉伸等离子体,从而减弱等离子体屏蔽效应。 展开更多
关键词 皮秒激光 磁场/液体辅助加工 2.5d c/Sic复合材料 孔锥度 烧蚀机理
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子痫前期患者血浆胎盘生长因子、D-二聚体和C反应蛋白水平及其诊断价值
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作者 张凤美 刘树业 《吉林医学》 2025年第3期530-533,共4页
目的:探讨子痫前期(PE)患者血浆胎盘生长因子(PLGF)、D-二聚体(D-D)和C反应蛋白(CRP)水平在PE中的诊断价值。方法:选取2023年1~8月天津市第三中心医院82例确诊PE患者为观察对象,按病情严重程度分为重度PE组(sPE组)40例与轻度PE组(mPE组... 目的:探讨子痫前期(PE)患者血浆胎盘生长因子(PLGF)、D-二聚体(D-D)和C反应蛋白(CRP)水平在PE中的诊断价值。方法:选取2023年1~8月天津市第三中心医院82例确诊PE患者为观察对象,按病情严重程度分为重度PE组(sPE组)40例与轻度PE组(mPE组)42例,同时选取44例健康孕妇为对照组。比较各组之间血浆PLGF、D-D和CRP水平的差异。并利用SPSS19.0统计学软件进行数据统计分析,绘制ROC曲线检测其对PE的诊断效能。结果:sPE组、mPE组PLGF与对照组比较,差异均有统计学意义(P<0.01)。随着PE病情的发展,血浆PLGF水平呈下降趋势;sPE组、mPE组D-D、CRP与对照组比较,差异均有统计学意义(P<0.01)。随着PE病情的发展,血浆D-D和CRP水平呈上升趋势;PLGF、D-D和CRP曲线下面积(AUC)分别为0.902、0.922和0.810,三者联合检测阳性率(AUC=0.967)高于单项检测阳性率。结论:血浆PLGF、D-D和CRP水平能反应PE患者的病情严重程度,可作为PE早期诊断的有效指标,且三者联合可提高PE的诊断效能。 展开更多
关键词 胎盘生长因子 d-二聚体 c反应蛋白
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