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Glomerular filtration rate and comorbidity factors in elderly hospitalizations 被引量:1
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作者 Hatice Hamarat 《World Journal of Nephrology》 2025年第1期93-98,共6页
BACKGROUND With an increase in the elderly population,the frequency of hospitalizations in recent years has also risen at a rapid pace.This,in turn,has resulted in poor outcomes and costly treatments.Hospitalization r... BACKGROUND With an increase in the elderly population,the frequency of hospitalizations in recent years has also risen at a rapid pace.This,in turn,has resulted in poor outcomes and costly treatments.Hospitalization rates increase in elderly patients due to a decline in glomerular filtration rate(GFR).AIM To investigate the connection between GFR and comorbidity and reasons for hospitalization in elderly patients.METHODS We analyzed patients aged 75 years and over who were admitted to the internal medicine clinic of a tertiary hospital in Eskisehir.At admission,we calculated GFR values using the Modification of Diet in Renal Disease study formula and classified them into six categories:G1,G2,G3a,G3b,G4,and G5.We analyzed associations with hospitalization diagnoses and comorbidity factors.RESULTS The average age of the patients was 80.8 years(±4.5 years).GFR was 57.287±29.5 mL/kg/1.73 m2 in women and 61.3±31.5 mL/kg/1.73 m2 in men(P=0.106).Most patients were admitted to the hospital at G2 stage(32.8%).The main reasons for hospitalization were anemia(34.4%and 28.6%)and malnutrition(20.9%and 20.8%)in women and men,respectively(P=0.078).The most frequent comor-bidity leading to hospitalization was arterial hypertension(n=168,28%),fo-llowed by diabetes(n=166,27.7%)(P=0.001).CONCLUSION When evaluating geriatric patients,low GFR alone does not provide sufficient information.Patients’comorbid factors should also be taken into account.There is no association between low GFR during hospitalization and hospitalization-Hamarat H.Aging and GFR related diagnoses.Knowing the GFR value before hospitalization will be more informative in such studies. 展开更多
关键词 AGING Glomerular filtration rate HOSPITALIZATION COMORBIDITY Elderly hospitalizations
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Study on the desalination efficiency of hydrate phase by a pressure-driven filtration method 被引量:1
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作者 Yiwei Wu Zhenbin Xu +5 位作者 Xiaohui Wang Jin Cai Tenghua Zhang Peng Xiao Changyu Sun Guangjin Chen 《Chinese Journal of Chemical Engineering》 2025年第9期66-75,共10页
The mechanism of hydrate-based desalination is that water molecules would transfer to the hydrate phase during gas hydrate formation process,while the salt ions would be conversely concentrated in the unreacted saltwa... The mechanism of hydrate-based desalination is that water molecules would transfer to the hydrate phase during gas hydrate formation process,while the salt ions would be conversely concentrated in the unreacted saltwater.However,the salt concentration of hydrate decomposed water and the desalination degree of hydrate phase are still unclear.The biggest challenge is how to effectively separate the hydrate phase and the remaining unreacted salt water,and then decompose the hydrate phase to measure the salt concentration of hydrate melt water.This work developed an apparatus and pressure-driven filtration method to efficiently separate the hydrate phase and the remaining unreacted saltwater.On this basis,the single hydrate phase was obtained,then it was dissociated and the salt concentration of hydrate melt water was measured.The experimental results demonstrate that when the initial salt mass concentration is 0.3% to 8.0%,the salt removal efficiency for NaCl solution is 15.9% to 29.8%by forming CO_(2) hydrate,while for CaCl_(2) solution is 28.9%to 45.5%.The solute CaCl_(2) is easier to be removed than solute NaCl.In addition,the salt removal efficiency for forming CO_(2) hydrate is higher than that for forming methane hydrate.The multi-stage desalination can continuously decrease the salt concentration of hydrate dissociated water,and the salt removal efficiency per stage is around 20%. 展开更多
关键词 DESALINATION Gas hydrate Pressure-driven filtration Salt removal efficiency MULTI-STAGE
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Mechanisms of fibrosis formation following glaucoma filtration surgery
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作者 Wei-Dao Zhang Xin Li +1 位作者 Jun Feng Jie Chen 《International Journal of Ophthalmology(English edition)》 2025年第8期1579-1586,共8页
Glaucoma filtration surgery(GFS)stands as the most effective intervention for reducing intraocular pressure,a critical component in glaucoma management.Despite its pivotal role,the scarring of the filtration bleb rema... Glaucoma filtration surgery(GFS)stands as the most effective intervention for reducing intraocular pressure,a critical component in glaucoma management.Despite its pivotal role,the scarring of the filtration bleb remains the primary impediment to successful GFS outcomes.Perioperative utilization of antimitotics,while frontline in combating fibrosis and modulating the wound healing process,carries the risk of vision-threatening complications.Given the complexity of the wound healing cascade and the potential insufficiency of targeting a single molecule,there is an imperative to expand therapeutic modalities through combination therapies.This review offers a comprehensive elucidation of the fibrogenesis post-GFS,a synthesis unprecedented in the available literature,and aims to inform the broadening of therapeutic strategies for GFS. 展开更多
关键词 glaucoma filtration surgery filtration bleb FIBROSIS MECHANISMS
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Numerical study on filtration characteristics of granular bed for high temperature coal pyrolysis gas
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作者 Shuaiqiang Yang Guangchao Ding +3 位作者 Zheqi Guo Lin Du Wenli Song Songgeng Li 《Chinese Journal of Chemical Engineering》 2025年第12期211-221,共11页
Granular bed filter is one of the most promising technologies for the dust removal from high temperature coal pyrolysis gas.In this work,three-dimensional numerical models were employed to investigate the influence of... Granular bed filter is one of the most promising technologies for the dust removal from high temperature coal pyrolysis gas.In this work,three-dimensional numerical models were employed to investigate the influence of operation parameters on collection efficiency,especially paying attention to particle deposition characteristics in the bed and outlet particle size distribution.The results show that the operation parameters have different effects on the collection efficiency of particles with the different properties.Under the same conditions,the collection efficiency of granular bed for circulating ash increases more rapidly compared to that of char particles.According to the effective Stokes number(N_(steff)),the collection efficiency of granular bed can be obviously divided into three regions:difficult separation region(N_(steff)≤0.25),transition region(0.25<N_(steff)<0.83)and easy separation region(N_(steff)≥0.83).Dust deposition within the bed exhibits axial attenuation along the gas flow direction,allowing classification of deposited particles into two characteristic types:dispersed particles and congregated particles.In addition,granular bed filtration induces a morphological transition of particle size distribution,transforming the original monomodal profile into a well-defined bimodal structure.A correlation formula of the collection efficiency was developed,providing critical insights for the engineering design of granular bed filters. 展开更多
关键词 Granular bed filtration Coal pyrolysis gas filtration Numerical simulation Packed bed
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Bank Filtration as a Robust Pretreatment of Gravity-Driven Membrane Filtration: Performance Enhancement and Mechanistic Insights
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作者 Na Li Chu Zhou +5 位作者 Fang Xu Danting Shi Fanxi Zeng Liang Luo Zheng Fang Senlin Shao 《Engineering》 2025年第10期203-213,共11页
A gravity-driven membrane(GDM)system is a cleaning-free ultrafiltration(UF)process for decentralized water purification.However,GDM has a poor permeate quality and low stable flux when the feed water contains high lev... A gravity-driven membrane(GDM)system is a cleaning-free ultrafiltration(UF)process for decentralized water purification.However,GDM has a poor permeate quality and low stable flux when the feed water contains high levels of particulates,organic matter,and micropollutants.To address these challenges,this study used riverbank filtration(BF)as a pretreatment for GDM.The experimental results showed that BF could effectively reduce turbidity and particulate organic matter,and preferentially remove biopolymers and protein-like fluorescent components from natural organic matter.The removal efficiencies of micropollutants(diclofenac,carbamazepine,acetamidophenol,and bisphenol A)increased by 15.2%-65.3% in the presence of BF.Moreover,BF-GDM improved the removal of assimilable organic carbon(AOC)by 42%,thereby enhancing the biological stability of the permeate.Despite a modest increase of approximately 20%in the removal of dissolved organic matter,the BF significantly improved the stable flux from 2.8 to 7.3 L·m^(-2)·h^(-1).This remarkable improvement is attributed to the effective removal of key foulants,including particulate substances,biopolymers,and protein-like fluorescent substances,which leads to a thinner bio-cake layer with a higher density of microorganisms.Additionally,because of the high microbial diversity of the soil,BF pretreatment enriched the microbial diversity of the biocake layer,thereby enriching functional microorganisms capable of degrading pollutants in BF-GDM,such as Nitrospirota and Ascomycota.Overall,BF is a highly effective pretreatment for GDM,which potentially broadens its application to polluted source water. 展开更多
关键词 Gravity-driven membrane Bank filtration BIOFILM Membrane fouling Biological stability
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CLASSIFICATION OF SELF-SIMILAR SOLUTIONS OF THE DEGENERATE POLYTROPIC FILTRATION EQUATIONS
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作者 Zhipeng LIU Shanming JI 《Acta Mathematica Scientia》 2025年第2期615-635,共21页
In this paper,we study the self-similar solutions of the degenerate diffusion equation ut-div(|▽u^(m)|^(p-2)▽u^(m))=0 of polytropic filtration diffusion in R^(N)×(0,±∞)or(R^(N)/{0})×(0,±∞)with ... In this paper,we study the self-similar solutions of the degenerate diffusion equation ut-div(|▽u^(m)|^(p-2)▽u^(m))=0 of polytropic filtration diffusion in R^(N)×(0,±∞)or(R^(N)/{0})×(0,±∞)with N≥1,m>0,p>1,such that m(p-1)>1.We give a clear classification of the self-similar solutions of the form u(x,t)=(βt)^(-α/β)((βt)^(-1/β)|x|)withα∈R andβ=α[m(p-1)-1]+p,regular or singular at the origin point.The existence and uniqueness of some solutions are established by the phase plane analysis method,and the asymptotic properties of the solutions near the origin and the infinity are also described.This paper extends the classical results of self-similar solutions for degeneratep-Laplace heat equation by Bidaut-Véron[Proc Royal Soc Edinburgh,2009,139:1-43]to the doubly nonlinear degenerate diffusion equations. 展开更多
关键词 self-similar solutions polytropic filtration equation degenerate diffusion equation doubly nonlinear diffusion
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Numerical Validation of A Simple Dynamic Beam Filtration Strategy in Cone Beam CT
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作者 WANG Heran XIE Jixiong +4 位作者 ZHU Jiongtao ZHANG Xin TAN Yuhang SU Ting GE Yongshuai 《集成技术》 2025年第2期71-85,共15页
For cone beam computed tomography(CBCT),there has long been a desire to modulate the intensity and distribution of the X-rays to accommodate the patient’s anatomy as the gantry rotates from one projection to another.... For cone beam computed tomography(CBCT),there has long been a desire to modulate the intensity and distribution of the X-rays to accommodate the patient’s anatomy as the gantry rotates from one projection to another.This would reduce both image artifacts and radiation dose.However,the current beam modulation setups,such as dynamic bowtie filters,may be too complex for practical use in clinical applications.This study aimed to investigate a simplified dynamic beam filtration strategy for CBCT imaging to reduce image artifacts and radiation dose.In this study,the beam filtration was designed to vary dynamically as the CBCT gantry rotates around the object.Specifically,two distinct components were integrated:the sheet filter part and the bowtie filter part.The dynamic beam filtration setup has two working schemes,one is a combination of dynamic sheet filter and dynamic bowtie filter,denoted as dynamic filterdynamic bowtie(DFDB);the other is a combination of dynamic sheet filter and static bowtie filter,denoted as dynamic filter-static bowtie(DFSB).Numerical imaging experiments were performed for three human body parts:the shoulder,chest,and knee.In addition,the Monte Carlo simulation platform MC-GPU was used to generate the dose distribution maps.Results showed that the proposed DFDB and DFSB beam filtration schemes can significantly reduce the image artifacts and thus improve the CBCT image quality.Depending on the scanned object,the total radiation dose could be reduced by 30%.The proposed simple dynamic beam filtration strategy,especially the DFSB approach,could be beneficial in the future to improve the CBCT image quality with reduced image artifacts and radiation dose. 展开更多
关键词 dynamic filtration radiation dose reduction artifacts reduction cone beam computed tomography
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Filtration efficiency and purification mechanism of MgO-based ceramic filters on molten steel
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作者 Wen Yan Ying Liu +2 位作者 Jin-wen Song Yu Liu Guang-qiang Li 《Journal of Iron and Steel Research International》 2025年第6期1514-1525,共12页
Pure magnesia filter and periclase-spinel filter were prepared using porous MgO powder and Al2O3 micro-powder as raw materials.The filtration efficiency and purification mechanism of the two sets of filters on molten ... Pure magnesia filter and periclase-spinel filter were prepared using porous MgO powder and Al2O3 micro-powder as raw materials.The filtration efficiency and purification mechanism of the two sets of filters on molten steel were investigated through steel casting tests.The results show that on the basis of surviving the thermal shock of molten steel,both filters can significantly reduce the number of non-metallic inclusions and total oxygen content of steel,thereby improving the cleanliness of the molten steel.After the thermal shock of molten steel,cracks were found in the microstructure of pure magnesia filter.Via the diffusion of non-metallic inclusions from steel into MgO grains of the filter to form solid solution,the inclusions were adsorbed to the internal and external surfaces of the pure magnesia filter.The number of inclusions was reduced by 62.5%,and the total oxygen content decreased from 0.892 to 0.265 wt.%after filtration,achieving a filtration efficiency of 70.3%.Compared with the pure magnesia filter,no cracks were found in the microstructure of the periclase-spinel filter.The mass transfer rate was accelerated due to the diffusion of inclusions from steel into MgO and MgAl2O4 grains of the filter,as well as the higher high-temperature liquid content and smaller pore structure of the filter.More non-metallic inclusions were able to enter the interior of the filter,which made the periclase-spinel filter more capable of adsorbing inclusions from steel and reducing total oxygen content.The periclase-spinel filter reduced the number of inclusions in steel by 84.4%and decreased the total oxygen content of the steel from 0.892 to 0.119 wt.%,with a filtration efficiency of 86.7%,demonstrating excellent comprehensive performance. 展开更多
关键词 MgO-based ceramic filter Periclase-spinel filter Steel casting test filtration efficiency Purification mechanism Interface reaction
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Lignocellulosic Biocomposite Membranes for Air Filtration and Environmental Protection:A Review
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作者 Abiodun Abdulhameed Amusa Anwar Johari +4 位作者 Kamil Kayode Katibi Ibrahim Garba Shitu Abdulrahman Oyekanmi Adeleke Mohd Fairus Mohd Yasin Muhammad Thalhah Zainal 《Journal of Renewable Materials》 2025年第2期251-272,共22页
The increasing severity of air pollution necessitates more effective and sustained air filtration technology.Concurrently,the desire for more environmentally friendly,sustainable materials with better filtering perfor... The increasing severity of air pollution necessitates more effective and sustained air filtration technology.Concurrently,the desire for more environmentally friendly,sustainable materials with better filtering performance and less environmental impact drives the move away from conventional synthetic membranes.This review presents lignocellulosic biocomposite(LigBioComp)membranes as an alternative to traditional synthetic membranes.It focuses on their materials,fabrication,and functionalization techniques while exploring challenges and proposing methods for resourceful utilization.Renowned for their abundance and renewable nature,lignocellulosic materials consist of cellulose,hemicellulose,and lignin.Various applications can benefit from their antibacterial properties,large surface area,and remarkable mechanical strength.LigBioComp membranes are fabricated through casting,electrospinning,and freeze-drying,with advancements in fabrication techniques enhancing their performance and applicability.It is suggested to use solvent-free or low-solvent techniques such as Layer-by-Layer assembly to minimize environmental impact.Freeze-drying and electrospinning with green solvents can be used for achieving specific membrane properties,though energy consumption should be considered.Apply dry-wet spinning and solvent casting processes selectively.Functional groups,including carboxyl,hydroxyl,or amino groups,can significantly improve the membrane’s capacity to capture particulate matter.Chemical etching or the precise deposition of nanoparticles can further optimize pore size and distribution.The choice of chemicals and methods is critical in functionalization,with silane coupling agents,polyethyleneimine,and polydopamine.Future research should prioritize refining fabrication methods,advancing functionalization strategies,and conducting performance and recyclability assessments on hybrid and composite materials.This will enhance integrated systems and contribute to the development of smart filters. 展开更多
关键词 LIGNOCELLULOSE BIOCOMPOSITES renewable materials sustainable membranes environmental protection particulate matter removal air filtration technology
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Single subconjunctival injection formulation with a 5-fluorouracil-poly(lactic) acid controlled-release system for glaucoma filtration surgery
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作者 Jing-Jing Zhang Feng Gao +2 位作者 Kai-Xin Deng Wen-Xue Guan Yao-Yao Sun 《International Journal of Ophthalmology(English edition)》 2025年第10期1823-1833,共11页
AIM:To develop a 5-fluorouracil(5-FU)mesoporous poly(lactic)acid(PLA)delivery system for glaucoma filtration surgery suitable for a single subconjunctival implantation.METHODS:The 5-FU was infiltration-loaded into mes... AIM:To develop a 5-fluorouracil(5-FU)mesoporous poly(lactic)acid(PLA)delivery system for glaucoma filtration surgery suitable for a single subconjunctival implantation.METHODS:The 5-FU was infiltration-loaded into mesoporous PLA.In vitro and in vivo release experiments and ocular toxicology evaluation of the formulation were performed.The antiproliferative effect of this 5-FU-PLA tablet after glaucoma filtration surgery in rabbits was evaluated.Pathology,immunohistochemistry,and Western blot were used to further validate the inhibitory effect of this sustained release system.RESULTS:Various drug formulations were tested,and two 5-FU-PLA tablets,namely 1.5P15(5-FU 1.5 mg+PLA 15000 Da)and 2.5P15(5-FU 2.5 mg+PLA 15000 Da),had the most suitable release profiles in vitro.Further in vivo studies confirmed the safety and sustained-release profiles of both drugs.Both 5-FU-PLA tablets,relative to the free drugs,significantly inhibited tissue proliferation after glaucoma filtration and improved surgical success.Western blot showed that transforming growth factor-β(TGF-β)and connective tissue growth factor(CTGF)were inhibited by 5-FU after filtration surgery,with the effects of the 5-FU-PLA tablets being more lasting.CONCLUSION:The tested 5-FU-PLA tablets provide a sustained release of 5-FU,which may be used for a single subconjunctival implantation to inhibit proliferation after filtration surgery. 展开更多
关键词 5-fluorouracil mesoporous poly(lactic)acid sustained release system filtration surgery GLAUCOMA
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Photocatalytic Membrane Filtration:Materials,System Optimization,and External Field Enhancement
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作者 Xianyuan Sun Jie Tian +7 位作者 Jiayang Cai Yanjie Wang Tao He Xiaoqing Qiu Zibiao Li Zuofang Yao Detlef W.Bahnemann Jiahong Pan 《Energy & Environmental Materials》 2025年第4期142-156,共15页
Photocatalytic membranes hold significant potential for promoting pollutant degradation and reducing membrane fouling in filtration systems.Although extensive research has been conducted on the independent design of p... Photocatalytic membranes hold significant potential for promoting pollutant degradation and reducing membrane fouling in filtration systems.Although extensive research has been conducted on the independent design of photocatalysts or membrane materials to improve their catalytic and filtration performance,the complex structures and interface mechanisms,as well as insufficient light utilization,are still often overlooked,limiting the overall performance improvement of photocatalytic membranes.This work provides an overview of enhancement strategies involving restricted area effects,external fields,such as mechanical,magnetic,thermal,and electrical fields,as well as coupling techniques with advanced oxidation processes(e.g.,O_(3),Fenton,and persulfate oxidation)for dual enhancement of photocatalysts and membranes.In addition,the synthesis method of photocatalytic membranes and the influence of factors,such as light source type,frequency,and relative position on photocatalytic membrane performance were also studied.Finally,economic feasibility and pollutant removal performance were further evaluated to determine the promising enhancement strategies,paving the way for more efficient and scalable applications of photocatalytic membranes. 展开更多
关键词 external field enhancement membrane filtration photocatalytic materials semiconductor photo(electro)catalysis water purification
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High-throughput production of low-cost hydrophobic and oleophilic mullite fiber sponges for high-temperature PM filtration
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作者 Yuwen Hu Ruijian Zhu +2 位作者 Dazhi Zheng Shiou Liang Zengmei Wang 《Journal of Materials Science & Technology》 2025年第19期250-262,共13页
Particulate matter(PM)from high-temperature emissions like chemical plants,coal stoves and vehicle exhausts poses a gravel challenge to human health.To address this issue,researchers have explored vari-ous fiber filte... Particulate matter(PM)from high-temperature emissions like chemical plants,coal stoves and vehicle exhausts poses a gravel challenge to human health.To address this issue,researchers have explored vari-ous fiber filters,yet the bulk struggle to withstand high temperatures.In this study,mullite fiber sponges were developed utilizing low-cost materials and Kármán vortex solution blow spinning,using surfac-tants to improve the spinnability of the sol.Optimized sponges demonstrate ultralight(19 mg cm^(-3)),temperature-resistant reversible compressibility(50% strain)and a water contact angle of 135°.These sponges exhibited exceptional thermal insulation(thermal conductivity:0.0256 W m^(-1) K^(-1))and per-formed well in high-temperature air filtration.At 800℃,the mullite sponge with a base weight of 35 mg cm^(-2),achieved an average filtration efficiency of 98.18%and 99.57% for PM_(2.5) and PM_(2.5-10),respectively,with a quality value of 0.98 Pa^(-1) at a wind speed of 4 cm s^(-1).This low-cost mullite fiber sponge offers a promising avenue for designing high-performance filtration materials. 展开更多
关键词 Kármán vortex solution blow spinning Mullite fiber Thermal insulation High-temperature PM filtration
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Longitudinal assessment of measured and estimated glomerular filtration-rate in autosomal dominant polycystic kidney disease:Real practice experience
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作者 Juan M Fernandez JoséC Rodriguez-Pérez +3 位作者 M Mercedes Lorenzo-Medina Fancisco Rodriguez-Esparragon Juan C Quevedo-Reina Carmen R Hernandez-Socorro 《World Journal of Nephrology》 2025年第1期99-109,共11页
BACKGROUND Equations for estimation glomerular filtration rate(eGFR)have been associated with poor clinical performance and their clinical accuracy and reliability have been called into question.AIM To assess the long... BACKGROUND Equations for estimation glomerular filtration rate(eGFR)have been associated with poor clinical performance and their clinical accuracy and reliability have been called into question.AIM To assess the longitudinal changes in measured glomerular filtration rate(mGFR)in patients with autosomal dominant polycystic kidney disease(ADPKD).METHODS Analysis of an ambispective data base conducted on consecutive patients diagnosed with ADPKD.The mGFR was assessed by iohexol clearance;while eGFR was calculated by three different formulas:(1)The chronic kidney disease epidemiology collaboration(CKD-EPI);(2)Modification of diet in renal disease(MDRD);and(3)The 24-hour urine creatinine clearance(CrCl).The primary end-points were the mean change in mGFR between the baseline and final visit,as well as the comparison of the mean change in mGFR with the change estimated by the different formulas.RESULTS Thirty-seven patients were included in the study.As compared to baseline,month-6 mGFR was significantly decrease by-4.4 mL/minute±10.3 mL/minute(P=0.0132).However,the CKD-EPI,MDRD,and CrCl formulas underestimated this change by 48.3%,89.0%,and 45.8%respectively,though none of these differences reached statistical significance(P=0.3647;P=0.0505;and P=0.736,respectively).The discrepancies between measured and estimated glomerular filtration rate values,as evaluated by CKD-EPI(r=0.29,P=0.086);MDRD(r=0.19,P=0.272);and CrCl(r=0.09,P=0.683),were not correlated with baseline mGFR values.CONCLUSION This study indicated that eGFR inaccurately reflects the decline in mGFR and cannot reliably track changes over time.This poses significant challenges for clinical decision-making,particularly in treatment strategies. 展开更多
关键词 Autosomal dominant polycystic kidney disease Glomerular filtration rate End-stage kidney disease IOHEXOL Chronic kidney disease epidemiology collaboration Modification of diet in renal disease
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Chronic kidney disease in geriatric patients:Estimating glomerular filtration rate in older patients with comorbidities
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作者 Guido Gembillo Luca Soraci Domenico Santoro 《World Journal of Nephrology》 2025年第2期178-181,共4页
Aging is an inevitable process that is usually measured by chronological age,with people aged 65 and over being defined as"older individuals".There is disagreement in the current scientific literature regard... Aging is an inevitable process that is usually measured by chronological age,with people aged 65 and over being defined as"older individuals".There is disagreement in the current scientific literature regarding the best methods to estimate glomerular filtration rate(eGFR)in older adults.Several studies suggest the use of an age-adjusted definition to improve accuracy and avoid overdiagnosis.In contrast,some researchers argue that such changes could complicate the classification of chronic kidney disease(CKD).Several formulas,including the Modification of Diet in Renal Disease,CKD-Epidemiology Collaboration,and Cockcroft-Gault equations,are used to estimate eGFR.However,each of these formulas has significant limitations when applied to older adults,primarily due to sarcopenia and malnutrition,which greatly affect both muscle mass and creatinine levels.Alternative formulas,such as the Berlin Initiative Study and the Full Age Spectrum equations,provide more accurate estimates of values for older adults by accounting for age-related physiological changes.In frail older adults,the use of cystatin C leads to better eGFR calculations to assess renal function.Accurate eGFR measurements improve the health of older patients by enabling better medication dosing.A thorough approach that includes multiple calibrated diagnostic methods and a detailed geriatric assessment is necessary for the effective management of kidney disease and other age-related conditions in older adults. 展开更多
关键词 Chronic kidney disease Estimated glomerular filtration rate Renal alterations Geriatric patients Chronic Kidney Disease-Epidemiology Collaboration Modification of Diet in Renal Disease Cockcroft-Gault formula Berlin initiative study Full age spectrum equation
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基于水凝胶-聚醚砜(PES)聚结滤芯的原油废水物理破乳技术
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作者 施鹏 娄梦云 +3 位作者 喻安平 方申文 刘锐 段明 《化工进展》 北大核心 2026年第2期1232-1242,共11页
含油废水对生态系统和人类健康构成了威胁。目前,传统技术普遍存在高成本和二次污染等问题,而聚结过滤技术在降低能耗和提高分离效率方面显示出潜在优势。尽管其整体性能尚未完全满足大规模工业化应用的要求,但具有较大的改进空间和发... 含油废水对生态系统和人类健康构成了威胁。目前,传统技术普遍存在高成本和二次污染等问题,而聚结过滤技术在降低能耗和提高分离效率方面显示出潜在优势。尽管其整体性能尚未完全满足大规模工业化应用的要求,但具有较大的改进空间和发展前景,同时仍需进一步优化和完善。本研究通过聚合反应将聚丙烯酰胺(PAM)水凝胶接枝至聚醚砜(PES)微滤膜上,开发了一种水凝胶聚结材料。当基材孔径从0.45μm增加到2μm,PAM/PES材料的工作模式由膜分离转变为过滤-破乳聚结。该材料在进料压力为0.1MPa的条件下,通量超过280L/(m^(2)·h),油去除效率超过99%。在一个较为宽泛的制备规格和环境条件下,除油效率始终保持在97%以上,经过水冲洗后,通量恢复率超过90%,展现出较好的可重复使用性。本研究提出了一种无药剂、可持续的含油废水处理与油回收同步解决方案,为解决含油废水这一长期存在的环境难题提供了一种高效且环保的选择途径。 展开更多
关键词 聚结 无药剂破乳 含油废水 水凝胶 过滤
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东山岛典型森林草本层β多样性及其驱动因素
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作者 王彬彬 林曼妮 +3 位作者 朱琦琦 肖自新 李培杨 邓传远 《东北林业大学学报》 北大核心 2026年第2期58-67,共10页
探究植物群落间物种组成差异,有助于深入了解植物β多样性格局及其驱动机制,提高对海岛植物β多样性变化格局的认识。通过东山岛典型森林林下192个草本样方,以Jaccard相异性指数度量β多样性,结合Mantel检验、偏Mantel检验、依据距离的... 探究植物群落间物种组成差异,有助于深入了解植物β多样性格局及其驱动机制,提高对海岛植物β多样性变化格局的认识。通过东山岛典型森林林下192个草本样方,以Jaccard相异性指数度量β多样性,结合Mantel检验、偏Mantel检验、依据距离的冗余分析(db-RDA)、方差分解,量化空间距离、环境因子、物种丰富度对东山岛草本层β多样性及其组分的相对贡献。结果表明:草本层整体β多样性均值为0.822,周转组分占92.7%,嵌套组分占7.3%,物种间的组成差异主要源于物种更替。在0~30 km尺度内,整体β多样性及周转组分随空间距离呈极显著递增,嵌套组分随距离增加而降低。Mantel及偏Mantel检验结果显示,空间距离及环境因素与周转组分呈极显著相关,嵌套组分仅与物种丰富度呈极显著正相关。db-RDA分析结果表明,周转组分主要由海拔因子驱动,嵌套组分则几乎完全由物种丰富度差异决定。方差分解结果进一步显示,空间距离单独解释4.0%整体β多样性的变异来源,环境因子则单独解释1.9%,二者联合解释2.6%。 展开更多
关键词 Β多样性 环境过滤 扩散限制 草本层 东山岛
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多功能钻井液处理剂MPA-1的合成与性能评价
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作者 李雄 《钻井液与完井液》 北大核心 2026年第1期41-50,共10页
针对目前水基钻井液处理剂种类多、处理剂主功能突出而副功能效果不理想,多数钻井液体系复杂、维护难度较大、处理剂间易出现配伍性差等问题,提出多功能钻井液处理剂的研发思路。通过L9(3~4)正交实验确定了合成单体、最优加量和反应条件... 针对目前水基钻井液处理剂种类多、处理剂主功能突出而副功能效果不理想,多数钻井液体系复杂、维护难度较大、处理剂间易出现配伍性差等问题,提出多功能钻井液处理剂的研发思路。通过L9(3~4)正交实验确定了合成单体、最优加量和反应条件,室内合成出具有降滤失、抑制和润滑3种功效的多功能钻井液处理剂MPA-1,数均和重均分子量分别为15.6万和28.2万,热重分析显示MPA-1分子初始分解温度约为255℃。在5%钠膨润土浆中,与现场常用单一功能处理剂相比,含1%MPA-1的实验浆经120℃老化16h后降滤失、润滑和抑制效果突出,经150℃老化16h后性能优于多数现场常用处理剂。在含5%~10%KCl的5%钠膨润土浆中,MPA-1表现出良好的耐盐能力。在3口现场钾胺基/钾基聚磺井浆中分别加入0.3%~0.5%MPA-1,经120℃老化16h后,井浆黏度适度升高、API滤失量明显降低,滤饼润滑性能得到改善。使用1.5%MPA-1代替实际钾胺基钻井液中的1%KPAM+1%Lube-3+1%SMJA-1后,配方得到简化,滤失量、黏度、黏滞系数和膨润土压片的相对膨胀率全面降低。机理分析表明,MPA-1中的阳离子基团,通过吸附在黏土颗粒表面适度提高其疏水性,起到抑制作用,同时提高润滑性能。MPA-1中的阴离子基团进入黏土颗粒的水化层,增强了颗粒表面电负性,增加了水化膜厚度,结合主链包覆作用增大了颗粒的粒径分布范围,进而有助于形成更加薄和致密的滤饼,降低滤失量。研究结果表明,研制的多功能钻井液处理剂MPA-1的降滤失性、润滑性和抑制性能满足150℃以内地层钻进需要,有利于简化钻井液体系,降低现场维护处理难度。 展开更多
关键词 多功能 处理剂 降滤失 润滑 抑制
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一种面向深部复杂地层的纳米凝胶增黏堵漏剂性能评价
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作者 罗平亚 贺佳宁 +7 位作者 段永强 张勇 游子卫 刘平江 陈利 白杨 王韧 白英睿 《新疆石油天然气》 2026年第1期1-8,共8页
针对超深井钻完井过程中钻井液在高温、高盐、高地应力复杂地层环境下普遍存在的流变性失控、滤失量剧增及井壁失稳难题,设计并合成了一种基于丙烯酰胺(AM)与甲基丙烯酰氧乙基三甲基氯化铵(DMC)的阳离子型纳米凝胶增黏堵漏剂P(AM-DMC)... 针对超深井钻完井过程中钻井液在高温、高盐、高地应力复杂地层环境下普遍存在的流变性失控、滤失量剧增及井壁失稳难题,设计并合成了一种基于丙烯酰胺(AM)与甲基丙烯酰氧乙基三甲基氯化铵(DMC)的阳离子型纳米凝胶增黏堵漏剂P(AM-DMC)。该材料采用反相悬浮聚合法制备,兼具了聚合物柔性链的增黏特性与纳米颗粒的高界面活性及尺寸效应。利用扫描电镜(SEM)对其形貌进行表征,结果显示其呈现不规则多面体结构,粒径分布为200~500 nm;系统评价了其在低固相水基钻井液基浆中的流变性能、滤失性能和抗盐性;并结合接触角与Zeta电位测试揭示了其微观界面特性。微观机理分析表明,材料表面接触角为13°,Zeta电位为+59.1 mV,这赋予了其高亲水性和优异的分散稳定性,是实现增黏与堵漏协同作用的基础。P(AM-DMC)纳米凝胶通过阳离子链段与黏土颗粒间的强静电吸附作用,以及自身形成的三维空间网络结构,能显著提升钻井液体系的结构黏度与抗剪切能力。当P(AM-DMC)加量增加时,钻井液的表观黏度和动切力较基浆有显著提升,同时API滤失量与高温高压滤失量显著降低;经170℃高温老化后,体系仍能保持优异的流变稳定性和低滤失量,证明其具备突出的热稳定性。P(AM-DMC)纳米凝胶为深部复杂地层钻井液体系的高性能化提供了一种兼具高效增黏、精细封堵和卓越抗温能力的新思路,对保障超深井安全高效钻探具有重要的工程应用价值。 展开更多
关键词 钻井液 纳米凝胶 增黏堵漏剂 流变性 降滤失性 抗盐性
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扩大标准供者肾移植西罗莫司四联方案的转换治疗同供者对照研究
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作者 杨华 熊睿 +4 位作者 万里松 陈同长 杨锦然 罗文峰 李新长 《器官移植》 北大核心 2026年第2期243-249,共7页
目的探讨扩大标准供者(ECD)供肾移植术后3~6个月将免疫抑制药三联方案他克莫司(Tac)+吗替麦考酚酯(MMF)+泼尼松(Pred)转换为低剂量西罗莫司(SRL)+低剂量Tac+MMF+Pred四联方案的有效性与安全性。方法单中心、回顾性、同供者对照研究纳入2... 目的探讨扩大标准供者(ECD)供肾移植术后3~6个月将免疫抑制药三联方案他克莫司(Tac)+吗替麦考酚酯(MMF)+泼尼松(Pred)转换为低剂量西罗莫司(SRL)+低剂量Tac+MMF+Pred四联方案的有效性与安全性。方法单中心、回顾性、同供者对照研究纳入2021年9月至2024年6月22例ECD供肾移植受者,来自同一供者供肾的2例受者分别作为SRL组与常规三联方案对照组。主要观察指标为两组转换前、转换后随访1、3、6、12个月血清肌酐(Scr)、估算肾小球滤过率(eGFR)及不良事件发生情况的差异。结果两组受者基线特征差异均无统计学意义。SRL组自转换后3个月起Scr下降、eGFR升高,6个月起优于对照组(均为P<0.05)。两组受者转换后随访12个月排斥反应、肺部感染、高脂血症及蛋白尿发生率差异均无统计学意义(均为P>0.05)。结论ECD供肾移植受者术后3~6个月将三联方案转换为SRL四联方案可在不增加不良事件发生风险的前提下改善移植肾功能。 展开更多
关键词 肾移植 扩大标准供者 免疫抑制药 西罗莫司 转换治疗 移植物功能延迟恢复 钙调磷酸酶抑制剂 估算肾小球滤过率
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超滤膜孔径对瓶装黄酒储藏稳定性和风味的影响 被引量:1
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作者 王旨越 王兰 +4 位作者 周志磊 姬中伟 任青兮 徐岳正 毛健 《食品工业科技》 北大核心 2026年第1期72-83,共12页
瓶装黄酒在储存和销售时,常因非生物因素出现二次沉淀,影响消费者接受度。超滤是控制黄酒非生物稳定性的常用方法,但该处理对瓶装黄酒储藏稳定性和风味等的影响规律未知。本文采用50、30、10、5和3 kDa五种孔径的超滤膜处理瓶装黄酒,并... 瓶装黄酒在储存和销售时,常因非生物因素出现二次沉淀,影响消费者接受度。超滤是控制黄酒非生物稳定性的常用方法,但该处理对瓶装黄酒储藏稳定性和风味等的影响规律未知。本文采用50、30、10、5和3 kDa五种孔径的超滤膜处理瓶装黄酒,并在处理后储藏跟踪1、150和270 d时测定黄酒浊度、多酚浊度、离心沉淀率、粒径和Zeta电位等稳定性和胶体性质指标。测定储藏后期(270 d时)黄酒易沉淀组分、抗氧化性、理化指标、挥发性和不挥发性物质含量,评价黄酒感官和色泽变化,确定最优超滤膜孔径。结果表明,超滤处理明显降低了黄酒的浊度、多酚浊度及离心沉淀率,黄酒储藏稳定性明显提高,50 kDa及孔径更小的超滤膜均展现出了理想的处理效果。胶体性质分析显示,超滤可能去除了大分子蛋白质,使得黄酒胶体平均粒径降低、粒径分布更均匀和Zeta电位增大。超滤后黄酒的抗氧化性、挥发性和不挥发性成分保留效果随膜孔径减小而降低,50 kDa膜处理对功能性成分、挥发性和不挥发性成分影响最小。储藏期间,50 kDa超滤膜处理更好地保留了黄酒风味和色泽,而经30 kDa及孔径更小的超滤膜处理导致黄酒风味不同程度减弱、酒体颜色变浅。本研究揭示了超滤处理对瓶装黄酒储藏稳定性、易沉淀组分、功能性成分和感官特性等的影响,综合稳定性提升、风味保留及感官接受度,50 kDa超滤膜在黄酒加工中展现出最佳应用潜力,为工业化解决黄酒沉淀问题提供科学依据。 展开更多
关键词 黄酒 蛋白质胶体 易沉淀组分 超滤 储藏稳定性
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