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Application and progress of artificial intelligence technology in the segmentation of hyperreflective foci in OCT images for ophthalmic disease research
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作者 Jia-Ning Ying Hu Li +2 位作者 Yan-Yan Zhang Wen-Die Li Quan-Yong Yi 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2024年第6期1138-1143,共6页
With the advancement of retinal imaging,hyperreflective foci(HRF)on optical coherence tomography(OCT)images have gained significant attention as potential biological biomarkers for retinal neuroinflammation.However,th... With the advancement of retinal imaging,hyperreflective foci(HRF)on optical coherence tomography(OCT)images have gained significant attention as potential biological biomarkers for retinal neuroinflammation.However,these biomarkers,represented by HRF,present pose challenges in terms of localization,quantification,and require substantial time and resources.In recent years,the progress and utilization of artificial intelligence(AI)have provided powerful tools for the analysis of biological markers.AI technology enables use machine learning(ML),deep learning(DL)and other technologies to precise characterization of changes in biological biomarkers during disease progression and facilitates quantitative assessments.Based on ophthalmic images,AI has significant implications for early screening,diagnostic grading,treatment efficacy evaluation,treatment recommendations,and prognosis development in common ophthalmic diseases.Moreover,it will help reduce the reliance of the healthcare system on human labor,which has the potential to simplify and expedite clinical trials,enhance the reliability and professionalism of disease management,and improve the prediction of adverse events.This article offers a comprehensive review of the application of AI in combination with HRF on OCT images in ophthalmic diseases including age-related macular degeneration(AMD),diabetic macular edema(DME),retinal vein occlusion(RVO)and other retinal diseases and presents prospects for their utilization. 展开更多
关键词 artificial intelligence deep learning hyperreflective foci image analysis
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咖啡因抑制辐照区和旁区细胞的γ-H2AX foci的形成 被引量:1
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作者 蒋而康 《激光生物学报》 CAS CSCD 2012年第2期118-122,共5页
辐射诱导的旁效应不仅在体外实验存在,也在动物体内存在,这对辐射剂量的计算和辐射风险的评估有重要影响。咖啡因是一个模式辐射敏感剂,显著增强辐射的细胞毒性。咖啡因也显著增强辐射诱导的旁效应,咖啡因处理使未受辐照的旁细胞对损伤... 辐射诱导的旁效应不仅在体外实验存在,也在动物体内存在,这对辐射剂量的计算和辐射风险的评估有重要影响。咖啡因是一个模式辐射敏感剂,显著增强辐射的细胞毒性。咖啡因也显著增强辐射诱导的旁效应,咖啡因处理使未受辐照的旁细胞对损伤信号更加敏感,但其机理并不清楚。在正常人原代细胞AG1522中,分析了咖啡因处理对组蛋白H2AX磷酸化的影响,咖啡因显著减少α粒子辐射区和旁区γ-H2AX foci阳性细胞的比率和每个细胞γ-H2AX foci点数,表明咖啡因处理抑制了H2AX磷酸化,后者启动细胞对DNA双链断裂的修复,从而提示咖啡因增强辐射旁效应可能的机理,对辐射治疗具有重要意义。 展开更多
关键词 咖啡因 辐射诱导的旁效应 Γ-H2AX foci
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Evaluation of hyperreflective foci as a prognostic factor of visual outcome in retinal vein occlusion 被引量:18
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作者 Bin Mo Hai-Ying Zhou +1 位作者 Xuan Jiao Feng Zhang 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2017年第4期605-612,共8页
AIM:To evaluate the potential role of hyperreflective foci(HF) as a prognostic indicator of visual outcome in patients with macular edema(ME) due to retinal vein occlusion(RVO).METHODS:We retrospectively revie... AIM:To evaluate the potential role of hyperreflective foci(HF) as a prognostic indicator of visual outcome in patients with macular edema(ME) due to retinal vein occlusion(RVO).METHODS:We retrospectively reviewed 50 eyes of 50 patients with ME due to ischemic central retinal vein occlusion(CRVO),non-ischemic CRVO and branch retinal vein occlusion(BRVO) who were treated with anti-vascular endothelial growth factor(anti-VEGF) at Beijing Tongren Eye Center from January 2013 to July 2016.All patients underwent best-corrected visual acuity(BCVA),spectral domain optical coherence tomography(SD-OCT) at baseline and follow-up.Such factors were evaluated and compared among three groups as baseline and final BCVA,central retinal thickness(CRT),external limiting membrane(ELM) status and the numbers of HF in different position.Multiple linear regression analysis was employed to analyze the relationship between baseline HF and final BCVA.Changes of HF before and after treatment were evaluated too.RESULTS:Among three groups,HF could be located in each retinal layers,as well as in vitreous cavity.The mean HF in outer retinal layer(ORL) at baseline was 5.29±8.48 in ischemic CRVO with intact ELM,1.93±2.76 in non-ischemic CRVO,and 1.75±2.05 in BRVO.With disrupted ELM,the mean HF in ORL increased.There was statistically difference of HF in ORL between intact and disrupted ELM.The numbers of HF in ORL were associated with poor visual outcome among three groups.However,HF in inner retinal layer(IRL) and vitreous cavity were not associated with poor visual outcome.Meanwhile,the baseline HF in ORL and vitreous cavity reduced significantly in nonischemic CRVO and BRVO after anti-VEGF treatment.CONCLUSION:The numbers of HF in ORL are prognostic factors associated with the final BCVA in patients with ME due to RVO after anti-VEGF treatment. 展开更多
关键词 hyperreflective foci retinal vein occlusion TREATMENT optical coherence tomography
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Azoxymethane-induced rat aberrant crypt foci:Relevance in studying chemoprevention of colon cancer 被引量:5
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作者 Jayadev Raju 《World Journal of Gastroenterology》 SCIE CAS CSCD 2008年第43期6632-6635,共4页
The pathogenesis of colon cancer involves sequential and multistep progression of epithelial cells initiated to a cancerous state with defined precancerous intermediaries. Aberrant crypt foci (ACF) represent the ear... The pathogenesis of colon cancer involves sequential and multistep progression of epithelial cells initiated to a cancerous state with defined precancerous intermediaries. Aberrant crypt foci (ACF) represent the earliest identifiable intermediate precancerous lesions during colon carcinogenesis in both laboratory animals and humans. ACF are easily induced by colon-specific carcinogens in rodents and can be used to learn more about the process of colon carcinogenesis. For over two decades, since its first discovery, azoxymethane (AOM)-induced rodent ACF have served as surrogate biomarkers in the screening of various anticarcinogens and carcinogens. Several dietary constituents and phytochemicals have been tested for their colon cancer chemopreventive efficacy using the ACF system. There has been substantial effort in defining and refining ACF in terms of understanding their molecular make-up, and extensive research in this field is currently in progress. In chemoprevention studies, AOM-induced rat ACF have been very successful as biomarkers, and have provided several standardized analyses of data. There have been several studies that have reported that ACF data do not correlate to actual colon tumor outcome, however, and hence there has been an ambiguity about their role as biomarkers. The scope of this mini-review is to provide valuable insights and limitations of AOM-induced rat ACF as biomarkers in colon cancer chemoprevention studies. The role of the dynamics and biological heterogeneity of ACF is critical in understanding them as biomarkers in chemoprevention studies. 展开更多
关键词 Aberrant crypt foci AZOXYMETHANE Biological markers CARCINOGENESIS CHEMOPREVENTION Colon cancer
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Foci of Future Studies on Abiotic Stress Tolerance of Maize in the Era of Post-Genomics 被引量:1
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作者 LI You-zhi FAN Xian-wei LIAO Jiang-xiong 《Journal of Integrative Agriculture》 SCIE CAS CSCD 2012年第8期1236-1244,共9页
Genetic and metabolic engineering approaches are powerful tools for improving the tolerance of maize to abiotic stresses because they are faster and can afford greater control over agronomically useful traits. However... Genetic and metabolic engineering approaches are powerful tools for improving the tolerance of maize to abiotic stresses because they are faster and can afford greater control over agronomically useful traits. However, in-depth understanding of the molecular mechanisms controlling response to abiotic stresses is the prerequisite for successful implementation of these strategies. A great flaw to dissect the biological mechanisms by genome sequencing is that genome sequencing approach could not reflect real-time molecular actions of plants especially under the stresses because the living organisms rarely live in unchanging environments. Post-genomics such as transcriptomics, metabolomics, and proteomics can generate knowledge that is closer to the biological processes. With the development of post-genomics, it can be expected that voluminous data will be generated. This paper proposes that future research on maize stress tolerance in the era of post-genomics should focus on metabolomics and proteomics; stress tolerance of whole plant rather than individual tissues or organs; coordination of expression of genes among tissues; characterization of promoters of stress-responsive genes; interrelation between mechanisms for tolerance to, and growth recovery from the stress; hexose metabolism as well as the glycolysis pathway; and foundation genotypes. 展开更多
关键词 MAIZE abiotic stresses research foci era of post-genomics
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Relationship of human rectal aberrant crypt foci and formation of colorectal polyp:One-year following up after polypectomy 被引量:1
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作者 Hirokazu Takahashi Eiji Yamada +6 位作者 Hidenori Ohkubo Eiji Sakai Takuma Higurashi Takashi Uchiyama Kunihiro Hosono Hiroki Endo Atsushi Nakajima 《World Journal of Gastrointestinal Endoscopy》 CAS 2012年第12期561-564,共4页
AIM:To clarify the relationship of human rectal aberrant crypt foci and formation of colorectal polyp.METHODS:Eighty-nine subjects were recruited from the population of Japanese individuals who underwent polypectomy a... AIM:To clarify the relationship of human rectal aberrant crypt foci and formation of colorectal polyp.METHODS:Eighty-nine subjects were recruited from the population of Japanese individuals who underwent polypectomy at Yokohama City University Hospital.All patients had baseline adenomas removed at year 0 colonoscopy.Aberrant crypt foci(ACF) were defined as lesions in which the crypts were more darkly stained with methylene blue than normal crypts and had larger diameters,often with oval or slit-like lumens and a thicker epithelial lining.RESULTS:A total of 366 ACFs were identified in 89 patients;all had baseline adenomas removed at the first examination(year 0) colonoscopy and returned for the second(year 1).ACF in the lower rectum were assessed at year 0 and study group were divided into two groups depend on ACF numbers,0-3 or over 3.All participants were examined in the number and maximum size of adenoma.There was no statistical difference in number and maximum size of ACF at year 0,however,maximum size of adenoma was larger in over 3 group than 0-3 group at year 1.CONCLUSION:The number of ACF may be a predictive factor of relatively large adenoma incidence in the pilot phase study. 展开更多
关键词 ABERRANT CRYPT foci Colorectal carcinogenesis VISCERAL fat ADIPONECTIN
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RUVBL2基因knock-down对Rad51和γ-H2AX foci的影响 被引量:1
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作者 韩潆仪 《科技资讯》 2017年第2期200-202,共3页
用脂质体转染的方法将特定的RUVBL2 si RNA序列转染到真核细胞,并鉴定其在人肺纤维细胞(MRC5 SV)中的表达,以确保RUVBL2基因的knock-down效果。用Rad51和γ-H2AX的特异性抗体进行免疫荧光染色,应用荧光显微镜观察计数Rad51和γ-H2AX foc... 用脂质体转染的方法将特定的RUVBL2 si RNA序列转染到真核细胞,并鉴定其在人肺纤维细胞(MRC5 SV)中的表达,以确保RUVBL2基因的knock-down效果。用Rad51和γ-H2AX的特异性抗体进行免疫荧光染色,应用荧光显微镜观察计数Rad51和γ-H2AX foci的数量。Western blot法证实了si RNA以及转染的效率,确定了RUVBL2基因的存在有利于诱导DNA双链断裂(DSB)条件下Rad51和γ-H2AX被招募到DNA损伤位点。 展开更多
关键词 RUVBL2 SIRNA RAD51 Γ-H2AX foci
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Non-pulmonary vein foci induced before and after pulmonary vein isolation in patients undergoing ablation therapy for paroxysmal atrial fibrillation: incidence and clinical outcome
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作者 Hui CHENG Yin-yin DAI +8 位作者 Ru-hong JIANG Qiang LIU Ya-xun SUN Jian-wei LIN Zu-wen ZHANG Shi-quan CHEN Jun ZHU Xia SHENG Chen-yang JIANG 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2014年第10期915-922,共8页
Objective: To evaluate the incidence and clinical outcome of adenosine triphosphate(ATP) plus isoproterenol(ISP)-induced non-pulmonary vein(PV) foci before and after circumferential PV isolation(CPVI) during ... Objective: To evaluate the incidence and clinical outcome of adenosine triphosphate(ATP) plus isoproterenol(ISP)-induced non-pulmonary vein(PV) foci before and after circumferential PV isolation(CPVI) during index ablation in patients with paroxysmal atrial fibrillation(PAF). Methods: In 80 consecutive patients undergoing catheter ablation for drug-refractory, symptomatic PAF at our hospital from April 2010 to January 2011, atrial fibrillation(AF) was provoked with ATP(20 mg) and ISP(20 μg/min) administration before and after CPVI. The spontaneous initiation of AF was mapped and recorded. Results: Before ablation, AF mostly originating from PVs(PV vs. non-PV, 36/70 vs. 3/70; P〈0.01) was induced in 39 patients with sinus rhythm. CPVI significantly suppressed AF inducibility; however, more non-PV foci were provoked(post-CPVI vs. pre-CPVI, 13/76 vs. 3/70; P=0.016). Patients with pre- and post-CPVI induced AF(n=49) were divided according to non-PV foci being induced(group N, n=17) or not(group P, n=32). After mean(19.2±8.2) months follow-up, 88.2%(15/17) and 65.6%(21/32) of patients in groups N and P, respectively, were free from AF recurrence(P=0.088). Conclusions: ATP+ISP administration effectively provokes non-PV foci, especially after CPVI in PAF patients. Although in this study difference did not achieve statistical significance, supplementary ablation targeting non-PV foci might benefit clinical outcome. 展开更多
关键词 Atrial fibrillation Non-pulmonary vein foci Adenosine triphosphate
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Comment on “Evaluation of hyperreflective foci as a prognostic factor of visual outcome in retinal vein occlusion”
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作者 Alper Halil Bayat Akin Cakir +2 位作者 Burak Erden Selim Bolükbasi Seyma Gulcenur Sehirli 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2018年第5期898-898,共1页
Dear Editor,We’re interested in the article by Mo and colleagues about"Evaluation of hyperreflective foci as a prognostic factor of visual outcome in retinal vein occlusion".They performed a multiple linear regress... Dear Editor,We’re interested in the article by Mo and colleagues about"Evaluation of hyperreflective foci as a prognostic factor of visual outcome in retinal vein occlusion".They performed a multiple linear regression analysis with backward elimination to analyse the association of best corrected visual acuity(BCVA)with the numbers of hyperreflective foci(HF)in different layers. 展开更多
关键词 valuation of hyperreflective foci prognostic factor of visual
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Co-Existence of Local Limit Cycles from Degenerate and Weak Foci in Cubic Systems
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作者 Nick Schoonover Terence Blows 《Applied Mathematics》 2016年第16期1927-1933,共7页
In this paper, we investigate the existence of local limit cycles obtained by perturbing degenerate and weak foci of two-dimensional cubic systems of differential equations. In particular, we consider a specific class... In this paper, we investigate the existence of local limit cycles obtained by perturbing degenerate and weak foci of two-dimensional cubic systems of differential equations. In particular, we consider a specific class of such systems where the origin is a degenerate focus. By utilizing a Liapunov function method and the stability results that follow, we first determine constraints on the system to maximize the number of local limit cycles that can be obtained by perturbing the degenerate focus at the origin. Once this is established, we add on the additional assumption that the system has a weak focus at , where , and determine conditions to maximize the number of additional local limit cycles that can be obtained near this fixed point. We will ultimately achieve an example of a cubic system with three local limit cycles about the degenerate focus and one local limit cycle about the weak focus. 展开更多
关键词 Planar Differential Equations Local Limit Cycles Degenerate foci
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APC and K-ras gene mutation in aberrant crypt foci of human colon 被引量:21
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作者 Ping Yuan~1 Meng Hong Sun~2 Jin Sheng Zhang~1 Xiong Zeng Zhu~2 Da Ren Shi~2 ~1Department of Pathology,Medical College of Fudan University,~2Department of Pathology,Cancer Hospital/Cancer Institute,Fudan University,Shanghai 200032,ChinaDr.Ping Yuan Studying Province.studying in Medical College of Fudan University,worked in Department of Pathology,Wannan Medical College,having eighteen papers published. 《World Journal of Gastroenterology》 SCIE CAS CSCD 2001年第3期352-356,共5页
AIM:To study the genetic alteration in ACF and to define the possibility that ACF may be a very early morphological lesion with molecular changes,and to explore the relationship between ACF and colorectal adenoma even... AIM:To study the genetic alteration in ACF and to define the possibility that ACF may be a very early morphological lesion with molecular changes,and to explore the relationship between ACF and colorectal adenoma even carcinoma. METHODS: DNA from 35 CRC, 15 adenomas, 34 ACF and 10 normal mucus was isolated by means of microdissection. Direct gene sequencing of K-ras gene including codon 12, 13 and 61 as well as the mutation cluster region (MCR) of APC gene was performed. RESULTS: K-ras gene mutation frequency in ACF, adenoma and carcinoma was 17.6% (6/34), 13.3% (2/15), and 14.3% (5/35) respectively, showing no difference (P 】 0.05) in K-ras gene mutation among three pathologic procedures. The K-ras gene mutation in adenoma, carcinoma and 4 ACF restricted in codon 12 (GGT GAT), but the other 2 mutations from ACF located in codon 13 (GGC GAC). K-ras gene mutation was found more frequently in older patients and patients with polypoid cancer. No mutation in codon 61 was found in the three tissue types. Mutation rate of APC gene in adenoma and carcinoma was 22.9% (8/35) and 26.7% (4/15), which was higher than ACF (2.9%) (P 【0.05). APC gene mutation in carcinoma was not correlated with age of patients, location, size and differentiation of tumor. CONCLUSION: ACF might be a very early morphological lesion in the tumorogenesis of colorectal tumor. The morphological feature and gene mutation status was different in ACF and adenoma. ACF is possibly putative microadenoma that might be the precursor of adenoma. In addition, the development of a subgroup of colorectal carcinomas might undergo a way of normal epithelium ACF carcinomas . 展开更多
关键词 Genes APC ADENOMA Colorectal Neoplasms DNA Mutational Analysis Gene Frequency Genes ras Humans Point Mutation Research Support Non-U.S. Gov't
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Refining seizure foci localization:the potential of TSPO‑PET
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作者 Yiqiao Wang Yuncan Chen +1 位作者 Shimin Xu Xunyi Wu 《Acta Epileptologica》 2025年第3期323-336,共14页
Translocator protein positron emission tomography(TSPO-PET)is a novel imaging modality that leverages the high expression of TSPO in activated microglia and other cells within seizure foci.It has been increasingly app... Translocator protein positron emission tomography(TSPO-PET)is a novel imaging modality that leverages the high expression of TSPO in activated microglia and other cells within seizure foci.It has been increasingly applied in the preoperative evaluation of drug-resistant epilepsy(DRE)to aid in the localization of these foci.With advances in tracer development,TSPO-PET has achieved higher signal-to-noise ratios and broader clinical utility.Clinical studies indicate that TSPO-PET yields significantly higher positive detection rates for seizure foci compared to magnetic resonance imaging and fluorodeoxyglucose positron emission tomography.This review summarizes recent progress in TSPO-PET radiotracer technology,its mechanism of action,and its clinical applications for managing DRE. 展开更多
关键词 Translocator protein Positron emission tomography Drug-resistant epilepsy Seizure foci NEUROINFLAMMATION
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深浅层血管密度变化和视网膜高反射点评估糖网黄斑水肿治疗反应的效果
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作者 生侠 周梦文 +2 位作者 贺靖凯 谢良阔 刘骁 《实用医学杂志》 北大核心 2025年第4期575-579,共5页
目的评估深浅层血管密度变化、视网膜高反射点等形态学指标与糖网黄斑水肿(DME)治疗反应的相关性。方法回顾性选取2020年4月至2023年11月就诊于眼科的DME患者(45例59眼)。对比患者治疗前后深浅层血管密度变化、视网膜高反射点等指标变... 目的评估深浅层血管密度变化、视网膜高反射点等形态学指标与糖网黄斑水肿(DME)治疗反应的相关性。方法回顾性选取2020年4月至2023年11月就诊于眼科的DME患者(45例59眼)。对比患者治疗前后深浅层血管密度变化、视网膜高反射点等指标变化。使用Pearson检验分析各指标与DME抗血管内皮生长因子(VEGF)治疗反应不佳的相关性。采用受试者工作特征曲线(ROC)分析基线视网膜深层毛细血管丛(DCP)、黄斑中心视网膜厚度(CMT)、视网膜高反射灶(HRF)数量及血流密度(FD300-VD)在诊断DME对抗VEGF治疗反应不佳的价值。结果与治疗前相比,治疗后患者的视网膜浅层毛细血管丛(SCP)、DCP、FD300-VD、深浅层血流比(DSFR)上升,CMT厚度明显降低(P<0.05)。Pearson相关性检验显示,抗VEGF治疗反应不佳患者结局与基线SCP-VD、DCP-VD、DSFR、FD300-VD呈负相关(r=-0.458、-0.433、-0.604、-0.452,P<0.05),与CMT呈正相关(r=0.427,P<0.05)。多因素logistic回归分析结果显示,SCP、DCP、FD300-VD、DSFR上升,CMT降低是影响DME抗VEGF治疗应答的相关因素(OR=0.285、0.272、0.291、0.268、2.821,P<0.05)。ROC曲线分析结果显示,基线DCP、CMT、HRF数量、FD300-VD的曲线下面积(AUC)分别为0.918、0.934、0.947、0.927,在诊断DME抗VEGF治疗反应不佳中具有良好的价值。结论深浅层血管密度变化、视网膜高反射点等形态学指标在评估DME治疗反应中具有良好的应用价值,可辅助临床治疗工作的开展。 展开更多
关键词 糖网黄斑水肿 深浅层血管密度 视网膜高反射点 相关性
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参数优化磁敏感加权成像对急性缺血性脑卒中的诊断价值
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作者 谭莉平 吴芳 +1 位作者 薛翔文 黄家梧 《中国实用神经疾病杂志》 2025年第3期271-276,共6页
目的探讨参数优化磁敏感加权成像(SWI)在急性缺血性脑卒中(AIS)的诊断价值。方法收集2020-01—2023-12在广西壮族自治区民族医院就诊符合入组的60例AIS患者的影像学资料,均采用2种参数进行SWI检查并获得2组影像,常规参数序列为对照组,... 目的探讨参数优化磁敏感加权成像(SWI)在急性缺血性脑卒中(AIS)的诊断价值。方法收集2020-01—2023-12在广西壮族自治区民族医院就诊符合入组的60例AIS患者的影像学资料,均采用2种参数进行SWI检查并获得2组影像,常规参数序列为对照组,参数优化序列为实验组,比较2组患者图像的重要征象检出率、扫描时间、图像质量。结果2组患者检出存在CMBs阳性39例,均显示脑内出血灶92个,其中梗死灶内出血转化灶(HT)18个,梗死灶外的微出血灶(CMBs)74个。2组均显示磁敏感血管征(SVS)9例,与MRA显示血管闭塞部位一致。2组均显示突出血管征(PVS)23例,与三维动脉自旋标记(3D-ASL)显示低灌注区一致。对照组扫描时间294 s,实验组为145 s。实验组图像质量评分(3.27±0.15)分,对照组为(3.65±0.25)分,差异有统计学意义(P<0.05),但实验组评分均>3分,图像质量满足诊断要求。结论SWI是很有价值的成像序列,可提供有关AIS患者的重要补充信息,识别具有预后价值并影响治疗决策的各种影像特征,经参数优化的SWI仅需145 s即可执行,可纳入AIS患者急诊检查的MRI成像序列。 展开更多
关键词 缺血性脑卒中 磁共振成像 磁敏感加权成像 参数优化 出血转化灶 微出血灶 预后
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甲状腺滤泡癌的临床病理特征和预后分析 被引量:1
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作者 王红群 宋欣 +3 位作者 刘鹏 巩幼洁 李莹 石怀银 《临床与实验病理学杂志》 北大核心 2025年第1期51-59,共9页
目的 探讨甲状腺滤泡癌(follicular thyroid carcinomas, FTC)的临床病理特征及预后。方法 收集205例FTC的临床资料,分析FTC的临床病理特点及其对预后的影响。结果 FTC的骨转移患者最多(25.4%,主要是椎骨和骨盆),其次是肺(15.6%)。影响... 目的 探讨甲状腺滤泡癌(follicular thyroid carcinomas, FTC)的临床病理特征及预后。方法 收集205例FTC的临床资料,分析FTC的临床病理特点及其对预后的影响。结果 FTC的骨转移患者最多(25.4%,主要是椎骨和骨盆),其次是肺(15.6%)。影响远处转移的因素有:患者年龄(≥55岁)、肿瘤≥2灶、临床分期(Ⅲ~Ⅳ期)、广泛浸润型、复发癌及术后/治疗后的复发转移,完整切除的患者远处转移少(P均<0.05)。影响癌灶数的因素:分期、年龄、广泛浸润型、复发癌、远处转移和高血压病史,再复发转移率高(P均<0.05)。单因素生存分析显示,影响FTC总生存率(overall survival, OS)和癌症特异性生存率(cancer-specific survival, CSS)的预后因素如下:癌灶数、分期、年龄、手术方式、广泛浸润型、远处转移、吸烟史及术后/治疗后的再复发转移情况(P均<0.05)。Cox多因素回归分析显示,分期、吸烟和远处转移均影响OS及CSS;分期、亚型及复发癌影响无复发生存率(relapse-free survival, RFS)。伴有未分化癌的FTC组与不伴有未分化癌的FTC相比,分期晚(Ⅲ~Ⅳ期,100.0%vs 32.0%)、年龄大(≥60岁,87.5%vs 37.6%)、体积较大(>4 cm, 100.0%vs 44.2%),均为广泛浸润型(100.0%vs 33.3%),生存时间较短[CSS(4.429±1.152)月vs(120.415±5.765)月,P<0.001]。结论 FTC远处转移的好发部位是骨,年龄大、广泛浸润型及复发癌的患者易发生多灶及远处转移。影响FTC预后的因素较多,伴有未分化癌的FTC预后很差。 展开更多
关键词 甲状腺肿瘤 甲状腺滤泡癌 伴有未分化癌的甲状腺滤泡癌 远处转移 癌灶数 预后
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云南省2017—2023年野鼠疫源地鼠疫流行病学分析 被引量:1
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作者 石庆喜 浦恩念 +2 位作者 苏丽琼 苏超 高子厚 《中国热带医学》 北大核心 2025年第1期36-40,共5页
目的分析云南省野鼠疫源地2017—2023年鼠疫疫情流行特点、鼠疫宿主媒介群落结构及数量,为该疫源地制定鼠疫防治策略及预测预警提供科学依据。方法按《全国鼠疫监测方案》及《云南省鼠疫监测方案》要求开展宿主媒介监测及病原学和血清... 目的分析云南省野鼠疫源地2017—2023年鼠疫疫情流行特点、鼠疫宿主媒介群落结构及数量,为该疫源地制定鼠疫防治策略及预测预警提供科学依据。方法按《全国鼠疫监测方案》及《云南省鼠疫监测方案》要求开展宿主媒介监测及病原学和血清学检测,收集2017—2023年云南野鼠疫源地鼠疫疫情资料和宿主媒介监测数据,采用Excel 2019软件建立数据库,进行描述性分析。结果2017—2023年,云南省野鼠疫源地累计发现动物间鼠疫疫情11起,疫点18个,7个疫点分布海拔2800~<3000 m,7个疫点分布海拔3000~<3200 m,4个疫点位于海拔≥3200 m的区域;共检出宿主动物阳性样本28份,媒介动物阳性样本8份,分离出鼠疫菌29株;大绒鼠(Eothenomys miletus)占41.67%,其次为齐氏姬鼠(Apodemus chevrieri)占22.22%,方叶栉眼蚤(Ctenophthalmus quadratus)占11.11%,黄胸鼠(Rattus tanezumi)和特新蚤指名亚种(Neopsylla specialis)各占8.33%,珀氏长吻松鼠(Dremomys pernyi)、鼠尸残骸及棕形额蚤(Frontopsyllas padix)各占2.78%;流行高峰为4月,未发现人间病例。共放置鼠笼(夹)453220个,捕鼠27677只,平均捕获率为6.11%。捕获主要宿主齐氏姬鼠和大绒鼠共计25075只,占总捕获率的90.60%。共检获小兽体表寄生蚤14700匹,总染蚤率为23.13%,蚤指数为0.59,主要媒介为方叶栉眼蚤和特新蚤指名亚种,构成比分别为45.71%和22.69%。结论2017—2023年云南野鼠疫源地主要宿主动物种群密度较高且呈上升趋势,可能与当地种植结构有关,鼠疫对宿主种群结构也起调节作用。动物间疫情呈现明显的季节性,疫区范围有扩大趋势。未发现人间病例,但在人居区的黄胸鼠中检出鼠疫菌,存在较大动物间鼠疫波及人间的可能。提示需加强疫源地毗邻地区的监测,做好春季灭鼠灭蚤工作,提高鼠疫预测预警的精准度,为动物间鼠疫早期发现、防止疫情传播到人间提供有力的技术支持。 展开更多
关键词 鼠疫 野鼠疫源地 动物间鼠疫 分布 宿主 云南省
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内蒙古鄂尔多斯市2010—2023年长爪沙鼠鼠疫空间分布与气象因素的相关性 被引量:1
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作者 颜璐 訾倩倩 +5 位作者 王昇 高冬 郑峰 王娜娜 杨春燕 靳尚武 《中国热带医学》 北大核心 2025年第4期520-525,共6页
目的通过分析2010—2023年内蒙古自治区鄂尔多斯市鼠疫监测数据,掌握长爪沙鼠种群密度和空间分布,探究鼠密度与春季气象因素的相关性,为动物间鼠疫的预警和防治提供科学依据。方法收集2010—2023年内蒙古自治区鄂尔多斯市鼠疫监测数据,... 目的通过分析2010—2023年内蒙古自治区鄂尔多斯市鼠疫监测数据,掌握长爪沙鼠种群密度和空间分布,探究鼠密度与春季气象因素的相关性,为动物间鼠疫的预警和防治提供科学依据。方法收集2010—2023年内蒙古自治区鄂尔多斯市鼠疫监测数据,按照《内蒙古自治区动物鼠疫监测方案》的要求,鄂托克前旗作为一类监测点,其他旗县作为二类监测点进行鼠疫监测。使用描述性流行病学方法和SPSS 25.0对监测数据进行分析,采用ArcGIS 10.8绘制空间分布图,相关性检验使用Spearman相关性分析,率的比较使用χ^(2)检验。结果2010—2023年鄂尔多斯市长爪沙鼠总鼠密度为4.08只/hm^(2)。鼠体染蚤率为31.04%,不同年份之间染蚤率的差异有统计学意义且存在线性增长趋势(χ^(2)=943.917、χ^(2)_(趋势)=46.003,P<0.001)。平均蚤指数为0.80。分离出鼠疫耶尔森菌(Yersinia pestis)68株。Spearman相关性分析结果显示,鄂尔多斯市长爪沙鼠密度与春季平均气温(r=0.747,P<0.05)具有正相关性;与春季平均相对湿度(r=-0.678,P<0.05)、春季20-20时降水量(r=-0.828,P<0.05)、春季平均2 min风速(r=-0.780,P<0.05)具有负相关性,与春季日照时数无相关性(P>0.05)。结论鄂尔多斯市动物间鼠疫疫情持续存在,对当地居民的威胁较大。应积极开展卫生学评价工作,精准判断疫情趋势,加大鼠疫监测和防控力度,加强健康教育,将发生人间鼠疫的风险降到最低。 展开更多
关键词 长爪沙鼠疫源地 空间分布 气象因素 相关性
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2001-2020年天山山地鼠疫疫源地灰旱獭鼠疫监测数据分析 被引量:1
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作者 买力哈吧·白克力 伊力扎提·托乎提 +6 位作者 木合塔尔·塔依尔 阿扎提·热合木 热米拉·吐尔洪 阿布都吉力力·托合提 郝蕴伟 张艺严 王启果 《热带医学杂志》 2025年第5期682-686,709,共6页
目的分析2001-2020年天山山地鼠疫疫源地灰旱獭鼠疫监测数据,掌握其流行病学特征和变化趋势,为制定针对性更强的鼠疫防控措施提供科学依据。方法基于2001-2020年天山山地鼠疫疫源地灰旱獭鼠疫监测资料,分析旱獭密度、体蚤指标、鼠疫菌... 目的分析2001-2020年天山山地鼠疫疫源地灰旱獭鼠疫监测数据,掌握其流行病学特征和变化趋势,为制定针对性更强的鼠疫防控措施提供科学依据。方法基于2001-2020年天山山地鼠疫疫源地灰旱獭鼠疫监测资料,分析旱獭密度、体蚤指标、鼠疫菌阳性率及血清鼠疫F1抗体和抗原阳性率,并用Spearman相关系数进行相关性分析。结果2001-2020年,灰旱獭密度监测:定点法共调查16828.70 hm^(2),见獭27590只,平均密度为1.64只/hm^(2),路线法共调查156588.30 hm^(2),见獭70190只,平均密度为0.45只/hm^(2)。体蚤指标监测:共梳捡43108只灰旱獭,其中染蚤20265只,染蚤率为47.01%,获蚤96040只,总蚤指数为2.23。病原学监测:共检验活旱獭58060只,分离鼠疫菌6株,阳性检出率为0.01%,检验病死旱獭954只,分离鼠疫菌79株,阳性检出率为8.28%。血清学监测:正向间接血凝试验共检验55309份血清,检出阳性141份,阳性率0.25%,反向间接血凝试验共检验777份灰旱獭动物材料,检出阳性20份,阳性率为2.57%。獭密度(r=0.652,P<0.01)、染蚤率(r=0.667,P<0.01)、蚤指数(r=0.788,P<0.01)均与血清F1抗体阳性率成正相关。结论2001-2020年,天山山地鼠疫疫源地灰旱獭密度、染蚤率和蚤指数在高位波动,獭间疫情连年不断,处于活跃状态,需加强疫源地内灰旱獭及体蚤监测工作,及时掌握疫情流行动态,防止疫情波及人间。 展开更多
关键词 鼠疫 天山山地鼠疫疫源地 灰旱獭
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环青海湖地区鼠疫疫源地鼠疫菌单核苷酸多态性研究
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作者 李胜 靳娟 +7 位作者 何建 杨晓艳 柏吉祥 辛有全 张丽 张晓璐 杜文琪 李伟 《中国人兽共患病学报》 北大核心 2025年第6期592-596,共5页
目的基于鼠疫菌全基因组单核苷酸多态性分析,明确环青海湖地区鼠疫疫源地鼠疫菌分子特征,为该地区鼠疫菌的分子流行病学分析和溯源奠定基础。方法利用全基因组测序技术,获得环青海湖地区鼠疫自然疫源地84株代表性鼠疫菌株的全基因组序列... 目的基于鼠疫菌全基因组单核苷酸多态性分析,明确环青海湖地区鼠疫疫源地鼠疫菌分子特征,为该地区鼠疫菌的分子流行病学分析和溯源奠定基础。方法利用全基因组测序技术,获得环青海湖地区鼠疫自然疫源地84株代表性鼠疫菌株的全基因组序列,以NCBI数据库中的鼠疫菌及假结核耶尔森菌IP32953的全基因组序列为参考,比对2298个SNP位点并进行分析。结果1957—2020年,环青海湖地区鼠疫疫源地分离的84株代表性鼠疫菌株分为1.IN2和3.ANT1两个分支,其中1.IN2分支作为该地区鼠疫菌的特征种群遍及所有疫情流行年代;鼠疫菌SNP地区分布显示除乌兰县外其余5个县的鼠疫菌均位于1.IN2分支中;不同宿主SNP分布显示,除分离自喜马拉雅旱獭和狗体内的2株鼠疫菌位于3.ANT1分支外,其余均位于1.IN2分支中。结论环青海湖地区鼠疫疫源地鼠疫菌的SNP种群结构较为单一,基于鼠疫菌基因组单核苷酸多态性分析,可以为该地区鼠疫疫情的溯源和防控措施的制定提供科学依据。 展开更多
关键词 环青海湖地区 鼠疫疫源地 鼠疫菌 单核苷酸多态性
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Difference in DNA sequences in SSU rDNA variable regions among pathogens isolated from different epidemic foci of visceral leishmaniasis in China
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作者 胡孝素 卜玲毅 +3 位作者 马莹 王雅静 敬保迁 易桃林 《Chinese Medical Journal》 SCIE CAS CSCD 2002年第10期17-19,143,共4页
To confirm the existence of point mutations in the SSU rDNA variable regions of 5 Leishmania donovani (L d ) isolates from different epidemic foci in China Methods Specific SSU rDNA fragments from nuclear DNA of 7... To confirm the existence of point mutations in the SSU rDNA variable regions of 5 Leishmania donovani (L d ) isolates from different epidemic foci in China Methods Specific SSU rDNA fragments from nuclear DNA of 7 Leishmania species/isolates were amplified by PCR and then cloned into pGEM R T Easy Vectors After that, the specific fragments were sequenced by an automated DNA sequencer Results Sequence analysis showed that the amplified DNA fragments of 7 Leishmania species/isolates were all 392 bp in length All 5 point mutations were located in two unique sequence blocks (UQ Ⅰ and UQ Ⅱ), and no insertions or deletions were found The identities of comparison of Leishmania in GeneBank were more than 98% Conclusion Five point mutations exist in the SSU rDNA variable region of 5 L d isolates from different epidemic foci of visceral leishmaniasis (VL) in China Sequence differences of the SSU rDNA variable region exist among L d isolates from different foci 展开更多
关键词 visceral leishmaniasis · Leishmania · point mutation · small subunit ribosomal DNA · polymerase chain reaction · cloning · sequence analysis · epidemic foci
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