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Activity-Based Costing System and Digital Transformation—A Teaching Case
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作者 Gladie Lui Connie Shum 《Journal of Modern Accounting and Auditing》 2025年第2期27-39,共13页
COVID-19 placed increased pressure and urgency for effective cost management,resulting in unprecedented financial strains for hospitals.The pandemic also became a catalyst for accelerating digital transformation to im... COVID-19 placed increased pressure and urgency for effective cost management,resulting in unprecedented financial strains for hospitals.The pandemic also became a catalyst for accelerating digital transformation to improve operations and services in the healthcare industry.Morningdale Hospital is a large and reputable general hospital with a long history in the U.K.You are an intern in the Finance Department of the Hospital.The CEO has asked you to complete a patient-level cost analysis of endoscopic procedures in the Gastrointestinal Department.In your final report,you plan to include a SWOT analysis and a cost analysis using Activity-Based Costing accounting method. 展开更多
关键词 activity-based Costing digital transformation cost control
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Ph染色体阳性急性淋巴细胞白血病移植前后BCR/ABL基因表达与复发的关系
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作者 薛慧 李东楠 +2 位作者 赵雅迪 陈超 谢宗源 《中国组织工程研究》 北大核心 2026年第1期139-144,共6页
背景:BCR/ABL基因是Ph染色体阳性急性淋巴细胞白血病的特异性基因,其表达水平已经成为异基因造血干细胞移植前后微小残留病监测的敏感指标。然而,移植前BCR/ABL基因表达水平是否影响移植疗效,移植后如何指导酪氨酸激酶抑制剂进行复发的... 背景:BCR/ABL基因是Ph染色体阳性急性淋巴细胞白血病的特异性基因,其表达水平已经成为异基因造血干细胞移植前后微小残留病监测的敏感指标。然而,移植前BCR/ABL基因表达水平是否影响移植疗效,移植后如何指导酪氨酸激酶抑制剂进行复发的早期干预尚无定论。目的:探讨Ph染色体阳性急性淋巴细胞白血病患者行亲缘间、异基因造血干细胞移植前后BCR/ABL基因表达与复发的关系。方法:选择2015年1月至2022年12月期间华北理工大学附属医院收治的24例达到血液学完全缓解后行亲缘间异基因造血干细胞移植的Ph染色体阳性急性淋巴细胞白血病患者,应用实时荧光定量聚合酶链反应动态监测治疗期间BCR/ABL基因表达水平,以此代表微小残留病。依据BCR/ABL基因表达,移植前给予酪氨酸激酶抑制剂联合化疗,选择异基因造血干细胞移植时机;移植后评估疾病状态,指导酪氨酸激酶抑制剂的应用,制定早期干预复发的方案。结果与结论:随访至2023年12月,中位随访时间为49(12-82)个月,8例血液学复发,复发的中位时间为14(8-39)个月,累积复发率为33%(8/24)。单因素分析显示,异基因造血干细胞移植后血液学复发与性别、年龄、髓外并发症、诊断至移植时间、HLA配型、急性移植物抗宿主病、慢性移植物抗宿主病无明显相关性(P>0.05);与移植前缓解疗程及微小残留病水平有明显相关性,移植前第2次血液学完全缓解、微小残留病阳性患者有更高的血液学复发率(P<0.05)。预期移植后3年累积复发率、无病生存率、总生存率分别为27%,63%,74%;5年累积复发率、无病生存率、总生存率分别为38%,57%,74%。结果表明,异基因造血干细胞移植前BCR/ABL基因阳性Ph染色体阳性急性淋巴细胞白血病患者有更高的复发率;移植后BCR/ABL基因表达可指导酪氨酸激酶抑制剂应用,做为早期干预复发的依据。 展开更多
关键词 急性淋巴细胞白血病 异基因移植 费城染色体 BCR/abl基因 酪氨酸激酶抑制剂 微小残留病 早期干预 复发
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Activity-based resource capability modeling 被引量:2
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作者 程绍武 徐晓飞 +1 位作者 王刚 孙雪冬 《Journal of Harbin Institute of Technology(New Series)》 EI CAS 2008年第3期307-311,共5页
To analyse and optimize a enterprise process in a wide scope, an activity-based method of modeling resource capabilities is presented. It models resource capabilities by means of the same structure as an activity, tha... To analyse and optimize a enterprise process in a wide scope, an activity-based method of modeling resource capabilities is presented. It models resource capabilities by means of the same structure as an activity, that is, resource capabilities are defined by input objects, actions and output objects. A set of activity-based resource capability modeling hales and matching rules between an activity and a resource are introduced. This method can not only be used to describe capability of manufacturing tools, but also capability of persons and applications, etc. It unifies methods of modeling capability of all kinds of resources in an enterprise and supports the ootimization of the resource allocation of a orocess. 展开更多
关键词 resource capability modeling activity-based resource allocation process optimization enterprise modeling
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Fortuitous benefits of activity-based rehabilitation in stem cell-based therapy for spinal cord repair: enhancing graft survival 被引量:3
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作者 Dong Hoon Hwang Hae Young Shin Byung Gon Kim 《Neural Regeneration Research》 SCIE CAS CSCD 2015年第10期1589-1590,共2页
Traumatic injuries to spinal cord elicit diverse signaling pathways leading to unselective and complex pathological outcomes:death of multiple classes of neural cells,formation of cystic cavities and glial scars,disr... Traumatic injuries to spinal cord elicit diverse signaling pathways leading to unselective and complex pathological outcomes:death of multiple classes of neural cells,formation of cystic cavities and glial scars,disruption of axonal connections,and demyelination of spared axons,all of which can contribute more or less to debilitating functional impairments found in patients with spinal cord injury. 展开更多
关键词 NSCs Fortuitous benefits of activity-based rehabilitation in stem cell-based therapy for spinal cord repair enhancing graft survival STEM cell
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Study on Accounting Principle and Method of Activity-Based Costing of CIMS Enterprises in China 被引量:1
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作者 丁日佳 杜爱静 +1 位作者 强桂英 王立杰 《International Journal of Mining Science and Technology》 SCIE EI 2000年第2期26-29,共4页
关键词 of CIMS Enterprises in China and Method of activity-based Costing Study on Accounting Principle CIMS ACTIVITY
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Integrating Activity-Based Costing (ABC) and Theory of Constraint (TOC) for Improved and Sustained Cost Management 被引量:1
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作者 Clayton Kuma 《Journal of Modern Accounting and Auditing》 2013年第8期1046-1058,共13页
Implementing effective cost management approaches has recently gained momentum due to intense competition and increasing customer demands. Moreover, effective cost management approaches have contributed to firms' com... Implementing effective cost management approaches has recently gained momentum due to intense competition and increasing customer demands. Moreover, effective cost management approaches have contributed to firms' competitive advantage in relation to cost leadership strategy. Consequently, firms have implemented contemporary cost management systems, such as activity-based management, business process re-engineering, life-cycle costing, target costing, and theory of constraint (TOC), to enable them to become low-cost producers and compete effectively and sustain their performance. Furthermore, focusing on cost management to improve profitability has led to the integration of activity-based costing (ABC) and TOC. Therefore, the aim of this study is to review literature and discuss how integration of ABC and TOC can result in improved and sustained cost management. While these methods have different approaches in addressing cost management, treating them as complementary cost management approaches can result in improved cost management due to improved product costing, improved cost reporting, improved product-mix decisions, and improved cycle-time management. Improvement in cost management will then result in sustained cost management. Sustained cost management is further enhanced with the investment in information customer and shareholder value technology that supports cross-functional decision making to continue creating to remain competitive in the market. 展开更多
关键词 activity-based costing (ABC) theory of constraint (TOC) cost management cost leadership contemporary cost management systems
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Photocaged activity-based probes for improved monitoring of protein S-sulfenylation in living cells
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作者 Jiahao Zhang Haiyue Peng +2 位作者 Zi'an Chen Guorui Li Jing Huang 《Chinese Chemical Letters》 SCIE CAS CSCD 2024年第2期451-454,共4页
Protein S-sulfenylation(protein sulfenic acid),as one of the most significant oxidative post-translational modifications(OxiPTMs),plays a vital role in regulating protein function.A variety of activity-based probes ha... Protein S-sulfenylation(protein sulfenic acid),as one of the most significant oxidative post-translational modifications(OxiPTMs),plays a vital role in regulating protein function.A variety of activity-based probes have been developed to profile sulfenic acid in living cells.However,due to the transient presence and low content of sulfenic acid in living cell,high doses of probes are needed to achieve efficient labeling.More importantly,current probes have no temporal control over sulfenic acid labeling.To overcome these limitations,two caged cysteine sulfenic acid probes DYn-2-ONB and DYn-2-Cou with either an o-nitrobenzyl or coumarin protecting group were developed in this study.Both probes can be efficiently uncaged via irradiation to produce the active C-nucleophile probe DYn-2.Labeling assay in living cells demonstrated DYn-2-ONB exhibited better labeling capacity compared with DYn-2,providing it as a powerful tool for improved monitoring of protein S-sulfenylation in living cells. 展开更多
关键词 CYSTEINE Sulfenic acid activity-based probe Photocage Light activation Protein S-sulfenylation
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Semi-synthesis of biotin-bearing activity-based ubiquitin probes through sequential enzymatic ligation,N-S acyl transfer and aminolysis reaction
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作者 Yu Wang Qiong Xia +3 位作者 Xiao Hua Yanyan Guo Jing Shi Yi-Ming Li 《Chinese Chemical Letters》 SCIE CAS CSCD 2023年第6期362-365,共4页
Activity-based Ubiquitin probes(Ub-ABPs)carrying a reporter group have emerged as effective tools for the investigation of deubiquitinating enzymes(DUBs),such as studying the molecular mechanism of DUBs,profiling new ... Activity-based Ubiquitin probes(Ub-ABPs)carrying a reporter group have emerged as effective tools for the investigation of deubiquitinating enzymes(DUBs),such as studying the molecular mechanism of DUBs,profiling new DUBs.But so far,the synthesis of commonly used biotin-bearing Ub-ABPs is a technical challenge.Here,we report a one-pot semi-synthetic strategy for the acquiring of Ub-ABPs carrying a biotin tag through sequential enzymatic ligation,N-S acyl transfer and aminolysis reaction without any purification steps.These probes enable to capture the different family of DUBs for enrichment and immunoblotting using the attached biotin tag. 展开更多
关键词 UBIQUITINATION Deubiquitinating enzyme activity-based ubiquitin probes Biotin tag Protein semi-synthesis
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A Study on Cost Control of Agricultural Water Conservancy Projects Based on Activity-based Costing
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作者 Tiantian TANG 《Asian Agricultural Research》 2017年第7期11-14,共4页
Based on the theory of activity-based costing and the idea of value chain,activity optimization and cost control are carried out on the whole construction process of agricultural water conservancy projects. Through th... Based on the theory of activity-based costing and the idea of value chain,activity optimization and cost control are carried out on the whole construction process of agricultural water conservancy projects. Through the use of literature review,case analysis and statistical analysis and other methods,with agricultural water conservancy projects as the research object,and comparing activity-based costing with the traditional model of cost accounting,the writer carries out the corresponding value chain analysis,and comes to the following conclusion: the statistical calculation and analysis of the entire construction process based on activity-based costing can accurately and effectively control the costs of water conservancy projects. Through the use of activity-based costing,the cost data of agricultural water conservancy projects is more detailed and accurate,and cost management personnel can also find non-value-added activities,optimize the enterprise's value chain and achieve cost control objectives through the analysis of the activity chain and value chain of agricultural water conservancy projects. 展开更多
关键词 activity-based costing Agricultural water conservancy projects Cost control
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An improved activity-based costing model for product cost estimation applied in a complex manufacturing environment
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作者 唐苏州 Gao Yuan +1 位作者 Qian Feng Wang Delun 《High Technology Letters》 EI CAS 2013年第2期125-131,共7页
In order to evaluate and estimate me cosEs oi prouuct~ plt, uu^u e vironment properly, an improved activity-based costing (ABC) model is presented. By utilizing the input-output analysis method, the complex consumpt... In order to evaluate and estimate me cosEs oi prouuct~ plt, uu^u e vironment properly, an improved activity-based costing (ABC) model is presented. By utilizing the input-output analysis method, the complex consumption relationships in a complex manufacturing environment are first expressed. The consumption characteristics (mainly presented by the activity rates) of all production activities are extracted by solving these relationships. Then with the con- sumption characteristics and operating parameters of these activities, the detailed cost consumption of a product in its manufacturing process is estimated. A case study is finally given based on the compressor products of a manufacturing company, and its effectiveness is shown. As the cost influ- ence of complex consumption relationships is fully considered, the limitation of traditional ABC method is overcome, and therefore a high accuracy in product cost estimation under the complex manufacturing environment can be achieved. 展开更多
关键词 product cost estimation manufacturing cost consumption relationships manufac-turing process activity-based costing (ABC)
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Modem Cost Management in the Transport Company Through the Activity-Based Costing (ABC) Method
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作者 Viera Sukalova Pavel Ceniga 《Journal of Modern Accounting and Auditing》 2014年第6期667-674,共8页
Road transport is a flexible mode of transport and its importance in era of globalization increases. Management of road transport companies is, in this turbulent environment, exposed to many technical, legislative, an... Road transport is a flexible mode of transport and its importance in era of globalization increases. Management of road transport companies is, in this turbulent environment, exposed to many technical, legislative, and economic problems. Especially, the growing economic pressure leads to an urgent requirement of the manager and control system improvement. Activity-based costing (ABC) method is a very powerful tool to improve products, services, processes, and market strategies. ABC allows company management to understand what causes costs and how to manage them. Company under this scheme may get a glimpse of how efficiently a company converts the source value. The main objective of our research was to assess the possibility of application of the ABC method in a transport undertaking. ABC method as a fundamentally different view on the cost in the transport business helps to find the reasons of cost and thereby influences their levels to make better use of resources.. New managerial accounting methods aim to show management what information is needed, how and where this information can be obtained, and how they can be useful for the management of the company's proper planning, decision-making, and control. Information provided by management accounting is often a key factor in the analysis of alternative ways of solving problems. This article focuses on the transport enterprise management and helps to decide on the use of this method in business practice. 展开更多
关键词 management transport company COSTS activity-based costing (ABC) method
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Activity-Based Costing of Library Services in Universities——A Case Study of a Private University
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作者 Hala Elias Arpita Mehrotra 《Economics World》 2018年第3期165-176,共12页
An organization’s costing system is a system that helps the management with the strategy planning while the system plays an important role in providing accurate cost information about the products and customers.In ot... An organization’s costing system is a system that helps the management with the strategy planning while the system plays an important role in providing accurate cost information about the products and customers.In other words,the costing management system is important to provide timely and quality information to help managers in their decision-making process.Producing quality graduates is the main objective of any university and the cost of quality or the cost of poor quality is one that is often difficult to measure in higher education.This can be partly attributed to the fact that most accounting systems are not structured to capture important cost-of-quality information.In order to succeed,many organizations tend to shift from conventional or traditional costing system to Activity-based costing(ABC).ABC provides both higher education administrators and policymakers with better information on which to base decisions.The use of multiple cost pools and drivers under ABC leads to more detailed and accurate product costing than that provided by traditional cost systems.This paper attempts to investigate the possibilities and limitations of implementing ABC in universities.More specifically the study makes use of the case study method to illustrate the implementation of activity-based costing of library services in a private university in the Kingdom of Bahrain.The research methodology of the case study is a combination of both descriptive and quantitative analyses.The study identified six categories of cost pools which are related to the activities of the library as well as 17 relevant cost drivers.Accordingly,ABC should lead to a better understanding of what drives costs and,by extension,what changes are necessary to reduce costs.Unnecessary activities that do not add value to services can be identified and eliminated.Further ABC is feasible in an academic library and that much can be gained from the process of analyzing activities.However,more work needs to be done in terms of designing accounting and other information systems to capture cost and activity transaction data in a more routine and disaggregated form for ABC analysis. 展开更多
关键词 costing systems activity-based costing QUALITY of information COST DRIVERS costing of LIBRARY SERVICES UNIVERSITIES
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如何基于学习评价为普通学校特殊学生提供课堂学习支持——以澳大利亚ABLES为例
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作者 单文顶 何亚利 沈光银 《外国教育研究》 北大核心 2025年第4期23-38,共16页
基于学习评价的支持是促进普通学校特殊学生学习与发展的关键所在。为推动特殊学生受教育过程的公平,满足教师有效评价与支持特殊学生学习与发展的迫切需要,2009年维多利亚州与墨尔本大学联合开发了“能力本位的学习与教育支持体系”(AB... 基于学习评价的支持是促进普通学校特殊学生学习与发展的关键所在。为推动特殊学生受教育过程的公平,满足教师有效评价与支持特殊学生学习与发展的迫切需要,2009年维多利亚州与墨尔本大学联合开发了“能力本位的学习与教育支持体系”(ABLES),并不断完善,现已成为澳大利亚维多利亚州等支持特殊学生学习与发展的重要工具。ABLES以《维多利亚州课程F-10》为基础,秉持承认的基本理念,嵌入教学周期,构成“学习评价—计划制定—教学实施—学习评价”的循环过程。借助ABLES评价工具,教师精准识别特殊学生的能力水平,在此基础上通过制定个别化教育计划、调整课程教学等为特殊学生的课堂学习提供有效支持,一学期后,重新回到评价阶段,研判支持效果,为再次调整提供依据,如此循环往复。实践发现,ABLES促进了特殊学生的学习与发展、提高了教师课堂教学的针对性与精准性、加强了利益相关者的沟通协作。同时,ABLES也面临教师评判的一致性隐忧、各州课程标准不一引发“水土不服”等现实挑战。 展开更多
关键词 澳大利亚 融合教育 特殊学生 学习评价 ablES
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Novel insights into flow mechanics in ablative thermal protection systems
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作者 Hu REN 《Chinese Journal of Aeronautics》 2025年第10期288-289,共2页
1.Introduction to ablative TPS The Mars 2020 mission underscored the critical role of ablative Thermal Protection Systems(TPS)during atmospheric entry,where spacecraft encounter extreme aerodynamic heating.Established... 1.Introduction to ablative TPS The Mars 2020 mission underscored the critical role of ablative Thermal Protection Systems(TPS)during atmospheric entry,where spacecraft encounter extreme aerodynamic heating.Established in the mid-20th century,blunt body theories led to the creation of ablative heat shields that effectively manage thermal loads through thermo-chemo-mechanical decomposition.This paper revisits the development and application of ablative TPS materials,which are single-mission solutions capable of withstanding entry velocities surpassing 10 km/s. 展开更多
关键词 ablative thermal protection systems tps extreme aerodynamic heatingestablished body theories ablative tps Mars mission manage thermal loads atmospheric entrywhere ablative thermal protection systems
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Effect of laser wavelength on growth of ablative Rayleigh–Taylor instability in inertial confinement fusion
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作者 Zhantao Lu Xinglong Xie +9 位作者 Xiao Liang Meizhi Sun Ping Zhu Xuejie Zhang Linjun Li Hao Xue Guoli Zhang Rashid Ul Haq Dongjun Zhang Jianqiang Zhu 《Matter and Radiation at Extremes》 2025年第2期71-79,共9页
The effect of drive laser wavelength on the growth of ablative Rayleigh–Taylor instability(ARTI)in inertial confinemen fusion(ICF)is studied with two-dimensional numerical simulations.The results show that in the pla... The effect of drive laser wavelength on the growth of ablative Rayleigh–Taylor instability(ARTI)in inertial confinemen fusion(ICF)is studied with two-dimensional numerical simulations.The results show that in the plasma acceleration phase,shorter wavelengths lead to more efficien coupling between the laser and the kinetic energy of the implosion fluid Under the condition that the laser energy coupled to the implosion flui is constant,the ARTI growth rate decreases as the laser wavelength moves toward the extreme ultraviolet band,reaching its minimum value near λ=65 nm,and when the laser wavelength continuously moves toward the X-ray band,the ARTI growth rate increases rapidly.It is found that the results deviate from the theoretical ARTI growth rate.As the laser intensity benchmark increases,the position of the minimum ARTI growth rate shifts toward shorter wavelengths.As the initial sinusoidal perturbation wavenumber decreases,the position of the minimum ARTI growth rate shifts toward longer wavelengths.We believe that the conclusions drawn from the present simulations and analysis will help provide a better understanding of the ICF process and improve the theory of ARTI growth. 展开更多
关键词 ablative rayleigh taylor instability arti inertial confinemen fusion icf inertial confinement fusion implosion flui laser wavelength implosion fluid ablative Rayleigh Taylor instability plasma acceleration
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Evolution of the rippled inner-interface-initiated ablative Rayleigh–Taylor instability in laser-ablating high-Z doped targets
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作者 W.Xiong X.H.Yang +6 位作者 Z.H.Chen B.H.Xu Z.Li B.Zeng Y.L.Dong G.B.Zhang Y.Y.Ma 《Matter and Radiation at Extremes》 2025年第6期62-74,共13页
In the direct drive inertial confinement fusion(ICF)scheme,a rippled interface between the ablator and the deuterium–tritium ice fuel can feed out and form perturbation seeds for the ablative Rayleigh–Taylor instabi... In the direct drive inertial confinement fusion(ICF)scheme,a rippled interface between the ablator and the deuterium–tritium ice fuel can feed out and form perturbation seeds for the ablative Rayleigh–Taylor instability,with undesirable effects.However,the evolution of this instability remains insufficiently studied,and the effects of high-Z dopant on this instability remain unclear.In this paper,we develop a theoretical model to calculate the feedout seeds and describe this instability.Our theory suggests that the feedout seeds are determined by the ablation pressure and the adiabatic index,while the subsequent growth depends mainly on the ablation velocity.Two-dimensional radiation hydrodynamic simulations confirm our theory.It is shown that targets with high-Z dopant in the outer ablator exhibit more severe feedout seeds,because of their higher ionization compared with undoped targets.The X-ray pre-ablation in high-Z doped targets significantly suppresses subsequent growth,leading to suppression of short-wavelength perturbations.However,for long-wavelength perturbations,this suppression is weakened,resulting in increased instability in high-Z doped targets.The results are helpful for understanding the innerinterface-initiated instability and the influence of high-Z dopant on it,providing valuable insights for target design and instability control in ICF. 展开更多
关键词 ablative Rayleigh Taylor instability perturbation seeds deuterium tritium ice fuel rippled interface calculate feedout seeds ablative rayleigh taylor instabilitywith direct drive inertial confinement high z dopant
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实时荧光定量PCR检测慢性髓性白血病患者BCR/ABL(P210)mRNA水平的价值分析
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作者 陆晓辉 张君帅 +1 位作者 扎西普赤 央珍 《黑龙江医药》 2025年第2期445-448,共4页
目的:探讨实时荧光定量PCR(qPCR)检测慢性髓性白血病(CML)患者BCR/ABL(P210)mRNA水平的价值。方法:采集2022年1月—2024年8月在日喀则市人民医院确诊并收治的105例初诊CML患者的外周血标本,用qPCR测定其BCR/ABL(P210)mRNA水平并比较不... 目的:探讨实时荧光定量PCR(qPCR)检测慢性髓性白血病(CML)患者BCR/ABL(P210)mRNA水平的价值。方法:采集2022年1月—2024年8月在日喀则市人民医院确诊并收治的105例初诊CML患者的外周血标本,用qPCR测定其BCR/ABL(P210)mRNA水平并比较不同分期患者间的表达差异,以及BCR/ABL(P210)mRNA水平与临床指标的相关性。结果:不同分期CML患者的WBC、Hb、PLT、BCR/ABL(P210)mRNA水平存在差异(P<0.05);从慢性期到急变期,WBC和BCR/ABL(P210)mRNA水平逐渐上升,Hb、PLT水平逐渐下降(P<0.05)。CML患者BCR/ABL(P210)mRNA表达与WBC呈正比,与Hb和PLT呈反比(P<0.05)。结论:CML患者的BCR/ABL(P210)mRNA水平随着CML病情的进展而逐渐升高,且CML患者BCR/ABL(P210)mRNA表达与WBC呈正比,与Hb和PLT呈反比,可以用于临床辅助评估疾病进展和治疗反应。 展开更多
关键词 实时荧光定量PCR 慢性髓性白血病 BCR/abl(P210) MRNA水平
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达沙替尼治疗伊马替尼耐药的BCR/ABL阳性白血病的临床研究 被引量:19
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作者 朱雨 潘良琴 +7 位作者 钱思轩 宋萍 于慧 张苏江 葛峥 洪鸣 田甜 李建勇 《中国实验血液学杂志》 CAS CSCD 北大核心 2013年第3期581-586,共6页
本研究评价达沙替尼治疗原发或继发伊马替尼耐药的BCR/ABL阳性白血病的疗效和安全性。对27例原发或继发伊马替尼耐药的慢性髓系白血病(CML)或Ph阳性急性淋巴细胞白血病(Ph+ALL)患者,给予达沙替尼100-140 mg/d口服治疗,评估疗效、总体生... 本研究评价达沙替尼治疗原发或继发伊马替尼耐药的BCR/ABL阳性白血病的疗效和安全性。对27例原发或继发伊马替尼耐药的慢性髓系白血病(CML)或Ph阳性急性淋巴细胞白血病(Ph+ALL)患者,给予达沙替尼100-140 mg/d口服治疗,评估疗效、总体生存和耐受情况。结果表明:27例伊马替尼耐药的BCR/ABL阳性白血病中位达沙替尼治疗时间8(1-66)个月,中位随访时间54(3-75)个月。27例接受达沙替尼治疗的患者中,88.8%获得完全血液学反应(CHR),44.4%获得主要细胞遗传学反应(mCyR),37%获得完全遗传学反应(CCyR),18.5%获得主要分子学反应(MMR)。伊马替尼耐药的进展期(CML-AP、CML-BC、骨髓复发Ph+ALL)患者接受达沙替尼治疗获CCyR率低于疾病稳定期(CML-CP、骨髓缓解Ph+ALL)患者(P=0.0377),且3-4级不良反应发生率明显增高。达沙替尼治疗后获得CCyR的患者生存期(OS)较未达CCyR者明显延长(63个月vs 9个月,P=0.0126)。达沙替尼治疗后最常见的3-4级不良反应包括血液学反应如血小板减少(51.8%)、中性粒细胞减少(48.1%)、贫血(33.3%)和非血液学反应如胸腔积液(18.5%)、肺部感染(18.5%)、心包积液(11.1%)。3-4级不良反应主要发生在疾病进展期时改服达沙替尼者,均发生于服药12个月内。结论:达沙替尼治疗伊马替尼耐药的BCR/ABL阳性白血病有效,且在疾病稳定期改服达沙替尼疗效和耐受性更好。 展开更多
关键词 BCR abl 达沙替尼 伊马替尼 耐药
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硒化壳聚糖对慢性粒细胞白血病K562细胞bcr/abl融合基因表达的影响 被引量:11
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作者 邓守恒 李芳 +4 位作者 李林均 王贤和 陈萍 徐华 潘东风 《中国实验方剂学杂志》 CAS 北大核心 2011年第1期106-109,共4页
目的:研究硒化壳聚糖对慢性粒细胞白血病K562细胞增殖的影响,探讨这种作用与bcr/abl融合基因表达的关系。方法:应用磺酰罗丹明B(SRB)法和集落形成法检测硒化壳聚糖对细胞增殖的影响;应用Western blot(免疫印迹)法检测细胞P210bcr/abl融... 目的:研究硒化壳聚糖对慢性粒细胞白血病K562细胞增殖的影响,探讨这种作用与bcr/abl融合基因表达的关系。方法:应用磺酰罗丹明B(SRB)法和集落形成法检测硒化壳聚糖对细胞增殖的影响;应用Western blot(免疫印迹)法检测细胞P210bcr/abl融合蛋白含量;应用反转录聚合酶链式反应(RT-PCR)法检测bcr/abl融合基因信使RNA(mRNA)水平。结果:50,100,200 mg·L-1硒化壳聚糖作用K562细胞48 h可明显抑制细胞增殖和降低其存活率(P<0.05,P<0.01);50,100,200 mg·L-1硒化壳聚糖作用48 h或200 mg·L-1硒化壳聚糖作用12,24,48 h后K562细胞内P210bcr/abl蛋白含量呈时间和剂量依赖性下降(P<0.05,P<0.01),而bcr/abl融合基因mRNA水平未见明显改变。结论:硒化壳聚糖可通过下调bcr/abl融合基因表达的P210bcr/abl融合蛋白对K562细胞增殖产生抑制作用。 展开更多
关键词 硒化壳聚糖 K562细胞 增殖 BCR/abl融合基因 P210bcr/abl蛋白
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