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Regional dynamic cerebral autoregulation across anterior and posterior circulatory territories:A detailed exploration and its clinical implications
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作者 Bahadar S Srichawla Maria A Garcia-Dominguez 《World Journal of Critical Care Medicine》 2024年第4期25-34,共10页
Cerebral autoregulation(CA)is the mechanism that maintains stable cerebral blood flow(CBF)despite fluctuations in systemic blood pressure,crucial for brain homeostasis.Recent evidence highlights distinct regional vari... Cerebral autoregulation(CA)is the mechanism that maintains stable cerebral blood flow(CBF)despite fluctuations in systemic blood pressure,crucial for brain homeostasis.Recent evidence highlights distinct regional variations in CA between the anterior(carotid)and posterior(vertebrobasilar)circulations.Noninvasive neuromonitoring techniques,such as transcranial Doppler,transfer function analysis,and near-infrared spectroscopy,facilitate the dynamic assessment of CBF and autoregulation.Studies indicate a robust autoregulatory capacity in the anterior circulation,characterized by rapid adjustments in vascular resistance.On the contrary,the posterior circulation,mainly supplied by the vertebral arteries,may have a lower autoregulatory capacity.in acute brain injuries such as intracerebral and subarachnoid hemorrhage,and traumatic brain injuries,dynamic CA can be significantly altered in the posterior circulation.Proposed physiological mechanisms of impaired CA in the posterior circulation include:(1)Decreased sympathetic innervation of the vasculature impairing compensatory vasoreactivity;(2)Endothelial dysfunction;(3)Increased cerebral metabolic rate of oxygen consumption within the visual cortex causing CBFmetabolism(i.e.,neurovascular)uncoupling;and(4)Impaired blood-brain barrier integrity leading to impaired astrocytic mediated release of vasoactive substances(e.g.nitric oxide,potassium,and calcium ions).Furthermore,more research is needed on the effects of collateral circulation,as well as the circle of Willis variants,such as the fetal-type posterior cerebral artery,on dynamic CA.Improving our understanding of these mechanisms is crucial to improving the diagnosis,prognosis,and management of various cerebrovascular disorders. 展开更多
关键词 Cerebral autoregulation Anterior circulation Posterior circulation Posterior cerebral artery Regional cerebral autoregulation Transcranial doppler Near-infrared spectroscopy Transfer function analysis Cerebral energetics
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Splanchnic vasodilation and hyperdynamic circulatory syndrome in cirrhosis 被引量:28
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作者 Massimo Bolognesi Marco Di Pascoli +1 位作者 Alberto Verardo Angelo Gatta 《World Journal of Gastroenterology》 SCIE CAS 2014年第10期2555-2563,共9页
Portal hypertension is a clinical syndrome which leads to several clinical complications, such as the formation and rupture of esophageal and/or gastric varices, ascites, hepatic encephalopathy and hepato-renal syndro... Portal hypertension is a clinical syndrome which leads to several clinical complications, such as the formation and rupture of esophageal and/or gastric varices, ascites, hepatic encephalopathy and hepato-renal syndrome. In cirrhosis, the primary cause of the increase in portal pressure is the enhanced resistance to portal outflow. However, also an increase in splanchnic blood flow worsens and maintains portal hypertension. The vasodilatation of arterial splanchnic vessels and the opening of collateral circulation are the determinants of the increased splanchnic blood flow. Several vasoactive systems/substances, such as nitric oxide, cyclooxygenase-derivatives, carbon monoxide and endogenous cannabinoids are activated in portal hypertension and are responsible for the marked splanchnic vasodilatation. Moreover, an impaired reactivity to vasoconstrictor systems, such as the sympathetic nervous system, vasopressin, angiotensin II and endothelin-1, plays a role in this process. The opening of collateral circulation occurs through the reperfusion and dilatation of preexisting vessels, but also through the generation of new vessels. Splanchnic vasodilatation leads to the onset of the hyperdynamic circulatory syndrome, a syndrome which occurs in patients with portal hypertension and is characterized by increased cardiac output and heart rate, and decreased systemic vascular resistance with low arterial blood pressure. Understanding the pathophysiology of splanchnic vasodilatation and hyperdynamic circulatory syndrome is mandatory for the prevention and treatment of portal hypertension and its severe complications. 展开更多
关键词 Portal hypertension Splanchnic flow Splenic circulation Nitric oxide Autonomic dysfunction CIRRHOSIS Hyperdynamic circulatory syndrome
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CFD Investigation of the Influence of Volute Geometrical Variations on Hydrodynamic Characteristics of Circulator Pump 被引量:12
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作者 WU Denghao YUAN Shouqi +3 位作者 REN Yun MU Jiegang YANG Youdong LIU Jian 《Chinese Journal of Mechanical Engineering》 SCIE EI CAS CSCD 2016年第2期315-324,共10页
Improper design of volute geometry can be the main cause that leads to unsteady pressure pulsation and radial force in pumps. Therefore, it is important to understand the influence of volute geometrical parameters on ... Improper design of volute geometry can be the main cause that leads to unsteady pressure pulsation and radial force in pumps. Therefore, it is important to understand the influence of volute geometrical parameters on hydrodynamic characteristics of pump and the mechanism. However, the existing studies are limited to investigate the influence of only one or two volute geometrical parameters each time, and a systematic study of the influence of the combinations of different volute geometrical parameters on the pump's hydrodynamic characteristics is missing. In this paper, a study on the understanding of the influence of volute geometrical variations on hydrodynamic characteristics of a high speed circulator pump by using computational fluid dynamics(CFD) technology is presented. Five main volute geometrical parameters D3, A8, a0, j0 and Rt are selected and 25 different volute configurations are generated by using design of experiments(DOE) method. The 3D unsteady flow numerical simulations, which are based on the SST k-w turbulence model and sliding mesh technique provided by CFX, are executed on the 25 different volute configurations. The hydraulic performance, pressure pulsation and unsteady radial force inside the pump at design condition are obtained and analyzed. It has been found that volute geometrical parameters D3 and A8 are major influence factors on hydrodynamic characteristics of the pump, while a0, j0 and Rt are minor influence factors. The minimum contribution from both D3 and A8 is 58% on head, and maximum contribution from both D3 and A8 is 90% on pressure pulsation. Regarding the pressure pulsation intensity, two peaks can be found. One is in the tongue area and the other is in the diffusor area. The contributions are around 60% from tongue and 25% from diffusor, respectively. The amplitude of pressure pulsation has a quadratic polynomial functional relationship with respect to D3/D2 and A8/A(10), and fluctuating level of radial force has a quadratic polynomial functional relationship with respect to D3/D2. While for the other volute parameters a0, j0 and Rt, no special function has been found related to pressure pulsation and radial force. The presented work could be a useful guideline in engineering practice when designing a circulator pump with low hydrodynamic force. 展开更多
关键词 CFD circulator pump hydrodynamic characteristics volute variations
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Local regulator adrenomedullin contributes to the circulatory disturbance in cirrhotic rats 被引量:2
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作者 Shinya Sakurai Hideyuki Kojima +2 位作者 Masahito Uemura Hiroyasu Satoh Hiroshi Fukui 《World Journal of Gastroenterology》 SCIE CAS CSCD 2006年第13期2095-2102,共8页
AIM: To investigate whether adrenomedullin, a potent vasodilator peptide, plays a role in the circulatory disturbance in cirrhosis. METHODS: Cirrhosis was induced in rats by weekly gavage of carbon tetrachloride. He... AIM: To investigate whether adrenomedullin, a potent vasodilator peptide, plays a role in the circulatory disturbance in cirrhosis. METHODS: Cirrhosis was induced in rats by weekly gavage of carbon tetrachloride. Hemodynamic studies were performed in vivo using radioactive microspheres and in vitro using isolated aortic rings. The adrenomedullin concentrations were measured by radioimmunoassay. RESULTS: Acute administration of adrenomedullin to the control rats reduced the systemic arterial pressure along with an increase of serum levels of the stable metabolite of nitric oxide (NOx), in a dose-dependent manner. Chronic infusion of adrenomedullin reduced the vascular resistance and increased the blood flow in the systemic and splanchnic circulation. Intravenous administration of anti-adrenomedullin antibody did not affect any hemodynamic parameters in the cirrhotic rats, whereas this antibody ameliorated the blunted contractile response to phenylephrine, o-adrenergic receptor agonist, in the aortic rings of the cirrhotic rats. The adrenomedullin concentrations in the aorta were higher in the cirrhotic rats than in the controls, and correlated with the mean arterial pressure in the cirrhotic rats. Moreover, adrenomedullin blunted the contractile response to phenylephrine in both of the control aorta and cirrhotic aorta, but not in the presence of NG-nitro L-arginine methyl ester, an NO synthase inhibitor. CONCLUSION: Adrenomedullin overproduced in the vascular wall may contribute to the circulatory disturbance in cirrhosis as a local regulator of the vascular tonus rather than a circulating hormone. 展开更多
关键词 ADRENOMEDULLIN Liver cirrhosis VASODILATION circulatory disturbance Vascular tonus Circulating hormone
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Design and verification of a broadband highly-efficient plasmonic circulator 被引量:1
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作者 Jianfei Han Shu Zhen +4 位作者 Weihua Wang Kui Han Haipeng Li Lei Zhao Xiaopeng Shen 《Chinese Physics B》 SCIE EI CAS CSCD 2021年第3期248-252,共5页
Circulators play a significant role in radar and microwave communication systems.This paper proposes a broadband and highly efficient plasmonic circulator,which consists of spoof surface plasmon polaritons(SSPPs)waveg... Circulators play a significant role in radar and microwave communication systems.This paper proposes a broadband and highly efficient plasmonic circulator,which consists of spoof surface plasmon polaritons(SSPPs)waveguides and ferrite disks to support non-reciprocal mode coupling.The simulated performance of symmetrically designed circulator shows that it has an insertion loss of roughly 0.5 dB while the isolation and return loss is more than 12 dB in the frequency range of 6.0 GHz–10.0 GHz(relative bandwidth of 50%).Equivalent circuit model has been proposed to explain the operating mechanism of the plasmonic circulator.The equivalent circuit model,numerical simulations,and experimental results are consistent with each other,which demonstrates the good performance of the proposed plasmonic circulator. 展开更多
关键词 PLASMONIC circulator spoof surface plasmon polaritons FERRITE
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Elevated Ferrite Film Circulator with Different Permittivities for Layers: An Analytical Expression for the Input Conductance Employing Perturbation Method 被引量:2
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作者 Arash Rashidi Ali Banai 《Journal of Electromagnetic Analysis and Applications》 2010年第9期529-542,共14页
The main idea of this paper is to find an analytical formula for the input conductance of an elevated ferrite film circu-lator to match it systematically to the desired matching network. For solving the ferrite loaded... The main idea of this paper is to find an analytical formula for the input conductance of an elevated ferrite film circu-lator to match it systematically to the desired matching network. For solving the ferrite loaded dielectric resonator included in stripline elevated ferrite film circulator, the off diagonal components of the permeability tensor are taken as the perturbation. The electromagnetic fields computations are done for unperturbed structure. The dipolar resonant frequencies corresponding to harmonics of the resonant modes are then calculated using the perturbation integrals. The quality factor of the circulator is derived in terms of these dipolar resonant frequencies. Energy integrals are calculated to find the energy stored in the ferrite and dielectic layers. An analytical expression for the input conductance of the elevated ferrite film circulators is derived by using the quality factor and energy integrals. In this expression the ferrite and dielectric layers can have different permittivities. Some discussions about the effect of ferrite film thickness and permittivity mismatch on the bandwidth of the circulator are investigated by HFSS commercial software. 展开更多
关键词 ELEVATED Ferrite circulator Perturbation Integral Splitting Factor DIPOLAR Resonant Frequencies
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Preparation and Magnetic Properties of SrFe12O19 Ferrites Suitable for Use in Self-Biased LTCC Circulators 被引量:1
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作者 彭龙 胡跃斌 +4 位作者 郭成 李乐中 王瑞 胡云 涂小强 《Chinese Physics Letters》 SCIE CAS CSCD 2015年第1期150-153,共4页
Strontium ferrites with different Bi2O3 content are prepared by the solid phase method, and their magnetic properties are investigated primarily. The Bi2O3 additive and sintering temperature separately exhibit a stron... Strontium ferrites with different Bi2O3 content are prepared by the solid phase method, and their magnetic properties are investigated primarily. The Bi2O3 additive and sintering temperature separately exhibit a strong effect on the sintering density, crystal structure, and magnetic properties of the ferrites. As to the ferrites with 3 wt% Bi2O3, the relatively high sintering density ρs, saturation magnetization Ms, and intrinsic coercivity HCi can be obtained at a low sintering temperature of 900℃ even much lower. Furthermore, the effective magnetic anisotropy constant Keff and magnetic anisotropy field Ha of the ferrites are calculated from the magnetization curve by the law of approach to saturation. It is suggested that the low-temperature sintered SrFe12O19 ferrites with Ms of 285.6 kA/m and Ha of 1564.6 kA/m possess a significant potentiality for applying in the self-biased low-temperature co-fired ceramics circulators from 34 to 40GHz. 展开更多
关键词 Bi Preparation and Magnetic Properties of SrFe Ferrites Suitable for Use in Self-Biased LTCC circulators
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Analysis of the injection-locked magnetron with a mismatched circulator
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作者 岳松 张兆传 高冬平 《Chinese Physics B》 SCIE EI CAS CSCD 2014年第8期616-621,共6页
Based on the scatter matrix of the four-port lossless mismatched circulator, the phase differential equation of the injection-locked magnetron is derived by comparing different effects of the mismatched and perfect ci... Based on the scatter matrix of the four-port lossless mismatched circulator, the phase differential equation of the injection-locked magnetron is derived by comparing different effects of the mismatched and perfect circulator on the injection ratio. Besides, the locking range of the injection-locked magnetron with the mismatched circulator is deduced by functional operation. In addition, the phase differential equation and the locked bandwidth of the injection-locked system with a mismatched circulator are compared with those of the small injection-ratio case with a perfect circulator. The in- fluence of the circulator reflection coefficient on the injection-locked magnetron is also analyzed by numerical calculation. Theoretical analysis shows that the decrement of the locked bandwidth is less than 1% and decrement of the stable phase difference is less than 1.2% when the reflection coefficient is less than 0.1. 展开更多
关键词 injection-locked magnetron mismatched circulator phase difference locked bandwidth
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CPW Circulators with Barium Ferrite Thin Films
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作者 Yuan Wang Bin Peng Wan-Li Zhang Ke Tan 《Journal of Electronic Science and Technology》 CAS 2010年第4期351-355,共5页
A miniaturized circulator using barium ferrite films with a coplanar waveguide (CPW) structure is designed and optimized by high frequency electromagnetic field simulations based on finite element methods. The best ... A miniaturized circulator using barium ferrite films with a coplanar waveguide (CPW) structure is designed and optimized by high frequency electromagnetic field simulations based on finite element methods. The best circulation performance of the film circulator based on 10 pm thick barium ferrite thin films is obtained with an insertion loss of 0.13 dB and an isolation of 22.89 dB around 36.9 GHz. The microwave characteristics of film circulators with CPW and CPW with ground (CPWG) structures have been compared. The influences of the gap between the ground and the signal line, and the ferromagnetic resonance line width on the microwave properties are also studied. 展开更多
关键词 circulatorS coplanar waveguide millimeter wave passive microwave components.
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A New Design Method for the Octave-Band Stripline Circulators
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作者 Pan YongjiBeijing Institute of Radio Measurement, P.O.Box 3923, Beijing 100854, China 《Journal of Systems Engineering and Electronics》 SCIE EI CSCD 1994年第4期33-39,共7页
In this paper, a new design method for high performance octave-band stripline circulator is given. The optimum design program is given by a construction with double-Y junction aided by a section of quarter-wavelength ... In this paper, a new design method for high performance octave-band stripline circulator is given. The optimum design program is given by a construction with double-Y junction aided by a section of quarter-wavelength impedance transformer. All the calculation is simpler than that given by Y. S. Wu, et al[1-7]. Typical performances of the 2-4GHz Y-junction stripline circulator are insertion loss 0.35dB (max), isolation 21dB (min), VSWR 1.25 (max). An octave low-loss and high isolation performance is demonstrated without the need of repeated design cycles. 展开更多
关键词 Octave-band stripline circulator Double Y Junction.
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Heparin improves organ microcirculatory disturbances in caerulein-induced acute pancreatitis in rats 被引量:35
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作者 Marek Dobosz Lucjanna Mionskowska +3 位作者 Stanislaw Ha■ Sebastian Dobrowolski Dariusz Dymecki Zdzislaw Wajda 《World Journal of Gastroenterology》 SCIE CAS CSCD 2004年第17期2553-2556,共4页
AIM:Microcirculatory disturbances are important early pathophysiological events in various organs during acute pancreatitis.The aim of the study was to evaluate changes in microperfusion of the pancreas,liver,kidney,s... AIM:Microcirculatory disturbances are important early pathophysiological events in various organs during acute pancreatitis.The aim of the study was to evaluate changes in microperfusion of the pancreas,liver,kidney,stomach, colon,skeletal muscle,and to investigate the influence of heparin on the organ microcirculation in caerulein-induced experimental acute pancreatitis. METHODS:Acute pancreatitis was induced by 4 intraperitoneal injections of caerulein(Cn)(15 μg/kg).The organ microcirculation was measured by laser Doppler flowmetry.Serum interleukin 6 and hematocrit levels were analysed. RESULTS:Acute pancreatitis resulted in a significant drop of microperfusion in all examined organs.Heparin administration(2×2.5 mg/kg)improved the microcirculation in pancreas(36.9±4% vs 75.9±10%),liver(56.6±6% vs 75.2±16%),kidney (45.1±6% vs 79.3±5%),stomach (65.2±8% vs 78.1±19%),colon(69.8±6% vs 102.5±19%), and skeletal muscle (59.2±6% vs 77.9±13%).Heparin treatment lowered IL-6(359.0±66 U/mL vs 288.5±58 U/mL) and hematocrit level(53±4% vs 46±3%). CONCLUSION:Heparin administration has a positive influence on organ microcirculatory disturbances accompanying experimental Cn-induced acute pancreatitis. 展开更多
关键词 Acute Disease Animals ANTICOAGULANTS CAERULEIN HEMATOCRIT HEPARIN Male Microcirculation Pancreas Pancreatitis RATS Rats Wistar Research Support Non-U.S. Gov't Splanchnic Circulation
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Supplementing Qi and activating blood circulation method to treat vertebrobasilar dolichoectasia with posterior circulatory watershed infarction:a case report of two patients 被引量:2
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作者 LI He SU Wenquan +7 位作者 LI Shanshan JI Hanrui CHENG Jiangyan CUI Fangyuan TANG Lu ZHOU Li GAO Ying DONG Xinglu 《Journal of Traditional Chinese Medicine》 SCIE CSCD 2023年第4期824-828,共5页
Vertebrobasilar dolichoectasia(VBD),a rare posterior circulation vascular variant disease,is an important risk factor for many acute cerebrovascular diseases.An insufficient understanding of VBD often leads to misdiag... Vertebrobasilar dolichoectasia(VBD),a rare posterior circulation vascular variant disease,is an important risk factor for many acute cerebrovascular diseases.An insufficient understanding of VBD often leads to misdiagnose.Two cases of VBD that were initially diagnosed as posterior circulation watershed infarction are reported here.Absence of common causes of stroke including hypoperfusion,blood system diseases,carotid and aortic dissection,and eosinophil elevation,the symptoms of the 2 patients met the diagnostic criteria of VBD.Both patients displayed symptoms that were in line with the Traditional Chinese Medicine(TCM)syndrome pattern of"Qi deficiency and blood stasis".Accordingly,they were comprehensively treated with Supplementing Qi and activating blood circulation method.The clinical manifestations of the 2 patients were remarkably improved and no recurrence of watershed infarction was found in a 1-year follow-up.A detailed medical history and laboratory examination are capable of improving diagnostic accuracy of VBD.TCM treatment based on syndrome identification might be a promising candidate for VBD management. 展开更多
关键词 vertebrobasilar insufficiency STROKE MEDICINE Supplementing Qi and activating blood circulation method integrative medicine case reports
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Ballistic magnon circulators with magnetic skyrmions
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作者 Haichuan Zhang Hongbin Wu Jin Lan 《Chinese Physics B》 2025年第10期75-82,共8页
Spin waves,quantized as magnons,constitute a fundamental class of excitations and serve as one of the primary angular momentum carriers in magnetic systems.Devoid of Joule heating,a magnonic device that routes spin wa... Spin waves,quantized as magnons,constitute a fundamental class of excitations and serve as one of the primary angular momentum carriers in magnetic systems.Devoid of Joule heating,a magnonic device that routes spin waves between different ports holds promise for an energy-efficient information infrastructure.Here,we systematically investigate the transport behavior of a magnetic skyrmion-based magnon circulator,a representative device that directs spin wave flow in a non-reciprocal manner.Particularly,a ballistic transport model is established,where the scattering of spin waves by magnetic skyrmions is simplified as magnon deflection by fictitious electromagnetic fields within the skyrmions.Through the combination of ballistic analyses and micromagnetic simulations,the circulation performance is rigorously evaluated for multiple magnon circulators. 展开更多
关键词 spin wave ballistic transport magnetic skyrmion circulator
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A multisource geomagnetic field model incorporating ocean circulation-induced magnetic field 被引量:5
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作者 HongBo Yao JuYuan Xu +2 位作者 Cong Yang ZhengYong Ren Keke Zhang 《Earth and Planetary Physics》 2025年第3期550-563,共14页
The movement of global ocean circulation in the Earth’s main magnetic field generates a measurable induced magnetic field(about 2 nT at geomagnetic satellite altitudes).However,this ocean circulation-induced magnetic... The movement of global ocean circulation in the Earth’s main magnetic field generates a measurable induced magnetic field(about 2 nT at geomagnetic satellite altitudes).However,this ocean circulation-induced magnetic field has not been previously estimated or incorporated into geomagnetic field models,potentially causing leakage into the core field model.Here,we present a method to account for the circulation-induced magnetic field during geomagnetic field modeling.First,a forward model of the circulation-induced magnetic field is constructed by numerically solving electromagnetic induction equations based on a realistic ocean circulation model.Then,this forward model is subtracted from the observed data.Finally,the core and lithospheric fields,magnetospheric and Earth’s mantle-induced fields,and the ocean tide-induced magnetic field are co-estimated.Applying our method to over 20 years of MSS-1,Swarm,CryoSat-2,and CHAMP satellite magnetic data,we derive a new multisource geomagnetic field model(MGFM).We find that incorporating a forward model of the circulation-induced magnetic field marginally improves the fit to the data.Furthermore,we demonstrate that neglecting the circulation-induced magnetic field in geomagnetic field modeling results in leakage into the core field model.The highlights of the MGFM model include:(i)a good agreement with the widely used CHAOS model series;(ii)the incorporation of magnetic fields induced by both ocean tides and circulation;and(iii)the suppression of leakage of the circulation-induced magnetic field into the core field model. 展开更多
关键词 Macao Science Satellite-1(MSS-1) geomagnetic field modeling ocean tides ocean circulation
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Detecting plasma SHOX2, HOXA9, SEPTIN9, and RASSF1A methylation and circulating cancer cells for cholangiocarcinoma clinical diagnosis and monitoring 被引量:1
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作者 Jing Yu Qiu-Chen Liu +2 位作者 Shuang-Yan Lu Shun Wang Hua Zhang 《World Journal of Gastrointestinal Oncology》 2025年第4期210-222,共13页
BACKGROUND Cholangiocarcinoma(CCA),also known as bile duct cancer,is a devastating malignancy primarily affecting the biliary tract.AIM To assess their performance in clinical diagnosis and monitoring of CCA,plasma me... BACKGROUND Cholangiocarcinoma(CCA),also known as bile duct cancer,is a devastating malignancy primarily affecting the biliary tract.AIM To assess their performance in clinical diagnosis and monitoring of CCA,plasma methylation and circulating tumor cells were detected.METHODS Plasma samples were collected from Hubei Cancer Hospital(n=156).Plasma DNA was tested to detect SHOX2,HOXA9,SEPTIN9,and RASSF1A methylation using TaqMan PCR.Circulating tumor cells(CTCs)were detected in the peripheral blood of patients using the United States Food and Drug Administration-approved cell search system before and after clinical therapy.The CCA diagnostic value was estimated using the area under the curve.The independent prognosis risk factors for patients with CCA were estimated using Cox and logistic regression analyses.RESULTS The sensitivity and specificity of the four DNA plasma methylations exhibited 64.74%sensitivity and 93.88%specificity for detecting CCA.The receiver operating characteristic curve of the combined value for CCA diagnosis in plasma was 0.828±0.032.RASSF1A plasma methylation was related to the prognosis of patients with CCA.We determined the prognostic hazard ratio for CCA using CTC count,tumor stage,methylation,and carbohydrate antigen 19-9 levels as key factors.Our overall survival nomogram achieved a C-index of 0.705(0.605-0.805).CONCLUSION SHOX2,HOXA9,SEPTIN9,and RASSF1A plasma methylation demonstrated increased sensitivity for diagnosing CCA.RASSF1A plasma methylation and CTCs were valuable predictors to assess CCA prognosis and recurrence. 展开更多
关键词 CHOLANGIOCARCINOMA METHYLATION Circulating cancer cells Diagnosis PROGNOSIS
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Personalized surveillance in colorectal cancer:Integrating circulating tumor DNA and artificial intelligence into post-treatment follow-up 被引量:1
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作者 Ionut Negoi 《World Journal of Gastroenterology》 2025年第18期1-9,共9页
Given the growing burden of colorectal cancer(CRC)as a global health challenge,it becomes imperative to focus on strategies that can mitigate its impact.Posttreatment surveillance has emerged as essential for early de... Given the growing burden of colorectal cancer(CRC)as a global health challenge,it becomes imperative to focus on strategies that can mitigate its impact.Posttreatment surveillance has emerged as essential for early detection of recurrence,significantly improving patient outcomes.However,intensive surveillance strategies have shown mixed results compared to less intensive methods,emphasizing the necessity for personalized,risk-adapted approaches.The observed suboptimal adherence to existing surveillance protocols underscores the urgent need for more tailored and efficient strategies.In this context,circulating tumor DNA(ctDNA)emerges as a promising biomarker with significant potential to revolutionize post-treatment surveillance,demonstrating high specificity[0.95,95%confidence interval(CI):0.91-0.97]and robust diagnostic odds(37.6,95%CI:20.8-68.0)for recurrence detection.Furthermore,artificial intelligence and machine learning models integrating patient-specific and tumor features can enhance risk stratification and optimize surveillance strategies.The reported area under the receiver operating characteristic curve,measuring artificial intelligence model performance in predicting CRC recurrence,ranged from 0.581 and 0.593 at the lowest to 0.979 and 0.978 at the highest in training and validation cohorts,respectively.Despite this promise,addressing cost,accessibility,and extensive validation remains crucial for equitable integration into clinical practice. 展开更多
关键词 Colorectal cancer Post-treatment surveillance Tumor recurrence Follow-up protocols Circulating tumor DNA Artificial intelligence
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Short-chain fatty acids mediate enteric and central nervous system homeostasis in Parkinson’s disease:Innovative therapies and their translation 被引量:1
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作者 Shimin Pang Zhili Ren +1 位作者 Hui Ding Piu Chan 《Neural Regeneration Research》 2026年第3期938-956,共19页
Short-chain fatty acids,metabolites produced by the fermentation of dietary fiber by gut microbiota,have garnered significant attention due to their correlation with neurodegenerative diseases,particularly Parkinson’... Short-chain fatty acids,metabolites produced by the fermentation of dietary fiber by gut microbiota,have garnered significant attention due to their correlation with neurodegenerative diseases,particularly Parkinson’s disease.In this review,we summarize the changes in short-chain fatty acid levels and the abundance of short-chain fatty acid-producing bacteria in various samples from patients with Parkinson’s disease,highlighting the critical role of gut homeostasis imbalance in the pathogenesis and progression of the disease.Focusing on the nervous system,we discuss the molecular mechanisms by which short-chain fatty acids influence the homeostasis of both the enteric nervous system and the central nervous system.We identify key processes,including the activation of G protein-coupled receptors and the inhibition of histone deacetylases by short-chain fatty acids.Importantly,structural or functional disruptions in the enteric nervous system mediated by these fatty acids may lead to abnormalα-synuclein expression and gastrointestinal dysmotility,which could serve as an initiating event in Parkinson’s disease.Furthermore,we propose that short-chain fatty acids help establish communication between the enteric nervous system and the central nervous system via the vagal nerve,immune circulation,and endocrine signaling.This communication may shed light on their potential role in the transmission ofα-synuclein from the gut to the brain.Finally,we elucidate novel treatment strategies for Parkinson’s disease that target short-chain fatty acids and examine the challenges associated with translating short-chain fatty acid-based therapies into clinical practice.In conclusion,this review emphasizes the pivotal role of short-chain fatty acids in regulating gut-brain axis integrity and their significance in the pathogenesis of Parkinson’s disease from the perspective of the nervous system.Moreover,it highlights the potential value of short-chain fatty acids in early intervention for Parkinson’s disease.Future research into the molecular mechanisms of short-chain fatty acids and their synergistic interactions with other gut metabolites is likely to advance the clinical translation of innovative short-chain fatty acid-based therapies for Parkinson’s disease. 展开更多
关键词 ALPHA-SYNUCLEIN blood-brain barrier blood circulation central nervous system ENDOCRINE enteric nervous system glial cell gut-brain axis gut microbiota intestinal barrier neuron Parkinson’s disease short chain fatty acids vagus nerve
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Accurate quantification of the algebraic,multiplicative algebraic,and simultaneous iterative reconstruction techniques in ionosphere rebuilding based on the TIEGCM assessment
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作者 Ao Qi HaiBing Ruan 《Earth and Planetary Physics》 EI CAS 2025年第1期117-126,共10页
The algebraic reconstruction technique(ART),multiplicative algebraic reconstruction technique(MART),and simultaneous iterative reconstruction technique(SIRT)are computational methodologies extensively utilized within ... The algebraic reconstruction technique(ART),multiplicative algebraic reconstruction technique(MART),and simultaneous iterative reconstruction technique(SIRT)are computational methodologies extensively utilized within the field of computerized ionospheric tomography(CIT)to facilitate three-dimensional reconstruction of the ionospheric morphology.However,reconstruction accuracy elicits recurrent disputes over its practical application,and people usually attribute this issue to incomplete and uneven coverage of the measurements.The Thermosphere Ionosphere Electrodynamics General Circulation Model(TIEGCM)offers a reasonable physics-based ionospheric background and is widely utilized in ionospheric research.We use the TIEGCM simulations as the targeted ionosphere because the current measurements are far from able to realistically reproduce the ionosphere in detail.Optimized designations of satellite measurements are conducted to investigate the limiting performance of CIT methods in ionospheric reconstruction.Similar to common practice,electron density distributions from outputs of the International Reference Ionosphere(IRI)model are used as the iterative initial value in CIT applications.The outcomes suggest that despite data coverage,iterative initial conditions also play an essential role in ionospheric reconstruction.In particular,in the longitudinal sectors where the iterative initial height of the F2-layer peak electron density(hmF2)differs substantially from the background densities,none of the three CIT methods can reproduce the exact background profile.When hmF2 is close but the ionospheric F2-layer peak density(NmF2)is different between the targeted background and initial conditions,the MART performs better than the ART and SIRT,as evidenced by the correlation coefficients of MART being above 0.97 and those of ART and SIRT being below 0.85.In summary,this investigation reveals the potential uncertainties in traditional CIT reconstruction,particularly when realistic hmF2 or NmF2 values differ substantially from the initial CIT conditions. 展开更多
关键词 computerized ionospheric tomography International Reference Ionosphere model Thermosphere Ionosphere Electrodynamics General Circulation model IONOSPHERE
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EXACT ELECTROMAGNETIC FIELD THEORY FOR BROADBAND H-PLANE WAVEGUIDE JUNCTION CIRCULATORS
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作者 窦文斌 《Science China Mathematics》 SCIE 1989年第9期1115-1127,共13页
This paper analyses the broadband H-plane waveguide junction circulators with the metal step and partial-height ferrite post. Using the field match method, the eigenmodes are given to expand the electromagnetic field ... This paper analyses the broadband H-plane waveguide junction circulators with the metal step and partial-height ferrite post. Using the field match method, the eigenmodes are given to expand the electromagnetic field in ferrite. The eigenmodes include not only the volume modes in literatures, but also the surface modes derived in this paper. Two sets of modes are used in analysis. The match between junction and waveguides is simplified, using a synthetic method, combining the electromagnetic field theory with the eigenvalue theory of the symmetric network scattering matrix and the transmission line theory. In an 8-mm band, the calculated bandwidth is 19% with 20-dBisolatioa. Computation and experiments are in good agreement. The calculated results display n=2 Chebyshev response characteristics. 展开更多
关键词 BROADBAND WAVEGUIDE circulator VOLUME MODES surface modes.
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A high power active circulator using GaN MMIC power amplifiers
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作者 顾黎明 车文荃 +1 位作者 Fan-Hsiu Huang Hsien-Chin Chiu 《Journal of Semiconductors》 EI CAS CSCD 2014年第11期114-118,共5页
This paper presents a 2.4 GHz hybrid integrated active circulator consisting of three power amplifiers and three PCB-based Wilkinson power dividers. The power amplifiers were designed and fabricated in a standard 0.35... This paper presents a 2.4 GHz hybrid integrated active circulator consisting of three power amplifiers and three PCB-based Wilkinson power dividers. The power amplifiers were designed and fabricated in a standard 0.35-μm AlGaN/GaN HEMT technology, and combined with three traditional power dividers on FR4 using bonding wires. Due to the isolation of power dividers, the isolation between three ports is achieved; meanwhile, due to the unidirectional characteristics of the power amplifiers, the nonreciprocal transfer characteristic of the circulator is realized. The measured insertion gain of the proposed active circulator is about 2-2.7 dB at the center frequency of 2.4 GHz, the isolation between three ports is better than 20 dB over 1.2-3.4 GHz, and the output power of the designed active circulator achieves up to 20.1-21.2 dBm at the center frequency. 展开更多
关键词 hybrid gallium nitride (GaN) monolithic microwave integrated circuit (MMIC) active circulator power amplifier power divider
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