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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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C反应蛋白/白蛋白比值与D-二聚体联合检测对妊娠合并急性胰腺炎病情严重程度的预测价值
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作者 刘英男 严丽梅 《中国医科大学学报》 北大核心 2026年第1期75-79,共5页
目的探讨血清C反应蛋白/白蛋白比值(CAR)、D-二聚体及二者联合检测预测妊娠合并急性胰腺炎(APIP)病情严重程度的价值。方法收集2021年1月至2023年12月间我院APIP患者及同期分娩的正常妊娠者(健康对照组)的临床资料。根据APIP病情严重程... 目的探讨血清C反应蛋白/白蛋白比值(CAR)、D-二聚体及二者联合检测预测妊娠合并急性胰腺炎(APIP)病情严重程度的价值。方法收集2021年1月至2023年12月间我院APIP患者及同期分娩的正常妊娠者(健康对照组)的临床资料。根据APIP病情严重程度将患者分为非重症组、重症组;根据病因分为胆源型组、高脂血症型组、特发型组。用logistic回归分析影响APIP病情严重程度的危险因素及其诊断效能。结果CAR、D-二聚体是影响APIP病情严重程度的独立危险因素。CAR和D-二聚体联合检测受试者操作特征曲线下面积最大,且灵敏度、特异度等诊断效能均优于单独检测。结论CAR及D-二聚体是APIP病情严重程度的独立危险因素,且二者联合检测可作为APIP病情严重程度的良好预测指标。 展开更多
关键词 妊娠合并急性胰腺炎 c反应蛋白/白蛋白比值 d-二聚体 联合预测
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(Ni/C)/UV树脂电磁超材料的3D打印制备及吸波性能分析
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作者 徐琪 崔开放 +2 位作者 钟良 尹鸿 代竟雄 《功能材料》 北大核心 2026年第2期123-131,共9页
通过3D打印制备了(Ni/C)/UV树脂电磁超材料,研究了Ni/C填料中镍源添加量(0、0.5、1.0和1.5 g)对(Ni/C)/UV树脂电磁超材料微波吸收带宽的影响。结果表明,随着镍源添加量的增加,所制备的(Ni/C)/UV树脂样品的微波吸收带宽呈现出先变宽后变... 通过3D打印制备了(Ni/C)/UV树脂电磁超材料,研究了Ni/C填料中镍源添加量(0、0.5、1.0和1.5 g)对(Ni/C)/UV树脂电磁超材料微波吸收带宽的影响。结果表明,随着镍源添加量的增加,所制备的(Ni/C)/UV树脂样品的微波吸收带宽呈现出先变宽后变窄的趋势。当镍源添加量为1.0 g时,(Ni/C)/UV树脂样品具有5.9 GHz的微波吸收带宽,相比镍源添加量为0的样品的微波吸收带宽(3.9 GHz)具有显著提升。金属Ni不仅增强了样品的磁损耗,而且其催化石墨化作用也使得样品的介电损耗增强,两者协同,提升了样品的微波衰减系数,拓宽了样品的微波吸收带宽。以上研究明确了镍源添加量对(Ni/C)/UV树脂电磁超材料微波吸收带宽的影响规律,为该类材料的研究提供了有效参考,同时研究所采用的3D打印制备方法也为新型微波吸收材料制备工艺的探索提供了新思路。 展开更多
关键词 (Ni/c)/UV树脂 水热 3d打印 制备 微波吸收 电子材料
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血清SF、D-D、CRP、LDH水平与肺炎支原体肺炎患儿病情的关系
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作者 孙世心 成芳 +2 位作者 国春柘 安红 赵英免 《临床和实验医学杂志》 2026年第1期75-78,共4页
目的分析血清铁蛋白(SF)、D-二聚体(D-D)、C反应蛋白(CRP)及乳酸脱氢酶(LDH)在评估肺炎支原体肺炎(MPP)患儿疾病严重程度中的价值。方法回顾性纳入2023年1月至2025年1月于邢台市人民医院诊治的105例MPP患儿作为研究对象。依据病情严重... 目的分析血清铁蛋白(SF)、D-二聚体(D-D)、C反应蛋白(CRP)及乳酸脱氢酶(LDH)在评估肺炎支原体肺炎(MPP)患儿疾病严重程度中的价值。方法回顾性纳入2023年1月至2025年1月于邢台市人民医院诊治的105例MPP患儿作为研究对象。依据病情严重程度划分为普通肺炎支原体肺炎组(GMPP组,n=59)和重症肺炎支原体肺炎组(SMPP组,n=46)。比较两组患儿基线资料(年龄、性别)、临床特征(发热持续时间、住院时间、支气管镜使用率)与实验室指标(血清SF、D-D、CRP、LDH水平)。运用多因素Logistic回归筛选SMPP发生的独立影响因素,并通过受试者操作特征(ROC)曲线评估单一指标及联合指标的预测效能。结果两组患儿年龄、性别构成比比较,差异均无统计学意义(P>0.05);SMPP组患儿发热持续时间、住院时间及支气管镜使用率分别为8.0(6.00,10.00)d、10.0(9.00,12.00)d、65.22%,均显著高于GMPP组[5.0(4.00,7.00)d、7.0(5.00,8.00)d、20.34%],差异均有统计学意义(P<0.05)。SMPP组血清SF、D-D、CRP、LDH水平分别为138.22(102.50,185.75)ng/mL、0.58(0.31,1.35)μg/mL、24.85(12.73,42.35)mg/L、368.53(302.73,458.20)U/L,均显著高于GMPP组[92.60(70.30,120.40)ng/mL、0.21(0.14,0.33)μg/mL、8.90(4.12,15.64)mg/L、275.42(250.81,320.24)U/L],差异均有统计学意义(P<0.05)。多因素Logistic回归分析显示,D-D水平上升、CRP增高及LDH升高是SMPP发生的独立危险因素。ROC曲线分析表明,D-D、CRP、LDH联合预测SMPP发生的ROC曲线下面积为0.916,对SMPP的预测价值高于各指标单一指标(P<0.05)。结论血清SF、D-D、CRP和LDH水平与MPP患儿的病情严重程度密切相关,其中D-D、CRP和LDH是重症化的独立预测因子,D-D、CRP和LDH联合检测可为早期识别SMPP提供高效的临床预警策略。 展开更多
关键词 重症肺炎支原体肺炎 儿童 血清铁蛋白 d-二聚体 c反应蛋白 乳酸脱氢酶
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肺部超声评分联合血清PCT、CRP、D-D评估肺炎支原体肺炎患儿病变程度的临床价值
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作者 许鹏 王晓杰 谢玉海 《分子诊断与治疗杂志》 2026年第1期173-176,共4页
目的探讨肺部超声评分(LUS)联合血清降钙素原(PCT)、C反应蛋白(CRP)、D-二聚体(D-D)评估肺炎支原体肺炎(MPP)患儿病变程度及预后的临床价值。方法选取2023年6月至2024年12月于太和县人民医院就诊的MPP患儿76例,根据病变程度分为普通MPP(... 目的探讨肺部超声评分(LUS)联合血清降钙素原(PCT)、C反应蛋白(CRP)、D-二聚体(D-D)评估肺炎支原体肺炎(MPP)患儿病变程度及预后的临床价值。方法选取2023年6月至2024年12月于太和县人民医院就诊的MPP患儿76例,根据病变程度分为普通MPP(GMPP)组(n=43)和重度MPP(SMPP)(n=33);根据随访结果分为良好组(46例)和不良组(30例)。ELISA法检测所有MPP患儿血清中的PCT、CRP、D-D水平;采用Spearman法分析MPP患儿血清PCT、CRP、D-D与LUS的关系;采用Logistic回归分析MPP患儿预后的影响因素;采用ROC曲线分析LUS联合血清PCT、CRP、D-D对MPP患儿病变程度的诊断价值以及预后的预测价值。结果SMPP组患儿LUS及血清PCT、CRP、D-D水平显著高于GMPP组,差异有统计学意义(P<0.05)。MPP患儿血清PCT、CRP、D-D与LUS呈正相关(P<0.05)。LUS联合血清PCT、CRP、D-D诊断MPP患儿病变程度的AUC高于各自独自检测(P<0.05)。不良组患儿LUS及血清PCT、CRP、D-D水平显著高于良好组,差异有统计学意义(P<0.05)。血清PCT、CRP、D-D水平升高是影响MPP患儿预后的危险因素(P<0.05)。LUS联合血清PCT、CRP、D-D预测MPP患儿预后的AUC高于各自独自检测(P<0.05)。结论SMPP患儿血清PCT、CRP、D-D水平升高,三指标与LUS密切相关,联合检测在诊断病变程度和预测患儿预后方面具有较高的价值。 展开更多
关键词 肺炎支原体肺炎 肺部超声评分 降钙素原 c反应蛋白 d-二聚体
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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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Outcomes and predictors of treatment failure following direct-acting antiviral therapy in chronic hepatitis C:A retrospective cohort study
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作者 Noralwani Badarol-Hisham Nur Izzati Kamal-Roslan +4 位作者 Niazlin Mohd Taib Mazriza Madon Norita Zainol Zamberi Sekawi Siti Norbaya Masri 《Asian Pacific Journal of Tropical Medicine》 2026年第1期25-32,共8页
Objective:To evaluate the effectiveness of direct-acting antivirals(DAAs)in patients with chronic hepatitis C,assess changes in liver function and hepatic fibrosis following treatment,and identify independent predicto... Objective:To evaluate the effectiveness of direct-acting antivirals(DAAs)in patients with chronic hepatitis C,assess changes in liver function and hepatic fibrosis following treatment,and identify independent predictors of treatment failure.Methods:This retrospective cohort study included patients who received DAA therapy at Hospital Kuala Lumpur between January 2020 and December 2023.Sustained virologic response(SVR)was assessed at least 12 weeks post-treatment by reverse transcription-polymerase chain reaction for hepatitis C virus(HCV)RNA.Demographic,clinical,and laboratory data were collected and analyzed.Multiple logistic regression analysis was performed to identify independent predictors of treatment failure.Results:A total of 335 patients in the study.The overall SVR rate was 89%.After achieving SVR,significant improvements were observed in liver enzyme levels and non-invasive liver fibrosis scores,whereas the overall Model for End-Stage Liver Disease(MELD)scores remained unchanged.Significant independent predictors of treatment failure included non-compliance with DAA therapy[adjusted odds ratio(aOR)68.3;95%confidence interval(95%CI)16.3-285.0;P<0.001],treatment with sofosbuvir/velpatasvir(aOR 6.1;95%CI 1.4-26.5;P=0.015),MELD score of 10-15(aOR 4.6;95%CI 1.1-18.2;P=0.031),HCV genotype 3 infection(aOR 4.5;95%CI 1.1-17.6;P=0.031),and elevated serum total bilirubin level(aOR 1.1;95%CI 1.0-1.1;P=0.003).Conclusions:DAA therapy yielded a high SVR rate,and treatment failure was strongly associated with non-adherence to therapy and advanced liver disease.These findings underscore the necessity of adherence support,early diagnosis,and individualized clinical management to optimize treatment outcomes in patients with chronic hepatitis C. 展开更多
关键词 chronic hepatitis c direct-acting antiviral agent Liver function cIRRHOSIS Treatment compliance Hepatitis elimination
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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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Molecular phylogeography and population history of Saccostrea mordax based on mitochondrial DNA
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作者 Zeyu TANG Cui LI +3 位作者 Guochen ZANG Zhenqiang LIU Zongmei CUI Haiyan WANG 《Journal of Oceanology and Limnology》 2026年第1期357-371,共15页
The Saccostrea mordax Gould,1850 is a typical intertidal species,whose genetic differentiation is influenced by various factors,including geological and climatic changes.To explore the genetic structure and historical... The Saccostrea mordax Gould,1850 is a typical intertidal species,whose genetic differentiation is influenced by various factors,including geological and climatic changes.To explore the genetic structure and historical population characteristics of Saccostrea mordax,we sequenced the mitochondrial cytochrome c oxidase subunit I(COI)gene from 58 specimens sampled from four locations in the western Pacific.Additionally,103 individuals from the Persian Gulf and western Pacific(from databases)were included for phylogenetic analysis.The Bayesian Inference tree showed that all specimens were divided into two clades,i.e.,the Persian Gulf population and the western Pacific population.Spatial molecular variance analysis indicated significant genetic differentiation between the two populations,and isolation by distance analysis revealed a positive correlation between genetic differentiation and geographic distance.Neutrality tests and Bayesian Skyline Plot suggested that both populations underwent expansions during the late Pleistocene.This study revealed the population history of Saccostrea mordax and described a new lineage,Saccostrea mordax lineage D,providing a foundation for understanding oyster biodiversity formation and genetic resource conservation. 展开更多
关键词 Saccostrea mordax cytochrome c oxidase subunit I(cOI) genetic structure population expansion Saccostrea mordax lineage d
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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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3D打印辅助Joy Stick技术治疗C3型肱骨远端骨折的疗效分析
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作者 镇万源 童飞飞 +2 位作者 刘曦明 汪国栋 黄明 《创伤外科杂志》 2026年第2期123-127,共5页
目的探讨3D打印结合Joy Stick技术治疗C3型肱骨远端骨折的疗效。方法回顾性分析2022年4月—2024年3月武汉中西医结合骨科医院(武汉体育学院附属医院)创伤骨科和中国人民解放军中部战区总医院骨科接受手术治疗的C3型肱骨远端骨折患者36... 目的探讨3D打印结合Joy Stick技术治疗C3型肱骨远端骨折的疗效。方法回顾性分析2022年4月—2024年3月武汉中西医结合骨科医院(武汉体育学院附属医院)创伤骨科和中国人民解放军中部战区总医院骨科接受手术治疗的C3型肱骨远端骨折患者36例。男性19例,女性17例;年龄18~74岁,平均56.8岁;平地摔伤5例,道路交通伤17例,高处坠落伤14例。术前依据CT数据打印3D模型,借助3D模型进行手术规划,采用后正中经肱三头肌两侧入路,结合Joy Stick技术对内外髁进行复位,双钢板固定。主要观察指标包括骨折愈合时间、肘关节活动度、Mayo肘关节功能评分(MEPS)。结果36例患者随访时间12~16个月,平均14.2个月;骨折愈合时间为10~16周,平均12.6周;肘关节平均屈伸活动度(116.3±9.4)°;MEPS评分:66~98分,平均84.7分;优18例,良13例,中4例,差1例,优良率86.1%。结论3D打印结合Joy Stick技术是治疗C3型肱骨髁间骨折安全有效的方法。 展开更多
关键词 c3型肱骨远端骨折 3d打印 Joy Stick技术 双侧入路
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超敏C反应蛋白、降钙素原、D-二聚体对重症社区获得性肺炎的诊断价值
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作者 孔丽娜 《中外医药研究》 2026年第1期145-147,共3页
目的:探究重症社区获得性肺炎(CAP)诊断中超敏C反应蛋白(hs-CRP)、降钙素原(PCT)与D-二聚体(D-D)的价值。方法:回顾性选取2024年6月—2025年6月宜兴市善卷骨科医院的64例CAP患者设为观察组,另纳入同时间段就诊的64例肺结核患者设为对照... 目的:探究重症社区获得性肺炎(CAP)诊断中超敏C反应蛋白(hs-CRP)、降钙素原(PCT)与D-二聚体(D-D)的价值。方法:回顾性选取2024年6月—2025年6月宜兴市善卷骨科医院的64例CAP患者设为观察组,另纳入同时间段就诊的64例肺结核患者设为对照组。所有患者均接受hs-CRP、PCT、D-D检测,根据肺炎严重指数将CAP患者分为重症组(30例)与非重症组(34例)。比较各组间hs-CRP、PCT、D-D水平,另以绘制受试者工作特征曲线的方法,评价重症CAP诊断中hs-CRP、PCT、D-D单独与联合诊断的效能。结果:观察组hs-CRP、PCT、D-D水平高于对照组(P<0.001);重症组hs-CRP、PCT、D-D水平高于非重症组(P<0.001);受试者工作特征曲线结果显示,hs-CRP、PCT、D-D三者联合检测诊断重症CAP的效能高于单一检测(P<0.001)。结论:hs-CRP、PCT、D-D在CAP患者中的表达水平较高,且三者联合检测诊断重症CAP的效能较好。 展开更多
关键词 社区获得性肺炎 超敏c反应蛋白 降钙素原 d-二聚体
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血清SF、CRP、D-D水平与儿童难治性肺炎支原体肺炎的关系
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作者 孙世心 国春柘 王晓雪 《川北医学院学报》 2026年第1期43-46,共4页
目的:评估血清铁蛋白(SF)、C反应蛋白(CRP)及D-二聚体(D-D)对儿童难治性肺炎支原体肺炎(RMPP)的早期预测价值。方法:选取107例肺炎支原体肺炎(MPP)患儿为研究对象,根据治疗反应及病情进展分为普通组(GMPP组,n=51)和难治组(RMPP组,n=56)... 目的:评估血清铁蛋白(SF)、C反应蛋白(CRP)及D-二聚体(D-D)对儿童难治性肺炎支原体肺炎(RMPP)的早期预测价值。方法:选取107例肺炎支原体肺炎(MPP)患儿为研究对象,根据治疗反应及病情进展分为普通组(GMPP组,n=51)和难治组(RMPP组,n=56)。比较两组患儿急性期血清SF、CRP、D-D水平差异,采用Logistic回归分析筛选RMPP的影响因素,通过受试者工作特征(ROC)曲线评估血清SF、CRP、D-D水平单项及三项指标联合检测对RMPP的预测效能。结果:两组患儿年龄、性别、入院时间等一般资料无统计学差异(P>0.05),RMPP组发热持续时间更长、累及肺叶数更多(P<0.05)。RMPP组血清SF、CRP、D-D水平均高于GMPP组(P<0.05)。多因素Logistic回归显示,SF升高、CRP增高及D-D上升是RMPP发生的影响因素(P<0.05)。ROC曲线分析表明,SF、CRP、D-D联合预测RMPP的曲线下面积(AUC)为0.849,优于单一指标(P<0.05)。结论:血清SF、CRP、D-D水平与MPP患儿病情严重程度及难治性进展密切相关,三者可作为RMPP的独立预测因子,联合检测时可为儿童RMPP的早期预警提供重要依据。 展开更多
关键词 难治性肺炎支原体肺炎 儿童 铁蛋白 c反应蛋白 d-二聚体
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血清C反应蛋白、D-二聚体水平联合肺部超声对新生儿呼吸窘迫综合征的诊断价值
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作者 林晓艺 刘雁冰 《中国当代医药》 2026年第2期86-89,94,共5页
目的探讨血清C反应蛋白(CRP)、D-二聚体水平联合肺部超声在新生儿呼吸窘迫综合征(NRDS)中的诊断价值。方法选取2022年9月至2024年3月福建省漳州正兴医院收治的86例NRDS患儿作为研究组,同期50例健康新生儿作为对照组。所有新生儿均进行血... 目的探讨血清C反应蛋白(CRP)、D-二聚体水平联合肺部超声在新生儿呼吸窘迫综合征(NRDS)中的诊断价值。方法选取2022年9月至2024年3月福建省漳州正兴医院收治的86例NRDS患儿作为研究组,同期50例健康新生儿作为对照组。所有新生儿均进行血清CRP、D-二聚体水平检测,并接受肺部超声检查。比较两组CRP、D-二聚体水平及肺部超声表现的差异,并采用受试者工作特征(ROC)曲线分析其诊断效能。结果研究组血清CRP、D-二聚体水平高于对照组,差异有统计学意义(P<0.05)。肺部超声显示,研究组肺部异常率高于对照组,差异有统计学意义(P<0.05)。ROC曲线分析显示,血清CRP、D-二聚体联合肺部超声诊断新生儿呼吸窘迫综合征的AUC为0.993,均高于各单项指标的AUC。联合预测的敏感度和特异度分别为0.980、0.930。结论血清CRP、D-二聚体水平联合肺部超声检查诊断NRDS的效能良好,为临床早期识别、及时干预提供了有力支持。 展开更多
关键词 新生儿呼吸窘迫综合征 c反应蛋白 d-二聚体 肺部超声 诊断价值
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3D holographic metasurface design by deep learning with partitioned loss function
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作者 YUNXIN GUO YI YANG +4 位作者 FAN HUANG JIANQIANG GU CHUNMEI OUYANG QUAN XU XUEQIAN ZHANG 《Photonics Research》 2025年第12期3383-3398,共16页
Deep learning has significantly accelerated the automation of metasurface design and reduced its dependence on empirical approaches.However,it still has not fully demonstrated its capabilities in the most challenging ... Deep learning has significantly accelerated the automation of metasurface design and reduced its dependence on empirical approaches.However,it still has not fully demonstrated its capabilities in the most challenging light field manipulation:3D holography.In this paper,we present a framework that integrates a fully connected forward prediction network with a 3D convolutional inverse design network to design terahertz 3D holographic metasurfaces. 展开更多
关键词 light field manipulation d holographyin deep learning d holographic metasurface partitioned loss function d convolutional inverse design network empirical approacheshoweverit terahertz d holographic metasurfaces forward prediction network
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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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