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Development and Factorial Structure of the Green Crescent Life Skills Scale for Turkish Adolescents
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作者 Ayşe Esraİşmen Gazioğlu Halime Yıldırım Hoş Şener Büyüköztürk 《International Journal of Mental Health Promotion》 2025年第5期683-700,共18页
Background The effectiveness of life skills-based prevention programs to prevent substance addiction has been underexplored in Türkiye,likely in part due to the lack of validated measurement tools developed speci... Background The effectiveness of life skills-based prevention programs to prevent substance addiction has been underexplored in Türkiye,likely in part due to the lack of validated measurement tools developed specifically for that purpose.Therefore,the aim of this study is to develop a tool to measure life skills for middle school students.The present study aims to test the factorial structure,reliability,convergent and discriminant validity,and measurement invariance across gender and age groups of the Green Crescent Life Skills(GCLS)Scale.Methods The study was conducted in Istanbul with two different sample groups.The first sample consisted of 566 and the second sample consisted of 885 middle school students.In the study,exploratory factor analysis(EFA)was applied to the first sample,and confirmatory factor analysis(CFA)was applied to the second sample to test the factorial structure of the scale.Convergent and discriminant validity were examined to provide evidence for construct-based validity.The reliability of the scale was assessed with Cronbach’sα,composite reliability,McDonald’sω,and test-retest.Results The EFA results showed that the scale consisted of four factors(self-awareness,coping with negative emotions,thinking skills,and peer relations).CFA results also confirmed this structure.The results revealed a significant positive correlation(r=0.52,p<0.01)between life skills and avoidance self-efficacy scores,as well as a significant negative correlation(r=−0.53,p<0.01)between life skills and attitude toward drug use scores.Additionally,it was found that measurement invariances based on gender and age groups were provided.It was determined that all sub-dimensions had sufficient reliability levels.Conclusion The findings of this validation study show that the GCLS Scale,which assesses four skills in a self-reported format,is a valid and reliable scale with considerable potential utility in monitoring life skills in Turkish adolescent populations. 展开更多
关键词 Green crescent life skills scale life skills drug prevention scale development
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Quantitative analysis on the dynamic characteristics of megadunes around the Crescent Moon Spring, China 被引量:4
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作者 YingJun PANG JianJun QU +2 位作者 KeCun ZHANG ZhiShan AN QingHe NIU 《Journal of Arid Land》 SCIE CSCD 2014年第3期255-263,共9页
The Crescent Moon Spring is a precious natural heritage. However, the dynamic characteristics of megadunes around the Crescent Moon Spring are not well known. This paper quantitatively studied the character- istics an... The Crescent Moon Spring is a precious natural heritage. However, the dynamic characteristics of megadunes around the Crescent Moon Spring are not well known. This paper quantitatively studied the character- istics and changes of megadunes around the Crescent Moon Spring by interpreting aerial photographs taken in 1985 and 2004 and analysing the dune crestlines and the wind data collected from 2011 to 2012. Results revealed that pyramid dunes were formed by a complex wind regime. The Crescent Moon Spring was not buried by shifting sands because of the stable wind regime and relative stability of pyramid dunes. The crestlines of the dunes around the spring moved northward between 1985 and 2004. The south-facing slip faces were also exposed to wind ero- sion, whereas the other faces were under deposition, thus indicating that the southerly wind was relatively en- hanced. Limiting the scale of tall windbreaks and architectures in the Dunhuang oasis at the north of the spring was necessary to maintain the dynamic equilibrium of the wind regime and sand transport. 展开更多
关键词 Dunhuang city crescent Moon Spring pyramid dunes dynamic characteristics erosion and deposition
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Morphological variation of star dune and implications for dune management: a case study at the Crescent Moon Spring scenic spot of Dunhuang, China 被引量:1
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作者 ZHANG Weimin TAN Lihai +3 位作者 AN Zhishan ZHANG Kecun GAO Yang NIU Qinghe 《Journal of Arid Land》 SCIE CSCD 2019年第3期357-370,共14页
Aerial photographs and 3-D laser scans of a 90-m high star dune at the Crescent Moon Spring scenic spot in Dunhuang,China,are used to investigate the changes in dune morphology on timescales from months to decades.The... Aerial photographs and 3-D laser scans of a 90-m high star dune at the Crescent Moon Spring scenic spot in Dunhuang,China,are used to investigate the changes in dune morphology on timescales from months to decades.The result revealed that relative-equilibrium airflow strength in three wind directions of northeast,west and south was an important condition for the stability of star dunes with limited migration.Transverse and longitudinal airflows exerted a crucial impact on variation processes of star dune morphology.Controlled by transverse airflows,the easterly winds,the east side was dominated by wind erosion;and strong deposition occurred on the south-south-east arm with a maximum deposition rate of 0.44 m/a in the 46-a monitoring period,causing the east side becoming steep and high.Controlled by longitudinal airflows,the westerly winds,the west-north-west side was mainly eroded and the north arm migrated from west to east with a rate of 0.30 m/a,causing the dune slope becoming gentle and elongate.The local air circulation(southerly winds)exerted a significant impact on the development process of the star dune.Due to the influence of human activities,the south side present surface processes from a concave profile to a convex profile in 46 a,which is a potential threat to the Crescent Moon Spring.The results indicate that rehabilitating the airflow field at most is a crucial strategy to the protection of Crescent Moon Spring from burial.Opening up the passage of easterly,westerly and southerly winds through intermediately cutting the protection forest,demolishing the enclosed wall and changing the pavilion into a porous pattern have been suggested to protect the Crescent Moon Spring from burial. 展开更多
关键词 STAR DUNE morphology variation EROSION and deposition time scale crescent MOON SPRING
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Grain size distribution at four developmental stages of crescent dunes in the hinterland of the Taklimakan Desert,China 被引量:5
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作者 JIA Wenru ZHANG Chunlai +3 位作者 LI Shengyu WANG Haifeng MA Xuexi WANG Ningbo 《Journal of Arid Land》 SCIE CSCD 2016年第5期722-733,共12页
Although scientists have performed many studies on crescent (barchan) dunes in the Taklimakan Desert,few studies reported the changes in grain size at different development stages of crescent dunes.In order to evalu... Although scientists have performed many studies on crescent (barchan) dunes in the Taklimakan Desert,few studies reported the changes in grain size at different development stages of crescent dunes.In order to evaluate the changing trends of surface sediment grain size with dune development,we investigated the grain size characteristics at four developmental stages (oval sand pile,shield dune,incipient crescent dune and mature crescent dune) of crescent dunes by measuring the morphology of sand dune and observing the near-surface wind regime.The dunes have developed in a wide inter-dune corridor between high compound longitudinal ridges in China's Taklimakan Desert.The surface sediments at four developmental stages of the crescent dunes were primarily composed of fine sands,followed by very fine and medium sands.Mean grain sizes ranged from 2.8 to 3.1 φ,with a unimodal distribution.The sands were moderately well-sorted,their distribution varied from platykurtic to very platykurtic,and symmetrical or skewed towards the fine particles.From oval sand piles through shield and incipient crescent dunes to mature crescent dunes,incipient grain size gradually increased,particles became finer,sorting became better,kurtosis and skewness increased.Grain sizes on the surface layer became coarser upwards from the toe of the windward slope and then became finer towards the bottom of the leeward slope.We found that the coarsest particles at different positions at the four developmental stages were different.The coarsest particles were distributed at the top of the oval sand piles and shield dunes,versus at the middle of the windward slope of the incipient and mature crescent dunes.Correlations between the mean grain size and other grain size parameters showed that as mean grain size became finer,sorting became better and kurtosis became wider,but skewness changed only slightly.In addition,grain size variation in the surface sediments correlated with the movement speed of the dunes in the study area.In the open ground among tall-complex longitudinal ridges in the hinterland of the Taklimakan Desert where aeolian environment is characterized by comparatively strong wind and unsaturated sand flow,faster dune movement corresponded to coarser grain size. 展开更多
关键词 crescent dune developmental stage grain size Taklimakan Desert
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Experimental study on modulational instability and evolution of crescent waves 被引量:1
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作者 Ya-long ZHOU Zhi-li ZOU Kai YAN 《Water Science and Engineering》 EI CAS 2012年第4期419-427,共9页
A series of experiments on the instability of steeP water wave trains in water with finite water depths and infinite water depths in a wide wave basin were performed. It was found that under the coupled development of... A series of experiments on the instability of steeP water wave trains in water with finite water depths and infinite water depths in a wide wave basin were performed. It was found that under the coupled development of modulational instability and class-Ⅱ instability, the initial two-dimensional steep wave trains evolved into three'dimensional crescent waves, followed by the occurrence of disordered water surfaces, and that the wave energy transferred to sidebands in the amplitude spectrum of the water surface elevation. The results also show that water depth has a significant effect on the growth of modulational instability and the evolutiin of crescent waves. The larger the water depth, the more quickly the modulational instability suppresses class-II instability. 展开更多
关键词 modulational instability class-H instability crescent wave amplitude spectrum wave energy transfer
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Bacterial diversity in the sediment of Crescent Moon Spring,Kumtag Desert,Northwest China 被引量:1
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作者 ZHANG Wei ZHANG Gaosen +5 位作者 WU Xiukun LIU Guangxiu DONG Zhibao QU Jianjun WANG Yun CHEN Tuo 《Journal of Arid Land》 SCIE CSCD 2017年第2期278-286,共9页
Desert lake, a unique oasis in desert ecosystems, harbours different bacterial communities. Thus, it is considered as a hub of bacterial diversity. In this study, bacterial diversity in the sediment of Crescent Moon S... Desert lake, a unique oasis in desert ecosystems, harbours different bacterial communities. Thus, it is considered as a hub of bacterial diversity. In this study, bacterial diversity in the sediment of Crescent Moon Spring, Kumtag Desert, Northwest China was analyzed using high-throughput amplicon pyrosequencing analysis. The sequences of the most abundant OUTs (Operational Taxonomic Units) in the sediment of Crescent Moon Spring were compared with the sequences of those most abundant OUTs of various origins from NCBI GenBank database to detect the origins of bacteria in the sediment of Crescent Moon Spring. Also, bacterial compositions between sediment of Crescent Moon Spring and other desert and lake ecosystems (including desert lakes) worldwide were compared using cluster analysis to determine the possible factors affecting bacterial compositions. In total, 11,855 sequences were obtained and 30 phyla were identified. At the phylum level, the dominant phylum was Proteobacteria with α-Proteobacteria being the first dominant class and the second dominant phylum was Planctomycetes. Our finding that α-Proteobacteria being the first dominant class of Proteobacteria and Planctomycetes being the second dominant phyla are somewhat contradictory with reports from other desert lake sediments. This difference could be resulted from water hydration and conductivity, as well as oligotrophic conditions of Crescent Moon Spring. At the genus level, Rhodobacter, Caldilinea, Planctomyces, and Porphyrobacterwere the dominant genera in the sediment of Crescent Moon Spring. Comparisons on sequences of the most abundant OUTs (including OTU3615, OTU6535, and OTU6646) between sediment of Crescent Moon Spring and various origins from NCBI GenBank database indicate that the origins of bacteria in the sediment of Crescent Moon Spring are likely from the underground water. Furthermore, cluster analysis on comparisons of bacteria compositions between sediment of Crescent Moon Spring and other desert and lake ecosystems (including desert lakes) worldwide shows that at regional scales, bacterial compositions may be mainly affected by geographical patterns, precipitation amounts, and pH values. Collectively, our results provide new knowledge on the bacterial diversity in desert lake ecosystems. 展开更多
关键词 bacterial diversity pyrosequencing analysis desert lake desert and lake ecosystems crescent Moon Spring
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Antineutrophil cytoplasmic antibodies crescentic allograft glomerulonephritis after sofosbuvir therapy 被引量:2
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作者 Shilpa Gadde Belinda Lee +1 位作者 Laura Kidd Rubin Zhang 《World Journal of Nephrology》 2016年第6期547-550,共4页
Antineutrophil cytoplasmic antibodies(ANCA) are well known to be associated with several types of vasculitis, including pauci-immune crescentic glomerulonephritis, a form of rapid progressive glomerular nephritis(RPGN... Antineutrophil cytoplasmic antibodies(ANCA) are well known to be associated with several types of vasculitis, including pauci-immune crescentic glomerulonephritis, a form of rapid progressive glomerular nephritis(RPGN). ANCA vasculitis has also been reported after administration of propylthiouracil, hydralazine, cocaine(adulterated with levimasole), allopurinol, penicillamine and few other drugs. All previously reported cases of drug-associated ANCA glomerulonephritis were in native kidneys. Sofosbuvir is a new and effective drug for hepatitis C virus infection. Here, we report a case of ANCA vasculitis and RPGN following sofosbuvir administration in a kidney transplant recipient. It also represents the first case of drug-associated ANCA vasculitis in a transplanted kidney. Further drug monitoring is necessary to elucidate the degree of association and possible causal effect of sofosbuvir and perinuclear ANCA vasculitis. 展开更多
关键词 crescentic glomerulonephritis VASCULITIS Antineutrophil cytoplasmic antibody Sofosbuvir Kidney transplant
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Progress on research and mitigation of wind-blown sand risk in Dunhuang Singing Sand Mountain and Crescent Spring Scenic area,China 被引量:1
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作者 BenLi Liu KeCun Zhang +6 位作者 JianJun Qu HaiJiang Li QingHe Niu ZhiShan An YingJun Pang LiHai Tan GenSheng Yang 《Research in Cold and Arid Regions》 CSCD 2023年第3期113-121,共9页
The Singing Sand Mountain and Crescent Spring Scenic Spot in Dunhuang,Northwest China is a world-renowned desert attraction that is also an integral component of the Dunhuang UNESCO Global Geopark.This scenic area und... The Singing Sand Mountain and Crescent Spring Scenic Spot in Dunhuang,Northwest China is a world-renowned desert attraction that is also an integral component of the Dunhuang UNESCO Global Geopark.This scenic area underwent a 30-year transformation,i.e.,from a severe sand risk with spring water threatened by sand burial due to dune deformation,to restoration of the original sand flow field and mitigation of the sand burial problem.The current paper summarizes the research on the intensive monitoring of the dynamic change of star dunes near the spring,observation of wind and sand flow movement,and then restoring the harmonic vibration of the sand particles(singing sand)that were previously silenced.The existing and prospective impacts of anthropogenic and natural forces on the deformation of the sand dunes are investigated by integrated methods,guiding the implementation of mitigating measures with significant ameliorative effects.Contrast to common sand control practices that aim to reduce wind speed and stop blown sands,our research highlights the importance of maintaining the natural wind flow field in stabilizing surrounding dunes.These mitigation measures consist of removing excessive vegetation and newly constructed buildings to recover the original wind flow field and sand transport activity.Such research and mitigation efforts ensure the scientific protection and restoration of the special desert landform,and contribute to the mutual enhancement of the conservation and exploitation of this desert scenic spot and similar sites. 展开更多
关键词 Singing Sand Mountain crescent Spring Wind-blown sand problem Wind flow field Star dune
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Accuracy of crescent sign on ocular ultrasound in diagnosing papilledema 被引量:1
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作者 Ananth Bhosale Virna M Shah Parag K Shah 《World Journal of Methodology》 2017年第3期108-111,共4页
AIM To study the usefulness of orbital ultrasonography in the diagnosis of papilledema.METHODS Fifty patients who were referred to the neurophthalmology clinic and clinically suspected to have papilledema were selecte... AIM To study the usefulness of orbital ultrasonography in the diagnosis of papilledema.METHODS Fifty patients who were referred to the neurophthalmology clinic and clinically suspected to have papilledema were selected. Thorough, clinical examination with slitlamp biomicroscopy and visual acuity assessment was done. These patients underwent ultrasonography to demonstrate the crescent sign. The patients were further evaluated with the neurologist and magnetic resonance imaging(MRI) thus confirming the diagnosis of papilledema. The results of our ultrasonographic evaluation were correlated with final diagnosis after thorough clinical evaluation, imaging and the neurologist's opinion.RESULTS Out of 50 patients diagnosed having papilledema on MRI, 46(92%) showed crescent sign on B scan ultrasonography. Headache was most common presenting complaint in 47(94%) and idiopathic intracranial hypertension was most common underlying cause of papilledema in 30(60%) cases.CONCLUSION"Crescent sign" seen on ultrasonography is a sensitive tool for diagnosis of papilledema. It is cost effective, less cumbersome and effective tool to differentiatebetween papilledema and pseudo papilledema before subjecting the patients to costly investigations like MRI. A positive crescent sign should always be followed by MRI to find out the cause of papilledema. 展开更多
关键词 PAPILLEDEMA Orbital ultrasound Doughnut sign crescent sign B scan
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Evolution of crescent-shaped sand dune under the influence of injected sand flux:scaling law and wind tunnel experiment
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作者 ZHANG Yang WANG Yuan +1 位作者 ZHOU Xiaosi YANG Bin 《Journal of Arid Land》 SCIE CSCD 2017年第2期270-277,共8页
This paper studies the evolution of crescent-shaped dune under the influence of injected flux. A scaling law and a wind tunnel experiment are carried out for comparison. The experiment incorporates a novel image proce... This paper studies the evolution of crescent-shaped dune under the influence of injected flux. A scaling law and a wind tunnel experiment are carried out for comparison. The experiment incorporates a novel image processing algorithm to recover the evolutionary process. The theoretical and experimental results agree well in the middle stage of dune evolution, but deviate from each other in the initial and final stages, suggesting that the crescent-shaped dune evolution is intrinsically scale-variant and that the crescent shape breaks down under unsaturated condition. 展开更多
关键词 crescent-shaped sand dune scale-invariant model wind tunnel experiment image processing
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A Restrained Iran:Consolidating the Shiite Crescent
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作者 Qin Tian 《Contemporary International Relations》 2017年第5期20-28,共9页
The Arab Spring is supposed to be the Arab world’s great changes and turmoil,but Iran has repeatedly become the focus in the following changes.Whether it is in the Syrian civil war,or strikes against ISIS,or the Qata... The Arab Spring is supposed to be the Arab world’s great changes and turmoil,but Iran has repeatedly become the focus in the following changes.Whether it is in the Syrian civil war,or strikes against ISIS,or the Qatar crisis,Iran repeatedly appeared.There are different attitudes towards Iran’s behavior.The Trump administration holds the opinion that Iran is 展开更多
关键词 A Restrained Iran:Consolidating the Shiite crescent
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Two Cases of ANCA-negative Pauci-immune Crescentic Glomerulonephritis in Pregnant or Maternal Women
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作者 Li Chen Qiong Luo Fan Zhang Shuan Hou Wei Liang Zi-bo Xiong Zu-ying Xiong 《罕少疾病杂志》 2012年第1期2-6,F0003,共6页
Here two cases of renal failure occurring in pregnancy were reported,with biopsy-proven pauci-immune crescentic glomerulonephritis at postpartum.It is most rare that pauci-immune crescentic glomerulonephritis as the c... Here two cases of renal failure occurring in pregnancy were reported,with biopsy-proven pauci-immune crescentic glomerulonephritis at postpartum.It is most rare that pauci-immune crescentic glomerulonephritis as the cause of renal failure in pregnancy.Their renal function could remain stable for some time due to timely and appropriate treatment.Therefore,the pregnant and maternal who have the performance of renal impairment should be closely tracked their blood pressure,urinary protein and renal function,if necessary,execute renal biopsy,for a clear and accurate pathological diagnosis is of great significance to grasp the opportunity of treatment.But the long-term prognosis is still poor. 展开更多
关键词 罕少疾病 患者 临床治疗 临床分析
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The clinical and pathological characteristics of Chinese patients with pauci-immune crescent glomerulonephritis 被引量:1
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作者 唐政 姚小丹 +4 位作者 胡伟新 曾彩虹 陈惠萍 刘志红 黎磊石 《Chinese Medical Journal》 SCIE CAS CSCD 2001年第4期38-42,105,共6页
目的 对寡免疫复合物型新月体肾炎进行临床病理分析。方法 采用病理检查包括 :光镜检查、免疫病理分析、血清学检查、肾功能检查以及统计学分析。结果  6 4 0 0例非移植肾活检中发现 2 4例寡免疫复合物型新月体肾炎 (PICGN)患者 ,占... 目的 对寡免疫复合物型新月体肾炎进行临床病理分析。方法 采用病理检查包括 :光镜检查、免疫病理分析、血清学检查、肾功能检查以及统计学分析。结果  6 4 0 0例非移植肾活检中发现 2 4例寡免疫复合物型新月体肾炎 (PICGN)患者 ,占肾活检总数的 0 37% ,占新月体肾炎总数的 2 3 9% ,其中女性 16例 ,男性 8例 ,平均年龄 33岁。血管炎中微型多动脉炎 (33 3% )和结节性多动脉炎 (8 3% )为常见继发病因。抗中性粒细胞胞浆抗体 (ANCA)阳性率为 52 2 %。临床上多表现为急进性肾功能减退 (75 0 % ) ,发作性肉眼血尿发生率高 (58 3% ) ,高血压发生率为 4 5 8% ,肾病综合症发生率为 4 1 7% ,2 5%患者出现少尿无尿症状。除贫血外 ,肾外表现较少。病理上血管襻坏死 (6 2 5% )、单核及中性粒细胞浸润(6 6 7% )及小血管炎等为常见的急性病变 ;然而 ,小球硬化 (4 5 8% )、小管萎缩 (83 3% )、间质纤维化 (75 0 % )等慢性化病变也较严重。 2 2例患者行免疫抑制治疗 ,16例随访 8— 92个月 ,有 4例肾功能在正常范围 (<12 4 μmol/L) ,8例行非透析保守治疗 ,仅 4例进入终末期肾功能衰竭需进行维持性血透析治疗。结论 免疫抑制冲击治疗是治疗PICGN的有效方法。 展开更多
关键词 pauci-immune crescent glomerulonephritis·clinico-pathology·anti-neutrophil cytoplasmic antibody
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Post-streptococcal acute glomerulonephritis in children:Association between proteinuria levels and renal outcomes
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作者 Randula Ranawaka Kavinda Dayasiri +2 位作者 Udara Sandakelum Dulani Nelson Manoji Gamage 《World Journal of Clinical Pediatrics》 2025年第1期119-126,共8页
BACKGROUND Post-streptococcal acute glomerular nephritis(PSAGN)is mostly a benign condition.The usual sequelae of PSAGN include hypertension,its complications,and acute kidney injury.Severe PSAGN is associated with si... BACKGROUND Post-streptococcal acute glomerular nephritis(PSAGN)is mostly a benign condition.The usual sequelae of PSAGN include hypertension,its complications,and acute kidney injury.Severe PSAGN is associated with significant long-term morbidity,and histological abnormalities such as crescentic glomerulonephritis are infrequently reported.PSAGN has also been linked to late-onset chronic kidney disease in some populations due to high levels of proteinuria.METHODS This prospective observational study was conducted at Lady Ridgeway Hospital(Colombo,Sri Lanka)over 15 months.Children with PSAGN were enrolled based on clinical and laboratory criteria.Persistent proteinuria≥2+for 2 weeks and serum creatinine>100μmol/L warranted renal biopsy,assessed via light microscopy and immunofluorescence.Normalization of complement 3(C3)within 6 to 8 weeks was required for inclusion.Data on clinical features,urine protein levels,and renal function were collected from patient records,and potential associations were analysed using Statistical Package for the Social Sciences and R language for statistical computing.Ethical approval was obtained from the Ethical Review Committee,Lady Ridgeway Hospital for Children(Ref No:LRH/ERC/2021/60).RESULTS Forty-four patients were recruited.There were 27(61.4%)male patients and 17(38.6%)female patients.Thirty-seven(84%)of them were above 5 years of age.Twenty(45%)patients had a history of skin sepsis,and eighteen(41%)had a history of throat infection.Among patients with proteinuria≥2+,53%had serum creatinine>100µmol/L,while among those with proteinuria<2+,7%had serum creatinine>100µmol/L.The association of high-degree proteinuria with elevated serum creatinine was significant(χ²=7.8,P=0.005)in PSAGN.The odds ratio of the logistic regression model was 1.049(95%confidence interval:1.003-1.098),indicating a positive direction with statistically significant association(P=0.037).There was no significant association between proteinuria and the degree of hypertension or estimated creatinine clearance.Ten children underwent renal biopsy.Crescents(less than 50%)were demonstrated in five children,while three children had typical diffuse proliferative glomer-ulonephritis.One child had severe acute tubular necrosis,and another had crescentic glomerulonephritis(crescents>50%).The immunofluorescence studies revealed deposition of immunoglobulin G and C3 in all biopsy specimens.CONCLUSION High-degree proteinuria was significantly associated with elevated serum creatinine(>100μmol/L)in children with PSAGN.The majority of children with persistent proteinuria≥2+for more than 2 weeks and the highest recorded serum creatinine>100μmol/L had atypical renal histological findings. 展开更多
关键词 PROTEINURIA Post-streptococcal acute glomerulonephritis Renal outcome Renal biopsy crescents Serum creatinine
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老年急性新月体肾小球肾炎患者可溶性CD163与临床病理严重程度的相关性
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作者 袁一孟 郑巧 +1 位作者 谢若兰 郝炎 《临床肾脏病杂志》 2025年第5期370-376,共7页
目的探讨老年急性新月体肾小球肾炎(crescentic glomerulonephritis,CGN)患者可溶性CD163(soluble CD163,sCD163)与临床病理严重程度的相关性。方法选取2018年3月至2022年3月期间自贡市第一人民医院肾病内科收治的31例老年CGN患者为研... 目的探讨老年急性新月体肾小球肾炎(crescentic glomerulonephritis,CGN)患者可溶性CD163(soluble CD163,sCD163)与临床病理严重程度的相关性。方法选取2018年3月至2022年3月期间自贡市第一人民医院肾病内科收治的31例老年CGN患者为研究对象。根据Berden分型进行病理分类,包括局灶型、新月体型、混合型和硬化型;其中新月体型、混合型、硬化型归为严重组织病理学类型。采用酶联免疫吸附法检测血清和尿sCD163水平。患者从诊断开始进行随访,直到达到终末期肾病(end-stage renal disease,ESRD)或死亡或最终随访日期。ESRD被定义为需要透析(血液透析或腹膜透析)。结果随着临床病理严重程度加重,尿sCD163和血清sCD163水平逐渐升高,硬化型最高[尿459.85(416.288,485.94)mg/g Cr、血清249.60(223.65,401.13)μg/L],混合型[尿338.29(152.06,357.01)mg/g Cr、血清206.60(166.18,244.10)μg/L]和新月体型[尿219.84(158.96,315.16)mg/g Cr、血清137.75(115.78,206.43)μg/L]次之,局灶型[尿114.73(82.95,183.42)mg/g Cr、血清98.30(60.88,125.35)μg/L]最低(P<0.05)。肾活检前尿sCD163水平区分局灶型和严重组织病理学类型的受试者工作特征曲线下面积(area under curve,AUC)为0.848(95%CI:0.701~0.994),对应截断值为135.77 mg/g Cr,特异度为85.0%,敏感度为81.8%;而血清sCD163水平区分局灶型和严重组织病理学类型的AUC仅为0.698(95%CI:0.504~0.892)。经Spearman法分析,尿sCD163水平与血清sCD163和血肌酐呈正相关,与估算肾小球滤过率呈负相关。多因素Logistic回归分析结果显示尿sCD163是严重组织病理学类型的独立危险因素(P<0.05)。Kaplan-Meier曲线分析显示尿sCD163低水平和高水平患者无ESRD中位生存时间分别为647 d和253 d(Log Rankχ^(2)=8.740,P=0.003)。结论尿sCD163高水平与CGN患者严重的临床病理类型相关,有希望成为预测组织病理结果严重程度的一个非常有用的临床参数。 展开更多
关键词 新月体肾小球肾炎 可溶性CD163 临床病理严重程度 老年患者
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新疆哈密抽水蓄能电站埋藏式月牙肋钢岔管设计
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作者 刘寅 蔡超 +1 位作者 薛石平 石长征 《西北水电》 2025年第2期72-76,85,共6页
通过对新疆哈密抽水蓄能电站埋藏式月牙肋钢岔管采用有限元法进行计算分析,在拟定钢岔管体型的基础上,建立有限元数值分析模型,考虑围岩联合承载的埋管方案,对明管状态下的应力以及埋藏式方案的围岩承载比进行校核。结果表明:哈密抽水... 通过对新疆哈密抽水蓄能电站埋藏式月牙肋钢岔管采用有限元法进行计算分析,在拟定钢岔管体型的基础上,建立有限元数值分析模型,考虑围岩联合承载的埋管方案,对明管状态下的应力以及埋藏式方案的围岩承载比进行校核。结果表明:哈密抽水蓄能电站埋藏式月牙肋钢岔管各部位Mises应力均小于钢材的抗力限值;明管状态时,各部位应力均小于钢材屈服强度;围岩承载比最大为26.4%,小于30%,满足规范要求。综合分析认为,新疆哈密抽水蓄能电站埋藏式月牙肋钢岔管体型设计合理,其中主岔与支岔连接处、主岔与主锥连接处的腰线转角部位以及肋板最大截面内缘为结构的薄弱环节,钢岔管运行期应重点监测相关部位应力。研究成果可为类似水头抽水蓄能电站埋藏式月牙肋钢岔管设计提供参考。 展开更多
关键词 埋藏式月牙肋钢岔管 围岩承载比 有限单元法 抽水蓄能电站
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The distribution and significance of renal infiltrating cells in patients with diffuse crescentic glomerulonephritis
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作者 唐政 吴燕 +5 位作者 胡伟新 姚小丹 周红 陈惠萍 刘志红 黎磊石 《Chinese Medical Journal》 SCIE CAS CSCD 2001年第12期35-37,103-104,共5页
Objective To study the significance and distribution of renal infiltrating cells, including monocytes (CD68+ cells), proliferative cell nuclear antigen positive cells (PCNA+ cells), CD4+ and CD8+ cells in diffuse cres... Objective To study the significance and distribution of renal infiltrating cells, including monocytes (CD68+ cells), proliferative cell nuclear antigen positive cells (PCNA+ cells), CD4+ and CD8+ cells in diffuse crescent glomerulonephritis (DCGN). Methods Fifty-six patients with DCGN were studied, including 10 cases of anti-glomerular basement membrane (GBM)-type Ⅰ DCGN, 26 immune complex-type Ⅱ DCGN, and 20 cases of pauci-immune-type Ⅲ DCGN. Glomerular and interstitial infiltrates of CD68+ and PCNA+ cells, and interstitial infiltrates of CD4+ and CD8+ cells were detected by using four-layer PAP methods. Results There was a significant increase of renal infiltrating CD68+, PCNA+, CD4+ and CD8+ cells in patients with DCGN compared with that in normal controls. In patients with type Ⅰ DCGN, there was a higher number of renal infiltrating CD68+ and PCNA+ cells than that in patients with type Ⅱ and Ⅲ DCGN. A glomerular infiltrates of CD68+ and PCNA+ cells correlated with the interstitial infiltrates of CD4+ cells in type Ⅰ or Ⅲ DCGN patients. In lupus DCGN patients, the numbers of renal infiltrating CD68+ and PCNA+ cells were similar to vasculitis or type Ⅲ DCGN patients.Conclusion These findings demonstrate that the renal infiltrates of CD68+ and PCNA+ cells play an important role in patients with DCGN, that the infiltrates of CD4+ cells correlate with the infiltrates of CD68+ and PCNA+ cells may be an active marker of DCGN, and that cell-mediated immunity may contribute to crescent formation in lupus DCGN patients. 展开更多
关键词 CD68 + cells · PCNA + cells · CD8 + cells · crescentic glomerulonephritis
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WORLD NEWS
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《ChinAfrica》 2025年第10期12-13,共2页
ITALY A crescent moon rises at sunset behind Monte Camicia in Teramo on 3 September US A dog rides the waves with its trainer during the 20th annual Surf Dog Surf-a-Thon in Del Mar,California,on 7 September.
关键词 surf dog surf thon monte camicia WAVES teramo crescent moon sunset
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IgA vasculitis in an adult diabetic male with rapidly progressive glomerulonephritis:A case study
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作者 Varsha Luthra Aprajita Garg +2 位作者 Anjali Yadav Tarun Chaudhary Monica Gupta 《Journal of Acute Disease》 2025年第5期1-4,共4页
Rationale:IgA vasculitis or Henoch-Schonlein purpura is an immune complex mediated small vessel vasculitis characterized by clinical triad of arthritis,palpable purpura and gastrointestinal symptoms.It is commonly see... Rationale:IgA vasculitis or Henoch-Schonlein purpura is an immune complex mediated small vessel vasculitis characterized by clinical triad of arthritis,palpable purpura and gastrointestinal symptoms.It is commonly seen in children below 10-year-old,though adults may be affected.Patient’s Concern:A 40-year-old man with type-2 diabetes mellitus presented with fever,melena,palpable purpuric rash and hematuria with acute kidney injury,associated with nephrotic range proteinuria.Skin biopsy revealed leukocytoclastic vasculitis and renal biopsy showed IgA deposits in the mesangium and capillary loops with fibro cellular crescents confirming the diagnosis of IgA vasculitis with crescentic rapidly progressive glomerulonephritis.Diagnosis:IgA vasculitis with rapidly progressive glomerulonephritis.Interventions:The patient was treated with pulse intravenous methylprednisolone 500 mg/day for 3 days with tapering doses of oral prednisolone and intravenous cyclophosphamide(0.5 gm/m^(2) body surface area)under the cover of intravenous antibiotics for diabetic foot ulcer.Outcomes:Patient improved gradually with return to baseline creatinine after 3 months of follow up.Lessons:Rapidly progressive glomerulonephritis is a rare manifestation of IgA vasculitis and warrants special care and early treatment.The incidence of rapidly progressive glomerulonephritis in IgA vasculitis is unknown.It carries a high risk of progression to chronic kidney disease and thus should be treated as soon as feasible after diagnosis. 展开更多
关键词 Henoch-Schonlein purpura IgA vasculitis crescentic rapidly progressive glomerulonephritis Type-2 diabetes mellitus
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MiR-29b expression is altered in crescent formation of HSPN and accelerates AngⅡ-induced mesangial cell activation 被引量:6
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作者 Shan Cheng Chun-Hua Zhu +1 位作者 Ai-Hua Zhang Song-Ming Huang 《World Journal of Pediatrics》 SCIE CAS CSCD 2020年第2期201-212,共12页
Background MicroRNA-29b(miR-29b)has been suggested to possess pro-inflammatory activity,which can partially be explained by the repression of tumor necrosis factor alpha protein three antibody(TNFAIP3).Meanwhile,it al... Background MicroRNA-29b(miR-29b)has been suggested to possess pro-inflammatory activity,which can partially be explained by the repression of tumor necrosis factor alpha protein three antibody(TNFAIP3).Meanwhile,it also promotes thyroid cell proliferation via Smad signaling pathways.The present study aimed to elucidate the role of miR-29b in Henoch Sch(o)nlein purpura nephritis(HSPN)and its underlying molecular mechanism in angiotensinⅡ(AngⅡ)-induced human glomerular mesangial cell(HGMC)activation.Methods We evaluated miR-29b expression in 35 HSPN renal tissues based on crescent formation,glomerular sclerosis,interstitial fibrosis,thrombosis formation and capillary loop necrosis.Meanwhile,HGMCs were cultured,treated with AngⅡand then transfected with LV-hsa-miR-29b-1 to induce miR-29b overexpression or LV-hsa-miR-29b-3p-inhibition to inhibit miR-29b expression.Finally,we examined the effects of miR-29b on cell proliferation and release of inflammatory mediators.Results We observed that miR-29b expression was significantly higher in the crescent group than in the no crescent group.MiR-29b overexpression induced the release of intercellular adhesion molecule-1,interleukin-1β(IL-1β),IL-6,IL-8,the increase of CyclinA2,CyclinD 1,and cell proliferation.It also could inhibit the expressions of TNFAIP3 and NF-kappa-B-repressing factor(NKRF).Correspondingly,miR-29b inhibition produced the opposite effects and increased the expression of TNFAIP3 and NKRF.Conclusion MiR-29b expression is altered in crescent formation of HSPN and accelerates AngⅡ-induced mesangial cell proliferation and release of inflammatory mediators. 展开更多
关键词 Cell proliferation crescent INFLAMMATION MiR-29b
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